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Acute Care Hospital

Bertrand Chaffee Hospital

Springville, New York · Erie County · Emergency services listed

Bertrand Chaffee Hospital is an acute care hospital at 224 East Main Street, Springville, NY 14141. Phone: (716) 592-2871. 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

Bertrand Chaffee Hospital is an acute care hospital in Springville, New York. Medicare data lists emergency services. Its official website lists 18 services, specialties and programs. Medicare lists 103 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(716) 592‑2871 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
103Doctors and clinicians
18Services listed

Quick answers

Does Bertrand Chaffee Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Bertrand Chaffee Hospital. In a medical emergency, call 911.
Where is Bertrand Chaffee Hospital?
224 East Main Street, Springville, NY 14141, in Erie County, New York.
What is the phone number of Bertrand Chaffee Hospital?
(716) 592-2871, as listed by Medicare (CMS).
What is the Medicare star rating of Bertrand Chaffee 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.
Does Medicare reduce its payments to Bertrand Chaffee Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Bertrand Chaffee Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7186; 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][5]

Treatments[4]

Procedures[4]

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Patient portalhttps://bertrandchaffee.com/patient-portal/

Doctors and clinicians (103)

103 doctors and other clinicians list Bertrand Chaffee 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 (103)

And 79 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 Springville

Hospitals in Erie 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 →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 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 1063%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well80%National average: 80%
“Always” got help as soon as they wanted74%National average: 64%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home81%National average: 86%
Room and bathroom “always” clean68%National average: 73%
Completed surveys168Response rate: 34%

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

Complications and deaths

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

Deaths within 30 days: pneumonia patients18.5%
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)18.4%
Readmitted within 30 days: heart attack14.3%
Readmitted within 30 days: heart failure22.7%
Readmitted within 30 days: pneumonia20.1%
Readmitted within 30 days: COPD20.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)153 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)65%National average: 66%

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

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

See every measure on Medicare Care Compare →

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 Bertrand Chaffee Hospital, 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-0.7186Lower 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).

Pneumonia0.9947Fewer readmissions than expected
No result publishedHeart attack; Heart failure; COPD (chronic lung disease); Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

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, ratio0.82Below 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.

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

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

ER wait times in New YorkBest hospitals in New York

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 Bertrand Chaffee 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 →

$ 10 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN $113 $96.05 $65.15 – $282
New patient office visit (about 30–44 minutes): 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $69.60
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $69.60
  • AETNA MEDICARE — AETNA MEDICARE: $69.60
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $138.80
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $138.80
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $138.80
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $69.60
  • CHAMPVA — CHAMPVA: $69.60
  • CIGNA MEDICARE — CIGNA: $69.60
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $69.60
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OP CON DETAIL LOW MC $169 $143.65 $65.15 – $282
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $169
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $169
  • CIGNA OTHER — CIGNA COMMERCIAL: $169
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $169
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $169
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $169
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $169
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $169
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $169
  • NO-FAULT — NO-FAULT: $169
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OBS CONSULT MC DETAIL LOW $113 $96.05 $65.15 – $282
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $113
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $113
  • CIGNA OTHER — CIGNA COMMERCIAL: $113
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $113
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $113
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $113
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $113
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $113
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $113
  • NO-FAULT — NO-FAULT: $113
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN $192 $163.20 $105.06 – $478
New patient office visit (about 45–59 minutes): 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $113.99
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $113.99
  • AETNA MEDICARE — AETNA MEDICARE: $113.99
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $211.81
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $211.81
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $211.81
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $113.99
  • CHAMPVA — CHAMPVA: $113.99
  • CIGNA MEDICARE — CIGNA: $113.99
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $113.99
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OP CON COMP MOD MCR $286 $243.10 $105.06 – $478
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $286
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $286
  • CIGNA OTHER — CIGNA COMMERCIAL: $286
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $286
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $286
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $286
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $286
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $286
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $286
  • NO-FAULT — NO-FAULT: $286
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OBS CONSULT MC COMP MOD $192 $163.20 $105.06 – $478
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $192
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $192
  • CIGNA OTHER — CIGNA COMMERCIAL: $192
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $192
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $192
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $192
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $192
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $192
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $192
  • NO-FAULT — NO-FAULT: $192
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN $250 $212.50 $142.63 – $628
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $155.96
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $155.96
  • AETNA MEDICARE — AETNA MEDICARE: $155.96
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $266.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $266.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $266.42
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $155.96
  • CHAMPVA — CHAMPVA: $155.96
  • CIGNA MEDICARE — CIGNA: $155.96
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $155.96
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OP CON COMP HIGH MCR $378 $321.30 $142.63 – $628
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $378
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $378
  • CIGNA OTHER — CIGNA COMMERCIAL: $378
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $378
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $378
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $378
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $378
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $378
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $378
  • NO-FAULT — NO-FAULT: $378
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OBS CONSULT MC COMP HIGH $250 $212.50 $142.63 – $628
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $250
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $250
  • CIGNA OTHER — CIGNA COMMERCIAL: $250
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $250
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $250
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $250
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $250
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $250
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $250
  • NO-FAULT — NO-FAULT: $250
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: CONSLT OFF OP MOD SE $185 $157.25 $154.84 – $432
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $185
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $185
  • CIGNA OTHER — CIGNA COMMERCIAL: $185
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $185
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $185
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $185
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $185
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $185
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $185
  • NO-FAULT — NO-FAULT: $185
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OP CON DETAIL&LOW $134 $113.90 $154.84 – $432
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $134
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $134
  • CIGNA OTHER — CIGNA COMMERCIAL: $134
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $134
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $134
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $134
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $134
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $134
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $134
  • NO-FAULT — NO-FAULT: $134
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OBS CONSULT DETAIL LOW $113 $96.05 $154.84 – $432
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $113
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $113
  • CIGNA OTHER — CIGNA COMMERCIAL: $113
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $113
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $113
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $113
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $113
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $113
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $113
  • NO-FAULT — NO-FAULT: $113
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: CONSULT OFF OP MOD-H $256 $217.60 $232.11 – $624
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $256
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $256
  • CIGNA OTHER — CIGNA COMMERCIAL: $256
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $256
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $256
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $256
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $256
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $256
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $256
  • NO-FAULT — NO-FAULT: $256
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OP CON COMP MOD $176 $149.60 $232.11 – $624
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $176
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $176
  • CIGNA OTHER — CIGNA COMMERCIAL: $176
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $176
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $176
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $176
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $176
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $176
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $176
  • NO-FAULT — NO-FAULT: $176
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OBS CONSULT COMPRE MOD $192 $163.20 $232.11 – $624
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $192
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $192
  • CIGNA OTHER — CIGNA COMMERCIAL: $192
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $192
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $192
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $192
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $192
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $192
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $192
  • NO-FAULT — NO-FAULT: $192
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREVENTIVE CARE NP AGE 18-39 $90 $76.50 $76.50 – $170.03
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $90
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $90
  • CIGNA OTHER — CIGNA COMMERCIAL: $90
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $90
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $90
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $90
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $90
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $90
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $90
  • NO-FAULT — NO-FAULT: $90
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39 $90 $76.50 $76.50 – $170.03
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $170.03
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $170.03
  • UNIVERA ESSENTIAL PLANS — UNIVERA ESSENTIAL PLAN: $78.16
  • UNIVERA ESSENTIAL PLANS — UNIVERA ESSENTIAL PLANS: $78.16
  • UNIVERA HC CHILD HEALTH+ — UNIVERA HC CHILD HEALTH+: $78.16
  • UNIVERA HC MYHEALTH+ — UNIVERA HC MYHEALTH+: $78.16
  • UNIVERA HEALTHCARE — UNIVERA HEALTHCARE: $91.95
  • UNIVERA PLUS MED — UNIVERA PLUS MED: $78.16
  • UNIVERA SENIOR CHOICE — UNIVERA SENIOR CHOICE: $91.95
  • WNY BCBS ESSENTIAL PLAN — WNY BCBS ESSENTIAL PLAN: $170.03
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREVENTIVE CARE NP AGE 40-64 $104 $88.40 $88.40 – $196.90
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $104
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $104
  • CIGNA OTHER — CIGNA COMMERCIAL: $104
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $104
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $104
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $104
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $104
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $104
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $104
  • NO-FAULT — NO-FAULT: $104
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64 $104 $88.40 $88.40 – $196.90
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $196.90
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $196.90
  • UNIVERA ESSENTIAL PLANS — UNIVERA ESSENTIAL PLAN: $94.79
  • UNIVERA ESSENTIAL PLANS — UNIVERA ESSENTIAL PLANS: $94.79
  • UNIVERA HC CHILD HEALTH+ — UNIVERA HC CHILD HEALTH+: $94.79
  • UNIVERA HC MYHEALTH+ — UNIVERA HC MYHEALTH+: $94.79
  • UNIVERA HEALTHCARE — UNIVERA HEALTHCARE: $111.51
  • UNIVERA PLUS MED — UNIVERA PLUS MED: $94.79
  • UNIVERA SENIOR CHOICE — UNIVERA SENIOR CHOICE: $111.51
  • WNY BCBS ESSENTIAL PLAN — WNY BCBS ESSENTIAL PLAN: $196.90
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM $427.50 $363.37 $59.53 – $2,575
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $67.03
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $67.03
  • AETNA MEDICARE — AETNA MEDICARE: $67.03
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $85.18
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $85.18
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $67.03
  • CHAMPVA — CHAMPVA: $67.03
  • CIGNA MEDICARE — CIGNA: $67.03
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $67.03
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $67.03
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EXPANDED EXAM LOW-MO $427.50 $363.37 $59.53 – $2,575
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $427.50
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $427.50
  • CIGNA OTHER — CIGNA COMMERCIAL: $427.50
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $427.50
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $427.50
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $427.50
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $427.50
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $427.50
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $427.50
  • NO-FAULT — NO-FAULT: $427.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: MINIMAL SERVICE OF F $427.50 $363.37 $59.53 – $2,575
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $427.50
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $427.50
  • CIGNA OTHER — CIGNA COMMERCIAL: $427.50
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $427.50
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $427.50
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $427.50
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $427.50
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $427.50
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $427.50
  • NO-FAULT — NO-FAULT: $427.50
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM $525 $446.25 $100.32 – $2,850
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $114.07
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $114.07
  • AETNA MEDICARE — AETNA MEDICARE: $114.07
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $151.68
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $151.68
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $114.07
  • CHAMPVA — CHAMPVA: $114.07
  • CIGNA MEDICARE — CIGNA: $114.07
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $114.07
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $114.07
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: DETAILED EXAM MODERA $525 $446.25 $100.32 – $2,850
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $525
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $525
  • CIGNA OTHER — CIGNA COMMERCIAL: $525
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $525
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $525
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $525
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $525
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $525
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $525
  • NO-FAULT — NO-FAULT: $525
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4 WITH MOD $750 $637.50 $100.32 – $2,850
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $750
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $750
  • CIGNA OTHER — CIGNA COMMERCIAL: $750
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $750
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $750
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $750
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $750
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $750
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $750
  • NO-FAULT — NO-FAULT: $750
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM $889.20 $755.82 $125 – $3,518.38
Emergency room visit (high): 10 of 37 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $165.28
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $165.28
  • AETNA MEDICARE — AETNA MEDICARE: $165.28
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $223.29
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $223.29
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $165.28
  • CHAMPVA — CHAMPVA: $165.28
  • CIGNA MEDICARE — CIGNA: $165.28
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $165.28
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $165.28
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: COMPREHEN EXAM HIGH $889.20 $755.82 $125 – $3,518.38
Emergency room visit (high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $889.20
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $889.20
  • CIGNA OTHER — CIGNA COMMERCIAL: $889.20
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $889.20
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $889.20
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $889.20
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $889.20
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $889.20
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $889.20
  • NO-FAULT — NO-FAULT: $889.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: CRITICAL CARE < 30 M $1,074 $912.90 $125 – $3,518.38
Emergency room visit (high): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $1,074
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $1,074
  • CIGNA OTHER — CIGNA COMMERCIAL: $1,074
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $1,074
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $1,074
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $1,074
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $1,074
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $1,074
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $1,074
  • NO-FAULT — NO-FAULT: $1,074

