Does Ahs Hospital Corp have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ahs Hospital Corp. In a medical emergency, call 911.

Where is Ahs Hospital Corp?

651 Willow Grove St, Hackettstown, NJ 07840, in Warren County, New Jersey.

What is the phone number of Ahs Hospital Corp?

(908) 852-5100, as listed by Medicare (CMS).

What is the Medicare star rating of Ahs Hospital Corp?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Ahs Hospital Corp for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Ahs Hospital Corp under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.3148; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Ahs Hospital Corp — Phone, Address & ER

Quick answers

Does Ahs Hospital Corp have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ahs Hospital Corp. In a medical emergency, call 911.
Where is Ahs Hospital Corp?: 651 Willow Grove St, Hackettstown, NJ 07840, in Warren County, New Jersey.
What is the phone number of Ahs Hospital Corp?: (908) 852-5100, as listed by Medicare (CMS).
What is the Medicare star rating of Ahs Hospital Corp?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Ahs Hospital Corp for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Ahs Hospital Corp under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.3148; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Cancer care
Heart care
Bariatrics
Radiology
Breast health

Conditions treated^[4]

Treatments^[4]

Mammograms
Breast cancer screening
Breast cancer treatment
Bariatric treatments
Trauma treatment
Clinical trials

Procedures^[4]

Diagnostic imaging

Programs and centers^[4]

Emergency department fast-track for minor issues

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Patient-centered visitation 24 hours a day, 7 days a week; hours may vary by department, so call ahead^[4]
Parking	Free parking for patients and visitors; visitors use the A lot for the main hospital^[4]

Doctors and clinicians (742)

742 doctors and other clinicians list Ahs Hospital Corp as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 718 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Newton Medical Center14 mi · Newton, NJ · Acute Care Hospital
Saint Clare's Hospital/ Denville Campus18 mi · Denville, NJ · Acute Care Hospital
Lehigh Valley Hospital - Pocono21 mi · East Stroudsburg, PA · Acute Care Hospital
St Luke's Warren Hospital22 mi · Phillipsburg, NJ · Acute Care Hospital
Hunterdon Medical Center23 mi · Flemington, NJ · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Hackettstown

Kindred Hospital New Jersey - Morris County13 mi · Dover, NJ · Long-Term Acute Care Hospital
Matheny Medical and Educational Center13 mi · Peapack, NJ · Long-Term Acute Care Hospital
Greystone Park Psychiatric Hospital16 mi · Morris Plains, NJ · Psychiatric Hospital

Hospitals in Warren County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Heath Village2.3 mi · Hackettstown, NJ · 4 of 5 stars
Forest Manor HCC7.3 mi · Blairstown, NJ · 3 of 5 stars
Warren Haven Rehab and Nursing Center8.5 mi · Oxford, NJ · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Ennoble Care0.9 mi · Hackettstown, NJ · 3 of 5 stars
Compassionate Care Hospice of Northern NJ, LLC3.5 mi · Rockaway, NJ · 4 of 5 stars
Karen Ann Quinlan Hospice14 mi · Newton, NJ · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Atlantic Visiting Nurse17 mi · Morristown, NJ · 4.5 of 5 stars
Visiting Nurse Assoc of Northern New Jersey, Inc17 mi · Morristown, NJ · 4 of 5 stars
Community Visiting Nurse Service20 mi · Somerville, NJ · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FKC Hackettstown0.9 mi · Hackettstown, NJ · 4 of 5 stars
DaVita Renal Center of Succasunna8.2 mi · Succasunna, NJ · 5 of 5 stars
FMC Kenvil10 mi · Kenvil, NJ · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Emmaus Surgical Center LLC0.9 mi · Hackettstown, NJ
Skylands Surgery Center, LLC7.2 mi · Stanhope, NJ
New Jersey Plastic Surgery Center LLC8.8 mi · Chester, NJ

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Zufall Health Center Hackettstown0.3 mi · Hackettstown, NJ · Community health center
Highlands Health Van13 mi · Dover, NJ · Community health center
Zufall Health Center13 mi · Dover, NJ · Community health center

Clinics and urgent care

Medexpress Urgent Care - Northern New Jersey, PC0.9 mi · Hackettstown, NJ · Urgent care center
Medexpress Urgent Care - Northern New Jersey, PC7.8 mi · Ledgewood, NJ · Urgent care center
Better Faster LLC8.2 mi · Succasunna, NJ · Urgent care center

