Does Alexian Brothers Medical Center 1 have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Alexian Brothers Medical Center 1. In a medical emergency, call 911.

Where is Alexian Brothers Medical Center 1?

800 Biesterfield Rd, Elk Grove Village, IL 60007, in Cook County, Illinois.

What is the phone number of Alexian Brothers Medical Center 1?

(847) 437-5500, as listed by Medicare (CMS).

What is the Medicare star rating of Alexian Brothers Medical Center 1?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Alexian Brothers Medical Center 1 — Elk Grove Village, IL

Quick answers

Does Alexian Brothers Medical Center 1 have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Alexian Brothers Medical Center 1. In a medical emergency, call 911.
Where is Alexian Brothers Medical Center 1?: 800 Biesterfield Rd, Elk Grove Village, IL 60007, in Cook County, Illinois.
What is the phone number of Alexian Brothers Medical Center 1?: (847) 437-5500, as listed by Medicare (CMS).
What is the Medicare star rating of Alexian Brothers Medical Center 1?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Heart and vascular care
Neurosurgery
Critical care
Cancer care
Stroke care
Orthopedics
Women's health
Brain and spine
Inpatient rehabilitation
Hospice care

Procedures^[4]

Inpatient and outpatient surgery
Robotic-assisted surgery (da Vinci)
Gamma Knife

Programs and centers^[4]

Day rehabilitation program
Stroke nurse navigator program

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Language assistance is available, with several languages linked^[4]
Patient portal	Patient Portal

Doctors and clinicians (844)

844 doctors and other clinicians list Alexian Brothers Medical Center 1 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

Doctors with a page on this site (844)

Aaron J. GoNurse Practitioner
Aasita N. Patel, MDCardiovascular Disease (Cardiology)
Abby H. Seruya, MDObstetrics/Gynecology
Abdullah Z. Farooqui, MDFamily Practice
Abdulmassih Abdulmassih, MDFamily Practice
Abigail L. GreiderNurse Practitioner
Abraham N. Katz, MDCardiac Surgery
Adam B. Gluskin, MDGastroenterology
Adam D. Goldkind, DPMPodiatry
Adam L. Goldman, DOOrthopedic Surgery
Adam R. Burton, DOPhysical Medicine and Rehabilitation
Adrian W. Deme, MDInternal Medicine
Adriana S. Tanner, MDNeurology
Afreeda Hashmi, MDHospitalist
Afroz A. Hai, MDCardiac Electrophysiology
Afshan Hameeduddin, MDFamily Practice
Agata A. ScholzNurse Practitioner
Agim Jusufi, MDInternal Medicine
Agnieszka Barszczak, CNACertified Registered Nurse Anesthetist (CRNA)
Agnieszka Kania, MDFamily Practice
Ahanth Vedantham, DPMPodiatry
Ahmed Aleem, MDHematology/Oncology
Ahmir H. Khan, MDNeurology
Aijaz Alvi, MDOtolaryngology

And 820 more: the button below opens the full list.

Other emergency rooms nearby

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

Northwest Community Hospital 14.5 mi · Arlington Heights, IL · Acute Care Hospital
UChicago Medicine AdventHealth Glenoaks6.5 mi · Glendale Heights, IL · Acute Care Hospital
St Alexius Medical Center7.3 mi · Hoffman Estates, IL · Acute Care Hospital
Advocate Lutheran General Hospital8.9 mi · Park Ridge, IL · Acute Care Hospital
AMITA Health Resurrection Medical Center11 mi · Chicago, IL · Acute Care Hospital

Other hospitals nearby

BHC Streamwood Hospital Inc7.0 mi · Streamwood, IL · Psychiatric Hospital
Alexian Brothers Behavioral Hlth Hosp7.0 mi · Hoffman Estates, IL · Psychiatric Hospital
Chicago Behavioral Hospital7.3 mi · Des Plaines, IL · Psychiatric 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

