Does Bethesda North have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Bethesda North. In a medical emergency, call 911.

Where is Bethesda North?

10500 Montgomery Road, Cincinnati, OH 45242, in Hamilton County, Ohio.

What is the phone number of Bethesda North?

(513) 865-1111, as listed by Medicare (CMS).

What is the Medicare star rating of Bethesda North?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Bethesda North for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Bethesda North under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1892; 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).

Bethesda North — Phone, Address, ER & Ratings

Quick answers

Does Bethesda North have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Bethesda North. In a medical emergency, call 911.
Where is Bethesda North?: 10500 Montgomery Road, Cincinnati, OH 45242, in Hamilton County, Ohio.
What is the phone number of Bethesda North?: (513) 865-1111, as listed by Medicare (CMS).
What is the Medicare star rating of Bethesda North?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Bethesda North for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Bethesda North under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1892; 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][8][9]

Conditions treated^[9][11][15]

Acute heart attack
Stroke
Chest pain
Abdominal pain
Syncope
Falls
Industrial accidents
Traumatic injuries
Sexual assault
Domestic violence

Treatments^[5][14][18]

Hyperbaric oxygen therapy
Physical therapy
Occupational therapy
Nerve blocks and spinal anesthesia for pain control

Procedures^{[4][5][8][17]}

Robotic surgery
Joint replacement
Spine surgery
Hip replacement
Knee replacement
Shoulder replacement
Endoscopy
3D mammography (digital breast tomosynthesis)

Programs and centers^{[4][5][9][15][18]}

Mary Jo Cropper Family Center for Breast Care
Center for Abuse and Rape Emergency Services (CARES)
Sexual Abuse Nurse Examiner (SANE) service
Forensic Nurse Examiner (FNE) service
Trauma services program
Hamilton County Safe Communities
ThinkFirst Injury Prevention
Total Joint Replacement Education Program
Inpatient orthopedic nursing units

Emergency care (hospital website)^{[4][5][11][12][15]}

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Advanced Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	Visiting hours are 24/7^[6]
Parking	Surface lot parking, weekday shuttle buses 6 a.m.-6 p.m., and free valet at the main entrance^[7]
Interpreters and languages	Interpretation services are listed under guest services; TDD line available for the hearing impaired^[10][19]

Doctors and clinicians (1,816)

1,816 doctors and other clinicians list Bethesda North 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

And 1,792 more: the button below opens the full list.

Other emergency rooms nearby

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

Assurance Health Cincinnati LLC2.4 mi · Cincinnati, OH · Psychiatric Hospital
The Jewish Hospital-Mercy Health3.7 mi · Cincinnati, OH · Acute Care Hospital
West Chester Hospital7.6 mi · West Chester, OH · Acute Care Hospital
Mercy Health Kings Mills Hospital LLC8.5 mi · Mason, OH · Acute Care Hospital
Mercy Health - Fairfield Hospital10 mi · Fairfield, OH · Acute Care Hospital

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

Other hospitals near Cincinnati

Cincinnati Rehabilitation Hospital LLC0.8 mi · Blue Ash, OH · Inpatient Rehabilitation Hospital
Lindner Center of Hope6.4 mi · Mason, OH · Psychiatric Hospital
Blueridge Vista Health and Wellness7.1 mi · Cincinnati, OH · Psychiatric Hospital

All hospitals in Cincinnati · Hospitals in Hamilton 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

Meadowbrook Care Center0.4 mi · Cincinnati, OH · 2 of 5 stars
Twin Lakes1.2 mi · Cincinnati, OH · 5 of 5 stars
Montgomery Care Center1.9 mi · Cincinnati, OH · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Crossroads Hospice of Cincinnati, LLC0.8 mi · Cincinnati, OH · 2 of 5 stars
Hospice of Cincinnati, Inc0.8 mi · Cincinnati, OH · 3 of 5 stars
Affinity Care of Ohio LLC1.8 mi · Cincinnati, OH · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Alternate Solutions Homecare 10, LLC0.8 mi · Blue Ash, OH
Alternate Solutions Homecare 11, LLC0.8 mi · Blue Ash, OH
Americans Choice Healthcare Services LLC0.8 mi · Blue Ash, OH

All home health agencies in the state →

Dialysis facilities

DaVita Blue Ash Dialysis0.8 mi · Blue Ash, OH · 2 of 5 stars
DaVita Montgomery Home Training Dialysis1.8 mi · Cincinnati, OH
DaVita Silverton Dialysis4.1 mi · Cincinnati, OH · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Blue Ash Endoscopy Center LLC0.8 mi · Blue Ash, OH
CVP Surgery Center at Blue Ash0.8 mi · Blue Ash, OH
Endoscopy Center North, LLC0.8 mi · Cincinnati, OH

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

HealthSource Wards Corner3.9 mi · Loveland, OH · Community health center
Viking School Based Health Center5.7 mi · Cincinnati, OH · Community health center
Lincoln Heights Health Center5.9 mi · Cincinnati, OH · Community health center

Clinics and urgent care

Doctor MD Now LLC1.8 mi · Cincinnati, OH · Urgent care center
S&S Care Solutions, LLC1.8 mi · Cincinnati, OH · Urgent care center
Apex Clinicare LLC7.3 mi · West Chester, OH · Urgent care center

Pharmacies

Kroger Co0.8 mi · Blue Ash, OH · Community/retail pharmacy
Kroger Limited Partnership I0.8 mi · Cincinnati, OH · Community/retail pharmacy
Sycamore Hills Pharmacy LLC0.8 mi · Blue Ash, OH · Pharmacy

Assisted living nearby

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

Brookdale Kenwood0.8 mi · Cincinnati, OH
Serene Suites0.8 mi · Cincinnati, OH
The Summit of Blue Ash - Senior Living0.8 mi · Blue Ash, OH
Twin Lakes0.8 mi · Cincinnati, OH

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 Bethesda North 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 hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	78%National average: 80%
“Always” got help as soon as they wanted	57%National average: 64%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	71%National average: 73%
Completed surveys	2,052Response rate: 30%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.858No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.171Better than the national benchmark
Surgical site infections after colon surgery	1.139No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.656No different from the national benchmark
MRSA bloodstream infections	0.766No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	1.058No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	9.8%
Deaths within 30 days: heart failure patients	10.7%
Deaths within 30 days: pneumonia patients	15.4%
Deaths within 30 days: COPD patients	8.9%
Deaths within 30 days: stroke patients	11.6%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	1.11No different from the national rate
Complications after hip or knee replacement	4.4%

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)	17.3%
Readmitted within 30 days: heart attack	15%
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	18.9%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	10.2%
Readmitted within 30 days: hip or knee replacement	6.4%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	156 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)	58%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Bethesda North, 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 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.1892Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	1.0217More readmissions than expected
Heart failure	1.0385More readmissions than expected
Pneumonia	1.0821More readmissions than expected
COPD (chronic lung disease)	1.0591More readmissions than expected
Hip or knee replacement	1.2344More readmissions than expected
Coronary bypass surgery (CABG)	0.9687Fewer readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	24.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	15.00 out of 100
Person and community engagement (patient survey)	31.00 out of 100
Safety (infections and sepsis care)	30.00 out of 100
Efficiency and cost reduction (Medicare spending)	20.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.00Same as the national median hospital