Pharmacies

Designrx LLC0.9 mi · Hackettstown, NJ · Community/retail pharmacy
Panther Healthcare Clinic Inc0.9 mi · Hackettstown, NJ · Community/retail pharmacy
Panther Healthcare Enterprises Inc0.9 mi · Hackettstown, NJ · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ahs Hospital Corp reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	1 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	2 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	63%National average: 72%
Would definitely recommend the hospital	60%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	71%National average: 80%
“Always” got help as soon as they wanted	51%National average: 64%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	75%National average: 73%
Completed surveys	511Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	11.9%
Deaths within 30 days: heart failure patients	10.3%
Deaths within 30 days: pneumonia patients	13.7%
Deaths within 30 days: COPD patients	6.1%
Deaths within 30 days: stroke patients	11.2%
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	15.8%
Readmitted within 30 days: heart attack	14.1%
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	18.9%
Readmitted within 30 days: COPD	19%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	181 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	67%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Ahs Hospital Corp, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	0.3148Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	0.9402Fewer readmissions than expected
Pneumonia	1.1302More readmissions than expected
COPD (chronic lung disease)	0.9503Fewer readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	22.88 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	27.50 out of 100
Person and community engagement (patient survey)	32.00 out of 100
Safety (infections and sepsis care)	32.00 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.09Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in New Jersey Best hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as Ahs Hospital Corp lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 78 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Bh Med Mgmt OP New 15 Min	$483	$96.77	$51.29 – $483
New patient office visit (about 30–44 minutes): 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $289.80 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA: $289.80 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $289.80 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $86.57 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $289.80 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: E&M New Patient Level 3	$802	$96.77	$69.26 – $802
New patient office visit (about 30–44 minutes): 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $481.20 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA: $481.20 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $481.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $86.57 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $481.20 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $92.87
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M New Patient Level 3	$802	$96.77	$69.26 – $197.14
New patient office visit (about 30–44 minutes): 10 of 203 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $86.57 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $197.14 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $140.82 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $140.82 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $140.82 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $140.82
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M New Patient Level 4	$1,069.02	$252.60	$77.77 – $311.81
New patient office visit (about 45–59 minutes): 10 of 204 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $149.53 AETNA [5002] — HMC AETNA HTC: $209.34 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $141.09 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $149.53 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $149.53 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $209.34 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $149.53 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $149.53 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $149.53 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $149.53
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: E&M New Patient Level 4	$907	$157.63	$87.53 – $907
New patient office visit (about 45–59 minutes): 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $544.20 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $142.64 AETNA [5002] — HMC AETNA: $544.20 AETNA [5002] — HMC AETNA HTC: $199.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $544.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $141.09 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $544.20 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $105.03
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Bh Med Mgmt OP New 25 Min	$526	$157.63	$55.86 – $526
New patient office visit (about 45–59 minutes): 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $315.60 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $142.64 AETNA [5002] — HMC AETNA: $315.60 AETNA [5002] — HMC AETNA HTC: $199.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $315.60 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $141.09 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $315.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New Patient	$1,002	$214.60	$106.41 – $1,002
New patient office visit (about 60–74 minutes): 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $601.20 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $149.53 AETNA [5002] — HMC AETNA: $601.20 AETNA [5002] — HMC AETNA HTC: $209.34 AETNA [5002] — HMC AETNA WHOLE HEALTH: $601.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $192.09 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $149.53 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $149.53 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $601.20 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $116.03
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Bh Med Mgmt OP New 40 Min	$565	$214.60	$60 – $565
New patient office visit (about 60–74 minutes): 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $339 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $149.53 AETNA [5002] — HMC AETNA: $339 AETNA [5002] — HMC AETNA HTC: $209.34 AETNA [5002] — HMC AETNA WHOLE HEALTH: $339 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $192.09 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $149.53 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $149.53 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $339 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Patient	$1,247	$214.60	$61.91 – $424.52
New patient office visit (about 60–74 minutes): 10 of 203 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $149.53 AETNA [5002] — HMC AETNA HTC: $209.34 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $192.09 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $149.53 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $149.53 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $209.34 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $149.53 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $149.53 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $149.53 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $149.53
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M Est Patient Level 3	$725.29	$77.82	$30 – $197.14
Established patient office visit (about 20–29 minutes): 10 of 204 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $69.69 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $197.14 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $140.82 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $140.82 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $140.82 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $140.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$684	$77.82	$66.01 – $684
Established patient office visit (about 20–29 minutes): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $410.40 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA: $410.40 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $410.40 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $69.69 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $410.40 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $79.21
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Bh Med Mgmt OP Est 15 Min	$447	$77.82	$30 – $447
Established patient office visit (about 20–29 minutes): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $268.20 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA: $268.20 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $268.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $69.69 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $268.20 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Bh Med Mgmt OP Est 25 Min	$487	$114.53	$40 – $487
Established patient office visit (about 30–39 minutes): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $292.20 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA: $292.20 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $292.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $102.55 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $292.20 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Bh Med Mgmt OP Est 25 Min	$820.78	$114.53	$40 – $226.64
Established patient office visit (about 30–39 minutes): 10 of 204 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $102.55 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $197.14 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $140.82 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $140.82 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $140.82 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $140.82
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Bh E&M Est Patient Level 4	$487	$114.53	$40 – $487
Established patient office visit (about 30–39 minutes): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $292.20 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $140.82 AETNA [5002] — HMC AETNA: $292.20 AETNA [5002] — HMC AETNA HTC: $197.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $292.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $102.55 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $140.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $140.82 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $292.20 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Consultation Visits	$250	$250	$24.13 – $250
Office consultation with a specialist (moderate): 10 of 144 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $150 AETNA [5002] — HMC AETNA: $150 AETNA [5002] — HMC AETNA WHOLE HEALTH: $150 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $150 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $28.95 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $187.50 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $150 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $183.15 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $149.25 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $154.70
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev Med E&M New 18-39 Yr	$1,639	$187.32	$26.76 – $157.60
Preventive checkup, new patient, age 18–39: 10 of 204 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $28.42 AETNA [5002] — HMC AETNA HTC: $39.78 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $28.42 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $39.78 AMERIHEALTH CARITAS VIP CARE [5313] — HMC AMERIHEALTH CARITAS: $28.70 AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] — HMC AMERIHEALTH CARITAS: $28.70 ANTHEM BCBSNY MEDICARE [5312] — HMC HORIZON BRAVEN: $28.42 ANTHEM BCBSNY MEDICARE IP SPLITS [5476] — HMC HORIZON BRAVEN: $28.42 ANTHEM MEDICARE PFFS [5052] — HMC HORIZON BRAVEN: $28.42 ANTHEM MEDICARE PFFS IP SPLITS [5474] — HMC HORIZON BRAVEN: $28.42
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED E&M Level 3	$3,278.07	$597.63	$115.55 – $3,225
Emergency room visit (moderate): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $302.56 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $423.58 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $302.56 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $302.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $302.56 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $423.58
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED E&M Level 3	$2,333	$347.94	$115.55 – $3,225
Emergency room visit (moderate): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $302.56 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $423.58 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $302.56 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $302.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $302.56 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $270.16
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED E&M Level 4 W/Crisis Mhp	$4,181	$535.09	$194.93 – $4,181
Emergency room visit (moderately high): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $465.29 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $651.41 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $465.29 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $465.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $465.29 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $484.16
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED E&M Level 4	$3,108	$535.09	$194.93 – $3,225
Emergency room visit (moderately high): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $465.29 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $651.41 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $465.29 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $465.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $465.29 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $359.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED E&M Level 4	$9,347	$832.74	$194.93 – $3,225
Emergency room visit (moderately high): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $465.29 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $651.41 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $465.29 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $465.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $465.29 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $651.41
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED E&M Level 5	$4,408	$770.42	$282.76 – $4,408
Emergency room visit (high): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $669.93 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $937.91 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $669.93 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $669.93 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $669.93 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $510.45
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED E&M Level 5	$10,451.49	$770.42	$282.76 – $3,225
Emergency room visit (high): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $669.93 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $937.91 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $669.93 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $669.93 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $669.93 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $937.91
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED E&M Level 5 W/Crisis Mhpmd	$5,484	$770.42	$282.76 – $5,484
Emergency room visit (high): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,933 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $669.93 AETNA [5002] — HMC AETNA: $2,933 AETNA [5002] — HMC AETNA HTC: $937.91 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,288 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $669.93 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $669.93 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $669.93 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,933 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $635.05