The Pearl of Elk Grove1.4 mi · Elk Grove Village, IL · 1 of 5 stars
Landmark of Itasca Rehabilitation and Nursing Cent2.9 mi · Itasca, IL · 1 of 5 stars
Bella Terra Schaumburg3.3 mi · Schaumburg, IL · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Transitions Hospice, LLC1.7 mi · Elk Grove Village, IL · 3 of 5 stars
Visions Hospice3.9 mi · Schaumburg, IL
Kindred Hospice4.5 mi · Arlington Heights, IL · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Advocare Home Services1.7 mi · Elk Grove Village, IL · 3 of 5 stars
Option Care2.0 mi · Itasca, IL
First Class Home Health Inc.3.3 mi · Wood Dale, IL · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Elk Grove Dialysis Ctr1.7 mi · Elk Grove Village, IL · 3 of 5 stars
FMC - Elk Grove Home Dialysis Center1.7 mi · Elk Grove Village, IL
DaVita Schaumburg Renal Center4.1 mi · Schaumburg, IL · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Ophthalmology Surgery Center of Illinois2.0 mi · Itasca, IL
Innovia Surgery Center, LLC3.3 mi · Wood Dale, IL
Arlington Heights Surgery Center, LLC4.5 mi · Arlington Heights, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

ACCESS Addison Family Health Center4.1 mi · Addison, IL · Community health center
ACCESS A-Z Family Health Center4.4 mi · Addison, IL · Community health center
Hamdard Health Alliance4.6 mi · Bensenville, IL · Community health center

Clinics and urgent care

American Current Care of Illinois PC1.7 mi · Elk Grove Village, IL · Urgent care center
Frontier Support Management LLC1.7 mi · Elk Grove Village, IL · Urgent care center
Prime Care Health Management LLC1.7 mi · Elk Grove Village, IL · Urgent care center

Pharmacies

Alexian Brothers Medical Center1.7 mi · Elk Grove Village, IL · Community/retail pharmacy
Ela Pharmacy LLC1.7 mi · Elk Grove Village, IL · Community/retail pharmacy
Totalcare Management LLC1.7 mi · Elk Grove Village, IL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What Alexian Brothers Medical Center 1 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	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	61%National average: 71%
Nurses “always” communicated well	71%National average: 80%
Doctors “always” communicated well	69%National average: 80%
Staff “always” explained medicines before giving them	51%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	488Response rate: 20%

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)	0.432No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.435No different from the national benchmark
Surgical site infections after colon surgery	0.884No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.88No different from the national benchmark
MRSA bloodstream infections	0.887No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.329Better 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	9.4%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	7.9%
Deaths within 30 days: stroke patients	12%
Deaths within 30 days: coronary bypass surgery (CABG)	1.7%
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Complications after hip or knee replacement	5.1%

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	14.8%
Readmitted within 30 days: heart failure	20.2%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	21.3%
Readmitted within 30 days: coronary bypass surgery	11.8%
Readmitted within 30 days: hip or knee replacement	5.9%

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	196 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	55%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Alexian Brothers Medical Center 1 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 →

