Does Bluffton Hospital have an emergency room?

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

Where is Bluffton Hospital?

139 Garau Street, Bluffton, OH 45817, in Allen County, Ohio.

What is the phone number of Bluffton Hospital?

(419) 358-9010, as listed by Medicare (CMS).

What is the Medicare star rating of Bluffton Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Bluffton Hospital — Bluffton, OH

Quick answers

Does Bluffton Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Bluffton Hospital. In a medical emergency, call 911.
Where is Bluffton Hospital?: 139 Garau Street, Bluffton, OH 45817, in Allen County, Ohio.
What is the phone number of Bluffton Hospital?: (419) 358-9010, as listed by Medicare (CMS).
What is the Medicare star rating of Bluffton Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Imaging and radiology
Cardio-pulmonary services
Orthopedic surgery
Podiatry
Physical therapy and sports medicine
Occupational therapy
Speech therapy and audiology
Wound care
Pain treatment

Treatments^[4][6]

Outpatient injections and infusion therapy
Wound care
Pain treatment
Nutrition

Procedures^[4][6]

Digital mammography
Same-day and outpatient surgery
Sexual assault examinations
Same day/outpatient and specialty surgery
Imaging and radiology
Lab services

Programs and centers^[4][6][8]

Inpatient medical/surgical care
Physical therapy and sports medicine
Occupational therapy
Speech therapy and audiology
Social services
Sexual assault examinations

Emergency care (hospital website)^[4][6][7]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	MyHealth

Doctors and clinicians (187)

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

Main specialties

Doctors with a page on this site (187)

Abbie L. JungermannCertified Registered Nurse Anesthetist (CRNA)
Abigail M. MaasNurse Practitioner
Abigail Nartker, NPNurse Practitioner
Aimee L. Hawley, MDDiagnostic Radiology
Ajit N. Chary, MDPulmonary Disease
Alexandria J. KloftaPhysician Assistant
Ali Chohan, MDFamily Practice
Alicia SallotNurse Practitioner
Alison R. Niemeyer, DPMPodiatry
Amber L. SeggersonNurse Practitioner
Amber M. Patterson, MDAllergy/Immunology
Amy SloanNurse Practitioner
Andrea GallagherNurse Practitioner
Andrew D. Popp, MDDiagnostic Radiology
Andrew LayneOrthopedic Surgery
Andrius V. Giedraitis, MDAnesthesiology
Angela Harden-Mack, MDInternal Medicine
Angela J. Ray, MDInternal Medicine
Angela M. Holt, MDAnesthesiology
Angelo Collins, MDFamily Practice
Aubrey MarcumPhysician Assistant
Becky A. Heth, DOEmergency Medicine
Belinda D. ErnstPhysician Assistant
Benahili U. Iboaya, DONephrology

And 163 more: the button below opens the full list.

Other emergency rooms nearby

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

Lima Memorial Health System14 mi · Lima, OH · Acute Care Hospital
Mercy Health St Ritas Medical Center15 mi · Lima, OH · Acute Care Hospital
Blanchard Valley Hospital16 mi · Findlay, OH · Acute Care Hospital
Hardin Memorial Hospital23 mi · Kenton, OH · Critical Access Hospital
Ridgeview Hospital30 mi · Middle Point, OH · Psychiatric Hospital

Other hospitals nearby

Kindred Hospital Lima15 mi · Lima, OH · Long-Term Acute Care Hospital
Institute for Orthopaedic Surgery16 mi · Lima, OH · Acute Care Hospital

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

Willow Ridge of Mennonite Home Communities of Ohio0.8 mi · Bluffton, OH · 3 of 5 stars
Mennonite Memorial Home0.8 mi · Bluffton, OH · 3 of 5 stars
Vancrest of Ada8.4 mi · Ada, OH · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Mercy Health - Hospice Lima11 mi · Lima, OH · 3 of 5 stars
Putnam County Hospice12 mi · Ottawa, OH · 4 of 5 stars
Legacy Hospice Inc15 mi · Lima, OH

All hospice providers in the state →

Home health agencies

Putnam County Homecare12 mi · Ottawa, OH
Heritage Health Care Services15 mi · Lima, OH · 2 of 5 stars
Lima Memorial Hospital Home Health Care15 mi · Lima, OH

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Lima11 mi · Lima, OH · 1 of 5 stars
Fmc-Putnam Cty Ambulatory Care Ctr-Dialysis13 mi · Glandorf, OH · 1 of 5 stars
FMC Creighton Dialysis LLC16 mi · Findlay, 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.

Digestive Health and Endoscopy Center, LLC15 mi · Lima, OH
Findlay Surgery Center16 mi · Findlay, OH
Nwo Surgery Center LLC16 mi · Findlay, 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

Mustang Health Center11 mi · Harrod, OH · Community health center
Health Partners - Quick Care14 mi · Lima, OH · Community health center
HPWO Mobile Health Van #1014 mi · Lima, OH · Community health center

Clinics and urgent care

Wyandot Medical Providers at Forest20 mi · Forest, OH · Rural health clinic
Mercy Health-St Ritas Medical Center LLC24 mi · Delphos, OH · Urgent care center

Pharmacies

Conkling's Pharmacy5.3 mi · Pandora, OH · Community/retail pharmacy
Franklin Pharmacy Inc5.3 mi · Pandora, OH · Community/retail pharmacy
Ohio Northern University8.4 mi · Ada, OH · Pharmacy

