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Acute Care Hospital

Baxter Health

Mountain Home, Arkansas · Baxter County · Emergency services listed

Baxter Health is an acute care hospital at 624 Hospital Drive, Mountain Home, AR 72653. Phone: (870) 508-1000. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked November 2, 2026).

Summary

Baxter Health is an acute care hospital in Mountain Home, Arkansas. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 29 services, specialties and programs. Medicare lists 418 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

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). 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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
268Beds (hospital website)
29Services listed

Quick answers

Does Baxter Health have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baxter Health. In a medical emergency, call 911.
Where is Baxter Health?
624 Hospital Drive, Mountain Home, AR 72653, in Baxter County, Arkansas.
What is the phone number of Baxter Health?
(870) 508-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Baxter Health?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Baxter Health for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Baxter Health under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4455; 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]

Treatments[4]

  • Alcohol and pain medication detox

Programs and centers[4]

  • Trauma team
  • Volunteer shuttle from parking lots

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

ParkingVolunteer shuttle from parking lots to the hospital, Mon-Fri 7 a.m.-3 p.m.; call (870) 421-4374[4]
Patient portalBaxter Health Patient Portal

Recognition[6]

  • Magnet Recognition (ANCC)

Doctors and clinicians (418)

418 doctors and other clinicians list Baxter Health 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 (418)

And 394 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 Mountain Home

  • Ozark Health54 mi · Clinton, AR · Critical Access Hospital

Hospitals in Baxter 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

  • Arcare0.5 mi · Mountain Home, AR · Community/retail pharmacy
  • Benham and Benham Inc0.5 mi · Mountain Home, AR · Community/retail pharmacy
  • Bryant Pharmacy0.5 mi · Mountain Home, AR · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What Baxter Health 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) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 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 Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well79%National average: 80%
“Always” got help as soon as they wanted60%National average: 64%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean64%National average: 73%
Completed surveys556Response rate: 25%

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)0.321No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.02No different from the national benchmark
Surgical site infections after colon surgery0.846No different from the national benchmark
MRSA bloodstream infections2.275No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.028No 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 patients11.4%
Deaths within 30 days: heart failure patients12.5%
Deaths within 30 days: pneumonia patients18.1%
Deaths within 30 days: COPD patients10.9%
Deaths within 30 days: stroke patients16.4%
Deaths within 30 days: coronary bypass surgery (CABG)2.5%
Serious complications (patient safety indicator PSI-90)1.11No different from the national rate
Complications after hip or knee replacement4.3%

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)16.4%
Readmitted within 30 days: heart attack14.1%
Readmitted within 30 days: heart failure21.7%
Readmitted within 30 days: pneumonia15.7%
Readmitted within 30 days: COPD19.1%
Readmitted within 30 days: coronary bypass surgery11.4%
Readmitted within 30 days: hip or knee replacement6.2%

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)183 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)57%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 Baxter Health, 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 Score-0.4455Lower 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 attack1.0924More readmissions than expected
Heart failure1.0098More readmissions than expected
Pneumonia1.0432More readmissions than expected
COPD (chronic lung disease)1.0863More readmissions than expected
Hip or knee replacement1.1658More readmissions than expected
Coronary bypass surgery (CABG)1.2015More readmissions than expected