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

ER wait times and Medicare ratings nearby

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

ER wait times in Cincinnati Best hospitals in Cincinnati

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Bethesda North lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 86 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$175.73 – $179.18
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Aetna — All Commercial Plans: $175.73
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$285.73 – $291.34
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Aetna — All Commercial Plans: $285.73
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$388.44 – $396.07
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Aetna — All Commercial Plans: $388.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$140.99 – $143.76
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Aetna — All Commercial Plans: $140.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$207.87 – $211.95
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Aetna — All Commercial Plans: $207.87
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$208.62 – $212.71
Office consultation with a specialist (moderate): rates for 1 insurance plan Aetna — All Commercial Plans: $208.62
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$317.24 – $323.47
Office consultation with a specialist (moderate to high): rates for 1 insurance plan Aetna — All Commercial Plans: $317.24
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$201.55 – $205.51
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Aetna — All Commercial Plans: $201.55
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$244.28 – $249.08
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Aetna — All Commercial Plans: $244.28
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$153.67 – $781.83
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $153.67 Aetna — Medicare Managed Care Plan: $266.02 BCBS — Anthem Blue Access PPO: $781.83 BCBS — Anthem Blue Connection HMO: $679.78 BCBS — Anthem KY Pathway Transition HMO Exchange: $332.54 BCBS — Anthem OH I and OH II PPO: $574.83 Buckeye — Advantage Medicare Managed Care Plan: $274 Buckeye — Ambetter Exchange: $385.73 Custom Design Benefits — Exclusive Other Commercial Plan: $654.41 Custom Design Benefits — TruCost Other Commercial Plan: $683.68
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED Visit Level 3	$2,121.75	$1,591.31	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Visit Level 3	$2,121.75	$1,591.31	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$261.58 – $1,195.08
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $261.58 Aetna — Medicare Managed Care Plan: $406.63 BCBS — Anthem Blue Access PPO: $1,195.08 BCBS — Anthem Blue Connection HMO: $1,039.09 BCBS — Anthem KY Pathway Transition HMO Exchange: $508.30 BCBS — Anthem OH I and OH II PPO: $878.67 Buckeye — Advantage Medicare Managed Care Plan: $418.83 Buckeye — Ambetter Exchange: $589.61 Custom Design Benefits — Exclusive Other Commercial Plan: $1,000.31 Custom Design Benefits — TruCost Other Commercial Plan: $1,045.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Visit Level 4	$2,691	$2,018.25	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$379.09 – $1,705.65
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $379.09 Aetna — Medicare Managed Care Plan: $580.36 BCBS — Anthem Blue Access PPO: $1,705.65 BCBS — Anthem Blue Connection HMO: $1,483.02 BCBS — Anthem KY Pathway Transition HMO Exchange: $725.47 BCBS — Anthem OH I and OH II PPO: $1,254.07 Buckeye — Advantage Medicare Managed Care Plan: $597.77 Buckeye — Ambetter Exchange: $841.52 Custom Design Benefits — Exclusive Other Commercial Plan: $1,427.68 Custom Design Benefits — TruCost Other Commercial Plan: $1,491.52
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED Visit Level 5	$3,250	$2,437.50	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Visit Level 5	$3,250	$2,437.50	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$4.64 – $54.43
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $18.62 BCBS — Anthem Blue Access PPO: $9.13 BCBS — Anthem Blue Connection HMO: $7.94 BCBS — Anthem KY Pathway Transition HMO Exchange: $10.58 BCBS — Anthem OH I and OH II PPO: $6.72 BCBS — Anthem Pathway X HMO Exchange: $10.58 Buckeye — Advantage Medicare Managed Care Plan: $8.71 Buckeye — Ambetter Exchange: $12.27 Cigna — All Commercial Plans: $54.43 Custom Design Benefits — Exclusive Other Commercial Plan: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel	$17.53	$13.15	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$5.79 – $67.97
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $23.24 BCBS — Anthem Blue Access PPO: $11.40 BCBS — Anthem Blue Connection HMO: $9.92 BCBS — Anthem KY Pathway Transition HMO Exchange: $13.20 BCBS — Anthem OH I and OH II PPO: $8.38 BCBS — Anthem Pathway X HMO Exchange: $13.20 Buckeye — Advantage Medicare Managed Care Plan: $10.88 Buckeye — Ambetter Exchange: $15.31 Cigna — All Commercial Plans: $67.97 Custom Design Benefits — Exclusive Other Commercial Plan: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$48.13	$36.10	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$26.42	$19.82	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$26.17 – $307.62
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $105.19 BCBS — Anthem Blue Access PPO: $51.61 BCBS — Anthem Blue Connection HMO: $44.89 BCBS — Anthem KY Pathway Transition HMO Exchange: $59.76 BCBS — Anthem OH I and OH II PPO: $37.96 BCBS — Anthem Pathway X HMO Exchange: $59.76 Buckeye — Advantage Medicare Managed Care Plan: $49.24 Buckeye — Ambetter Exchange: $69.32 Cigna — All Commercial Plans: $307.62 Custom Design Benefits — Exclusive Other Commercial Plan: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$7.32 – $86.15
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $29.45 BCBS — Anthem Blue Access PPO: $14.45 BCBS — Anthem Blue Connection HMO: $12.57 BCBS — Anthem KY Pathway Transition HMO Exchange: $16.74 BCBS — Anthem OH I and OH II PPO: $10.63 BCBS — Anthem Pathway X HMO Exchange: $16.74 Buckeye — Advantage Medicare Managed Care Plan: $13.79 Buckeye — Ambetter Exchange: $19.42 Cigna — All Commercial Plans: $86.15 Custom Design Benefits — Exclusive Other Commercial Plan: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Profile	$33.48	$25.11	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$4.76 – $55.85
Kidney function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $19.09 BCBS — Anthem Blue Access PPO: $9.37 BCBS — Anthem Blue Connection HMO: $8.15 BCBS — Anthem KY Pathway Transition HMO Exchange: $10.85 BCBS — Anthem OH I and OH II PPO: $6.89 BCBS — Anthem Pathway X HMO Exchange: $10.85 Buckeye — Advantage Medicare Managed Care Plan: $8.94 Buckeye — Ambetter Exchange: $12.59 Cigna — All Commercial Plans: $55.85 Custom Design Benefits — Exclusive Other Commercial Plan: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel	$39.57	$29.68	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$4.46 – $52.57
Liver function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $17.99 BCBS — Anthem Blue Access PPO: $8.82 BCBS — Anthem Blue Connection HMO: $7.67 BCBS — Anthem KY Pathway Transition HMO Exchange: $10.21 BCBS — Anthem OH I and OH II PPO: $6.49 BCBS — Anthem Pathway X HMO Exchange: $10.21 Buckeye — Advantage Medicare Managed Care Plan: $8.42 Buckeye — Ambetter Exchange: $11.85 Cigna — All Commercial Plans: $52.57 Custom Design Benefits — Exclusive Other Commercial Plan: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel	$20.43	$15.32	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$1.74 – $20.40