Assisted living nearby

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

Maple Crest of Mennonite Memorial Home1.0 mi · Bluffton, OH
Mennonite Memorial Home1.0 mi · Bluffton, OH
Hilty Memorial Home, Inc.5.3 mi · Pandora, OH
Vancrest of Ada Assisted Living8.4 mi · Ada, 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 Bluffton Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	128 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Ohio Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 42 common services exactly as Bluffton Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: TC FACILITY CHARGE NEW LVL 3	$120	$120	$23.57 – $120
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates AETNA - Commercial-POS — Aetna: $89.77 AETNA - Commercial-PPO — Aetna: $89.77 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $120 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $115 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $23.57 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $99.11 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: TC HOA Facility Charge NEW LVL 3	$120	$120	$23.57 – $120
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates AETNA - Commercial-POS — Aetna: $89.77 AETNA - Commercial-PPO — Aetna: $89.77 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $120 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $115 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $23.57 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $99.11 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: TC SWC FACILITY CHARGE NEW LVL 3	$120	$120	$23.57 – $120
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates AETNA - Commercial-POS — Aetna: $89.77 AETNA - Commercial-PPO — Aetna: $89.77 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $120 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $115 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $23.57 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $99.11 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: TC FACILITY CHARGE NEW LVL 4	$120	$120	$78.02 – $120
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AETNA - Commercial-POS — Aetna: $115 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $78.02 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $118.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $112.28 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $120
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: TC HOA Facility Charge NEW LVL 4	$120	$120	$78.02 – $120
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AETNA - Commercial-POS — Aetna: $115 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $78.02 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $118.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $112.28 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $120
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204- Clinic New Level 4	$120	$120	$78.02 – $120
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AETNA - Commercial-POS — Aetna: $115 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $78.02 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $118.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $112.28 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $120
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: TC FACILITY CHARGE NEW LVL 5	$120	$120	$81.46 – $120
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AETNA - Commercial-POS — Aetna: $120 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $113.38 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $81.46 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $108.10 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $87.12 UMR - Commercial-PPO — UMR: $111.48 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $111.48 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $111.48
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: TC HOA Facility Charge NEW LVL 5	$120	$120	$81.46 – $120
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AETNA - Commercial-POS — Aetna: $120 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $113.38 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $81.46 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $108.10 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $87.12 UMR - Commercial-PPO — UMR: $111.48 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $111.48 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $111.48
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205- Clinic New Level 5	$120	$120	$81.46 – $120
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AETNA - Commercial-POS — Aetna: $120 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $113.38 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $81.46 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $108.10 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $87.12 UMR - Commercial-PPO — UMR: $111.48 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $111.48 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $111.48
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: TC FACIILTY CHARGE EST LVL 3	$120	$120	$59.59 – $120
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates AETNA - Commercial-HMO — Aetna: $120 AETNA - Commercial-POS — Aetna: $59.59 AETNA - Commercial-PPO — Aetna: $59.59 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $91.37 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $120 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $120 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $115 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: TC HOA Facility Charge EST LVL 3	$120	$120	$59.59 – $120
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates AETNA - Commercial-HMO — Aetna: $120 AETNA - Commercial-POS — Aetna: $59.59 AETNA - Commercial-PPO — Aetna: $59.59 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $91.37 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $120 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $120 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $115 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: TC SWC FACILITY CHARGE EST LVL 3	$120	$120	$59.59 – $120
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates AETNA - Commercial-HMO — Aetna: $120 AETNA - Commercial-POS — Aetna: $59.59 AETNA - Commercial-PPO — Aetna: $59.59 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $91.37 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $120 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $120 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $115 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: TC FACIILTY CHARGE EST LVL 4	$120	$120	$38.74 – $120
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates AETNA - Commercial-POS — Aetna: $89.88 AETNA - Commercial-PPO — Aetna: $89.88 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $83.04 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $118.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $117.38 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: TC HOA Facility Charge EST LVL 4	$120	$120	$38.74 – $120
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates AETNA - Commercial-POS — Aetna: $89.88 AETNA - Commercial-PPO — Aetna: $89.88 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $83.04 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $118.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $117.38 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214- Clinic Est Level 4	$120	$120	$38.74 – $120
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates AETNA - Commercial-POS — Aetna: $89.88 AETNA - Commercial-PPO — Aetna: $89.88 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $83.04 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $94.20 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $118.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $117.38 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $118.53 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $97.68 HUMANA INC. - Medicaid — Medicaid Managed Care: $120 MEDBEN - Commercial-PPO — Other Commercial: $96.48
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 - Level 3	$750	$750	$110.54 – $711.75
Emergency room visit (moderate): 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $265.58 AETNA - Commercial-HMO — Aetna: $254.11 AETNA - Commercial-POS — Aetna: $711.75 AETNA - Commercial-PPO — Aetna: $254.41 AMBETTER - Medicaid — Medicaid Managed Care: $411.28 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $252.94 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $113.79 ANTHEM OH - Medicare Part A — Medicare Advantage: $252.94 BCBS FEP - Commercial-PPO — Other Commercial: $704.25 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $588.75
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: 99283 - Level 3	$750	$750	$110.54 – $711.75
Emergency room visit (moderate): rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $645 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $147.51 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $143.30 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $394.90 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $600 Molina Healthcare of Ohio - Commercial-HMO — Molina: $383.52 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $383.52 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $204.37
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 - Level 4	$1,200	$1,200	$108.84 – $1,138.80
Emergency room visit (moderately high): 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $408.44 AETNA - Commercial-HMO — Aetna: $387.40 AETNA - Commercial-POS — Aetna: $1,138.80 AETNA - Commercial-PPO — Aetna: $387.40 AETNA - Medicare Part A — Medicare Advantage: $388.99 AMBETTER - Medicaid — Medicaid Managed Care: $632.50 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $388.99 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $232.42 ANTHEM OH - Medicare Part A — Medicare Advantage: $388.99 BCBS FEP - Commercial-PPO — Other Commercial: $1,126.80
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: 99284 - Level 4	$1,200	$1,200	$108.84 – $1,138.80
Emergency room visit (moderately high): rates for 10 insurance plans AETNA - Commercial-POS — Aetna: $382.33 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $201.45 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $108.84 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $384.10 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $1,068.64 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $930.37 Molina Healthcare of Ohio - Commercial-HMO — Molina: $595.36 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $595.36 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $195.65 UMR - Commercial-PPO — UMR: $1,057.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 - Level 5	$1,800	$1,800	$175.03 – $1,708.20
Emergency room visit (high): 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $588.08 AETNA - Commercial-HMO — Aetna: $557.80 AETNA - Commercial-POS — Aetna: $1,708.20 AETNA - Commercial-PPO — Aetna: $557.80 AETNA - Medicare Part A — Medicare Advantage: $560.07 AMBETTER - Medicaid — Medicaid Managed Care: $910.69 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $560.07 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $409.19 ANTHEM OH - Medicare Part A — Medicare Advantage: $560.07 BCBS FEP - Commercial-PPO — Other Commercial: $1,690.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: 99285 - Level 5	$1,800	$1,800	$175.03 – $1,708.20
Emergency room visit (high): rates for 9 insurance plans AETNA - Commercial-PPO — Aetna: $605.88 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $264.44 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $380.23 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $966.14 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $1,562.59 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $806.05 Molina Healthcare of Ohio - Commercial-HMO — Molina: $863.38 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $863.38 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $175.03

