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Acute Care Hospital

Aurora Medical Center - Summit

Summit, Wisconsin · Waukesha County · Emergency services listed

Aurora Medical Center - Summit is an acute care hospital at 36500 Aurora Drive, Summit, WI 53066. Phone: (262) 434-1600. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Aurora Medical Center - Summit is an acute care hospital in Summit, Wisconsin. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 63 services, specialties and programs. Medicare lists 568 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(262) 434‑1600 Directions Website Medicare profile
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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
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
568Doctors and clinicians
63Services listed

Quick answers

Does Aurora Medical Center - Summit have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Aurora Medical Center - Summit. In a medical emergency, call 911.
Where is Aurora Medical Center - Summit?
36500 Aurora Drive, Summit, WI 53066, in Waukesha County, Wisconsin.
What is the phone number of Aurora Medical Center - Summit?
(262) 434-1600, as listed by Medicare (CMS).
What is the Medicare star rating of Aurora Medical Center - Summit?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Aurora Medical Center - Summit for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Aurora Medical Center - Summit under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1682; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][6]

Conditions treated[4][6]

Treatments[4][6]

Procedures[6]

Programs and centers[4][6]

  • Aurora Spine Program
  • Vince Lombardi Cancer Clinic
  • Bariatric surgery/Medical weight-loss program
  • Stroke care
  • Intensive Care Unit
  • Hospitalist program
  • Aurora Pharmacy
  • Diabetes education and nutrition services
  • Medical and surgical inpatient units
  • Laser and Cosmetic Surgery Center
  • Procedural dermatology/MOHS Clinic

Emergency care (hospital website)[4][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II

Visiting and practical information

VisitingVisiting hours 8 a.m. to 8 p.m[5]
ParkingAbundant parking around the hospital[5]
Interpreters and languagesLanguage assistance services available free of charge during your visit[4]

Recognition[4]

  • MBSAQIP-accredited bariatric surgery center
  • Accredited breast center

Doctors and clinicians (568)

568 doctors and other clinicians list Aurora Medical Center - Summit 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 (568)

And 544 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 Summit

Hospitals in Waukesha 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 →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

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 Aurora Medical Center - Summit 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 hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1079%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well80%National average: 80%
“Always” got help as soon as they wanted68%National average: 64%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean70%National average: 73%
Completed surveys1,202Response rate: 29%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.092No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.918No different from the national benchmark
Surgical site infections after colon surgery3.372Worse than the national benchmark
MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.442No different from the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Deaths within 30 days: heart attack patients12%
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients12.8%
Deaths within 30 days: COPD patients8.2%
Deaths within 30 days: stroke patients10.8%
Serious complications (patient safety indicator PSI-90)0.94No different from the national rate
Complications after hip or knee replacement3.9%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.9%
Readmitted within 30 days: heart attack13.7%
Readmitted within 30 days: heart failure20.7%
Readmitted within 30 days: pneumonia18.1%
Readmitted within 30 days: COPD20.2%
Readmitted within 30 days: hip or knee replacement5.8%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)140 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)84%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.1682Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack1.0092More readmissions than expected
Heart failure1.0124More readmissions than expected
Pneumonia0.9482Fewer readmissions than expected
COPD (chronic lung disease)1.0276More readmissions than expected
No result publishedHip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score46.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)25.00 out of 100
Person and community engagement (patient survey)70.00 out of 100
Safety (infections and sepsis care)40.00 out of 100
Efficiency and cost reduction (Medicare spending)50.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio0.90Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in WisconsinBest hospitals in Wisconsin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Aurora Medical Center - Summit 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 75 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-NEW PT $360 $180 $65 – $306
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $78
  • Aetna — PPO: $297.36
  • Anthem — Blue Preferred: $87
  • Anthem — Blue Priority: $66
  • Anthem — PPO: $306
  • Aurora Caregiver — Commercial: $80
  • Centivo — Commercial: $76
  • Cigna — PPO: $304.56
  • Cigna — PPO-GPPO: $100
  • Common Ground — Employee Trust Fund: $65
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-NEW PT $360 $180 $216 – $306
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — PPO: $297.36
  • Anthem — PPO: $306
  • Cigna — PPO: $304.56
  • Health EOS — PPO: $288
  • Health EOS Plus — Commercial: $216
  • HealthPartners — Broad: $270
  • United Healthcare — PPO: $303.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-NEW PT $410 $205 $65 – $348.50
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $78
  • Aetna — PPO: $338.66
  • Anthem — Blue Preferred: $87
  • Anthem — Blue Priority: $66
  • Anthem — PPO: $348.50
  • Aurora Caregiver — Commercial: $80
  • Centivo — Commercial: $76
  • Cigna — PPO: $346.86
  • Cigna — PPO-GPPO: $100
  • Common Ground — Employee Trust Fund: $65
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-NEW PT $410 $205 $246 – $348.50
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — PPO: $338.66
  • Anthem — PPO: $348.50
  • Cigna — PPO: $346.86
  • Health EOS — PPO: $328
  • Health EOS Plus — Commercial: $246
  • HealthPartners — Broad: $307.50
  • United Healthcare — PPO: $345.22
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV COMP ACUITY-NEW PT $485 $242.50 $65 – $412.25
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $78
  • Aetna — PPO: $400.61
  • Anthem — Blue Preferred: $87
  • Anthem — Blue Priority: $66
  • Anthem — PPO: $412.25
  • Aurora Caregiver — Commercial: $80
  • Centivo — Commercial: $76
  • Cigna — PPO: $410.31
  • Cigna — PPO-GPPO: $100
  • Common Ground — Employee Trust Fund: $65
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV COMP ACUITY-NEW PT $485 $242.50 $291 – $412.25
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — PPO: $400.61
  • Anthem — PPO: $412.25
  • Cigna — PPO: $410.31
  • Health EOS — PPO: $388
  • Health EOS Plus — Commercial: $291
  • HealthPartners — Broad: $363.75
  • United Healthcare — PPO: $408.37
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-EST PT $250 $125 $65 – $212.50
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $78
  • Aetna — PPO: $206.50
  • Anthem — Blue Preferred: $87
  • Anthem — Blue Priority: $66
  • Anthem — PPO: $212.50
  • Aurora Caregiver — Commercial: $80
  • Centivo — Commercial: $76
  • Cigna — PPO: $211.50
  • Cigna — PPO-GPPO: $100
  • Common Ground — Employee Trust Fund: $65
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-EST PT $250 $125 $150 – $212.50
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — PPO: $206.50
  • Anthem — PPO: $212.50
  • Cigna — PPO: $211.50
  • Health EOS — PPO: $200
  • Health EOS Plus — Commercial: $150
  • HealthPartners — Broad: $187.50
  • United Healthcare — PPO: $210.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-EST PT $345 $172.50 $65 – $293.25
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $78
  • Aetna — PPO: $284.97
  • Anthem — Blue Preferred: $87
  • Anthem — Blue Priority: $66
  • Anthem — PPO: $293.25
  • Aurora Caregiver — Commercial: $80
  • Centivo — Commercial: $76
  • Cigna — PPO: $291.87
  • Cigna — PPO-GPPO: $100
  • Common Ground — Employee Trust Fund: $65
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-EST PT* $690 $345 $65 – $586.50
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $78
  • Aetna — PPO: $569.94
  • Anthem — Blue Preferred: $87
  • Anthem — Blue Priority: $66
  • Anthem — PPO: $586.50
  • Aurora Caregiver — Commercial: $80
  • Centivo — Commercial: $76
  • Cigna — PPO: $583.74
  • Cigna — PPO-GPPO: $100
  • Common Ground — Employee Trust Fund: $65
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-EST PT* $690 $345 $414 – $586.50
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Aetna — PPO: $569.94
  • Anthem — PPO: $586.50
  • Cigna — PPO: $583.74
  • Health EOS — PPO: $552
  • Health EOS Plus — Commercial: $414
  • HealthPartners — Broad: $517.50
  • United Healthcare — PPO: $580.98
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 3 $965 $482.50 $579 – $2,200
Emergency room visit (moderate): 10 of 32 insurance plan rates
  • Aetna — HMO: $836
  • Aetna — PPO: $797.09
  • Anthem — Blue Preferred: $1,418
  • Anthem — Blue Priority: $1,163
  • Anthem — PPO: $820.25
  • Aurora Caregiver — Commercial: $1,000
  • Centivo — Commercial: $1,093
  • Cigna — PPO: $816.39
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $1,029
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FORENSIC NURSE EXAM 3 $1,880 $940 $836 – $2,200
Emergency room visit (moderate): 10 of 32 insurance plan rates
  • Aetna — HMO: $836
  • Aetna — PPO: $1,552.88
  • Anthem — Blue Preferred: $1,418
  • Anthem — Blue Priority: $1,163
  • Anthem — PPO: $1,598
  • Aurora Caregiver — Commercial: $1,000
  • Centivo — Commercial: $1,093
  • Cigna — PPO: $1,590.48
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $1,029
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MEDICAL SCREENING UP TO 3 HR $920 $460 $552 – $2,200
Emergency room visit (moderate): 10 of 32 insurance plan rates
  • Aetna — HMO: $836
  • Aetna — PPO: $759.92
  • Anthem — Blue Preferred: $1,418
  • Anthem — Blue Priority: $1,163
  • Anthem — PPO: $782
  • Aurora Caregiver — Commercial: $1,000
  • Centivo — Commercial: $1,093
  • Cigna — PPO: $778.32
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $1,029
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 4 $1,560 $780 $936 – $3,627
Emergency room visit (moderately high): 10 of 32 insurance plan rates
  • Aetna — HMO: $1,950
  • Aetna — PPO: $1,288.56
  • Anthem — Blue Preferred: $3,274
  • Anthem — Blue Priority: $2,693
  • Anthem — PPO: $1,326
  • Aurora Caregiver — Commercial: $2,400
  • Centivo — Commercial: $2,513
  • Cigna — PPO: $1,319.76
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $2,543
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MEDICAL SCREENING UP TO 4 HR $1,050 $525 $630 – $3,627
Emergency room visit (moderately high): 10 of 32 insurance plan rates
  • Aetna — HMO: $1,950
  • Aetna — PPO: $867.30
  • Anthem — Blue Preferred: $3,274
  • Anthem — Blue Priority: $2,693
  • Anthem — PPO: $892.50
  • Aurora Caregiver — Commercial: $2,400
  • Centivo — Commercial: $2,513
  • Cigna — PPO: $888.30
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $2,543
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 4 $1,560 $780 $936 – $1,326
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — PPO: $1,288.56
  • Anthem — PPO: $1,326
  • Cigna — PPO: $1,319.76
  • Health EOS — PPO: $1,248
  • Health EOS Plus — Commercial: $936
  • HealthPartners — Broad: $1,170
  • United Healthcare — PPO: $1,313.52
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 5 $2,270 $1,135 $1,362 – $3,627
Emergency room visit (high): 10 of 32 insurance plan rates
  • Aetna — HMO: $1,950
  • Aetna — PPO: $1,875.02
  • Anthem — Blue Preferred: $3,274
  • Anthem — Blue Priority: $2,693
  • Anthem — PPO: $1,929.50
  • Aurora Caregiver — Commercial: $2,400
  • Centivo — Commercial: $2,513
  • Cigna — PPO: $1,920.42
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $2,543
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MEDICAL SCREENING 5 HR OR > $1,170 $585 $702 – $3,627
Emergency room visit (high): 10 of 32 insurance plan rates
  • Aetna — HMO: $1,950
  • Aetna — PPO: $966.42
  • Anthem — Blue Preferred: $3,274
  • Anthem — Blue Priority: $2,693
  • Anthem — PPO: $994.50
  • Aurora Caregiver — Commercial: $2,400
  • Centivo — Commercial: $2,513
  • Cigna — PPO: $989.82
  • Cigna — PPO-GPPO: $2,200
  • Common Ground — Employee Trust Fund: $2,543
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 5 $2,270 $1,135 $1,362 – $1,929.50
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — PPO: $1,875.02
  • Anthem — PPO: $1,929.50
  • Cigna — PPO: $1,920.42
  • Health EOS — PPO: $1,816
  • Health EOS Plus — Commercial: $1,362
  • HealthPartners — Broad: $1,702.50
  • United Healthcare — PPO: $1,911.34

