Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Critical Access Hospital

Allen County Regional Hospital

Iola, Kansas · Allen County · Emergency services listed

Summary

Allen County Regional Hospital is a critical access hospital in Iola, Kansas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 27 services, specialties and programs. Medicare lists 95 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
27Services listed

Quick answers

Does Allen County Regional Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Allen County Regional Hospital. In a medical emergency, call 911.
Where is Allen County Regional Hospital?
3066 North Kentucky Street, Iola, KS 66749, in Allen County, Kansas.
What is the phone number of Allen County Regional Hospital?
(620) 365-1021, as listed by Medicare (CMS).
What is the Medicare star rating of Allen County Regional Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

  • Skilled nursing (swing bed)
  • Hospitalist program

Procedures[4]

Programs and centers[4]

  • Hospitalist program
  • Rehabilitation services

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel 4

Visiting and practical information

VisitingVisitors welcome; check facility-specific visitor guidelines[4]

Recognition[4]

  • Joint Commission accredited

Doctors and clinicians (95)

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

Main specialties

Doctors with a page on this site (95)

And 71 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities 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

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Summary star rating (all survey topics)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1088%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well88%National average: 80%
Doctors “always” communicated well86%National average: 80%
Staff “always” explained medicines before giving them78%National average: 62%
Were given information about recovery at home92%National average: 86%
Room and bathroom “always” clean93%National average: 74%
Area around the room “always” quiet at night79%National average: 60%
Completed surveys44Response rate: 23%

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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patients10.4%
Deaths within 30 days: pneumonia patients15%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

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 attackNot reported to Medicare
Readmitted within 30 days: heart failure21.4%
Readmitted within 30 days: pneumonia16.3%
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)114 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)76%National average: 65%

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

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 53 common services exactly as Allen County Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Patient Level 3 W Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF $110 $66 $38.50 – $107
New patient office visit (about 30–44 minutes): 10 of 57 insurance plan rates
  • AETNA [5000] — AETNA INDEMNITY [50009]: $104.50
  • AETNA [5000] — AETNA LOCAL [50005]: $90.71
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71
  • AETNA [5000] — AETNA NATIONAL [50006]: $90.71
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
  • AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $90.71
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $107.80
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Patient Level 3 WO Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY O $110 $66 $38.50 – $107
New patient office visit (about 30–44 minutes): 10 of 57 insurance plan rates
  • AETNA [5000] — AETNA INDEMNITY [50009]: $104.50
  • AETNA [5000] — AETNA LOCAL [50005]: $90.71
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71
  • AETNA [5000] — AETNA NATIONAL [50006]: $90.71
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
  • AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $90.71
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $107.80
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Patient Level 3 W Proc $110 $66 $38.50 – $107
New patient office visit (about 30–44 minutes): 10 of 38 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50
  • AETNA [5000] — AETNA NAP [50014]: $93.50
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $95.95
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $101
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $101
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $101
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $79.20
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $67.49
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $110
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $104.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Patient Level 4 W Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF $110 $66 $38.50 – $107
New patient office visit (about 45–59 minutes): 10 of 57 insurance plan rates
  • AETNA [5000] — AETNA INDEMNITY [50009]: $104.50
  • AETNA [5000] — AETNA LOCAL [50005]: $90.71
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71
  • AETNA [5000] — AETNA NATIONAL [50006]: $90.71
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
  • AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $90.71
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $107.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Patient Level 4 WO Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY O $110 $66 $38.50 – $107
New patient office visit (about 45–59 minutes): 10 of 57 insurance plan rates
  • AETNA [5000] — AETNA INDEMNITY [50009]: $104.50
  • AETNA [5000] — AETNA LOCAL [50005]: $90.71
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71
  • AETNA [5000] — AETNA NATIONAL [50006]: $90.71
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
  • AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $90.71
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $107.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Patient Level 4 W Proc $110 $66 $38.50 – $107
New patient office visit (about 45–59 minutes): 10 of 38 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50
  • AETNA [5000] — AETNA NAP [50014]: $93.50
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $95.95
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $101
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $101
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $101
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $79.20
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $67.49
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $110
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $104.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC New Patient Level 5 W Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF $177 $106.20 $52 – $173
New patient office visit (about 60–74 minutes): 10 of 57 insurance plan rates
  • AETNA [5000] — AETNA INDEMNITY [50009]: $168.15
  • AETNA [5000] — AETNA LOCAL [50005]: $145.95
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $145.95
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $145.95
  • AETNA [5000] — AETNA NATIONAL [50006]: $145.95
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $145.95
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $145.95
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $145.95
  • AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $145.95
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $173.46
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC New Patient Level 5 WO Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY O $177 $106.20 $52 – $173
New patient office visit (about 60–74 minutes): 10 of 57 insurance plan rates
  • AETNA [5000] — AETNA INDEMNITY [50009]: $168.15
  • AETNA [5000] — AETNA LOCAL [50005]: $145.95
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $145.95
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $145.95
  • AETNA [5000] — AETNA NATIONAL [50006]: $145.95
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $145.95
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $145.95
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $145.95
  • AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $145.95
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $173.46
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC New Patient Level 5 W Proc $177 $106.20 $52 – $173
New patient office visit (about 60–74 minutes): 10 of 38 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $150.45
  • AETNA [5000] — AETNA NAP [50014]: $150.45
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $160.24
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $168.67
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $168.67
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $168.67
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $127.44
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $108.59
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $177
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $168.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OP Est Patient Level 3 W Proc $77 $46.20 $26.95 – $77
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $65.45
  • AETNA [5000] — AETNA INDEMNITY [50009]: $73.15
  • AETNA [5000] — AETNA LOCAL [50005]: $63.49
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $63.49
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $63.49
  • AETNA [5000] — AETNA NAP [50014]: $65.45
  • AETNA [5000] — AETNA NATIONAL [50006]: $63.49
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $63.49
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $63.49
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $63.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OP Est Patient Level 3 WO Proc $77 $46.20 $26.95 – $77
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $65.45
  • AETNA [5000] — AETNA INDEMNITY [50009]: $73.15
  • AETNA [5000] — AETNA LOCAL [50005]: $63.49
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $63.49
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $63.49
  • AETNA [5000] — AETNA NAP [50014]: $65.45
  • AETNA [5000] — AETNA NATIONAL [50006]: $63.49
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $63.49
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $63.49
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $63.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OP Est Patient Level 3 W Proc|UNRELATED EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN DURING A POSTOPERATIVE PERIOD $77 $46.20 $26.95 – $77
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $77
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $73.15
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $241.18
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Est Patient Level 4 W Proc $90 $54 $31.50 – $90
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $76.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $85.50
  • AETNA [5000] — AETNA LOCAL [50005]: $74.21
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $74.21
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $74.21
  • AETNA [5000] — AETNA NAP [50014]: $76.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $74.21
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $74.21
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $74.21
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $74.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Est Patient Level 4 WO Proc $90 $54 $31.50 – $90
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $76.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $85.50
  • AETNA [5000] — AETNA LOCAL [50005]: $74.21
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $74.21
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $74.21
  • AETNA [5000] — AETNA NAP [50014]: $76.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $74.21
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $74.21
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $74.21
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $74.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Est Patient Level 4 W Proc|UNRELATED EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN DURING A POSTOPERATIVE PERIOD|SIGNIFICANT $90 $54 $31.50 – $90
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $90
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $85.50
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $241.18
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $241.18
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: HC Preventive Visit Np Age 18-39 $98 $58.80 $46.31 – $98
Preventive checkup, new patient, age 18–39: 10 of 34 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $83.30
  • AETNA [5000] — AETNA NAP [50014]: $83.30
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $83.30
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $88.20
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $88.20
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $88.20
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $70.56
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $60.12
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $98
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $93.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HC Preventive Visit Np Age 40-64 $110 $66 $30 – $110
Preventive checkup, new patient, age 40–64: 10 of 38 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50
  • AETNA [5000] — AETNA NAP [50014]: $93.50
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $93.50
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $99
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $99
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $99
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $79.20
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $67.49
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $110
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $104.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class III W Proc F $518 $310.80 $105 – $492
Emergency room visit (moderate): 10 of 36 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $440.30
  • AETNA [5000] — AETNA NAP [50014]: $440.30
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $387.40
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $407.79
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $407.79
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $407.79
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $518
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $492.10
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $109.20
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $105
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class III WO Proc F $518 $310.80 $105 – $492
Emergency room visit (moderate): 10 of 36 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $440.30
  • AETNA [5000] — AETNA NAP [50014]: $440.30
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $387.40
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $407.79
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $407.79
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $407.79
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $518
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $492.10
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $109.20
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $105
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class IV W Proc F $817 $490.20 $105 – $776
Emergency room visit (moderately high): 10 of 36 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $694.45
  • AETNA [5000] — AETNA NAP [50014]: $694.45
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $660.48
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $695.24
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $695.24
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $695.24
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $817
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $776.15
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $109.20
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $105
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class IV WO Proc F $817 $490.20 $105 – $776
Emergency room visit (moderately high): 10 of 36 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $694.45
  • AETNA [5000] — AETNA NAP [50014]: $694.45
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $660.48
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $695.24
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $695.24
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $695.24
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $817
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $776.15
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $109.20
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $105
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class V W Proc F $1,287 $772.20 $105 – $1,222
Emergency room visit (high): 10 of 36 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,093.95
  • AETNA [5000] — AETNA NAP [50014]: $1,093.95
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,026.51
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,080.54
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,080.54
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,080.54
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $1,287
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $1,222.65
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $109.20
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $105
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class V WO Proc F $1,287 $772.20 $105 – $1,222
Emergency room visit (high): 10 of 36 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,093.95
  • AETNA [5000] — AETNA NAP [50014]: $1,093.95
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,026.51
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,080.54
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,080.54
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,080.54
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $1,287
  • COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $1,222.65
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $109.20
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $105

