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Critical Access Hospital

Benson Hospital

Benson, Arizona · Cochise County · Emergency services listed

Benson Hospital is a critical access hospital at 450 South Ocotillo Avenue, Benson, AZ 85602. Phone: (520) 586-2261. It has an emergency department.

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

Summary

Benson Hospital is a critical access hospital in Benson, Arizona. Medicare data lists emergency services. Its official website lists 48 services, specialties and programs. Medicare lists 193 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
48Services listed

Quick answers

Does Benson Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Benson Hospital. In a medical emergency, call 911.
Where is Benson Hospital?
450 South Ocotillo Avenue, Benson, AZ 85602, in Cochise County, Arizona.
What is the phone number of Benson Hospital?
(520) 586-2261, as listed by Medicare (CMS).
What is the Medicare star rating of Benson Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5][6][7][8]

Conditions treated[5][9]

  • Diabetes
  • Hypertension
  • Asthma
  • Allergies
  • Infections, colds and flu
  • Acute illness and injury
  • Chronic disease
  • Trauma injuries

Treatments[5][7][8][9]

  • Emergency care
  • Acute inpatient care
  • Skilled nursing care
  • Inpatient hospice care
  • Respiratory therapy
  • Outpatient rehabilitation
  • Outpatient nursing services
  • Advanced trauma life support (evaluation and stabilization)
  • Chronic disease management

Procedures[5]

  • Diagnostic imaging
  • MRI
  • Laboratory testing
  • COVID-19 point-of-care test
  • Influenza A/B point-of-care test
  • Strep throat test
  • PT/INR test
  • Fingerstick glucose test
  • Urinalysis
  • Urine drug screen
  • Pregnancy test
  • School and sports physicals

Programs and centers[4][5][8]

  • Inpatient hospice care
  • Benson Family Health Care clinic
  • Benson San Pedro Clinic
  • Benson Specialty Clinics
  • Wellness and preventive care

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingMedical unit visits 10 a.m.-5 p.m., 2 visitors at a time; ED allows 1 visitor per patient; children under 12 not permitted[10]
Patient portalhttps://18129.portal.athenahealth.com/

Recognition[7][9]

  • Critical Access Hospital
  • State-certified Level IV Trauma Center

Doctors and clinicians (193)

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

Main specialties

Doctors with a page on this site (193)

