Quick answers
- Does Albany Medical Center Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Albany Medical Center Hospital. In a medical emergency, call 911.
- Where is Albany Medical Center Hospital?
- 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208, in Albany County, New York.
- What is the phone number of Albany Medical Center Hospital?
- (518) 262-2400, as listed by Medicare (CMS).
- What is the Medicare star rating of Albany Medical Center Hospital?
- 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[4][5][7][8]
- Hospital medicine (inpatient)
- Emergency medicine
- Trauma surgery / trauma care
- Cardiology
- Structural heart disease
- Neurology
- Epilepsy
- Vascular surgery
- Kidney transplant
- Pulmonary and critical care medicine
- Pediatric critical care
- Neonatal intensive care
- Infectious disease / HIV care
- Cancer care
- Breast cancer care
- Metabolic and bariatric surgery
- Nutrition
- Digestive disease
- Psychiatry (emergency evaluation)
Conditions treated[5][7][8]
- Stroke
- Heart failure
- Heart attack (STEMI)
- Complex cardiac disease
- Brain aneurysm
- Carotid artery blockage
- Epilepsy
- Alzheimer's disease
- Breast cancer
- Cancer
- Long COVID
- HIV
- Lung failure
- Severe neurological conditions
- Trauma injuries
- Sexual assault, domestic violence and abuse (forensic care)
Treatments[5][7][8][9]
- IV and intra-arterial thrombolysis
- Extracorporeal life support (ECMO)
- Vagus nerve stimulation (Vivistim) for stroke
- Kidney transplant
- Psychiatric, drug and acute alcohol evaluation and treatment (emergency)
- Forensic nurse examination and support
- Hospitalist inpatient care for adults and children
Procedures[7][8]
- Mechanical thrombectomy
- Intracranial balloon angioplasty and stenting
- Endovascular coiling of aneurysms
- Surgical clipping of aneurysms
- Carotid artery stenting
- Carotid endarterectomy
- Metabolic and bariatric surgery
- Transesophageal and transthoracic echocardiography
- Endoscopy
Programs and centers[5][7][8]
- Pediatric emergency center (Massry Family Children's Emergency Center)
- Massry Family Children's Emergency Center (pediatric emergency center)
- Comprehensive Stroke Center program
- Level 1 adult trauma program
- Level 1 pediatric trauma program
- Structural Heart Program
- Heart Failure Program
- Kidney Transplant Program
- Level IV Epilepsy Center
- Cancer Care Program
- ECMO program
- Long COVID longitudinal care program
- HIV Treatment Center
- Alzheimer's Disease Center of Excellence
- Neonatal intensive care unit
- Pediatric intensive care unit
- Neuro intensive care unit
- Forensic nurse examiner program
Emergency care (hospital website)[5]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Trauma designation | Level 1 (adult and pediatric) |
Visiting and practical information
| Visiting | General visiting 6 a.m. to 9 p.m. (guidelines dated April 23, 2026); some units differ[6] |
|---|---|
| Parking | 40 New Scotland Garage; complimentary parking vouchers for admitted patients at nursing station on admission and discharge days[4] |
| Interpreters and languages | Interpreting services listed under Patients & Visitors[4] |
| Patient portal | Patient Portal |
Recognition[5][7][8]
- Level 1 Adult Trauma Center (American College of Surgeons)
- Level 1 Pediatric Trauma Center (American College of Surgeons)
- Comprehensive Stroke Center certification (DNV)
- New York State-designated Comprehensive Stroke Center
- Commission on Cancer accreditation
- ACS Metabolic and Bariatric Surgery accreditation (MBSAQIP)
- ACS accreditation for breast cancer care
- Advanced Certification for Heart Failure (DNV)
- Vascular Verification Program (ACS/SVS)
- ACS NSQIP recognition for surgical outcomes
- AHA Get With The Guidelines Stroke Gold Plus
- AHA Get With The Guidelines Heart Failure Gold Plus
- AHA STEMI Receiving Center Gold Plus
- NYS Department of Health Alzheimer's Disease Center of Excellence
- Hospital accreditation by DNV
Doctors and clinicians (1,682)
1,682 doctors and other clinicians list Albany Medical Center Hospital 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
- Nurse Practitioner239
- Physician Assistant220
- Internal Medicine117
- Family Practice111
- Certified Registered Nurse Anesthetist (CRNA)107
- Anesthesiology85
- Diagnostic Radiology81
- Emergency Medicine78
- Cardiovascular Disease (Cardiology)68
- Neurology39
- General Surgery38
- Obstetrics/Gynecology35
Doctors with a page on this site (1,682)
- Aaron Crowell, CNACertified Registered Nurse Anesthetist (CRNA)
- Aaron Hayes, CNACertified Registered Nurse Anesthetist (CRNA)