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel $131 $78.60 $8.46 – $124
Basic metabolic panel (blood test): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $111.35
  • AETNA [5000] — AETNA INDEMNITY [50009]: $124.45
  • AETNA [5000] — AETNA LOCAL [50005]: $108.02
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $108.02
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $108.02
  • AETNA [5000] — AETNA NAP [50014]: $111.35
  • AETNA [5000] — AETNA NATIONAL [50006]: $108.02
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $108.02
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $108.02
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $108.02
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Metabolic Panel $169 $101.40 $10.56 – $160
Comprehensive metabolic panel (blood test): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $143.65
  • AETNA [5000] — AETNA INDEMNITY [50009]: $160.55
  • AETNA [5000] — AETNA LOCAL [50005]: $139.36
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $139.36
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $139.36
  • AETNA [5000] — AETNA NAP [50014]: $143.65
  • AETNA [5000] — AETNA NATIONAL [50006]: $139.36
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $139.36
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $139.36
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $139.36
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel $128 $76.80 $13.39 – $125
Cholesterol panel (lipid panel): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $108.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $121.60
  • AETNA [5000] — AETNA LOCAL [50005]: $105.55
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $105.55
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $105.55
  • AETNA [5000] — AETNA NAP [50014]: $108.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $105.55
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $105.55
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $105.55
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $105.55
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel|NOT REASONABLE AND NECESSARY $128 $76.80 $13.39 – $125
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $125.44
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Panel $138 $82.80 $8.68 – $131
Kidney function panel: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $117.30
  • AETNA [5000] — AETNA INDEMNITY [50009]: $131.10
  • AETNA [5000] — AETNA LOCAL [50005]: $113.79
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $113.79
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $113.79
  • AETNA [5000] — AETNA NAP [50014]: $117.30
  • AETNA [5000] — AETNA NATIONAL [50006]: $113.79
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $113.79
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $113.79
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $113.79
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel $108 $64.80 $8.17 – $105
Liver function panel: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $91.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $102.60
  • AETNA [5000] — AETNA LOCAL [50005]: $89.06
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $89.06
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $89.06
  • AETNA [5000] — AETNA NAP [50014]: $91.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $89.06
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $89.06
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $89.06
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $89.06
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel|DISTINCT PROCEDURAL SERVICE $108 $64.80 $8.17 – $105
Liver function panel: 10 of 21 insurance plan rates
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $105.84
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $57.28
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $57.28
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis W/ Microscopic $71 $42.60 $3.17 – $69
Urine test (automated, with microscope): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $60.35
  • AETNA [5000] — AETNA INDEMNITY [50009]: $67.45
  • AETNA [5000] — AETNA LOCAL [50005]: $58.55
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $58.55
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $58.55
  • AETNA [5000] — AETNA NAP [50014]: $60.35
  • AETNA [5000] — AETNA NATIONAL [50006]: $58.55
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $58.55
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $58.55
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $58.55
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis W/ Microscopic|DISTINCT PROCEDURAL SERVICE $71 $42.60 $3.17 – $69
Urine test (automated, with microscope): rates for 1 insurance plan
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $69.58
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis WO Micro Non-Automated $20 $12 $3.01 – $20
Urine test (manual, without microscope): 10 of 40 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $17
  • AETNA [5000] — AETNA NAP [50014]: $17
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $9.84
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $10.36
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $10.36
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $10.36
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $4.59
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $14.40
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $12.27
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $20 $12 $3.01 – $20
Urine test (manual, without microscope): 10 of 40 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $17
  • AETNA [5000] — AETNA NAP [50014]: $17
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $9.84
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $10.36
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $10.36
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $10.36
  • BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $4.59
  • COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $14.40
  • COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $12.27
  • COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Ketones Urine $53 $31.80 $1.91 – $51
Urine test (automated, without microscope): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $45.05
  • AETNA [5000] — AETNA INDEMNITY [50009]: $50.35
  • AETNA [5000] — AETNA LOCAL [50005]: $43.70
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $43.70
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $43.70
  • AETNA [5000] — AETNA NAP [50014]: $45.05
  • AETNA [5000] — AETNA NATIONAL [50006]: $43.70
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $43.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $43.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $43.70
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Ph Urine $53 $31.80 $1.91 – $51
Urine test (automated, without microscope): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $45.05
  • AETNA [5000] — AETNA INDEMNITY [50009]: $50.35
  • AETNA [5000] — AETNA LOCAL [50005]: $43.70
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $43.70
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $43.70
  • AETNA [5000] — AETNA NAP [50014]: $45.05
  • AETNA [5000] — AETNA NATIONAL [50006]: $43.70
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $43.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $43.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $43.70
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis WO Micro $53 $31.80 $1.91 – $51
Urine test (automated, without microscope): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $45.05
  • AETNA [5000] — AETNA INDEMNITY [50009]: $50.35
  • AETNA [5000] — AETNA LOCAL [50005]: $43.70
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $43.70
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $43.70
  • AETNA [5000] — AETNA NAP [50014]: $45.05
  • AETNA [5000] — AETNA NATIONAL [50006]: $43.70
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $43.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $43.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $43.70
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Diagnostic Total $177 $106.20 $18.39 – $173
PSA (prostate specific antigen) blood test: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $150.45
  • AETNA [5000] — AETNA INDEMNITY [50009]: $168.15