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6.99 BCBS — Anthem Blue Access PPO: $3.42 BCBS — Anthem Blue Connection HMO: $2.98 BCBS — Anthem KY Pathway Transition HMO Exchange: $3.96 BCBS — Anthem OH I and OH II PPO: $2.52 BCBS — Anthem Pathway X HMO Exchange: $3.96 Buckeye — Advantage Medicare Managed Care Plan: $3.27 Buckeye — Ambetter Exchange: $4.60 Cigna — All Commercial Plans: $20.40 Custom Design Benefits — Exclusive Other Commercial Plan: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy	$7.92	$5.94	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$1.72 – $20.13
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $7.65 BCBS — Anthem Blue Access PPO: $3.76 BCBS — Anthem Blue Connection HMO: $3.27 BCBS — Anthem KY Pathway Transition HMO Exchange: $4.35 BCBS — Anthem OH I and OH II PPO: $2.76 BCBS — Anthem Pathway X HMO Exchange: $4.35 Buckeye — Advantage Medicare Managed Care Plan: $3.58 Buckeye — Ambetter Exchange: $5.05 Cigna — All Commercial Plans: $20.13 Custom Design Benefits — Exclusive Other Commercial Plan: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urine Dip Stick	$14.27	$10.70	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.21 – $14.43
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $4.95 BCBS — Anthem Blue Access PPO: $2.43 BCBS — Anthem Blue Connection HMO: $2.11 BCBS — Anthem KY Pathway Transition HMO Exchange: $2.81 BCBS — Anthem OH I and OH II PPO: $1.79 BCBS — Anthem Pathway X HMO Exchange: $2.81 Buckeye — Advantage Medicare Managed Care Plan: $2.32 Buckeye — Ambetter Exchange: $3.26 Cigna — All Commercial Plans: $14.43 Custom Design Benefits — Exclusive Other Commercial Plan: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ua Dipstick or Tablet Reagent Autom WO Microscpy	$5.60	$4.20	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urine Routine WO Micro	$10.21	$7.66	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$10.07 – $118.39
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $40.45 BCBS — Anthem Blue Access PPO: $19.85 BCBS — Anthem Blue Connection HMO: $17.27 BCBS — Anthem KY Pathway Transition HMO Exchange: $22.99 BCBS — Anthem OH I and OH II PPO: $14.60 BCBS — Anthem Pathway X HMO Exchange: $22.99 Buckeye — Advantage Medicare Managed Care Plan: $18.94 Buckeye — Ambetter Exchange: $26.67 Cigna — All Commercial Plans: $118.39 Custom Design Benefits — Exclusive Other Commercial Plan: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Psa Total	$79.17	$59.38	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psa Total	$43.45	$32.59	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$9.20 – $108.16
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $36.96 BCBS — Anthem Blue Access PPO: $18.13 BCBS — Anthem Blue Connection HMO: $15.78 BCBS — Anthem KY Pathway Transition HMO Exchange: $21 BCBS — Anthem OH I and OH II PPO: $13.34 BCBS — Anthem Pathway X HMO Exchange: $21 Buckeye — Advantage Medicare Managed Care Plan: $17.30 Buckeye — Ambetter Exchange: $24.36 Cigna — All Commercial Plans: $108.16 Custom Design Benefits — Exclusive Other Commercial Plan: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Tsh Hormone	$42.01	$31.51	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$4.25 – $49.98
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $17.11 BCBS — Anthem Blue Access PPO: $8.39 BCBS — Anthem Blue Connection HMO: $7.30 BCBS — Anthem KY Pathway Transition HMO Exchange: $9.71 BCBS — Anthem OH I and OH II PPO: $6.17 BCBS — Anthem Pathway X HMO Exchange: $9.71 Buckeye — Advantage Medicare Managed Care Plan: $8 Buckeye — Ambetter Exchange: $11.27 Cigna — All Commercial Plans: $49.98 Custom Design Benefits — Exclusive Other Commercial Plan: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc With Differential	$19.42	$14.57	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$3.54 – $41.60
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $14.25 BCBS — Anthem Blue Access PPO: $6.98 BCBS — Anthem Blue Connection HMO: $6.08 BCBS — Anthem KY Pathway Transition HMO Exchange: $8.09 BCBS — Anthem OH I and OH II PPO: $5.14 BCBS — Anthem Pathway X HMO Exchange: $8.09 Buckeye — Advantage Medicare Managed Care Plan: $6.66 Buckeye — Ambetter Exchange: $9.38 Cigna — All Commercial Plans: $41.60 Custom Design Benefits — Exclusive Other Commercial Plan: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc WO Diff	$16.16	$12.12	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$2.15 – $25.30
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $9.43 BCBS — Anthem Blue Access PPO: $4.63 BCBS — Anthem Blue Connection HMO: $4.03 BCBS — Anthem KY Pathway Transition HMO Exchange: $5.36 BCBS — Anthem OH I and OH II PPO: $3.41 BCBS — Anthem Pathway X HMO Exchange: $5.36 Buckeye — Advantage Medicare Managed Care Plan: $4.42 Buckeye — Ambetter Exchange: $6.22 Cigna — All Commercial Plans: $25.30 Custom Design Benefits — Exclusive Other Commercial Plan: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	$17.92	$13.44	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Istat Pt/Inr	$17.92	$13.44	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$3.28 – $38.66
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $13.23 BCBS — Anthem Blue Access PPO: $6.49 BCBS — Anthem Blue Connection HMO: $5.64 BCBS — Anthem KY Pathway Transition HMO Exchange: $7.51 BCBS — Anthem OH I and OH II PPO: $4.77 BCBS — Anthem Pathway X HMO Exchange: $7.51 Buckeye — Advantage Medicare Managed Care Plan: $6.19 Buckeye — Ambetter Exchange: $8.71 Cigna — All Commercial Plans: $38.66 Custom Design Benefits — Exclusive Other Commercial Plan: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Apc Ptt	$27.35	$20.51	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Ptt	$27.35	$20.51	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$101.88 – $299.43
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $181.36 Aetna — Medicare Managed Care Plan: $101.88 BCBS — Anthem Blue Access PPO: $299.43 BCBS — Anthem Blue Connection HMO: $260.34 BCBS — Anthem KY Pathway Transition HMO Exchange: $127.36 BCBS — Anthem OH I and OH II PPO: $220.15 Buckeye — Advantage Medicare Managed Care Plan: $104.94 Buckeye — Ambetter Exchange: $147.73 Custom Design Benefits — Exclusive Other Commercial Plan: $250.63 Custom Design Benefits — TruCost Other Commercial Plan: $261.84
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head Without Contrast	$403.99	$302.99	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$339.98 – $999.20
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $595.71 Aetna — Medicare Managed Care Plan: $339.98 BCBS — Anthem Blue Access PPO: $999.20 BCBS — Anthem Blue Connection HMO: $868.78 BCBS — Anthem KY Pathway Transition HMO Exchange: $424.99 BCBS — Anthem OH I and OH II PPO: $734.66 Buckeye — Advantage Medicare Managed Care Plan: $350.18 Buckeye — Ambetter Exchange: $492.98 Custom Design Benefits — Exclusive Other Commercial Plan: $836.36 Custom Design Benefits — TruCost Other Commercial Plan: $873.76
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR Brain WO&W Contrast	$659.60	$494.70	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$58.49 – $249.25
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $58.49 Aetna — Medicare Managed Care Plan: $84.81 BCBS — Anthem Blue Access PPO: $249.25 BCBS — Anthem Blue Connection HMO: $216.71 BCBS — Anthem KY Pathway Transition HMO Exchange: $106.01 BCBS — Anthem OH I and OH II PPO: $183.26 Buckeye — Advantage Medicare Managed Care Plan: $87.35 Buckeye — Ambetter Exchange: $122.97 Cigna — All Commercial Plans: $224.38 Custom Design Benefits — Exclusive Other Commercial Plan: $208.63
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$347.97	$260.98	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$347.97	$260.98	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$99.36 – $405.20
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $99.36 Aetna — Medicare Managed Care Plan: $101.88 BCBS — Anthem Blue Access PPO: $299.43 BCBS — Anthem Blue Connection HMO: $260.34 BCBS — Anthem KY Pathway Transition HMO Exchange: $127.36 BCBS — Anthem OH I and OH II PPO: $220.15 Buckeye — Advantage Medicare Managed Care Plan: $104.94 Buckeye — Ambetter Exchange: $147.73 Cigna — All Commercial Plans: $405.20 Custom Design Benefits — Exclusive Other Commercial Plan: $250.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Xr Spine Lumbosacral Min 4 Views	$794.45	$595.84	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Spine Lumbosacral Min 4 Views	$794.45	$595.84	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$232.52 – $683.38