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 Score31.92 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)23.33 out of 100
Person and community engagement (patient survey)51.00 out of 100
Safety (infections and sepsis care)43.33 out of 100
Efficiency and cost reduction (Medicare spending)10.00 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, ratio0.99Below 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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Baxter Health 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 61 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: New Patient Level 3 Pul $252.35 $151.41 $95.89 – $252.35
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — Aetna: $158.73
  • Cigna — Cigna: $176.64
  • Healthlink — Healthlink: $214.50
  • MEDIGAP — MEDIGAP: $252.35
  • Self Pay — Self Pay: $151.41
  • UHC — UHC: $95.89
  • WEB TPA — WEB TPA: $176.64
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit New Level Ii $252.35 $151.41 $151.41 – $252.35
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $158.73
  • Cigna — Cigna: $176.64
  • Healthlink — Healthlink: $214.50
  • MEDIGAP — MEDIGAP: $252.35
  • Self Pay — Self Pay: $151.41
  • WEB TPA — WEB TPA: $176.64
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient Level 3 Fairlamb $252.35 $151.41 $151.41 – $252.35
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $158.73
  • Cigna — Cigna: $176.64
  • Healthlink — Healthlink: $214.50
  • MEDIGAP — MEDIGAP: $252.35
  • Self Pay — Self Pay: $151.41
  • WEB TPA — WEB TPA: $176.64
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient Level 4 Pul $347.11 $208.27 $131.90 – $347.11
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Aetna: $218.33
  • Cigna — Cigna: $242.98
  • Healthlink — Healthlink: $295.04
  • MEDIGAP — MEDIGAP: $347.11
  • Self Pay — Self Pay: $208.27
  • UHC — UHC: $131.90
  • WEB TPA — WEB TPA: $242.98
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit New Level Iii $347.11 $208.27 $208.27 – $347.11
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $218.33
  • Cigna — Cigna: $242.98
  • Healthlink — Healthlink: $295.04
  • MEDIGAP — MEDIGAP: $347.11
  • Self Pay — Self Pay: $208.27
  • WEB TPA — WEB TPA: $242.98
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level Iv W/Procedure $347.11 $208.27 $208.27 – $347.11
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $218.33
  • Cigna — Cigna: $242.98
  • Healthlink — Healthlink: $295.04
  • MEDIGAP — MEDIGAP: $347.11
  • Self Pay — Self Pay: $208.27
  • WEB TPA — WEB TPA: $242.98
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient Level 5 Pul $468.65 $281.19 $178.09 – $468.65
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — Aetna: $294.78
  • Cigna — Cigna: $328.05
  • Healthlink — Healthlink: $398.35
  • MEDIGAP — MEDIGAP: $468.65
  • Self Pay — Self Pay: $281.19
  • UHC — UHC: $178.09
  • WEB TPA — WEB TPA: $328.05
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit New Level Iv $468.65 $281.19 $281.19 – $468.65
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $294.78
  • Cigna — Cigna: $328.05
  • Healthlink — Healthlink: $398.35
  • MEDIGAP — MEDIGAP: $468.65
  • Self Pay — Self Pay: $281.19
  • WEB TPA — WEB TPA: $328.05
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient Level 5 Fairlamb $468.65 $281.19 $281.19 – $468.65
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $294.78
  • Cigna — Cigna: $328.05
  • Healthlink — Healthlink: $398.35
  • MEDIGAP — MEDIGAP: $468.65
  • Self Pay — Self Pay: $281.19
  • WEB TPA — WEB TPA: $328.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 Pul $201.88 $121.13 $76.71 – $201.88
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — Aetna: $126.98
  • Cigna — Cigna: $141.32
  • Healthlink — Healthlink: $171.60
  • MEDIGAP — MEDIGAP: $201.88
  • Self Pay — Self Pay: $121.13
  • UHC — UHC: $76.71
  • WEB TPA — WEB TPA: $141.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Est Level Ii $201.88 $121.13 $121.13 – $201.88
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $126.98
  • Cigna — Cigna: $141.32
  • Healthlink — Healthlink: $171.60
  • MEDIGAP — MEDIGAP: $201.88
  • Self Pay — Self Pay: $121.13
  • WEB TPA — WEB TPA: $141.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Patient Level 3 Fairlamb $201.88 $121.13 $121.13 – $201.88
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $126.98
  • Cigna — Cigna: $141.32
  • Healthlink — Healthlink: $171.60
  • MEDIGAP — MEDIGAP: $201.88
  • Self Pay — Self Pay: $121.13
  • WEB TPA — WEB TPA: $141.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Est Level Iii $252.35 $151.41 $151.41 – $252.35
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $158.73
  • Cigna — Cigna: $176.64
  • Healthlink — Healthlink: $214.50
  • MEDIGAP — MEDIGAP: $252.35
  • Self Pay — Self Pay: $151.41
  • WEB TPA — WEB TPA: $176.64
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Patient Level 4 Fairlamb $252.35 $151.41 $151.41 – $252.35
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $158.73
  • Cigna — Cigna: $176.64
  • Healthlink — Healthlink: $214.50
  • MEDIGAP — MEDIGAP: $252.35
  • Self Pay — Self Pay: $151.41
  • WEB TPA — WEB TPA: $176.64
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level Iv W/Procedure $252.35 $151.41 $151.41 – $252.35
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Aetna — Aetna: $158.73
  • Cigna — Cigna: $176.64
  • Healthlink — Healthlink: $214.50
  • MEDIGAP — MEDIGAP: $252.35
  • Self Pay — Self Pay: $151.41
  • WEB TPA — WEB TPA: $176.64
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Level 4 $314.15 $188.49 $188.49 – $314.15
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
  • Aetna — Aetna: $197.60
  • Cigna — Cigna: $219.90
  • Healthlink — Healthlink: $267.03
  • MEDIGAP — MEDIGAP: $314.15
  • Self Pay — Self Pay: $188.49
  • VA (MCR) — VA (MCR): $314.15
  • WEB TPA — WEB TPA: $219.90
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Consult Level 4 $314.15 $188.49 $188.49 – $314.15
Office consultation with a specialist (moderate to high): rates for 4 insurance plans
  • Aetna — Aetna: $197.60
  • Healthlink — Healthlink: $267.03
  • MEDIGAP — MEDIGAP: $314.15
  • Self Pay — Self Pay: $188.49
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt-Wellness Exam Age 18-39 $216.30 $129.78 $129.78 – $216.30
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans
  • Aetna — Aetna: $136.05
  • Cigna — Cigna: $151.41
  • Healthlink — Healthlink: $183.86
  • MEDIGAP — MEDIGAP: $216.30
  • Self Pay — Self Pay: $129.78
  • VA (MCR) — VA (MCR): $216.30
  • WEB TPA — WEB TPA: $151.41
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: New Pt-Wellness Exam Age 18-39 $216.30 $129.78 $129.78 – $216.30
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Aetna — Aetna: $136.05
  • Healthlink — Healthlink: $183.86
  • MEDIGAP — MEDIGAP: $216.30
  • Self Pay — Self Pay: $129.78
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt-Wellness Exam Age 40-64 $254.41 $152.65 $152.65 – $254.41
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans
  • Aetna — Aetna: $160.02
  • Cigna — Cigna: $178.09
  • Healthlink — Healthlink: $216.25
  • MEDIGAP — MEDIGAP: $254.41
  • Self Pay — Self Pay: $152.65
  • VA (MCR) — VA (MCR): $254.41
  • WEB TPA — WEB TPA: $178.09
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: New Pt-Wellness Exam Age 40-64 $254.41 $152.65 $152.65 – $254.41
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Aetna — Aetna: $160.02
  • Healthlink — Healthlink: $216.25
  • MEDIGAP — MEDIGAP: $254.41
  • Self Pay — Self Pay: $152.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Level Iii $825 $495 $495 – $867
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — Aetna: $518.92
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $272.85
  • Ambetter (MCR) — Ambetter (MCR): $370.86
  • BCBS Medicare — BCBS Medicare: $280.79
  • Cigna — Cigna: $577.50
  • Healthlink — Healthlink: $701.25
  • Humana Medicare — Humana Medicare: $278.14
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $264.90
  • MEDIGAP — MEDIGAP: $825
  • Self Pay — Self Pay: $495
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Er Level Iii $825 $495 $495 – $825
Emergency room visit (moderate): rates for 4 insurance plans
  • Aetna — Aetna: $518.92
  • Healthlink — Healthlink: $701.25
  • MEDIGAP — MEDIGAP: $825
  • Self Pay — Self Pay: $495
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Level Iv $1,075 $645 $645 – $1,267
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — Aetna: $676.17
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $417.06
  • Ambetter (MCR) — Ambetter (MCR): $566.87
  • BCBS Medicare — BCBS Medicare: $429.20
  • Cigna — Cigna: $752.50
  • Healthlink — Healthlink: $913.75
  • Humana Medicare — Humana Medicare: $425.16
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $404.91
  • MEDIGAP — MEDIGAP: $1,075
  • Self Pay — Self Pay: $645
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Er Level Iv $1,075 $645 $645 – $1,075
Emergency room visit (moderately high): rates for 4 insurance plans
  • Aetna — Aetna: $676.17
  • Healthlink — Healthlink: $913.75
  • MEDIGAP — MEDIGAP: $1,075
  • Self Pay — Self Pay: $645
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Level V $1,325 $795 $795 – $1,583
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — Aetna: $833.42
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $595.24
  • Ambetter (MCR) — Ambetter (MCR): $809.06
  • BCBS Medicare — BCBS Medicare: $612.57
  • Cigna — Cigna: $927.50
  • Healthlink — Healthlink: $1,126.25
  • Humana Medicare — Humana Medicare: $606.79
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $577.90
  • MEDIGAP — MEDIGAP: $1,325
  • Self Pay — Self Pay: $795
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Er Level V $1,325 $795 $795 – $1,325
Emergency room visit (high): rates for 4 insurance plans
  • Aetna — Aetna: $833.42
  • Healthlink — Healthlink: $1,126.25
  • MEDIGAP — MEDIGAP: $1,325
  • Self Pay — Self Pay: $795

