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Critical Access Hospital

Bonner General Hospital

Also listed as: Bonner General Health

Sandpoint, Idaho · Bonner County · Emergency services listed

Bonner General Hospital is a critical access hospital at 520 North Third Avenue, Sandpoint, ID 83864. Phone: (208) 263-1441. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

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

Summary

Bonner General Hospital is a critical access hospital in Sandpoint, Idaho. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 59 services, specialties and programs. Medicare lists 331 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

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

Call(208) 263‑1441 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
25Beds (hospital website)
331Doctors and clinicians
59Services listed

Quick answers

Does Bonner General Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Bonner General Hospital. In a medical emergency, call 911.
Where is Bonner General Hospital?
520 North Third Avenue, Sandpoint, ID 83864, in Bonner County, Idaho.
What is the phone number of Bonner General Hospital?
(208) 263-1441, as listed by Medicare (CMS).
What is the Medicare star rating of Bonner General Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[5][6][15]

Conditions treated[13]

Treatments[5][12][13][14]

  • Infusions and procedures clinic
  • Chemotherapy (outpatient)
  • Oxygen therapy
  • BiPAP/CPAP therapy
  • Bronchodilator therapy
  • Invasive ventilator care
  • Holter cardiac monitoring
  • Steroid injections of the spine (CT guided)

Procedures[13][14][15]

Programs and centers[5][8][9][12][13][14][15]

  • Acute care unit
  • Anticoagulation clinic
  • Bereavement services
  • Support groups
  • Emergency Department (24/7)
  • Pediatric-capable emergency department
  • Cardiopulmonary services (24/7)
  • Cancer services (Kootenai Clinic at 520 N Third Ave)
  • Surgical services
  • Diagnostic imaging
  • Better Breathers Club

Emergency care (hospital website)[6][8]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting hours 8:00 AM to 8:00 PM, 7 days a week. Enter at Patient Registration; after hours enter through the Emergency Department[16]

Recognition[5]

  • Accredited by DNV GL-Healthcare

Doctors and clinicians (331)

331 doctors and other clinicians list Bonner General 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 (331)

And 307 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Sandpoint

Hospitals in Bonner County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment5 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital72%National average: 71%
Nurses “always” communicated well87%National average: 80%
Doctors “always” communicated well85%National average: 80%
“Always” got help as soon as they wanted79%National average: 64%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean81%National average: 73%
Completed surveys236Response rate: 33%

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

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections0.917No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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

Complications and deaths

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

Deaths within 30 days: heart failure patients14.1%
Deaths within 30 days: pneumonia patients20.3%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients19.2%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.4%
Readmitted within 30 days: heart failure21.7%
Readmitted within 30 days: pneumonia16.7%
Readmitted within 30 days: COPD19.3%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)160 minutesNational average: 162 minutes
Sepsis patients who got all the recommended early care (SEP-1)62%National average: 66%
Not reported to MedicarePatients who left the emergency room before being seen (OP-22)

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

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 IdahoBest hospitals in Idaho