And 169 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 Benson

Hospitals in Cochise 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 →

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

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 1079%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well95%National average: 80%
Doctors “always” communicated well95%National average: 80%
“Always” got help as soon as they wanted79%National average: 64%
Staff “always” explained medicines before giving them79%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean73%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys60Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)16.5%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)155 minutesNational average: 162 minutes
Not reported to MedicarePatients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Benson Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 87 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: INTERMED OFF VIS NEW $87 $41.76 $27.84 – $78.30
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $52.20
  • Aetna — Medicare Advantage: $27.84
  • Arizona Complete (Allwell) — Medicare Advantage: $27.84
  • Banner — Medicare Advantage: $27.84
  • Blue Cross Blue Shield — Medicare Advantage: $27.84
  • Cigna — All Commercial Plans: $78.30
  • Humana — Medicare Advantage: $27.84
  • United Healthcare — All Commercial Plans: $69.60
  • United Healthcare — Medicare Advantage: $27.84
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMED OFF VIS NEW $87 $41.76 $52.20 – $78.30
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $52.20
  • Cigna — All Commercial Plans: $78.30
  • United Healthcare — All Commercial Plans: $69.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VAD INITIAL 45MIN $150 $72 $48 – $135
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $90
  • Aetna — Medicare Advantage: $48
  • Arizona Complete (Allwell) — Medicare Advantage: $48
  • Banner — Medicare Advantage: $48
  • Blue Cross Blue Shield — Medicare Advantage: $48
  • Cigna — All Commercial Plans: $135
  • Humana — Medicare Advantage: $48
  • United Healthcare — All Commercial Plans: $120
  • United Healthcare — Medicare Advantage: $48
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXT OFF VIS NEW PT $131 $62.88 $41.92 – $117.90
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $78.60
  • Aetna — Medicare Advantage: $41.92
  • Arizona Complete (Allwell) — Medicare Advantage: $41.92
  • Banner — Medicare Advantage: $41.92
  • Blue Cross Blue Shield — Medicare Advantage: $41.92
  • Cigna — All Commercial Plans: $117.90
  • Humana — Medicare Advantage: $41.92
  • United Healthcare — All Commercial Plans: $104.80
  • United Healthcare — Medicare Advantage: $41.92
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VAD INITIAL 45MIN $150 $72 $90 – $135
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $90
  • Cigna — All Commercial Plans: $135
  • United Healthcare — All Commercial Plans: $120
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VAD INITIAL 60 MIN $180 $86.40 $57.60 – $162
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $108
  • Aetna — Medicare Advantage: $57.60
  • Arizona Complete (Allwell) — Medicare Advantage: $57.60
  • Banner — Medicare Advantage: $57.60
  • Blue Cross Blue Shield — Medicare Advantage: $57.60
  • Cigna — All Commercial Plans: $162
  • Humana — Medicare Advantage: $57.60
  • United Healthcare — All Commercial Plans: $144
  • United Healthcare — Medicare Advantage: $57.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP OFF VIS NEW PT $163 $78.24 $52.16 – $146.70
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $97.80
  • Aetna — Medicare Advantage: $52.16
  • Arizona Complete (Allwell) — Medicare Advantage: $52.16
  • Banner — Medicare Advantage: $52.16
  • Blue Cross Blue Shield — Medicare Advantage: $52.16
  • Cigna — All Commercial Plans: $146.70
  • Humana — Medicare Advantage: $52.16
  • United Healthcare — All Commercial Plans: $130.40
  • United Healthcare — Medicare Advantage: $52.16
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VAD INITIAL 60 MIN $180 $86.40 $108 – $162
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $108
  • Cigna — All Commercial Plans: $162
  • United Healthcare — All Commercial Plans: $144
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMED OFF VIS EST $47 $22.56 $15.04 – $42.30
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $28.20
  • Aetna — Medicare Advantage: $15.04
  • Arizona Complete (Allwell) — Medicare Advantage: $15.04
  • Banner — Medicare Advantage: $15.04
  • Blue Cross Blue Shield — Medicare Advantage: $15.04
  • Cigna — All Commercial Plans: $42.30
  • Humana — Medicare Advantage: $15.04
  • United Healthcare — All Commercial Plans: $37.60
  • United Healthcare — Medicare Advantage: $15.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY CONFERENCE $110 $52.80 $35.20 – $99
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $66
  • Aetna — Medicare Advantage: $35.20
  • Arizona Complete (Allwell) — Medicare Advantage: $35.20
  • Banner — Medicare Advantage: $35.20
  • Blue Cross Blue Shield — Medicare Advantage: $35.20
  • Cigna — All Commercial Plans: $99
  • Humana — Medicare Advantage: $35.20
  • United Healthcare — All Commercial Plans: $88
  • United Healthcare — Medicare Advantage: $35.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMED OFF VIS EST $47 $22.56 $28.20 – $42.30
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $28.20
  • Cigna — All Commercial Plans: $42.30
  • United Healthcare — All Commercial Plans: $37.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXT OFF VIS EST PT $79 $37.92 $25.28 – $71.10
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $47.40
  • Aetna — Medicare Advantage: $25.28
  • Arizona Complete (Allwell) — Medicare Advantage: $25.28
  • Banner — Medicare Advantage: $25.28
  • Blue Cross Blue Shield — Medicare Advantage: $25.28
  • Cigna — All Commercial Plans: $71.10
  • Humana — Medicare Advantage: $25.28
  • United Healthcare — All Commercial Plans: $63.20
  • United Healthcare — Medicare Advantage: $25.28
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXT OFF VIS EST PT $79 $37.92 $47.40 – $71.10
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $47.40
  • Cigna — All Commercial Plans: $71.10
  • United Healthcare — All Commercial Plans: $63.20
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULEFT DETAIL 40MIN $137 $65.76 $43.84 – $968.88
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $82.20
  • Aetna — Medicare Advantage: $43.84
  • Arizona Complete (Allwell) — Medicare Advantage: $43.84
  • Banner — Medicare Advantage: $43.84
  • Blue Cross Blue Shield — All Commercial Plans: $968.88
  • Blue Cross Blue Shield — Medicare Advantage: $43.84
  • Cigna — All Commercial Plans: $123.30
  • Humana — Medicare Advantage: $43.84
  • United Healthcare — All Commercial Plans: $109.60
  • United Healthcare — Medicare Advantage: $43.84
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULEFT DETAIL 40MIN $137 $65.76 $82.20 – $123.30
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $82.20
  • Cigna — All Commercial Plans: $123.30
  • United Healthcare — All Commercial Plans: $109.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULEFT COMP 60MIN $184 $88.32 $58.88 – $1,535.25
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $110.40
  • Aetna — Medicare Advantage: $58.88
  • Arizona Complete (Allwell) — Medicare Advantage: $58.88
  • Banner — Medicare Advantage: $58.88
  • Blue Cross Blue Shield — All Commercial Plans: $1,535.25
  • Blue Cross Blue Shield — Medicare Advantage: $58.88
  • Cigna — All Commercial Plans: $165.60
  • Humana — Medicare Advantage: $58.88
  • United Healthcare — All Commercial Plans: $147.20
  • United Healthcare — Medicare Advantage: $58.88
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULEFT COMP 60MIN $184 $88.32 $110.40 – $165.60
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $110.40
  • Cigna — All Commercial Plans: $165.60
  • United Healthcare — All Commercial Plans: $147.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHY EXM NEW PT 18 39 $100 $48 $32 – $90
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $60
  • Aetna — Medicare Advantage: $32
  • Arizona Complete (Allwell) — Medicare Advantage: $32
  • Banner — Medicare Advantage: $32
  • Blue Cross Blue Shield — Medicare Advantage: $32
  • Cigna — All Commercial Plans: $90
  • Humana — Medicare Advantage: $32
  • United Healthcare — All Commercial Plans: $80
  • United Healthcare — Medicare Advantage: $32
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHY EXM NEW PT 18 39 $100 $48 $60 – $90
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $60
  • Cigna — All Commercial Plans: $90
  • United Healthcare — All Commercial Plans: $80
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHY EXM NEW PT 40 64 $100 $48 $32 – $90
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $60
  • Aetna — Medicare Advantage: $32
  • Arizona Complete (Allwell) — Medicare Advantage: $32
  • Banner — Medicare Advantage: $32
  • Blue Cross Blue Shield — Medicare Advantage: $32
  • Cigna — All Commercial Plans: $90
  • Humana — Medicare Advantage: $32
  • United Healthcare — All Commercial Plans: $80
  • United Healthcare — Medicare Advantage: $32
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHY EXM NEW PT 40 64 $100 $48 $60 – $90
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $60
  • Cigna — All Commercial Plans: $90
  • United Healthcare — All Commercial Plans: $80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC FACILITY LEVEL 3 $797.03 $382.58 $255.05 – $717.33
Emergency room visit (moderate): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $478.22
  • Aetna — Medicare Advantage: $255.05
  • Arizona Complete (Allwell) — Medicare Advantage: $255.05
  • Banner — Medicare Advantage: $255.05
  • Blue Cross Blue Shield — Medicare Advantage: $255.05
  • Cigna — All Commercial Plans: $717.33
  • Humana — Medicare Advantage: $255.05
  • United Healthcare — All Commercial Plans: $637.62
  • United Healthcare — Medicare Advantage: $255.05
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC FACILITY LEVEL 3 $797.03 $382.58 $478.22 – $717.33
Emergency room visit (moderate): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $478.22
  • Cigna — All Commercial Plans: $717.33
  • United Healthcare — All Commercial Plans: $637.62
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC FACILITY LEVEL 4 $1,157.15 $555.44 $370.29 – $1,041.44
Emergency room visit (moderately high): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $694.29
  • Aetna — Medicare Advantage: $370.29
  • Arizona Complete (Allwell) — Medicare Advantage: $370.29
  • Banner — Medicare Advantage: $370.29
  • Blue Cross Blue Shield — Medicare Advantage: $370.29
  • Cigna — All Commercial Plans: $1,041.44
  • Humana — Medicare Advantage: $370.29
  • United Healthcare — All Commercial Plans: $925.72
  • United Healthcare — Medicare Advantage: $370.29
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC FACILITY LEVEL 4 $1,157.15 $555.44 $694.29 – $1,041.44
Emergency room visit (moderately high): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $694.29
  • Cigna — All Commercial Plans: $1,041.44
  • United Healthcare — All Commercial Plans: $925.72
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC FACILITY LEVEL 5 $1,520.98 $730.08 $486.71 – $1,368.88
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $912.59
  • Aetna — Medicare Advantage: $486.71
  • Arizona Complete (Allwell) — Medicare Advantage: $486.71
  • Banner — Medicare Advantage: $486.71
  • Blue Cross Blue Shield — Medicare Advantage: $486.71
  • Cigna — All Commercial Plans: $1,368.88
  • Humana — Medicare Advantage: $486.71
  • United Healthcare — All Commercial Plans: $1,216.78
  • United Healthcare — Medicare Advantage: $486.71
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC FACILITY LEVEL 5 $1,520.98 $730.08 $912.59 – $1,368.88
Emergency room visit (high): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $912.59
  • Cigna — All Commercial Plans: $1,368.88
  • United Healthcare — All Commercial Plans: $1,216.78