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Profile	$94	$94	$5.50 – $94.04
Basic metabolic panel (blood test): 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $8.70 AETNA - Commercial-HMO — Aetna: $8.32 AETNA - Commercial-POS — Aetna: $89.21 AETNA - Commercial-PPO — Aetna: $8.29 AETNA - Medicare Part A — Medicare Advantage: $8.29 AMBETTER - Medicaid — Medicaid Managed Care: $13.54 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $30.40 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $17 ANTHEM OH - Medicare Part A — Medicare Advantage: $30.40 BCBS FEP - Commercial-PPO — Other Commercial: $15.96
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: Basic Metabolic Profile	$94	$94	$5.50 – $94.04
Basic metabolic panel (blood test): rates for 7 insurance plans AETNA - Commercial-PPO — Aetna: $31.64 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $23.80 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $24.39 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $48.51 Molina Healthcare of Ohio - Commercial-HMO — Molina: $13.11 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $40.16 UMR - Commercial-PPO — UMR: $93.06
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP	$117	$117	$6.79 – $109.86
Comprehensive metabolic panel (blood test): 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $10.87 AETNA - Commercial-HMO — Aetna: $10.39 AETNA - Commercial-POS — Aetna: $19.93 AETNA - Commercial-PPO — Aetna: $10.35 AETNA - Medicare Part A — Medicare Advantage: $10.35 AMBETTER - Medicaid — Medicaid Managed Care: $16.90 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $37.84 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.44 ANTHEM OH - Medicare Part A — Medicare Advantage: $6.79 BCBS FEP - Commercial-PPO — Other Commercial: $19.72
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CMP	$117	$117	$6.79 – $109.86
Comprehensive metabolic panel (blood test): rates for 9 insurance plans AETNA - Commercial-PPO — Aetna: $39.38 AMBETTER - Medicaid — Medicaid Managed Care: $16.90 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $11.90 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $11.56 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $10.56 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $17.28 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $109.16 Molina Healthcare of Ohio - Commercial-HMO — Molina: $16.37 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $19
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel	$141	$141	$13.12 – $57.82
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $13.78 AETNA - Commercial-HMO — Aetna: $13.18 AETNA - Commercial-POS — Aetna: $25.62 AETNA - Commercial-PPO — Aetna: $13.12 AETNA - Medicare Part A — Medicare Advantage: $13.12 AMBETTER - Medicaid — Medicaid Managed Care: $21.42 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $13.12 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $24.89 ANTHEM OH - Medicare Part A — Medicare Advantage: $13.12 BCBS FEP - Commercial-PPO — Other Commercial: $25.35
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: Lipid Panel	$141	$141	$13.12 – $57.82
Cholesterol panel (lipid panel): rates for 7 insurance plans AMBETTER - Medicaid — Medicaid Managed Care: $21.42 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $23.80 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $23.12 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $13.39 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $57.82 Molina Healthcare of Ohio - Commercial-HMO — Molina: $20.75 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $24
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Panel	$95	$95	$8.51 – $89.21
Kidney function panel: 10 of 42 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $8.93 AETNA - Commercial-HMO — Aetna: $8.54 AETNA - Commercial-POS — Aetna: $8.51 AETNA - Commercial-PPO — Aetna: $8.51 AETNA - Medicare Part A — Medicare Advantage: $8.51 AMBETTER - Medicaid — Medicaid Managed Care: $13.89 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $24.89 ANTHEM OH - Medicare Part A — Medicare Advantage: $30.72 BCBS FEP - Commercial-PPO — Other Commercial: $89.21 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $74.58
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: Renal Panel	$95	$95	$8.51 – $89.21
Kidney function panel: rates for 2 insurance plans CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $23.12 Molina Healthcare of Ohio - Commercial-HMO — Molina: $45.66
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hep Func Panel	$115	$115	$8.01 – $134.42
Liver function panel: 10 of 47 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $8.41 AETNA - Commercial-HMO — Aetna: $8.17 AETNA - Commercial-POS — Aetna: $8.01 AETNA - Commercial-PPO — Aetna: $8.01 AETNA - Medicare Part A — Medicare Advantage: $8.01 AMBETTER - Medicaid — Medicaid Managed Care: $13.07 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $37.19 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $24.89 ANTHEM OH - Medicare Part A — Medicare Advantage: $46.25 BCBS FEP - Commercial-PPO — Other Commercial: $96.72
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: Hep Func Panel	$115	$115	$8.01 – $134.42
Liver function panel: rates for 4 insurance plans AmeriHealth Caritas Ohio - Medicaid — Medicaid: $23.80 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $23.12 Molina Healthcare of Ohio - Commercial-HMO — Molina: $12.66 UMR - Commercial-PPO — UMR: $134.42
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Routine Urinalysis without Culture	$25	$25	$2.94 – $23.48
Urine test (automated, with microscope): 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $3.26 AETNA - Commercial-HMO — Aetna: $3.12 AETNA - Commercial-POS — Aetna: $3.11 AETNA - Commercial-PPO — Aetna: $3.11 AETNA - Medicare Part A — Medicare Advantage: $3.11 AMBETTER - Medicaid — Medicaid Managed Care: $5.07 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.08 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $6 ANTHEM OH - Medicare Part A — Medicare Advantage: $6.79 BCBS FEP - Commercial-PPO — Other Commercial: $5.63
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Routine Urinalysis without Culture, Manual	$25	$25	$2.94 – $23.48
Urine test (automated, with microscope): 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $3.26 AETNA - Commercial-HMO — Aetna: $3.12 AETNA - Commercial-POS — Aetna: $3.11 AETNA - Commercial-PPO — Aetna: $3.11 AETNA - Medicare Part A — Medicare Advantage: $3.11 AMBETTER - Medicaid — Medicaid Managed Care: $5.07 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.08 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $6 ANTHEM OH - Medicare Part A — Medicare Advantage: $6.79 BCBS FEP - Commercial-PPO — Other Commercial: $5.63
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis with Culture if Ind Manual	$25	$25	$2.94 – $23.48
Urine test (automated, with microscope): 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $3.26 AETNA - Commercial-HMO — Aetna: $3.12 AETNA - Commercial-POS — Aetna: $3.11 AETNA - Commercial-PPO — Aetna: $3.11 AETNA - Medicare Part A — Medicare Advantage: $3.11 AMBETTER - Medicaid — Medicaid Managed Care: $5.07 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.08 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $6 ANTHEM OH - Medicare Part A — Medicare Advantage: $6.79 BCBS FEP - Commercial-PPO — Other Commercial: $5.63
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Specific Gravity, Urine	$9	$9	$1.96 – $3.80
Urine test (automated, without microscope): 10 of 13 insurance plan rates AETNA - Commercial-PPO — Aetna: $2.20 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $3.19 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Other Commercial: $3.60 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $3.80 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1.96 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $3.60 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $3.60 MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual: $3.61 Molina Healthcare of Ohio - Commercial-HMO — Molina: $3.49 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $3.26
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick	$9	$9	$1.96 – $3.80
Urine test (automated, without microscope): 10 of 13 insurance plan rates AETNA - Commercial-PPO — Aetna: $2.20 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $3.19 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Other Commercial: $3.60 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $3.80 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1.96 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $3.60 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $3.60 MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual: $3.61 Molina Healthcare of Ohio - Commercial-HMO — Molina: $3.49 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $3.26
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: pH, 24 Hour, Urine	$9	$9	$1.96 – $3.80
Urine test (automated, without microscope): 10 of 13 insurance plan rates AETNA - Commercial-PPO — Aetna: $2.20 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $3.19 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Other Commercial: $3.60 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $3.80 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1.96 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $3.60 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $3.60 MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual: $3.61 Molina Healthcare of Ohio - Commercial-HMO — Molina: $3.49 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $3.26