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $235 $117.50 $6.77 – $199.75
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — HMO: $18.87
  • Aetna — PPO: $194.11
  • Anthem — Blue Preferred: $10.15
  • Anthem — Blue Priority: $8.46
  • Anthem — PPO: $199.75
  • Aurora Caregiver — Commercial: $8.46
  • Centivo — Commercial: $18.49
  • Cigna — PPO: $198.81
  • Cigna — PPO-GPPO: $24.84
  • Common Ground — Employee Trust Fund: $17.77
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC BASIC METABOLIC PANEL $30 $15 $6.77 – $29.70
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — HMO: $18.87
  • Aetna — PPO: $24.78
  • Anthem — Blue Preferred: $10.15
  • Anthem — Blue Priority: $8.46
  • Anthem — PPO: $25.50
  • Aurora Caregiver — Commercial: $8.46
  • Centivo — Commercial: $18.49
  • Cigna — PPO: $25.38
  • Cigna — PPO-GPPO: $24.84
  • Common Ground — Employee Trust Fund: $17.77
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $235 $117.50 $141 – $199.75
Basic metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — PPO: $194.11
  • Anthem — PPO: $199.75
  • Cigna — PPO: $198.81
  • Health EOS — PPO: $188
  • Health EOS Plus — Commercial: $141
  • HealthPartners — Broad: $176.25
  • United Healthcare — PPO: $197.87
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $315 $157.50 $8.45 – $267.75
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — HMO: $23.55
  • Aetna — PPO: $260.19
  • Anthem — Blue Preferred: $12.67
  • Anthem — Blue Priority: $10.56
  • Anthem — PPO: $267.75
  • Aurora Caregiver — Commercial: $10.56
  • Centivo — Commercial: $23.08
  • Cigna — PPO: $266.49
  • Cigna — PPO-GPPO: $30.57
  • Common Ground — Employee Trust Fund: $22.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $315 $157.50 $189 – $267.75
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — PPO: $260.19
  • Anthem — PPO: $267.75
  • Cigna — PPO: $266.49
  • Health EOS — PPO: $252
  • Health EOS Plus — Commercial: $189
  • HealthPartners — Broad: $236.25
  • United Healthcare — PPO: $265.23
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $260 $130 $38.25 – $221
Obstetric blood test panel: 10 of 32 insurance plan rates
  • Aetna — HMO: $106.62
  • Aetna — PPO: $214.76
  • Anthem — Blue Preferred: $57.37
  • Anthem — Blue Priority: $47.81
  • Anthem — PPO: $221
  • Aurora Caregiver — Commercial: $47.81
  • Centivo — Commercial: $104.51
  • Cigna — PPO: $219.96
  • Cigna — PPO-GPPO: $139.53
  • Common Ground — Employee Trust Fund: $100.40
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $260 $130 $156 – $221
Obstetric blood test panel: rates for 7 insurance plans
  • Aetna — PPO: $214.76
  • Anthem — PPO: $221
  • Cigna — PPO: $219.96
  • Health EOS — PPO: $208
  • Health EOS Plus — Commercial: $156
  • HealthPartners — Broad: $195
  • United Healthcare — PPO: $218.92
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC LIPID PROFILE $185 $92.50 $10.71 – $157.25
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — HMO: $29.86
  • Aetna — PPO: $152.81
  • Anthem — Blue Preferred: $16.07
  • Anthem — Blue Priority: $13.39
  • Anthem — PPO: $157.25
  • Aurora Caregiver — Commercial: $13.39
  • Centivo — Commercial: $29.27
  • Cigna — PPO: $156.51
  • Cigna — PPO-GPPO: $39.18
  • Common Ground — Employee Trust Fund: $28.12
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $250 $125 $10.71 – $212.50
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — HMO: $29.86
  • Aetna — PPO: $206.50
  • Anthem — Blue Preferred: $16.07
  • Anthem — Blue Priority: $13.39
  • Anthem — PPO: $212.50
  • Aurora Caregiver — Commercial: $13.39
  • Centivo — Commercial: $29.27
  • Cigna — PPO: $211.50
  • Cigna — PPO-GPPO: $39.18
  • Common Ground — Employee Trust Fund: $28.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $250 $125 $150 – $212.50
Cholesterol panel (lipid panel): rates for 7 insurance plans
  • Aetna — PPO: $206.50
  • Anthem — PPO: $212.50
  • Cigna — PPO: $211.50
  • Health EOS — PPO: $200
  • Health EOS Plus — Commercial: $150
  • HealthPartners — Broad: $187.50
  • United Healthcare — PPO: $210.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $285 $142.50 $6.94 – $242.25
Kidney function panel: 10 of 32 insurance plan rates
  • Aetna — HMO: $19.36
  • Aetna — PPO: $235.41
  • Anthem — Blue Preferred: $10.42
  • Anthem — Blue Priority: $8.68
  • Anthem — PPO: $242.25
  • Aurora Caregiver — Commercial: $8.68
  • Centivo — Commercial: $18.97
  • Cigna — PPO: $241.11
  • Cigna — PPO-GPPO: $25.80
  • Common Ground — Employee Trust Fund: $18.23
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $285 $142.50 $171 – $242.25
Kidney function panel: rates for 7 insurance plans
  • Aetna — PPO: $235.41
  • Anthem — PPO: $242.25
  • Cigna — PPO: $241.11
  • Health EOS — PPO: $228
  • Health EOS Plus — Commercial: $171
  • HealthPartners — Broad: $213.75
  • United Healthcare — PPO: $239.97
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $280 $140 $6.54 – $238
Liver function panel: 10 of 32 insurance plan rates
  • Aetna — HMO: $18.22
  • Aetna — PPO: $231.28
  • Anthem — Blue Preferred: $9.80
  • Anthem — Blue Priority: $8.17
  • Anthem — PPO: $238
  • Aurora Caregiver — Commercial: $8.17
  • Centivo — Commercial: $17.86
  • Cigna — PPO: $236.88
  • Cigna — PPO-GPPO: $23.88
  • Common Ground — Employee Trust Fund: $17.16
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $280 $140 $168 – $238
Liver function panel: rates for 7 insurance plans
  • Aetna — PPO: $231.28
  • Anthem — PPO: $238
  • Cigna — PPO: $236.88
  • Health EOS — PPO: $224
  • Health EOS Plus — Commercial: $168
  • HealthPartners — Broad: $210
  • United Healthcare — PPO: $235.76
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE DIP W/ MICRO $85 $42.50 $2.54 – $72.25
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $7.07
  • Aetna — PPO: $70.21
  • Anthem — Blue Preferred: $3.80
  • Anthem — Blue Priority: $3.17
  • Anthem — PPO: $72.25
  • Aurora Caregiver — Commercial: $3.17
  • Centivo — Commercial: $6.93
  • Cigna — PPO: $71.91
  • Cigna — PPO-GPPO: $9.57
  • Common Ground — Employee Trust Fund: $6.66
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WITH MICRO $115 $57.50 $2.54 – $97.75
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $7.07
  • Aetna — PPO: $94.99
  • Anthem — Blue Preferred: $3.80
  • Anthem — Blue Priority: $3.17
  • Anthem — PPO: $97.75
  • Aurora Caregiver — Commercial: $3.17
  • Centivo — Commercial: $6.93
  • Cigna — PPO: $97.29
  • Cigna — PPO-GPPO: $9.57
  • Common Ground — Employee Trust Fund: $6.66
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC URINE DIP W/ MICRO $85 $42.50 $51 – $72.25
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna — PPO: $70.21
  • Anthem — PPO: $72.25
  • Cigna — PPO: $71.91
  • Health EOS — PPO: $68
  • Health EOS Plus — Commercial: $51
  • HealthPartners — Broad: $63.75
  • United Healthcare — PPO: $71.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS SCREEN MANUAL $30 $15 $2.78 – $25.50
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $7.76
  • Aetna — PPO: $24.78
  • Anthem — Blue Preferred: $4.18
  • Anthem — Blue Priority: $3.48
  • Anthem — PPO: $25.50
  • Aurora Caregiver — Commercial: $3.48
  • Centivo — Commercial: $7.61
  • Cigna — PPO: $25.38
  • Cigna — PPO-GPPO: $10.50
  • Common Ground — Employee Trust Fund: $7.31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE DIPSTICK W/O MICRO $30 $15 $2.78 – $25.50
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $7.76
  • Aetna — PPO: $24.78
  • Anthem — Blue Preferred: $4.18
  • Anthem — Blue Priority: $3.48
  • Anthem — PPO: $25.50
  • Aurora Caregiver — Commercial: $3.48
  • Centivo — Commercial: $7.61
  • Cigna — PPO: $25.38
  • Cigna — PPO-GPPO: $10.50
  • Common Ground — Employee Trust Fund: $7.31
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS SCREEN MANUAL $30 $15 $18 – $25.50
Urine test (manual, without microscope): rates for 7 insurance plans
  • Aetna — PPO: $24.78
  • Anthem — PPO: $25.50
  • Cigna — PPO: $25.38
  • Health EOS — PPO: $24
  • Health EOS Plus — Commercial: $18
  • HealthPartners — Broad: $22.50
  • United Healthcare — PPO: $25.26
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGLOBIN, URINE $50 $25 $1.80 – $42.50
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $5.02
  • Aetna — PPO: $41.30
  • Anthem — Blue Preferred: $2.70
  • Anthem — Blue Priority: $2.25
  • Anthem — PPO: $42.50
  • Aurora Caregiver — Commercial: $2.25
  • Centivo — Commercial: $4.92
  • Cigna — PPO: $42.30
  • Cigna — PPO-GPPO: $6.69
  • Common Ground — Employee Trust Fund: $4.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINALYSIS AUTO W/O MICRO $40 $20 $1.80 – $34
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $5.02
  • Aetna — PPO: $33.04
  • Anthem — Blue Preferred: $2.70
  • Anthem — Blue Priority: $2.25
  • Anthem — PPO: $34
  • Aurora Caregiver — Commercial: $2.25
  • Centivo — Commercial: $4.92
  • Cigna — PPO: $33.84
  • Cigna — PPO-GPPO: $6.69
  • Common Ground — Employee Trust Fund: $4.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICRO $50 $25 $1.80 – $42.50
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — HMO: $5.02
  • Aetna — PPO: $41.30
  • Anthem — Blue Preferred: $2.70
  • Anthem — Blue Priority: $2.25
  • Anthem — PPO: $42.50
  • Aurora Caregiver — Commercial: $2.25
  • Centivo — Commercial: $4.92
  • Cigna — PPO: $42.30
  • Cigna — PPO-GPPO: $6.69
  • Common Ground — Employee Trust Fund: $4.73
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL $180 $90 $14.71 – $153
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — HMO: $41.01
  • Aetna — PPO: $148.68
  • Anthem — Blue Preferred: $22.07
  • Anthem — Blue Priority: $18.39
  • Anthem — PPO: $153
  • Aurora Caregiver — Commercial: $18.39
  • Centivo — Commercial: $40.20
  • Cigna — PPO: $152.28
  • Cigna — PPO-GPPO: $53.52
  • Common Ground — Employee Trust Fund: $38.62
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL $180 $90 $108 – $153
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Aetna — PPO: $148.68
  • Anthem — PPO: $153
  • Cigna — PPO: $152.28
  • Health EOS — PPO: $144
  • Health EOS Plus — Commercial: $108
  • HealthPartners — Broad: $135
  • United Healthcare — PPO: $151.56
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEWBORN TSH $25 $12.50 $13.44 – $58.97
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — HMO: $37.46
  • Aetna — PPO: $20.65
  • Anthem — Blue Preferred: $20.16
  • Anthem — Blue Priority: $16.80
  • Anthem — PPO: $21.25
  • Aurora Caregiver — Commercial: $16.80
  • Centivo — Commercial: $36.72
  • Cigna — PPO: $21.15
  • Cigna — PPO-GPPO: $48.75
  • Common Ground — Employee Trust Fund: $35.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $210 $105 $13.44 – $178.50
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — HMO: $37.46
  • Aetna — PPO: $173.46
  • Anthem — Blue Preferred: $20.16
  • Anthem — Blue Priority: $16.80
  • Anthem — PPO: $178.50
  • Aurora Caregiver — Commercial: $16.80
  • Centivo — Commercial: $36.72
  • Cigna — PPO: $177.66
  • Cigna — PPO-GPPO: $48.75
  • Common Ground — Employee Trust Fund: $35.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH $210 $105 $126 – $178.50
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Aetna — PPO: $173.46
  • Anthem — PPO: $178.50
  • Cigna — PPO: $177.66
  • Health EOS — PPO: $168
  • Health EOS Plus — Commercial: $126
  • HealthPartners — Broad: $157.50
  • United Healthcare — PPO: $176.82
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF $140 $70 $6.22 – $119
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — HMO: $17.33
  • Aetna — PPO: $115.64
  • Anthem — Blue Preferred: $9.32
  • Anthem — Blue Priority: $7.77
  • Anthem — PPO: $119
  • Aurora Caregiver — Commercial: $7.77
  • Centivo — Commercial: $16.99
  • Cigna — PPO: $118.44
  • Cigna — PPO-GPPO: $22.95
  • Common Ground — Employee Trust Fund: $16.32
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF $140 $70 $84 – $119
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna — PPO: $115.64
  • Anthem — PPO: $119
  • Cigna — PPO: $118.44
  • Health EOS — PPO: $112
  • Health EOS Plus — Commercial: $84
  • HealthPartners — Broad: $105
  • United Healthcare — PPO: $117.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WO DIFF $100 $50 $5.18 – $85
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — HMO: $14.43
  • Aetna — PPO: $82.60
  • Anthem — Blue Preferred: $7.76
  • Anthem — Blue Priority: $6.47
  • Anthem — PPO: $85
  • Aurora Caregiver — Commercial: $6.47
  • Centivo — Commercial: $14.14
  • Cigna — PPO: $84.60
  • Cigna — PPO-GPPO: $19.11
  • Common Ground — Employee Trust Fund: $13.59
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WO DIFF $100 $50 $60 – $85
Complete blood count (CBC), automated: rates for 7 insurance plans
  • Aetna — PPO: $82.60
  • Anthem — PPO: $85
  • Cigna — PPO: $84.60
  • Health EOS — PPO: $80
  • Health EOS Plus — Commercial: $60
  • HealthPartners — Broad: $75
  • United Healthcare — PPO: $84.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $70 $35 $3.43 – $59.50
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — HMO: $9.57
  • Aetna — PPO: $57.82
  • Anthem — Blue Preferred: $5.15
  • Anthem — Blue Priority: $4.29
  • Anthem — PPO: $59.50
  • Aurora Caregiver — Commercial: $4.29
  • Centivo — Commercial: $9.38
  • Cigna — PPO: $59.22
  • Cigna — PPO-GPPO: $12.42
  • Common Ground — Employee Trust Fund: $9.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC PROTHROMBIN TIME $55 $27.50 $3.43 – $46.75
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — HMO: $9.57
  • Aetna — PPO: $45.43
  • Anthem — Blue Preferred: $5.15
  • Anthem — Blue Priority: $4.29
  • Anthem — PPO: $46.75
  • Aurora Caregiver — Commercial: $4.29
  • Centivo — Commercial: $9.38
  • Cigna — PPO: $46.53
  • Cigna — PPO-GPPO: $12.42
  • Common Ground — Employee Trust Fund: $9.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $70 $35 $42 – $59.50
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Aetna — PPO: $57.82
  • Anthem — PPO: $59.50
  • Cigna — PPO: $59.22
  • Health EOS — PPO: $56
  • Health EOS Plus — Commercial: $42
  • HealthPartners — Broad: $52.50
  • United Healthcare — PPO: $58.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $100 $50 $4.81 – $85
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates
  • Aetna — HMO: $13.40
  • Aetna — PPO: $82.60
  • Anthem — Blue Preferred: $7.21
  • Anthem — Blue Priority: $6.01
  • Anthem — PPO: $85
  • Aurora Caregiver — Commercial: $6.01
  • Centivo — Commercial: $13.14
  • Cigna — PPO: $84.60
  • Cigna — PPO-GPPO: $17.19
  • Common Ground — Employee Trust Fund: $12.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $100 $50 $60 – $85
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • Aetna — PPO: $82.60
  • Anthem — PPO: $85
  • Cigna — PPO: $84.60
  • Health EOS — PPO: $80
  • Health EOS Plus — Commercial: $60
  • HealthPartners — Broad: $75
  • United Healthcare — PPO: $84.20