  • AETNA [5000] — AETNA LOCAL [50005]: $145.95
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $145.95
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $145.95
  • AETNA [5000] — AETNA NAP [50014]: $150.45
  • AETNA [5000] — AETNA NATIONAL [50006]: $145.95
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $145.95
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $145.95
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $145.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Total Psa $213 $127.80 $18.39 – $208
PSA (prostate specific antigen) blood test: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $181.05
  • AETNA [5000] — AETNA INDEMNITY [50009]: $202.35
  • AETNA [5000] — AETNA LOCAL [50005]: $175.64
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $175.64
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $175.64
  • AETNA [5000] — AETNA NAP [50014]: $181.05
  • AETNA [5000] — AETNA NATIONAL [50006]: $175.64
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $175.64
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $175.64
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $175.64
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Diagnostic Total|NOT REASONABLE AND NECESSARY $177 $106.20 $18.39 – $173
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $173.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Cascade $154 $92.40 $15.75 – $150
Thyroid stimulating hormone (TSH) test: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $130.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $146.30
  • AETNA [5000] — AETNA LOCAL [50005]: $126.99
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $126.99
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $126.99
  • AETNA [5000] — AETNA NAP [50014]: $130.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $126.99
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $126.99
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $126.99
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $126.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh $154 $92.40 $15.75 – $150
Thyroid stimulating hormone (TSH) test: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $130.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $146.30
  • AETNA [5000] — AETNA LOCAL [50005]: $126.99
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $126.99
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $126.99
  • AETNA [5000] — AETNA NAP [50014]: $130.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $126.99
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $126.99
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $126.99
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $126.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Cascade|NOT REASONABLE AND NECESSARY $154 $92.40 $15.75 – $150
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $150.92
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Automated Diff $74 $44.40 $6.60 – $72
Complete blood count (CBC) with differential: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $62.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $70.30
  • AETNA [5000] — AETNA LOCAL [50005]: $61.02
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $61.02
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $61.02
  • AETNA [5000] — AETNA NAP [50014]: $62.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $61.02
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $61.02
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $61.02
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $61.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Automated Diff|NOT REASONABLE AND NECESSARY $74 $44.40 $6.60 – $72
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $72.52
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $8.63
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $8.63
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Only $78 $46.80 $6.47 – $76
Complete blood count (CBC), automated: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $66.30
  • AETNA [5000] — AETNA INDEMNITY [50009]: $74.10
  • AETNA [5000] — AETNA LOCAL [50005]: $64.32
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $64.32
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $64.32
  • AETNA [5000] — AETNA NAP [50014]: $66.30
  • AETNA [5000] — AETNA NATIONAL [50006]: $64.32
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $64.32
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $64.32
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $64.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Only|WAIVER OF LIABILITY ON FILE $78 $46.80 $6.47 – $76
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $76.44
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $35.10
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $35.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time $56 $33.60 $4.29 – $54
Blood clotting time test (prothrombin time, PT): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $47.60
  • AETNA [5000] — AETNA INDEMNITY [50009]: $53.20
  • AETNA [5000] — AETNA LOCAL [50005]: $46.18
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $46.18
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $46.18
  • AETNA [5000] — AETNA NAP [50014]: $47.60
  • AETNA [5000] — AETNA NATIONAL [50006]: $46.18
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $46.18
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $46.18
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $46.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Protime 1-1 Mix $56 $33.60 $4.29 – $54
Blood clotting time test (prothrombin time, PT): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $47.60
  • AETNA [5000] — AETNA INDEMNITY [50009]: $53.20
  • AETNA [5000] — AETNA LOCAL [50005]: $46.18
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $46.18
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $46.18
  • AETNA [5000] — AETNA NAP [50014]: $47.60
  • AETNA [5000] — AETNA NATIONAL [50006]: $46.18
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $46.18
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $46.18
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $46.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Protime Apl $56 $33.60 $4.29 – $54
Blood clotting time test (prothrombin time, PT): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $47.60
  • AETNA [5000] — AETNA INDEMNITY [50009]: $53.20
  • AETNA [5000] — AETNA LOCAL [50005]: $46.18
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $46.18
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $46.18
  • AETNA [5000] — AETNA NAP [50014]: $47.60
  • AETNA [5000] — AETNA NATIONAL [50006]: $46.18
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $46.18
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $46.18
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $46.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Appt Apl $114 $68.40 $5.25 – $111
Blood clotting test (partial thromboplastin time, PTT): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $96.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $108.30
  • AETNA [5000] — AETNA LOCAL [50005]: $94
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $94
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $94
  • AETNA [5000] — AETNA NAP [50014]: $96.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $94
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt $114 $68.40 $5.25 – $111
Blood clotting test (partial thromboplastin time, PTT): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $96.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $108.30
  • AETNA [5000] — AETNA LOCAL [50005]: $94
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $94
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $94
  • AETNA [5000] — AETNA NAP [50014]: $96.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $94
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt 1 to 1 Mix $114 $68.40 $5.25 – $111
Blood clotting test (partial thromboplastin time, PTT): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $96.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $108.30
  • AETNA [5000] — AETNA LOCAL [50005]: $94
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $94
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $94
  • AETNA [5000] — AETNA NAP [50014]: $96.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $94
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $94