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: BMP $120.75 $57.96 $38.64 – $108.68
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $72.45
  • Aetna — Medicare Advantage: $38.64
  • Arizona Complete (Allwell) — Medicare Advantage: $38.64
  • Banner — Medicare Advantage: $38.64
  • Blue Cross Blue Shield — All Commercial Plans: $47.71
  • Blue Cross Blue Shield — Medicare Advantage: $38.64
  • Cigna — All Commercial Plans: $108.68
  • Humana — Medicare Advantage: $38.64
  • United Healthcare — All Commercial Plans: $96.60
  • United Healthcare — Medicare Advantage: $38.64
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP BMP $13.45 $6.46 $4.30 – $47.71
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $8.07
  • Aetna — Medicare Advantage: $4.30
  • Arizona Complete (Allwell) — Medicare Advantage: $4.30
  • Banner — Medicare Advantage: $4.30
  • Blue Cross Blue Shield — All Commercial Plans: $47.71
  • Blue Cross Blue Shield — Medicare Advantage: $4.30
  • Cigna — All Commercial Plans: $12.11
  • Humana — Medicare Advantage: $4.30
  • United Healthcare — All Commercial Plans: $10.76
  • United Healthcare — Medicare Advantage: $4.30
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST (BMP) $12.03 $5.78 $3.85 – $47.71
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $7.22
  • Aetna — Medicare Advantage: $3.85
  • Arizona Complete (Allwell) — Medicare Advantage: $3.85
  • Banner — Medicare Advantage: $3.85
  • Blue Cross Blue Shield — All Commercial Plans: $47.71
  • Blue Cross Blue Shield — Medicare Advantage: $3.85
  • Cigna — All Commercial Plans: $10.83
  • Humana — Medicare Advantage: $3.85
  • United Healthcare — All Commercial Plans: $9.62
  • United Healthcare — Medicare Advantage: $3.85
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP $194.25 $93.24 $59.48 – $174.83
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $116.55
  • Aetna — Medicare Advantage: $62.16
  • Arizona Complete (Allwell) — Medicare Advantage: $62.16
  • Banner — Medicare Advantage: $62.16
  • Blue Cross Blue Shield — All Commercial Plans: $59.48
  • Blue Cross Blue Shield — Medicare Advantage: $62.16
  • Cigna — All Commercial Plans: $174.83
  • Humana — Medicare Advantage: $62.16
  • United Healthcare — All Commercial Plans: $155.40
  • United Healthcare — Medicare Advantage: $62.16
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST CMP $15.81 $7.59 $5.06 – $59.48
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $9.49
  • Aetna — Medicare Advantage: $5.06
  • Arizona Complete (Allwell) — Medicare Advantage: $5.06
  • Banner — Medicare Advantage: $5.06
  • Blue Cross Blue Shield — All Commercial Plans: $59.48
  • Blue Cross Blue Shield — Medicare Advantage: $5.06
  • Cigna — All Commercial Plans: $14.23
  • Humana — Medicare Advantage: $5.06
  • United Healthcare — All Commercial Plans: $12.65
  • United Healthcare — Medicare Advantage: $5.06
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP CMP $16.80 $8.07 $5.38 – $59.48
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $10.08
  • Aetna — Medicare Advantage: $5.38
  • Arizona Complete (Allwell) — Medicare Advantage: $5.38
  • Banner — Medicare Advantage: $5.38
  • Blue Cross Blue Shield — All Commercial Plans: $59.48
  • Blue Cross Blue Shield — Medicare Advantage: $5.38
  • Cigna — All Commercial Plans: $15.12
  • Humana — Medicare Advantage: $5.38
  • United Healthcare — All Commercial Plans: $13.44
  • United Healthcare — Medicare Advantage: $5.38
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $175 $84 $56 – $269.49
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $105
  • Aetna — Medicare Advantage: $56
  • Arizona Complete (Allwell) — Medicare Advantage: $56
  • Banner — Medicare Advantage: $56
  • Blue Cross Blue Shield — All Commercial Plans: $269.49
  • Blue Cross Blue Shield — Medicare Advantage: $56
  • Cigna — All Commercial Plans: $157.50
  • Humana — Medicare Advantage: $56
  • United Healthcare — All Commercial Plans: $140
  • United Healthcare — Medicare Advantage: $56
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $175 $84 $105 – $157.50
Obstetric blood test panel: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $105
  • Cigna — All Commercial Plans: $157.50
  • United Healthcare — All Commercial Plans: $140
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $82 $39.36 $26.24 – $75.44
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $49.20
  • Aetna — Medicare Advantage: $26.24
  • Arizona Complete (Allwell) — Medicare Advantage: $26.24
  • Banner — Medicare Advantage: $26.24
  • Blue Cross Blue Shield — All Commercial Plans: $75.44
  • Blue Cross Blue Shield — Medicare Advantage: $26.24
  • Cigna — All Commercial Plans: $73.80
  • Humana — Medicare Advantage: $26.24
  • United Healthcare — All Commercial Plans: $65.60
  • United Healthcare — Medicare Advantage: $26.24
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE $82 $39.36 $49.20 – $73.80
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $49.20
  • Cigna — All Commercial Plans: $73.80
  • United Healthcare — All Commercial Plans: $65.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL PANEL $80 $38.40 $25.60 – $72
Kidney function panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $48
  • Aetna — Medicare Advantage: $25.60
  • Arizona Complete (Allwell) — Medicare Advantage: $25.60
  • Banner — Medicare Advantage: $25.60
  • Blue Cross Blue Shield — All Commercial Plans: $48.94
  • Blue Cross Blue Shield — Medicare Advantage: $25.60
  • Cigna — All Commercial Plans: $72
  • Humana — Medicare Advantage: $25.60
  • United Healthcare — All Commercial Plans: $64
  • United Healthcare — Medicare Advantage: $25.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST RENAL PANEL $12.03 $5.78 $3.85 – $48.94
Kidney function panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $7.22
  • Aetna — Medicare Advantage: $3.85
  • Arizona Complete (Allwell) — Medicare Advantage: $3.85
  • Banner — Medicare Advantage: $3.85
  • Blue Cross Blue Shield — All Commercial Plans: $48.94
  • Blue Cross Blue Shield — Medicare Advantage: $3.85
  • Cigna — All Commercial Plans: $10.83
  • Humana — Medicare Advantage: $3.85
  • United Healthcare — All Commercial Plans: $9.62
  • United Healthcare — Medicare Advantage: $3.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP RENAL PANEL $13.80 $6.63 $4.42 – $48.94
Kidney function panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $8.28
  • Aetna — Medicare Advantage: $4.42
  • Arizona Complete (Allwell) — Medicare Advantage: $4.42
  • Banner — Medicare Advantage: $4.42
  • Blue Cross Blue Shield — All Commercial Plans: $48.94
  • Blue Cross Blue Shield — Medicare Advantage: $4.42
  • Cigna — All Commercial Plans: $12.42
  • Humana — Medicare Advantage: $4.42
  • United Healthcare — All Commercial Plans: $11.04
  • United Healthcare — Medicare Advantage: $4.42
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP HEPATIC FUNCTION PANEL $12.98 $6.24 $4.15 – $46.01
Liver function panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $7.79
  • Aetna — Medicare Advantage: $4.15
  • Arizona Complete (Allwell) — Medicare Advantage: $4.15
  • Banner — Medicare Advantage: $4.15
  • Blue Cross Blue Shield — All Commercial Plans: $46.01
  • Blue Cross Blue Shield — Medicare Advantage: $4.15
  • Cigna — All Commercial Plans: $11.68
  • Humana — Medicare Advantage: $4.15
  • United Healthcare — All Commercial Plans: $10.38
  • United Healthcare — Medicare Advantage: $4.15
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PROFILE $111 $53.28 $35.52 – $99.90
Liver function panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $66.60
  • Aetna — Medicare Advantage: $35.52
  • Arizona Complete (Allwell) — Medicare Advantage: $35.52
  • Banner — Medicare Advantage: $35.52
  • Blue Cross Blue Shield — All Commercial Plans: $46.01
  • Blue Cross Blue Shield — Medicare Advantage: $35.52
  • Cigna — All Commercial Plans: $99.90
  • Humana — Medicare Advantage: $35.52
  • United Healthcare — All Commercial Plans: $88.80
  • United Healthcare — Medicare Advantage: $35.52
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN $125 $60 $40 – $112.50
Liver function panel: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $75
  • Aetna — Medicare Advantage: $40
  • Arizona Complete (Allwell) — Medicare Advantage: $40
  • Banner — Medicare Advantage: $40
  • Blue Cross Blue Shield — All Commercial Plans: $46.01
  • Blue Cross Blue Shield — Medicare Advantage: $40
  • Cigna — All Commercial Plans: $112.50
  • Humana — Medicare Advantage: $40
  • United Healthcare — All Commercial Plans: $100
  • United Healthcare — Medicare Advantage: $40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE $40 $19.20 $12.80 – $36
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $24
  • Aetna — Medicare Advantage: $12.80
  • Arizona Complete (Allwell) — Medicare Advantage: $12.80
  • Banner — Medicare Advantage: $12.80
  • Blue Cross Blue Shield — All Commercial Plans: $17.88
  • Blue Cross Blue Shield — Medicare Advantage: $12.80
  • Cigna — All Commercial Plans: $36
  • Humana — Medicare Advantage: $12.80
  • United Healthcare — All Commercial Plans: $32
  • United Healthcare — Medicare Advantage: $12.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP URINALYSIS ROUTINE $6 $2.88 $1.92 – $17.88
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $3.60
  • Aetna — Medicare Advantage: $1.92
  • Arizona Complete (Allwell) — Medicare Advantage: $1.92
  • Banner — Medicare Advantage: $1.92
  • Blue Cross Blue Shield — All Commercial Plans: $17.88
  • Blue Cross Blue Shield — Medicare Advantage: $1.92
  • Cigna — All Commercial Plans: $5.40
  • Humana — Medicare Advantage: $1.92
  • United Healthcare — All Commercial Plans: $4.80
  • United Healthcare — Medicare Advantage: $1.92
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST URINALYSIS, ROUTINE $3.19 $1.54 $1.02 – $17.88
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1.91
  • Aetna — Medicare Advantage: $1.02
  • Arizona Complete (Allwell) — Medicare Advantage: $1.02
  • Banner — Medicare Advantage: $1.02