$ 6 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 · Inpatient (hospital stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$121.44 – $299.28
New patient office visit (about 30–44 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $299.28 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $299.28 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $299.28 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $299.28 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $299.28 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $299.28 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $299.28
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$121.44 – $299.28
New patient office visit (about 30–44 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $121.44 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $121.44 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $282.44 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $121.44
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$121.44 – $299.28
New patient office visit (about 30–44 minutes): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $288.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$179.63 – $454.08
New patient office visit (about 45–59 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $454.08 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $454.08 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $454.08 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $454.08 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $454.08 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $454.08 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $454.08
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$179.63 – $454.08
New patient office visit (about 45–59 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $179.63 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $179.63 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $428.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $179.63
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$179.63 – $454.08
New patient office visit (about 45–59 minutes): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $438.24
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$270.71 – $572.76
New patient office visit (about 60–74 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $572.76 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $572.76 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $572.76 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $572.76 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $572.76 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $572.76 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $572.76
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$270.71 – $572.76
New patient office visit (about 60–74 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $270.71 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $270.71 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $540.54 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $270.71
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$270.71 – $572.76
New patient office visit (about 60–74 minutes): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $552.78
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$172.87 – $209.99
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $183.18 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $183.18 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $183.18 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $183.18 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $183.18 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $183.18 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $183.18
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$172.87 – $209.99
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $209.99 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $209.99 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $172.87 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $209.99
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$172.87 – $209.99
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $176.79
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$260.53 – $346.61
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $276.06 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $276.06 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $276.06 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $276.06 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $276.06 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $276.06 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $276.06
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$260.53 – $346.61
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $346.61 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $346.61 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $260.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $346.61
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$260.53 – $346.61
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $266.43
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$235.29 – $397.32
Office consultation with a specialist (moderate): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $397.32 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $397.32 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $397.32 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $397.32 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $397.32 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $397.32 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $397.32
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$235.29 – $397.32
Office consultation with a specialist (moderate): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $235.29 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $374.97 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$235.29 – $397.32
Office consultation with a specialist (moderate): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $383.46
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$354.20 – $580.50
Office consultation with a specialist (moderate to high): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $580.50 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $580.50 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $580.50 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $580.50 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $580.50 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $580.50 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $580.50
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$354.20 – $580.50
Office consultation with a specialist (moderate to high): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $354.20 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $354.20 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $547.84 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $354.20
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$354.20 – $580.50
Office consultation with a specialist (moderate to high): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $560.25
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$321.31 – $412.80
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $412.80 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $412.80 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $412.80 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $412.80 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $412.80 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $412.80 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $412.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$321.31 – $412.80
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $321.31 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $321.31 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $389.58 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $321.31
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$321.31 – $412.80
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $398.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$318.78 – $482.46
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $482.46 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $482.46 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $482.46 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $482.46 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $482.46 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $482.46 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $482.46
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$318.78 – $482.46
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $318.78 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $318.78 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $455.32 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $318.78
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$318.78 – $482.46
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $465.63
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$274.21 – $505.12
Emergency room visit (moderate): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $274.21 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $447.39 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $214.14 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $303.07 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $288.64 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $467.60 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $383.89 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $378.12 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $288.64 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $360.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$202.09 – $2,475
Emergency room visit (moderate): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $274.21 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $447.39 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $303.07 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $288.64 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $467.60 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $505.12 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $378.12 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $288.64 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $206.67 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $360.80
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$202.09 – $2,475
Emergency room visit (moderate): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $794.42 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $794.42 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $202.09 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $794.42
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$421.69 – $776.79
Emergency room visit (moderately high): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $421.69 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $688.01 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $394.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $466.07 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $443.88 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $719.09 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $590.36 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $581.48 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $443.88 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $554.85
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$359.26 – $394.74
Emergency room visit (moderately high): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $421.69 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $688.01 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $466.07 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $443.88 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $719.09 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $776.79 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $581.48 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $443.88 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $380.97 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $554.85
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$359.26 – $394.74
Emergency room visit (moderately high): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $359.26 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $359.26 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $372.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $359.26
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$607.15 – $1,118.44
Emergency room visit (high): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $607.15 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $990.62 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $588.24 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $671.07 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $639.11 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,035.36 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $850.02 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $837.23 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $639.11 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $798.89
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$285.89 – $588.24
Emergency room visit (high): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $607.15 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $990.62 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $671.07 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $639.11 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,035.36 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,118.44 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $837.23 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $639.11 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $567.72 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $798.89
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$285.89 – $588.24
Emergency room visit (high): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $285.89 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $285.89 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $555.15 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $285.89