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Bonner General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 50 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $253 $202.40 $63.25 – $247.94
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $177.10
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $91.33
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $115.30
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $97.37
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $106.65
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $227.70
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $115.01
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $247.94
  • MOLINA MEDICAID — MOLINA MEDICAID: $97.37
  • MOUNTAIN HEALTH CO-OP-ALL PLANS — MOUNTAIN HEALTH CO-OP-ALL PLANS: $134.82
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $379 $303.20 $94.75 – $371.42
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $265.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $149.74
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $186.57
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $146.49
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $172.58
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $341.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $188.56
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $371.42
  • MOLINA MEDICAID — MOLINA MEDICAID: $146.49
  • MOUNTAIN HEALTH CO-OP-ALL PLANS — MOUNTAIN HEALTH CO-OP-ALL PLANS: $230.58
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $206 $164.80 $51.50 – $201.88
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $60.75
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $144.20
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $74.22
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $92.73
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $79.86
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $61.36
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $85.78
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $185.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $93.47
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $201.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 25 In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $135 $108 $60.75 – $349.65
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $60.75
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $121.50
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $97.20
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $106.65
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $94.50
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $61.36
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $98.66
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $121.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $117.45
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $132.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $290 $232 $72.50 – $284.20
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $78.75
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $203
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $109.05
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $137.12
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $112.52
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $79.54
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $126.84
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $261
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $137.33
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $284.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 25 In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $175 $140 $78.75 – $453.25
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $78.75
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $157.50
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $126
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $138.25
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $122.50
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $79.54
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $127.89
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $157.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $152.25
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $171.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making $188 $150.40 $55.66 – $184.24
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $65.21
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $131.60
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $88.03
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $100.63
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $55.66
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $65.86
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $93.08
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $169.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $110.86
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $184.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with low level of medical decision making $610 $488 $274.50 – $1,579.90
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $274.50
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $549
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $439.20
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $325.50
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $427
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $277.25
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $301.09
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $549
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $530.70
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $597.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making $330 $264 $94.78 – $323.40
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $110.88
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $231
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $149.69
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $170.16
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $94.78
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $111.99
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $157.40
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $297
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $188.50
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $323.40
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with moderate level of medical decision making $937 $749.60 $421.65 – $2,426.83
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $421.65
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $843.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $674.64
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $542.85
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $655.90
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $425.87
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $502.14
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $843.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $815.19
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $918.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making $479 $383.20 $137.38 – $469.42
Emergency room visit (high): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $161.16
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $335.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $217.57
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $247.08
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $137.38
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $162.77
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $228.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $431.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $273.97
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $469.42
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with high level of medical decision making $1,349 $1,079.20 $607.05 – $3,493.91
Emergency room visit (high): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $607.05
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,214.10
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $971.28
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $777
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $944.30
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $613.12
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $718.73
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,214.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,173.63
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,322.02

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $50.76 $40.61 $22.84 – $131.47
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $22.84
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $45.68
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $36.55
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $37.74
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $35.53
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $23.07
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $34.91
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $45.68
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $44.16
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $49.74
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $63.36 $50.69 $28.51 – $164.10
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $28.51
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $57.02
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $45.62
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $47.16
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $44.35
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $28.80
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $43.62
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $57.02
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $55.12
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $62.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $80.34 $64.27 $36.15 – $208.08
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $36.15
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $72.31
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $57.84
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $50.62
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $56.24
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $36.51
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $46.82
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $72.31
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $69.90
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $78.73
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $52.08 $41.66 $23.44 – $134.89
Kidney function panel: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $23.44
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $46.87
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $37.50
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $38.75
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $36.46
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $23.67
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $35.84
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $46.87
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $45.31
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $51.04
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $48.60 $38.88 $21.87 – $125.87
Liver function panel: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $21.87
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $43.74
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $34.99
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $36.45
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $34.02
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $22.09
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $33.72
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $43.74
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $42.28
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $47.63
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $19.02 $15.22 $8.56 – $49.26
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $8.56
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $17.12
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $13.69
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $14.11
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $13.31
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $8.64
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $13.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $17.12
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $16.55
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $18.64
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test $15.20 $12.16 $6.84 – $39.37
Urine test (manual, without microscope): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $6.84
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $13.68
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $10.94
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $11.40
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $10.64
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $6.91
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $10.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $13.68
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $13.22
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $14.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $15.90 $12.72 $7.16 – $41.18
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $7.16
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $14.31
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $11.45
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $10.02
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $11.13
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $7.23
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $9.27
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $14.31
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $13.83
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $15.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier QW In the file: Automated urinalysis test $13.40 $10.72 $6.03 – $34.71
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $6.03
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $12.06
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $9.65
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $10.02
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $9.38
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $6.09
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $9.27
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $12.06
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $11.66
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $13.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $217.30 $173.84 $75.93 – $562.81
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $97.79
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $195.57
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $156.46
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $82.09
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $152.11
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $98.76
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.93
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $195.57
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $189.05
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $212.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $100.80 $80.64 $45.36 – $261.07
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $45.36
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $90.72
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $72.58
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $70.18
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $70.56
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $45.81
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $64.92
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $90.72
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $87.70
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $98.78
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $46.62 $37.30 $20.98 – $120.75
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $20.98
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $41.96
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $33.57
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $34.71
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $32.63
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $21.19
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $32.11
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $41.96
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $40.56
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $45.69
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $36.60 $29.28 $16.47 – $94.79
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $16.47
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $32.94
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $26.35
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $27.44
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $25.62
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $16.63
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $25.38
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $32.94
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $31.84
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $35.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $25.74 $20.59 $11.58 – $66.67
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $11.58
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $23.17
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $18.53
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $17.51
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $18.02
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $11.70
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $16.20
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $23.17
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $22.39
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $25.23
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $36.06 $28.85 $16.23 – $93.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $16.23
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $32.45
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $25.96
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $26.78
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $25.24
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $16.39
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $24.77
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $32.45
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $31.37
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $35.34