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel Total Ca	$362	$9.73	$4.48 – $362
Basic metabolic panel (blood test): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $16.38 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8.46 AETNA [5002] — HMC AETNA: $16.38 AETNA [5002] — HMC AETNA HTC: $11.84 AETNA [5002] — HMC AETNA WHOLE HEALTH: $12.77 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8.46 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $8.46 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $8.46 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $16.38 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $8.12
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel Total Ca	$915	$40.96	$4.48 – $42.69
Basic metabolic panel (blood test): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $16.38 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8.46 AETNA [5002] — HMC AETNA: $16.38 AETNA [5002] — HMC AETNA HTC: $11.84 AETNA [5002] — HMC AETNA WHOLE HEALTH: $12.77 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8.46 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $5.92 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $5.92 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $16.38 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $8.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel	$2,650	$110.64	$5.60 – $134.70
Comprehensive metabolic panel (blood test): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $18.50 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $96.21 AETNA [5002] — HMC AETNA: $18.50 AETNA [5002] — HMC AETNA HTC: $134.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $14.43 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $96.21 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $7.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $7.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $18.50 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $10.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$1,174	$12.14	$5.60 – $1,174
Comprehensive metabolic panel (blood test): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $18.50 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $10.56 AETNA [5002] — HMC AETNA: $18.50 AETNA [5002] — HMC AETNA HTC: $14.78 AETNA [5002] — HMC AETNA WHOLE HEALTH: $14.43 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $10.56 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $10.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $10.56 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $18.50 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $10.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel	$2,837	$180.76	$7.10 – $68.85
Cholesterol panel (lipid panel): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $25.93 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $13.39 AETNA [5002] — HMC AETNA: $25.93 AETNA [5002] — HMC AETNA HTC: $18.75 AETNA [5002] — HMC AETNA WHOLE HEALTH: $20.22 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $13.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $13.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $13.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $25.93 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $12.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$433	$15.40	$7.10 – $433
Cholesterol panel (lipid panel): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $25.93 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $13.39 AETNA [5002] — HMC AETNA: $25.93 AETNA [5002] — HMC AETNA HTC: $18.75 AETNA [5002] — HMC AETNA WHOLE HEALTH: $20.22 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $13.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $13.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $13.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $25.93 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $12.85
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$141	$9.98	$4.60 – $141
Kidney function panel: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $16.80 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8.68 AETNA [5002] — HMC AETNA: $16.80 AETNA [5002] — HMC AETNA HTC: $12.15 AETNA [5002] — HMC AETNA WHOLE HEALTH: $13.10 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8.68 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $8.68 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $8.68 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $16.80 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $8.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel	$992	$61.15	$4.60 – $22.58
Kidney function panel: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $16.80 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8.68 AETNA [5002] — HMC AETNA: $16.80 AETNA [5002] — HMC AETNA HTC: $12.15 AETNA [5002] — HMC AETNA WHOLE HEALTH: $13.10 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8.68 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $6.08 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $6.08 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $16.80 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $8.33
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$281	$9.40	$4.33 – $281
Liver function panel: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $15.80 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8.17 AETNA [5002] — HMC AETNA: $15.80 AETNA [5002] — HMC AETNA HTC: $11.44 AETNA [5002] — HMC AETNA WHOLE HEALTH: $12.32 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8.17 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $8.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $8.17 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $15.80 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $7.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel	$1,365	$56.15	$4.33 – $32.13
Liver function panel: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $15.80 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8.17 AETNA [5002] — HMC AETNA: $15.80 AETNA [5002] — HMC AETNA HTC: $11.44 AETNA [5002] — HMC AETNA WHOLE HEALTH: $12.32 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8.17 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $8.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $8.17 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $15.80 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $7.85
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Auto W Micro	$357	$3.65	$2.54 – $357
Urine test (automated, with microscope): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $6.13 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $3.17 AETNA [5002] — HMC AETNA: $6.13 AETNA [5002] — HMC AETNA HTC: $4.44 AETNA [5002] — HMC AETNA WHOLE HEALTH: $4.78 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $3.17 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $3.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $3.17 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $6.13 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $3.05
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis Auto W Micro	$3,626 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$117.49	$1.68 – $112.38
Urine test (automated, with microscope): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2.22 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $102.17 AETNA [5002] — HMC AETNA: $2.22 AETNA [5002] — HMC AETNA HTC: $4.44 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2.22 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $102.17 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $102.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $102.17 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2.22 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $3.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis Non Auto WO Micro	$3,147 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$608.46	$2.78 – $7.69
Urine test (manual, without microscope): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $4.95 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $3.48 AETNA [5002] — HMC AETNA: $4.95 AETNA [5002] — HMC AETNA HTC: $4.87 AETNA [5002] — HMC AETNA WHOLE HEALTH: $3.86 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $3.48 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $3.48 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $3.48 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $4.95 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $3.34
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Non Auto WO Micro	$78	$4	$2.78 – $78
Urine test (manual, without microscope): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $4.95 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $3.48 AETNA [5002] — HMC AETNA: $4.95 AETNA [5002] — HMC AETNA HTC: $4.87 AETNA [5002] — HMC AETNA WHOLE HEALTH: $3.86 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $3.48 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $3.48 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $3.48 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $4.95 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $3.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Auto WO Micro	$3,076 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$99.66	$1.19 – $6.89
Urine test (automated, without microscope): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $4.35 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $2.25 AETNA [5002] — HMC AETNA: $4.35 AETNA [5002] — HMC AETNA HTC: $3.15 AETNA [5002] — HMC AETNA WHOLE HEALTH: $3.39 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $2.25 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $2.25 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $2.25 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $4.35 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $2.16
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Auto WO Micro	$249	$2.59	$1.19 – $249
Urine test (automated, without microscope): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $4.35 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $2.25 AETNA [5002] — HMC AETNA: $4.35 AETNA [5002] — HMC AETNA HTC: $3.15 AETNA [5002] — HMC AETNA WHOLE HEALTH: $3.39 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $2.25 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $2.25 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $2.25 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $4.35 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $2.16
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specific Antigen Psa Total	$444	$21.15	$9.75 – $444
PSA (prostate specific antigen) blood test: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $35.58 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $18.39 AETNA [5002] — HMC AETNA: $35.58 AETNA [5002] — HMC AETNA HTC: $25.75 AETNA [5002] — HMC AETNA WHOLE HEALTH: $27.75 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $18.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $18.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $18.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $35.58 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $17.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate Specific Antigen Psa Total	$2,894	$107.89	$9.75 – $112.46
PSA (prostate specific antigen) blood test: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $35.58 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $18.39 AETNA [5002] — HMC AETNA: $35.58 AETNA [5002] — HMC AETNA HTC: $25.75 AETNA [5002] — HMC AETNA WHOLE HEALTH: $27.75 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $18.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $18.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $18.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $35.58 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $17.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone Tsh	$3,097	$119.92	$8.90 – $114.75
Thyroid stimulating hormone (TSH) test: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $32.50 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $16.80 AETNA [5002] — HMC AETNA: $32.50 AETNA [5002] — HMC AETNA HTC: $23.52 AETNA [5002] — HMC AETNA WHOLE HEALTH: $25.35 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $16.80 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $16.80 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $16.80 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $32.50 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $16.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone Tsh	$317	$19.32	$8.90 – $317
Thyroid stimulating hormone (TSH) test: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $32.50 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $16.80 AETNA [5002] — HMC AETNA: $32.50 AETNA [5002] — HMC AETNA HTC: $23.52 AETNA [5002] — HMC AETNA WHOLE HEALTH: $25.35 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $16.80 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $16.80 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $16.80 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $32.50 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $16.13
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc Cmplt W Plt W Auto Wbc Diff	$288	$8.94	$4.12 – $288
Complete blood count (CBC) with differential: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $15.05 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $7.77 AETNA [5002] — HMC AETNA: $15.05 AETNA [5002] — HMC AETNA HTC: $10.88 AETNA [5002] — HMC AETNA WHOLE HEALTH: $11.74 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $7.77 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $7.77 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $7.77 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $15.05 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $33.35
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Cbc Cmplt W Plt W Auto Wbc Diff	$2,775	$85.02	$4.12 – $22.95
Complete blood count (CBC) with differential: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $5.44 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $7.77 AETNA [5002] — HMC AETNA: $5.44 AETNA [5002] — HMC AETNA HTC: $10.88 AETNA [5002] — HMC AETNA WHOLE HEALTH: $5.44 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $7.77 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $7.77 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $7.77 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $5.44 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $10.88
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc Cmplt W Plt WO Diff	$170	$7.44	$3.43 – $170
Complete blood count (CBC), automated: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $12.53 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $6.47 AETNA [5002] — HMC AETNA: $12.53 AETNA [5002] — HMC AETNA HTC: $9.06 AETNA [5002] — HMC AETNA WHOLE HEALTH: $9.77 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $6.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $6.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $6.47 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $12.53 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $6.22
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Cbc Cmplt W Plt WO Diff	$2,638	$81.79	$3.43 – $22.03
Complete blood count (CBC), automated: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $12.53 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $6.47 AETNA [5002] — HMC AETNA: $12.53 AETNA [5002] — HMC AETNA HTC: $9.06 AETNA [5002] — HMC AETNA WHOLE HEALTH: $9.77 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $6.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $4.53 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $4.53 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $12.53 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $6.22
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothombin Time	$1,641	$36.46	$2.27 – $13.77
Blood clotting time test (prothrombin time, PT): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $3 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $4.29 AETNA [5002] — HMC AETNA: $3 AETNA [5002] — HMC AETNA HTC: $6.01 AETNA [5002] — HMC AETNA WHOLE HEALTH: $3 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $4.29 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $4.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $4.29 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $3 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothombin Time Alupp	$22	$4.93	$2.27 – $22
Blood clotting time test (prothrombin time, PT): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $7.60 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $4.29 AETNA [5002] — HMC AETNA: $7.60 AETNA [5002] — HMC AETNA HTC: $6.01 AETNA [5002] — HMC AETNA WHOLE HEALTH: $5.93 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $4.29 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $4.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $4.29 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $7.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothombin Time	$101	$4.93	$2.27 – $101
Blood clotting time test (prothrombin time, PT): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $7.60 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $4.29 AETNA [5002] — HMC AETNA: $7.60 AETNA [5002] — HMC AETNA HTC: $6.01 AETNA [5002] — HMC AETNA WHOLE HEALTH: $5.93 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $4.29 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $4.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $4.29 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $7.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $4.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin Time Partial Ptt Alupp	$22	$6.91	$2.44 – $22
Blood clotting test (partial thromboplastin time, PTT): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $11.60 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $6.01 AETNA [5002] — HMC AETNA: $11.60 AETNA [5002] — HMC AETNA HTC: $8.41 AETNA [5002] — HMC AETNA WHOLE HEALTH: $9.05 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $6.01 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $6.01 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $6.01 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $11.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin Time Partial Ptt	$149	$6.91	$3.19 – $149
Blood clotting test (partial thromboplastin time, PTT): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $11.60 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $6.01 AETNA [5002] — HMC AETNA: $11.60 AETNA [5002] — HMC AETNA HTC: $8.41 AETNA [5002] — HMC AETNA WHOLE HEALTH: $9.05 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $6.01 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $6.01 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $6.01 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $11.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin Time Partial Ptt	$2,318	$74.64	$3.19 – $90.87
Blood clotting test (partial thromboplastin time, PTT): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $11.60 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $64.91 AETNA [5002] — HMC AETNA: $11.60 AETNA [5002] — HMC AETNA HTC: $90.87 AETNA [5002] — HMC AETNA WHOLE HEALTH: $9.05 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $64.91 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $64.91 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $64.91 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $11.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $5.77