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.04 – $14.81
Basic metabolic panel (blood test): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $8.04 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $13.11 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $8.88 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $19.80 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $8.46 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $19.80 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $13.71 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $14.81 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $11.08 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.04 – $14.81
Basic metabolic panel (blood test): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $8.04 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $13.11 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $28.38 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8.88 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8.46 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $13.71 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $11.25 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $11.08 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8.46 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $10.58
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.46 – $37.48
Basic metabolic panel (blood test): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $27.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $27.83
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.03 – $18.48
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $10.03 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $16.37 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $11.09 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $24.71 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $10.56 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $24.71 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $17.11 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $18.48 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $13.83 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.03 – $18.48
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $10.03 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $16.37 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $36.12 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $11.09 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $10.56 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $17.11 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $14.04 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $13.83 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $10.56 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $13.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.56 – $46.78
Comprehensive metabolic panel (blood test): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $35.42 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $35.42
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$45.42 – $83.67
Obstetric blood test panel: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $45.42 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $74.11 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $50.20 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $111.88 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $47.81 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $111.88 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $77.45 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $83.67 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $62.63 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$45.42 – $83.67
Obstetric blood test panel: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $45.42 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $74.11 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $203.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $50.20 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $47.81 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $77.45 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $63.59 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $62.63 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $47.81 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $59.76
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$43.28 – $211.80
Obstetric blood test panel: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $199.87 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $199.87
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.72 – $23.43
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $12.72 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $20.75 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $14.06 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $31.33 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $13.39 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $31.33 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $21.69 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $23.43 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $17.54 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.72 – $23.43
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $12.72 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $20.75 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $46.44 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $14.06 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $13.39 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $21.69 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $17.81 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $17.54 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $13.39 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $16.74
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$11.58 – $59.32
Cholesterol panel (lipid panel): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $45.54 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $45.54
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.25 – $15.19
Kidney function panel: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $8.25 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $13.45 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $9.11 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $20.31 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $8.68 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $20.31 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $14.06 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $15.19 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $11.37 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.25 – $15.19
Kidney function panel: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $8.25 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $13.45 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $25.80 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $9.11 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8.68 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $14.06 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $11.54 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $11.37 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8.68 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $10.85
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $38.45
Kidney function panel: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $25.30 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $25.30
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.76 – $14.30
Liver function panel: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $7.76 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $12.66 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $8.58 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $19.12 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $8.17 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $19.12 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $13.24 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $14.30 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $10.70 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.76 – $14.30
Liver function panel: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $7.76 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $12.66 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $25.80 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8.58 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8.17 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $13.24 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $10.87 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $10.70 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8.17 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $10.21
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.59 – $36.19
Liver function panel: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $25.30 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $25.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.01 – $5.55
Urine test (automated, with microscope): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $3.01 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $4.91 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $3.33 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $7.42 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $3.17 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $7.42 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $5.14 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $5.55 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $4.15 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.01 – $5.55
Urine test (automated, with microscope): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $3.01 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $4.91 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $10.32 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $3.33 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $3.17 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $5.14 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $4.22 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $4.15 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $3.17 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $3.96
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.38 – $14.04
Urine test (automated, with microscope): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $10.12 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $10.12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.31 – $6.09
Urine test (manual, without microscope): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $3.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $5.39 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $3.65 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $8.14 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $3.48 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $8.14 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $5.64 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $6.09 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $4.56 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.31 – $6.09
Urine test (manual, without microscope): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $3.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $5.39 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $7.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $3.65 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $3.48 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $5.64 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $4.63 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $4.56 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $3.48 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $4.35
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.61 – $15.42
Urine test (manual, without microscope): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $7.59 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $7.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.14 – $3.94
Urine test (automated, without microscope): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $2.14 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $3.49 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $2.36 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $5.27 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $2.25 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $5.27 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $3.65 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $3.94 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $2.95 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.14 – $3.94
Urine test (automated, without microscope): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $2.14 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $3.49 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $7.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $2.36 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $2.25 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $3.65 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $2.99 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $2.95 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $2.25 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $2.81
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.69 – $9.97
Urine test (automated, without microscope): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $7.59 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $7.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$17.47 – $32.18
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $17.47 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $28.50 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $19.31 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $43.03 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $18.39 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $43.03 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $29.79 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $32.18 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $24.09 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$17.47 – $32.18
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $17.47 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $28.50 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $54.18 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $19.31 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $18.39 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $29.79 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $24.46 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $24.09 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $18.39 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $22.99
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$13.79 – $81.47
PSA (prostate specific antigen) blood test: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $53.13 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $53.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.96 – $29.40
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $15.96 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $26.04 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $17.64 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $39.31 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $16.80 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $39.31 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $27.22 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $29.40 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $22.01 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.96 – $29.40
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $15.96 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $26.04 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $51.60 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $17.64 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $16.80 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $27.22 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $22.34 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $22.01 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $16.80 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $21
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$12.60 – $74.42
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $50.60 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $50.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.38 – $13.60
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $7.38 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $12.04 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $8.16 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $18.18 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $7.77 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $18.18 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $12.59 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $13.60 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $10.18 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.38 – $13.60
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $7.38 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $12.04 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $25.80 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8.16 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $7.77 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $12.59 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $10.33 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $10.18 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $7.77 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $9.71
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$5.83 – $34.42
Complete blood count (CBC) with differential: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $25.30 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $25.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.15 – $11.32
Complete blood count (CBC), automated: 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $6.15 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $10.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $6.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $15.14 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $6.47 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $15.14 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $10.48 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $11.32 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $8.48 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.15 – $11.32
Complete blood count (CBC), automated: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $6.15 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $10.03 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $23.22 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $6.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $6.47 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $10.48 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $8.61 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $8.48 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $6.47 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $8.09
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$4.85 – $28.66
Complete blood count (CBC), automated: rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $22.77 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $22.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.08 – $7.51
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $4.08 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $6.65 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $4.50 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $10.04 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $4.29 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $10.04 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $6.95 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $7.51 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $5.62 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.08 – $7.51
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $4.08 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $6.65 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $12.90 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $4.50 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $4.29 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $6.95 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $5.71 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $5.62 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $4.29 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $5.36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.22 – $19
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $12.65 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $12.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.71 – $10.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $5.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $9.32 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $6.31 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $14.06 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $6.01 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $14.06 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $9.74 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $10.52 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $7.87 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.71 – $10.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $5.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $9.32 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $20.64 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $6.31 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $6.01 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $9.74 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $7.99 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $7.87 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $6.01 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $7.51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$4.51 – $26.62
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $20.24 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $20.24