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $343.39 Aetna — Medicare Managed Care Plan: $232.52 BCBS — Anthem Blue Access PPO: $683.38 BCBS — Anthem Blue Connection HMO: $594.18 BCBS — Anthem KY Pathway Transition HMO Exchange: $290.66 BCBS — Anthem OH I and OH II PPO: $502.45 Buckeye — Advantage Medicare Managed Care Plan: $239.50 Buckeye — Ambetter Exchange: $337.16 Custom Design Benefits — Exclusive Other Commercial Plan: $572.01 Custom Design Benefits — TruCost Other Commercial Plan: $597.58
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR Spine Lumbar WO Contrast	$659.60	$494.70	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR Spine Lumbar WO Contrast	$659.60	$494.70	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$170.93 – $502.36
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $468.71 Aetna — Medicare Managed Care Plan: $170.93 BCBS — Anthem Blue Access PPO: $502.36 BCBS — Anthem Blue Connection HMO: $436.79 BCBS — Anthem KY Pathway Transition HMO Exchange: $213.67 BCBS — Anthem OH I and OH II PPO: $369.36 Buckeye — Advantage Medicare Managed Care Plan: $176.06 Buckeye — Ambetter Exchange: $247.85 Custom Design Benefits — Exclusive Other Commercial Plan: $420.49 Custom Design Benefits — TruCost Other Commercial Plan: $439.29
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Pelvis With Contrast	$403.99	$302.99	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$232.52 – $683.38
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $391.13 Aetna — Medicare Managed Care Plan: $232.52 BCBS — Anthem Blue Access PPO: $683.38 BCBS — Anthem Blue Connection HMO: $594.18 BCBS — Anthem KY Pathway Transition HMO Exchange: $290.66 BCBS — Anthem OH I and OH II PPO: $502.45 Buckeye — Advantage Medicare Managed Care Plan: $239.50 Buckeye — Ambetter Exchange: $337.16 Custom Design Benefits — Exclusive Other Commercial Plan: $572.01 Custom Design Benefits — TruCost Other Commercial Plan: $597.58
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR Lower Ext Jnt WO Con	$659.60	$494.70	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$339.98 – $999.20
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $594.80 Aetna — Medicare Managed Care Plan: $339.98 BCBS — Anthem Blue Access PPO: $999.20 BCBS — Anthem Blue Connection HMO: $868.78 BCBS — Anthem KY Pathway Transition HMO Exchange: $424.99 BCBS — Anthem OH I and OH II PPO: $734.66 Buckeye — Advantage Medicare Managed Care Plan: $350.18 Buckeye — Ambetter Exchange: $492.98 Custom Design Benefits — Exclusive Other Commercial Plan: $836.36 Custom Design Benefits — TruCost Other Commercial Plan: $873.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen Pelvis With Con	$807.98	$605.98	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$101.88 – $405.20
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $197.04 Aetna — Medicare Managed Care Plan: $101.88 BCBS — Anthem Blue Access PPO: $299.43 BCBS — Anthem Blue Connection HMO: $260.34 BCBS — Anthem KY Pathway Transition HMO Exchange: $127.36 BCBS — Anthem OH I and OH II PPO: $220.15 Buckeye — Advantage Medicare Managed Care Plan: $104.94 Buckeye — Ambetter Exchange: $147.73 Cigna — All Commercial Plans: $405.20 Custom Design Benefits — Exclusive Other Commercial Plan: $250.63
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Abdomen Complete	$936.58	$702.44	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$101.88 – $405.20
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $222.89 Aetna — Medicare Managed Care Plan: $101.88 BCBS — Anthem Blue Access PPO: $299.43 BCBS — Anthem Blue Connection HMO: $260.34 BCBS — Anthem KY Pathway Transition HMO Exchange: $127.36 BCBS — Anthem OH I and OH II PPO: $220.15 Buckeye — Advantage Medicare Managed Care Plan: $104.94 Buckeye — Ambetter Exchange: $147.73 Cigna — All Commercial Plans: $405.20 Custom Design Benefits — Exclusive Other Commercial Plan: $250.63
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB Transabd> 14 Weeks	$858	$643.50	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$101.88 – $405.20
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $217.88 Aetna — Medicare Managed Care Plan: $101.88 BCBS — Anthem Blue Access PPO: $299.43 BCBS — Anthem Blue Connection HMO: $260.34 BCBS — Anthem KY Pathway Transition HMO Exchange: $127.36 BCBS — Anthem OH I and OH II PPO: $220.15 Buckeye — Advantage Medicare Managed Care Plan: $104.94 Buckeye — Ambetter Exchange: $147.73 Cigna — All Commercial Plans: $405.20 Custom Design Benefits — Exclusive Other Commercial Plan: $250.63
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Transvaginal	$761.20	$570.90	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$218.60 – $326.37
Diagnostic mammogram, one breast: rates for 2 insurance plans Aetna — All Commercial Plans: $218.60 Cigna — All Commercial Plans: $326.37
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammogram Dx Unilat With Cad	$368.48	$276.36	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$78.71 – $226.68
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $78.71 Buckeye — Advantage Medicare Managed Care Plan: $81.07 Buckeye — Ambetter Exchange: $114.13 Custom Design Benefits — Exclusive Other Commercial Plan: $193.63 Custom Design Benefits — TruCost Other Commercial Plan: $202.28 Imagine Health — All Commercial Plans: $188.77 MedBen — Tier 1 Other Commercial Plan: $215.67 MedBen — Tier 2 Other Commercial Plan: $226.68 Medical Mutual of Ohio — Medicare Managed Care Plan: $80.28 Oscar — All Commercial Plans: $118.06
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$280.42 – $417.61
Diagnostic mammogram, both breasts: rates for 2 insurance plans Aetna — All Commercial Plans: $280.42 Cigna — All Commercial Plans: $417.61
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammogram Dx Bilat With Cad	$523.04	$392.28	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$101 – $290.88
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $101 Buckeye — Advantage Medicare Managed Care Plan: $104.03 Buckeye — Ambetter Exchange: $146.45 Custom Design Benefits — Exclusive Other Commercial Plan: $248.46 Custom Design Benefits — TruCost Other Commercial Plan: $259.57 Imagine Health — All Commercial Plans: $242.23 MedBen — Tier 1 Other Commercial Plan: $276.74 MedBen — Tier 2 Other Commercial Plan: $290.88 Medical Mutual of Ohio — Medicare Managed Care Plan: $103.02 Oscar — All Commercial Plans: $151.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$231.11 – $345.12
Screening mammogram, both breasts: rates for 2 insurance plans Aetna — All Commercial Plans: $231.11 Cigna — All Commercial Plans: $345.12
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammogram Scr Bilat With Cad	$415.30	$311.48	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammogram Scr Bilat With Cad	$415.30	$311.48	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$41.22 – $42.03
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Aetna — All Commercial Plans: $41.22
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$1,801.33 – $15,006
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,801.33 Aetna — Medicare Managed Care Plan: $3,159.33 BCBS — Anthem Blue Access PPO: $9,285.18 BCBS — Anthem Blue Connection HMO: $8,073.22 BCBS — Anthem KY Pathway Transition HMO Exchange: $3,949.29 BCBS — Anthem OH I and OH II PPO: $6,826.84 Buckeye — Advantage Medicare Managed Care Plan: $3,254.11 Buckeye — Ambetter Exchange: $4,581.02 Custom Design Benefits — Exclusive Other Commercial Plan: $7,771.95 Custom Design Benefits — TruCost Other Commercial Plan: $8,119.47
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Lt Heart Cath Includes Inj Lv	$12,250.41	$9,187.81	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lt Heart Cath Includes Inj Lv	$12,250.41	$9,187.81	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$780.31 – $22,338.93