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head WO	$4,246	$133.63	$116.20 – $4,246
CT scan of the head or brain, without contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $446.40 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $446.40 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $348.19 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $446.40 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $491.69
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head WO	$4,246	$133.63	$116.20 – $1,235
CT scan of the head or brain, without contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $446.40 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $446.40 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $348.19 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $446.40 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $162.68
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain W&WO	$7,086.80	$476.54	$354 – $2,497.37
MRI of the brain, before and after contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $820.32 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $414.39 AETNA [5002] — HMC AETNA: $820.32 AETNA [5002] — HMC AETNA HTC: $580.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $639.85 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $414.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $414.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $414.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $820.32 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $580.14
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain W&WO	$14,637	$476.54	$354 – $14,637
MRI of the brain, before and after contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $820.32 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $414.39 AETNA [5002] — HMC AETNA: $820.32 AETNA [5002] — HMC AETNA HTC: $580.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $639.85 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $414.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $414.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $414.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $820.32 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $1,694.96
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Xr Chest 2 Vw	$582	$110.64	$21.42 – $582
Chest X-ray, 2 views: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $48.40 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $96.21 AETNA [5002] — HMC AETNA: $48.40 AETNA [5002] — HMC AETNA HTC: $134.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $37.75 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $96.21 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $96.21 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $96.21 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $48.40 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $67.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest 2 Vw	$582	$110.64	$21.42 – $197.24
Chest X-ray, 2 views: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $48.40 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $96.21 AETNA [5002] — HMC AETNA: $48.40 AETNA [5002] — HMC AETNA HTC: $134.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $37.75 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $96.21 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $96.21 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $96.21 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $48.40 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $134.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Spine Lumbosacr 4+ Vw	$1,530	$133.63	$41.13 – $299.09
X-ray of the lower spine, at least 4 views: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $96.19 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $96.19 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $75.03 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $96.19 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $162.68
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Xr Spine Lumbosacr 4+ Vw	$1,530	$133.63	$41.13 – $1,530
X-ray of the lower spine, at least 4 views: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $96.19 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $96.19 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $75.03 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $96.19 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $177.17
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumb WO	$4,469	$322.54	$228 – $1,852
MRI of the lower back (lumbar spine), without contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $820.32 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $280.47 AETNA [5002] — HMC AETNA: $820.32 AETNA [5002] — HMC AETNA HTC: $392.66 AETNA [5002] — HMC AETNA WHOLE HEALTH: $639.85 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $280.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $820.32 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $392.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumb WO	$9,545	$322.54	$228 – $9,545
MRI of the lower back (lumbar spine), without contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $820.32 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $280.47 AETNA [5002] — HMC AETNA: $820.32 AETNA [5002] — HMC AETNA HTC: $392.66 AETNA [5002] — HMC AETNA WHOLE HEALTH: $639.85 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $280.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $820.32 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $1,105.31
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W	$4,384.08	$237.54	$184 – $1,235
CT scan of the pelvis, with contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $677.59 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $206.56 AETNA [5002] — HMC AETNA: $677.59 AETNA [5002] — HMC AETNA HTC: $289.18 AETNA [5002] — HMC AETNA WHOLE HEALTH: $528.52 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $206.56 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $206.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $206.56 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $677.59 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $289.18
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis W	$7,137	$237.54	$184 – $7,137
CT scan of the pelvis, with contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $677.59 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $206.56 AETNA [5002] — HMC AETNA: $677.59 AETNA [5002] — HMC AETNA HTC: $289.18 AETNA [5002] — HMC AETNA WHOLE HEALTH: $528.52 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $206.56 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $206.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $206.56 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $677.59 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $826.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Joint Lwr Extrm WO	$4,469	$322.54	$228 – $1,852
MRI of a leg joint (such as the knee), without contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $820.32 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $280.47 AETNA [5002] — HMC AETNA: $820.32 AETNA [5002] — HMC AETNA HTC: $392.66 AETNA [5002] — HMC AETNA WHOLE HEALTH: $639.85 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $280.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $820.32 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $392.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Joint Lwr Extrm WO	$11,801	$322.54	$228 – $11,801
MRI of a leg joint (such as the knee), without contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $820.32 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $280.47 AETNA [5002] — HMC AETNA: $820.32 AETNA [5002] — HMC AETNA HTC: $392.66 AETNA [5002] — HMC AETNA WHOLE HEALTH: $639.85 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $280.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $820.32 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $1,366.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abd & Pelvis W	$11,817	$448.77	$184 – $11,817
CT scan of the abdomen and pelvis, with contrast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $633.04 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $390.24 AETNA [5002] — HMC AETNA: $633.04 AETNA [5002] — HMC AETNA HTC: $546.33 AETNA [5002] — HMC AETNA WHOLE HEALTH: $493.77 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $390.24 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $390.24 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $390.24 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $633.04 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $1,368.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abd & Pelvis W	$17,344.32	$546.77	$184 – $1,235
CT scan of the abdomen and pelvis, with contrast: 10 of 134 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $633.04 AETNA [5002] — HMC AETNA: $633.04 AETNA [5002] — HMC AETNA WHOLE HEALTH: $493.77 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $633.04 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $633.04 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $239.80 APWU HEALTHCARE [5053] — UNITED NON-TERTIARY: $601.74 BANNER HEALTH NETWORK [5510] — HMC AETNA: $633.04 BOON-CHAPMAN [5441] — HMC AETNA: $633.04 CARISK WORKER'S COMP [5501] — HMC CARISK IMAGING: $184
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Cmplt	$2,359	$133.63	$116.20 – $379.59
Ultrasound of the abdomen, complete: 10 of 196 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $241.28 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $241.28 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $188.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $241.28 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $162.68
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Cmplt	$2,359	$133.63	$116.20 – $2,359
Ultrasound of the abdomen, complete: 10 of 196 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $241.28 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $241.28 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $188.20 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $241.28 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $273.17
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Uterus OB 14+ Wks Sng Fetus	$663	$141.90	$103.91 – $379.59
Pregnancy ultrasound (after the first trimester): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $243.95 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $123.39 AETNA [5002] — HMC AETNA: $243.95 AETNA [5002] — HMC AETNA HTC: $172.74 AETNA [5002] — HMC AETNA WHOLE HEALTH: $190.28 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $123.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $123.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $123.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $243.95 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $172.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Uterus OB 14+ Wks Sng Fetus	$663	$141.90	$63.98 – $663
Pregnancy ultrasound (after the first trimester): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $243.95 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $123.39 AETNA [5002] — HMC AETNA: $243.95 AETNA [5002] — HMC AETNA HTC: $172.74 AETNA [5002] — HMC AETNA WHOLE HEALTH: $190.28 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $123.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $123.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $123.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $243.95 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $76.78
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal Non OB	$4,328	$267.26	$109.48 – $379.59
Transvaginal ultrasound: 10 of 196 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $215.59 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $215.59 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $168.16 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $215.59 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $162.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non OB	$2,226	$133.63	$109.48 – $2,226
Transvaginal ultrasound: 10 of 196 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $215.59 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $116.20 AETNA [5002] — HMC AETNA: $215.59 AETNA [5002] — HMC AETNA HTC: $162.68 AETNA [5002] — HMC AETNA WHOLE HEALTH: $168.16 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $116.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $116.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $116.20 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $215.59 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $257.77
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammogram Dx Dig Uni	$2,110	$261.13	$62.71 – $295.87
Diagnostic mammogram, one breast: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $283.24 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $99.61 AETNA [5002] — HMC AETNA: $283.24 AETNA [5002] — HMC AETNA HTC: $139.45 AETNA [5002] — HMC AETNA WHOLE HEALTH: $220.93 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $99.61 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $99.61 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $99.61 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $283.24 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $139.45
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammogram Dx Dig Uni	$748	$108.17	$62.71 – $748
Diagnostic mammogram, one breast: 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $283.24 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $99.61 AETNA [5002] — HMC AETNA: $283.24 AETNA [5002] — HMC AETNA HTC: $139.45 AETNA [5002] — HMC AETNA WHOLE HEALTH: $220.93 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $99.61 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $99.61 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $99.61 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $283.24 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $86.62
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammogram Dx Dig Bil	$3,650	$290.75	$78.60 – $375.32
Diagnostic mammogram, both breasts: 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $362.36 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $126.91 AETNA [5002] — HMC AETNA: $362.36 AETNA [5002] — HMC AETNA HTC: $177.67 AETNA [5002] — HMC AETNA WHOLE HEALTH: $282.64 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $126.91 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $126.91 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $126.91 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $362.36 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $177.67
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mammogram Dx Dig Bil	$1,112	$137.79	$78.60 – $1,112
Diagnostic mammogram, both breasts: 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $362.36 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $126.91 AETNA [5002] — HMC AETNA: $362.36 AETNA [5002] — HMC AETNA HTC: $177.67 AETNA [5002] — HMC AETNA WHOLE HEALTH: $282.64 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $126.91 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $126.91 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $126.91 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $362.36 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $128.77
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Scrn Dig Uni	$779	$113.95	$57.81 – $779
Screening mammogram, both breasts: 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $299.28 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $104.97 AETNA [5002] — HMC AETNA: $299.28 AETNA [5002] — HMC AETNA HTC: $146.96 AETNA [5002] — HMC AETNA WHOLE HEALTH: $233.44 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $104.97 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $104.97 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $104.97 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $299.28 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $90.21
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Scrn Dig Bil	$827	$113.95	$57.81 – $827
Screening mammogram, both breasts: 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $299.28 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $104.97 AETNA [5002] — HMC AETNA: $299.28 AETNA [5002] — HMC AETNA HTC: $146.96 AETNA [5002] — HMC AETNA WHOLE HEALTH: $233.44 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $104.97 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $104.97 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $104.97 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $299.28 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.77
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammogram Scrn Dig Bil	$1,006	$143.57	$57.81 – $302.94
Screening mammogram, both breasts: 10 of 203 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $299.28 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $104.97 AETNA [5002] — HMC AETNA: $299.28 AETNA [5002] — HMC AETNA HTC: $146.96 AETNA [5002] — HMC AETNA WHOLE HEALTH: $233.44 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $104.97 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $104.97 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $104.97 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $299.28 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $146.96