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$105.31 – $193.99
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $812.70 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $147.43 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $145.21 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $138.56
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$105.31 – $193.99
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $171.92 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $193.99 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $784.35
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$139.56 – $812.70
CT scan of the head or brain, without contrast: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $796.95 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $796.95 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $796.95
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$353.67 – $651.49
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $353.67 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $577.03 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $3,209.52 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $390.89 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $372.28 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $603.09 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $495.13 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $487.69 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $372.28 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $465.35
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$353.67 – $651.49
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $353.67 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $577.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $390.89 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $553.34 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $372.28 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $603.09 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $651.49 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $487.69 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $372.28 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $3,097.56
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$553.34 – $3,209.52
MRI of the brain, before and after contrast: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $3,147.32 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $3,147.32 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $3,147.32
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$87.20 – $160.63
Chest X-ray, 2 views: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $87.20 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $142.27 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $113.52 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $96.38 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $91.79 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $148.70 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $122.08 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $120.24 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $91.79 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $114.74
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$87.20 – $160.63
Chest X-ray, 2 views: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $87.20 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $142.27 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $96.38 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $58.06 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $91.79 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $148.70 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $160.63 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $120.24 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $91.79 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $109.56
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$58.06 – $113.52
Chest X-ray, 2 views: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $111.32 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $111.32 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $107.13 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $111.32
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$105.31 – $193.99
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $203.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $147.43 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $145.21 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $138.56
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$105.31 – $193.99
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $96.57 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $193.99 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $196.71
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$96.57 – $203.82
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $199.87 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $199.87 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $199.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $440.95
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $239.37 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $390.55 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $1,973.70 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $264.57 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $251.97 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $408.19 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $335.12 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $330.08 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $251.97 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $314.96
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $440.95
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $239.37 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $390.55 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $264.57 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $317.63 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $251.97 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $408.19 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $440.95 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $330.08 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $251.97 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $1,904.85
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$317.63 – $1,973.70
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $1,935.45 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $1,935.45 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $1,935.45
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$176.29 – $324.75
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $176.29 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $287.63 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $1,207.44 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $194.85 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $185.57 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $300.62 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $246.81 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $243.10 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $185.57 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $231.96
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$176.29 – $324.75
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $176.29 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $287.63 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $194.85 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $437.23 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $185.57 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $300.62 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $324.75 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $243.10 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $185.57 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $1,165.32
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$293.86 – $1,207.44
CT scan of the pelvis, with contrast: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $1,184.04 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $1,184.04 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $1,184.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $440.95
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $239.37 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $390.55 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $1,991.76 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $264.57 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $251.97 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $408.19 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $335.12 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $330.08 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $251.97 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $314.96
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $440.95
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $239.37 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $390.55 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $264.57 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $361.04 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $251.97 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $408.19 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $440.95 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $330.08 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $251.97 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $1,922.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$339.36 – $1,991.76
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $1,953.16 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $1,953.16 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $1,953.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$353.67 – $651.49
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $353.67 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $577.03 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $2,556.78 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $390.89 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $372.28 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $603.09 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $495.13 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $487.69 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $372.28 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $465.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$353.67 – $651.49
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $353.67 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $577.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $390.89 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $569.93 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $372.28 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $603.09 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $651.49 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $487.69 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $372.28 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $2,467.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$431.40 – $2,556.78
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $2,507.23 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $2,507.23 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $2,507.23
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$105.31 – $193.99
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $500.52 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $147.43 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $145.21 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $138.56
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$105.31 – $193.99
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $194.85 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $193.99 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $483.06
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$190.54 – $500.52
Ultrasound of the abdomen, complete: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $490.82 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $490.82 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $490.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$105.31 – $193.99
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $534.06 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $147.43 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $145.21 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $138.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$105.31 – $193.99
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $220.15 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $193.99 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $515.43
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$190.54 – $534.06
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $523.71 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $523.71 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $523.71
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$105.31 – $193.99
Transvaginal ultrasound: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $441.18 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $147.43 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $145.21 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $138.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$105.31 – $193.99
Transvaginal ultrasound: 10 of 22 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $215.33 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $193.99 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $425.79
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$190.54 – $441.18
Transvaginal ultrasound: rates for 3 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $432.63 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $432.63 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $432.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$83.29 – $153.42
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $83.29 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $135.89 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $485.04 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $92.05 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $87.67 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $142.03 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $116.60 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $114.85 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $87.67 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $109.59
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$83.29 – $153.42
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $83.29 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $135.89 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $92.05 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $215.33 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $87.67 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $142.03 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $153.42 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $114.85 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $87.67 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $468.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$88.78 – $485.04
Diagnostic mammogram, one breast: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $475.64 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $457.75 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $475.64
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$105.92 – $195.13
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.92 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $172.83 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $601.14 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $117.08 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $111.50 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $180.63 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $148.30 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $146.06 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $111.50 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $139.38
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$105.92 – $195.13
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.92 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $172.83 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $117.08 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $274.32 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $111.50 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $180.63 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $195.13 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $146.06 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $111.50 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $580.17
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$113.18 – $601.14
Diagnostic mammogram, both breasts: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $589.49 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $567.32 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $589.49
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$87.38 – $160.97
Screening mammogram, both breasts: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $87.38 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $142.57 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $518.58 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $96.58 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $91.98 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $149.01 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $122.33 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $120.49 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $91.98 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $114.98
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$87.38 – $160.97
Screening mammogram, both breasts: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $87.38 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $142.57 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $96.58 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $227.61 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $91.98 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $149.01 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $160.97 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $120.49 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $91.98 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $500.49
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$93.87 – $518.58
Screening mammogram, both breasts: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $508.53 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $489.40 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $508.53