  • Blue Cross Blue Shield — All Commercial Plans: $17.88
  • Blue Cross Blue Shield — Medicare Advantage: $1.02
  • Cigna — All Commercial Plans: $2.87
  • Humana — Medicare Advantage: $1.02
  • United Healthcare — All Commercial Plans: $2.55
  • United Healthcare — Medicare Advantage: $1.02
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $19.56
Urine test (manual, without microscope): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $19.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIP STIC $21 $10.08 $6.72 – $18.90
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $12.60
  • Aetna — Medicare Advantage: $6.72
  • Arizona Complete (Allwell) — Medicare Advantage: $6.72
  • Banner — Medicare Advantage: $6.72
  • Blue Cross Blue Shield — All Commercial Plans: $12.69
  • Blue Cross Blue Shield — Medicare Advantage: $6.72
  • Cigna — All Commercial Plans: $18.90
  • Humana — Medicare Advantage: $6.72
  • United Healthcare — All Commercial Plans: $16.80
  • United Healthcare — Medicare Advantage: $6.72
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST UROGRAM $3.19 $1.54 $1.02 – $12.69
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1.91
  • Aetna — Medicare Advantage: $1.02
  • Arizona Complete (Allwell) — Medicare Advantage: $1.02
  • Banner — Medicare Advantage: $1.02
  • Blue Cross Blue Shield — All Commercial Plans: $12.69
  • Blue Cross Blue Shield — Medicare Advantage: $1.02
  • Cigna — All Commercial Plans: $2.87
  • Humana — Medicare Advantage: $1.02
  • United Healthcare — All Commercial Plans: $2.55
  • United Healthcare — Medicare Advantage: $1.02
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP URINE DIP $6 $2.88 $1.92 – $12.69
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $3.60
  • Aetna — Medicare Advantage: $1.92
  • Arizona Complete (Allwell) — Medicare Advantage: $1.92
  • Banner — Medicare Advantage: $1.92
  • Blue Cross Blue Shield — All Commercial Plans: $12.69
  • Blue Cross Blue Shield — Medicare Advantage: $1.92
  • Cigna — All Commercial Plans: $5.40
  • Humana — Medicare Advantage: $1.92
  • United Healthcare — All Commercial Plans: $4.80
  • United Healthcare — Medicare Advantage: $1.92
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SP ANTIG $108 $51.84 $34.56 – $103.65
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $64.80
  • Aetna — Medicare Advantage: $34.56
  • Arizona Complete (Allwell) — Medicare Advantage: $34.56
  • Banner — Medicare Advantage: $34.56
  • Blue Cross Blue Shield — All Commercial Plans: $103.65
  • Blue Cross Blue Shield — Medicare Advantage: $34.56
  • Cigna — All Commercial Plans: $97.20
  • Humana — Medicare Advantage: $34.56
  • United Healthcare — All Commercial Plans: $86.40
  • United Healthcare — Medicare Advantage: $34.56
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATIC SP ANTIG $108 $51.84 $64.80 – $97.20
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $64.80
  • Cigna — All Commercial Plans: $97.20
  • United Healthcare — All Commercial Plans: $86.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $84 $40.32 $26.88 – $94.64
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $50.40
  • Aetna — Medicare Advantage: $26.88
  • Arizona Complete (Allwell) — Medicare Advantage: $26.88
  • Banner — Medicare Advantage: $26.88
  • Blue Cross Blue Shield — All Commercial Plans: $94.64
  • Blue Cross Blue Shield — Medicare Advantage: $26.88
  • Cigna — All Commercial Plans: $75.60
  • Humana — Medicare Advantage: $26.88
  • United Healthcare — All Commercial Plans: $67.20
  • United Healthcare — Medicare Advantage: $26.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP TSH $26.69 $12.82 $8.54 – $94.64
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $16.01
  • Aetna — Medicare Advantage: $8.54
  • Arizona Complete (Allwell) — Medicare Advantage: $8.54
  • Banner — Medicare Advantage: $8.54
  • Blue Cross Blue Shield — All Commercial Plans: $94.64
  • Blue Cross Blue Shield — Medicare Advantage: $8.54
  • Cigna — All Commercial Plans: $24.02
  • Humana — Medicare Advantage: $8.54
  • United Healthcare — All Commercial Plans: $21.35
  • United Healthcare — Medicare Advantage: $8.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM H $35 $16.80 $11.20 – $94.64
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $21
  • Aetna — Medicare Advantage: $11.20
  • Arizona Complete (Allwell) — Medicare Advantage: $11.20
  • Banner — Medicare Advantage: $11.20
  • Blue Cross Blue Shield — All Commercial Plans: $94.64
  • Blue Cross Blue Shield — Medicare Advantage: $11.20
  • Cigna — All Commercial Plans: $31.50
  • Humana — Medicare Advantage: $11.20
  • United Healthcare — All Commercial Plans: $28
  • United Healthcare — Medicare Advantage: $11.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ INCICIES $91 $43.68 $29.12 – $81.90
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $54.60
  • Aetna — Medicare Advantage: $29.12
  • Arizona Complete (Allwell) — Medicare Advantage: $29.12
  • Banner — Medicare Advantage: $29.12
  • Blue Cross Blue Shield — All Commercial Plans: $43.80
  • Blue Cross Blue Shield — Medicare Advantage: $29.12
  • Cigna — All Commercial Plans: $81.90
  • Humana — Medicare Advantage: $29.12
  • United Healthcare — All Commercial Plans: $72.80
  • United Healthcare — Medicare Advantage: $29.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP CBC W/ INDICIES $18 $8.64 $5.76 – $43.80
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $10.80
  • Aetna — Medicare Advantage: $5.76
  • Arizona Complete (Allwell) — Medicare Advantage: $5.76
  • Banner — Medicare Advantage: $5.76
  • Blue Cross Blue Shield — All Commercial Plans: $43.80
  • Blue Cross Blue Shield — Medicare Advantage: $5.76
  • Cigna — All Commercial Plans: $16.20
  • Humana — Medicare Advantage: $5.76
  • United Healthcare — All Commercial Plans: $14.40
  • United Healthcare — Medicare Advantage: $5.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABC $69 $33.12 $22.08 – $62.10
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $41.40
  • Aetna — Medicare Advantage: $22.08
  • Arizona Complete (Allwell) — Medicare Advantage: $22.08
  • Banner — Medicare Advantage: $22.08
  • Blue Cross Blue Shield — All Commercial Plans: $43.80
  • Blue Cross Blue Shield — Medicare Advantage: $22.08
  • Cigna — All Commercial Plans: $62.10
  • Humana — Medicare Advantage: $22.08
  • United Healthcare — All Commercial Plans: $55.20
  • United Healthcare — Medicare Advantage: $22.08
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $36.47
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $36.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRO TIME $51 $24.48 $16.32 – $45.90
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $30.60
  • Aetna — Medicare Advantage: $16.32
  • Arizona Complete (Allwell) — Medicare Advantage: $16.32
  • Banner — Medicare Advantage: $16.32
  • Blue Cross Blue Shield — All Commercial Plans: $24.16
  • Blue Cross Blue Shield — Medicare Advantage: $16.32
  • Cigna — All Commercial Plans: $45.90
  • Humana — Medicare Advantage: $16.32
  • United Healthcare — All Commercial Plans: $40.80
  • United Healthcare — Medicare Advantage: $16.32
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST PROTHROMBIN TIME (PT, PROTIME) $5.59 $2.69 $1.79 – $24.16
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $3.35
  • Aetna — Medicare Advantage: $1.79
  • Arizona Complete (Allwell) — Medicare Advantage: $1.79
  • Banner — Medicare Advantage: $1.79
  • Blue Cross Blue Shield — All Commercial Plans: $24.16
  • Blue Cross Blue Shield — Medicare Advantage: $1.79
  • Cigna — All Commercial Plans: $5.03
  • Humana — Medicare Advantage: $1.79
  • United Healthcare — All Commercial Plans: $4.47
  • United Healthcare — Medicare Advantage: $1.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LABCORP PRO TIME $12 $5.76 $3.84 – $24.16
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $7.20
  • Aetna — Medicare Advantage: $3.84
  • Arizona Complete (Allwell) — Medicare Advantage: $3.84
  • Banner — Medicare Advantage: $3.84
  • Blue Cross Blue Shield — All Commercial Plans: $24.16
  • Blue Cross Blue Shield — Medicare Advantage: $3.84
  • Cigna — All Commercial Plans: $10.80
  • Humana — Medicare Advantage: $3.84
  • United Healthcare — All Commercial Plans: $9.60
  • United Healthcare — Medicare Advantage: $3.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIMP $17 $8.16 $5.44 – $33.87
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $10.20
  • Aetna — Medicare Advantage: $5.44
  • Arizona Complete (Allwell) — Medicare Advantage: $5.44
  • Banner — Medicare Advantage: $5.44
  • Blue Cross Blue Shield — All Commercial Plans: $33.87
  • Blue Cross Blue Shield — Medicare Advantage: $5.44
  • Cigna — All Commercial Plans: $15.30
  • Humana — Medicare Advantage: $5.44
  • United Healthcare — All Commercial Plans: $13.60
  • United Healthcare — Medicare Advantage: $5.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $72 $34.56 $23.04 – $64.80
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $43.20
  • Aetna — Medicare Advantage: $23.04
  • Arizona Complete (Allwell) — Medicare Advantage: $23.04
  • Banner — Medicare Advantage: $23.04
  • Blue Cross Blue Shield — All Commercial Plans: $33.87
  • Blue Cross Blue Shield — Medicare Advantage: $23.04
  • Cigna — All Commercial Plans: $64.80
  • Humana — Medicare Advantage: $23.04
  • United Healthcare — All Commercial Plans: $57.60
  • United Healthcare — Medicare Advantage: $23.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONORA QUEST APPT(PTT,PARTIAL THROMBOPLASTIN TIME) $8.53 $4.10 $2.73 – $33.87
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $5.12
  • Aetna — Medicare Advantage: $2.73
  • Arizona Complete (Allwell) — Medicare Advantage: $2.73
  • Banner — Medicare Advantage: $2.73
  • Blue Cross Blue Shield — All Commercial Plans: $33.87
  • Blue Cross Blue Shield — Medicare Advantage: $2.73
  • Cigna — All Commercial Plans: $7.68
  • Humana — Medicare Advantage: $2.73
  • United Healthcare — All Commercial Plans: $6.82
  • United Healthcare — Medicare Advantage: $2.73