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Lhc W Vntrgrphy	$112,769.40	$23,960.87	$1,678.32 – $29,169.76
Left heart catheterization (diagnostic): 10 of 183 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $26,474 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $20,835.54 AETNA [5002] — HMC AETNA: $26,474 AETNA [5002] — HMC AETNA HTC: $29,169.76 AETNA [5002] — HMC AETNA WHOLE HEALTH: $20,650 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $20,835.54 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $20,835.54 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $20,835.54 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $26,474 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $29,169.76
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Ep Eval Cmp WO Induct Ra/Rv Record	$76,091.81	$10,125.32	$1,535.17 – $12,326.47
Heart rhythm study (electrophysiology evaluation): 10 of 172 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8,804.62 AETNA [5002] — HMC AETNA HTC: $12,326.47 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8,804.62 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $8,804.62 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $8,804.62 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $12,326.47 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $8,804.62 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $8,804.62 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $8,804.62 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $8,804.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Ep Eval Cmp W Ablation Afib < 3 Hr	$225,263.83	$32,735.12	$1,710 – $39,851.45
Heart rhythm study with ablation for atrial fibrillation: 10 of 171 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $28,465.32 AETNA [5002] — HMC AETNA HTC: $39,851.45 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $28,465.32 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $28,465.32 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $28,465.32 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $39,851.45 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $28,465.32 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $28,465.32 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $28,465.32 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $28,465.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6+ Yrs 4+ Paramtrs	$12,032	$1,357.57	$1,086.36 – $12,032
Sleep study (overnight, in a sleep lab): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,778.72 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,180.50 AETNA [5002] — HMC AETNA: $2,778.72 AETNA [5002] — HMC AETNA HTC: $1,652.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,167.40 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,180.50 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,126.11 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,126.11 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,778.72 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $1,393.31
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6+ Yrs 4+ Paramtrs	$9,070	$1,357.57	$472.20 – $5,532.66
Sleep study (overnight, in a sleep lab): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $2,778.72 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,180.50 AETNA [5002] — HMC AETNA: $2,778.72 AETNA [5002] — HMC AETNA HTC: $1,652.70 AETNA [5002] — HMC AETNA WHOLE HEALTH: $2,167.40 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,180.50 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,180.50 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,180.50 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $2,778.72 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,652.70