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $780.31 Aetna — Medicare Managed Care Plan: $7,600.93 BCBS — Anthem Blue Access PPO: $22,338.93 BCBS — Anthem Blue Connection HMO: $19,423.11 BCBS — Anthem KY Pathway Transition HMO Exchange: $9,501.48 BCBS — Anthem OH I and OH II PPO: $16,424.48 Buckeye — Advantage Medicare Managed Care Plan: $7,828.96 Buckeye — Ambetter Exchange: $11,021.35 Custom Design Benefits — Exclusive Other Commercial Plan: $18,698.28 Custom Design Benefits — TruCost Other Commercial Plan: $19,534.39
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ep Comprehensive W/O Induction	$8,401.12	$6,300.84	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$2,739.96 – $74,861.14
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $2,739.96 Aetna — Medicare Managed Care Plan: $25,471.87 BCBS — Anthem Blue Access PPO: $74,861.14 BCBS — Anthem Blue Connection HMO: $65,089.79 BCBS — Anthem KY Pathway Transition HMO Exchange: $31,840.89 BCBS — Anthem OH I and OH II PPO: $55,040.92 Buckeye — Advantage Medicare Managed Care Plan: $26,236.02 Buckeye — Ambetter Exchange: $36,934.21 Custom Design Benefits — Exclusive Other Commercial Plan: $62,660.80 Custom Design Benefits — TruCost Other Commercial Plan: $65,462.70
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Comp Ep Eval W Abl a-Fib W Transptl/3d Map	$47,098.15	$35,323.61	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comp Ep Eval W Abl a-Fib W Transptl/3d Map	$47,098.15	$35,323.61	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$836.86 – $2,459.51
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $1,502.66 Aetna — Medicare Managed Care Plan: $836.86 BCBS — Anthem Blue Access PPO: $2,459.51 BCBS — Anthem Blue Connection HMO: $2,138.48 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,046.11 BCBS — Anthem OH I and OH II PPO: $1,808.33 Buckeye — Advantage Medicare Managed Care Plan: $861.97 Buckeye — Ambetter Exchange: $1,213.45 Custom Design Benefits — Exclusive Other Commercial Plan: $2,058.67 Custom Design Benefits — TruCost Other Commercial Plan: $2,150.73
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Polysomnography <6hrs	$3,563.68	$2,672.76	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysomnography <6hrs	$3,563.68	$2,672.76	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$27.87 – $80.27
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — All Commercial Plans: $47.85 Aetna — Medicare Managed Care Plan: $27.87 Buckeye — Advantage Medicare Managed Care Plan: $28.71 Buckeye — Ambetter Exchange: $40.41 Custom Design Benefits — Exclusive Other Commercial Plan: $68.56 Custom Design Benefits — TruCost Other Commercial Plan: $71.63 Imagine Health — All Commercial Plans: $66.84 MedBen — Tier 1 Other Commercial Plan: $76.36 MedBen — Tier 2 Other Commercial Plan: $80.27 Medical Mutual of Ohio — Medicare Managed Care Plan: $28.43
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Therapeutic Exer/Isokin Trng Each 15 Min	$142.10	$106.57	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Therapeutic Exer/Isokin Trng Each 15 Min	$142.10	$106.57	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$93.86 – $270.32
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — All Commercial Plans: $163.68 Aetna — Medicare Managed Care Plan: $93.86 Buckeye — Advantage Medicare Managed Care Plan: $96.68 Buckeye — Ambetter Exchange: $136.10 Custom Design Benefits — Exclusive Other Commercial Plan: $230.90 Custom Design Benefits — TruCost Other Commercial Plan: $241.22 Imagine Health — All Commercial Plans: $225.10 MedBen — Tier 1 Other Commercial Plan: $257.18 MedBen — Tier 2 Other Commercial Plan: $270.32 Medical Mutual of Ohio — Medicare Managed Care Plan: $95.74
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Low Complexity	$306.20	$229.65	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$93.86 – $270.32
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — All Commercial Plans: $163.68 Aetna — Medicare Managed Care Plan: $93.86 Buckeye — Advantage Medicare Managed Care Plan: $96.68 Buckeye — Ambetter Exchange: $136.10 Custom Design Benefits — Exclusive Other Commercial Plan: $230.90 Custom Design Benefits — TruCost Other Commercial Plan: $241.22 Imagine Health — All Commercial Plans: $225.10 MedBen — Tier 1 Other Commercial Plan: $257.18 MedBen — Tier 2 Other Commercial Plan: $270.32 Medical Mutual of Ohio — Medicare Managed Care Plan: $95.74
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Moderate Complexity	$340.56	$255.42	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$93.86 – $270.32
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — All Commercial Plans: $163.68 Aetna — Medicare Managed Care Plan: $93.86 Buckeye — Advantage Medicare Managed Care Plan: $96.68 Buckeye — Ambetter Exchange: $136.10 Custom Design Benefits — Exclusive Other Commercial Plan: $230.90 Custom Design Benefits — TruCost Other Commercial Plan: $241.22 Imagine Health — All Commercial Plans: $225.10 MedBen — Tier 1 Other Commercial Plan: $257.18 MedBen — Tier 2 Other Commercial Plan: $270.32 Medical Mutual of Ohio — Medicare Managed Care Plan: $95.74
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Pt Eval High Complexity	$374.88	$281.16	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval High Complexity	$374.88	$281.16	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$172.97 – $508.36
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $186.01 Aetna — Medicare Managed Care Plan: $172.97 BCBS — Anthem Blue Access PPO: $508.36 BCBS — Anthem Blue Connection HMO: $442.01 BCBS — Anthem KY Pathway Transition HMO Exchange: $216.22 BCBS — Anthem OH I and OH II PPO: $373.77 Buckeye — Advantage Medicare Managed Care Plan: $178.16 Buckeye — Ambetter Exchange: $250.81 Custom Design Benefits — Exclusive Other Commercial Plan: $425.51 Custom Design Benefits — TruCost Other Commercial Plan: $444.54
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Discharge Conference	$261.36	$196.02	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Indiv Therapy 16-37 Mins	$151.36	$113.52	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$172.97 – $508.36
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $245.82 Aetna — Medicare Managed Care Plan: $172.97 BCBS — Anthem Blue Access PPO: $508.36 BCBS — Anthem Blue Connection HMO: $442.01 BCBS — Anthem KY Pathway Transition HMO Exchange: $216.22 BCBS — Anthem OH I and OH II PPO: $373.77 Buckeye — Advantage Medicare Managed Care Plan: $178.16 Buckeye — Ambetter Exchange: $250.81 Custom Design Benefits — Exclusive Other Commercial Plan: $425.51 Custom Design Benefits — TruCost Other Commercial Plan: $444.54
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Indiv Therapy 38-52 Mins	$246.40	$184.80	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Indiv Therapy 38 - 52 Mins Ph	$366.24	$274.68	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$172.97 – $508.36
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $362.86 Aetna — Medicare Managed Care Plan: $172.97 BCBS — Anthem Blue Access PPO: $508.36 BCBS — Anthem Blue Connection HMO: $442.01 BCBS — Anthem KY Pathway Transition HMO Exchange: $216.22 BCBS — Anthem OH I and OH II PPO: $373.77 Buckeye — Advantage Medicare Managed Care Plan: $178.16 Buckeye — Ambetter Exchange: $250.81 Custom Design Benefits — Exclusive Other Commercial Plan: $425.51 Custom Design Benefits — TruCost Other Commercial Plan: $444.54
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Indiv Therapy 53+Min	$366.08	$274.56	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Indiv Therapy 53+Min	$366.08	$274.56	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$172.97 – $508.36