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT scan head or brain without contrast $890 $712 $400.50 – $1,335
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $400.50
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $801
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $640.80
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $604.45
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $623
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $404.51
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $559.12
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $801
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $774.30
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $872.20
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan head or brain without contrast $147 $117.60 $26.41 – $243.75
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $37.73
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $102.90
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $50.94
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $75.70
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $84.03
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $38.11
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $70.02
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $132.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $64.14
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $144.06
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of brain before and after contrast $394 $315.20 $70.57 – $770.25
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $100.81
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $275.80
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $136.09
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $204
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $250.29
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $101.82
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $188.70
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $354.60
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $171.38
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $386.12
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of brain before and after contrast $2,476 $1,980.80 $1,114.20 – $3,714
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $1,114.20
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,228.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,782.72
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $1,682.19
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $1,733.20
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $1,125.34
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $1,556.03
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $2,228.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,154.12
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $2,426.48
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of chest, 2 views $38 $30.40 $6.74 – $69
Chest X-ray, 2 views: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $9.63
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $26.60
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $13
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $19.57
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $25.95
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $9.73
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $18.10
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $34.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $16.37
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $37.24
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of chest, 2 views $209 $167.20 $94.05 – $313.50
Chest X-ray, 2 views: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $94.05
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $188.10
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $150.48
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $141.12
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $146.30
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $94.99
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $130.54
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $188.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $181.83
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $204.82
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of lower and sacral spine, minimum of 4 views $55 $44 $8.44 – $102
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $12.05
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $38.50
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $16.27
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $23.40
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $40
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $12.17
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $21.65
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $49.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $20.49
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $53.90
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of lower and sacral spine, minimum of 4 views $351 $280.80 $157.95 – $526.50
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $157.95
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $315.90
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $252.72
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $237.76
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $245.70
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $159.53
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $219.93
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $315.90
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $305.37
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $343.98
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast $1,497 $1,197.60 $673.65 – $2,245.50
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $673.65
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,347.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,077.84
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $1,065.99
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $1,047.90
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $680.39
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $986.04
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,347.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,302.39
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,467.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of lower spinal canal without contrast $254 $203.20 $45.96 – $459
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $65.65
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $177.80
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $88.63
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $132.12
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $150.37
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $66.31
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $122.21
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $228.60
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $111.61
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $248.92
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 | 52 In the file: MRI scan of lower spinal canal without contrast $175 $140 $45.96 – $459
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $65.65
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $122.50
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $88.63
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $132.12
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $150.37
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $66.31
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $122.21
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $157.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $111.61
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $171.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $1,393 $1,114.40 $626.85 – $2,089.50
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $626.85
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,253.70
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,002.96
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $946.54
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $975.10
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $633.12
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $875.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,253.70
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,211.91
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,365.14
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 52 In the file: CT scan of pelvis with contrast $1,231 $984.80 $553.95 – $1,846.50
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $553.95
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,107.90
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $886.32
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $946.54
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $861.70
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $559.49
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $875.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,107.90
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,070.97
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,206.38
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of pelvis with contrast $199 $159.20 $35.80 – $510.75
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $51.14
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $139.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $69.04
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $103.29
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $177.21
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $51.65
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $95.54
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $179.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $86.94
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $195.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 | 50 In the file: MRI scan of leg joint without contrast $336 $268.80 $42.18 – $483
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $60.25
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $235.20
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $81.34
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $120.87
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $159.43
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $60.85
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $111.80
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $302.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $102.43
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $329.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of leg joint without contrast $232 $185.60 $42.18 – $483
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $60.25
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $162.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $81.34
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $120.87
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $159.43
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $60.85
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $111.80
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $208.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $102.43
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $227.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50 In the file: MRI scan of leg joint without contrast $2,285 $1,828 $986.04 – $3,427.50
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $1,028.25
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,056.50
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,645.20
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $1,065.99
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $1,599.50
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $1,038.53
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $986.04
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $2,056.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,987.95
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $2,239.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of abdomen and pelvis with contrast $2,660 $2,128 $1,197 – $3,990
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $1,197
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,394
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,915.20
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $1,828.70
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $1,862
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $1,208.97
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $1,691.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $2,394