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Tx Proc 1+ Tx Exercises 15 Min	$3,547	$408.31	$25.70 – $175
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $32.12 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $44.97 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $32.12 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $32.12 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $32.12 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $44.97
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Tx Proc 1+ Tx Exercises 15 Min	$316	$35.54	$25.70 – $316
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $32.12 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $44.97 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $32.12 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $32.12 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $32.12 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $36.59
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Eval Phys Therapy Low Complx	$410	$120.93	$39.57 – $410
Physical therapy evaluation (low complexity): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $109.31 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $153.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $109.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $47.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Eval Phys Therapy Low Complx	$1,986	$252.83	$65 – $175
Physical therapy evaluation (low complexity): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $109.31 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $153.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $109.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $153.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Eval Phys Therapy Mod Complex	$2,253	$265.86	$65 – $175
Physical therapy evaluation (moderate complexity): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $109.31 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $153.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $109.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $153.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Eval Phys Therapy Mod Complex	$565	$120.93	$54.52 – $565
Physical therapy evaluation (moderate complexity): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $109.31 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $153.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $109.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $65.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Eval Phys Therapy High Complex	$2,496	$298.73	$65 – $175
Physical therapy evaluation (high complexity): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $109.31 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $153.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $109.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $153.03
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Eval Phys Therapy High Complex	$720	$120.93	$65 – $720
Physical therapy evaluation (high complexity): 10 of 204 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $175 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $109.31 AETNA [5002] — HMC AETNA: $175 AETNA [5002] — HMC AETNA HTC: $153.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $137 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $109.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $175 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $83.38
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psytx Pt 16-37 Min	$316	$201.90	$33.56 – $391
Psychotherapy, 30 minutes: 10 of 145 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $189.60 AETNA [5002] — HMC AETNA: $189.60 AETNA [5002] — HMC AETNA WHOLE HEALTH: $189.60 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $189.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $237 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $189.60 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $68 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $188.65 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $391
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx Pt 16-37 Min	$4,806	$1,186.66	$35 – $391
Psychotherapy, 30 minutes: 10 of 145 insurance plan rates AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $68 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $391 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $79.31 CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $35 CENTIVO [5405] — HMC CIGNA PPO: $68 CIGNA [5012] — HMC CIGNA OAP: $68 CIGNA [5012] — HMC CIGNA PPO: $68 CIGNA BEHAVIORAL HEALTH PPO [5323] — HMC CIGNA PPO: $68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx Pt 38-52 Min	$478	$201.90	$72 – $391
Psychotherapy, 45 minutes: 10 of 145 insurance plan rates AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $90 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $391 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $79.31 CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72 CENTIVO [5405] — HMC CIGNA PPO: $90 CIGNA [5012] — HMC CIGNA OAP: $90 CIGNA [5012] — HMC CIGNA PPO: $90 CIGNA BEHAVIORAL HEALTH PPO [5323] — HMC CIGNA PPO: $90
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psytx Pt 38-52 Min	$478	$201.90	$50.76 – $478
Psychotherapy, 45 minutes: 10 of 145 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $286.80 AETNA [5002] — HMC AETNA: $286.80 AETNA [5002] — HMC AETNA WHOLE HEALTH: $286.80 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $286.80 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $358.50 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $286.80 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $90 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $285.37 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $391
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psytx Pt 53+ Min	$635	$201.90	$67.44 – $635
Psychotherapy, 60 minutes: 10 of 145 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $381 AETNA [5002] — HMC AETNA: $381 AETNA [5002] — HMC AETNA WHOLE HEALTH: $381 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $381 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $476.25 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $381 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $133 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $379.10 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $391
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx Pt 53+ Min	$635	$201.90	$72 – $391
Psychotherapy, 60 minutes: 10 of 145 insurance plan rates AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $95.17 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $133 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $391 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $79.31 CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72 CENTIVO [5405] — HMC CIGNA PPO: $133 CIGNA [5012] — HMC CIGNA OAP: $133 CIGNA [5012] — HMC CIGNA PPO: $133 CIGNA BEHAVIORAL HEALTH PPO [5323] — HMC CIGNA PPO: $133
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Psytx Family WO Pt 50 Min	$684	$214.39	$27.50 – $174.33
Family psychotherapy, without the patient: 10 of 145 insurance plan rates ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $97 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $102.22 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $102.22 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $27.50 CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72 CENTIVO [5405] — HMC CIGNA PPO: $97 CIGNA [5012] — HMC CIGNA OAP: $97 CIGNA [5012] — HMC CIGNA PPO: $97 CIGNA BEHAVIORAL HEALTH PPO [5323] — HMC CIGNA PPO: $97 CIGNA GREAT WEST [5305] — HMC CIGNA OAP: $97
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Psytx Family WO Pt 50 Min	$326	$214.39	$31.46 – $326
Family psychotherapy, without the patient: 10 of 145 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $195.60 AETNA [5002] — HMC AETNA: $195.60 AETNA [5002] — HMC AETNA WHOLE HEALTH: $195.60 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $195.60 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $37.75 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $244.50 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $195.60 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $97 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $194.62 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $102.22
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Psytx Family W Pt 50 Min	$320	$214.39	$30.88 – $320
Family psychotherapy, with the patient: 10 of 145 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $192 AETNA [5002] — HMC AETNA: $192 AETNA [5002] — HMC AETNA WHOLE HEALTH: $192 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $192 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $37.06 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $240 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $192 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $102 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $191.04 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $106.76
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Psytx Family W Pt 50 Min	$684	$214.39	$30 – $193.47
Family psychotherapy, with the patient: 10 of 145 insurance plan rates ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $102 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $106.76 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $106.76 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $30 CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72 CENTIVO [5405] — HMC CIGNA PPO: $102 CIGNA [5012] — HMC CIGNA OAP: $102 CIGNA [5012] — HMC CIGNA PPO: $102 CIGNA BEHAVIORAL HEALTH PPO [5323] — HMC CIGNA PPO: $102 CIGNA GREAT WEST [5305] — HMC CIGNA OAP: $102
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Psytx Group	$1,154	$116.24	$24 – $202
Group psychotherapy: 10 of 147 insurance plan rates AETNA [5002] — HMC AETNA HTC: $141.50 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $33 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $141.50 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $24 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $202 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $202 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $27.50 CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $26 CENTIVO [5405] — HMC CIGNA PPO: $24 CIGNA [5012] — HMC CIGNA OAP: $24
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Psytx Group	$504	$116.24	$24 – $504
Group psychotherapy: 10 of 145 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $302.40 AETNA [5002] — HMC AETNA: $302.40 AETNA [5002] — HMC AETNA WHOLE HEALTH: $302.40 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $302.40 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $33 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $378 ALLIED BENEFIT SYSTEMS [5046] — HMC AETNA: $302.40 ALLIED BENEFIT SYSTEMS [5046] — HMC CIGNA PPO: $24 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $300.89 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $202