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: FAC CT HEAD W/O CONTRAST $1,210 $580.80 $387.20 – $1,089
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $726
  • Aetna — Medicare Advantage: $387.20
  • Arizona Complete (Allwell) — Medicare Advantage: $387.20
  • Banner — Medicare Advantage: $387.20
  • Blue Cross Blue Shield — All Commercial Plans: $607.05
  • Blue Cross Blue Shield — Medicare Advantage: $387.20
  • Cigna — All Commercial Plans: $1,089
  • Humana — Medicare Advantage: $387.20
  • United Healthcare — All Commercial Plans: $968
  • United Healthcare — Medicare Advantage: $387.20
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC CT HEAD W/O CONTRAST $1,210 $580.80 $726 – $1,089
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $726
  • Cigna — All Commercial Plans: $1,089
  • United Healthcare — All Commercial Plans: $968
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC MRI BRAIN COMBINED WO/W CONTRAST $3,027.20 $1,453.06 $968.70 – $2,724.48
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1,816.32
  • Aetna — Medicare Advantage: $968.70
  • Arizona Complete (Allwell) — Medicare Advantage: $968.70
  • Banner — Medicare Advantage: $968.70
  • Blue Cross Blue Shield — All Commercial Plans: $1,948.76
  • Blue Cross Blue Shield — Medicare Advantage: $968.70
  • Cigna — All Commercial Plans: $2,724.48
  • Humana — Medicare Advantage: $968.70
  • United Healthcare — All Commercial Plans: $2,421.76
  • United Healthcare — Medicare Advantage: $968.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC MRI BRAIN COMBINED WO/W CONTRAST $3,027.20 $1,453.06 $1,816.32 – $2,724.48
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $1,816.32
  • Cigna — All Commercial Plans: $2,724.48
  • United Healthcare — All Commercial Plans: $2,421.76
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC XR CHEST 2 VIEW (PA-AP & LAT) $252.83 $121.36 $80.91 – $227.55
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $151.70
  • Aetna — Medicare Advantage: $80.91
  • Arizona Complete (Allwell) — Medicare Advantage: $80.91
  • Banner — Medicare Advantage: $80.91
  • Blue Cross Blue Shield — All Commercial Plans: $152.81
  • Blue Cross Blue Shield — Medicare Advantage: $80.91
  • Cigna — All Commercial Plans: $227.55
  • Humana — Medicare Advantage: $80.91
  • United Healthcare — All Commercial Plans: $202.26
  • United Healthcare — Medicare Advantage: $80.91
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC CHEST AP/LAT/APICAL $165 $79.20 $52.80 – $152.81
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $99
  • Aetna — Medicare Advantage: $52.80
  • Arizona Complete (Allwell) — Medicare Advantage: $52.80
  • Banner — Medicare Advantage: $52.80
  • Blue Cross Blue Shield — All Commercial Plans: $152.81
  • Blue Cross Blue Shield — Medicare Advantage: $52.80
  • Cigna — All Commercial Plans: $148.50
  • Humana — Medicare Advantage: $52.80
  • United Healthcare — All Commercial Plans: $132
  • United Healthcare — Medicare Advantage: $52.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC XR CHEST 2 VIEW (PA-AP & LAT) $252.83 $121.36 $151.70 – $227.55
Chest X-ray, 2 views: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $151.70
  • Cigna — All Commercial Plans: $227.55
  • United Healthcare — All Commercial Plans: $202.26
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC XR L SPINE COMPLETE $373.07 $179.08 $119.38 – $335.76
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $223.84
  • Aetna — Medicare Advantage: $119.38
  • Arizona Complete (Allwell) — Medicare Advantage: $119.38
  • Banner — Medicare Advantage: $119.38
  • Blue Cross Blue Shield — All Commercial Plans: $255.56
  • Blue Cross Blue Shield — Medicare Advantage: $119.38
  • Cigna — All Commercial Plans: $335.76
  • Humana — Medicare Advantage: $119.38
  • United Healthcare — All Commercial Plans: $298.46
  • United Healthcare — Medicare Advantage: $119.38
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC XR L SPINE COMPLETE $373.07 $179.08 $223.84 – $335.76
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $223.84
  • Cigna — All Commercial Plans: $335.76
  • United Healthcare — All Commercial Plans: $298.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC MRI LUMBAR SPINE W/O CONTRAST $2,421.10 $1,162.13 $774.75 – $2,178.99
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1,452.66
  • Aetna — Medicare Advantage: $774.75
  • Arizona Complete (Allwell) — Medicare Advantage: $774.75
  • Banner — Medicare Advantage: $774.75
  • Blue Cross Blue Shield — All Commercial Plans: $1,118.26
  • Blue Cross Blue Shield — Medicare Advantage: $774.75
  • Cigna — All Commercial Plans: $2,178.99
  • Humana — Medicare Advantage: $774.75
  • United Healthcare — All Commercial Plans: $1,936.88
  • United Healthcare — Medicare Advantage: $774.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC MRI LUMBAR SPINE W/O CONTRAST $2,421.10 $1,162.13 $1,452.66 – $2,178.99
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $1,452.66
  • Cigna — All Commercial Plans: $2,178.99
  • United Healthcare — All Commercial Plans: $1,936.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC CT PELVIS W/ CONTRAST $1,794 $861.12 $574.08 – $1,614.60
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1,076.40
  • Aetna — Medicare Advantage: $574.08
  • Arizona Complete (Allwell) — Medicare Advantage: $574.08
  • Banner — Medicare Advantage: $574.08
  • Blue Cross Blue Shield — All Commercial Plans: $1,599.26
  • Blue Cross Blue Shield — Medicare Advantage: $574.08
  • Cigna — All Commercial Plans: $1,614.60
  • Humana — Medicare Advantage: $574.08
  • United Healthcare — All Commercial Plans: $1,435.20
  • United Healthcare — Medicare Advantage: $574.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC CT PELVIS W/ CONTRAST $1,794 $861.12 $1,076.40 – $1,614.60
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $1,076.40
  • Cigna — All Commercial Plans: $1,614.60
  • United Healthcare — All Commercial Plans: $1,435.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC MRI LOWER EXTREMITY JOINT W/O CONTRAST $2,124.10 $1,019.57 $679.71 – $1,911.69
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1,274.46
  • Aetna — Medicare Advantage: $679.71
  • Arizona Complete (Allwell) — Medicare Advantage: $679.71
  • Banner — Medicare Advantage: $679.71
  • Blue Cross Blue Shield — All Commercial Plans: $1,275.20
  • Blue Cross Blue Shield — Medicare Advantage: $679.71
  • Cigna — All Commercial Plans: $1,911.69
  • Humana — Medicare Advantage: $679.71
  • United Healthcare — All Commercial Plans: $1,699.28
  • United Healthcare — Medicare Advantage: $679.71
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC MRI LOWER EXTREMITY JOINT W/O CONTRAST $2,124.10 $1,019.57 $1,274.46 – $1,911.69
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $1,274.46
  • Cigna — All Commercial Plans: $1,911.69
  • United Healthcare — All Commercial Plans: $1,699.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST $2,961.25 $1,421.40 $947.60 – $2,665.13
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $1,776.75
  • Aetna — Medicare Advantage: $947.60
  • Arizona Complete (Allwell) — Medicare Advantage: $947.60
  • Banner — Medicare Advantage: $947.60
  • Blue Cross Blue Shield — All Commercial Plans: $2,016.28
  • Blue Cross Blue Shield — Medicare Advantage: $947.60
  • Cigna — All Commercial Plans: $2,665.13
  • Humana — Medicare Advantage: $947.60
  • United Healthcare — All Commercial Plans: $2,369
  • United Healthcare — Medicare Advantage: $947.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST $2,961.25 $1,421.40 $1,776.75 – $2,665.13
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $1,776.75
  • Cigna — All Commercial Plans: $2,665.13
  • United Healthcare — All Commercial Plans: $2,369
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC US ABDOMEN COMPLETE $341 $163.68 $109.12 – $517.94
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $204.60
  • Aetna — Medicare Advantage: $109.12
  • Arizona Complete (Allwell) — Medicare Advantage: $109.12
  • Banner — Medicare Advantage: $109.12
  • Blue Cross Blue Shield — All Commercial Plans: $517.94
  • Blue Cross Blue Shield — Medicare Advantage: $109.12
  • Cigna — All Commercial Plans: $306.90
  • Humana — Medicare Advantage: $109.12
  • United Healthcare — All Commercial Plans: $272.80
  • United Healthcare — Medicare Advantage: $109.12
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC US ABDOMEN COMPLETE $341 $163.68 $204.60 – $306.90
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $204.60
  • Cigna — All Commercial Plans: $306.90
  • United Healthcare — All Commercial Plans: $272.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC US OB>14 WEEKS SIGNL $400 $192 $128 – $583.28
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $240
  • Aetna — Medicare Advantage: $128
  • Arizona Complete (Allwell) — Medicare Advantage: $128
  • Banner — Medicare Advantage: $128
  • Blue Cross Blue Shield — All Commercial Plans: $583.28
  • Blue Cross Blue Shield — Medicare Advantage: $128
  • Cigna — All Commercial Plans: $360
  • Humana — Medicare Advantage: $128
  • United Healthcare — All Commercial Plans: $320
  • United Healthcare — Medicare Advantage: $128
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC US OB>14 WEEKS SIGNL $400 $192 $240 – $360
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $240
  • Cigna — All Commercial Plans: $360
  • United Healthcare — All Commercial Plans: $320
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAC US TRANSVAGINAL NOT $250 $120 $80 – $312.37
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $150
  • Aetna — Medicare Advantage: $80
  • Arizona Complete (Allwell) — Medicare Advantage: $80
  • Banner — Medicare Advantage: $80
  • Blue Cross Blue Shield — All Commercial Plans: $312.37
  • Blue Cross Blue Shield — Medicare Advantage: $80
  • Cigna — All Commercial Plans: $225
  • Humana — Medicare Advantage: $80
  • United Healthcare — All Commercial Plans: $200
  • United Healthcare — Medicare Advantage: $80
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAC US TRANSVAGINAL NOT $250 $120 $150 – $225
Transvaginal ultrasound: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $150
  • Cigna — All Commercial Plans: $225
  • United Healthcare — All Commercial Plans: $200
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $528.09
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $528.09
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $675.63
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $675.63
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $558.06
Screening mammogram, both breasts: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $558.06