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$80.35 – $106.26
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $85.14 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $85.14 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $85.14 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $85.14 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $85.14 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $85.14 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $85.14
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$80.35 – $106.26
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $106.26 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $106.26 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $80.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $106.26
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$80.35 – $106.26
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $82.17 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$5,623 – $10,271
Left heart catheterization (diagnostic): rates for 6 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $5,678 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $5,623 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $9,654 HUMANA HMO — 1619_HUMANA HMO (AB) 20231001: $8,180 HUMANA PPO — 1621_HUMANA PPO (AB) 20231001: $10,271 UHC — 1672_UHC (BO,GO,HN,LG) 20231001: $6,855
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$832.37 – $2,917.98
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $2,917.98 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $2,917.98 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $2,917.98 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $2,917.98 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $2,917.98 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $2,917.98 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $2,917.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$832.37 – $2,917.98
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $832.37 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $832.37 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $2,753.82 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $832.37
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$832.37 – $2,917.98
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $2,816.19
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,947
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $7,051.14 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $7,051.14 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $7,051.14 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $7,051.14 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $7,051.14 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $7,051.14 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $7,051.14
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,947
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $6,654.45 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,947
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $6,805.17 UHC — 1711_UHC (AB,SA) 20240101: $7,947
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$756.47 – $3,834
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $2,752.86 COUNTY CARE — 1748_MEDICAID ADVANTAGE COUNTY CARE (AB) 20240101: $2,752.86 FAMILY HEALTH PLAN — 1749_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (AB) 20240101: $2,752.86 HARMONY HEALTH PLAN — 1751_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (AB) 20240101: $2,752.86 ILLINICARE — 1754_MEDICAID ADVANTAGE ILLINICARE (AB) 20240101: $2,752.86 MEDICAID REPLACEMENT 100% — 1759_MEDICAID ADVANTAGE OTHER (AB) 20240101: $2,752.86 MERIDIAN — 1757_MEDICAID ADVANTAGE MERIDIAN (AB) 20240101: $2,752.86
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$756.47 – $3,834
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $1,654 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $1,637 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $2,656.83 UHC — 1711_UHC (AB,SA) 20240101: $3,834 UHC — 1672_UHC (BO,GO,HN,LG) 20231001: 60% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$756.47 – $3,834
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $756.47 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $756.47 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $2,597.98 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $756.47