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$18,833.03	$5,109.67	$849.19 – $6,949.27
Removal of breast growth (open surgery): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $4,443.19 AETNA [5002] — HMC AETNA HTC: $6,220.47 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $4,443.19 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $4,443.19 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $4,443.19 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $6,220.47 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $4,443.19 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $4,443.19 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $4,443.19 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $4,443.19
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$59,643.73	$17,384.41	$2,588.97 – $26,474
Total hip replacement: 10 of 161 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $26,474 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $14,929.63 AETNA [5002] — HMC AETNA: $26,474 AETNA [5002] — HMC AETNA HTC: $20,901.48 AETNA [5002] — HMC AETNA WHOLE HEALTH: $20,650 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $14,929.63 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $14,929.63 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $14,929.63 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $26,474 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $20,901.48
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments	$62,192.09	$17,842.32	$2,586.14 – $26,474
Total knee replacement: 10 of 161 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $26,474 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $14,929.63 AETNA [5002] — HMC AETNA: $26,474 AETNA [5002] — HMC AETNA HTC: $20,901.48 AETNA [5002] — HMC AETNA WHOLE HEALTH: $20,650 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $14,929.63 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $14,929.63 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $14,929.63 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $26,474 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $20,901.48
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$42,485.99	$9,760.71	$342.90 – $13,154.68
Shoulder arthroscopy: shaving of shoulder bone: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $8,289.01 AETNA [5002] — HMC AETNA HTC: $11,604.62 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $8,289.01 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $8,289.01 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $8,289.01 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $11,604.62 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $8,289.01 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $8,289.01 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $8,289.01 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $8,289.01
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$15,554.62	$4,330.30	$1,113.94 – $8,137.61
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $3,764.79 AETNA [5002] — HMC AETNA HTC: $5,270.70 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $3,764.79 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $3,764.79 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $3,764.79 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $5,270.70 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $3,764.79 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $3,764.79 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $3,764.79 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $3,764.79
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy & Adenoidectomy <Age 12	$19,166.77	$7,893.67	$592.93 – $9,609.68
Removal of tonsils and adenoids (under age 12): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $6,864.06 AETNA [5002] — HMC AETNA HTC: $9,609.68 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $6,864.06 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $6,864.06 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $6,864.06 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $9,609.68 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $6,864.06 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $6,864.06 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $6,864.06 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $6,864.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$6,880.51	$1,178.14	$244.15 – $4,300
Upper GI endoscopy (diagnostic): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,024.47 AETNA [5002] — HMC AETNA HTC: $1,434.26 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,024.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,024.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,024.47 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,434.26 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $1,024.47 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $1,024.47 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $1,024.47 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $1,024.47
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Egd Dx Brush Wash	$2,724	$2,724	$244.15 – $4,300
Upper GI endoscopy (diagnostic): 10 of 95 insurance plan rates AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $315.44 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $2,043 ALLSTATE [5047] — HMC HORIZON CASUALTY PIP: $2,411.81 AMERIHEALTH [5008] — HMC AMERIHEALTH LOCAL VALUE NETWORK: $1,816.74 AMERIHEALTH [5008] — HMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $2,234.25 AMTRUST NORTH AMERICA INC [5521] — QUAL-LYNX WC STANDARD: $2,043 ANTHEM BCBSNY HMO PPO POS [5310] — HMC HORIZON COMMERCIAL: $1,866.76 ANTHEM BCBSNY INDEMNITY [5311] — HMC HORIZON COMMERCIAL: $1,866.76 ANTHEM BCBSNY MEDICAID [5511] — HMC MEDICAID: $262.87 ATLANTIC HOME CARE AND HOSPICE [5055] — AHS ATLANTIC HOSPICE: $2,724
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple	$7,935.02	$1,178.14	$274.57 – $4,300
Upper GI endoscopy with biopsy: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,024.47 AETNA [5002] — HMC AETNA HTC: $1,434.26 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,024.47 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,024.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,024.47 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,434.26 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $1,024.47 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $1,024.47 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $1,024.47 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $1,024.47
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$6,900.67	$1,145.66	$365.80 – $4,300
Colonoscopy (diagnostic): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $996.23 AETNA [5002] — HMC AETNA HTC: $1,394.72 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $996.23 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $996.23 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $996.23 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,394.72 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $996.23 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $996.23 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $996.23 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $996.23
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple	$7,910.06	$1,481.64	$397.12 – $4,300
Colonoscopy with biopsy: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,288.38 AETNA [5002] — HMC AETNA HTC: $1,803.73 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,288.38 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,288.38 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,288.38 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,803.73 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $1,288.38 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $1,288.38 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $1,288.38 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $1,288.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$8,475.57	$2,070.71	$504.17 – $4,300
Colonoscopy with removal of polyps (snare): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,288.38 AETNA [5002] — HMC AETNA HTC: $1,803.73 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,288.38 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,288.38 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,288.38 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,803.73 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $1,288.38 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $1,288.38 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $1,288.38 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $1,288.38
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$12,257.63	$2,986.52	$510.67 – $4,300
Ultrasound of the lower bowel by endoscope: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $1,368.11 AETNA [5002] — HMC AETNA HTC: $1,915.35 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $1,368.11 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $1,368.11 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $1,368.11 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,915.35 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $1,368.11 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $1,368.11 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $1,368.11 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $1,368.11
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	$6,848.69	$1,145.66	$318.62 – $4,096.13
Screening colonoscopy (not high risk): 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $996.23 AETNA [5002] — HMC AETNA HTC: $1,394.72 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $996.23 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $996.23 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $996.23 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,394.72 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $996.23 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $996.23 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $996.23 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $996.23
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy	$31,314.25	$8,242.69	$1,335.08 – $17,874
Gallbladder removal by laparoscope: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $6,769.72 AETNA [5002] — HMC AETNA HTC: $9,477.61 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $6,769.72 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $6,769.72 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $6,769.72 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $9,477.61 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $6,769.72 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $6,769.72 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $6,769.72 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $6,769.72
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$20,682.72	$4,434.63	$1,062.52 – $8,982.66
Groin (inguinal) hernia repair, age 5 or older: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $3,856.20 AETNA [5002] — HMC AETNA HTC: $5,398.69 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $3,856.20 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $3,856.20 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $3,856.20 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $5,398.69 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $3,856.20 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $3,856.20 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $3,856.20 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $3,856.20
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Bx Prostate Ndl/Punch Sng/Mult	$21,604.22	$2,574.17	$253.88 – $4,840.88
Prostate biopsy: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $2,238.41 AETNA [5002] — HMC AETNA HTC: $3,133.77 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $2,238.41 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $2,238.41 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $2,238.41 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $3,133.77 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $2,238.41 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $2,238.41 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $2,238.41 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $2,238.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$70,372.09	$13,892.40	$2,833.03 – $16,912.49
Prostate removal by laparoscope (radical prostatectomy): 10 of 166 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $12,080.35 AETNA [5002] — HMC AETNA HTC: $16,912.49 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $12,080.35 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $12,080.35 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $12,080.35 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $16,912.49 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $12,080.35 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $12,080.35 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $12,080.35 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $12,080.35
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy W Bx/Polypectomy W/WO D&C	$19,161.92	$3,995.41	$457.56 – $6,268.18
Hysteroscopy with biopsy of the uterus lining: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $3,474.27 AETNA [5002] — HMC AETNA HTC: $4,863.98 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $3,474.27 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $3,474.27 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $3,474.27 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $4,863.98 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $3,474.27 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $3,474.27 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $3,474.27 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $3,474.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$3,552	$870.22	$197.11 – $4,300
Spinal injection, lower back (epidural), with imaging guidance: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $756.72 AETNA [5002] — HMC AETNA HTC: $1,059.40 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $756.72 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $756.72 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $756.72 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $411.32 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,059.40 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $756.72 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $756.72 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $756.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$4,092.19	$870.22	$197.11 – $4,300
Spinal injection, lower back (epidural), with imaging guidance: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $756.72 AETNA [5002] — HMC AETNA HTC: $1,059.40 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $756.72 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $756.72 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $756.72 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,059.40 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $756.72 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $756.72 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $756.72 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $756.72
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$3,552	$1,118.74	$222.24 – $4,300
Nerve root injection, lower back, with imaging guidance: 10 of 184 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $972.82 AETNA [5002] — HMC AETNA HTC: $1,361.95 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $972.82 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $972.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $972.82 AETNA BETTER HEALTH [5005] — HMC AETNA BETTER HEALTH: $411.32 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,361.95 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $972.82 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $972.82 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $972.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$4,040.71	$1,118.74	$222.24 – $4,300
Nerve root injection, lower back, with imaging guidance: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $972.82 AETNA [5002] — HMC AETNA HTC: $1,361.95 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $972.82 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $972.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $972.82 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $1,361.95 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $972.82 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $972.82 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $972.82 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $972.82
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$15,134.39	$2,453.86	$904.81 – $5,195.44
Carpal tunnel release: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $2,133.79 AETNA [5002] — HMC AETNA HTC: $2,987.31 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $2,133.79 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $2,133.79 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $2,133.79 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $2,987.31 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $2,133.79 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $2,133.79 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $2,133.79 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $2,133.79
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$17,384	$3,043.33	$1,095.33 – $10,426.50
Cataract removal with lens implant: 10 of 155 insurance plan rates AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $2,646.38 AETNA [5002] — HMC AETNA HTC: $3,704.93 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $2,646.38 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $2,646.38 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $2,646.38 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $3,704.93 AETNA MCARE SUPPLEMENTAL [5041] — HMC AETNA MEDICARE: $2,646.38 AETNA MEDICARE [5003] — HMC AETNA MEDICARE: $2,646.38 AETNA MEDICARE [5003] — HMC AETNA NNJ PRIME: $2,646.38 AETNA MEDICARE IP SPLITS [5470] — HMC AETNA MEDICARE: $2,646.38