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PNL TOTAL CA $14.63 $12.43 $5.64 – $14.63
Basic metabolic panel (blood test): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $8.46
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $8.46
  • AETNA MEDICARE — AETNA MEDICARE: $8.46
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $7.32
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $7.19
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $5.64
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $5.64
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $8.46
  • CHAMPVA — CHAMPVA: $8.46
  • CIGNA MEDICARE — CIGNA: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL LAB $14.63 $12.43 $5.64 – $14.63
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $14.63
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $14.63
  • CIGNA OTHER — CIGNA COMMERCIAL: $14.63
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $14.63
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $14.63
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $14.63
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $14.63
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $14.63
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $14.63
  • NO-FAULT — NO-FAULT: $14.63
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA $14.63 $12.43 $8.46
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $8.46
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $8.46
  • AETNA MEDICARE — AETNA MEDICARE: $8.46
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $8.46
  • CHAMPVA — CHAMPVA: $8.46
  • CIGNA MEDICARE — CIGNA: $8.46
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $8.46
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $8.46
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $8.46
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL $19.22 $16.33 $7.03 – $19.22
Comprehensive metabolic panel (blood test): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $10.56
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $10.56
  • AETNA MEDICARE — AETNA MEDICARE: $10.56
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $10.10
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $8.98
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $7.03
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $7.03
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $10.56
  • CHAMPVA — CHAMPVA: $10.56
  • CIGNA MEDICARE — CIGNA: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE META LAB $19.22 $16.33 $7.03 – $19.22
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $19.22
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $19.22
  • CIGNA OTHER — CIGNA COMMERCIAL: $19.22
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $19.22
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $19.22
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $19.22
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $19.22
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $19.22
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $19.22
  • NO-FAULT — NO-FAULT: $19.22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier QW In the file: COMPREHEN METABOLIC PANEL $19.22 $16.33 $10.56
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $10.56
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $10.56
  • AETNA MEDICARE — AETNA MEDICARE: $10.56
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $10.56
  • CHAMPVA — CHAMPVA: $10.56
  • CIGNA MEDICARE — CIGNA: $10.56
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $10.56
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $10.56
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $10.56
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $19.02 $16.16 $6.04 – $19.02
Cholesterol panel (lipid panel): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $13.39
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $13.39
  • AETNA MEDICARE — AETNA MEDICARE: $13.39
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $6.10
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $11.38
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $8.92
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $8.92
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $13.39
  • CHAMPVA — CHAMPVA: $13.39
  • CIGNA MEDICARE — CIGNA: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL FLP LAB $19.02 $16.16 $6.04 – $19.02
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $19.02
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $19.02
  • CIGNA OTHER — CIGNA COMMERCIAL: $19.02
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $19.02
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $19.02
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $19.02
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $19.02
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $19.02
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $19.02
  • NO-FAULT — NO-FAULT: $19.02
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier QW In the file: LIPID PANEL $19.02 $16.16 $13.39
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $13.39
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $13.39
  • AETNA MEDICARE — AETNA MEDICARE: $13.39
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $13.39
  • CHAMPVA — CHAMPVA: $13.39
  • CIGNA MEDICARE — CIGNA: $13.39
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $13.39
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $13.39
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $13.39
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $15.76 $13.39 $5.78 – $15.76
Kidney function panel: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $8.68
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $8.68
  • AETNA MEDICARE — AETNA MEDICARE: $8.68
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $8.68
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $7.38
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $5.78
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $5.78
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $8.68
  • CHAMPVA — CHAMPVA: $8.68
  • CIGNA MEDICARE — CIGNA: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION LAB $15.76 $13.39 $5.78 – $15.76
Kidney function panel: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $15.76
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $15.76
  • CIGNA OTHER — CIGNA COMMERCIAL: $15.76
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $15.76
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $15.76
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $15.76
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $15.76
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $15.76
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $15.76
  • NO-FAULT — NO-FAULT: $15.76
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier QW In the file: RENAL FUNCTION PANEL $15.76 $13.39 $8.68
Kidney function panel: 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $8.68
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $8.68
  • AETNA MEDICARE — AETNA MEDICARE: $8.68
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $8.68
  • CHAMPVA — CHAMPVA: $8.68
  • CIGNA MEDICARE — CIGNA: $8.68
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $8.68
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $8.68
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $8.68
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $14.55 $12.36 $5.44 – $14.55
Liver function panel: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $8.17
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $8.17
  • AETNA MEDICARE — AETNA MEDICARE: $8.17
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $7.32
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $6.94
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $5.44
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $5.44
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $8.17
  • CHAMPVA — CHAMPVA: $8.17
  • CIGNA MEDICARE — CIGNA: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNC PNL LAB $14.55 $12.36 $5.44 – $14.55
Liver function panel: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $14.55
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $14.55
  • CIGNA OTHER — CIGNA COMMERCIAL: $14.55
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $14.55
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $14.55
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $14.55
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $14.55
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $14.55
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $14.55
  • NO-FAULT — NO-FAULT: $14.55
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE $11 $9.35 $2.11 – $11
Urine test (automated, with microscope): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $3.17
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $3.17
  • AETNA MEDICARE — AETNA MEDICARE: $3.17
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $3.17
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $2.69
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2.11
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2.11
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $3.17
  • CHAMPVA — CHAMPVA: $3.17
  • CIGNA MEDICARE — CIGNA: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYS W MICR LAB $11 $9.35 $2.11 – $11
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $11
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $11
  • CIGNA OTHER — CIGNA COMMERCIAL: $11
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $11
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $11
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $11
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $11
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $11
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $11
  • NO-FAULT — NO-FAULT: $11
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE $7 $5.95 $2 – $12.79
Urine test (manual, without microscope): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $3.48
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $3.48
  • AETNA MEDICARE — AETNA MEDICARE: $3.48
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $2.02
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $2.96
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2.31
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2.31
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $3.48
  • CHAMPVA — CHAMPVA: $3.48
  • CIGNA MEDICARE — CIGNA: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE CHEMICAL LAB $5.79 $4.92 $2 – $12.79
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $5.79
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $5.79
  • CIGNA OTHER — CIGNA COMMERCIAL: $5.79
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $5.79
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $5.79
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $5.79
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $5.79
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $5.79
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $5.79
  • NO-FAULT — NO-FAULT: $5.79
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: U/A DIPSTICK W/O MIC $7 $5.95 $2 – $12.79
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $7
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $7
  • CIGNA OTHER — CIGNA COMMERCIAL: $7
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $7
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $7
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $7
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $7
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $7
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $7
  • NO-FAULT — NO-FAULT: $7
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL $33.37 $28.36 $12.25 – $33.37
PSA (prostate specific antigen) blood test: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $18.39
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $18.39
  • AETNA MEDICARE — AETNA MEDICARE: $18.39
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $18.39
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $15.63
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $12.25
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $12.25
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $18.39
  • CHAMPVA — CHAMPVA: $18.39
  • CIGNA MEDICARE — CIGNA: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROSTATIC SP AG LAB $33.37 $28.36 $12.25 – $33.37
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $33.37
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $33.37
  • CIGNA OTHER — CIGNA COMMERCIAL: $33.37
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $33.37
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $33.37
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $33.37
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $33.37
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $33.37
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $33.37
  • NO-FAULT — NO-FAULT: $33.37
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE $30.50 $25.92 $9 – $30.50
Thyroid stimulating hormone (TSH) test: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $16.80
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $16.80
  • AETNA MEDICARE — AETNA MEDICARE: $16.80
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $9.09
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $14.28
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $11.19
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $11.19
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $16.80
  • CHAMPVA — CHAMPVA: $16.80
  • CIGNA MEDICARE — CIGNA: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH LAB $30.50 $25.92 $9 – $30.50
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $30.50
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $30.50
  • CIGNA OTHER — CIGNA COMMERCIAL: $30.50
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $30.50
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $30.50
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $30.50
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $30.50
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $30.50
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $30.50
  • NO-FAULT — NO-FAULT: $30.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier QW In the file: ASSAY THYROID STIM HORMONE $30.50 $25.92 $16.80
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $16.80
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $16.80
  • AETNA MEDICARE — AETNA MEDICARE: $16.80
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $16.80
  • CHAMPVA — CHAMPVA: $16.80
  • CIGNA MEDICARE — CIGNA: $16.80
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $16.80
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $16.80
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $16.80
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC $11.74 $9.97 $3.17 – $11.74
Complete blood count (CBC) with differential: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $7.77
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $7.77
  • AETNA MEDICARE — AETNA MEDICARE: $7.77
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $3.20
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $6.60
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $5.18
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $5.18
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $7.77
  • CHAMPVA — CHAMPVA: $7.77
  • CIGNA MEDICARE — CIGNA: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH AUTO DI LAB $11.74 $9.97 $3.17 – $11.74
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $11.74
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $11.74
  • CIGNA OTHER — CIGNA COMMERCIAL: $11.74
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $11.74
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $11.74
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $11.74
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $11.74
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $11.74
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $11.74
  • NO-FAULT — NO-FAULT: $11.74
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC $11.74 $9.97 $7.77
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $7.77
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $7.77
  • AETNA MEDICARE — AETNA MEDICARE: $7.77
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $7.77
  • CHAMPVA — CHAMPVA: $7.77
  • CIGNA MEDICARE — CIGNA: $7.77
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $7.77
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $7.77
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $7.77
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED $11.07 $9.40 $3.17 – $11.07
Complete blood count (CBC), automated: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $6.47
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $6.47
  • AETNA MEDICARE — AETNA MEDICARE: $6.47
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $3.20
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $5.50
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $4.31
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $4.31
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $6.47
  • CHAMPVA — CHAMPVA: $6.47
  • CIGNA MEDICARE — CIGNA: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC W/O DIFF LAB $11.07 $9.40 $3.17 – $11.07
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $11.07
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $11.07
  • CIGNA OTHER — CIGNA COMMERCIAL: $11.07
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $11.07
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $11.07
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $11.07
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $11.07
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $11.07
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $11.07
  • NO-FAULT — NO-FAULT: $11.07
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $9.14 $7.76 $2.86 – $9.14
Blood clotting time test (prothrombin time, PT): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $4.29
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $4.29
  • AETNA MEDICARE — AETNA MEDICARE: $4.29
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $3.95
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $3.65
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2.86
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2.86
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $4.29
  • CHAMPVA — CHAMPVA: $4.29
  • CIGNA MEDICARE — CIGNA: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME LAB $9.14 $7.76 $2.86 – $9.14
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $9.14
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $9.14
  • CIGNA OTHER — CIGNA COMMERCIAL: $9.14
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $9.14
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $9.14
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $9.14
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $9.14
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $9.14
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $9.14
  • NO-FAULT — NO-FAULT: $9.14
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: PROTHROMBIN TIME $9.14 $7.76 $4.29
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $4.29
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $4.29
  • AETNA MEDICARE — AETNA MEDICARE: $4.29
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $4.29
  • CHAMPVA — CHAMPVA: $4.29
  • CIGNA MEDICARE — CIGNA: $4.29
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $4.29
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $4.29
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $4.29
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL $11.09 $9.42 $4.01 – $11.09
Blood clotting test (partial thromboplastin time, PTT): 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $6.01
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $6.01
  • AETNA MEDICARE — AETNA MEDICARE: $6.01
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $6.01
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $5.11
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $4.01
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $4.01
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $6.01
  • CHAMPVA — CHAMPVA: $6.01
  • CIGNA MEDICARE — CIGNA: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: ACT THROMBOPLAST LAB $11.09 $9.42 $4.01 – $11.09
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $11.09
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $11.09
  • CIGNA OTHER — CIGNA COMMERCIAL: $11.09
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $11.09
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $11.09
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $11.09
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $11.09
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $11.09
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $11.09
  • NO-FAULT — NO-FAULT: $11.09

