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

Español Near me My list Help
US Patient GuideUSA
Surprise me
Critical Access Hospital

Ashe Memorial Hospital

Jefferson, North Carolina · Ashe County · Emergency services listed

Ashe Memorial Hospital is a critical access hospital at 200 Hospital Ave, Jefferson, NC 28640. Phone: (336) 246-7101. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 31, 2026).

Summary

Ashe Memorial Hospital is a critical access hospital in Jefferson, North Carolina. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 48 services, specialties and programs. Medicare lists 216 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

Call(336) 246‑7101 Directions Website Medicare profile
Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
216Doctors and clinicians
48Services listed

Quick answers

Does Ashe Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ashe Memorial Hospital. In a medical emergency, call 911.
Where is Ashe Memorial Hospital?
200 Hospital Ave, Jefferson, NC 28640, in Ashe County, North Carolina.
What is the phone number of Ashe Memorial Hospital?
(336) 246-7101, as listed by Medicare (CMS).
What is the Medicare star rating of Ashe Memorial Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[5][6][7][8][11][12][13][14]

Conditions treated[7][12]

Treatments[5][6][8][13][14]

Procedures[6][12][13][14]

Programs and centers[8]

  • Prepared Childbirth Education Class
  • Wilma Vannoy Birthing Center

Emergency care (hospital website)[7]

Emergency roomYes

Visiting and practical information

VisitingPatients may receive visitors at any time; visitors should keep voices low, and nurses may ask them to step out briefly[8]
ParkingFree surface parking is available on the hospital campus[10]

Doctors and clinicians (216)

216 doctors and other clinicians list Ashe Memorial 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 (216)

And 192 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Jefferson

Hospitals in Ashe County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

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

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

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 Ashe Memorial 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment5 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital72%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well84%National average: 80%
“Always” got help as soon as they wanted77%National average: 64%
Staff “always” explained medicines before giving them67%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean83%National average: 73%
Completed surveys106Response rate: 21%

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

Complications and deaths

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

Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients16.4%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients12.7%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.1%
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia18.1%
Readmitted within 30 days: COPD19.2%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)178 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in North CarolinaBest hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 35 common services exactly as Ashe Memorial 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 →

Show the prices of 35 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER CLASS 3 $483 $386.40 $117.65 – $404.80
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $124.20
  • AETNA - Commercial-POS — Aetna: $404.80
  • AETNA - Commercial-PPO — Aetna: $124.20
  • AETNA - Medicare Part A — Medicare Advantage: $123.56
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $117.65
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $169.96
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $267.62
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $267.62
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $205.56
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $267.72
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER CLASS 3 W/PROCEDURE $483 $386.40 $117.65 – $404.80
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $124.20
  • AETNA - Commercial-POS — Aetna: $404.80
  • AETNA - Commercial-PPO — Aetna: $124.20
  • AETNA - Medicare Part A — Medicare Advantage: $123.56
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $117.65
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $169.96
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $267.62
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $267.62
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $205.56
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $267.72
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER CLASS 4 $759 $607.20 $184.87 – $556.52
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $195.14
  • AETNA - Commercial-POS — Aetna: $441.60
  • AETNA - Commercial-PPO — Aetna: $195.14
  • AETNA - Medicare Part A — Medicare Advantage: $194.13
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $184.87
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $267.07
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $420.52
  • BCBS OF NC - Commercial-POS — Blue Cross Blue Shield: $420.52
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $420.52
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $321.44
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER CLASS 4 W/PROCEDURE $759 $607.20 $184.87 – $556.52
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $195.14
  • AETNA - Commercial-POS — Aetna: $441.60
  • AETNA - Commercial-PPO — Aetna: $195.14
  • AETNA - Medicare Part A — Medicare Advantage: $194.13
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $184.87
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $267.07
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $420.52
  • BCBS OF NC - Commercial-POS — Blue Cross Blue Shield: $420.52
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $420.52
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $321.44
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER CLASS 5 $1,098.25 $878.60 $267.46 – $805.23
Emergency room visit (high): 10 of 26 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $638.95
  • AETNA - Commercial-PPO — Aetna: $282.35
  • AETNA - Medicare Part A — Medicare Advantage: $311.24
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $267.46
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $386.40
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $608.40
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $608.63
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $463.88
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $608.63
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $608.63
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER CLASS 5 W/PROCEDURE $1,098.25 $878.60 $267.46 – $805.23
Emergency room visit (high): 10 of 26 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $638.95
  • AETNA - Commercial-PPO — Aetna: $282.35
  • AETNA - Medicare Part A — Medicare Advantage: $311.24
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $267.46
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $386.40
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $608.40
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $608.63
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $463.88
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $608.63
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $608.63