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$474,498.87	$115,370.73	$500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $294,295.97
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 170 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $294,295.97 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $83,679.31 AETNA [5002] — HMC AETNA: $294,295.97 AETNA [5002] — HMC AETNA HTC: $117,151.03 AETNA [5002] — HMC AETNA WHOLE HEALTH: $229,553.40 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $83,679.31 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $83,679.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $83,679.31 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $294,295.97 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $117,151.03
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$88,151.49	$22,469.06	$500 – $49,486.51
Hip or knee replacement (major joint of the leg), without major complications: 10 of 170 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $29,014 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $16,310.10 AETNA [5002] — HMC AETNA: $29,014 AETNA [5002] — HMC AETNA HTC: $22,834.14 AETNA [5002] — HMC AETNA WHOLE HEALTH: $22,631 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $16,310.10 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $16,310.10 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $16,310.10 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $29,014 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $22,834.14
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$110,308.22	$29,446.93	$500 – $73,441.63
Neck (cervical) spinal fusion, without complications: 10 of 170 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $73,441.63 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $21,366.97 AETNA [5002] — HMC AETNA: $73,441.63 AETNA [5002] — HMC AETNA HTC: $29,913.76 AETNA [5002] — HMC AETNA WHOLE HEALTH: $57,285.10 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $21,366.97 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $21,366.97 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $21,366.97 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $73,441.63 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $29,913.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$50,566.57	$14,383.76	$500 – $37,323.98
Uterus and ovary surgery (not for cancer), without complications: 10 of 170 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — HMC AETNA: $37,323.98 AARP MEDICARE COMP [5039] — HMC UNITED MEDICARE: $10,448.39 AETNA [5002] — HMC AETNA: $37,323.98 AETNA [5002] — HMC AETNA HTC: $14,627.75 AETNA [5002] — HMC AETNA WHOLE HEALTH: $29,113.03 AETNA AHS EMPLOYEE [5306] — HMC AETNA AHS EMPLOYEE: $10,448.39 AETNA ASSURE PREMIER PLUS [5422] — HMC AETNA MEDICARE: $10,448.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — HMC AETNA MEDICARE: $10,448.39 AETNA BEHAVIORAL HEALTH [5321] — HMC AETNA: $37,323.98 AETNA CENTRASTATE EMPLOYEE [5425] — HMC AETNA HTC: $14,627.75

Source: Ahs Hospital Corp’s standard charges file (atlantichealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	651 Willow Grove St, Hackettstown, NJ 07840
County	Warren County
State	New Jersey
Phone	(908) 852‑5100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	310115
Name in Medicare records	AHS HOSPITAL CORP
Profile level	Medicare data + hospital website
Name on the hospital’s website	Hackettstown Medical Center
Official website	atlantichealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Hackettstown Medical Center — atlantichealth.org

Ahs Hospital Corp

Summary

Profile from official sources

At a glance