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE $350 $297.50 $38.11 – $410
CT scan of the head or brain, without contrast: 10 of 55 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $38.11
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $38.11
  • AETNA MEDICARE — AETNA MEDICARE: $38.11
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $72.72
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $134.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $78.92
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $78.92
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $38.11
  • CHAMPVA — CHAMPVA: $38.11
  • CIGNA MEDICARE — CIGNA: $38.11
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HEAD A W/OUT TECH $350 $297.50 $38.11 – $410
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $350
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $350
  • CIGNA OTHER — CIGNA COMMERCIAL: $350
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $350
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $350
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $350
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $350
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $350
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $350
  • NO-FAULT — NO-FAULT: $350
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 26 In the file: CT HEAD/BRAIN W/O DYE $350 $297.50 $33.84 – $47.77
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $38.11
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $38.11
  • AETNA MEDICARE — AETNA MEDICARE: $38.11
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $38.11
  • CHAMPVA — CHAMPVA: $38.11
  • CIGNA MEDICARE — CIGNA: $38.11
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $38.11
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $38.11
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $38.11
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $38.11
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE $1,014 $861.90 $275.32 – $1,154
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $303
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $448.56
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $296.62
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $296.62
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $303
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $303
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $303
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $303
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $1,136.25
  • GHI MEDICAL — GROUP HEALTH INC.: $303
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI HEAD W/O & W $1,014 $861.90 $275.32 – $1,154
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $1,014
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $1,014
  • CIGNA OTHER — CIGNA COMMERCIAL: $1,014
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $1,014
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $1,014
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $1,014
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $1,014
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $1,014
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $1,014
  • NO-FAULT — NO-FAULT: $1,014
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI HEAD WOW $140 $119 $275.32 – $1,154
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $140
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $140
  • CIGNA OTHER — CIGNA COMMERCIAL: $140
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $140
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $140
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $140
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $140
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $140
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $140
  • NO-FAULT — NO-FAULT: $140
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $123.92 $105.33 $9.09 – $143.92
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $9.09
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $111.89
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $23.74
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $23.74
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $9.09
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $9.09
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $9.09
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $9.09
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $34.09
  • GHI MEDICAL — GROUP HEALTH INC.: $9.09
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEW FR XRAY $123.92 $105.33 $9.09 – $143.92
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $123.92
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $123.92
  • CIGNA OTHER — CIGNA COMMERCIAL: $123.92
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $123.92
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $123.92
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $123.92
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $123.92
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $123.92
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $123.92
  • NO-FAULT — NO-FAULT: $123.92
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEWS $20 $17 $9.09 – $143.92
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $20
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $20
  • CIGNA OTHER — CIGNA COMMERCIAL: $20
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $20
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $20
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $20
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $20
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $20
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $20
  • NO-FAULT — NO-FAULT: $20
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS $172.22 $146.38 $18.18 – $192.22
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $18.18
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $134.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $39.37
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $39.37
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $18.18
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $18.18
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $18.18
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $18.18
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $40.91
  • GHI MEDICAL — GROUP HEALTH INC.: $18.18
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBOSACRAL SPINE COMPLETE XRAY $172.22 $146.38 $18.18 – $192.22
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $172.22
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $172.22
  • CIGNA OTHER — CIGNA COMMERCIAL: $172.22
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $172.22
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $172.22
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $172.22
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $172.22
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $172.22
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $172.22
  • NO-FAULT — NO-FAULT: $172.22
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBOSACRAL SPINE $20 $17 $18.18 – $192.22
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $20
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $20
  • CIGNA OTHER — CIGNA COMMERCIAL: $20
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $20
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $20
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $20
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $20
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $20
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $20
  • NO-FAULT — NO-FAULT: $20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE $345.12 $293.35 $164.87 – $1,136.25
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $303
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $306.78
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $169.35
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $169.35
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $303
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $303
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $303
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $303
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $1,136.25
  • GHI MEDICAL — GROUP HEALTH INC.: $303
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LS SPINE W/O $345.12 $293.35 $164.87 – $1,136.25
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $345.12
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $345.12
  • CIGNA OTHER — CIGNA COMMERCIAL: $345.12
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $345.12
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $345.12
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $345.12
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $345.12
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $345.12
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $345.12
  • NO-FAULT — NO-FAULT: $345.12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LS SPINE WO $100 $85 $164.87 – $1,136.25
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $100
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $100
  • CIGNA OTHER — CIGNA COMMERCIAL: $100
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $100
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $100
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $100
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $100
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $100
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $100
  • NO-FAULT — NO-FAULT: $100
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE $1,060 $901 $103.02 – $1,140
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $103.02
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $225.52
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $180.98
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $180.98
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $103.02
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $103.02
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $103.02
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $103.02
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $386.33
  • GHI MEDICAL — GROUP HEALTH INC.: $103.02
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: PELVIS B WITH TECH $1,060 $901 $103.02 – $1,140
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $1,060
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $1,060
  • CIGNA OTHER — CIGNA COMMERCIAL: $1,060
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $1,060
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $1,060
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $1,060
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $1,060
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $1,060
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $1,060
  • NO-FAULT — NO-FAULT: $1,060
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 26 In the file: CT PELVIS W/DYE $1,060 $901 $46.21 – $65.24
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $52.16
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $52.16
  • AETNA MEDICARE — AETNA MEDICARE: $52.16
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $52.16
  • CHAMPVA — CHAMPVA: $52.16
  • CIGNA MEDICARE — CIGNA: $52.16
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $52.16
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $52.16
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $52.16
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $52.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE $665 $565.25 $174.35 – $1,510
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $303
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $306.78
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $190.64
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $190.64
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $303
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $303
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $303
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $303
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $1,136.25
  • GHI MEDICAL — GROUP HEALTH INC.: $303
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOWER EXT JOINT LT W/O $665 $565.25 $174.35 – $1,510
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $665
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $665
  • CIGNA OTHER — CIGNA COMMERCIAL: $665
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $665
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $665
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $665
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $665
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $665
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $665
  • NO-FAULT — NO-FAULT: $665
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOWER EXT JOINT RT W/O $665 $565.25 $174.35 – $1,510
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $665
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $665
  • CIGNA OTHER — CIGNA COMMERCIAL: $665
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $665
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $665
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $665
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $665
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $665
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $665
  • NO-FAULT — NO-FAULT: $665