Family psychotherapy, without the patient: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $264.74 Aetna — Medicare Managed Care Plan: $172.97 BCBS — Anthem Blue Access PPO: $508.36 BCBS — Anthem Blue Connection HMO: $442.01 BCBS — Anthem KY Pathway Transition HMO Exchange: $216.22 BCBS — Anthem OH I and OH II PPO: $373.77 Buckeye — Advantage Medicare Managed Care Plan: $178.16 Buckeye — Ambetter Exchange: $250.81 Custom Design Benefits — Exclusive Other Commercial Plan: $425.51 Custom Design Benefits — TruCost Other Commercial Plan: $444.54
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Intervention W/O Patient	$144.49	$108.37	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Education W Rn	$339.68	$254.76	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$172.97 – $508.36
Family psychotherapy, with the patient: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $276.49 Aetna — Medicare Managed Care Plan: $172.97 BCBS — Anthem Blue Access PPO: $508.36 BCBS — Anthem Blue Connection HMO: $442.01 BCBS — Anthem KY Pathway Transition HMO Exchange: $216.22 BCBS — Anthem OH I and OH II PPO: $373.77 Buckeye — Advantage Medicare Managed Care Plan: $178.16 Buckeye — Ambetter Exchange: $250.81 Custom Design Benefits — Exclusive Other Commercial Plan: $425.51 Custom Design Benefits — TruCost Other Commercial Plan: $444.54
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Family Intervention W/ Patient	$145.60	$109.20	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Intervention W/ Patient	$145.60	$109.20	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$65.31 – $290.96
Group psychotherapy: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $65.31 Aetna — Medicare Managed Care Plan: $99 BCBS — Anthem Blue Access PPO: $290.96 BCBS — Anthem Blue Connection HMO: $252.98 BCBS — Anthem KY Pathway Transition HMO Exchange: $123.76 BCBS — Anthem OH I and OH II PPO: $213.93 Buckeye — Advantage Medicare Managed Care Plan: $101.97 Buckeye — Ambetter Exchange: $143.55 Custom Design Benefits — Exclusive Other Commercial Plan: $243.54 Custom Design Benefits — TruCost Other Commercial Plan: $254.43
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Stress Mgmt Group	$267.52	$200.64	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Stress Mgmt Group	$267.52	$200.64	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$1,008.37 – $11,214.15
Removal of breast growth (open surgery): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,008.37 Aetna — Medicare Managed Care Plan: $3,815.67 BCBS — Anthem Blue Access PPO: $11,214.15 BCBS — Anthem Blue Connection HMO: $9,750.41 BCBS — Anthem KY Pathway Transition HMO Exchange: $4,769.74 BCBS — Anthem OH I and OH II PPO: $8,245.09 Buckeye — Advantage Medicare Managed Care Plan: $3,930.14 Buckeye — Ambetter Exchange: $5,532.72 Custom Design Benefits — Exclusive Other Commercial Plan: $9,386.55 Custom Design Benefits — TruCost Other Commercial Plan: $9,806.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$3,426.17 – $36,771.12
Total hip replacement: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $3,426.17 Aetna — Medicare Managed Care Plan: $12,511.55 BCBS — Anthem Blue Access PPO: $36,771.12 BCBS — Anthem Blue Connection HMO: $31,971.52 BCBS — Anthem KY Pathway Transition HMO Exchange: $15,639.96 BCBS — Anthem OH I and OH II PPO: $27,035.61 Buckeye — Advantage Medicare Managed Care Plan: $12,886.90 Buckeye — Ambetter Exchange: $18,141.75 Custom Design Benefits — Exclusive Other Commercial Plan: $30,778.42 Custom Design Benefits — TruCost Other Commercial Plan: $32,154.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$3,420.95 – $36,771.12
Total knee replacement: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $3,420.95 Aetna — Medicare Managed Care Plan: $12,511.55 BCBS — Anthem Blue Access PPO: $36,771.12 BCBS — Anthem Blue Connection HMO: $31,971.52 BCBS — Anthem KY Pathway Transition HMO Exchange: $15,639.96 BCBS — Anthem OH I and OH II PPO: $27,035.61 Buckeye — Advantage Medicare Managed Care Plan: $12,886.90 Buckeye — Ambetter Exchange: $18,141.75 Custom Design Benefits — Exclusive Other Commercial Plan: $30,778.42 Custom Design Benefits — TruCost Other Commercial Plan: $32,154.69
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$456.23 – $10,993
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Aetna — All Commercial Plans: $456.23 UnitedHealthCare — All Commercial Plans: $7,922
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,448.89 – $9,371.30
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,448.89 Aetna — Medicare Managed Care Plan: $3,188.63 BCBS — Anthem Blue Access PPO: $9,371.30 BCBS — Anthem Blue Connection HMO: $8,148.10 BCBS — Anthem KY Pathway Transition HMO Exchange: $3,985.92 BCBS — Anthem OH I and OH II PPO: $6,890.16 Buckeye — Advantage Medicare Managed Care Plan: $3,284.29 Buckeye — Ambetter Exchange: $4,623.51 Custom Design Benefits — Exclusive Other Commercial Plan: $7,844.03 Custom Design Benefits — TruCost Other Commercial Plan: $8,194.78
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$794.81 – $16,954.92
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $794.81 Aetna — Medicare Managed Care Plan: $5,768.99 BCBS — Anthem Blue Access PPO: $16,954.92 BCBS — Anthem Blue Connection HMO: $14,741.85 BCBS — Anthem KY Pathway Transition HMO Exchange: $7,211.48 BCBS — Anthem OH I and OH II PPO: $12,465.94 Buckeye — Advantage Medicare Managed Care Plan: $5,942.06 Buckeye — Ambetter Exchange: $8,365.04 Custom Design Benefits — Exclusive Other Commercial Plan: $14,191.72 Custom Design Benefits — TruCost Other Commercial Plan: $14,826.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$329.09 – $4,076
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $329.09 Aetna — Medicare Managed Care Plan: $883.88 BCBS — Anthem Blue Access PPO: $2,597.69 BCBS — Anthem Blue Connection HMO: $2,258.62 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,104.88 BCBS — Anthem OH I and OH II PPO: $1,909.92 Buckeye — Advantage Medicare Managed Care Plan: $910.39 Buckeye — Ambetter Exchange: $1,281.62 Custom Design Benefits — Exclusive Other Commercial Plan: $2,174.33 Custom Design Benefits — TruCost Other Commercial Plan: $2,271.56
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Diagnostic Brush Wash	$2,420	$1,815	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$372.02 – $4,076
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $372.02 Aetna — Medicare Managed Care Plan: $883.88 BCBS — Anthem Blue Access PPO: $2,597.69 BCBS — Anthem Blue Connection HMO: $2,258.62 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,104.88 BCBS — Anthem OH I and OH II PPO: $1,909.92 Buckeye — Advantage Medicare Managed Care Plan: $910.39 Buckeye — Ambetter Exchange: $1,281.62 Custom Design Benefits — Exclusive Other Commercial Plan: $2,174.33 Custom Design Benefits — TruCost Other Commercial Plan: $2,271.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Biopsy Single/Multiple	$2,813	$2,109.75	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$248.16 – $2,663.48
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $248.16 Aetna — Medicare Managed Care Plan: $906.26 BCBS — Anthem Blue Access PPO: $2,663.48 BCBS — Anthem Blue Connection HMO: $2,315.83 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,132.87 BCBS — Anthem OH I and OH II PPO: $1,958.30 Buckeye — Advantage Medicare Managed Care Plan: $933.45 Buckeye — Ambetter Exchange: $1,314.08 Custom Design Benefits — Exclusive Other Commercial Plan: $2,229.41 Custom Design Benefits — TruCost Other Commercial Plan: $2,329.09
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Diagnostic Colonoscopy	$2,466	$1,849.50	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$538.15 – $3,427.29
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $538.15 Aetna — Medicare Managed Care Plan: $1,166.15 BCBS — Anthem Blue Access PPO: $3,427.29 BCBS — Anthem Blue Connection HMO: $2,979.94 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,457.74 BCBS — Anthem OH I and OH II PPO: $2,519.88 Buckeye — Advantage Medicare Managed Care Plan: $1,201.14 Buckeye — Ambetter Exchange: $1,690.92 Custom Design Benefits — Exclusive Other Commercial Plan: $2,868.73 Custom Design Benefits — TruCost Other Commercial Plan: $2,997.01