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head WO Contrast $1,888 $1,132.80 $59.96 – $1,793
CT scan of the head or brain, without contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,604.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,793.60
  • AETNA [5000] — AETNA LOCAL [50005]: $1,556.84
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,556.84
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,556.84
  • AETNA [5000] — AETNA NAP [50014]: $1,604.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,556.84
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,556.84
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,556.84
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,556.84
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Head W WO Contrast $3,550 $2,130 $206.69 – $3,479
MRI of the brain, before and after contrast: 10 of 80 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,017.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $3,372.50
  • AETNA [5000] — AETNA LOCAL [50005]: $2,927.33
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,927.33
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,927.33
  • AETNA [5000] — AETNA NAP [50014]: $3,017.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,927.33
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,927.33
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,927.33
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,927.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Iac W WO Contrast $3,550 $2,130 $206.69 – $3,479
MRI of the brain, before and after contrast: 10 of 80 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,017.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $3,372.50
  • AETNA [5000] — AETNA LOCAL [50005]: $2,927.33
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,927.33
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,927.33
  • AETNA [5000] — AETNA NAP [50014]: $3,017.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,927.33
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,927.33
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,927.33
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,927.33
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC X-Ray Exam Chest 2 Views $321 $192.60 $36.88 – $304
Chest X-ray, 2 views: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $272.85
  • AETNA [5000] — AETNA INDEMNITY [50009]: $304.95
  • AETNA [5000] — AETNA LOCAL [50005]: $264.70
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $264.70
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $264.70
  • AETNA [5000] — AETNA NAP [50014]: $272.85
  • AETNA [5000] — AETNA NATIONAL [50006]: $264.70
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $264.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $264.70
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $264.70
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Dx Spine Lumbar Min 4 Views $561 $336.60 $52.75 – $549
X-ray of the lower spine, at least 4 views: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $476.85
  • AETNA [5000] — AETNA INDEMNITY [50009]: $532.95
  • AETNA [5000] — AETNA LOCAL [50005]: $462.60
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $462.60
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $462.60
  • AETNA [5000] — AETNA NAP [50014]: $476.85
  • AETNA [5000] — AETNA NATIONAL [50006]: $462.60
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $462.60
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $462.60
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $462.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L Spine WO Contrast $2,880 $1,728 $131 – $2,736
MRI of the lower back (lumbar spine), without contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,448
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,736
  • AETNA [5000] — AETNA LOCAL [50005]: $2,374.85
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,374.85
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,374.85
  • AETNA [5000] — AETNA NAP [50014]: $2,448
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,374.85
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,374.85
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,374.85
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,374.85
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W Contrast $2,300 $1,380 $101.17 – $2,185
CT scan of the pelvis, with contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,955
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,185
  • AETNA [5000] — AETNA LOCAL [50005]: $1,896.58
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,896.58
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,896.58
  • AETNA [5000] — AETNA NAP [50014]: $1,955
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,896.58
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,896.58
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,896.58
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,896.58
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Sacrum W Contrast $2,300 $1,380 $101.17 – $2,185
CT scan of the pelvis, with contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,955
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,185
  • AETNA [5000] — AETNA LOCAL [50005]: $1,896.58
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,896.58
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,896.58
  • AETNA [5000] — AETNA NAP [50014]: $1,955
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,896.58
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,896.58
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,896.58
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,896.58
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Joint WO Con Bilat $3,855 $2,313 $131 – $3,777
MRI of a leg joint (such as the knee), without contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,276.75
  • AETNA [5000] — AETNA INDEMNITY [50009]: $3,662.25
  • AETNA [5000] — AETNA LOCAL [50005]: $3,178.83
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $3,178.83
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $3,178.83
  • AETNA [5000] — AETNA NAP [50014]: $3,276.75
  • AETNA [5000] — AETNA NATIONAL [50006]: $3,178.83
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $3,178.83
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $3,178.83
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $3,178.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Joint WO Con Left $2,570 $1,542 $131 – $2,518
MRI of a leg joint (such as the knee), without contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,184.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,441.50
  • AETNA [5000] — AETNA LOCAL [50005]: $2,119.22
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,119.22
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,119.22
  • AETNA [5000] — AETNA NAP [50014]: $2,184.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,119.22
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,119.22
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,119.22
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,119.22
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Joint WO Con Right $2,570 $1,542 $131 – $2,518
MRI of a leg joint (such as the knee), without contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,184.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,441.50
  • AETNA [5000] — AETNA LOCAL [50005]: $2,119.22
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,119.22
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,119.22
  • AETNA [5000] — AETNA NAP [50014]: $2,184.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,119.22
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,119.22
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,119.22
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,119.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis Enterography W Con $3,450 $2,070 $181.08 – $3,381
CT scan of the abdomen and pelvis, with contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,932.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $3,277.50
  • AETNA [5000] — AETNA LOCAL [50005]: $2,844.87
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,844.87
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,844.87