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $56 $44.80 $13.37 – $46.86
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $46.86
  • AETNA - Commercial-PPO — Aetna: $14.38
  • AETNA - Medicare Part A — Medicare Advantage: $14.09
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $13.37
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.77
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $29.71
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $29.71
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $22.28
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $29.71
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $29.71
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL (MMP) $59 $47.20 $13.37 – $46.86
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $46.86
  • AETNA - Commercial-PPO — Aetna: $14.38
  • AETNA - Medicare Part A — Medicare Advantage: $14.09
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $13.37
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.77
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $29.71
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $29.71
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $22.28
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $29.71
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $29.71
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 8 $59 $47.20 $13.37 – $46.86
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $46.86
  • AETNA - Commercial-PPO — Aetna: $14.38
  • AETNA - Medicare Part A — Medicare Advantage: $14.09
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $13.37
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.77
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $29.71
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $29.71
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $22.28
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $29.71
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $29.71
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $113.25 $90.60 $15.41 – $82.97
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $29.09
  • AETNA - Commercial-POS — Aetna: $65.84
  • AETNA - Commercial-PPO — Aetna: $29.09
  • AETNA - Medicare Part A — Medicare Advantage: $28.51
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $27.13
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $15.56
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Commercial-POS — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $47.52
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMP METABOLIC PANEL(MCMP) $113.25 $90.60 $15.41 – $82.97
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $29.09
  • AETNA - Commercial-POS — Aetna: $65.84
  • AETNA - Commercial-PPO — Aetna: $29.09
  • AETNA - Medicare Part A — Medicare Advantage: $28.51
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $27.13
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $15.56
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Commercial-POS — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $47.52
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREE METAB PANEL $176.50 $141.20 $15.41 – $82.97
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $29.09
  • AETNA - Commercial-POS — Aetna: $65.84
  • AETNA - Commercial-PPO — Aetna: $29.09
  • AETNA - Medicare Part A — Medicare Advantage: $28.51
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $27.13
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $15.56
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Commercial-POS — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $60.07
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $47.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL (AMH) $128.25 $102.60 $24.45 – $107.36
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $107.36
  • AETNA - Commercial-PPO — Aetna: $32.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $32.28
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $24.69
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $51.16
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $67.98
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $68.08
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $30.69
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: * LIPID PROFILE $14 $11.20 $24.45 – $107.36
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $107.36
  • AETNA - Commercial-PPO — Aetna: $32.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $32.28
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $24.69
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $51.16
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $67.98
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $68.08
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $30.69
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL $128.25 $102.60 $24.45 – $107.36
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $107.36
  • AETNA - Commercial-PPO — Aetna: $32.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $32.28
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $24.69
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $51.16
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $67.98
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $68.08
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $30.69
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $56 $44.80 $16.67
Kidney function panel: rates for 1 insurance plan
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $16.67
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION $97.50 $78 $8.01 – $67.95
Liver function panel: rates for 9 insurance plans
  • AETNA - Medicare Part A — Medicare Advantage: $8.01
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.77
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $51.75
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $38.92
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $23.35
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $14.62
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $67.95
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $61.77
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $30.61
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 7 $97.50 $78 $8.01 – $67.95
Liver function panel: rates for 9 insurance plans
  • AETNA - Medicare Part A — Medicare Advantage: $8.01
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.77
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $51.75
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $38.92
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $23.35
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $14.62
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $67.95
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $61.77
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $30.61
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS-EMPLOYEE $50.50 $40.40 $19.07 – $29.52
Urine test (automated, with microscope): rates for 2 insurance plans
  • BLUE CROSS BLUE SHIELD OF NORTH CAROLINA - Commercial-HMO — Blue Cross Blue Shield: $19.07
  • UMR - Commercial-PPO — United Healthcare: $29.52
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS/COMPLETE $50.50 $40.40 $19.07 – $29.52
Urine test (automated, with microscope): rates for 2 insurance plans
  • BLUE CROSS BLUE SHIELD OF NORTH CAROLINA - Commercial-HMO — Blue Cross Blue Shield: $19.07
  • UMR - Commercial-PPO — United Healthcare: $29.52
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINE MACROSCOPIC AUTO $36.50 $29.20 $4.10 – $26.76
Urine test (automated, without microscope): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $9.38
  • AETNA - Commercial-POS — Aetna: $21.23
  • AETNA - Commercial-PPO — Aetna: $9.38
  • AETNA - Medicare Part A — Medicare Advantage: $9.19
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.73
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $4.14
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $19.39
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $19.34
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $15.33
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $19.39
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINE DIPSTICK 81003 QW $36.50 $29.20 $4.10 – $26.76
Urine test (automated, without microscope): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $9.38