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST $450 $382.50 $65.41 – $570
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $65.41
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $448.56
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $244.11
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $244.11
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $65.41
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $65.41
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $65.41
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $65.41
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $245.27
  • GHI MEDICAL — GROUP HEALTH INC.: $65.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD-PEVLIS W $450 $382.50 $65.41 – $570
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $450
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $450
  • CIGNA OTHER — CIGNA COMMERCIAL: $450
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $450
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $450
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $450
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $450
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $450
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $450
  • NO-FAULT — NO-FAULT: $450
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT AABD-PELVIS W $120 $102 $65.41 – $570
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $120
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $120
  • CIGNA OTHER — CIGNA COMMERCIAL: $120
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $120
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $120
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $120
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $120
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $120
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $120
  • NO-FAULT — NO-FAULT: $120
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE $172.22 $146.38 $36.36 – $222.22
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $36.36
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $134.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $89.29
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $89.29
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $36.36
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $36.36
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $36.36
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $36.36
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $81.81
  • GHI MEDICAL — GROUP HEALTH INC.: $36.36
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ECHOGRAPHY ABD COMPL $172.22 $146.38 $36.36 – $222.22
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $172.22
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $172.22
  • CIGNA OTHER — CIGNA COMMERCIAL: $172.22
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $172.22
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $172.22
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $172.22
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $172.22
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $172.22
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $172.22
  • NO-FAULT — NO-FAULT: $172.22
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 26 In the file: US EXAM ABDOM COMPLETE $172.22 $146.38 $32.14 – $45.37
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $36.18
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $36.18
  • AETNA MEDICARE — AETNA MEDICARE: $36.18
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $36.18
  • CHAMPVA — CHAMPVA: $36.18
  • CIGNA MEDICARE — CIGNA: $36.18
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $36.18
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $36.18
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $36.18
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $36.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >/= 14 WKS SNGL FETUS $217 $184.45 $33.33 – $287
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $33.33
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $134.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $99.70
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $99.70
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $33.33
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $33.33
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $33.33
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $33.33
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $124.99
  • GHI MEDICAL — GROUP HEALTH INC.: $33.33
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: FETAL COMPLETE 14 WK $217 $184.45 $33.33 – $287
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $217
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $217
  • CIGNA OTHER — CIGNA COMMERCIAL: $217
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $217
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $217
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $217
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $217
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $217
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $217
  • NO-FAULT — NO-FAULT: $217
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: FETAL COMPLETE 14WK $70 $59.50 $33.33 – $287
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $70
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $70
  • CIGNA OTHER — CIGNA COMMERCIAL: $70
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $70
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $70
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $70
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $70
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $70
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $70
  • NO-FAULT — NO-FAULT: $70
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB $172.22 $146.38 $36.36 – $222.22
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $36.36
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $134.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $95.42
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $95.42
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $36.36
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $36.36
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $36.36
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $36.36
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $136.35
  • GHI MEDICAL — GROUP HEALTH INC.: $36.36
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANS VAGINAL $172.22 $146.38 $36.36 – $222.22
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $172.22
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $172.22
  • CIGNA OTHER — CIGNA COMMERCIAL: $172.22
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $172.22
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $172.22
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $172.22
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $172.22
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $172.22
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $172.22
  • NO-FAULT — NO-FAULT: $172.22
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 26 In the file: TRANSVAGINAL US NON-OB $172.22 $146.38 $27.86 – $39.33
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $31.08
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $31.08
  • AETNA MEDICARE — AETNA MEDICARE: $31.08
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $31.08
  • CHAMPVA — CHAMPVA: $31.08
  • CIGNA MEDICARE — CIGNA: $31.08
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $31.08
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $31.08
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $31.08
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $31.08
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI $213 $181.05 $57.22 – $852
Diagnostic mammogram, one breast: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $82.19
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $82.19
  • AETNA MEDICARE — AETNA MEDICARE: $82.19
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $58.78
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $84.23
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $101.95
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $101.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $82.19
  • CHAMPVA — CHAMPVA: $82.19
  • CIGNA MEDICARE — CIGNA: $82.19
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO L W/CAD $213 $181.05 $57.22 – $852
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $213
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $213
  • CIGNA OTHER — CIGNA COMMERCIAL: $213
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $213
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $213
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $213
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $213
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $213
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $213
  • NO-FAULT — NO-FAULT: $213
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO R W/CAD $213 $181.05 $57.22 – $852
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $213
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $213
  • CIGNA OTHER — CIGNA COMMERCIAL: $213
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $213
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $213
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $213
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $213
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $213
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $213
  • NO-FAULT — NO-FAULT: $213
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI $258 $219.30 $58.78 – $516
Diagnostic mammogram, both breasts: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $105.39
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $105.39
  • AETNA MEDICARE — AETNA MEDICARE: $105.39
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $58.78
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $122.14
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $130.38
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $130.38
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $105.39
  • CHAMPVA — CHAMPVA: $105.39
  • CIGNA MEDICARE — CIGNA: $105.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO BIL W/CAD $258 $219.30 $58.78 – $516
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $258
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $258
  • CIGNA OTHER — CIGNA COMMERCIAL: $258
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $258
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $258
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $258
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $258
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $258
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $258
  • NO-FAULT — NO-FAULT: $258
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO GC MOD B W/CAD $258 $219.30 $58.78 – $516
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $258
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $258
  • CIGNA OTHER — CIGNA COMMERCIAL: $258
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $258
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $258
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $258
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $258
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $258
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $258
  • NO-FAULT — NO-FAULT: $258
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD $142.35 $120.99 $58.78 – $220.43
Screening mammogram, both breasts: 10 of 59 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $86.97
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $86.97
  • AETNA MEDICARE — AETNA MEDICARE: $86.97
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $114.92
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $101.28
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $107.79
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $107.79
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $86.97
  • CHAMPVA — CHAMPVA: $86.97
  • CIGNA MEDICARE — CIGNA: $86.97
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCREEN MAMMO W/CAD $142.35 $120.99 $58.78 – $220.43
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $142.35
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $142.35
  • CIGNA OTHER — CIGNA COMMERCIAL: $142.35
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $142.35
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $142.35
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $142.35
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $142.35
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $142.35
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $142.35
  • NO-FAULT — NO-FAULT: $142.35
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier TC In the file: SCR MAMMO BI INCL CAD $142.35 $120.99 $75.90 – $107.79
Screening mammogram, both breasts: 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $86.97
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $86.97
  • AETNA MEDICARE — AETNA MEDICARE: $86.97
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $84.96
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $107.79
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $107.79
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $86.97
  • CHAMPVA — CHAMPVA: $86.97
  • CIGNA MEDICARE — CIGNA: $86.97
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $86.97