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: ECG LHI $41.15 $19.76 $13.17 – $219.80
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $24.69
  • Aetna — Medicare Advantage: $13.17
  • Arizona Complete (Allwell) — Medicare Advantage: $13.17
  • Banner — Medicare Advantage: $13.17
  • Blue Cross Blue Shield — All Commercial Plans: $219.80
  • Blue Cross Blue Shield — Medicare Advantage: $13.17
  • Cigna — All Commercial Plans: $37.04
  • Humana — Medicare Advantage: $13.17
  • United Healthcare — All Commercial Plans: $32.92
  • United Healthcare — Medicare Advantage: $13.17
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM $68 $32.64 $21.76 – $219.80
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $40.80
  • Aetna — Medicare Advantage: $21.76
  • Arizona Complete (Allwell) — Medicare Advantage: $21.76
  • Banner — Medicare Advantage: $21.76
  • Blue Cross Blue Shield — All Commercial Plans: $219.80
  • Blue Cross Blue Shield — Medicare Advantage: $21.76
  • Cigna — All Commercial Plans: $61.20
  • Humana — Medicare Advantage: $21.76
  • United Healthcare — All Commercial Plans: $54.40
  • United Healthcare — Medicare Advantage: $21.76
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ECG LHI $41.15 $19.76 $24.69 – $37.04
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $24.69
  • Cigna — All Commercial Plans: $37.04
  • United Healthcare — All Commercial Plans: $32.92
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $18,515.22
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $18,515.22
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $29,131.20
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $29,131.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $46,878.05
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $46,878.05
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $5,683.01
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,683.01