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 $89 $53.40 $8.46 – $89
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Aetna: $55.98
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8.71
  • Ambetter (MCR) — Ambetter (MCR): $11.84
  • BCBS Medicare — BCBS Medicare: $8.97
  • Cigna — Cigna: $62.30
  • Healthlink — Healthlink: $75.65
  • Humana Medicare — Humana Medicare: $8.88
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $8.46
  • MEDIGAP — MEDIGAP: $89
  • Self Pay — Self Pay: $53.40
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $89 $53.40 $53.40 – $89
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Aetna: $55.98
  • Healthlink — Healthlink: $75.65
  • MEDIGAP — MEDIGAP: $89
  • Self Pay — Self Pay: $53.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $113 $67.80 $10.56 – $113
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Aetna: $71.08
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $10.88
  • Ambetter (MCR) — Ambetter (MCR): $14.78
  • BCBS Medicare — BCBS Medicare: $11.19
  • Cigna — Cigna: $79.10
  • Healthlink — Healthlink: $96.05
  • Humana Medicare — Humana Medicare: $11.09
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $10.56
  • MEDIGAP — MEDIGAP: $113
  • Self Pay — Self Pay: $67.80
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $113 $67.80 $67.80 – $113
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Aetna: $71.08
  • Healthlink — Healthlink: $96.05
  • MEDIGAP — MEDIGAP: $113
  • Self Pay — Self Pay: $67.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * Obstetric Panel $171 $102.60 $47.81 – $171
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna — Aetna: $107.56
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $49.24
  • Ambetter (MCR) — Ambetter (MCR): $66.93
  • BCBS Medicare — BCBS Medicare: $50.68
  • Cigna — Cigna: $119.70
  • Healthlink — Healthlink: $145.35
  • Humana Medicare — Humana Medicare: $50.20
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $47.81
  • MEDIGAP — MEDIGAP: $171
  • Self Pay — Self Pay: $102.60
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: * Obstetric Panel $171 $102.60 $102.60 – $171
Obstetric blood test panel: rates for 4 insurance plans
  • Aetna — Aetna: $107.56
  • Healthlink — Healthlink: $145.35
  • MEDIGAP — MEDIGAP: $171
  • Self Pay — Self Pay: $102.60
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * Lipid Panel $132 $79.20 $13.39 – $132
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — Aetna: $83.03
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $13.79
  • Ambetter (MCR) — Ambetter (MCR): $18.75
  • BCBS Medicare — BCBS Medicare: $14.19
  • Cigna — Cigna: $92.40
  • Healthlink — Healthlink: $112.20
  • Humana Medicare — Humana Medicare: $14.06
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $13.39
  • MEDIGAP — MEDIGAP: $132
  • Self Pay — Self Pay: $79.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel Reflex Direct Ldl $132 $79.20 $13.39 – $132
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — Aetna: $83.03
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $13.79
  • Ambetter (MCR) — Ambetter (MCR): $18.75
  • BCBS Medicare — BCBS Medicare: $14.19
  • Cigna — Cigna: $92.40
  • Healthlink — Healthlink: $112.20
  • Humana Medicare — Humana Medicare: $14.06
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $13.39
  • MEDIGAP — MEDIGAP: $132
  • Self Pay — Self Pay: $79.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: * Lipid Panel $132 $79.20 $79.20 – $132
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Aetna — Aetna: $83.03
  • Healthlink — Healthlink: $112.20
  • MEDIGAP — MEDIGAP: $132
  • Self Pay — Self Pay: $79.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Panel $94 $56.40 $8.68 – $94
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — Aetna: $59.13
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8.94
  • Ambetter (MCR) — Ambetter (MCR): $12.15
  • BCBS Medicare — BCBS Medicare: $9.20
  • Cigna — Cigna: $65.80
  • Healthlink — Healthlink: $79.90
  • Humana Medicare — Humana Medicare: $9.11
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $8.68
  • MEDIGAP — MEDIGAP: $94
  • Self Pay — Self Pay: $56.40
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Panel $94 $56.40 $56.40 – $94
Kidney function panel: rates for 4 insurance plans
  • Aetna — Aetna: $59.13
  • Healthlink — Healthlink: $79.90
  • MEDIGAP — MEDIGAP: $94
  • Self Pay — Self Pay: $56.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $107 $64.20 $8.17 – $107
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — Aetna: $67.30
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8.42
  • Ambetter (MCR) — Ambetter (MCR): $11.44
  • BCBS Medicare — BCBS Medicare: $8.66
  • Cigna — Cigna: $74.90
  • Healthlink — Healthlink: $90.95
  • Humana Medicare — Humana Medicare: $8.58
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $8.17
  • MEDIGAP — MEDIGAP: $107
  • Self Pay — Self Pay: $64.20
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $107 $64.20 $64.20 – $107
Liver function panel: rates for 4 insurance plans
  • Aetna — Aetna: $67.30
  • Healthlink — Healthlink: $90.95
  • MEDIGAP — MEDIGAP: $107
  • Self Pay — Self Pay: $64.20
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis W/Micro $42 $25.20 $3.17 – $42
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $26.42
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $3.27
  • Ambetter (MCR) — Ambetter (MCR): $4.44
  • BCBS Medicare — BCBS Medicare: $3.36
  • Cigna — Cigna: $29.40
  • Healthlink — Healthlink: $35.70
  • Humana Medicare — Humana Medicare: $3.33
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $3.17
  • MEDIGAP — MEDIGAP: $42
  • Self Pay — Self Pay: $25.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis W/Micro $42 $25.20 $25.20 – $42
Urine test (automated, with microscope): rates for 4 insurance plans
  • Aetna — Aetna: $26.42
  • Healthlink — Healthlink: $35.70
  • MEDIGAP — MEDIGAP: $42
  • Self Pay — Self Pay: $25.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Poct-Urine Nonauto W/O Micro $26 $15.60 $3.48 – $26
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $16.35
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $3.58
  • Ambetter (MCR) — Ambetter (MCR): $4.87
  • BCBS Medicare — BCBS Medicare: $3.69
  • Cigna — Cigna: $18.20
  • Healthlink — Healthlink: $22.10
  • Humana Medicare — Humana Medicare: $3.65
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $3.48
  • MEDIGAP — MEDIGAP: $26
  • Self Pay — Self Pay: $15.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Poct-Ph Body Fluid $26 $15.60 $3.48 – $26
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $16.35
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $3.58
  • Ambetter (MCR) — Ambetter (MCR): $4.87
  • BCBS Medicare — BCBS Medicare: $3.69
  • Cigna — Cigna: $18.20
  • Healthlink — Healthlink: $22.10
  • Humana Medicare — Humana Medicare: $3.65
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $3.48
  • MEDIGAP — MEDIGAP: $26
  • Self Pay — Self Pay: $15.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mel Urinalysis $15 $9 $3.48 – $15
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $9.44
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $3.58
  • Ambetter (MCR) — Ambetter (MCR): $4.87
  • BCBS Medicare — BCBS Medicare: $3.69
  • Cigna — Cigna: $10.50
  • Healthlink — Healthlink: $12.75
  • Humana Medicare — Humana Medicare: $3.65
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $3.48
  • MEDIGAP — MEDIGAP: $15
  • Self Pay — Self Pay: $9
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ph $29 $17.40 $2.25 – $29
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $18.24
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $2.32
  • Ambetter (MCR) — Ambetter (MCR): $3.15
  • BCBS Medicare — BCBS Medicare: $2.39
  • Cigna — Cigna: $20.30
  • Healthlink — Healthlink: $24.65
  • Humana Medicare — Humana Medicare: $2.36
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $2.25
  • MEDIGAP — MEDIGAP: $29
  • Self Pay — Self Pay: $17.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * Urinalysis Auto W/O Micro $29 $17.40 $2.25 – $29
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $18.24
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $2.32
  • Ambetter (MCR) — Ambetter (MCR): $3.15
  • BCBS Medicare — BCBS Medicare: $2.39
  • Cigna — Cigna: $20.30
  • Healthlink — Healthlink: $24.65
  • Humana Medicare — Humana Medicare: $2.36
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $2.25
  • MEDIGAP — MEDIGAP: $29
  • Self Pay — Self Pay: $17.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ua Machine $29 $17.40 $2.25 – $29
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna — Aetna: $18.24
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $2.32
  • Ambetter (MCR) — Ambetter (MCR): $3.15
  • BCBS Medicare — BCBS Medicare: $2.39
  • Cigna — Cigna: $20.30
  • Healthlink — Healthlink: $24.65
  • Humana Medicare — Humana Medicare: $2.36
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $2.25
  • MEDIGAP — MEDIGAP: $29
  • Self Pay — Self Pay: $17.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * Psa Total $79 $47.40 $18.39 – $79
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — Aetna: $49.69
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $18.94
  • Ambetter (MCR) — Ambetter (MCR): $25.75
  • BCBS Medicare — BCBS Medicare: $19.49
  • Cigna — Cigna: $55.30
  • Healthlink — Healthlink: $67.15
  • Humana Medicare — Humana Medicare: $19.31
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $18.39
  • MEDIGAP — MEDIGAP: $79
  • Self Pay — Self Pay: $47.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: * Psa Total $79 $47.40 $47.40 – $79
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • Aetna — Aetna: $49.69
  • Healthlink — Healthlink: $67.15
  • MEDIGAP — MEDIGAP: $79
  • Self Pay — Self Pay: $47.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * TSH 3rd GENERATION $123 $73.80 $16.80 – $123
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — Aetna: $77.37
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $17.30
  • Ambetter (MCR) — Ambetter (MCR): $23.52
  • BCBS Medicare — BCBS Medicare: $17.81
  • Cigna — Cigna: $86.10
  • Healthlink — Healthlink: $104.55
  • Humana Medicare — Humana Medicare: $17.64
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $16.80
  • MEDIGAP — MEDIGAP: $123
  • Self Pay — Self Pay: $73.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clr Tsh $123 $73.80 $16.80 – $123
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — Aetna: $77.37
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $17.30
  • Ambetter (MCR) — Ambetter (MCR): $23.52
  • BCBS Medicare — BCBS Medicare: $17.81
  • Cigna — Cigna: $86.10
  • Healthlink — Healthlink: $104.55
  • Humana Medicare — Humana Medicare: $17.64
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $16.80
  • MEDIGAP — MEDIGAP: $123
  • Self Pay — Self Pay: $73.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh (Thyroid Stimulating Hormo $123 $73.80 $16.80 – $123
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — Aetna: $77.37
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $17.30
  • Ambetter (MCR) — Ambetter (MCR): $23.52
  • BCBS Medicare — BCBS Medicare: $17.81
  • Cigna — Cigna: $86.10
  • Healthlink — Healthlink: $104.55
  • Humana Medicare — Humana Medicare: $17.64
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $16.80
  • MEDIGAP — MEDIGAP: $123
  • Self Pay — Self Pay: $73.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mel Cbc W/ Auto Diff $25 $15 $7.77 – $25
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — Aetna: $15.72
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8
  • Ambetter (MCR) — Ambetter (MCR): $10.88
  • BCBS Medicare — BCBS Medicare: $8.24
  • Cigna — Cigna: $17.50
  • Healthlink — Healthlink: $21.25
  • Humana Medicare — Humana Medicare: $8.16
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $7.77
  • MEDIGAP — MEDIGAP: $25
  • Self Pay — Self Pay: $15
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc W Auto Diff $53.56 $32.14 $7.77 – $53.56
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — Aetna: $33.69
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8
  • Ambetter (MCR) — Ambetter (MCR): $10.88
  • BCBS Medicare — BCBS Medicare: $8.24
  • Cigna — Cigna: $37.49
  • Healthlink — Healthlink: $45.53
  • Humana Medicare — Humana Medicare: $8.16
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $7.77
  • MEDIGAP — MEDIGAP: $53.56
  • Self Pay — Self Pay: $32.14
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc W/ Auto Diff $83 $49.80 $7.77 – $83
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — Aetna: $52.21
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8
  • Ambetter (MCR) — Ambetter (MCR): $10.88
  • BCBS Medicare — BCBS Medicare: $8.24
  • Cigna — Cigna: $58.10
  • Healthlink — Healthlink: $70.55
  • Humana Medicare — Humana Medicare: $8.16
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $7.77
  • MEDIGAP — MEDIGAP: $83
  • Self Pay — Self Pay: $49.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc Automated $66 $39.60 $6.47 – $66
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — Aetna: $41.51
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $6.66
  • Ambetter (MCR) — Ambetter (MCR): $9.06
  • BCBS Medicare — BCBS Medicare: $6.86
  • Cigna — Cigna: $46.20
  • Healthlink — Healthlink: $56.10
  • Humana Medicare — Humana Medicare: $6.79
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $6.47
  • MEDIGAP — MEDIGAP: $66
  • Self Pay — Self Pay: $39.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc W/O Diff $66 $39.60 $6.47 – $66
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — Aetna: $41.51
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $6.66
  • Ambetter (MCR) — Ambetter (MCR): $9.06
  • BCBS Medicare — BCBS Medicare: $6.86
  • Cigna — Cigna: $46.20
  • Healthlink — Healthlink: $56.10
  • Humana Medicare — Humana Medicare: $6.79
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $6.47
  • MEDIGAP — MEDIGAP: $66
  • Self Pay — Self Pay: $39.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clr Cbc Reflex $9 $5.40 $5.40 – $9.06
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — Aetna: $5.66
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $6.66
  • Ambetter (MCR) — Ambetter (MCR): $9.06
  • BCBS Medicare — BCBS Medicare: $6.86
  • Cigna — Cigna: $6.30
  • Healthlink — Healthlink: $7.65
  • Humana Medicare — Humana Medicare: $6.79
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $6.47
  • MEDIGAP — MEDIGAP: $9
  • Self Pay — Self Pay: $5.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Poct Pt $44 $26.40 $4.29 – $44
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — Aetna: $27.68
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $4.42
  • Ambetter (MCR) — Ambetter (MCR): $6.01
  • BCBS Medicare — BCBS Medicare: $4.55
  • Cigna — Cigna: $30.80
  • Healthlink — Healthlink: $37.40
  • Humana Medicare — Humana Medicare: $4.50
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $4.29
  • MEDIGAP — MEDIGAP: $44
  • Self Pay — Self Pay: $26.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mel Pt (Prothrombin Time) $25 $15 $4.29 – $25
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — Aetna: $15.72
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $4.42
  • Ambetter (MCR) — Ambetter (MCR): $6.01
  • BCBS Medicare — BCBS Medicare: $4.55
  • Cigna — Cigna: $17.50
  • Healthlink — Healthlink: $21.25
  • Humana Medicare — Humana Medicare: $4.50
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $4.29
  • MEDIGAP — MEDIGAP: $25
  • Self Pay — Self Pay: $15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fam Inr $25 $15 $4.29 – $25
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — Aetna: $15.72
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $4.42
  • Ambetter (MCR) — Ambetter (MCR): $6.01
  • BCBS Medicare — BCBS Medicare: $4.55
  • Cigna — Cigna: $17.50
  • Healthlink — Healthlink: $21.25
  • Humana Medicare — Humana Medicare: $4.50
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $4.29
  • MEDIGAP — MEDIGAP: $25
  • Self Pay — Self Pay: $15
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * Ptt La Screen $61 $36.60 $6.01 – $61
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — Aetna: $38.37
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $6.19
  • Ambetter (MCR) — Ambetter (MCR): $8.41
  • BCBS Medicare — BCBS Medicare: $6.37
  • Cigna — Cigna: $42.70
  • Healthlink — Healthlink: $51.85
  • Humana Medicare — Humana Medicare: $6.31
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $6.01
  • MEDIGAP — MEDIGAP: $61
  • Self Pay — Self Pay: $36.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: * Ptt-D Ref To Heparin If Ind $61 $36.60 $6.01 – $61
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — Aetna: $38.37
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $6.19
  • Ambetter (MCR) — Ambetter (MCR): $8.41
  • BCBS Medicare — BCBS Medicare: $6.37
  • Cigna — Cigna: $42.70
  • Healthlink — Healthlink: $51.85
  • Humana Medicare — Humana Medicare: $6.31
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $6.01
  • MEDIGAP — MEDIGAP: $61
  • Self Pay — Self Pay: $36.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clr Ptt $9 $5.40 $5.40 – $9
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — Aetna: $5.66
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $6.19
  • Ambetter (MCR) — Ambetter (MCR): $8.41
  • BCBS Medicare — BCBS Medicare: $6.37
  • Cigna — Cigna: $6.30
  • Healthlink — Healthlink: $7.65
  • Humana Medicare — Humana Medicare: $6.31
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $6.01
  • MEDIGAP — MEDIGAP: $9
  • Self Pay — Self Pay: $5.40