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate-Specific Antigen (PSA), Total and Free	$117	$117	$18.02 – $35.15
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates AETNA - Commercial-HMO — Aetna: $18.10 AETNA - Commercial-POS — Aetna: $35.11 AETNA - Commercial-PPO — Aetna: $18.02 AMBETTER - Medicaid — Medicaid Managed Care: $29.42 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $22.96 BCBS FEP - Commercial-PPO — Other Commercial: $34.74 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $29.05 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $22.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $22.31 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate-Specific Antigen (PSA), Total, Diagnostic	$117	$117	$18.02 – $35.15
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates AETNA - Commercial-HMO — Aetna: $18.10 AETNA - Commercial-POS — Aetna: $35.11 AETNA - Commercial-PPO — Aetna: $18.02 AMBETTER - Medicaid — Medicaid Managed Care: $29.42 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $22.96 BCBS FEP - Commercial-PPO — Other Commercial: $34.74 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $29.05 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $22.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $22.31 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate-Specific Antigen (PSA), Total, Screen	$117	$117	$18.02 – $35.15
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates AETNA - Commercial-HMO — Aetna: $18.10 AETNA - Commercial-POS — Aetna: $35.11 AETNA - Commercial-PPO — Aetna: $18.02 AMBETTER - Medicaid — Medicaid Managed Care: $29.42 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $22.96 BCBS FEP - Commercial-PPO — Other Commercial: $34.74 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $29.05 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $22.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $22.31 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH (Thyrotropin)-Mayo	$131	$131	$11 – $124.44
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $17.29 AETNA - Commercial-HMO — Aetna: $16.53 AETNA - Commercial-POS — Aetna: $32.27 AETNA - Commercial-PPO — Aetna: $16.46 AETNA - Medicare Part A — Medicare Advantage: $16.46 AMBETTER - Medicaid — Medicaid Managed Care: $26.88 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $27.84 ANTHEM OH - Medicare Part A — Medicare Advantage: $11 BCBS FEP - Commercial-PPO — Other Commercial: $31.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$135	$135	$11 – $124.44
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $17.29 AETNA - Commercial-HMO — Aetna: $16.53 AETNA - Commercial-POS — Aetna: $32.27 AETNA - Commercial-PPO — Aetna: $16.46 AETNA - Medicare Part A — Medicare Advantage: $16.46 AMBETTER - Medicaid — Medicaid Managed Care: $26.88 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $27.84 ANTHEM OH - Medicare Part A — Medicare Advantage: $11 BCBS FEP - Commercial-PPO — Other Commercial: $31.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH with Reflex Free T4	$135	$135	$11 – $124.44
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $17.29 AETNA - Commercial-HMO — Aetna: $16.53 AETNA - Commercial-POS — Aetna: $32.27 AETNA - Commercial-PPO — Aetna: $16.46 AETNA - Medicare Part A — Medicare Advantage: $16.46 AMBETTER - Medicaid — Medicaid Managed Care: $26.88 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $27.84 ANTHEM OH - Medicare Part A — Medicare Advantage: $11 BCBS FEP - Commercial-PPO — Other Commercial: $31.93
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count w/ Differential	$61	$61	$4.85 – $57.28
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $8 AETNA - Commercial-HMO — Aetna: $7.65 AETNA - Commercial-POS — Aetna: $15.18 AETNA - Commercial-PPO — Aetna: $7.61 AETNA - Medicare Part A — Medicare Advantage: $7.61 AMBETTER - Medicaid — Medicaid Managed Care: $12.43 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $19.73 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $10.74 ANTHEM OH - Medicare Part A — Medicare Advantage: $5.17 BCBS FEP - Commercial-PPO — Other Commercial: $15.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: Complete Blood Count w/ Differential	$61	$61	$4.85 – $57.28
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates AETNA - Commercial-PPO — Aetna: $20.53 AMBETTER - Medicaid — Medicaid Managed Care: $12.43 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $10.28 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $9.99 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $41.46 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $48.44 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $24.99 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $42.18 Molina Healthcare of Ohio - Commercial-HMO — Molina: $12.04 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $12.04
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count without Diff	$72	$72	$6.34 – $83.59
Complete blood count (CBC), automated: 10 of 49 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $6.65 AETNA - Commercial-HMO — Aetna: $6.37 AETNA - Commercial-POS — Aetna: $68.33 AETNA - Commercial-PPO — Aetna: $6.34 AETNA - Medicare Part A — Medicare Advantage: $6.34 AMBETTER - Medicaid — Medicaid Managed Care: $10.35 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $23.28 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $10.74 ANTHEM OH - Medicare Part A — Medicare Advantage: $23.28 BCBS FEP - Commercial-PPO — Other Commercial: $67.61
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: Complete Blood Count without Diff	$72	$72	$6.34 – $83.59
Complete blood count (CBC), automated: rates for 6 insurance plans AMBETTER - Medicaid — Medicaid Managed Care: $10.35 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $10.28 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $9.99 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $6.47 Molina Healthcare of Ohio - Commercial-HMO — Molina: $10.03 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $15.97
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lupus Anticoag PT	$8.58	$8.58	$4.20 – $28
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $4.41 AETNA - Commercial-HMO — Aetna: $23 AETNA - Commercial-POS — Aetna: $25.62 AETNA - Commercial-PPO — Aetna: $4.20 AETNA - Medicare Part A — Medicare Advantage: $8.73 AMBETTER - Medicaid — Medicaid Managed Care: $6.86 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.73 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $7.44 BCBS FEP - Commercial-PPO — Other Commercial: $25.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT-Mayo	$27	$27	$4.20 – $28
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $4.41 AETNA - Commercial-HMO — Aetna: $23 AETNA - Commercial-POS — Aetna: $25.62 AETNA - Commercial-PPO — Aetna: $4.20 AETNA - Medicare Part A — Medicare Advantage: $8.73 AMBETTER - Medicaid — Medicaid Managed Care: $6.86 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.73 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $7.44 BCBS FEP - Commercial-PPO — Other Commercial: $25.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: 85610 AMB PTINR (Coumadin Clinic) Prothrombin time;	$27	$27	$4.20 – $28
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $4.41 AETNA - Commercial-HMO — Aetna: $23 AETNA - Commercial-POS — Aetna: $25.62 AETNA - Commercial-PPO — Aetna: $4.20 AETNA - Medicare Part A — Medicare Advantage: $8.73 AMBETTER - Medicaid — Medicaid Managed Care: $6.86 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $8.73 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $7.44 BCBS FEP - Commercial-PPO — Other Commercial: $25.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: APTT-Mayo	$40	$40	$5.91 – $37.96
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates AETNA - Commercial-HMO — Aetna: $32.64 AETNA - Commercial-POS — Aetna: $37.96 AETNA - Commercial-PPO — Aetna: $13.46 AMBETTER - Medicaid — Medicaid Managed Care: $20.96 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $11 BCBS FEP - Commercial-PPO — Other Commercial: $37.56 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $31.40 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $13.33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lupus Anticoag APTT	$12.02	$12.02	$5.91 – $37.96
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates AETNA - Commercial-HMO — Aetna: $32.64 AETNA - Commercial-POS — Aetna: $37.96 AETNA - Commercial-PPO — Aetna: $13.46 AMBETTER - Medicaid — Medicaid Managed Care: $20.96 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $11 BCBS FEP - Commercial-PPO — Other Commercial: $37.56 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $31.40 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $13.33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT	$40	$40	$5.91 – $37.96
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates AETNA - Commercial-HMO — Aetna: $32.64 AETNA - Commercial-POS — Aetna: $37.96 AETNA - Commercial-PPO — Aetna: $13.46 AMBETTER - Medicaid — Medicaid Managed Care: $20.96 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $12.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $11 BCBS FEP - Commercial-PPO — Other Commercial: $37.56 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $31.40 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $13.33