- Abbie Y. Sagastume, PAPhysician Assistant
- Abdul S. Khan, MDNeurology
- Abigail A. Neighmond, DOFamily Practice
- Abigail A. Rubin, DOAnesthesiology
- Abigail L. Lubin, MDFamily Practice
- Abigail L. Mantica, MDOrthopedic Surgery
- Abigail R. Belasen, MDInternal Medicine
- Abigail R. Charter, PAPhysician Assistant
- Abraham Halstein, DOEmergency Medicine
- Ada C. NnabugwuNurse Practitioner
- Adam Custer, MDCardiovascular Disease (Cardiology)
- Adam D. Snider, DOCardiovascular Disease (Cardiology)
- Adam F. Schwartz, PAPhysician Assistant
- Adam G. Mace, MDThoracic Surgery
- Adam K. Rowden, DOEmergency Medicine
- Adam Lammly, DOInternal Medicine
- Adam S. Howe, MDUrology
- Adam T. Lloyd, PAPhysician Assistant
- Adam Wood, PAPhysician Assistant
- Adolfo A. Jaitovich, MDPulmonary Disease
- Adria Newberry, PAPhysician Assistant
- Adriana F. Laser, MDVascular Surgery
And 1,658 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Albany VA Medical Center0.5 mi · Albany, NY · Federal/VA Acute Care Hospital
- St Peter's Hospital1.3 mi · Albany, NY · Acute Care Hospital
- Samaritan Hospital of Troy, New York7.9 mi · Troy, NY · Acute Care Hospital
- Ellis Hospital14 mi · Schenectady, NY · Acute Care Hospital
- Columbia Memorial Hospital28 mi · Hudson, NY · Acute Care Hospital
Other hospitals nearby
- Capital District Psych Center0.0 mi · Albany, NY · Psychiatric Hospital
- Sunnyview Hospital and Rehabilitation Center13 mi · Schenectady, NY · Acute Care Hospital
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
- St Margarets Center0.5 mi · Albany, NY · 4 of 5 stars
- Hudson Park Rehabilitation and Nursing Center2.0 mi · Albany, NY · 1 of 5 stars
- Delmar Center for Rehabilitation and Nursing2.2 mi · Delmar, NY · 1 of 5 stars
All nursing homes in the state →
Hospice providers
- The Community Hospice, Inc5.1 mi · Albany, NY · 4 of 5 stars
All hospice providers in the state →
Home health agencies
- VNA Home Health1.5 mi · Albany, NY · 4 of 5 stars
- Marquis Certified Home Care, LLC5.1 mi · Albany, NY · 4 of 5 stars
- Eddy Visiting Nurse & Rehab Association11 mi · Troy, NY · 5 of 5 stars
All home health agencies in the state →
Dialysis facilities
- Fms-Albany Regional Kidney Center1.1 mi · Albany, NY · 1 of 5 stars
- ALBANY MEDICAL CENTER Pediatric1.5 mi · Albany, NY
- DCI Mount Hope1.6 mi · Albany, NY · 2 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Capital Region Ambulatory Surgery Center1.5 mi · Albany, NY
- St Peter's Surgery and Endoscopy Center1.5 mi · Albany, NY
- Everett Road Surgery Center5.1 mi · Albany, NY
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
- Sheridan Preparatory Academy1.0 mi · Albany, NY · Community health center
- Albany High School1.0 mi · Albany, NY · Community health center
- Phillp Schuyler Achievement1.1 mi · Albany, NY · Community health center
Clinics and urgent care
- American Current Care P.A.4.1 mi · Albany, NY · Urgent care center
- Centralmed Urgent Care and Primary Care LLP5.1 mi · Colonie, NY · Urgent care center
- CTP Newton Medical PC5.1 mi · Albany, NY · Urgent care center
Pharmacies
- Gem Drug Corporation1.1 mi · Albany, NY · Community/retail pharmacy
- Albany College of Pharmacy and Health Sciences, Inc1.5 mi · Albany, NY · Pharmacy
- Albany Med Health System1.5 mi · Albany, NY · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Peregrine Shaker3.6 mi · Albany, NY
- Loudonville Assisted Living Residence4.0 mi · Loudonville, NY
- Massry Residence at Daughters of Sarah4.1 mi · Albany, NY
- Peregrine Crossgate4.1 mi · Albany, NY
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 Albany Medical Center Hospital 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 | 2 of 5 stars |
| Doctors communicated well | 2 of 5 stars |
| Staff explained medicines | 1 of 5 stars |
| Information about recovery at home | 2 of 5 stars |
| Room and bathroom kept clean | 1 of 5 stars |
| Quiet at night | 1 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 54%National average: 72% |
| Would definitely recommend the hospital | 57%National average: 71% |
| Nurses “always” communicated well | 72%National average: 80% |
| Doctors “always” communicated well | 73%National average: 80% |
| Staff “always” explained medicines before giving them | 53%National average: 62% |
| Were given information about recovery at home | 79%National average: 86% |
| Room and bathroom “always” clean | 56%National average: 74% |
| Area around the room “always” quiet at night | 33%National average: 60% |
| Completed surveys | 852Response rate: 22% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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.