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/Brain Without Contrast $808 $484.80 $130.76 – $808
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $508.23
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $565.60
  • Healthlink — Healthlink: $686.80
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $808
  • Self Pay — Self Pay: $484.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ct Head/Brain Without Contrast $808 $484.80 $484.80 – $808
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Aetna — Aetna: $508.23
  • Healthlink — Healthlink: $686.80
  • MEDIGAP — MEDIGAP: $808
  • Self Pay — Self Pay: $484.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ct Head/Brain Without Contrast $228 $136.80 $130.76 – $228
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $143.41
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $159.60
  • Healthlink — Healthlink: $193.80
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $228
  • Self Pay — Self Pay: $136.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mr Brain W/ W/O Contrast $2,789 $1,673.40 $441.74 – $2,789
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,754.28
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $348.70
  • Ambetter (MCR) — Ambetter (MCR): $473.96
  • BCBS Medicare — BCBS Medicare: $358.85
  • Cigna — Cigna: $1,952.30
  • Healthlink — Healthlink: $2,370.65
  • Humana Medicare — Humana Medicare: $355.47
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $338.54
  • MEDIGAP — MEDIGAP: $2,789
  • Self Pay — Self Pay: $1,673.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mr Brain With And Without Cont $2,789 $1,673.40 $441.74 – $2,789
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,754.28
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $348.70
  • Ambetter (MCR) — Ambetter (MCR): $473.96
  • BCBS Medicare — BCBS Medicare: $358.85
  • Cigna — Cigna: $1,952.30
  • Healthlink — Healthlink: $2,370.65
  • Humana Medicare — Humana Medicare: $355.47
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $338.54
  • MEDIGAP — MEDIGAP: $2,789
  • Self Pay — Self Pay: $1,673.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mr Brain W/ W/O Contrast $2,789 $1,673.40 $1,673.40 – $2,789
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • Aetna — Aetna: $1,754.28
  • Healthlink — Healthlink: $2,370.65
  • MEDIGAP — MEDIGAP: $2,789
  • Self Pay — Self Pay: $1,673.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest 2 View $204 $122.40 $97.08 – $204
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Aetna — Aetna: $128.32
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $86.98
  • Ambetter (MCR) — Ambetter (MCR): $118.23
  • BCBS Medicare — BCBS Medicare: $89.52
  • Cigna — Cigna: $142.80
  • Healthlink — Healthlink: $173.40
  • Humana Medicare — Humana Medicare: $88.67
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $84.45
  • MEDIGAP — MEDIGAP: $204
  • Self Pay — Self Pay: $122.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST PA/LAT w FLUOROSCOPY $204 $122.40 $97.08 – $204
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Aetna — Aetna: $128.32
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $86.98
  • Ambetter (MCR) — Ambetter (MCR): $118.23
  • BCBS Medicare — BCBS Medicare: $89.52
  • Cigna — Cigna: $142.80
  • Healthlink — Healthlink: $173.40
  • Humana Medicare — Humana Medicare: $88.67
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $84.45
  • MEDIGAP — MEDIGAP: $204
  • Self Pay — Self Pay: $122.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lateral Decubitis Chest View $204 $122.40 $97.08 – $204
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Aetna — Aetna: $128.32
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $86.98
  • Ambetter (MCR) — Ambetter (MCR): $118.23
  • BCBS Medicare — BCBS Medicare: $89.52
  • Cigna — Cigna: $142.80
  • Healthlink — Healthlink: $173.40
  • Humana Medicare — Humana Medicare: $88.67
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $84.45
  • MEDIGAP — MEDIGAP: $204
  • Self Pay — Self Pay: $122.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xray Lumbar Spine $140.08 $84.05 $84.05 – $140.08
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • Aetna — Aetna: $88.11
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $98.06
  • Healthlink — Healthlink: $119.07
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $140.08
  • Self Pay — Self Pay: $84.05
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbar Spine 4 Or More Views $385 $231 $130.76 – $385
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • Aetna — Aetna: $242.16
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $269.50
  • Healthlink — Healthlink: $327.25
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $385
  • Self Pay — Self Pay: $231
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Xray Lumbar Spine $140.08 $84.05 $84.05 – $140.08
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • Aetna — Aetna: $88.11
  • Healthlink — Healthlink: $119.07
  • MEDIGAP — MEDIGAP: $140.08
  • Self Pay — Self Pay: $84.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mr Lumbar Spine W/O Contrast $1,835 $1,101 $276.16 – $1,835
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,154.21
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $238.49
  • Ambetter (MCR) — Ambetter (MCR): $324.16
  • BCBS Medicare — BCBS Medicare: $245.43
  • Cigna — Cigna: $1,284.50
  • Healthlink — Healthlink: $1,559.75
  • Humana Medicare — Humana Medicare: $243.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $231.54
  • MEDIGAP — MEDIGAP: $1,835
  • Self Pay — Self Pay: $1,101
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mr Lumbar Spine Without Contra $1,835 $1,101 $276.16 – $1,835
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,154.21
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $238.49
  • Ambetter (MCR) — Ambetter (MCR): $324.16
  • BCBS Medicare — BCBS Medicare: $245.43
  • Cigna — Cigna: $1,284.50
  • Healthlink — Healthlink: $1,559.75
  • Humana Medicare — Humana Medicare: $243.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $231.54
  • MEDIGAP — MEDIGAP: $1,835
  • Self Pay — Self Pay: $1,101
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mr Lumbar Spine W/O Contrast $1,835 $1,101 $1,101 – $1,835
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • Aetna — Aetna: $1,154.21
  • Healthlink — Healthlink: $1,559.75
  • MEDIGAP — MEDIGAP: $1,835
  • Self Pay — Self Pay: $1,101
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct Pelvis With Contrast $1,172 $703.20 $214.26 – $1,172
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $737.19
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $175.32
  • Ambetter (MCR) — Ambetter (MCR): $238.29
  • BCBS Medicare — BCBS Medicare: $180.42
  • Cigna — Cigna: $820.40
  • Healthlink — Healthlink: $996.20
  • Humana Medicare — Humana Medicare: $178.72
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $170.21
  • MEDIGAP — MEDIGAP: $1,172
  • Self Pay — Self Pay: $703.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ct Pelvis With Contrast $1,172 $703.20 $703.20 – $1,172
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • Aetna — Aetna: $737.19
  • Healthlink — Healthlink: $996.20
  • MEDIGAP — MEDIGAP: $1,172
  • Self Pay — Self Pay: $703.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ct Pelvis With Contrast $586 $351.60 $214.26 – $586
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $368.59
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $175.32
  • Ambetter (MCR) — Ambetter (MCR): $238.29
  • BCBS Medicare — BCBS Medicare: $180.42
  • Cigna — Cigna: $410.20
  • Healthlink — Healthlink: $498.10
  • Humana Medicare — Humana Medicare: $178.72
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $170.21
  • MEDIGAP — MEDIGAP: $586
  • Self Pay — Self Pay: $351.60
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 Extremity Joint W/O C $1,835 $1,101 $276.16 – $1,835
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,154.21
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $238.49
  • Ambetter (MCR) — Ambetter (MCR): $324.16
  • BCBS Medicare — BCBS Medicare: $245.43
  • Cigna — Cigna: $1,284.50
  • Healthlink — Healthlink: $1,559.75
  • Humana Medicare — Humana Medicare: $243.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $231.54
  • MEDIGAP — MEDIGAP: $1,835
  • Self Pay — Self Pay: $1,101
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 Extremity Joint Witho $1,835 $1,101 $276.16 – $1,835
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,154.21
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $238.49
  • Ambetter (MCR) — Ambetter (MCR): $324.16
  • BCBS Medicare — BCBS Medicare: $245.43
  • Cigna — Cigna: $1,284.50
  • Healthlink — Healthlink: $1,559.75
  • Humana Medicare — Humana Medicare: $243.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $231.54
  • MEDIGAP — MEDIGAP: $1,835
  • Self Pay — Self Pay: $1,101
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mr Lower Extremity Joint W/O C $1,835 $1,101 $1,101 – $1,835
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Aetna — Aetna: $1,154.21
  • Healthlink — Healthlink: $1,559.75
  • MEDIGAP — MEDIGAP: $1,835
  • Self Pay — Self Pay: $1,101
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/ Contrast $1,717 $1,030.20 $441.74 – $1,717
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,079.99
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $348.70
  • Ambetter (MCR) — Ambetter (MCR): $473.96
  • BCBS Medicare — BCBS Medicare: $358.85
  • Cigna — Cigna: $1,201.90
  • Healthlink — Healthlink: $1,459.45
  • Humana Medicare — Humana Medicare: $355.47
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $338.54
  • MEDIGAP — MEDIGAP: $1,717
  • Self Pay — Self Pay: $1,030.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ct Abdomen/Pelvis W/ Contrast $1,717 $1,030.20 $1,030.20 – $1,717
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • Aetna — Aetna: $1,079.99
  • Healthlink — Healthlink: $1,459.45
  • MEDIGAP — MEDIGAP: $1,717
  • Self Pay — Self Pay: $1,030.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ct Abdomen/Pelvis W/ Contrast $735 $441 $441 – $735
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $462.31
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $348.70
  • Ambetter (MCR) — Ambetter (MCR): $473.96
  • BCBS Medicare — BCBS Medicare: $358.85
  • Cigna — Cigna: $514.50
  • Healthlink — Healthlink: $624.75
  • Humana Medicare — Humana Medicare: $355.47
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $338.54
  • MEDIGAP — MEDIGAP: $735
  • Self Pay — Self Pay: $441
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound Abdomen Complete $565 $339 $130.76 – $565
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — Aetna: $355.38
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $395.50
  • Healthlink — Healthlink: $480.25
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $565
  • Self Pay — Self Pay: $339
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us Exam Abdom Complete $75 $45 $45 – $130.76
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — Aetna: $47.17
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $52.50
  • Healthlink — Healthlink: $63.75
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $75
  • Self Pay — Self Pay: $45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ultrasound Abdomen Complete $565 $339 $339 – $565
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • Aetna — Aetna: $355.38
  • Healthlink — Healthlink: $480.25
  • MEDIGAP — MEDIGAP: $565
  • Self Pay — Self Pay: $339
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob Us >= 14 Wks Sngl Fetus $429 $257.40 $130.76 – $429
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — Aetna: $269.84
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $300.30
  • Healthlink — Healthlink: $364.65
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $429
  • Self Pay — Self Pay: $257.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound Pregnancy Complete $429 $257.40 $130.76 – $429
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — Aetna: $269.84
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $300.30
  • Healthlink — Healthlink: $364.65
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $429
  • Self Pay — Self Pay: $257.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ob Us >= 14 Wks Sngl Fetus $429 $257.40 $257.40 – $429
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Aetna — Aetna: $269.84
  • Healthlink — Healthlink: $364.65
  • MEDIGAP — MEDIGAP: $429
  • Self Pay — Self Pay: $257.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound Pelvis Transvaginal $505 $303 $130.76 – $505
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — Aetna: $317.64
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $104.49
  • Ambetter (MCR) — Ambetter (MCR): $142.03
  • BCBS Medicare — BCBS Medicare: $107.54
  • Cigna — Cigna: $353.50
  • Healthlink — Healthlink: $429.25
  • Humana Medicare — Humana Medicare: $106.52
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $101.45
  • MEDIGAP — MEDIGAP: $505
  • Self Pay — Self Pay: $303
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ultrasound Pelvis Transvaginal $505 $303 $303 – $505
Transvaginal ultrasound: rates for 4 insurance plans
  • Aetna — Aetna: $317.64
  • Healthlink — Healthlink: $429.25
  • MEDIGAP — MEDIGAP: $505
  • Self Pay — Self Pay: $303
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG w-w/o CAD UNILAT $335 $201 $73.91 – $335
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Aetna: $210.72
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $76.13
  • Ambetter (MCR) — Ambetter (MCR): $103.47
  • BCBS Medicare — BCBS Medicare: $78.34
  • Cigna — Cigna: $234.50
  • Healthlink — Healthlink: $284.75
  • Humana Medicare — Humana Medicare: $77.61
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $73.91
  • MEDIGAP — MEDIGAP: $335
  • Self Pay — Self Pay: $201
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIAG w-w/o CAD UNILAT $335 $201 $201 – $335
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Aetna — Aetna: $210.72
  • Healthlink — Healthlink: $284.75
  • MEDIGAP — MEDIGAP: $335
  • Self Pay — Self Pay: $201
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG w-w/o CAD BILAT $415 $249 $94.74 – $415
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Aetna: $261.04
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $97.58
  • Ambetter (MCR) — Ambetter (MCR): $132.64
  • BCBS Medicare — BCBS Medicare: $100.42
  • Cigna — Cigna: $290.50
  • Healthlink — Healthlink: $352.75
  • Humana Medicare — Humana Medicare: $99.48
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $94.74
  • MEDIGAP — MEDIGAP: $415
  • Self Pay — Self Pay: $249
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIAG w-w/o CAD BILAT $415 $249 $249 – $415
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Aetna: $261.04
  • Healthlink — Healthlink: $352.75
  • MEDIGAP — MEDIGAP: $415
  • Self Pay — Self Pay: $249
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN MAMMO MOBILE w-w/o CAD $364 $218.40 $78.21 – $364
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Aetna: $228.96
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $80.56
  • Ambetter (MCR) — Ambetter (MCR): $109.49
  • BCBS Medicare — BCBS Medicare: $82.90
  • Cigna — Cigna: $254.80
  • Healthlink — Healthlink: $309.40
  • Humana Medicare — Humana Medicare: $82.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $78.21
  • MEDIGAP — MEDIGAP: $364
  • Self Pay — Self Pay: $218.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN w-w/o CAD BILAT $364 $218.40 $78.21 – $364
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Aetna: $228.96
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $80.56
  • Ambetter (MCR) — Ambetter (MCR): $109.49
  • BCBS Medicare — BCBS Medicare: $82.90
  • Cigna — Cigna: $254.80
  • Healthlink — Healthlink: $309.40
  • Humana Medicare — Humana Medicare: $82.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $78.21
  • MEDIGAP — MEDIGAP: $364
  • Self Pay — Self Pay: $218.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCREEN MAMMO MOBILE w-w/o CAD $364 $218.40 $218.40 – $364
Screening mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Aetna: $228.96
  • Healthlink — Healthlink: $309.40
  • MEDIGAP — MEDIGAP: $364
  • Self Pay — Self Pay: $218.40