  • AETNA [5000] — AETNA NAP [50014]: $2,932.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,844.87
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,844.87
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,844.87
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,844.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis With Contrast $3,410 $2,046 $181.08 – $3,341
CT scan of the abdomen and pelvis, with contrast: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,898.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $3,239.50
  • AETNA [5000] — AETNA LOCAL [50005]: $2,811.89
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,811.89
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,811.89
  • AETNA [5000] — AETNA NAP [50014]: $2,898.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,811.89
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,811.89
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,811.89
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,811.89
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis Enterography W Con|UNUSUAL NON-OVERLAPPING SERVICE $3,450 $2,070 $181.08 – $3,381
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $3,381
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete $1,075 $645 $59.96 – $1,021
Ultrasound of the abdomen, complete: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $913.75
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,021.25
  • AETNA [5000] — AETNA LOCAL [50005]: $886.45
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $886.45
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $886.45
  • AETNA [5000] — AETNA NAP [50014]: $913.75
  • AETNA [5000] — AETNA NATIONAL [50006]: $886.45
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $886.45
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $886.45
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $886.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB >=14 Weeks Anatomy Screen $800 $480 $59.96 – $760
Pregnancy ultrasound (after the first trimester): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $680
  • AETNA [5000] — AETNA INDEMNITY [50009]: $760
  • AETNA [5000] — AETNA LOCAL [50005]: $659.68
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $659.68
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $659.68
  • AETNA [5000] — AETNA NAP [50014]: $680
  • AETNA [5000] — AETNA NATIONAL [50006]: $659.68
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $659.68
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $659.68
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $659.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal $740 $444 $59.96 – $703
Transvaginal ultrasound: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $629
  • AETNA [5000] — AETNA INDEMNITY [50009]: $703
  • AETNA [5000] — AETNA LOCAL [50005]: $610.20
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $610.20
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $610.20
  • AETNA [5000] — AETNA NAP [50014]: $629
  • AETNA [5000] — AETNA NATIONAL [50006]: $610.20
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $610.20
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $610.20
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $610.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MA Dx Mammo Incl Cad Uni Lt $274 $164.40 $48.20 – $260
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $232.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $260.30
  • AETNA [5000] — AETNA LOCAL [50005]: $225.94
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $225.94
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $225.94
  • AETNA [5000] — AETNA NAP [50014]: $232.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $225.94
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $225.94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $225.94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $225.94
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MA Dx Mammo Incl Cad Uni Rt $274 $164.40 $48.20 – $260
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $232.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $260.30
  • AETNA [5000] — AETNA LOCAL [50005]: $225.94
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $225.94
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $225.94
  • AETNA [5000] — AETNA NAP [50014]: $232.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $225.94
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $225.94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $225.94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $225.94
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MA Mammo Unila Digit Screen Dx Sd $274 $164.40 $48.20 – $260
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $232.90
  • AETNA [5000] — AETNA INDEMNITY [50009]: $260.30
  • AETNA [5000] — AETNA LOCAL [50005]: $225.94
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $225.94
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $225.94
  • AETNA [5000] — AETNA NAP [50014]: $232.90
  • AETNA [5000] — AETNA NATIONAL [50006]: $225.94
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $225.94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $225.94
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $225.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC MA Dx Mammo Incl Cad Bi $411 $246.60 $59.88 – $390
Diagnostic mammogram, both breasts: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $349.35
  • AETNA [5000] — AETNA INDEMNITY [50009]: $390.45
  • AETNA [5000] — AETNA LOCAL [50005]: $338.91
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $338.91
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $338.91
  • AETNA [5000] — AETNA NAP [50014]: $349.35
  • AETNA [5000] — AETNA NATIONAL [50006]: $338.91
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $338.91
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $338.91
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $338.91
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC MA Mammo Bilat Digit Screen Dx Sd $411 $246.60 $59.88 – $390
Diagnostic mammogram, both breasts: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $349.35
  • AETNA [5000] — AETNA INDEMNITY [50009]: $390.45
  • AETNA [5000] — AETNA LOCAL [50005]: $338.91
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $338.91
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $338.91
  • AETNA [5000] — AETNA NAP [50014]: $349.35
  • AETNA [5000] — AETNA NATIONAL [50006]: $338.91
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $338.91
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $338.91
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $338.91
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MA Scr Mammo Bi Incl Cad $328 $196.80 $72.25 – $321
Screening mammogram, both breasts: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $278.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $311.60
  • AETNA [5000] — AETNA LOCAL [50005]: $270.47
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $270.47
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $270.47
  • AETNA [5000] — AETNA NAP [50014]: $278.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $270.47
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $270.47
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $270.47
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $270.47
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MA Scr Mammo Uni Incl Cad $328 $196.80 $72.25 – $321
Screening mammogram, both breasts: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $278.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $311.60
  • AETNA [5000] — AETNA LOCAL [50005]: $270.47
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $270.47
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $270.47
  • AETNA [5000] — AETNA NAP [50014]: $278.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $270.47
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $270.47
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $270.47
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $270.47
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MA Scr Mammo Bi Incl Cad|REDUCED SERVICES $328 $196.80 $72.25 – $321
Screening mammogram, both breasts: rates for 1 insurance plan
  • CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $321.44