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 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Brain w/o Contrast	$744	$744	$96.75 – $706.06
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $102 AETNA - Commercial-HMO — Aetna: $97.31 AETNA - Commercial-POS — Aetna: $706.06 AETNA - Commercial-PPO — Aetna: $96.75 AETNA - Medicare Part A — Medicare Advantage: $205.12 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $498.07 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 BCBS FEP - Commercial-PPO — Other Commercial: $588.94
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Brain w/o IV Surg Navigate/Plan ONLY	$250	$250	$96.75 – $706.06
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $102 AETNA - Commercial-HMO — Aetna: $97.31 AETNA - Commercial-POS — Aetna: $706.06 AETNA - Commercial-PPO — Aetna: $96.75 AETNA - Medicare Part A — Medicare Advantage: $205.12 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $498.07 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 BCBS FEP - Commercial-PPO — Other Commercial: $588.94
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Stroke Protocol Brain w/o Contrast	$744	$744	$96.75 – $706.06
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $102 AETNA - Commercial-HMO — Aetna: $97.31 AETNA - Commercial-POS — Aetna: $706.06 AETNA - Commercial-PPO — Aetna: $96.75 AETNA - Medicare Part A — Medicare Advantage: $205.12 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $498.07 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 BCBS FEP - Commercial-PPO — Other Commercial: $588.94
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast	$2,221	$2,221	$323.66 – $955.64
MRI of the brain, before and after contrast: 10 of 43 insurance plan rates AETNA - Commercial-HMO — Aetna: $326.25 AETNA - Commercial-POS — Aetna: $955.64 AETNA - Commercial-PPO — Aetna: $329.62 AMBETTER - Medicaid — Medicaid Managed Care: $530.48 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $326.25 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $488.38 ANTHEM OH - Medicare Part A — Medicare Advantage: $326.25 BCBS FEP - Commercial-PPO — Other Commercial: $945.57 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $790.50 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $328.17
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o MRA Head w/o Contrast	$2,221	$2,221	$323.66 – $955.64
MRI of the brain, before and after contrast: 10 of 43 insurance plan rates AETNA - Commercial-HMO — Aetna: $326.25 AETNA - Commercial-POS — Aetna: $955.64 AETNA - Commercial-PPO — Aetna: $329.62 AMBETTER - Medicaid — Medicaid Managed Care: $530.48 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $326.25 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $488.38 ANTHEM OH - Medicare Part A — Medicare Advantage: $326.25 BCBS FEP - Commercial-PPO — Other Commercial: $945.57 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $790.50 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $328.17
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI IAC w/ + w/o Contrast	$2,221	$2,221	$323.66 – $955.64
MRI of the brain, before and after contrast: 10 of 43 insurance plan rates AETNA - Commercial-HMO — Aetna: $326.25 AETNA - Commercial-POS — Aetna: $955.64 AETNA - Commercial-PPO — Aetna: $329.62 AMBETTER - Medicaid — Medicaid Managed Care: $530.48 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $326.25 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $488.38 ANTHEM OH - Medicare Part A — Medicare Advantage: $326.25 BCBS FEP - Commercial-PPO — Other Commercial: $945.57 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $790.50 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $328.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views	$263	$263	$66.75 – $249.59
Chest X-ray, 2 views: 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $81.42 AETNA - Commercial-HMO — Aetna: $80.43 AETNA - Commercial-POS — Aetna: $249.59 AETNA - Commercial-PPO — Aetna: $88.53 AMBETTER - Medicaid — Medicaid Managed Care: $130.78 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $80.43 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $71.83 ANTHEM OH - Medicare Part A — Medicare Advantage: $80.43 BCBS FEP - Commercial-PPO — Other Commercial: $246.96 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $206.46
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest Decubitus Bilateral	$263	$263	$66.75 – $249.59
Chest X-ray, 2 views: 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $81.42 AETNA - Commercial-HMO — Aetna: $80.43 AETNA - Commercial-POS — Aetna: $249.59 AETNA - Commercial-PPO — Aetna: $88.53 AMBETTER - Medicaid — Medicaid Managed Care: $130.78 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $80.43 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $71.83 ANTHEM OH - Medicare Part A — Medicare Advantage: $80.43 BCBS FEP - Commercial-PPO — Other Commercial: $246.96 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $206.46
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest Obliques Bilateral	$263	$263	$66.75 – $249.59
Chest X-ray, 2 views: 10 of 51 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $81.42 AETNA - Commercial-HMO — Aetna: $80.43 AETNA - Commercial-POS — Aetna: $249.59 AETNA - Commercial-PPO — Aetna: $88.53 AMBETTER - Medicaid — Medicaid Managed Care: $130.78 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $80.43 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $71.83 ANTHEM OH - Medicare Part A — Medicare Advantage: $80.43 BCBS FEP - Commercial-PPO — Other Commercial: $246.96 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $206.46
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral 2/3 Views w/Bending	$813	$813	$35.24 – $771.54
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates AETNA - Commercial-HMO — Aetna: $97.14 AETNA - Commercial-POS — Aetna: $771.54 AETNA - Commercial-PPO — Aetna: $98.72 AMBETTER - Medicaid — Medicaid Managed Care: $152.54 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $71.83 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 BCBS FEP - Commercial-PPO — Other Commercial: $763.41 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $541.04 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $70.46
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral 4 Views + in OR	$813	$813	$35.24 – $771.54
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates AETNA - Commercial-HMO — Aetna: $97.14 AETNA - Commercial-POS — Aetna: $771.54 AETNA - Commercial-PPO — Aetna: $98.72 AMBETTER - Medicaid — Medicaid Managed Care: $152.54 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $71.83 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 BCBS FEP - Commercial-PPO — Other Commercial: $763.41 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $541.04 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $70.46
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral Complete	$813	$813	$35.24 – $771.54
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates AETNA - Commercial-HMO — Aetna: $97.14 AETNA - Commercial-POS — Aetna: $771.54 AETNA - Commercial-PPO — Aetna: $98.72 AMBETTER - Medicaid — Medicaid Managed Care: $152.54 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $71.83 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 BCBS FEP - Commercial-PPO — Other Commercial: $763.41 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $541.04 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $70.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast	$662	$662	$209.10 – $601.90
MRI of the lower back (lumbar spine), without contrast: 10 of 45 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $231.85 AETNA - Commercial-HMO — Aetna: $220.81 AETNA - Commercial-POS — Aetna: $223.81 AETNA - Commercial-PPO — Aetna: $220.09 AMBETTER - Medicaid — Medicaid Managed Care: $340 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $220.81 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $323.17 ANTHEM OH - Medicare Part A — Medicare Advantage: $220.81 BCBS FEP - Commercial-PPO — Other Commercial: $601.90 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $503.19
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI Spine Lumbar w/o Contrast	$662	$662	$209.10 – $601.90
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $300.30 Molina Healthcare of Ohio - Commercial-HMO — Molina: $329.38
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$1,013	$1,013	$162.10 – $1,044
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates AETNA - Commercial-POS — Aetna: $1,044 AETNA - Commercial-PPO — Aetna: $162.10 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $488.58 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Other Commercial: $506.36 COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $686.81 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $527.72 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $488.58 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $327.60 Devoted Health Plan of Ohio, Inc. - Medicare Part B — Medicare Advantage: $165.27 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $967.79
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ IV Con + Rectal Contrast	$1,044	$1,044	$162.10 – $1,044
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates AETNA - Commercial-POS — Aetna: $1,044 AETNA - Commercial-PPO — Aetna: $162.10 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $488.58 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Other Commercial: $506.36 COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $686.81 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $527.72 COMMUNITY INSURANCE COMPANY - Medicaid — Medicaid Managed Care: $488.58 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $327.60 Devoted Health Plan of Ohio, Inc. - Medicare Part B — Medicare Advantage: $165.27 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $967.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Left	$897	$897	$158.51 – $608.31
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates AETNA - Commercial-HMO — Aetna: $221.46 AETNA - Commercial-POS — Aetna: $608.31 AETNA - Commercial-PPO — Aetna: $220.41 AMBETTER - Medicaid — Medicaid Managed Care: $359.04 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $220.81 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $309.13 ANTHEM OH - Medicare Part A — Medicare Advantage: $220.81 BCBS FEP - Commercial-PPO — Other Commercial: $601.90 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $503.19 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $209.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Right	$897	$897	$158.51 – $608.31
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates AETNA - Commercial-HMO — Aetna: $221.46 AETNA - Commercial-POS — Aetna: $608.31 AETNA - Commercial-PPO — Aetna: $220.41 AMBETTER - Medicaid — Medicaid Managed Care: $359.04 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $220.81 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $309.13 ANTHEM OH - Medicare Part A — Medicare Advantage: $220.81 BCBS FEP - Commercial-PPO — Other Commercial: $601.90 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $503.19 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $209.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Hip w/o Contrast Left	$897	$897	$158.51 – $608.31
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates AETNA - Commercial-HMO — Aetna: $221.46 AETNA - Commercial-POS — Aetna: $608.31 AETNA - Commercial-PPO — Aetna: $220.41 AMBETTER - Medicaid — Medicaid Managed Care: $359.04 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $220.81 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $309.13 ANTHEM OH - Medicare Part A — Medicare Advantage: $220.81 BCBS FEP - Commercial-PPO — Other Commercial: $601.90 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $503.19 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $209.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abd Pel w/ IV Con + Rectal Contrast	$3,551	$3,551	$219.31 – $3,373.45
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $342.56 AETNA - Commercial-HMO — Aetna: $327.12 AETNA - Commercial-POS — Aetna: $3,327.19 AETNA - Commercial-PPO — Aetna: $395.17 AETNA - Medicare Part A — Medicare Advantage: $326.25 AMBETTER - Medicaid — Medicaid Managed Care: $530.48 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $326.25 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $498.07 ANTHEM OH - Medicare Part A — Medicare Advantage: $326.25 BCBS FEP - Commercial-PPO — Other Commercial: $3,292.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abd Pelvis w/ IV Contrast & LS Recon	$3,506	$3,506	$219.31 – $3,373.45
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $342.56 AETNA - Commercial-HMO — Aetna: $327.12 AETNA - Commercial-POS — Aetna: $3,327.19 AETNA - Commercial-PPO — Aetna: $395.17 AETNA - Medicare Part A — Medicare Advantage: $326.25 AMBETTER - Medicaid — Medicaid Managed Care: $530.48 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $326.25 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $498.07 ANTHEM OH - Medicare Part A — Medicare Advantage: $326.25 BCBS FEP - Commercial-PPO — Other Commercial: $3,292.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen Pelvis Enterography w/ IV Con	$3,506	$3,506	$219.31 – $3,373.45