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$28.06 – $51.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $28.06 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $45.79 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $90.30 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $31.02 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $29.54 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $47.85 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $39.29 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $38.70 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $29.54 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $36.92
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$29.82 – $90.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $28.06 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $45.79 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $31.02 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $73.69 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $29.54 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $47.85 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $51.70 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $38.70 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $29.54 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $87.15
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$29.82 – $90.30
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $70.84 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $85.22 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $70.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$95.71 – $176.31
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $95.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $156.16 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $105.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $100.75 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $163.22 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $134 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $131.98 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $100.75 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $125.94
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $95.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $156.16 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $105.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $250.82 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $100.75 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $163.22 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $176.31 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $131.98 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $100.75 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $216.63
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (low complexity): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$95.71 – $176.31
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $95.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $156.16 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $105.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $100.75 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $163.22 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $134 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $131.98 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $100.75 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $125.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $95.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $156.16 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $105.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $250.82 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $100.75 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $163.22 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $176.31 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $131.98 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $100.75 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $216.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$95.71 – $176.31
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $95.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $156.16 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $105.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $100.75 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $163.22 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $134 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $131.98 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $100.75 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $125.94
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $95.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $156.16 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $105.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $250.82 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $100.75 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $163.22 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $176.31 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $131.98 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $100.75 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $216.63
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (high complexity): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $293.11
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $222.76 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $219.41 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $209.36
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $293.11
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $293.11 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $216.63 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$211.83 – $224.46
Psychotherapy, 30 minutes: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $220.11 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $220.11 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $220.11
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $293.11
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $325.08 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $222.76 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $219.41 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $209.36
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $293.11
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $293.11 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $313.74 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$306.79 – $325.08
Psychotherapy, 45 minutes: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $318.78 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $318.78 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $306.79 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $318.78
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $293.11
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $477.30 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $222.76 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $219.41 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $209.36
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $293.11
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $293.11 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $460.65 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$450.45 – $477.30
Psychotherapy, 60 minutes: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $468.05 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $468.05 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $450.45 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $468.05
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $293.11
Family psychotherapy, without the patient: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $304.44 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $222.76 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $219.41 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $209.36
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $293.11
Family psychotherapy, without the patient: 10 of 18 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $293.11 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $293.82 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$287.31 – $304.44
Family psychotherapy, without the patient: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $298.54 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $298.54 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $287.31 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $298.54
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $293.11
Family psychotherapy, with the patient: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $394.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $222.76 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $219.41 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $209.36
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $293.11
Family psychotherapy, with the patient: 10 of 18 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $293.11 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $380.97 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$372.53 – $394.74
Family psychotherapy, with the patient: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $387.09 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $387.09 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $372.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $387.09
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$91.60 – $168.74
Group psychotherapy: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $91.60 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $149.45 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $108.36 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $101.24 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $96.42 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $156.20 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $128.24 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $126.31 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $96.42 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $120.53
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$91.60 – $168.74
Group psychotherapy: 10 of 18 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $91.60 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $149.45 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $101.24 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $96.42 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $156.20 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $168.74 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $126.31 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $96.42 BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $104.58 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $120.53
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$102.26 – $108.36
Group psychotherapy: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $106.26 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $106.26 CIGNA IFP — 1615_CIGNA IFP (AB) 20231001: $102.26 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $106.26