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Colonoscopy and Biopsy	$3,490	$2,617.50	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy and Biopsy	$3,490	$2,617.50	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$681.48 – $3,427.29
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $681.48 Aetna — Medicare Managed Care Plan: $1,166.15 BCBS — Anthem Blue Access PPO: $3,427.29 BCBS — Anthem Blue Connection HMO: $2,979.94 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,457.74 BCBS — Anthem OH I and OH II PPO: $2,519.88 Buckeye — Advantage Medicare Managed Care Plan: $1,201.14 Buckeye — Ambetter Exchange: $1,690.92 Custom Design Benefits — Exclusive Other Commercial Plan: $2,868.73 Custom Design Benefits — TruCost Other Commercial Plan: $2,997.01
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy W/Lesion Removal	$3,732	$2,799	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$690.33 – $3,427.29
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $690.33 Aetna — Medicare Managed Care Plan: $1,166.15 BCBS — Anthem Blue Access PPO: $3,427.29 BCBS — Anthem Blue Connection HMO: $2,979.94 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,457.74 BCBS — Anthem OH I and OH II PPO: $2,519.88 Buckeye — Advantage Medicare Managed Care Plan: $1,201.14 Buckeye — Ambetter Exchange: $1,690.92 Custom Design Benefits — Exclusive Other Commercial Plan: $2,868.73 Custom Design Benefits — TruCost Other Commercial Plan: $2,997.01
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$241.78 – $5,219
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $241.78 Aetna — Medicare Managed Care Plan: $906.26 BCBS — Anthem Blue Access PPO: $2,663.48 BCBS — Anthem Blue Connection HMO: $2,315.83 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,132.87 BCBS — Anthem OH I and OH II PPO: $1,958.30 Buckeye — Advantage Medicare Managed Care Plan: $933.45 Buckeye — Ambetter Exchange: $1,314.08 Custom Design Benefits — Exclusive Other Commercial Plan: $2,229.41 Custom Design Benefits — TruCost Other Commercial Plan: $2,329.09
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Ca Scrn Not Hi Rsk Ind	$2,466	$1,849.50	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$1,811.51 – $17,314.93
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,811.51 Aetna — Medicare Managed Care Plan: $5,891.49 BCBS — Anthem Blue Access PPO: $17,314.93 BCBS — Anthem Blue Connection HMO: $15,054.87 BCBS — Anthem KY Pathway Transition HMO Exchange: $7,364.60 BCBS — Anthem OH I and OH II PPO: $12,730.63 Buckeye — Advantage Medicare Managed Care Plan: $6,068.23 Buckeye — Ambetter Exchange: $8,542.66 Custom Design Benefits — Exclusive Other Commercial Plan: $14,493.06 Custom Design Benefits — TruCost Other Commercial Plan: $15,141.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$1,434.70 – $14,984
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,434.70 Aetna — Medicare Managed Care Plan: $3,489.17 BCBS — Anthem Blue Access PPO: $10,254.58 BCBS — Anthem Blue Connection HMO: $8,916.09 BCBS — Anthem KY Pathway Transition HMO Exchange: $4,361.61 BCBS — Anthem OH I and OH II PPO: $7,539.58 Buckeye — Advantage Medicare Managed Care Plan: $3,593.85 Buckeye — Ambetter Exchange: $5,059.30 Custom Design Benefits — Exclusive Other Commercial Plan: $8,583.36 Custom Design Benefits — TruCost Other Commercial Plan: $8,967.17
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$3,367.16 – $30,444.79
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $3,367.16 Aetna — Medicare Managed Care Plan: $10,358.99 BCBS — Anthem Blue Access PPO: $30,444.79 BCBS — Anthem Blue Connection HMO: $26,470.94 BCBS — Anthem KY Pathway Transition HMO Exchange: $12,949.16 BCBS — Anthem OH I and OH II PPO: $22,384.23 Buckeye — Advantage Medicare Managed Care Plan: $10,669.76 Buckeye — Ambetter Exchange: $15,020.53 Custom Design Benefits — Exclusive Other Commercial Plan: $25,483.11 Custom Design Benefits — TruCost Other Commercial Plan: $26,622.59
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$640.09 – $14,984
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $640.09 Aetna — Medicare Managed Care Plan: $3,154.64 BCBS — Anthem Blue Access PPO: $9,271.41 BCBS — Anthem Blue Connection HMO: $8,061.25 BCBS — Anthem KY Pathway Transition HMO Exchange: $3,943.44 BCBS — Anthem OH I and OH II PPO: $6,816.72 Buckeye — Advantage Medicare Managed Care Plan: $3,249.28 Buckeye — Ambetter Exchange: $4,574.23 Custom Design Benefits — Exclusive Other Commercial Plan: $7,760.42 Custom Design Benefits — TruCost Other Commercial Plan: $8,107.43
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$242.44 – $4,765
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $242.44 Aetna — Medicare Managed Care Plan: $687.90 BCBS — Anthem Blue Access PPO: $2,021.71 BCBS — Anthem Blue Connection HMO: $1,757.82 BCBS — Anthem KY Pathway Transition HMO Exchange: $859.90 BCBS — Anthem OH I and OH II PPO: $1,486.44 Buckeye — Advantage Medicare Managed Care Plan: $708.53 Buckeye — Ambetter Exchange: $997.45 Custom Design Benefits — Exclusive Other Commercial Plan: $1,692.22 Custom Design Benefits — TruCost Other Commercial Plan: $1,767.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esi Inj Single Lum/Sacral W Imaging	$2,116.05	$1,587.04	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Njx Interlaminar Lmbr/Sac	$290	$217.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$394.60 – $3,235
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $394.60 Aetna — Medicare Managed Care Plan: $861.94 BCBS — Anthem Blue Access PPO: $2,533.21 BCBS — Anthem Blue Connection HMO: $2,202.56 BCBS — Anthem KY Pathway Transition HMO Exchange: $1,077.46 BCBS — Anthem OH I and OH II PPO: $1,862.52 Buckeye — Advantage Medicare Managed Care Plan: $887.79 Buckeye — Ambetter Exchange: $1,249.81 Custom Design Benefits — Exclusive Other Commercial Plan: $2,120.36 Custom Design Benefits — TruCost Other Commercial Plan: $2,215.18
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esi Transforaminal Lum/Sac	$2,100	$1,575	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esi Transfrmnl Ls Same Lvl Bil	$3,150	$2,362.50	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,073.41 – $5,665
Carpal tunnel release: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,073.41 Aetna — Medicare Managed Care Plan: $1,902.97 BCBS — Anthem Blue Access PPO: $5,592.78 BCBS — Anthem Blue Connection HMO: $4,862.77 BCBS — Anthem KY Pathway Transition HMO Exchange: $2,378.79 BCBS — Anthem OH I and OH II PPO: $4,112.03 Buckeye — Advantage Medicare Managed Care Plan: $1,960.06 Buckeye — Ambetter Exchange: $2,759.31 Custom Design Benefits — Exclusive Other Commercial Plan: $4,681.31 Custom Design Benefits — TruCost Other Commercial Plan: $4,890.63
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$535.98 – $5,219
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $845.65 Aetna — Medicare Managed Care Plan: $535.98 BCBS — Anthem Blue Access PPO: $1,575.24 BCBS — Anthem Blue Connection HMO: $1,369.63 BCBS — Anthem KY Pathway Transition HMO Exchange: $670 BCBS — Anthem OH I and OH II PPO: $1,158.18 Buckeye — Advantage Medicare Managed Care Plan: $552.06 Buckeye — Ambetter Exchange: $777.18 Custom Design Benefits — Exclusive Other Commercial Plan: $1,318.52 Custom Design Benefits — TruCost Other Commercial Plan: $1,377.48
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$1,482.61 – $12,885
Cataract removal with lens implant: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,482.61 Aetna — Medicare Managed Care Plan: $2,249.02 BCBS — Anthem Blue Access PPO: $6,609.81 BCBS — Anthem Blue Connection HMO: $5,747.06 BCBS — Anthem KY Pathway Transition HMO Exchange: $2,811.37 BCBS — Anthem OH I and OH II PPO: $4,859.80 Buckeye — Advantage Medicare Managed Care Plan: $2,316.49 Buckeye — Ambetter Exchange: $3,261.08 Custom Design Benefits — Exclusive Other Commercial Plan: $5,532.59 Custom Design Benefits — TruCost Other Commercial Plan: $5,779.98