  • AETNA - Commercial-POS — Aetna: $21.23
  • AETNA - Commercial-PPO — Aetna: $9.38
  • AETNA - Medicare Part A — Medicare Advantage: $9.19
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.73
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $4.14
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $19.39
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $19.34
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $15.33
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $19.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: INDUSTRY SCREEN PSA $56.50 $45.20 $33.55 – $98.75
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $36.38
  • AETNA - Commercial-POS — Aetna: $82.33
  • AETNA - Commercial-PPO — Aetna: $36.38
  • AETNA - Medicare Part A — Medicare Advantage: $33.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $33.94
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $75.19
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $75.19
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $56.66
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $75.19
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $75.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA II $141.50 $113.20 $33.55 – $98.75
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $36.38
  • AETNA - Commercial-POS — Aetna: $82.33
  • AETNA - Commercial-PPO — Aetna: $36.38
  • AETNA - Medicare Part A — Medicare Advantage: $33.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $33.94
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $75.19
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $75.19
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $56.66
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $75.19
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $75.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA EMP $22.25 $17.80 $33.55 – $98.75
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $36.38
  • AETNA - Commercial-POS — Aetna: $82.33
  • AETNA - Commercial-PPO — Aetna: $36.38
  • AETNA - Medicare Part A — Medicare Advantage: $33.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $33.94
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $75.19
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $75.19
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $56.66
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $75.19
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $75.19
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH $129.75 $103.80 $16.46 – $93.94
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $74.54
  • AETNA - Medicare Part A — Medicare Advantage: $16.46
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $30.69
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $30.03
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $53.80
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $67.98
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $68.08
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $30.69
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $29.73
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE $128.25 $102.60 $16.46 – $93.94
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $74.54
  • AETNA - Medicare Part A — Medicare Advantage: $16.46
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $30.69
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $30.03
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $68.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $53.80
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $67.98
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $68.08
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $30.69
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $29.73
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE BLOOD CT w/AUTO DIFF $114 $91.20 $14.17 – $83.55
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $29.30
  • AETNA - Commercial-POS — Aetna: $66.29
  • AETNA - Commercial-PPO — Aetna: $29.30
  • AETNA - Medicare Part A — Medicare Advantage: $28.71
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $27.32
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.31
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $60.50
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $60.50
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $47.85
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $60.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: * CBC/DIFF/PLT $14 $11.20 $14.17 – $83.55
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $29.30
  • AETNA - Commercial-POS — Aetna: $66.29
  • AETNA - Commercial-PPO — Aetna: $29.30
  • AETNA - Medicare Part A — Medicare Advantage: $28.71
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $27.32
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.31
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $60.50
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $60.50
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $47.85
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $60.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC-EMPLOYEE $79.50 $63.60 $6.34 – $83.55
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $29.30
  • AETNA - Commercial-POS — Aetna: $66.29
  • AETNA - Commercial-PPO — Aetna: $29.30
  • AETNA - Medicare Part A — Medicare Advantage: $28.71
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $27.32
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $14.31
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $60.50
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $60.50
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $47.85
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $60.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC WITHOUT AUTO DIFF $67.25 $53.80 $6.34 – $41.67
Complete blood count (CBC), automated: rates for 9 insurance plans
  • AETNA - Medicare Part A — Medicare Advantage: $6.34
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $11.93
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $35.71
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $28.22
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $35.60
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $35.60
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $41.67
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $21.12
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $21.12
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC-EMPLOYEE $79.50 $63.60 $6.34 – $83.55
Complete blood count (CBC), automated: rates for 9 insurance plans
  • AETNA - Medicare Part A — Medicare Advantage: $6.34
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $11.93
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $35.71
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $28.22
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $35.60
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $35.60
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $41.67
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $21.12
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $21.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME $49 $39.20 $7.17 – $35.81
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $12.56
  • AETNA - Commercial-POS — Aetna: $28.41
  • AETNA - Commercial-PPO — Aetna: $12.56
  • AETNA - Medicare Part A — Medicare Advantage: $12.31
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11.71
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $7.24
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $25.93
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $25.95
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $19.51
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $25.95
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: ACT PARTIAL THROMBO TIME $94.25 $75.40 $10.95 – $69.11
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $24.23
  • AETNA - Commercial-POS — Aetna: $54.84
  • AETNA - Commercial-PPO — Aetna: $24.23
  • AETNA - Medicare Part A — Medicare Advantage: $23.75
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $22.56
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $11.06
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $49.96
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $50.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $37.59
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $50.08