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXER / 15 $100 $48 $32 – $192.12
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $60
  • Aetna — Medicare Advantage: $32
  • Arizona Complete (Allwell) — Medicare Advantage: $32
  • Banner — Medicare Advantage: $32
  • Blue Cross Blue Shield — All Commercial Plans: $192.12
  • Blue Cross Blue Shield — Medicare Advantage: $32
  • Cigna — All Commercial Plans: $90
  • Humana — Medicare Advantage: $32
  • United Healthcare — All Commercial Plans: $80
  • United Healthcare — Medicare Advantage: $32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EX $100 $48 $32 – $192.12
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $60
  • Aetna — Medicare Advantage: $32
  • Arizona Complete (Allwell) — Medicare Advantage: $32
  • Banner — Medicare Advantage: $32
  • Blue Cross Blue Shield — All Commercial Plans: $192.12
  • Blue Cross Blue Shield — Medicare Advantage: $32
  • Cigna — All Commercial Plans: $90
  • Humana — Medicare Advantage: $32
  • United Healthcare — All Commercial Plans: $80
  • United Healthcare — Medicare Advantage: $32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE $45.10 $21.65 $14.43 – $192.12
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $27.06
  • Aetna — Medicare Advantage: $14.43
  • Arizona Complete (Allwell) — Medicare Advantage: $14.43
  • Banner — Medicare Advantage: $14.43
  • Blue Cross Blue Shield — All Commercial Plans: $192.12
  • Blue Cross Blue Shield — Medicare Advantage: $14.43
  • Cigna — All Commercial Plans: $40.59
  • Humana — Medicare Advantage: $14.43
  • United Healthcare — All Commercial Plans: $36.08
  • United Healthcare — Medicare Advantage: $14.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL PT EVAL LOW $195 $93.60 $62.40 – $642.37
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $117
  • Aetna — Medicare Advantage: $62.40
  • Arizona Complete (Allwell) — Medicare Advantage: $62.40
  • Banner — Medicare Advantage: $62.40
  • Blue Cross Blue Shield — All Commercial Plans: $642.37
  • Blue Cross Blue Shield — Medicare Advantage: $62.40
  • Cigna — All Commercial Plans: $175.50
  • Humana — Medicare Advantage: $62.40
  • United Healthcare — All Commercial Plans: $156
  • United Healthcare — Medicare Advantage: $62.40
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INITIAL PT EVAL LOW $195 $93.60 $117 – $175.50
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $117
  • Cigna — All Commercial Plans: $175.50
  • United Healthcare — All Commercial Plans: $156
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL PT EVAL MOD $295 $141.60 $94.40 – $642.37
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $177
  • Aetna — Medicare Advantage: $94.40
  • Arizona Complete (Allwell) — Medicare Advantage: $94.40
  • Banner — Medicare Advantage: $94.40
  • Blue Cross Blue Shield — All Commercial Plans: $642.37
  • Blue Cross Blue Shield — Medicare Advantage: $94.40
  • Cigna — All Commercial Plans: $265.50
  • Humana — Medicare Advantage: $94.40
  • United Healthcare — All Commercial Plans: $236
  • United Healthcare — Medicare Advantage: $94.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INITIAL PT EVAL MOD $295 $141.60 $177 – $265.50
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $177
  • Cigna — All Commercial Plans: $265.50
  • United Healthcare — All Commercial Plans: $236
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL PT EVAL HIGH $395 $189.60 $126.40 – $642.37
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna — All Commercial Plans: $237
  • Aetna — Medicare Advantage: $126.40
  • Arizona Complete (Allwell) — Medicare Advantage: $126.40
  • Banner — Medicare Advantage: $126.40
  • Blue Cross Blue Shield — All Commercial Plans: $642.37
  • Blue Cross Blue Shield — Medicare Advantage: $126.40
  • Cigna — All Commercial Plans: $355.50
  • Humana — Medicare Advantage: $126.40
  • United Healthcare — All Commercial Plans: $316
  • United Healthcare — Medicare Advantage: $126.40
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INITIAL PT EVAL HIGH $395 $189.60 $237 – $355.50
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Aetna — All Commercial Plans: $237
  • Cigna — All Commercial Plans: $355.50
  • United Healthcare — All Commercial Plans: $316
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $451.25
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $451.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $676.85
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $676.85
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $1,021.61
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $1,021.61
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $837.61
Family psychotherapy, without the patient: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $837.61
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $1,031.10
Family psychotherapy, with the patient: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $1,031.10
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $287.06
Group psychotherapy: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $287.06