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O DYE $2,940 $1,470 $475 – $2,499
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates
  • Aetna — HMO: $836
  • Aetna — PPO: $2,428.44
  • Anthem — Blue Preferred: $714
  • Anthem — Blue Priority: $556
  • Anthem — PPO: $2,499
  • Aurora Caregiver — Commercial: $475
  • Centivo — Commercial: $820
  • Cigna — PPO: $2,487.24
  • Cigna — PPO-GPPO: $1,700
  • Common Ground — Employee Trust Fund: $812
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD W/O DYE $2,940 $1,470 $1,764 – $2,499
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — PPO: $2,428.44
  • Anthem — PPO: $2,499
  • Cigna — PPO: $2,487.24
  • Health EOS — PPO: $2,352
  • Health EOS Plus — Commercial: $1,764
  • HealthPartners — Broad: $2,205
  • United Healthcare — PPO: $2,475.48
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W/WO DYE $6,530 $3,265 $650 – $5,550.50
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates
  • Aetna — HMO: $1,114
  • Aetna — PPO: $5,393.78
  • Anthem — Blue Preferred: $969
  • Anthem — Blue Priority: $755
  • Anthem — PPO: $5,550.50
  • Aurora Caregiver — Commercial: $650
  • Centivo — Commercial: $1,038
  • Cigna — PPO: $5,524.38
  • Cigna — PPO-GPPO: $2,550
  • Common Ground — Employee Trust Fund: $1,083
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W/WO DYE $6,530 $3,265 $3,918 – $5,550.50
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • Aetna — PPO: $5,393.78
  • Anthem — PPO: $5,550.50
  • Cigna — PPO: $5,524.38
  • Health EOS — PPO: $5,224
  • Health EOS Plus — Commercial: $3,918
  • HealthPartners — Broad: $4,897.50
  • United Healthcare — PPO: $5,498.26
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $250 $125 $150 – $460
Chest X-ray, 2 views: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $206.50
  • Anthem — Blue Preferred: $357
  • Anthem — Blue Priority: $275
  • Anthem — PPO: $212.50
  • Aurora Caregiver — Commercial: $240
  • Centivo — Commercial: $328
  • Cigna — PPO: $211.50
  • Cigna — PPO-GPPO: $460
  • Common Ground — Employee Trust Fund: $249
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $250 $125 $150 – $212.50
Chest X-ray, 2 views: rates for 7 insurance plans
  • Aetna — PPO: $206.50
  • Anthem — PPO: $212.50
  • Cigna — PPO: $211.50
  • Health EOS — PPO: $200
  • Health EOS Plus — Commercial: $150
  • HealthPartners — Broad: $187.50
  • United Healthcare — PPO: $210.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE 4 VIEW MIN $705 $352.50 $200 – $599.25
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $582.33
  • Anthem — Blue Preferred: $357
  • Anthem — Blue Priority: $275
  • Anthem — PPO: $599.25
  • Aurora Caregiver — Commercial: $240
  • Centivo — Commercial: $328
  • Cigna — PPO: $596.43
  • Cigna — PPO-GPPO: $460
  • Common Ground — Employee Trust Fund: $249
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE 4 VIEW MIN $705 $352.50 $423 – $599.25
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Aetna — PPO: $582.33
  • Anthem — PPO: $599.25
  • Cigna — PPO: $596.43
  • Health EOS — PPO: $564
  • Health EOS Plus — Commercial: $423
  • HealthPartners — Broad: $528.75
  • United Healthcare — PPO: $593.61
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR L SPINE WO DYE $4,220 $2,110 $650 – $3,587
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates
  • Aetna — HMO: $1,114
  • Aetna — PPO: $3,485.72
  • Anthem — Blue Preferred: $969
  • Anthem — Blue Priority: $755
  • Anthem — PPO: $3,587
  • Aurora Caregiver — Commercial: $650
  • Centivo — Commercial: $1,038
  • Cigna — PPO: $3,570.12
  • Cigna — PPO-GPPO: $2,550
  • Common Ground — Employee Trust Fund: $1,083
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR L SPINE WO DYE $4,220 $2,110 $2,532 – $3,587
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • Aetna — PPO: $3,485.72
  • Anthem — PPO: $3,587
  • Cigna — PPO: $3,570.12
  • Health EOS — PPO: $3,376
  • Health EOS Plus — Commercial: $2,532
  • HealthPartners — Broad: $3,165
  • United Healthcare — PPO: $3,553.24
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $3,140 $1,570 $475 – $2,669
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — HMO: $836
  • Aetna — PPO: $2,593.64
  • Anthem — Blue Preferred: $714
  • Anthem — Blue Priority: $556
  • Anthem — PPO: $2,669
  • Aurora Caregiver — Commercial: $475
  • Centivo — Commercial: $820
  • Cigna — PPO: $2,656.44
  • Cigna — PPO-GPPO: $1,700
  • Common Ground — Employee Trust Fund: $812
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $3,140 $1,570 $1,884 – $2,669
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • Aetna — PPO: $2,593.64
  • Anthem — PPO: $2,669
  • Cigna — PPO: $2,656.44
  • Health EOS — PPO: $2,512
  • Health EOS Plus — Commercial: $1,884
  • HealthPartners — Broad: $2,355
  • United Healthcare — PPO: $2,643.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LOWER EXTREM JOINT W/O DYE $4,220 $2,110 $650 – $3,587
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates
  • Aetna — HMO: $1,114
  • Aetna — PPO: $3,485.72
  • Anthem — Blue Preferred: $969
  • Anthem — Blue Priority: $755
  • Anthem — PPO: $3,587
  • Aurora Caregiver — Commercial: $650
  • Centivo — Commercial: $1,038
  • Cigna — PPO: $3,570.12
  • Cigna — PPO-GPPO: $2,550
  • Common Ground — Employee Trust Fund: $1,083
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LOWER EXTREM JOINT W/O DYE $4,220 $2,110 $2,532 – $3,587
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
  • Aetna — PPO: $3,485.72
  • Anthem — PPO: $3,587
  • Cigna — PPO: $3,570.12
  • Health EOS — PPO: $3,376
  • Health EOS Plus — Commercial: $2,532
  • HealthPartners — Broad: $3,165
  • United Healthcare — PPO: $3,553.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/DYE $6,280 $3,140 $475 – $5,338
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — HMO: $836
  • Aetna — PPO: $5,187.28
  • Anthem — Blue Preferred: $714
  • Anthem — Blue Priority: $556
  • Anthem — PPO: $5,338
  • Aurora Caregiver — Commercial: $475
  • Centivo — Commercial: $820
  • Cigna — PPO: $5,312.88
  • Cigna — PPO-GPPO: $1,700
  • Common Ground — Employee Trust Fund: $812
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/DYE $6,280 $3,140 $3,768 – $5,338
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — PPO: $5,187.28
  • Anthem — PPO: $5,338
  • Cigna — PPO: $5,312.88
  • Health EOS — PPO: $5,024
  • Health EOS Plus — Commercial: $3,768
  • HealthPartners — Broad: $4,710
  • United Healthcare — PPO: $5,287.76
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,020 $510 $300 – $867
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates
  • Aetna — HMO: $301
  • Aetna — PPO: $842.52
  • Anthem — Blue Preferred: $408
  • Anthem — Blue Priority: $316
  • Anthem — PPO: $867
  • Aurora Caregiver — Commercial: $300
  • Centivo — Commercial: $383
  • Cigna — PPO: $862.92
  • Cigna — PPO-GPPO: $700
  • Common Ground — Employee Trust Fund: $368
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,020 $510 $612 – $867
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • Aetna — PPO: $842.52
  • Anthem — PPO: $867
  • Cigna — PPO: $862.92
  • Health EOS — PPO: $816
  • Health EOS Plus — Commercial: $612
  • HealthPartners — Broad: $765
  • United Healthcare — PPO: $858.84
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >/=14 WK SINGLE FETUS $1,320 $660 $300 – $1,122
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates
  • Aetna — HMO: $301
  • Aetna — PPO: $1,090.32
  • Anthem — Blue Preferred: $408
  • Anthem — Blue Priority: $316
  • Anthem — PPO: $1,122
  • Aurora Caregiver — Commercial: $300
  • Centivo — Commercial: $383
  • Cigna — PPO: $1,116.72
  • Cigna — PPO-GPPO: $700
  • Common Ground — Employee Trust Fund: $368
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >/=14 WK SINGLE FETUS $1,320 $660 $792 – $1,122
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — PPO: $1,090.32
  • Anthem — PPO: $1,122
  • Cigna — PPO: $1,116.72
  • Health EOS — PPO: $1,056
  • Health EOS Plus — Commercial: $792
  • HealthPartners — Broad: $990
  • United Healthcare — PPO: $1,111.44
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $810 $405 $300 – $700
Transvaginal ultrasound: 10 of 32 insurance plan rates
  • Aetna — HMO: $301
  • Aetna — PPO: $669.06
  • Anthem — Blue Preferred: $408
  • Anthem — Blue Priority: $316
  • Anthem — PPO: $688.50
  • Aurora Caregiver — Commercial: $300
  • Centivo — Commercial: $383
  • Cigna — PPO: $685.26
  • Cigna — PPO-GPPO: $700
  • Common Ground — Employee Trust Fund: $368
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $810 $405 $486 – $688.50
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — PPO: $669.06
  • Anthem — PPO: $688.50
  • Cigna — PPO: $685.26
  • Health EOS — PPO: $648
  • Health EOS Plus — Commercial: $486
  • HealthPartners — Broad: $607.50
  • United Healthcare — PPO: $682.02
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM DX UNILATERAL $440 $220 $200 – $374
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $363.44
  • Anthem — Blue Preferred: $306
  • Anthem — Blue Priority: $240
  • Anthem — PPO: $374
  • Aurora Caregiver — Commercial: $330
  • Centivo — Commercial: $306
  • Cigna — PPO: $372.24
  • Cigna — PPO-GPPO: $340
  • Common Ground — Employee Trust Fund: $249
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN & DX UNILATERAL $825 $412.50 $200 – $701.25
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $681.45
  • Anthem — Blue Preferred: $306
  • Anthem — Blue Priority: $240
  • Anthem — PPO: $701.25
  • Aurora Caregiver — Commercial: $330
  • Centivo — Commercial: $306
  • Cigna — PPO: $697.95
  • Cigna — PPO-GPPO: $340
  • Common Ground — Employee Trust Fund: $249
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN & DX UNILATERAL $825 $412.50 $495 – $701.25
Diagnostic mammogram, one breast: rates for 7 insurance plans
  • Aetna — PPO: $681.45
  • Anthem — PPO: $701.25
  • Cigna — PPO: $697.95
  • Health EOS — PPO: $660
  • Health EOS Plus — Commercial: $495
  • HealthPartners — Broad: $618.75
  • United Healthcare — PPO: $694.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM DX BILATERAL $565 $282.50 $200 – $480.25
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $466.69
  • Anthem — Blue Preferred: $306
  • Anthem — Blue Priority: $240
  • Anthem — PPO: $480.25
  • Aurora Caregiver — Commercial: $330
  • Centivo — Commercial: $306
  • Cigna — PPO: $477.99
  • Cigna — PPO-GPPO: $340
  • Common Ground — Employee Trust Fund: $249
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN & DX BILATERAL $950 $475 $200 – $807.50
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $784.70
  • Anthem — Blue Preferred: $306
  • Anthem — Blue Priority: $240
  • Anthem — PPO: $807.50
  • Aurora Caregiver — Commercial: $330
  • Centivo — Commercial: $306
  • Cigna — PPO: $803.70
  • Cigna — PPO-GPPO: $340
  • Common Ground — Employee Trust Fund: $249
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM DX BILATERAL $565 $282.50 $339 – $480.25
Diagnostic mammogram, both breasts: rates for 7 insurance plans
  • Aetna — PPO: $466.69
  • Anthem — PPO: $480.25
  • Cigna — PPO: $477.99
  • Health EOS — PPO: $452
  • Health EOS Plus — Commercial: $339
  • HealthPartners — Broad: $423.75
  • United Healthcare — PPO: $475.73
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREENING BILATERAL $445 $222.50 $200 – $378.25
Screening mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $367.57
  • Anthem — Blue Preferred: $306
  • Anthem — Blue Priority: $240
  • Anthem — PPO: $378.25
  • Aurora Caregiver — Commercial: $330
  • Centivo — Commercial: $306
  • Cigna — PPO: $376.47
  • Cigna — PPO-GPPO: $340
  • Common Ground — Employee Trust Fund: $249
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREENING UNILATERAL $365 $182.50 $200 – $360
Screening mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — HMO: $200
  • Aetna — PPO: $301.49
  • Anthem — Blue Preferred: $306
  • Anthem — Blue Priority: $240
  • Anthem — PPO: $310.25
  • Aurora Caregiver — Commercial: $330
  • Centivo — Commercial: $306
  • Cigna — PPO: $308.79
  • Cigna — PPO-GPPO: $340
  • Common Ground — Employee Trust Fund: $249
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREENING UNILATERAL $365 $182.50 $219 – $310.25
Screening mammogram, both breasts: rates for 7 insurance plans
  • Aetna — PPO: $301.49
  • Anthem — PPO: $310.25
  • Cigna — PPO: $308.79
  • Health EOS — PPO: $292
  • Health EOS Plus — Commercial: $219
  • HealthPartners — Broad: $273.75
  • United Healthcare — PPO: $307.33