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE $117 $99.45 $11.91 – $117
Electrocardiogram (ECG/EKG) with reading: 10 of 35 insurance plan rates
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $15.15
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $76.88
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $19.38
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $19.38
  • COMM BLUE ESSENTIAL — COMMUNITY BLUE ESSENTIAL: $15.15
  • COMMUNITY BLUE — COMMUNITY BLUE - BC: $15.15
  • COMMUNITY CARE - BC — COMMUNITY CARE - BC: $15.15
  • FIDELIS CARE OF NEW YORK — FIDELIS CARE NEW YORK: $15.15
  • FIDELIS ESSENTIAL PLANS — FIDELIS ESSENTIAL PLANS: $34.09
  • GHI MEDICAL — GROUP HEALTH INC.: $15.15
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: 12 LEAD GLOBAL $117 $99.45 $11.91 – $117
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $117
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $117
  • CIGNA OTHER — CIGNA COMMERCIAL: $117
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $117
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $117
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $117
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $117
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $117
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $117
  • NO-FAULT — NO-FAULT: $117

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES $68 $57.80 $12.28 – $136
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $28.42
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $28.42
  • AETNA MEDICARE — AETNA MEDICARE: $28.42
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $26.62
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $48.69
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $48.69
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $28.42
  • CHAMPVA — CHAMPVA: $28.42
  • CIGNA MEDICARE — CIGNA: $28.42
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $28.42
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: ROM THER EX 1/4 HR $68 $57.80 $12.28 – $136
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $68
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $68
  • CIGNA OTHER — CIGNA COMMERCIAL: $68
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $68
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $68
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $68
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $68
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $68
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $68
  • NO-FAULT — NO-FAULT: $68
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISES $68 $57.80 $32.46
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • UNIVERA HEALTHCARE — UNIVERA HEALTHCARE: $32.46
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN $125.27 $106.47 $84.15 – $125.27
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $95.94
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $95.94
  • AETNA MEDICARE — AETNA MEDICARE: $95.94
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $86.22
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $86.22
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $95.94
  • CHAMPVA — CHAMPVA: $95.94
  • CIGNA MEDICARE — CIGNA: $95.94
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $95.94
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $95.94
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVALLOW COMPLEX $125.27 $106.47 $84.15 – $125.27
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $125.27
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $125.27
  • CIGNA OTHER — CIGNA COMMERCIAL: $125.27
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $125.27
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $125.27
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $125.27
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $125.27
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $125.27
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $125.27
  • NO-FAULT — NO-FAULT: $125.27
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $125.27 $106.47 $95.27 – $101.81
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $95.27
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $95.27
  • AETNA MEDICARE — AETNA MEDICARE: $95.27
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $95.27
  • CIGNA MEDICARE — CIGNA: $95.27
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $95.27
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $95.27
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $95.27
  • HUMANA MEDICARE — HUMANA GOLD: $95.27
  • IHA ENCOMPASS 65 — IHA - ENCOMPASS 65: $101.81
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN $125.27 $106.47 $84.15 – $125.27
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $95.94
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $95.94
  • AETNA MEDICARE — AETNA MEDICARE: $95.94
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $86.22
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $86.22
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $86.22
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $95.94
  • CHAMPVA — CHAMPVA: $95.94
  • CIGNA MEDICARE — CIGNA: $95.94
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $95.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX $125.27 $106.47 $84.15 – $125.27
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $125.27
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $125.27
  • CIGNA OTHER — CIGNA COMMERCIAL: $125.27
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $125.27
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $125.27
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $125.27
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $125.27
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $125.27
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $125.27
  • NO-FAULT — NO-FAULT: $125.27
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $125.27 $106.47 $111
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • UNIVERA HEALTHCARE — UNIVERA HEALTHCARE: $111
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN $125.27 $106.47 $84.15 – $125.27
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $95.94
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $95.94
  • AETNA MEDICARE — AETNA MEDICARE: $95.94
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $86.22
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $86.22
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $95.94
  • CHAMPVA — CHAMPVA: $95.94
  • CIGNA MEDICARE — CIGNA: $95.94
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $95.94
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $95.94
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX $125.27 $106.47 $84.15 – $125.27
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $125.27
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $125.27
  • CIGNA OTHER — CIGNA COMMERCIAL: $125.27
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $125.27
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $125.27
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $125.27
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $125.27
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $125.27
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $125.27
  • NO-FAULT — NO-FAULT: $125.27