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram, Cmplt Idc $43.26 $25.96 $25.96 – $208
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans
  • Aetna — Aetna: $27.21
  • Cigna — Cigna: $30.28
  • Healthlink — Healthlink: $36.77
  • MEDIGAP — MEDIGAP: $43.26
  • Self Pay — Self Pay: $25.96
  • UHC — UHC: $208
  • VA (MCR) — VA (MCR): $43.26
  • WEB TPA — WEB TPA: $30.28
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Electrocardiogram, Cmplt Idc $43.26 $25.96 $25.96 – $43.26
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans
  • Aetna — Aetna: $27.21
  • Healthlink — Healthlink: $36.77
  • MEDIGAP — MEDIGAP: $43.26
  • Self Pay — Self Pay: $25.96
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HEART CATH w INJ & IMAGNG $6,564 $3,938.40 $3,938.40 – $6,564
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $4,128.76
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $3,240.32
  • Ambetter (MCR) — Ambetter (MCR): $4,404.32
  • BCBS Medicare — BCBS Medicare: $3,334.70
  • Cigna — Cigna: $4,594.80
  • Healthlink — Healthlink: $5,579.40
  • Humana Medicare — Humana Medicare: $3,303.24
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $3,145.94
  • MEDIGAP — MEDIGAP: $6,564
  • Self Pay — Self Pay: $3,938.40
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HEART CATH w INJ & IMAGNG $6,564 $3,938.40 $3,938.40 – $6,564
Left heart catheterization (diagnostic): rates for 4 insurance plans
  • Aetna — Aetna: $4,128.76
  • Healthlink — Healthlink: $5,579.40
  • MEDIGAP — MEDIGAP: $6,564
  • Self Pay — Self Pay: $3,938.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sleep Study $3,489 $2,093.40 $2,093.40 – $3,489
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — Aetna: $2,194.58
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $858.31
  • Ambetter (MCR) — Ambetter (MCR): $1,166.63
  • BCBS Medicare — BCBS Medicare: $883.31
  • Cigna — Cigna: $2,442.30
  • Healthlink — Healthlink: $2,965.65
  • Humana Medicare — Humana Medicare: $874.98
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $833.31
  • MEDIGAP — MEDIGAP: $3,489
  • Self Pay — Self Pay: $2,093.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Sleep Study $3,489 $2,093.40 $2,093.40 – $3,489
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans
  • Aetna — Aetna: $2,194.58
  • Healthlink — Healthlink: $2,965.65
  • MEDIGAP — MEDIGAP: $3,489
  • Self Pay — Self Pay: $2,093.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: Sleep Study Interp-Dr Neis $308 $184.80 $184.80 – $308
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna — Aetna: $193.73
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $858.31
  • Ambetter (MCR) — Ambetter (MCR): $1,166.63
  • BCBS Medicare — BCBS Medicare: $883.31
  • Cigna — Cigna: $215.60
  • Healthlink — Healthlink: $261.80
  • Humana Medicare — Humana Medicare: $874.98
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $833.31
  • MEDIGAP — MEDIGAP: $308
  • Self Pay — Self Pay: $184.80