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $7,978 – $12,855
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Aetna — HMO: $11,139
  • Anthem — Blue Preferred: $12,444
  • Anthem — Blue Priority: $9,649
  • Aurora Caregiver — Commercial: $8,450
  • Centivo — Commercial: $9,834
  • Common Ground — Employee Trust Fund: $8,181
  • Common Ground — Envision: $8,181
  • Common Ground — Exchange: $8,181
  • Everpointe Elite — Commercial: $7,978
  • Health Payment Systems — Commercial: $10,600
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $11,037 – $49,500
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates
  • Aetna — HMO: $14,482
  • Anthem — Blue Preferred: $14,586
  • Anthem — Blue Priority: $11,302
  • Aurora Caregiver — Commercial: $11,750
  • Centivo — Commercial: $21,582
  • Common Ground — Employee Trust Fund: $11,037
  • Common Ground — Envision: $11,037
  • Common Ground — Exchange: $11,037
  • Everpointe Elite — Commercial: $11,136
  • Health Payment Systems — Commercial: $49,500
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $14,482 – $53,464
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Aetna — HMO: $14,482
  • Anthem — Blue Preferred: $23,460
  • Anthem — Blue Priority: $18,187
  • Aurora Caregiver — Commercial: $44,040
  • Centivo — Commercial: $21,582
  • Common Ground — Employee Trust Fund: $32,994
  • Common Ground — Envision: $32,994
  • Common Ground — Exchange: $32,994
  • Everpointe Elite — Commercial: $39,775
  • Health Payment Systems — Commercial: $49,500
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4/> PAREMETERS $6,770 $3,385 $509 – $5,754.50
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — HMO: $2,117
  • Aetna — PPO: $5,592.02
  • Anthem — Blue Preferred: $3,437
  • Anthem — Blue Priority: $2,662
  • Anthem — PPO: $5,754.50
  • Aurora Caregiver — Commercial: $2,470
  • Centivo — Commercial: $2,513
  • Cigna — PPO: $5,727.42
  • Cigna — PPO-GPPO: $3,850
  • Common Ground — Employee Trust Fund: $2,315
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4/> PAREMETERS $6,770 $3,385 $4,062 – $5,754.50
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
  • Aetna — PPO: $5,592.02
  • Anthem — PPO: $5,754.50
  • Cigna — PPO: $5,727.42
  • Health EOS — PPO: $5,416
  • Health EOS Plus — Commercial: $4,062
  • HealthPartners — Broad: $5,077.50
  • United Healthcare — PPO: $5,700.34