| Central line bloodstream infections (CLABSI) | 0.654Better than the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.685Better than the national benchmark |
| Surgical site infections after colon surgery | 0.768No different from the national benchmark |
| Surgical site infections after abdominal hysterectomy | 0.586No different from the national benchmark |
| MRSA bloodstream infections | 0.559Better than the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.409Better than the national benchmark |
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 | 12% |
|---|---|
| Deaths within 30 days: heart failure patients | 12.4% |
| Deaths within 30 days: pneumonia patients | 17.6% |
| Deaths within 30 days: COPD patients | 9.8% |
| Deaths within 30 days: stroke patients | 11% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 1.9% |
| Serious complications (patient safety indicator PSI-90) | 1.22No different from the national rate |
| Complications after hip or knee replacement | 5% |
Source: Complications and Deaths - Hospital — CMS, released September 10, 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) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | 15.2% |
| Readmitted within 30 days: heart failure | 21.5% |
| Readmitted within 30 days: pneumonia | 18% |
| Readmitted within 30 days: COPD | 21.2% |
| Readmitted within 30 days: coronary bypass surgery | 13% |
| Readmitted within 30 days: hip or knee replacement | 5.8% |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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) | Very high (60,000 or more) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 266 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 5%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 48%National average: 65% |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 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.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Albany Medical Center Hospital 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 →
$! 37 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.
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $114.68 | $57.34 | $6.57 – $236.14 |
New patient office visit (about 30–44 minutes): 10 of 140 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30 MINUTES | $138 | $69 | $74.42 – $138 |
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $120 | $60 | $74.42 – $120 |
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $163.85 | $81.93 | $6.57 – $361.33 |
New patient office visit (about 45–59 minutes): 10 of 137 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45 MINUTES | $138 | $69 | $127.27 – $138 |
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $120 | $60 | $120 – $127.30 |
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $221.13 | $110.57 | $6.57 – $454.66 |
New patient office visit (about 60–74 minutes): 10 of 137 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60 MINUTES | $2,198 | $1,099 | $165.73 – $424.03 |
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $120 | $60 | $120 – $166.33 |
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $70.60 | $35.30 | $5.05 – $186.32 |
Established patient office visit (about 20–29 minutes): 10 of 140 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 20 MINUTES | $246 | $123 | $50.12 – $128.79 |
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $120 | $60 | $50.12 – $120 |
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $102.45 | $51.23 | $5.05 – $262.37 |
Established patient office visit (about 30–39 minutes): 10 of 137 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 25 MINUTES | $369 | $184.50 | $77.36 – $198.44 |
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $120 | $60 | $77.36 – $120 |
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $199.69 | $99.85 | $32.32 – $269.93 |
Office consultation with a specialist (moderate): 10 of 69 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN | $146 | $73 | $94.30 |
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN | $76 | $38 | $94.30 |
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $261.09 | $130.55 | $49.06 – $404.12 |
Office consultation with a specialist (moderate to high): 10 of 69 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN | $212 | $106 | $151.55 |
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN | $83 | $41.50 | $151.55 |
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $387 | $193.50 | $33.97 – $290.86 |
Preventive checkup, new patient, age 18–39: 10 of 113 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PREVENTIVE VISIT,NEW,18-39 | $94 | $47 | $96.76 |
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PREVENTIVE VISIT,NEW,18-39 | $94 | $47 | $51.70 – $79.90 |
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $448 | $224 | $41.67 – $337.84 |
Preventive checkup, new patient, age 40–64: 10 of 111 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PREVENTIVE VISIT,NEW,40-64 | $93 | $46.50 | $117.65 |
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PREVENTIVE VISIT,NEW,40-64 | $93 | $46.50 | $51.15 – $79.05 |
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM | $161.79 | $80.90 | $6.57 – $143.85 |
Emergency room visit (moderate): 10 of 119 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,093 | $546.50 | $92.93 – $3,570 |
Emergency room visit (moderate): 10 of 31 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,093 | $546.50 | $819.75 – $929.05 |
Emergency room visit (moderate): rates for 1 insurance plan
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $241.59 | $120.80 | $6.57! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $259.22 |
Emergency room visit (moderately high): 10 of 119 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,507 | $753.50 | $158.43 – $3,570 |
Emergency room visit (moderately high): 10 of 31 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,507 | $753.50 | $1,130.25 – $1,280.95 |
Emergency room visit (moderately high): rates for 1 insurance plan
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM | $360.39 | $180.20 | $6.57! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $381.89 |
Emergency room visit (high): 10 of 119 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $2,414 | $1,207 | $229.94 – $5,190.10 |