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC CAH Ot Therapy Exer Pelvic Floor Ea 15 Mins $148 $88.80 $20.39 – $145
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $125.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $140.60
  • AETNA [5000] — AETNA LOCAL [50005]: $122.04
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $122.04
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $122.04
  • AETNA [5000] — AETNA NAP [50014]: $125.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $122.04
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $122.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $122.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $122.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Therapeutic Exercises $148 $88.80 $20.39 – $145
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $125.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $140.60
  • AETNA [5000] — AETNA LOCAL [50005]: $122.04
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $122.04
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $122.04
  • AETNA [5000] — AETNA NAP [50014]: $125.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $122.04
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $122.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $122.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $122.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Exercises Therapeutic $190 $114 $20.39 – $186
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $161.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $180.50
  • AETNA [5000] — AETNA LOCAL [50005]: $156.67
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $156.67
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $156.67
  • AETNA [5000] — AETNA NAP [50014]: $161.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $156.67
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $156.67
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $156.67
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $156.67
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity $210 $126 $52.23 – $205
Physical therapy evaluation (low complexity): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $178.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $199.50
  • AETNA [5000] — AETNA LOCAL [50005]: $173.17
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $173.17
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $173.17
  • AETNA [5000] — AETNA NAP [50014]: $178.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $173.17
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $173.17
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $173.17
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $173.17
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Lymphedema Eval Low Complexity $210 $126 $52.23 – $205
Physical therapy evaluation (low complexity): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $178.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $199.50
  • AETNA [5000] — AETNA LOCAL [50005]: $173.17
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $173.17
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $173.17
  • AETNA [5000] — AETNA NAP [50014]: $178.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $173.17
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $173.17
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $173.17
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $173.17
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Vestibular/Balance Eval Low Complexity $210 $126 $52.23 – $205
Physical therapy evaluation (low complexity): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $178.50
  • AETNA [5000] — AETNA INDEMNITY [50009]: $199.50
  • AETNA [5000] — AETNA LOCAL [50005]: $173.17
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $173.17
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $173.17
  • AETNA [5000] — AETNA NAP [50014]: $178.50
  • AETNA [5000] — AETNA NATIONAL [50006]: $173.17
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $173.17
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $173.17
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $173.17
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Moderate Complexity $315 $189 $52.23 – $308
Physical therapy evaluation (moderate complexity): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $267.75
  • AETNA [5000] — AETNA INDEMNITY [50009]: $299.25
  • AETNA [5000] — AETNA LOCAL [50005]: $259.75
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $259.75
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $259.75
  • AETNA [5000] — AETNA NAP [50014]: $267.75
  • AETNA [5000] — AETNA NATIONAL [50006]: $259.75
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $259.75
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $259.75
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $259.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Lymphedema Eval Moderate Complexity $315 $189 $52.23 – $308
Physical therapy evaluation (moderate complexity): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $267.75
  • AETNA [5000] — AETNA INDEMNITY [50009]: $299.25
  • AETNA [5000] — AETNA LOCAL [50005]: $259.75
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $259.75
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $259.75
  • AETNA [5000] — AETNA NAP [50014]: $267.75
  • AETNA [5000] — AETNA NATIONAL [50006]: $259.75
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $259.75
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $259.75
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $259.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Vestibular/Balance Eval Moderate Complexity $315 $189 $52.23 – $308
Physical therapy evaluation (moderate complexity): 10 of 64 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $267.75
  • AETNA [5000] — AETNA INDEMNITY [50009]: $299.25
  • AETNA [5000] — AETNA LOCAL [50005]: $259.75
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $259.75
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $259.75
  • AETNA [5000] — AETNA NAP [50014]: $267.75
  • AETNA [5000] — AETNA NATIONAL [50006]: $259.75
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $259.75
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $259.75
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $259.75
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity $420 $252 $52.23 – $411
Physical therapy evaluation (high complexity): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $357
  • AETNA [5000] — AETNA INDEMNITY [50009]: $399
  • AETNA [5000] — AETNA LOCAL [50005]: $346.33
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $346.33
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $346.33
  • AETNA [5000] — AETNA NAP [50014]: $357
  • AETNA [5000] — AETNA NATIONAL [50006]: $346.33
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $346.33
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $346.33
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $346.33
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Lymphedema Eval High Complexity $473 $283.80 $52.23 – $463
Physical therapy evaluation (high complexity): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $402.05
  • AETNA [5000] — AETNA INDEMNITY [50009]: $449.35
  • AETNA [5000] — AETNA LOCAL [50005]: $390.04
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $390.04
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $390.04
  • AETNA [5000] — AETNA NAP [50014]: $402.05
  • AETNA [5000] — AETNA NATIONAL [50006]: $390.04
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $390.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $390.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $390.04
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Vestibular/Balance Eval High Complexity $473 $283.80 $52.23 – $463
Physical therapy evaluation (high complexity): 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $402.05
  • AETNA [5000] — AETNA INDEMNITY [50009]: $449.35
  • AETNA [5000] — AETNA LOCAL [50005]: $390.04
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $390.04
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $390.04
  • AETNA [5000] — AETNA NAP [50014]: $402.05
  • AETNA [5000] — AETNA NATIONAL [50006]: $390.04
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $390.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $390.04
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $390.04