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXER PER UNIT $175 $87.50 $105 – $378
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — HMO: $222
  • Aetna — PPO: $144.55
  • Anthem — Blue Preferred: $357
  • Anthem — Blue Priority: $275
  • Anthem — PPO: $148.75
  • Aurora Caregiver — Commercial: $260
  • Centivo — Commercial: $274
  • Cigna — PPO: $148.05
  • Cigna — PPO-GPPO: $320
  • Common Ground — Employee Trust Fund: $281
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXER PER UNIT $175 $87.50 $105 – $148.75
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Aetna — PPO: $144.55
  • Anthem — PPO: $148.75
  • Cigna — PPO: $148.05
  • Health EOS — PPO: $140
  • Health EOS Plus — Commercial: $105
  • HealthPartners — Broad: $131.25
  • United Healthcare — PPO: $147.35
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY $355 $177.50 $213 – $378
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna — HMO: $222
  • Aetna — PPO: $293.23
  • Anthem — Blue Preferred: $357
  • Anthem — Blue Priority: $275
  • Anthem — PPO: $301.75
  • Aurora Caregiver — Commercial: $260
  • Centivo — Commercial: $274
  • Cigna — PPO: $300.33
  • Cigna — PPO-GPPO: $320
  • Common Ground — Employee Trust Fund: $281
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY $355 $177.50 $213 – $301.75
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Aetna — PPO: $293.23
  • Anthem — PPO: $301.75
  • Cigna — PPO: $300.33
  • Health EOS — PPO: $284
  • Health EOS Plus — Commercial: $213
  • HealthPartners — Broad: $266.25
  • United Healthcare — PPO: $298.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY $480 $240 $222 – $408
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna — HMO: $222
  • Aetna — PPO: $396.48
  • Anthem — Blue Preferred: $357
  • Anthem — Blue Priority: $275
  • Anthem — PPO: $408
  • Aurora Caregiver — Commercial: $260
  • Centivo — Commercial: $274
  • Cigna — PPO: $406.08
  • Cigna — PPO-GPPO: $320
  • Common Ground — Employee Trust Fund: $281
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY $480 $240 $288 – $408
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Aetna — PPO: $396.48
  • Anthem — PPO: $408
  • Cigna — PPO: $406.08
  • Health EOS — PPO: $384
  • Health EOS Plus — Commercial: $288
  • HealthPartners — Broad: $360
  • United Healthcare — PPO: $404.16
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY $620 $310 $222 – $527
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna — HMO: $222
  • Aetna — PPO: $512.12
  • Anthem — Blue Preferred: $357
  • Anthem — Blue Priority: $275
  • Anthem — PPO: $527
  • Aurora Caregiver — Commercial: $260
  • Centivo — Commercial: $274
  • Cigna — PPO: $524.52
  • Cigna — PPO-GPPO: $320
  • Common Ground — Employee Trust Fund: $281
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY $620 $310 $372 – $527
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Aetna — PPO: $512.12
  • Anthem — PPO: $527
  • Cigna — PPO: $524.52
  • Health EOS — PPO: $496
  • Health EOS Plus — Commercial: $372
  • HealthPartners — Broad: $465
  • United Healthcare — PPO: $522.04