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 · Hospital (facility) fee In the file: CT HEAD SCAN $1,643.25 $1,314.60 $211.28 – $1,205.05
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $478.11
  • AETNA - Commercial-PPO — Aetna: $211.28
  • AETNA - Medicare Part A — Medicare Advantage: $420.36
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $400.28
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $578.28
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $910.54
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $910.54
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $657.20
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $455.42
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $455.42
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CODE STROKE/CT HEAD $1,643.25 $1,314.60 $211.28 – $1,205.05
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $478.11
  • AETNA - Commercial-PPO — Aetna: $211.28
  • AETNA - Medicare Part A — Medicare Advantage: $420.36
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $400.28
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $578.28
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $910.54
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $910.54
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $657.20
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $455.42
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $455.42
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI-BRAIN W/WO CONTRAST $3,847.25 $3,077.80 $984.15 – $2,821.28
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $2,238.70
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $984.15
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $1,421.79
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $2,132.45
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $1,615.82
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $2,132.45
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $984.15
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $1,407.71
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $2,821.28
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $984.15
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST 2 VIEWS WITH FLUORO $271.25 $217 $47.07 – $134.94
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $112.58
  • AETNA - Commercial-PPO — Aetna: $49.75
  • AETNA - Medicare Part A — Medicare Advantage: $47.07
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $47.07
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $68
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $107.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $107.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $81.55
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $107.23
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $107.23
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST - PA AND LAT. 2 VIEW $193.50 $154.80 $47.07 – $134.94
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $112.58
  • AETNA - Commercial-PPO — Aetna: $49.75
  • AETNA - Medicare Part A — Medicare Advantage: $47.07
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $47.07
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $68
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $107.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $107.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $81.55
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $107.23
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $107.23
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST DECUBITUS BILAT 2 VIEW $321.50 $257.20 $47.07 – $134.94
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $112.58
  • AETNA - Commercial-PPO — Aetna: $49.75
  • AETNA - Medicare Part A — Medicare Advantage: $47.07
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $47.07
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $68
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $107.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $107.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $81.55
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $107.23
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $107.23
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: L-SPINE WITH 5 VIEWS $462 $369.60 $112.54 – $338.80
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $118.80
  • AETNA - Commercial-POS — Aetna: $268.84
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $118.18
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $162.59
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $256.08
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $256.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $194.34
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $256.08
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $256.08
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $118.18
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI-LUMBAR SPINE W/O CONTRAST $2,887 $2,309.60 $738.52 – $2,117.12
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $742.37
  • AETNA - Commercial-POS — Aetna: $1,679.94
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $738.52
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $1,016.09
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $1,599.90
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $1,215.53
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $1,599.90
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $738.52
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $1,086.88
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $1,599.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST $2,407 $1,925.60 $586.35 – $2,183
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $2,183
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $615.70
  • MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $586.35
  • UNITEDHEALTHCARE COMMUNITY PLAN OF NORTH CAROLINA - Medicaid — Medicaid Managed Care: $906.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LOWER EXTREMITY JOINT W/O $2,802.25 $2,241.80 $682.65 – $1,777.39
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $716.83
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $986.20
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $1,553.21
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $1,553.21
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $1,179.92
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $1,553.21
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $682.65
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $1,054.96
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $1,552.86
  • MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $682.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS WITH CONT $4,832 $3,865.60 $1,177.14 – $3,543.35
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $2,811.67
  • AETNA - Commercial-PPO — Aetna: $1,242.47
  • AETNA - Medicare Part A — Medicare Advantage: $1,236.03
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $1,236.03
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $1,700.60
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $2,677.71
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $2,677.71
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $2,029.37
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $2,678.22
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $2,678.22
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: ABDOMINAL MULTIPLE ORGAN $940.50 $752.40 $240.54 – $788.04
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $788.04
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $240.54
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $347.49
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $521.18
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $376.07
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $521.18
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $521.03
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $240.54
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $353.99
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $689.54
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: OB PREGNANCY LATE>14WKS 0 DAY $710.50 $568.40 $247.52 – $450.55
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $413.34
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $250
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $393.72
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $393.64
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $393.72
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $247.52
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $393.64
  • UMR - Commercial-PPO — United Healthcare: $441.96
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $441.96
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — United Healthcare: $450.55
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: TRANSVAGINAL PELVIS $632.50 $506 $154.49 – $602.25
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $367.97
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $240.45
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $602.25
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $350.51
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $350.51
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $350.51
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $161.77
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $231.38
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $350.41
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $441.60
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM-DX UNILATERAL $261.75 $209.40 $63.73 – $166
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $152.29
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $66.95
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $145.06
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $144.96
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $104.62
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $145.06
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $145.06
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $66.95
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $91.15
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $144.96
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM-EMP DIAG UNILATERAL $181.50 $145.20 $63.73 – $166
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $152.29
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $66.95
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $145.06
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $144.96
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $104.62
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $145.06
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $145.06
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $66.95
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $91.15
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $144.96
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM-DX BILATERAL $298.25 $238.60 $76.28 – $208.09
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $76.68
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $104.87
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $165.29
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $125.24
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $165.29
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $165.29
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $76.28
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $112.27
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $165.12
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $208.09
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO-EMP DX BIL.W/WO CAD $234.75 $187.80 $76.28 – $208.09
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $76.68
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $104.87
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $165.29
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $125.24
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $165.29
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $165.29
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $76.28
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $112.27
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $165.12
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $208.09
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM- SCREENING/BILATERAL $237.25 $189.80 $60.95 – $173.83
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $60.95
  • AETNA - Commercial-POS — Aetna: $137.93
  • AETNA - Commercial-PPO — Aetna: $60.95
  • AETNA - Medicare Part A — Medicare Advantage: $81.22
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $82.22
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $90.13
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $131.39
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $131.39
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $99.56
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $131.39
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM-EMP SCREEN/BILATERAL $98 $78.40 $60.95 – $173.83
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $60.95
  • AETNA - Commercial-POS — Aetna: $137.93
  • AETNA - Commercial-PPO — Aetna: $60.95
  • AETNA - Medicare Part A — Medicare Advantage: $81.22
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $82.22
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $90.13
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $131.39
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $131.39
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $99.56
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $131.39
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: CAD/SCREENING MAMMO' $46 $36.80 $60.95 – $173.83
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $60.95
  • AETNA - Commercial-POS — Aetna: $137.93
  • AETNA - Commercial-PPO — Aetna: $60.95
  • AETNA - Medicare Part A — Medicare Advantage: $81.22
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $82.22
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $90.13
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $131.39
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $131.39
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $99.56
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $131.39