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 · modifier GO In the file: Therapeutic Exercise Ot Each 1 $126 $75.60 $26.97 – $307
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Aetna: $79.25
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $27.78
  • Ambetter (MCR) — Ambetter (MCR): $37.76
  • BCBS Medicare — BCBS Medicare: $28.59
  • Cigna — Cigna: $88.20
  • Healthlink — Healthlink: $107.10
  • Humana Medicare — Humana Medicare: $28.32
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $26.97
  • MEDIGAP — MEDIGAP: $126
  • Self Pay — Self Pay: $75.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Therapeutic Exercise Pt Each 1 $150 $90 $26.97 – $307
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Aetna: $94.35
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $27.78
  • Ambetter (MCR) — Ambetter (MCR): $37.76
  • BCBS Medicare — BCBS Medicare: $28.59
  • Cigna — Cigna: $105
  • Healthlink — Healthlink: $127.50
  • Humana Medicare — Humana Medicare: $28.32
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $26.97
  • MEDIGAP — MEDIGAP: $150
  • Self Pay — Self Pay: $90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GO In the file: Therapeutic Exercise Ot Each 1 $126 $75.60 $75.60 – $126
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Aetna — Aetna: $79.25
  • Healthlink — Healthlink: $107.10
  • MEDIGAP — MEDIGAP: $126
  • Self Pay — Self Pay: $75.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical Therapy Eval-Low $350 $210 $91.20 – $350
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Aetna: $220.15
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $93.94
  • Ambetter (MCR) — Ambetter (MCR): $127.68
  • BCBS Medicare — BCBS Medicare: $96.67
  • Cigna — Cigna: $245
  • Healthlink — Healthlink: $297.50
  • Humana Medicare — Humana Medicare: $95.76
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $91.20
  • MEDIGAP — MEDIGAP: $350
  • Self Pay — Self Pay: $210
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: Physical Therapy Eval-Low $350 $210 $210 – $350
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Aetna — Aetna: $220.15
  • Healthlink — Healthlink: $297.50
  • MEDIGAP — MEDIGAP: $350
  • Self Pay — Self Pay: $210
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical Therapy Eval-Moderate $375 $225 $91.20 – $375
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Aetna: $235.88
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $93.94
  • Ambetter (MCR) — Ambetter (MCR): $127.68
  • BCBS Medicare — BCBS Medicare: $96.67
  • Cigna — Cigna: $262.50
  • Healthlink — Healthlink: $318.75
  • Humana Medicare — Humana Medicare: $95.76
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $91.20
  • MEDIGAP — MEDIGAP: $375
  • Self Pay — Self Pay: $225
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: Physical Therapy Eval-Moderate $375 $225 $225 – $375
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Aetna — Aetna: $235.88
  • Healthlink — Healthlink: $318.75
  • MEDIGAP — MEDIGAP: $375
  • Self Pay — Self Pay: $225
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical Therapy Eval-High $400 $240 $91.20 – $400
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Aetna: $251.60
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $93.94
  • Ambetter (MCR) — Ambetter (MCR): $127.68
  • BCBS Medicare — BCBS Medicare: $96.67
  • Cigna — Cigna: $280
  • Healthlink — Healthlink: $340
  • Humana Medicare — Humana Medicare: $95.76
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $91.20
  • MEDIGAP — MEDIGAP: $400
  • Self Pay — Self Pay: $240
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: Physical Therapy Eval-High $400 $240 $240 – $400
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Aetna — Aetna: $251.60
  • Healthlink — Healthlink: $340
  • MEDIGAP — MEDIGAP: $400
  • Self Pay — Self Pay: $240