Emergency room visit (high): 10 of 31 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $2,414 | $1,207 | $1,810.50 – $2,051.90 |
Emergency room visit (high): rates for 1 insurance plan
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $13.72 | $6.86 | $4.74 – $21.02 |
Basic metabolic panel (blood test): 10 of 104 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $190 | $95 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $21.57 |
Basic metabolic panel (blood test): 10 of 39 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POCT BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $159 | $79.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $21.57 |
Basic metabolic panel (blood test): 10 of 39 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL | $18.94 | $9.47 | $5.92 – $27.68 |
Comprehensive metabolic panel (blood test): 10 of 104 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $273 | $136.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $26.92 |
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $273 | $136.50 | $163.80 – $232.05 |
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG OBSTETRIC PANEL | $41.14 | $20.57 | $23.01 – $125.29 |
Obstetric blood test panel: 10 of 102 insurance plan rates
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| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL - BUNDLED CHARGE | $1,031 | $515.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $121.88 |
Obstetric blood test panel: 10 of 39 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL - BUNDLED CHARGE | $1,031 | $515.50 | $618.60 – $876.35 |
Obstetric blood test panel: rates for 1 insurance plan
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG LIPID PANEL | $25.14 | $12.57 | $6.10 – $35.10 |
Cholesterol panel (lipid panel): 10 of 104 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE | $175 | $87.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $31.20 |
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB LIPID PANEL - BUNDLED CHARGE | $73 | $36.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $31.20 |
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
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| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL | $15.02 | $7.51 | $4.86 – $22.75 |
Kidney function panel: 10 of 104 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $228 | $114 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $22.13 |
Kidney function panel: 10 of 39 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $228 | $114 | $136.80 – $193.80 |
Kidney function panel: rates for 1 insurance plan
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL | $13.06 | $6.53 | $4.58 – $21.02 |
Liver function panel: 10 of 104 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $214 | $107 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $20.83 |
Liver function panel: 10 of 39 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $214 | $107 | $128.40 – $181.90 |
Liver function panel: rates for 1 insurance plan
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| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $7.52 | $3.76 | $1.78 – $8.31 |
Urine test (automated, with microscope): 10 of 106 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $172 | $86 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8.37 |
Urine test (automated, with microscope): 10 of 42 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $172 | $86 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8.37 |
Urine test (automated, with microscope): 10 of 42 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $5.87 | $2.94 | $1.45 – $7 |
Urine test (manual, without microscope): 10 of 108 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB URINALYSIS NONAUTO W/O SCOPE | $16 | $8 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8.87 |
Urine test (manual, without microscope): 10 of 42 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $18 | $9 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8.87 |
Urine test (manual, without microscope): 10 of 42 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $5.87 | $2.94 | $1.26 – $5.88 |
Urine test (automated, without microscope): 10 of 106 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $264 | $132 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5.93 |
Urine test (automated, without microscope): 10 of 42 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POINT OF CARE URINALYSIS DIPSTICK BY CLINITEK | $20 | $10 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5.93 |
Urine test (automated, without microscope): 10 of 42 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $32.66 | $16.33 | $10.31 – $48.20 |
PSA (prostate specific antigen) blood test: 10 of 104 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $78 | $39 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $48.57 |
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE | $307 | $153.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $48.57 |
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $27.43 | $13.72 | $9.09 – $44.04 |
Thyroid stimulating hormone (TSH) test: 10 of 104 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $191 | $95.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $44.36 |
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE | $34 | $17 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $34 |
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $12.08 | $6.04 | $3.20 – $20.25 |
Complete blood count (CBC) with differential: 10 of 108 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $130 | $65 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $20.53 |
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $130 | $65 | $78 – $110.50 |
Complete blood count (CBC) with differential: rates for 1 insurance plan
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED | $11.43 | $5.72 | $3.20 – $16.95 |
Complete blood count (CBC), automated: 10 of 104 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC | $114 | $57 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $16.49 |
Complete blood count (CBC), automated: 10 of 42 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - POCT CBC | $13 | $6.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $13 |
Complete blood count (CBC), automated: 10 of 42 insurance plan rates