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $342.56 AETNA - Commercial-HMO — Aetna: $327.12 AETNA - Commercial-POS — Aetna: $3,327.19 AETNA - Commercial-PPO — Aetna: $395.17 AETNA - Medicare Part A — Medicare Advantage: $326.25 AMBETTER - Medicaid — Medicaid Managed Care: $530.48 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $326.25 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $498.07 ANTHEM OH - Medicare Part A — Medicare Advantage: $326.25 BCBS FEP - Commercial-PPO — Other Commercial: $3,292.13
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$1,673	$1,673	$93.44 – $1,673
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates AETNA - Commercial-HMO — Aetna: $563.13 AETNA - Commercial-POS — Aetna: $1,492.80 AETNA - Commercial-PPO — Aetna: $98.72 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $190.08 ANTHEM OH - Medicare Part A — Medicare Advantage: $93.81 BCBS FEP - Commercial-PPO — Other Commercial: $1,673 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $1,313.31 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $186.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE 59	$1,673	$1,673	$93.44 – $1,673
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates AETNA - Commercial-HMO — Aetna: $563.13 AETNA - Commercial-POS — Aetna: $1,492.80 AETNA - Commercial-PPO — Aetna: $98.72 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $190.08 ANTHEM OH - Medicare Part A — Medicare Advantage: $93.81 BCBS FEP - Commercial-PPO — Other Commercial: $1,673 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $1,313.31 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $186.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Comp w/ Duplex + Elastography	$1,060	$1,060	$93.44 – $1,673
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates AETNA - Commercial-HMO — Aetna: $563.13 AETNA - Commercial-POS — Aetna: $1,492.80 AETNA - Commercial-PPO — Aetna: $98.72 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $97.14 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $190.08 ANTHEM OH - Medicare Part A — Medicare Advantage: $93.81 BCBS FEP - Commercial-PPO — Other Commercial: $1,673 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $1,313.31 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $186.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	$837	$837	$73.93 – $785.94
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $785.94 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $754.14 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $681.32 HUMANA INC. - Medicaid — Medicaid Managed Care: $73.93 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $153.02
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB > 14 Twins and Biophysical Profile	$837	$837	$73.93 – $785.94
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $785.94 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $754.14 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $681.32 HUMANA INC. - Medicaid — Medicaid Managed Care: $73.93 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $153.02
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB > 14 Weeks	$837	$837	$73.93 – $785.94
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $785.94 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Other Commercial: $754.14 HEALTHSCOPE WHIRLPOOL - Commercial-PPO — Healthscope: $681.32 HUMANA INC. - Medicaid — Medicaid Managed Care: $73.93 Molina Healthcare of Ohio - Commercial-Mut Defined — Molina: $153.02
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: NON-OB TRANSVAG US	$891	$891	$93.43 – $845.56
Transvaginal ultrasound: 10 of 36 insurance plan rates AETNA - Commercial-HMO — Aetna: $97.14 AETNA - Commercial-POS — Aetna: $845.56 AETNA - Commercial-PPO — Aetna: $96.82 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $98.72 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $123.60 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $699.44 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $121.24 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $97.43
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abd Pelvis and Transvaginal	$891	$891	$93.43 – $845.56
Transvaginal ultrasound: 10 of 36 insurance plan rates AETNA - Commercial-HMO — Aetna: $97.14 AETNA - Commercial-POS — Aetna: $845.56 AETNA - Commercial-PPO — Aetna: $96.82 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $98.72 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $123.60 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $699.44 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $121.24 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $97.43
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abd Renal Bladder Pel and Transvag	$891	$891	$93.43 – $845.56
Transvaginal ultrasound: 10 of 36 insurance plan rates AETNA - Commercial-HMO — Aetna: $97.14 AETNA - Commercial-POS — Aetna: $845.56 AETNA - Commercial-PPO — Aetna: $96.82 AMBETTER - Medicaid — Medicaid Managed Care: $157.95 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $98.72 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $123.60 ANTHEM OH - Medicare Part A — Medicare Advantage: $97.14 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $699.44 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $121.24 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $97.43
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Diag Left + Tomo	$480	$480	$60.93 – $450.72
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates AETNA - Commercial-HMO — Aetna: $77.90 AETNA - Commercial-POS — Aetna: $384 AETNA - Commercial-PPO — Aetna: $76.03 AMBETTER - Medicaid — Medicaid Managed Care: $124.13 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $76.34 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 ANTHEM OH - Medicare Part A — Medicare Advantage: $78.22 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $376.80 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $61.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $60.93
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Diag Right + Tomo	$480	$480	$60.93 – $450.72
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates AETNA - Commercial-HMO — Aetna: $77.90 AETNA - Commercial-POS — Aetna: $384 AETNA - Commercial-PPO — Aetna: $76.03 AMBETTER - Medicaid — Medicaid Managed Care: $124.13 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $76.34 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 ANTHEM OH - Medicare Part A — Medicare Advantage: $78.22 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $376.80 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $61.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $60.93
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Diagnostic Left	$480	$480	$60.93 – $450.72
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates AETNA - Commercial-HMO — Aetna: $77.90 AETNA - Commercial-POS — Aetna: $384 AETNA - Commercial-PPO — Aetna: $76.03 AMBETTER - Medicaid — Medicaid Managed Care: $124.13 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $76.34 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 ANTHEM OH - Medicare Part A — Medicare Advantage: $78.22 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $376.80 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $61.53 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $60.93
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Diag Bilat + Tomo	$598	$598	$60.93 – $570.89
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $102.08 AETNA - Commercial-HMO — Aetna: $96.82 AETNA - Commercial-POS — Aetna: $567.50 AETNA - Commercial-PPO — Aetna: $96.82 AMBETTER - Medicaid — Medicaid Managed Care: $158.08 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 BCBS FEP - Commercial-PPO — Other Commercial: $570.89 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $469.43 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $64.32 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $63.70
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Diag Implant + Tomo	$598	$598	$60.93 – $570.89
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $102.08 AETNA - Commercial-HMO — Aetna: $96.82 AETNA - Commercial-POS — Aetna: $567.50 AETNA - Commercial-PPO — Aetna: $96.82 AMBETTER - Medicaid — Medicaid Managed Care: $158.08 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 BCBS FEP - Commercial-PPO — Other Commercial: $570.89 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $469.43 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $64.32 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $63.70
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Diag Male Bil +Tomo	$598	$598	$60.93 – $570.89
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $102.08 AETNA - Commercial-HMO — Aetna: $96.82 AETNA - Commercial-POS — Aetna: $567.50 AETNA - Commercial-PPO — Aetna: $96.82 AMBETTER - Medicaid — Medicaid Managed Care: $158.08 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 BCBS FEP - Commercial-PPO — Other Commercial: $570.89 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $469.43 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $64.32 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $63.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Left	$236	$236	$60.93 – $223.96
Screening mammogram, both breasts: 10 of 45 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $84.03 AETNA - Commercial-HMO — Aetna: $80.03 AETNA - Commercial-POS — Aetna: $223.96 AETNA - Commercial-PPO — Aetna: $80.03 AETNA - Medicare Part A — Medicare Advantage: $80.03 AMBETTER - Medicaid — Medicaid Managed Care: $130.66 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $82.36 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 ANTHEM OH - Medicare Part A — Medicare Advantage: $80.03 BCBS FEP - Commercial-PPO — Other Commercial: $221.60
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Right	$236	$236	$60.93 – $223.96
Screening mammogram, both breasts: 10 of 45 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $84.03 AETNA - Commercial-HMO — Aetna: $80.03 AETNA - Commercial-POS — Aetna: $223.96 AETNA - Commercial-PPO — Aetna: $80.03 AETNA - Medicare Part A — Medicare Advantage: $80.03 AMBETTER - Medicaid — Medicaid Managed Care: $130.66 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $82.36 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 ANTHEM OH - Medicare Part A — Medicare Advantage: $80.03 BCBS FEP - Commercial-PPO — Other Commercial: $221.60
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammogram Digital Screen Bilat +Tomo	$236	$236	$60.93 – $223.96
Screening mammogram, both breasts: 10 of 45 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $84.03 AETNA - Commercial-HMO — Aetna: $80.03 AETNA - Commercial-POS — Aetna: $223.96 AETNA - Commercial-PPO — Aetna: $80.03 AETNA - Medicare Part A — Medicare Advantage: $80.03 AMBETTER - Medicaid — Medicaid Managed Care: $130.66 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $82.36 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $65.57 ANTHEM OH - Medicare Part A — Medicare Advantage: $80.03 BCBS FEP - Commercial-PPO — Other Commercial: $221.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Incomplete PSG 95810-52	$4,960	$4,960	$828.22 – $4,470.58
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates AETNA - Commercial-HMO — Aetna: $892.19 AETNA - Commercial-POS — Aetna: $890.57 AETNA - Commercial-PPO — Aetna: $928.61 AMBETTER - Medicaid — Medicaid Managed Care: $1,511.20 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $931.74 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $891.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $929.39 BCBS FEP - Commercial-PPO — Other Commercial: $4,470.58 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $3,166.46 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $874.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Polysomnography	$4,761	$4,761	$828.22 – $4,470.58
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates AETNA - Commercial-HMO — Aetna: $892.19 AETNA - Commercial-POS — Aetna: $890.57 AETNA - Commercial-PPO — Aetna: $928.61 AMBETTER - Medicaid — Medicaid Managed Care: $1,511.20 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $931.74 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $891.30 ANTHEM OH - Medicare Part A — Medicare Advantage: $929.39 BCBS FEP - Commercial-PPO — Other Commercial: $4,470.58 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $3,166.46 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $874.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: Incomplete PSG 95810-52	$4,960	$4,960	$828.22 – $4,470.58
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $828.22