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $5,692 – $11,699
Removal of breast growth (open surgery): 10 of 23 insurance plan rates
  • Aetna — HMO: $6,461
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $8,450
  • Centivo — Commercial: $9,834
  • Cigna — PPO-GPPO: $9,600
  • Common Ground — Employee Trust Fund: $8,181
  • Common Ground — Envision: $8,181
  • Common Ground — Exchange: $8,181
  • Everpointe Elite — Commercial: $7,978
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $9,580 – $25,737
Total hip replacement: 10 of 22 insurance plan rates
  • Aetna — HMO: $9,580
  • Anthem — Blue Preferred: $19,992
  • Anthem — Blue Priority: $15,494
  • Aurora Caregiver — Commercial: $21,480
  • Centivo — Commercial: $21,582
  • Common Ground — Employee Trust Fund: $17,346
  • Common Ground — Envision: $17,346
  • Common Ground — Exchange: $17,346
  • Everpointe Elite — Commercial: $17,086
  • Health Payment Systems — Commercial: $19,700
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $9,580 – $25,737
Total knee replacement: 10 of 22 insurance plan rates
  • Aetna — HMO: $9,580
  • Anthem — Blue Preferred: $23,460
  • Anthem — Blue Priority: $18,187
  • Aurora Caregiver — Commercial: $21,480
  • Centivo — Commercial: $21,582
  • Common Ground — Employee Trust Fund: $17,346
  • Common Ground — Envision: $17,346
  • Common Ground — Exchange: $17,346
  • Everpointe Elite — Commercial: $17,086
  • Health Payment Systems — Commercial: $19,700
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,291 – $14,586
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates
  • Aetna — HMO: $6,461
  • Anthem — Blue Preferred: $14,586
  • Anthem — Blue Priority: $11,302
  • Aurora Caregiver — Commercial: $1,300
  • Centivo — Commercial: $1,967
  • Cigna — PPO-GPPO: $9,600
  • Common Ground — Employee Trust Fund: $1,492
  • Common Ground — Envision: $1,492
  • Common Ground — Exchange: $1,492
  • Everpointe Elite — Commercial: $1,291
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $7,978 – $13,500
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates
  • Aetna — HMO: $8,243
  • Anthem — Blue Preferred: $10,914
  • Anthem — Blue Priority: $8,456
  • Aurora Caregiver — Commercial: $8,450
  • Centivo — Commercial: $9,834
  • Cigna — PPO-GPPO: $13,500
  • Common Ground — Employee Trust Fund: $8,181
  • Common Ground — Envision: $8,181
  • Common Ground — Exchange: $8,181
  • Everpointe Elite — Commercial: $7,978
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $5,508 – $9,600
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates
  • Aetna — HMO: $6,461
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $6,490
  • Centivo — Commercial: $7,649
  • Cigna — PPO-GPPO: $9,600
  • Common Ground — Employee Trust Fund: $5,951
  • Common Ground — Envision: $5,951
  • Common Ground — Exchange: $5,951
  • Everpointe Elite — Commercial: $5,508
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $1,894 – $4,387
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — HMO: $1,894
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $2,450
  • Centivo — Commercial: $3,169
  • Cigna — PPO-GPPO: $3,500
  • Common Ground — Employee Trust Fund: $2,727
  • Common Ground — Envision: $2,727
  • Common Ground — Exchange: $2,727
  • Everpointe Elite — Commercial: $2,153
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $1,979 – $6,800
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $2,450
  • Centivo — Commercial: $3,169
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $2,727
  • Common Ground — Envision: $2,727
  • Common Ground — Exchange: $2,727
  • Everpointe Elite — Commercial: $2,153
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $1,979 – $6,800
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $2,450
  • Centivo — Commercial: $3,169
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $2,727
  • Common Ground — Envision: $2,727
  • Common Ground — Exchange: $2,727
  • Everpointe Elite — Commercial: $2,153
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,979 – $6,800
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $2,450
  • Centivo — Commercial: $3,169
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $2,727
  • Common Ground — Envision: $2,727
  • Common Ground — Exchange: $2,727
  • Everpointe Elite — Commercial: $2,153
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,979 – $6,800
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $2,450
  • Centivo — Commercial: $3,169
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $2,727
  • Common Ground — Envision: $2,727
  • Common Ground — Exchange: $2,727
  • Everpointe Elite — Commercial: $2,153
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,979 – $6,800
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $2,450
  • Centivo — Commercial: $3,169
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $2,727
  • Common Ground — Envision: $2,727
  • Common Ground — Exchange: $2,727
  • Everpointe Elite — Commercial: $2,153
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,183 – $6,800
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $1,530
  • Anthem — Blue Priority: $1,183
  • Aurora Caregiver — Commercial: $2,250
  • Centivo — Commercial: $1,967
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $1,492
  • Common Ground — Envision: $1,492
  • Common Ground — Exchange: $1,492
  • Everpointe Elite — Commercial: $1,291
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $8,466 – $19,000
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates
  • Aetna — HMO: $8,466
  • Anthem — Blue Preferred: $14,586
  • Anthem — Blue Priority: $11,302
  • Aurora Caregiver — Commercial: $11,750
  • Centivo — Commercial: $13,933
  • Cigna — PPO-GPPO: $19,000
  • Common Ground — Employee Trust Fund: $11,037
  • Common Ground — Envision: $11,037
  • Common Ground — Exchange: $11,037
  • Everpointe Elite — Commercial: $11,136
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $7,978 – $13,500
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates
  • Aetna — HMO: $8,243
  • Anthem — Blue Preferred: $10,914
  • Anthem — Blue Priority: $8,456
  • Aurora Caregiver — Commercial: $8,450
  • Centivo — Commercial: $9,834
  • Cigna — PPO-GPPO: $13,500
  • Common Ground — Employee Trust Fund: $8,181
  • Common Ground — Envision: $8,181
  • Common Ground — Exchange: $8,181
  • Everpointe Elite — Commercial: $7,978
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Surgery Not listed in the file Not listed in the file $1,979 – $8,773
Prostate biopsy: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $2,550
  • Anthem — Blue Priority: $1,979
  • Aurora Caregiver — Commercial: $6,490
  • Centivo — Commercial: $7,649
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $5,951
  • Common Ground — Envision: $5,951
  • Common Ground — Exchange: $5,951
  • Everpointe Elite — Commercial: $5,508
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $8,466 – $25,737
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates
  • Aetna — HMO: $8,466
  • Aurora Caregiver — Commercial: $21,480
  • Centivo — Commercial: $21,582
  • Common Ground — Employee Trust Fund: $17,346
  • Common Ground — Envision: $17,346
  • Common Ground — Exchange: $17,346
  • Everpointe Elite — Commercial: $17,086
  • Health Payment Systems — Commercial: $19,700
  • HS Technology — Commercial: $20,541
  • Molina Exchange — Commercial: $17,293
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $5,508 – $9,600
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates
  • Aetna — HMO: $6,461
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $6,490
  • Centivo — Commercial: $7,649
  • Cigna — PPO-GPPO: $9,600
  • Common Ground — Employee Trust Fund: $5,951
  • Common Ground — Envision: $5,951
  • Common Ground — Exchange: $5,951
  • Everpointe Elite — Commercial: $5,508
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $1,183 – $3,500
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — HMO: $1,894
  • Anthem — Blue Preferred: $1,530
  • Anthem — Blue Priority: $1,183
  • Aurora Caregiver — Commercial: $2,250
  • Centivo — Commercial: $1,967
  • Cigna — PPO-GPPO: $3,500
  • Common Ground — Employee Trust Fund: $1,492
  • Common Ground — Envision: $1,492
  • Common Ground — Exchange: $1,492
  • Everpointe Elite — Commercial: $1,291
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $1,183 – $3,500
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — HMO: $1,894
  • Anthem — Blue Preferred: $1,530
  • Anthem — Blue Priority: $1,183
  • Aurora Caregiver — Commercial: $2,250
  • Centivo — Commercial: $1,967
  • Cigna — PPO-GPPO: $3,500
  • Common Ground — Employee Trust Fund: $1,492
  • Common Ground — Envision: $1,492
  • Common Ground — Exchange: $1,492
  • Everpointe Elite — Commercial: $1,291
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $3,119 – $8,773
Carpal tunnel release: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $6,490
  • Centivo — Commercial: $7,649
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $5,951
  • Common Ground — Envision: $5,951
  • Common Ground — Exchange: $5,951
  • Everpointe Elite — Commercial: $5,508
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $1,183 – $6,800
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,119
  • Anthem — Blue Preferred: $1,530
  • Anthem — Blue Priority: $1,183
  • Aurora Caregiver — Commercial: $2,250
  • Centivo — Commercial: $1,967
  • Cigna — PPO-GPPO: $6,800
  • Common Ground — Employee Trust Fund: $1,492
  • Common Ground — Envision: $1,492
  • Common Ground — Exchange: $1,492
  • Everpointe Elite — Commercial: $1,291
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,789 – $17,500
Cataract removal with lens implant: 10 of 23 insurance plan rates
  • Aetna — HMO: $3,008
  • Anthem — Blue Preferred: $14,586
  • Anthem — Blue Priority: $11,302
  • Aurora Caregiver — Commercial: $3,200
  • Centivo — Commercial: $3,115
  • Cigna — PPO-GPPO: $17,500
  • Common Ground — Employee Trust Fund: $3,085
  • Common Ground — Envision: $3,085
  • Common Ground — Exchange: $3,085
  • Everpointe Elite — Commercial: $2,789