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| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME | $9.15 | $4.58 | $2.22 – $10.30 |
Blood clotting time test (prothrombin time, PT): 10 of 104 insurance plan rates
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| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB PROTHROMBIN TIME | $21 | $10.50 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10.94 |
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates
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| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR | $18 | $9 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10.94 |
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates
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| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $11.10 | $5.55 | $3.37 – $15.74 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 104 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT | $128 | $64 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $15.84 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM | $128 | $64 | $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $15.84 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates
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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 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $402.69 | $201.35 | $68.56 – $424.77 |
CT scan of the head or brain, without contrast: 10 of 112 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,917 | $958.50 | $119.55 – $4,998 |
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,917 | $958.50 | $1,437.75 – $1,629.45 |
CT scan of the head or brain, without contrast: rates for 1 insurance plan
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $1,067.76 | $533.88 | $150 – $1,021.16 |
MRI of the brain, before and after contrast: 10 of 112 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $4,778 | $2,389 | $401.48 – $1,857.98 |
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $4,778 | $2,389 | $401.48 – $1,857.98 |
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS | $59.40 | $29.70 | $21.23 – $89.04 |
Chest X-ray, 2 views: 10 of 112 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY CHEST 2 VIEWS | $486 | $243 | $43.93 – $178.17 |
Chest X-ray, 2 views: 10 of 39 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - FL/XR CHEST 2 VIEWS W/ FLUORO | $480 | $240 | $43.93 – $178.17 |
Chest X-ray, 2 views: 10 of 39 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $978 | $489 | $51.74 – $215.18 |
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $978 | $489 | $733.50 – $831.30 |
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $45.27 | $22.64 | $8.18 – $35.30 |
X-ray of the lower spine, at least 4 views: 10 of 112 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $806.31 | $403.16 | $122.72 – $610.92 |
MRI of the lower back (lumbar spine), without contrast: 10 of 112 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST | $3,532 | $1,766 | $251.56 – $1,486 |
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $3,532 | $1,766 | $251.56 – $1,486 |
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $4,140 | $2,070 | $200.13 – $4,998 |
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $4,140 | $2,070 | $3,105 – $3,519 |
CT scan of the pelvis, with contrast: rates for 1 insurance plan
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG CT PELVIS W/CONTRAST MATERIAL | $123.82 | $61.91 | $35.09 – $130.41 |
CT scan of the pelvis, with contrast: 10 of 112 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $776.85 | $388.43 | $130.30 – $640.25 |
MRI of a leg joint (such as the knee), without contrast: 10 of 112 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O CONTRAST | $4,055 | $2,027.50 | $270.15 – $1,486 |
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT RT WO IV CO | $4,055 | $2,027.50 | $270.15 – $1,486 |
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $506.05 | $253.03 | $193.31 – $1,218.96 |
CT scan of the abdomen and pelvis, with contrast: 10 of 112 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,231 | $2,115.50 | $401.48 – $4,998 |
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,231 | $2,115.50 | $3,173.25 – $3,596.35 |
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $238.53 | $119.27 | $72.85 – $334.65 |
Ultrasound of the abdomen, complete: 10 of 112 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,302 | $651 | $119.55 – $1,806.80 |
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLET | $1,302 | $651 | $119.55 – $1,806.80 |
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $210.93 | $105.47 | $84.74 – $386.81 |
Pregnancy ultrasound (after the first trimester): 10 of 113 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST | $2,066 | $1,033 | $119.55 – $396.24 |
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB US, OB >/= 14 WKS, SNGL FETUS | $273 | $136.50 | $119.55 – $379.83 |
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US TRANSVAGINAL | $367 | $183.50 | $74.22 – $333.45 |
Transvaginal ultrasound: 10 of 112 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL | $1,311 | $655.50 | $119.55 – $435.62 |
Transvaginal ultrasound: 10 of 39 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB ECHOGRAPHY,TRANSVAGINAL | $266 | $133 | $119.55 – $435.62 |
Transvaginal ultrasound: 10 of 39 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $264.25 | $132.13 | $79.32 – $364.92 |
Diagnostic mammogram, one breast: 10 of 112 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI ADDITIONAL VIEWS | $573 | $286.50 | $155.79 – $374.28 |
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI ADDITIONAL VIEWS | $573 | $286.50 | $343.80 – $487.05 |
Diagnostic mammogram, one breast: rates for 1 insurance plan
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $333.94 | $166.97 | $99.99 – $461.52 |
Diagnostic mammogram, both breasts: 10 of 112 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAPHY, DIGITAL BILATERAL W/ CAD | $768 | $384 | $155.79 – $473.09 |
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAPHY, DIGITAL BILATERAL W/ CAD | $768 | $384 | $460.80 – $652.80 |
Diagnostic mammogram, both breasts: rates for 1 insurance plan
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $268.93 | $134.47 | $80.98 – $372.42 |