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE EA 15 MIN	$91	$91	$20.22 – $169.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $21.22 AETNA - Commercial-HMO — Aetna: $24.48 AETNA - Commercial-POS — Aetna: $65.50 AETNA - Commercial-PPO — Aetna: $30.63 AMBETTER - Medicaid — Medicaid Managed Care: $39.03 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $24.88 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $35.88 ANTHEM OH - Medicare Part A — Medicare Advantage: $29.79 BCBS FEP - Commercial-PPO — Other Commercial: $85.45 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $71.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: OT THERAPEUTIC EXERCISE EA 15 MIN	$91	$91	$20.89 – $253.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates AETNA - Commercial-HMO — Aetna: $21.26 AETNA - Commercial-POS — Aetna: $86.36 AETNA - Commercial-PPO — Aetna: $24.11 AETNA - Medicare Part A — Medicare Advantage: $29.80 AMBETTER - Medicaid — Medicaid Managed Care: $34.71 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $29.79 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $26.91 ANTHEM OH - Medicare Part A — Medicare Advantage: $24.48 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $71.44 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $33.66
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: OT Therapeutic Exercise Charges	$91	$91	$20.89 – $253.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates AETNA - Commercial-HMO — Aetna: $21.26 AETNA - Commercial-POS — Aetna: $86.36 AETNA - Commercial-PPO — Aetna: $24.11 AETNA - Medicare Part A — Medicare Advantage: $29.80 AMBETTER - Medicaid — Medicaid Managed Care: $34.71 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $29.79 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $26.91 ANTHEM OH - Medicare Part A — Medicare Advantage: $24.48 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $71.44 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $33.66
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: 97161 Physical therapy evaluation; low complexity	$168	$168	$55 – $159.43
Physical therapy evaluation (low complexity): 10 of 45 insurance plan rates AETNA - Commercial-HMO — Aetna: $94.46 AETNA - Commercial-POS — Aetna: $159.43 AETNA - Commercial-PPO — Aetna: $56.55 AMBETTER - Medicaid — Medicaid Managed Care: $150.21 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $92.38 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $117.88 ANTHEM OH - Medicare Part A — Medicare Advantage: $92.38 BCBS FEP - Commercial-PPO — Other Commercial: $157.75 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $131.88 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $94.46
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Low Complexity Evaluation -> Yes	$140	$140	$57.25 – $140
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates AETNA - Commercial-HMO — Aetna: $71.35 AETNA - Commercial-POS — Aetna: $71.06 AETNA - Commercial-PPO — Aetna: $71.06 AETNA - Medicare Part A — Medicare Advantage: $73.13 AMBETTER - Medicaid — Medicaid Managed Care: $116.02 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $71.35 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $58.94 ANTHEM OH - Medicare Part A — Medicare Advantage: $71.35 BCBS FEP - Commercial-PPO — Other Commercial: $131.46 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $140
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT Low Complexity Evaluation -> Yes	$140	$140	$57.25 – $140
Physical therapy evaluation (low complexity): rates for 5 insurance plans AETNA - Commercial-PPO — Aetna: $92 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $59.47 CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $96 Molina Healthcare of Ohio - Commercial-HMO — Molina: $115.20 MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $112.41
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: 97162 Physical therapy evaluation; moderate complexity	$180	$180	$49.11 – $180
Physical therapy evaluation (moderate complexity): 10 of 43 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $96.99 AETNA - Commercial-HMO — Aetna: $92.38 AETNA - Commercial-POS — Aetna: $170.82 AETNA - Commercial-PPO — Aetna: $60.59 AMBETTER - Medicaid — Medicaid Managed Care: $150.21 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $49.11 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $112.76 ANTHEM OH - Medicare Part A — Medicare Advantage: $94.46 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $141.30 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $58.93
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Mod Complexity Evaluation	$180	$180	$55.30 – $169.20
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates AETNA - Commercial-HMO — Aetna: $73.13 AETNA - Commercial-POS — Aetna: $72.51 AETNA - Commercial-PPO — Aetna: $74.32 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $94.46 ANTHEM OH - Medicare Part A — Medicare Advantage: $94.46 BCBS FEP - Commercial-PPO — Other Commercial: $142.49 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $141.30 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $55.30 COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $122.04 COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $142.49
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT Mod Complexity Evaluation	$180	$180	$55.30 – $169.20
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans AETNA - Commercial-PPO — Aetna: $60.59 Molina Healthcare of Ohio - Commercial-HMO — Molina: $148.80
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: 97163 Physical therapy evaluation; high complexity	$192	$192	$63.36 – $180.29
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates AETNA - Commercial-POS — Aetna: $92.80 AETNA - Commercial-PPO — Aetna: $92.08 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $92.38 AmeriHealth Caritas Ohio - Medicaid — Medicaid: $117.88 ANTHEM OH - Medicare Part A — Medicare Advantage: $92.38 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $150.72 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $92.38 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $115.64 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $114.52 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Other Commercial: $148.32
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT High Complexity Evaluation	$192	$192	$72.83 – $172.67
Physical therapy evaluation (high complexity): rates for 3 insurance plans AETNA - Commercial-PPO — Aetna: $72.83 COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $78.40 MEDICAL MUTUAL - Commercial-PPO — Medical Mutual: $172.67