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$5,332.53 – $5,437.24
Vaginal delivery, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $5,332.53
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$5,939.23 – $6,055.85
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $5,939.23
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$5,600.90 – $5,710.88
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $5,600.90

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$72,968.18 – $210,148.36
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $171,120.74 Aetna — Medicare Managed Care Plan: $72,968.18 BCBS — Anthem Blue Access PPO: $183,486.20 BCBS — Anthem Blue Connection HMO: $160,956.41 BCBS — Anthem KY Pathway Transition HMO Exchange: $115,280.52 BCBS — Anthem Medicare Managed Care Plan: $72,968.18 BCBS — Anthem OH I and OH II PPO: $127,675.32 BCBS — Anthem Pathway X HMO Exchange: $115,280.52 BCBS — Blue Traditional: $193,582.05 Buckeye — Advantage Medicare Managed Care Plan: $75,157.23
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 2 insurance plans Cigna — New Business Other Commercial Plan: 55.2% (a percentage in the contract, not a dollar amount) Ohio Health Choice — All Commercial Plans: 80% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$15,129.40 – $43,572.67
Hip or knee replacement (major joint of the leg), without major complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $33,740.32 Aetna — Medicare Managed Care Plan: $15,129.40 BCBS — Anthem Blue Access PPO: $36,178.45 BCBS — Anthem Blue Connection HMO: $31,736.19 BCBS — Anthem KY Pathway Transition HMO Exchange: $22,730.16 BCBS — Anthem Medicare Managed Care Plan: $15,129.40 BCBS — Anthem OH I and OH II PPO: $25,174.07 BCBS — Anthem Pathway X HMO Exchange: $22,730.16 BCBS — Blue Traditional: $38,169.07 Buckeye — Advantage Medicare Managed Care Plan: $15,583.28
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$18,902.89 – $54,440.32
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $42,703.22 Aetna — Medicare Managed Care Plan: $18,902.89 BCBS — Anthem Blue Access PPO: $45,789.02 BCBS — Anthem Blue Connection HMO: $40,166.71 BCBS — Anthem KY Pathway Transition HMO Exchange: $28,768.28 BCBS — Anthem Medicare Managed Care Plan: $18,902.89 BCBS — Anthem OH I and OH II PPO: $31,861.41 BCBS — Anthem Pathway X HMO Exchange: $28,768.28 BCBS — Blue Traditional: $48,308.44 Buckeye — Advantage Medicare Managed Care Plan: $19,469.98
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,061.27 – $28,976.46
Uterus and ovary surgery (not for cancer), without complications: 10 of 32 insurance plan rates Aetna — All Commercial Plans: $21,702.32 Aetna — Medicare Managed Care Plan: $10,061.27 BCBS — Anthem Blue Access PPO: $23,270.57 BCBS — Anthem Blue Connection HMO: $20,413.24 BCBS — Anthem KY Pathway Transition HMO Exchange: $14,620.41 BCBS — Anthem Medicare Managed Care Plan: $10,061.27 BCBS — Anthem OH I and OH II PPO: $16,192.38 BCBS — Anthem Pathway X HMO Exchange: $14,620.41 BCBS — Blue Traditional: $24,550.97 Buckeye — Advantage Medicare Managed Care Plan: $10,363.11

Source: Bethesda North’s standard charges file (apps.trihealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 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 type	Acute Care Hospital
Address	10500 Montgomery Road, Cincinnati, OH 45242
County	Hamilton County
State	Ohio
Phone	(513) 865‑1111
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	360179
Name in Medicare records	BETHESDA NORTH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Bethesda North Hospital
Official website	trihealth.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Bethesda North Hospital - TriHealth — trihealth.com
Featured services - Bethesda North Hospital — trihealth.com
Visiting hours and information — trihealth.com
Maps, directions and parking — trihealth.com
Bethesda North Hospital | TriHealth — trihealth.com
Specialty Services | TriHealth — trihealth.com
Patient Support Services | TriHealth — trihealth.com
Emergency Care | TriHealth — trihealth.com
What to Expect at the ER | TriHealth — trihealth.com
Rehabilitation | TriHealth — trihealth.com
Trauma Services | TriHealth — trihealth.com
Joint Replacement | TriHealth — trihealth.com
What to Expect | TriHealth — trihealth.com
Patient and Visitor Information | TriHealth — trihealth.com

Bethesda North

Summary

Profile from official sources

At a glance