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd W/Wo Specimen $2,067 $1,240.20 $1,240.20 – $2,067
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,300.14
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $906.53
  • Ambetter (MCR) — Ambetter (MCR): $1,232.18
  • BCBS Medicare — BCBS Medicare: $932.94
  • Cigna — Cigna: $1,446.90
  • Healthlink — Healthlink: $1,756.95
  • Humana Medicare — Humana Medicare: $924.14
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $880.13
  • MEDIGAP — MEDIGAP: $2,067
  • Self Pay — Self Pay: $1,240.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Egd W/Wo Specimen $2,067 $1,240.20 $1,240.20 – $2,067
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Aetna: $1,300.14
  • Healthlink — Healthlink: $1,756.95
  • MEDIGAP — MEDIGAP: $2,067
  • Self Pay — Self Pay: $1,240.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd W Bx $2,584 $1,550.40 $1,550.40 – $2,584
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,625.34
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $906.53
  • Ambetter (MCR) — Ambetter (MCR): $1,232.18
  • BCBS Medicare — BCBS Medicare: $932.94
  • Cigna — Cigna: $1,808.80
  • Healthlink — Healthlink: $2,196.40
  • Humana Medicare — Humana Medicare: $924.14
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $880.13
  • MEDIGAP — MEDIGAP: $2,584
  • Self Pay — Self Pay: $1,550.40
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Egd W Bx $2,584 $1,550.40 $1,550.40 – $2,584
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Aetna: $1,625.34
  • Healthlink — Healthlink: $2,196.40
  • MEDIGAP — MEDIGAP: $2,584
  • Self Pay — Self Pay: $1,550.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy $2,723 $1,633.80 $1,633.80 – $2,723
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,712.77
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $929.49
  • Ambetter (MCR) — Ambetter (MCR): $1,263.39
  • BCBS Medicare — BCBS Medicare: $956.57
  • Cigna — Cigna: $1,906.10
  • Healthlink — Healthlink: $2,314.55
  • Humana Medicare — Humana Medicare: $947.54
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $902.42
  • MEDIGAP — MEDIGAP: $2,723
  • Self Pay — Self Pay: $1,633.80
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy $2,723 $1,633.80 $1,633.80 – $2,723
Colonoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Aetna: $1,712.77
  • Healthlink — Healthlink: $2,314.55
  • MEDIGAP — MEDIGAP: $2,723
  • Self Pay — Self Pay: $1,633.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon W/ Biopsy $2,723 $1,633.80 $1,633.80 – $2,723
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,712.77
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $1,196.05
  • Ambetter (MCR) — Ambetter (MCR): $1,625.69
  • BCBS Medicare — BCBS Medicare: $1,230.88
  • Cigna — Cigna: $1,906.10
  • Healthlink — Healthlink: $2,314.55
  • Humana Medicare — Humana Medicare: $1,219.27
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $1,161.21
  • MEDIGAP — MEDIGAP: $2,723
  • Self Pay — Self Pay: $1,633.80
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colon W/ Biopsy $2,723 $1,633.80 $1,633.80 – $2,723
Colonoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Aetna: $1,712.77
  • Healthlink — Healthlink: $2,314.55
  • MEDIGAP — MEDIGAP: $2,723
  • Self Pay — Self Pay: $1,633.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon W/ Snare-Polyp $2,723 $1,633.80 $1,633.80 – $2,723
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,712.77
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $1,196.05
  • Ambetter (MCR) — Ambetter (MCR): $1,625.69
  • BCBS Medicare — BCBS Medicare: $1,230.88
  • Cigna — Cigna: $1,906.10
  • Healthlink — Healthlink: $2,314.55
  • Humana Medicare — Humana Medicare: $1,219.27
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $1,161.21
  • MEDIGAP — MEDIGAP: $2,723
  • Self Pay — Self Pay: $1,633.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colon W/ Snare-Polyp $2,723 $1,633.80 $1,633.80 – $2,723
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • Aetna — Aetna: $1,712.77
  • Healthlink — Healthlink: $2,314.55
  • MEDIGAP — MEDIGAP: $2,723
  • Self Pay — Self Pay: $1,633.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon Screen Non-Risk/Avg.-Ris $2,274 $1,364.40 $1,251 – $2,274
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,430.35
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $929.49
  • Ambetter (MCR) — Ambetter (MCR): $1,263.39
  • BCBS Medicare — BCBS Medicare: $956.57
  • Cigna — Cigna: $1,591.80
  • Healthlink — Healthlink: $1,932.90
  • Humana Medicare — Humana Medicare: $947.54
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $902.42
  • MEDIGAP — MEDIGAP: $2,274
  • Self Pay — Self Pay: $1,364.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colon Screen Non-Risk/Avg.-Ris $2,274 $1,364.40 $1,364.40 – $2,274
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Aetna: $1,430.35
  • Healthlink — Healthlink: $1,932.90
  • MEDIGAP — MEDIGAP: $2,274
  • Self Pay — Self Pay: $1,364.40
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct Biopsy Prostrate $4,239 $2,543.40 $2,048 – $4,239
Prostate biopsy: rates for 8 insurance plans
  • Aetna — Aetna: $2,666.33
  • Cigna — Cigna: $2,967.30
  • Healthlink — Healthlink: $3,603.15
  • MEDIGAP — MEDIGAP: $4,239
  • Self Pay — Self Pay: $2,543.40
  • UHC — UHC: $2,048
  • VA (MCR) — VA (MCR): $4,239
  • WEB TPA — WEB TPA: $2,967.30
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ct Biopsy Prostrate $4,239 $2,543.40 $2,543.40 – $4,239
Prostate biopsy: rates for 4 insurance plans
  • Aetna — Aetna: $2,666.33
  • Healthlink — Healthlink: $3,603.15
  • MEDIGAP — MEDIGAP: $4,239
  • Self Pay — Self Pay: $2,543.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ LMB/SCRL w IMAGING $1,268 $760.80 $760.80 – $1,268
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $797.57
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $705.53
  • Ambetter (MCR) — Ambetter (MCR): $958.97
  • BCBS Medicare — BCBS Medicare: $726.08
  • Cigna — Cigna: $887.60
  • Healthlink — Healthlink: $1,077.80
  • Humana Medicare — Humana Medicare: $719.23
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $684.98
  • MEDIGAP — MEDIGAP: $1,268
  • Self Pay — Self Pay: $760.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ EPIDURAL L/S w IMAGING $1,268 $760.80 $760.80 – $1,268
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $797.57
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $705.53
  • Ambetter (MCR) — Ambetter (MCR): $958.97
  • BCBS Medicare — BCBS Medicare: $726.08
  • Cigna — Cigna: $887.60
  • Healthlink — Healthlink: $1,077.80
  • Humana Medicare — Humana Medicare: $719.23
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $684.98
  • MEDIGAP — MEDIGAP: $1,268
  • Self Pay — Self Pay: $760.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ LMB/SCRL w IMAGING $1,268 $760.80 $760.80 – $1,268
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans
  • Aetna — Aetna: $797.57
  • Healthlink — Healthlink: $1,077.80
  • MEDIGAP — MEDIGAP: $1,268
  • Self Pay — Self Pay: $760.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Foramen Epidural Lumb/Sac $1,705 $1,023 $1,023 – $1,705
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,072.44
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $884.04
  • Ambetter (MCR) — Ambetter (MCR): $1,201.61
  • BCBS Medicare — BCBS Medicare: $909.79
  • Cigna — Cigna: $1,193.50
  • Healthlink — Healthlink: $1,449.25
  • Humana Medicare — Humana Medicare: $901.20
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $858.29
  • MEDIGAP — MEDIGAP: $1,705
  • Self Pay — Self Pay: $1,023
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection Agent Into Lumbar Sp $2,426.73 $1,456.04 $1,251 – $2,426.73
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,526.41
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $884.04
  • Ambetter (MCR) — Ambetter (MCR): $1,201.61
  • BCBS Medicare — BCBS Medicare: $909.79
  • Cigna — Cigna: $1,698.71
  • Healthlink — Healthlink: $2,062.72
  • Humana Medicare — Humana Medicare: $901.20
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $858.29
  • MEDIGAP — MEDIGAP: $2,426.73
  • Self Pay — Self Pay: $1,456.04
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inj Foramen Epidural Lumb/Sac $1,705 $1,023 $1,023 – $1,705
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • Aetna — Aetna: $1,072.44
  • Healthlink — Healthlink: $1,449.25
  • MEDIGAP — MEDIGAP: $1,705
  • Self Pay — Self Pay: $1,023