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE/15 MIN $143.25 $114.60 $34.85 – $199.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $36.79
  • AETNA - Commercial-POS — Aetna: $83.25
  • AETNA - Commercial-PPO — Aetna: $36.79
  • AETNA - Medicare Part A — Medicare Advantage: $36.60
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $36.60
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $52.87
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $76.03
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $76.03
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $57.42
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $129.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE $143.25 $114.60 $34.90 – $228.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $36.60
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $105.74
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $228.08
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $60.08
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $76.03
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $34.90
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $69.71
  • MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $69.71
  • UMR - Commercial-PPO — United Healthcare: $89.01
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $90.74
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVAL. LOW COMPLEXITY $195 $156 $47.41 – $185.50
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $185.50
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $47.47
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $103.51
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $82.01
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $103.51
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $47.41
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $67.81
  • BLUE CROSS NC STATE HEALTH PLAN - Commercial-PPO — Blue Cross Blue Shield: $103.43
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $142.84
  • MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $49.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVAL. MODERATE COMPLEXITY $220 $176 $53.59 – $161.32
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $128
  • AETNA - Commercial-PPO — Aetna: $56.57
  • AETNA - Medicare Part A — Medicare Advantage: $56.28
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $53.59
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $77.42
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $116.90
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $116.91
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $88.18
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $116.91
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $116.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL. MODERATE COMPLEXITY $220 $176 $53.59 – $161.32
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • UMR - Commercial-PPO — United Healthcare: $136.86
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVAL. HIGH COMPLEXITY $326.75 $261.40 $79.51 – $296
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $83.97
  • AETNA - Medicare Part A — Medicare Advantage: $83.53
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $83.53
  • AMERIHEALTH CARITAS NORTH CAROLINA - Medicaid — Medicaid Managed Care: $114.86
  • BCBS OF NC - Commercial-HMO — Blue Cross Blue Shield: $131.83
  • BCBS OF NC - Commercial-PPO — Blue Cross Blue Shield: $131.83
  • BCBS OF NC - Other Federal — Blue Cross Blue Shield: $137.15
  • BCBSNC ASO - Commercial-PPO — Blue Cross Blue Shield: $296
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $173.54
  • BLUE CROSS BLUE SHIELD OF NC - Medicare Part A — Medicare Advantage: $79.51