Screening mammogram, both breasts: 10 of 112 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO BREAST SCREENING BILAT INCL CAD | $772 | $386 | $155.79 – $384.61 |
Screening mammogram, both breasts: 10 of 39 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB SCREENING MAMMOGRAPHY BI 2-VIEW BREAST | $255 | $127.50 | $155.79 – $366.11 |
Screening mammogram, both breasts: 10 of 39 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $58.72 | $29.36 | $9.07 – $37.06 |
Electrocardiogram (ECG/EKG) with reading: 10 of 114 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $46 | $23 | $25.30 – $39.10 |
Electrocardiogram (ECG/EKG) with reading: 10 of 35 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $46 | $23 | $25.30 – $39.10 |
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $920.58 | $460.29 | $409.11 – $2,594.46 |
Left heart catheterization (diagnostic): 10 of 112 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/ | $23,678 | $11,839 | $1,117.68 – $15,514 |
Left heart catheterization (diagnostic): 10 of 42 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/ | $23,678 | $11,839 | $17,758.50 – $20,126.30 |
Left heart catheterization (diagnostic): rates for 1 insurance plan
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION | $2,208.79 | $1,104.40 | $511.40 – $2,063.46 |
Heart rhythm study (electrophysiology evaluation): 10 of 76 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION | $15,727 | $7,863.50 | $645.89 – $76,745 |
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION | $15,727 | $7,863.50 | $8,649.85 – $13,367.95 |
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $2,083.96 | $1,041.98 | $573.30 – $2,464.52 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 112 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $50,207 | $25,103.50 | $1,102.79 – $76,745 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 40 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $50,207 | $25,103.50 | $37,655.25 – $42,675.95 |
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $510.72 | $255.36 | $394.31 – $1,670.14 |
Sleep study (overnight, in a sleep lab): 10 of 112 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $3,052 | $1,526 | $471.65 – $3,657 |
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $3,052 | $1,526 | $1,831.20 – $2,594.20 |
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
| |||
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) · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $33.47 | $16.74 | $16 – $95.56 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 112 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES | $157 | $78.50 | $32.97 – $133.45 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES | $190 | $95 | $39.90 – $161.50 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $84.38 | $42.19 | $64.79 – $206.74 |
Physical therapy evaluation (low complexity): 10 of 111 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $599 | $299.50 | $125.79 – $509.15 |
Physical therapy evaluation (low complexity): rates for 1 insurance plan
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | Not listed in the file | Not listed in the file | $119.88 – $287.08 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $84.38 | $42.19 | $64.79 – $206.74 |
Physical therapy evaluation (moderate complexity): 10 of 111 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $328 | $164 | $68.88 – $278.80 |
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | Not listed in the file | Not listed in the file | $119.88 – $287.08 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $84.38 | $42.19 | $64.79 – $206.74 |
Physical therapy evaluation (high complexity): 10 of 111 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $316 | $158 | $66.36 – $268.60 |
Physical therapy evaluation (high complexity): rates for 1 insurance plan
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | Not listed in the file | Not listed in the file | $119.88 – $287.08 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $112.18 | $56.09 | $21.43 – $168.59 |
Psychotherapy, 30 minutes: 10 of 168 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $237 | $118.50 | $61 – $373 |
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB PSYCHOTHERAPY W/PATIENT 30 MINUTES | $26 | $13 | $26 – $373 |
Psychotherapy, 30 minutes: 10 of 36 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $149.96 | $74.98 | $32.13 – $222.49 |
Psychotherapy, 45 minutes: 10 of 168 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $321 | $160.50 | $83.35 – $373 |
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB PSYCHOTHERAPY W/PATIENT 45 MINUTES | $35 | $17.50 | $35 – $373 |
Psychotherapy, 45 minutes: 10 of 36 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $224.89 | $112.45 | $48.50 – $329.51 |
Psychotherapy, 60 minutes: 10 of 168 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $356 | $178 | $118 – $373 |
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB PSYCHOTHERAPY W/PATIENT 60 MINUTES | $51 | $25.50 | $51 – $373 |
Psychotherapy, 60 minutes: 10 of 36 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $150.67 | $75.34 | $36.84 – $239.73 |
Family psychotherapy, without the patient: 10 of 168 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $2! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $1! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $2! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $373 |
Family psychotherapy, without the patient: 10 of 36 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT | $355 | $177.50 | $100.74 – $373 |
Family psychotherapy, without the patient: 10 of 36 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $181.94 | $90.97 | $52.03 – $249.26 |
Family psychotherapy, with the patient: 10 of 167 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $2! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $1! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $2! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $373 |
Family psychotherapy, with the patient: 10 of 36 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS | $442 | $221 | $104.67 – $373 |
Family psychotherapy, with the patient: 10 of 36 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY | $48.29 | $24.15 | $12.48 – $59.98 |