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $6,046.88
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $6,046.88
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $31,725.09
Total hip replacement: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $31,725.09
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $31,725.09
Total knee replacement: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $31,725.09
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $3,027.26
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $3,027.26
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $7,468.77
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $7,468.77
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $6,046.88
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $6,046.88
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $3,944.61
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $3,944.61
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $5,282.42
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $5,282.42
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $5,282.42
Colonoscopy with biopsy: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $5,282.42
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $5,282.42
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $5,282.42
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $15,862.55
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $15,862.55
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $7,468.77
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $7,468.77
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services Not listed in the file Not listed in the file $5,282.42
Prostate biopsy: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $15,862.55
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $15,862.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $6,046.88
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $6,046.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $1,544.35
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $1,544.35
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $3,078.57
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $3,078.57
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $5,282.42
Carpal tunnel release: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $5,282.42
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $5,282.42
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $11,115.25
Cataract removal with lens implant: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $11,115.25

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $11,787.97
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $11,787.97
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $11,787.97
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $11,787.97
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $11,787.97
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $11,787.97

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 $103,019.08
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $103,019.08
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inpatient MS-DRG Not listed in the file Not listed in the file $39,178.46
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $39,178.46
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 $26,631.13
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $26,631.13
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 $21,857.45
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $21,857.45
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 $10,974.35
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan
  • Blue Cross Blue Shield — All Commercial Plans: $10,974.35

Source: Benson Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address450 South Ocotillo Avenue, Benson, AZ 85602
CountyCochise County
StateArizona
Phone(520) 586‑2261
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number031301
Name in Medicare recordsBENSON HOSPITAL
Profile levelMedicare data + hospital website
Official websitebensonhospital.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Benson Hospital — bensonhospital.org
  2. Primary Care | Benson Hospital — bensonhospital.org
  3. Benson Hospital (TMC Health location page) — tmcaz.com
  4. Services | Benson Hospital — bensonhospital.org
  5. Benson Hospital | TMC Health — bensonhospital.org
  6. Emergency Care — bensonhospital.org
  7. Patients & Visitors | Benson Hospital — bensonhospital.org