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $5,692 – $14,482
Vaginal delivery, with care before and after: 10 of 18 insurance plan rates
  • Aetna — HMO: $14,482
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $9,720
  • Centivo — Commercial: $12,020
  • Common Ground — Employee Trust Fund: $9,176
  • Common Ground — Envision: $9,176
  • Common Ground — Exchange: $9,176
  • Everpointe Elite — Commercial: $9,501
  • Health Payment Systems — Commercial: $11,200
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $5,692 – $19,887
Cesarean delivery (C-section), with care before and after: 10 of 18 insurance plan rates
  • Aetna — HMO: $14,482
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $19,140
  • Centivo — Commercial: $18,030
  • Common Ground — Employee Trust Fund: $14,619
  • Common Ground — Envision: $14,619
  • Common Ground — Exchange: $14,619
  • Everpointe Elite — Commercial: $14,688
  • Health Payment Systems — Commercial: $17,900
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $5,692 – $19,887
Vaginal delivery after a previous C-section, with care before and after: 10 of 18 insurance plan rates
  • Aetna — HMO: $14,482
  • Anthem — Blue Preferred: $7,344
  • Anthem — Blue Priority: $5,692
  • Aurora Caregiver — Commercial: $19,140
  • Centivo — Commercial: $18,030
  • Common Ground — Employee Trust Fund: $14,619
  • Common Ground — Envision: $14,619
  • Common Ground — Exchange: $14,619
  • Everpointe Elite — Commercial: $14,688
  • Health Payment Systems — Commercial: $17,900