Group psychotherapy: 10 of 168 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC | $151 | $75.50 | $24.76 – $373 |
Group psychotherapy: 10 of 39 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB GROUP PSYCHOTHERAPY | $11 | $5.50 | $11 – $373 |
Group psychotherapy: 10 of 36 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $496.20 | $248.10 | $183.82 – $1,111.56 |
Removal of breast growth (open surgery): 10 of 112 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST | $5,638 | $2,819 | $503.31 – $10,045 |
Removal of breast growth (open surgery): 10 of 42 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB EXCISE BREAST CYST | $282 | $141 | $282 – $10,045 |
Removal of breast growth (open surgery): 10 of 42 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $5,203 | $2,601.50 | $697.27 – $2,982.22 |
Total hip replacement: 10 of 112 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | Not listed in the file | $3,272 – $26,036.60 |
Total hip replacement: 10 of 13 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty | Not listed in the file | Not listed in the file | $3,272 – $26,036.60 |
Total hip replacement: 10 of 13 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $3,941.23 | $1,970.62 | $749.09 – $2,979.43 |
Total knee replacement: 10 of 112 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty | Not listed in the file | Not listed in the file | $2,359 – $26,036.60 |
Total knee replacement: 10 of 13 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | Not listed in the file | $2,359 – $26,036.60 |
Total knee replacement: 10 of 11 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $2,165.05 | $1,082.53 | $108.05 – $392.22 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 112 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $513 | $256.50 | $211.41 – $10,045 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 40 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $513 | $256.50 | $307.80 – $436.05 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,780.24 | $890.12 | $308.07 – $1,189.49 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 112 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery | Not listed in the file | Not listed in the file | $2,171.49 – $8,696 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L | Not listed in the file | Not listed in the file | $2,171.49 – $8,696 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $686.58 | $343.29 | $141.04 – $634.66 |
Removal of tonsils and adenoids (under age 12): 10 of 112 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS | Not listed in the file | Not listed in the file | $1,719.94 – $11,970.61 |
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids | Not listed in the file | Not listed in the file | $1,719.94 – $11,970.61 |
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $520.50 | $260.25 | $77.25 – $620.86 |
Upper GI endoscopy (diagnostic): 10 of 112 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $4,200 | $2,100 | $151.68 – $6,040 |
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD | $4,200 | $2,100 | $151.68 – $6,040 |
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $603.54 | $301.77 | $86.88 – $812.53 |
Upper GI endoscopy with biopsy: 10 of 112 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $4,200 | $2,100 | $171.17 – $7,595 |
Upper GI endoscopy with biopsy: 10 of 42 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $4,200 | $2,100 | $171.17 – $7,595 |
Upper GI endoscopy with biopsy: 10 of 42 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $708.86 | $354.43 | $103.24 – $731.62 |
Colonoscopy (diagnostic): 10 of 112 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $1,916 | $958 | $229 – $7,595 |
Colonoscopy (diagnostic): 10 of 42 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $2,784 | $1,392 | $229 – $7,595 |
Colonoscopy (diagnostic): 10 of 42 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $779.74 | $389.87 | $126.16 – $935.58 |
Colonoscopy with biopsy: 10 of 112 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,784 | $1,392 | $249.22 – $7,595 |
Colonoscopy with biopsy: 10 of 42 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,496 | $1,248 | $249.22 – $7,595 |
Colonoscopy with biopsy: 10 of 42 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,004.55 | $502.28 | $146.87 – $978.12 |
Colonoscopy with removal of polyps (snare): 10 of 112 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $3,736 | $1,868 | $315.68 – $7,595 |
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $3,736 | $1,868 | $315.68 – $7,595 |
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $544.81 | $272.41 | $142.75 – $585.09 |
Ultrasound of the lower bowel by endoscope: 10 of 112 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (L | $3,736 | $1,868 | $320.44 – $7,595 |
Ultrasound of the lower bowel by endoscope: 10 of 42 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOP | $3,736 | $1,868 | $320.44 – $7,595 |
Ultrasound of the lower bowel by endoscope: 10 of 42 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND | $660 | $330 | $116.16 – $698.04 |
Screening colonoscopy (not high risk): 10 of 110 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND | $555 | $277.50 | $229.19 – $7,595 |
Screening colonoscopy (not high risk): 10 of 42 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND | $555 | $277.50 | $416.25 – $471.75 |
Screening colonoscopy (not high risk): rates for 1 insurance plan
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $1,774.16 | $887.08 | $333.58 – $1,437.08 |
Gallbladder removal by laparoscope: 10 of 112 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAPAROSCOPY SURG CHOLECYSTECTOMY | $13,291 | $6,645.50 | $801.89 – $14,297 |
Gallbladder removal by laparoscope: 10 of 42 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LAPAROSCOPY SURG CHOLECYSTECTOMY | $13,291 | $6,645.50 | $9,968.25 – $11,297.35 |
Gallbladder removal by laparoscope: rates for 1 insurance plan
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $1,136.19 | $568.10 | $233.75 – $1,135.87 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 112 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr | Not listed in the file | Not listed in the file | $2,479.80 – $8,696 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | Not listed in the file | $2,479.80 – $8,696 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $236.96 | $118.48 | $66.66 – $551.77 |