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HC Removal of Breast Lesion $2,075 $1,245 $468 – $2,075
Removal of breast growth (open surgery): 10 of 70 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,763.75
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,971.25
  • AETNA [5000] — AETNA LOCAL [50005]: $1,711.05
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,711.05
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,711.05
  • AETNA [5000] — AETNA NAP [50014]: $1,763.75
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,711.05
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,711.05
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,711.05
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,711.05
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC CAH Egd Plain $1,700 $1,020 $234 – $1,666
Upper GI endoscopy (diagnostic): 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,445
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,615
  • AETNA [5000] — AETNA LOCAL [50005]: $1,401.82
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,401.82
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,401.82
  • AETNA [5000] — AETNA NAP [50014]: $1,445
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,401.82
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC CAH Egd Plain $4,098.55 $2,459.13 $234 – $1,033.23
Upper GI endoscopy (diagnostic): 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,033.23
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,033.23
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,033.23
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,033.23
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC CAH Egd Plain|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $3,738.75 $2,243.25 $234 – $1,033.23
Upper GI endoscopy (diagnostic): 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,033.23
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,033.23
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,033.23
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,033.23
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC CAH Egd Biopsy $1,700 $1,020 $234 – $1,666
Upper GI endoscopy with biopsy: 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,445
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,615
  • AETNA [5000] — AETNA LOCAL [50005]: $1,401.82
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,401.82
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,401.82
  • AETNA [5000] — AETNA NAP [50014]: $1,445
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,401.82
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC CAH Egd W Multiple Biopsies $1,700 $1,020 $234 – $1,666
Upper GI endoscopy with biopsy: 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,445
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,615
  • AETNA [5000] — AETNA LOCAL [50005]: $1,401.82
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,401.82
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,401.82
  • AETNA [5000] — AETNA NAP [50014]: $1,445
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,401.82
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,401.82
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC CAH Egd Biopsy|DISTINCT PROCEDURAL SERVICE $1,700 $1,020 $234 – $1,666
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $901.68
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $901.68
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC CAH Colon Plain $1,696 $1,017.60 $234 – $1,662
Colonoscopy (diagnostic): 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,441.60
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,611.20
  • AETNA [5000] — AETNA LOCAL [50005]: $1,398.52
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,398.52
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,398.52
  • AETNA [5000] — AETNA NAP [50014]: $1,441.60
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,398.52
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,398.52
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,398.52
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,398.52
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC CAH Colon Plain $4,319.60 $2,591.76 $234 – $1,321.08
Colonoscopy (diagnostic): 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,321.08
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,321.08
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,321.08
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,321.08
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC CAH Colon Plain|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $4,042.55 $2,425.53 $234 – $1,321.08
Colonoscopy (diagnostic): 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,321.08
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,321.08
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,321.08
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,321.08
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC CAH Colon Biopsy W Forcep $2,178 $1,306.80 $234 – $2,134
Colonoscopy with biopsy: 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,851.30
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,069.10
  • AETNA [5000] — AETNA LOCAL [50005]: $1,795.98
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,795.98
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,795.98
  • AETNA [5000] — AETNA NAP [50014]: $1,851.30
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,795.98
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,795.98
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,795.98
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,795.98
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC CAH Colon Biopsy W Forcep $5,017.10 $3,010.26 $206.91 – $1,760.49
Colonoscopy with biopsy: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,363.50
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,363.50
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,363.50
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,363.50
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC CAH Colon Biopsy W Forcep|CLRCTAL SCREEN TO DIAGN $5,488.95 $3,293.37 $206.91 – $1,760.49
Colonoscopy with biopsy: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,363.50
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,363.50
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,363.50
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,363.50
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC CAH Colon Polyp W Snare $2,178 $1,306.80 $234 – $2,134
Colonoscopy with removal of polyps (snare): 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,851.30
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,069.10
  • AETNA [5000] — AETNA LOCAL [50005]: $1,795.98
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,795.98
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,795.98
  • AETNA [5000] — AETNA NAP [50014]: $1,851.30
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,795.98
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,795.98
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,795.98
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,795.98
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC CAH Colon Polyp W Snare $8,260.85 $4,956.51 $234 – $1,486.72
Colonoscopy with removal of polyps (snare): 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,486.72
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,486.72
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,486.72
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,486.72
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC CAH Colon Polyp W Snare|CLRCTAL SCREEN TO DIAGN $8,566.50 $5,139.90 $234 – $1,486.72
Colonoscopy with removal of polyps (snare): 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,486.72
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,486.72
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,486.72
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,486.72
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $243.36
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $234
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $243.36
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $261.45
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $261.45
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC CAH Colonoscopy Scrn Not Hi Risk $1,696 $1,017.60 $567.46 – $1,662
Screening colonoscopy (not high risk): 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,441.60
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,611.20
  • AETNA [5000] — AETNA LOCAL [50005]: $1,398.52
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,398.52
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,398.52
  • AETNA [5000] — AETNA NAP [50014]: $1,441.60