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $145,133.24 – $234,097.08
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates
  • Aetna — HMO: $145,133.24
  • Anthem — Blue Preferred: $234,097.08
  • Anthem — Blue Priority: $177,782.91
  • Aurora Caregiver — Commercial: $172,030.86
  • Centivo — Commercial: $200,376.14
  • Cigna — PPO-GPPO: $212,324.20
  • Common Ground — Employee Trust Fund: $177,541.64
  • Common Ground — Envision: $177,541.64
  • Common Ground — Exchange: $177,541.64
  • Everpointe Elite — Commercial: $167,272.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $25,929.40 – $45,734.69
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates
  • Aetna — HMO: $28,354.15
  • Anthem — Blue Preferred: $45,734.69
  • Anthem — Blue Priority: $34,732.80
  • Aurora Caregiver — Commercial: $33,609.04
  • Centivo — Commercial: $26,785.41
  • Cigna — PPO-GPPO: $41,481
  • Common Ground — Employee Trust Fund: $29,076.30
  • Common Ground — Envision: $29,076.30
  • Common Ground — Exchange: $29,076.30
  • Everpointe Elite — Commercial: $27,349.18
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $35,600.96 – $57,423.65
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates
  • Aetna — HMO: $35,600.96
  • Anthem — Blue Preferred: $57,423.65
  • Anthem — Blue Priority: $43,609.88
  • Aurora Caregiver — Commercial: $42,198.91
  • Centivo — Commercial: $49,151.96
  • Cigna — PPO-GPPO: $52,082.80
  • Common Ground — Employee Trust Fund: $43,550.69
  • Common Ground — Envision: $43,550.69
  • Common Ground — Exchange: $43,550.69
  • Everpointe Elite — Commercial: $41,031.78
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $18,026.05 – $29,075.67
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates
  • Aetna — HMO: $18,026.05
  • Anthem — Blue Preferred: $29,075.67
  • Anthem — Blue Priority: $22,081.25
  • Aurora Caregiver — Commercial: $21,366.83
  • Centivo — Commercial: $24,887.41
  • Cigna — PPO-GPPO: $26,371.40
  • Common Ground — Employee Trust Fund: $22,051.29
  • Common Ground — Envision: $22,051.29
  • Common Ground — Exchange: $22,051.29
  • Everpointe Elite — Commercial: $20,775.87

Source: Aurora Medical Center - Summit’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 21, 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 typeAcute Care Hospital
Address36500 Aurora Drive, Summit, WI 53066
CountyWaukesha County
StateWisconsin
Phone(262) 434‑1600
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number520206
Name in Medicare recordsAURORA MEDICAL CENTER - SUMMIT
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(262) 434‑1000[4]
Official websiteaurorahealthcare.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 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. Aurora Medical Center - Summit — aurorahealthcare.org
  2. Visitor information and amenities — aurorahealthcare.org
  3. Aurora Medical Center Summit Services & Specialties | Aurora Health Care — aurorahealthcare.org