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$928.46 – $1,710.33
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $928.46 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $1,026.20 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $977.33 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,583.27 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $1,299.85 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $1,280.30 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,221.66 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $977.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$928.46 – $1,710.33
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $928.46 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $1,026.20 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $977.33 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,583.27 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,710.33 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $1,280.30 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,221.66 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $977.33
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$928.46 – $1,710.33
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $928.46 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $1,026.20 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $977.33 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,583.27 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $1,299.85 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $1,280.30 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,221.66 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $977.33
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$928.46 – $1,710.33
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $928.46 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $1,026.20 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $977.33 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,583.27 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,710.33 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $1,280.30 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,221.66 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $977.33
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$902.86 – $1,663.16
Colonoscopy (diagnostic): 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $902.86 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,473.09 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $997.90 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $950.38 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,539.62 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $1,264.01 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $1,245 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $950.38 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,187.97 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $950.38
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$902.86 – $1,663.16
Colonoscopy (diagnostic): 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $902.86 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,473.09 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $997.90 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $950.38 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,539.62 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,663.16 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $1,245 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $950.38 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,187.97 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $950.38
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$9,654
Gallbladder removal by laparoscope: rates for 4 insurance plans BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $9,654 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount) CIGNA — 1614_CIGNA (AB,SA) 20231001: 73% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$9,654
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $9,654
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$9,654
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan BCBS PPO — 1725_BLUE CROSS BLUE SHIELD PPO (AB) 20240101: $9,654
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.80 – $1,263.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $685.80 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,118.94 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $758 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $721.90 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,169.48 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $960.13 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $945.69 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $721.90 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $902.38 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $721.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.80 – $1,263.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $685.80 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,118.94 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $758 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $721.90 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,169.48 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,263.33 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $945.69 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $721.90 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $902.38 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $721.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$881.66 – $1,624.11
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $881.66 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,438.49 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $974.46 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $928.06 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,503.46 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $1,234.32 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $1,215.76 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $928.06 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,160.07 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $928.06
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$881.66 – $1,624.11
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $881.66 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,438.49 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $974.46 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $928.06 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,503.46 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,624.11 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $1,215.76 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $928.06 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,160.07 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $928.06
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$543.28 – $1,000.77
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $543.28 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $886.40 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $600.46 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $571.87 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $926.43 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $760.59 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $749.15 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $571.87 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $714.84 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $571.87
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$543.28 – $1,000.77
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $543.28 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $886.40 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $600.46 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $571.87 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $926.43 BCBS BCS — 1700_BLUE CROSS BLUE SHIELD BCS (AB) OUTPATIENT 20240101: $1,000.77 BCBS FOCUS CARE — 1681_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) OUTPATIENT 20240: $749.15 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $571.87 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $714.84 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $571.87
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$3,941
Cataract removal with lens implant: rates for 1 insurance plan AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $3,941

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,920 – $101,893
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $61,800.51 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $100,832.41 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $68,305.83 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $65,053.17 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $64,698 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $105,386.14 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $86,520.72 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $85,219.65 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $65,053.17 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $81,316.46
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Outpatient (no overnight stay) 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	$1,920 – $101,893
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$12,185.36 – $20,779.25
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $12,185.36 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $19,881.39 AETNA BETTER HEALTH — 1743_MEDICAID ADVANTAGE AETNA BETTER HEALTH (AB) 20240101: $3,380.51 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $13,468.04 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $12,826.70 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $20,779.25 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $17,059.51 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $16,802.98 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $12,826.70 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $16,033.38
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Outpatient (no overnight stay) 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	$1,502.18 – $3,380.51
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$15,422.33 – $26,299.13
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $15,422.33 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $25,162.75 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $17,045.73 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $16,234.03 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $26,299.13 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $21,591.26 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $21,266.58 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $16,234.03 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $20,292.54 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $16,234.03
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Outpatient (no overnight stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,920
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,837.82 – $13,365.55
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $7,837.82 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $12,788.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8,662.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8,250.34 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $13,365.55 BCBS BCS — 1729_BLUE CROSS BLUE SHIELD BCS (AB) INPATIENT 20240101: $10,972.95 BCBS FOCUS CARE — 1731_BLUE CROSS BLUE SHIELD FOCUS CARE (AB) INPATIENT 202401: $10,807.95 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8,250.34 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $10,312.92 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $8,250.34
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Outpatient (no overnight stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,920
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920

Source: Alexian Brothers Medical Center 1’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	800 Biesterfield Rd, Elk Grove Village, IL 60007
County	Cook County
State	Illinois
Phone	(847) 437‑5500
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140258
Name in Medicare records	ALEXIAN BROTHERS MEDICAL CENTER 1
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ascension Alexian Brothers
Official website	healthcare.ascension.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.

Ascension Alexian Brothers — healthcare.ascension.org

Alexian Brothers Medical Center 1

Summary

Profile from official sources

At a glance