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,398.52
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,398.52
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,398.52
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,398.52
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC CAH Colonoscopy Scrn Not Hi Risk|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANES $1,696 $1,017.60 $567.46 – $1,662
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $899.56
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC CAH Colonoscopy Scrn Not Hi Risk|DISCONTINUED PROCEDURE $1,696 $1,017.60 $567.46 – $1,662
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $899.56
  • MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $899.56
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inject Spine Single Lumbar/Sacral With Imaging Guid $1,362 $817.20 $342.86 – $1,334
Spinal injection, lower back (epidural), with imaging guidance: 10 of 84 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,157.70
  • AETNA [5000] — AETNA INDEMNITY [50009]: $1,293.90
  • AETNA [5000] — AETNA LOCAL [50005]: $1,123.11
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,123.11
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,123.11
  • AETNA [5000] — AETNA NAP [50014]: $1,157.70
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,123.11
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,123.11
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,123.11
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,123.11
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC Inject Spine Single Lumbar/Sacral With Imaging Guid $1,777.05 $1,066.23 $342.86 – $1,141.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,084.71
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,141.80
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,141.80
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,141.80
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $356.57
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $342.86
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $342.86
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $356.57
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC Inject Spine Single Lumbar/Sacral With Imaging Guid|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE PRIOR TO $1,362 $817.20 $342.86 – $1,141.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $1,084.71
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $1,141.80
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $1,141.80
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $1,141.80
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $356.57
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $342.86
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $342.86
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $356.57
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC Trnsform Epi Lum Sac 1st Lev Wi|BILATERAL PROCEDURE $3,152.05 $1,891.23 $174.72 – $941.32
Nerve root injection, lower back, with imaging guidance: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $688.43
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $688.43
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $688.43
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $688.43
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $181.71
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $174.72
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $174.72
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $181.71
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC Trnsform Epi Lum Sac 1st Lev Wi|LEFT SIDE $2,874.05 $1,724.43 $174.72 – $941.32
Nerve root injection, lower back, with imaging guidance: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $941.32
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $941.32
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $941.32
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $941.32
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $181.71
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $174.72
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $174.72
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $181.71
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC Trnsform Epi Lum Sac 1st Lev Wi|RIGHT SIDE $2,874.05 $1,724.43 $174.72 – $941.32
Nerve root injection, lower back, with imaging guidance: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $941.32
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $941.32
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $941.32
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $941.32
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $181.71
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $174.72
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $174.72
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $181.71
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC CAH or Eye Laser Capsulotomy $2,205 $1,323 $468 – $2,160
Laser treatment of clouding after cataract surgery: 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,874.25
  • AETNA [5000] — AETNA INDEMNITY [50009]: $2,094.75
  • AETNA [5000] — AETNA LOCAL [50005]: $1,818.24
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,818.24
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,818.24
  • AETNA [5000] — AETNA NAP [50014]: $1,874.25
  • AETNA [5000] — AETNA NATIONAL [50006]: $1,818.24
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,818.24
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,818.24
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,818.24
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: HC CAH or Eye Laser Capsulotomy $2,432.15 $1,459.29 $468 – $910.01
Laser treatment of clouding after cataract surgery: 10 of 76 insurance plan rates
  • BLUE CROSS BLUE SHIELD [4000] — BC BLUE CHOICE ALLEN ANDERSON CUSHING [40005]: $910.01
  • BLUE CROSS BLUE SHIELD [4000] — BC CAP ALLEN ANDERSON CUSHING [40004]: $910.01
  • BLUE CROSS BLUE SHIELD [4000] — BC KS EXCH HMO ALLEN ANDERSON CUSHING [40025]: $910.01
  • BLUE CROSS BLUE SHIELD [4000] — BC OUT OF AREA ALLEN ANDERSON CUSHING [40006]: $910.01
  • MEDICAID MANAGED CARE (KS) [2252] — HEALTHY BLUE KANSAS [22577]: $486.72
  • MEDICAID MANAGED CARE (KS) [2252] — SUNFLOWER STATE HEALTH [22505]: $468
  • MEDICAID MANAGED CARE (KS) [2252] — UHC COMMUNITY PLAN OF KS [22508]: $468
  • MEDICAID MANAGED CARE (KS) [2252] — ZZZAETNA BETTER HEALTH OF KANSAS [22571]: $486.72
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: 85% (a percentage in the contract, not a dollar amount)
  • AETNA [5000] — AETNA INDEMNITY [50009]: 95% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC CAH or Eye Laser Capsulotomy Bilateral $3,308 $1,984.80 $468 – $3,241
Laser treatment of clouding after cataract surgery: 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,811.80
  • AETNA [5000] — AETNA INDEMNITY [50009]: $3,142.60
  • AETNA [5000] — AETNA LOCAL [50005]: $2,727.78
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,727.78
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,727.78
  • AETNA [5000] — AETNA NAP [50014]: $2,811.80
  • AETNA [5000] — AETNA NATIONAL [50006]: $2,727.78
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,727.78
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,727.78
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,727.78
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: HC CAH Cataract Extract/Lens Imp Without Endoscopic Cyclophotocoagulation $4,321 $2,592.60 $676 – $4,234
Cataract removal with lens implant: 10 of 76 insurance plan rates
  • AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,672.85
  • AETNA [5000] — AETNA INDEMNITY [50009]: $4,104.95
  • AETNA [5000] — AETNA LOCAL [50005]: $3,563.10
  • AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $3,563.10
  • AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $3,563.10
  • AETNA [5000] — AETNA NAP [50014]: $3,672.85
  • AETNA [5000] — AETNA NATIONAL [50006]: $3,563.10
  • AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $3,563.10
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $3,563.10
  • AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $3,563.10

Source: Allen County Regional Hospital’s standard charges file (saintlukeskc.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 31, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address3066 North Kentucky Street, Iola, KS 66749
CountyAllen County
StateKansas
Phone(620) 365‑1021
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating4 of 5 stars
CMS Certification Number171373
Name in Medicare recordsALLEN COUNTY REGIONAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(620) 365‑1000[4]
Official websitesaintlukeskc.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. Allen County Regional Hospital — saintlukeskc.org