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION $602.65 $512.25 $391.21 – $2,201.56
Removal of breast growth (open surgery): 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $488.24
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $488.24
  • AETNA MEDICARE — AETNA MEDICARE: $488.24
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,608.12
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,761.24
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2,201.56
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $488.24
  • CHAMPVA — CHAMPVA: $488.24
  • CIGNA MEDICARE — CIGNA: $488.24
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $488.24
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXC BREAST LESION M/F 1 OR MORE $602.65 $512.25 $391.21 – $2,201.56
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $602.65
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $602.65
  • CIGNA OTHER — CIGNA COMMERCIAL: $602.65
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $602.65
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $602.65
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $602.65
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $602.65
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $602.65
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $602.65
  • NO-FAULT — NO-FAULT: $602.65
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier LT In the file: REMOVAL OF BREAST LESION $602.65 $512.25 $602.65
Removal of breast growth (open surgery): rates for 1 insurance plan
  • NOVA HEALTHCARE — NOVA HEALTHCARE: $602.65
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY $2,185.22 $1,857.43 $243 – $4,160.41
Total hip replacement: 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $1,204.49
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $1,204.49
  • AETNA MEDICARE — AETNA MEDICARE: $1,204.49
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $3,139.91
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $3,328.33
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $4,160.41
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $1,204.49
  • CHAMPVA — CHAMPVA: $1,204.49
  • CIGNA MEDICARE — CIGNA: $1,204.49
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $1,204.49
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: ANESTHESIA 27130 $1,888.30 $1,605.05 $243 – $4,160.41
Total hip replacement: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $1,888.30
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $1,888.30
  • CIGNA OTHER — CIGNA COMMERCIAL: $1,888.30
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $1,888.30
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $1,888.30
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $1,888.30
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $1,888.30
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $1,888.30
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $1,888.30
  • NO-FAULT — NO-FAULT: $1,888.30
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: HIP 27130 $2,185.22 $1,857.43 $243 – $4,160.41
Total hip replacement: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $2,185.22
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $2,185.22
  • CIGNA OTHER — CIGNA COMMERCIAL: $2,185.22
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $2,185.22
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $2,185.22
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $2,185.22
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $2,185.22
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $2,185.22
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $2,185.22
  • NO-FAULT — NO-FAULT: $2,185.22
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY $2,060.92 $1,751.78 $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,243.83
Total knee replacement: 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE — AETNA MEDICARE: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $2,100.44
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2,496.45
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $3,120.56
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • CHAMPVA — CHAMPVA: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • CIGNA MEDICARE — CIGNA: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: ANESTHESIA 27447 $2,060.92 $1,751.78 $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,243.83
Total knee replacement: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $2,060.92
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $2,060.92
  • CIGNA OTHER — CIGNA COMMERCIAL: $2,060.92
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $2,060.92
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $2,060.92
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $2,060.92
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $2,060.92
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $2,060.92
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $2,060.92
  • NO-FAULT — NO-FAULT: $2,060.92
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: KNEE 27447 $2,182.91 $1,855.47 $35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,243.83
Total knee replacement: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $2,182.91
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $2,182.91
  • CIGNA OTHER — CIGNA COMMERCIAL: $2,182.91
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $2,182.91
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $2,182.91
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $2,182.91
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $2,182.91
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $2,182.91
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $2,182.91
  • NO-FAULT — NO-FAULT: $2,182.91
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION $285.47 $242.64 $158.90 – $2,201.56
Shoulder arthroscopy: shaving of shoulder bone: 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $159.37
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $159.37
  • AETNA MEDICARE — AETNA MEDICARE: $159.37
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,608.12
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,761.24
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2,201.56
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $159.37
  • CHAMPVA — CHAMPVA: $159.37
  • CIGNA MEDICARE — CIGNA: $159.37
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $159.37
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: DECOMPRESSION OF SUBACROMIAL 29826 $285.47 $242.64 $158.90 – $2,201.56
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $285.47
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $285.47
  • CIGNA OTHER — CIGNA COMMERCIAL: $285.47
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $285.47
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $285.47
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $285.47
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $285.47
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $285.47
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $285.47
  • NO-FAULT — NO-FAULT: $285.47
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier AS In the file: SHO ARTHRS SRG DECOMPRESSION $285.47 $242.64 $158.90 – $159.37
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $159.37
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $159.37
  • AETNA MEDICARE — AETNA MEDICARE: $159.37
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $159.37
  • CHAMPVA — CHAMPVA: $159.37
  • CIGNA MEDICARE — CIGNA: $159.37
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $159.37
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $159.37
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $159.37
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $159.37
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ARTHRS KNE SRG MNISECTMY M/L $956.37 $812.91 $512.64 – $2,780.28
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $514.52
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $514.52
  • AETNA MEDICARE — AETNA MEDICARE: $514.52
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,983.75
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2,224.23
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2,780.28
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $514.52
  • CHAMPVA — CHAMPVA: $514.52
  • CIGNA MEDICARE — CIGNA: $514.52
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $514.52
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: MENISCECTOMY 29881 $956.37 $812.91 $512.64 – $2,780.28
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $956.37
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $956.37
  • CIGNA OTHER — CIGNA COMMERCIAL: $956.37
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $956.37
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $956.37
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $956.37
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $956.37
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $956.37
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $956.37
  • NO-FAULT — NO-FAULT: $956.37
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier AS In the file: ARTHRS KNE SRG MNISECTMY M/L $956.37 $812.91 $514.52
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $514.52
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $514.52
  • AETNA MEDICARE — AETNA MEDICARE: $514.52
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $514.52
  • CHAMPVA — CHAMPVA: $514.52
  • CIGNA MEDICARE — CIGNA: $514.52
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $514.52
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $514.52
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $514.52
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $514.52
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH $193.82 $164.74 $113.60 – $1,460.78
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $269.81
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $269.81
  • AETNA MEDICARE — AETNA MEDICARE: $269.81
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,047.62
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,168.62
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,460.78
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $269.81
  • CHAMPVA — CHAMPVA: $269.81
  • CIGNA MEDICARE — CIGNA: $269.81
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $269.81
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD/UPPER ENDOSCOPY INSPECTION $193.82 $164.74 $113.60 – $1,460.78
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $193.82
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $193.82
  • CIGNA OTHER — CIGNA COMMERCIAL: $193.82
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $193.82
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $193.82
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $193.82
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $193.82
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $193.82
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $193.82
  • NO-FAULT — NO-FAULT: $193.82
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · modifier Q6 In the file: EGD DIAGNOSTIC BRUSH WASH $193.82 $164.74 $269.81
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $269.81
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $269.81
  • AETNA MEDICARE — AETNA MEDICARE: $269.81
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $269.81
  • CHAMPVA — CHAMPVA: $269.81
  • CIGNA MEDICARE — CIGNA: $269.81
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $269.81
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $269.81
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $269.81
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $269.81
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE $218.66 $185.86 $127.76 – $1,948.95
Upper GI endoscopy with biopsy: 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $352.38
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $352.38
  • AETNA MEDICARE — AETNA MEDICARE: $352.38
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,408.54
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,559.16
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,948.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $352.38
  • CHAMPVA — CHAMPVA: $352.38
  • CIGNA MEDICARE — CIGNA: $352.38
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $352.38
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD W/BX DIAGNOSTIC $234.50 $199.32 $127.76 – $1,948.95
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $234.50
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $234.50
  • CIGNA OTHER — CIGNA COMMERCIAL: $234.50
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $234.50
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $234.50
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $234.50
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $234.50
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $234.50
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $234.50
  • NO-FAULT — NO-FAULT: $234.50
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD/UP ENDO W BIOPSY DILATION MALONEY $218.66 $185.86 $127.76 – $1,948.95
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $218.66
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $218.66
  • CIGNA OTHER — CIGNA COMMERCIAL: $218.66
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $218.66
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $218.66
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $218.66
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $218.66
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $218.66