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 $3,450 – $99,706.30
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $67,368.50
  • Ambetter (MCR) — Ambetter (MCR): $94,839.15
  • BCBS Medicare — BCBS Medicare: $69,330.69
  • Cigna — Cigna: $3,450
  • Humana Medicare — Humana Medicare: $68,676.63
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $65,406.31
  • UHC — UHC: $99,706.30
  • VA (MCR) — VA (MCR): $65,406.31
  • WEB TPA — WEB TPA: $3,450
  • Aetna — Aetna: 62.9% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $3,450 – $35,030.01
Spinal fusion (not neck), without major complications: 10 of 12 insurance plan rates
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $24,883.39
  • Ambetter (MCR) — Ambetter (MCR): $35,030.01
  • BCBS Medicare — BCBS Medicare: $25,608.15
  • Cigna — Cigna: $3,450
  • Humana Medicare — Humana Medicare: $25,366.56
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $24,158.63
  • VA (MCR) — VA (MCR): $24,158.63
  • WEB TPA — WEB TPA: $3,450
  • Aetna — Aetna: 62.9% (a percentage in the contract, not a dollar amount)
  • Healthlink — Healthlink: 85% (a percentage in the contract, not a dollar amount)
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 $3,450 – $19,659.35
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $13,252.78
  • Ambetter (MCR) — Ambetter (MCR): $18,656.83
  • BCBS Medicare — BCBS Medicare: $13,638.79
  • Cigna — Cigna: $3,450
  • Humana Medicare — Humana Medicare: $13,510.12
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $12,866.78
  • UHC — UHC: $19,659.35
  • VA (MCR) — VA (MCR): $12,866.78
  • WEB TPA — WEB TPA: $3,450
  • Aetna — Aetna: 62.9% (a percentage in the contract, not a dollar amount)
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 $3,450 – $24,881.73
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $16,699.60
  • Ambetter (MCR) — Ambetter (MCR): $23,509.14
  • BCBS Medicare — BCBS Medicare: $17,185.99
  • Cigna — Cigna: $3,450
  • Humana Medicare — Humana Medicare: $17,023.86
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $16,213.20
  • UHC — UHC: $24,881.73
  • VA (MCR) — VA (MCR): $16,213.20
  • WEB TPA — WEB TPA: $3,450
  • Aetna — Aetna: 62.9% (a percentage in the contract, not a dollar amount)
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 $3,450 – $12,645.21
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Allwell / Wellcare (MCR) — Allwell / Wellcare (MCR): $8,623.42
  • Ambetter (MCR) — Ambetter (MCR): $12,139.76
  • BCBS Medicare — BCBS Medicare: $8,874.59
  • Cigna — Cigna: $3,450
  • Humana Medicare — Humana Medicare: $8,790.86
  • MEDICARE MANAGED 100% — MEDICARE MANAGED 100 PerCent: $8,372.25
  • UHC — UHC: $12,645.21
  • VA (MCR) — VA (MCR): $8,372.25
  • WEB TPA — WEB TPA: $3,450
  • Aetna — Aetna: 62.9% (a percentage in the contract, not a dollar amount)

Source: Baxter Health’s standard charges file (baxterhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 20, 2026; retrieved November 5, 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
Address624 Hospital Drive, Mountain Home, AR 72653
CountyBaxter County
StateArkansas
Phone(870) 508‑1000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number040027
Name in Medicare recordsBAXTER HEALTH
Profile levelMedicare data + hospital website
Official websitebaxterhealth.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 2026-11-02.

  1. Baxter Health |Compassionate Care Beyond Measure — baxterhealth.org
  2. Mountain Home Arkansas Healthcare | Baxter Health — baxterhealth.org