Prostate biopsy: 10 of 112 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE,NEEDLE/PUNCH | $392 | $196 | $164.27 – $7,098 |
Prostate biopsy: 10 of 42 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB BIOPSY OF PROSTATE,NEEDLE/PUNCH | $357 | $178.50 | $130.90 – $3,563.46 |
Prostate biopsy: 10 of 41 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $2,464.79 | $1,232.40 | $758.60 – $3,246.14 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 112 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | $3,202.62 – $21,067.58 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad | Not listed in the file | Not listed in the file | $3,202.62 – $21,067.58 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $891.13 | $445.57 | $131.67 – $2,966.31 |
Hysteroscopy with biopsy of the uterus lining: 10 of 112 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB HYSTEROSCOPY,W/ENDO BX | $1,169 | $584.50 | $287.95 – $10,045 |
Hysteroscopy with biopsy of the uterus lining: 10 of 42 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $1,169 | $584.50 | $231.37 – $5,530.92 |
Hysteroscopy with biopsy of the uterus lining: 10 of 38 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $398.98 | $199.49 | $55.41 – $555.46 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 112 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,250 | $625 | $125.56 – $4,765 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 42 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,250 | $625 | $937.50 – $1,062.50 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $137.72 | $68.86 | $51.02 – $528.74 |
Nerve root injection, lower back, with imaging guidance: 10 of 112 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVE | $1,546 | $773 | $139.66 – $6,490 |
Nerve root injection, lower back, with imaging guidance: 10 of 42 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVE | $1,546 | $773 | $1,159.50 – $1,314.10 |
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $846.58 | $423.29 | $200.67 – $960.82 |
Carpal tunnel release: 10 of 112 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery | Not listed in the file | Not listed in the file | $1,583.16 – $4,463 |
Carpal tunnel release: 10 of 13 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY | Not listed in the file | Not listed in the file | $1,583.16 – $4,463 |
Carpal tunnel release: rates for 10 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY | $806.07 | $403.04 | $131.95 – $729.99 |
Laser treatment of clouding after cataract surgery: 10 of 112 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCISSION,2ND CATARACT,LASER | $1,623 | $811.50 | $384.76 – $7,098 |
Laser treatment of clouding after cataract surgery: 10 of 42 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DISCISSION,2ND CATARACT,LASER | $1,623 | $811.50 | $1,217.25 – $1,379.55 |
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $1,972.64 | $986.32 | $342.33 – $1,420.04 |
Cataract removal with lens implant: 10 of 112 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp | Not listed in the file | Not listed in the file | $2,425.74 – $5,700.49 |
Cataract removal with lens implant: 10 of 13 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP | Not listed in the file | Not listed in the file | $2,425.74 – $5,700.49 |
Cataract removal with lens implant: rates for 8 insurance plans
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $1,707.33 | $853.67 | $1,669.33 – $5,101.81 |
Vaginal delivery, with care before and after: 10 of 113 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care | Not listed in the file | Not listed in the file | $2,379.58 – $5,592.01 |
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE | Not listed in the file | Not listed in the file | $554.34 – $5,307.77 |
Vaginal delivery, with care before and after: rates for 5 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $2,047.58 | $1,023.79 | $1,848.34 – $5,627.10 |
Cesarean delivery (C-section), with care before and after: 10 of 113 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY | Not listed in the file | Not listed in the file | $663.08 – $5,867.93 |
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $1,883.53 | $941.77 | $1,742.26 – $5,325.92 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 113 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery | Not listed in the file | Not listed in the file | $2,379.58 – $5,592.01 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 13 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY | Not listed in the file | Not listed in the file | $631.22 – $5,564.13 |
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
| |||
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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $73,483.48 – $436,799.13 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC | Not listed in the file | Not listed in the file | $14,356.20 – $59,561.06 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | $14,356.20 – $59,561.06 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $18,025.38 – $74,783.80 |
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $9,126.90 – $37,865.73 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates
| |||
Source: Albany Medical Center Hospital’s standard charges file (albany.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 31, 2025; 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 | 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208 |
| County | Albany County |
| State | New York |
| Phone | (518) 262‑2400 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 1 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 330013 |
| Name in Medicare records | ALBANY MEDICAL CENTER HOSPITAL |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | Albany Medical Center |
| Official website | albanymed.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- 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.
- Inpatient Medicine Albany Medical Center — albanymed.org
- Emergency Care — albanymed.org
- Visiting Hours — albanymed.org
- Albany Medical Center Awards and Designations — albanymed.org
- Comprehensive Stroke Center - Albany Med Health System — albanymed.org
- Inpatient Medicine Albany - Albany Med Health System — albanymed.org