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: EPIDURAL STER/INJ.LUM OR SACR $2,857 $2,285.60 $730.79 – $2,720.75
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • AETNA - Commercial-POS — Aetna: $1,662.38
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $730.79
  • BCBSNC HOST - Commercial-Indemnity — Blue Cross Blue Shield: $2,720.75
  • BLUE CROSS NC - HEALTHY BLUE - Medicaid — Medicaid Managed Care: $995.46
  • MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $730.79
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $1,777.43
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $855.03
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $855.03
  • UNITEDHEALTHCARE COMMUNITY PLAN OF NORTH CAROLINA - Medicaid — Medicaid Managed Care: $995.46

Source: Ashe Memorial Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address200 Hospital Ave, Jefferson, NC 28640
CountyAshe County
StateNorth Carolina
Phone(336) 246‑7101
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number341325
Name in Medicare recordsASHE MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(336) 846‑7101[4][9]
Official websiteashememorial.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

  1. Home | Ashe Memorial Hospital — ashememorial.org
  2. Rehabilitation Services — ashememorial.org
  3. Ashe Orthopaedic Surgery and Sports Medicine — ashememorial.org
  4. Emergency Services — ashememorial.org
  5. Wilma Vannoy Birthing Center — ashememorial.org
  6. Contact Us — ashememorial.org
  7. Location — ashememorial.org
  8. Cardiopulmonary Services — ashememorial.org
  9. Imaging Services/Nuclear Services — ashememorial.org
  10. Medical Procedures and Surgeries — ashememorial.org
  11. Ashe Women and Children's Health — ashememorial.org