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $218.66
  • NO-FAULT — NO-FAULT: $218.66
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY $288.36 $245.10 $170.58 – $1,948.95
Colonoscopy (diagnostic): 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $319.11
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $319.11
  • AETNA MEDICARE — AETNA MEDICARE: $319.11
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,408.54
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,559.16
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,948.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $319.11
  • CHAMPVA — CHAMPVA: $319.11
  • CIGNA MEDICARE — CIGNA: $319.11
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $319.11
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY W/O BX $310.47 $263.89 $170.58 – $1,948.95
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $310.47
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $310.47
  • CIGNA OTHER — CIGNA COMMERCIAL: $310.47
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $310.47
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $310.47
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $310.47
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $310.47
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $310.47
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $310.47
  • NO-FAULT — NO-FAULT: $310.47
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY DIAGNOSTIC $288.36 $245.10 $170.58 – $1,948.95
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $288.36
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $288.36
  • CIGNA OTHER — CIGNA COMMERCIAL: $288.36
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $288.36
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $288.36
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $288.36
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $288.36
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $288.36
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $288.36
  • NO-FAULT — NO-FAULT: $288.36
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY $312.99 $266.04 $100 – $1,948.95
Colonoscopy with biopsy: 10 of 34 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $406.47
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $406.47
  • AETNA MEDICARE — AETNA MEDICARE: $406.47
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,408.54
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,559.16
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,948.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $406.47
  • CHAMPVA — CHAMPVA: $406.47
  • CIGNA MEDICARE — CIGNA: $406.47
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $406.47
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/BX $337.91 $287.22 $100 – $1,948.95
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $337.91
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $337.91
  • CIGNA OTHER — CIGNA COMMERCIAL: $337.91
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $337.91
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $337.91
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $337.91
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $337.91
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $337.91
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $337.91
  • NO-FAULT — NO-FAULT: $337.91
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY WITH BIOPSY $312.99 $266.04 $100 – $1,948.95
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $312.99
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $312.99
  • CIGNA OTHER — CIGNA COMMERCIAL: $312.99
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $312.99
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $312.99
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $312.99
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $312.99
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $312.99
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $312.99
  • NO-FAULT — NO-FAULT: $312.99
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL $395.28 $335.98 $117.07 – $1,948.95
Colonoscopy with removal of polyps (snare): 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $426.26
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $426.26
  • AETNA MEDICARE — AETNA MEDICARE: $426.26
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,408.54
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,559.16
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,948.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $426.26
  • CHAMPVA — CHAMPVA: $426.26
  • CIGNA MEDICARE — CIGNA: $426.26
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $426.26
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/SNARE RMVL POLYPECTOMY $426.72 $362.71 $117.07 – $1,948.95
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $426.72
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $426.72
  • CIGNA OTHER — CIGNA COMMERCIAL: $426.72
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $426.72
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $426.72
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $426.72
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $426.72
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $426.72
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $426.72
  • NO-FAULT — NO-FAULT: $426.72
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY WITH SNARE POLYPECTOMY $395.28 $335.98 $117.07 – $1,948.95
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $395.28
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $395.28
  • CIGNA OTHER — CIGNA COMMERCIAL: $395.28
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $395.28
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $395.28
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $395.28
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $395.28
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $395.28
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $395.28
  • NO-FAULT — NO-FAULT: $395.28
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON CA SCRN NOT HI RSK IND $288.24 $245 $150.81 – $1,948.95
Screening colonoscopy (not high risk): 10 of 36 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $159.64
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $159.64
  • AETNA MEDICARE — AETNA MEDICARE: $159.64
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,408.54
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,559.16
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,948.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $159.64
  • CHAMPVA — CHAMPVA: $159.64
  • CIGNA MEDICARE — CIGNA: $159.64
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $159.64
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLONOSCOPY MC SCREENING LOW RISK $288.24 $245 $150.81 – $1,948.95
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $288.24
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $288.24
  • CIGNA OTHER — CIGNA COMMERCIAL: $288.24
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $288.24
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $288.24
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $288.24
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $288.24
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $288.24
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $288.24
  • NO-FAULT — NO-FAULT: $288.24
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · modifier Q6 In the file: COLON CA SCRN NOT HI RSK IND $288.24 $245 $159.64
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $159.64
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $159.64
  • AETNA MEDICARE — AETNA MEDICARE: $159.64
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $159.64
  • CHAMPVA — CHAMPVA: $159.64
  • CIGNA MEDICARE — CIGNA: $159.64
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $159.64
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $159.64
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $159.64
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $159.64
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY $973.64 $827.59 $614.66 – $4,317.76
Gallbladder removal by laparoscope: 10 of 30 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $617.72
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $617.72
  • AETNA MEDICARE — AETNA MEDICARE: $617.72
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $4,317.76
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2,496.45
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $3,120.56
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $617.72
  • CHAMPVA — CHAMPVA: $617.72
  • CIGNA MEDICARE — CIGNA: $617.72
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $617.72
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: CHOLECYSTECTOMY LAPAROSCOPIC $973.64 $827.59 $614.66 – $4,317.76
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $973.64
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $973.64
  • CIGNA OTHER — CIGNA COMMERCIAL: $973.64
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $973.64
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $973.64
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $973.64
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $973.64
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $973.64
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $973.64
  • NO-FAULT — NO-FAULT: $973.64
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · modifier LT In the file: LAPAROSCOPIC CHOLECYSTECTOMY $973.64 $827.59 $973.64
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • NOVA HEALTHCARE — NOVA HEALTHCARE: $973.64
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR $769.68 $654.22 $488.47 – $2,780.28
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $490.61
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $490.61
  • AETNA MEDICARE — AETNA MEDICARE: $490.61
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,983.75
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $2,224.23
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $2,780.28
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $490.61
  • CHAMPVA — CHAMPVA: $490.61
  • CIGNA MEDICARE — CIGNA: $490.61
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $490.61
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: HERNIA REPAIR OPEN REDUCIBLE $769.68 $654.22 $488.47 – $2,780.28
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $769.68
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $769.68
  • CIGNA OTHER — CIGNA COMMERCIAL: $769.68
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $769.68
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $769.68
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $769.68
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $769.68
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $769.68
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $769.68
  • NO-FAULT — NO-FAULT: $769.68
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier LT In the file: PRP I/HERN INIT REDUC >5 YR $769.68 $654.22 $490.61 – $769.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $490.61
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $490.61
  • AETNA MEDICARE — AETNA MEDICARE: $490.61
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $490.61
  • CHAMPVA — CHAMPVA: $490.61
  • CIGNA MEDICARE — CIGNA: $490.61
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $490.61
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $490.61
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $490.61
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $490.61
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY $784.99 $667.24 $415.35 – $1,948.95
Carpal tunnel release: 10 of 32 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $423.73
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $423.73
  • AETNA MEDICARE — AETNA MEDICARE: $423.73
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $1,408.54
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $1,559.16
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $1,948.95
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $423.73
  • CHAMPVA — CHAMPVA: $423.73
  • CIGNA MEDICARE — CIGNA: $423.73
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $423.73
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: TRANSPOSITION 64721 $784.99 $667.24 $415.35 – $1,948.95
Carpal tunnel release: 10 of 11 insurance plan rates
  • AETNA INS. — AETNA INS.: $784.99
  • AMERICAN PROGRESSIVE INS. — AMERICAN PROGRESSIVE INS.: $784.99
  • CIGNA OTHER — CIGNA COMMERCIAL: $784.99
  • COMMERCIAL / MISC — COMMERCIAL / MISC: $784.99
  • GLOBAL EXCEL MGT — GLOBAL EXCEL MGT: $784.99
  • GUARDIAN LIFE INS. CO. — GUARDIAN LIFE INS. CO.: $784.99
  • MVP COMMERCIAL — MVP COMMERCIAL IP: $784.99
  • MVP COMMERCIAL — MVP COMMERCIAL OP: $784.99
  • NO AMER MERITIAN HEALTH — NO AMER MERITIAN HEALTH: $784.99
  • NO-FAULT — NO-FAULT: $784.99
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier RT In the file: CARPAL TUNNEL SURGERY $784.99 $667.24 $415.35 – $784.99
Carpal tunnel release: 10 of 24 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $423.73
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $423.73
  • AETNA MEDICARE — AETNA MEDICARE: $423.73
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $423.73
  • CHAMPVA — CHAMPVA: $423.73
  • CIGNA MEDICARE — CIGNA: $423.73
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $423.73
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $423.73
  • FIDELIS MEDICARE — FIDELIS MEDICARE: $423.73
  • GEISINGER HEALTH PLAN — GEISINGER HEALTH PLAN: $423.73