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: 62323 PM Caudal Epidural	$1,598	$1,598	$436.10 – $1,518.10
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates AETNA - Commercial-HMO — Aetna: $632.62 AETNA - Commercial-POS — Aetna: $537.89 AETNA - Commercial-PPO — Aetna: $537.89 AMBETTER - Medicaid — Medicaid Managed Care: $1,028.66 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $523.19 ANTHEM OH - Medicare Part A — Medicare Advantage: $436.10 BCBS FEP - Commercial-PPO — Other Commercial: $1,265.27 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $523.19 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $903.80 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $865.47
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: 62323 PM Lumbar/Sacral Epidural Injection	$1,598	$1,598	$436.10 – $1,518.10
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates AETNA - Commercial-HMO — Aetna: $632.62 AETNA - Commercial-POS — Aetna: $537.89 AETNA - Commercial-PPO — Aetna: $537.89 AMBETTER - Medicaid — Medicaid Managed Care: $1,028.66 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $523.19 ANTHEM OH - Medicare Part A — Medicare Advantage: $436.10 BCBS FEP - Commercial-PPO — Other Commercial: $1,265.27 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $523.19 BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $903.80 CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $865.47
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: 64483 PM Lumbar/Sacral Nerve Root Injection	$2,215	$2,215	$520.16 – $2,240.60
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $853.95 AETNA - Commercial-HMO — Aetna: $813.29 AETNA - Commercial-POS — Aetna: $816.48 AETNA - Commercial-PPO — Aetna: $817.98 AETNA - Medicare Part A — Medicare Advantage: $813.29 AMBETTER - Medicaid — Medicaid Managed Care: $1,322.42 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $813.29 ANTHEM OH - Medicare Part A — Medicare Advantage: $813.29 BCBS FEP - Commercial-PPO — Other Commercial: $2,079.89 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $1,738.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: 64483 PM Lumbar/Sacral Transforaminal Epidural Steroid Injection	$2,215	$2,215	$520.16 – $2,240.60
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $853.95 AETNA - Commercial-HMO — Aetna: $813.29 AETNA - Commercial-POS — Aetna: $816.48 AETNA - Commercial-PPO — Aetna: $817.98 AETNA - Medicare Part A — Medicare Advantage: $813.29 AMBETTER - Medicaid — Medicaid Managed Care: $1,322.42 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $813.29 ANTHEM OH - Medicare Part A — Medicare Advantage: $813.29 BCBS FEP - Commercial-PPO — Other Commercial: $2,079.89 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $1,738.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: 64483-50 PM Lumbar/Sacral Nerve Root Injection Bilateral	$3,322	$3,322	$520.16 – $2,240.60
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates ADVANTAGE BY BUCKEYE - Medicare Part A — Medicare Advantage: $853.95 AETNA - Commercial-HMO — Aetna: $813.29 AETNA - Commercial-POS — Aetna: $816.48 AETNA - Commercial-PPO — Aetna: $817.98 AETNA - Medicare Part A — Medicare Advantage: $813.29 AMBETTER - Medicaid — Medicaid Managed Care: $1,322.42 AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $813.29 ANTHEM OH - Medicare Part A — Medicare Advantage: $813.29 BCBS FEP - Commercial-PPO — Other Commercial: $2,079.89 Blanchard Valley Health System - Commercial-PPO — Blanchard Valley: $1,738.78

Source: Bluffton Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 5, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	139 Garau Street, Bluffton, OH 45817
County	Allen County
State	Ohio
Phone	(419) 358‑9010
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	361322
Name in Medicare records	BLUFFTON HOSPITAL
Profile level	Medicare data + hospital website
Official website	bvhealthsystem.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
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.

Bluffton Hospital - Blanchard Valley Health System — bvhealthsystem.org
Bluffton Hospital — bvhealthsystem.org
Emergency / Trauma - Blanchard Valley Health System — bvhealthsystem.org
Sexual Assault Nurse Examiner Services — bvhealthsystem.org

Bluffton Hospital

Summary

Profile from official sources

At a glance