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 or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE Not listed in the file Not listed in the file $89,542.85 – $125,012.42
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 35 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $91,370.26
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $91,370.26
  • AETNA MEDICARE — AETNA MEDICARE: $91,370.26
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $100,077.23
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $100,009.91
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $125,012.42
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $91,370.26
  • CHAMPVA — CHAMPVA: $91,370.26
  • CIGNA MEDICARE — CIGNA: $91,370.26
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $91,370.26
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient or outpatient In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $33,143.98 – $47,116.82
Spinal fusion (not neck), without major complications: 10 of 33 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $33,820.39
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $33,820.39
  • AETNA MEDICARE — AETNA MEDICARE: $33,820.39
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $37,693.45
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $47,116.82
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $33,820.39
  • CHAMPVA — CHAMPVA: $33,820.39
  • CIGNA MEDICARE — CIGNA: $33,820.39
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $33,820.39
  • CTRS PLAN FOR HLTHY LIVNG — CTRS PLAN FOR HLTHY LIVNG: $33,820.39
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME Not listed in the file Not listed in the file $1,856.29 – $24,237.88
Hip or knee replacement (major joint of the leg), without major complications: 10 of 55 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $18,084.88
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $18,084.88
  • AETNA MEDICARE — AETNA MEDICARE: $18,084.88
  • BC/BS WNY MEDICAID — BC/BS WNY MEDICAID: $1,856.29
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $19,815.64
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $19,390.30
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $24,237.88
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $18,084.88
  • CHAMPVA — CHAMPVA: $18,084.88
  • CIGNA MEDICARE — CIGNA: $18,084.88
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $22,221.93 – $31,694.59
Neck (cervical) spinal fusion, without complications: 10 of 35 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $22,675.44
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $22,675.44
  • AETNA MEDICARE — AETNA MEDICARE: $22,675.44
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $24,796.33
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $25,355.67
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $31,694.59
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $22,675.44
  • CHAMPVA — CHAMPVA: $22,675.44
  • CIGNA MEDICARE — CIGNA: $22,675.44
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $22,675.44
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W Not listed in the file Not listed in the file $11,435.60 – $14,967.54
Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates
  • AARP/UNITED HEALTHCARE — AARP/UNITED HEALTHCARE: $11,990.94
  • ADVANTRA-MCR ADVANTAGE — ADVANTRA-MCR ADVANTAGE: $11,990.94
  • AETNA MEDICARE — AETNA MEDICARE: $11,990.94
  • BLUE CROSS FREEDOM BLUE — BLUE CROSS FREEDOM BLUE: $12,717.20
  • BLUE CROSS OF WESTERN NY — BC OF WNY HMO: $11,974.03
  • BLUE CROSS OF WESTERN NY — BC OF WNY PPO: $14,967.54
  • CENTERS PLAN HLTY LIVING — CENTERS PLAN HLTY LIVING: $11,990.94
  • CHAMPVA — CHAMPVA: $11,990.94
  • CIGNA MEDICARE — CIGNA: $11,990.94
  • COVENTRY MEDICARE HEALTH — COVENTRY MEDICARE HEALTH: $11,990.94

Source: Bertrand Chaffee Hospital’s standard charges file (s3.amazonaws.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 1, 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 typeAcute Care Hospital
Address224 East Main Street, Springville, NY 14141
CountyErie County
StateNew York
Phone(716) 592‑2871
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number330111
Name in Medicare recordsBERTRAND CHAFFEE HOSPITAL
Profile levelMedicare data + hospital website
Official websitebertrandchaffee.com
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. Bertrand Chaffee Hospital — bertrandchaffee.com
  2. Emergency Department — bertrandchaffee.com