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,314.20
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $2,606.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of abdomen and pelvis with contrast $316 $252.80 $56.15 – $690.75
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $80.22
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $221.20
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $108.30
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $162.28
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $236.39
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $81.02
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $150.11
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $284.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $136.37
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $309.68
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Complete ultrasound scan of abdomen $140 $112 $25.15 – $260.25
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $35.93
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $98
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $48.51
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $71.87
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $89.14
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $36.29
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $66.48
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $126
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $61.08
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $137.20
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Complete ultrasound scan of abdomen $446 $356.80 $200.70 – $669
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $200.70
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $401.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $321.12
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $303.38
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $312.20
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $202.71
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $280.63
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $401.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $388.02
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $437.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $582 $465.60 $261.90 – $873
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $261.90
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $523.80
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $419.04
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $303.30
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $407.40
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $264.52
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $280.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $523.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $506.34
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $570.36
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $172 $137.60 $31.62 – $296.25
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $45.17
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $120.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $60.98
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $89.10
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $103.81
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $45.62
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $82.42
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $154.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $76.79
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $168.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $446 $356.80 $200.70 – $669
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $200.70
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $401.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $321.12
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $303.30
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $312.20
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $202.71
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $280.55
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $401.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $388.02
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $437.08
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $120 $96 $21.70 – $260.25
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $31
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $84
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $41.85
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $62.16
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $90.73
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $31.31
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $57.50
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $108
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $52.70
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $117.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $446 $356.80 $200.70 – $669
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $200.70
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $401.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $321.12
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $303.38
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $312.20
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $202.71
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $280.63
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $401.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $388.02
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $437.08
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of 1 breast $119 $95.20 $25.26 – $283.50
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $36.09
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $83.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $48.72
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $71.87
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $97
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $36.45
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $66.48
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $107.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $61.35
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $116.62
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of 1 breast $293 $234.40 $131.85 – $439.50
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $131.85
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $263.70
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $210.96
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $199.05
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $205.10
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $133.17
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $184.12
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $263.70
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $254.91
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $287.14
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of both breasts $149 $119.20 $31.11 – $357
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $44.44
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $104.30
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $59.99
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $88.58
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $122.36
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $44.88
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $81.94
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $134.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $75.55
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $146.02
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of both breasts $370 $296 $166.50 – $555
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $166.50
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $333
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $266.40
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $251.55
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $259
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $168.17
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $232.68
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $333
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $321.90
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $362.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: Screening mammography $120 $96 $23.56 – $289.50
Screening mammogram, both breasts: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $33.65
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $84
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $45.43
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $67.98
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $99.03
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $33.99
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $62.88
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $108
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $57.21
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $117.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography $298 $238.40 $134.10 – $447
Screening mammogram, both breasts: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $134.10
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $268.20
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $214.56
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $202.58
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $208.60
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $135.44
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $187.39
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $268.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $259.26
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $292.04

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report $143 $114.40 $11.11 – $140.14
Electrocardiogram (ECG/EKG) with reading: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $14.29
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $100.10
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $19.29
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $19.86
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $11.11
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $14.43
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $18.37
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $128.70
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $24.29
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $140.14

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $68.30 $54.64 $30.74 – $176.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $30.74
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $61.47
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $49.18
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $48.70
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $47.81
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $31.04
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $45.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $61.47
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $59.42
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $66.93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $68.30 $54.64 $30.74 – $176.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $30.74
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $61.47
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $49.18
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $48.70
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $47.81
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $31.04
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $45.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $61.47
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $59.42
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $66.93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $68.30 $54.64 $30.74 – $176.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $30.74
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $61.47
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $49.18
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $48.70
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $47.81
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $31.04
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $45.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $61.47
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $59.42
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $66.93
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes $186 $148.80 $75.05 – $481.74
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $83.70
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $167.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $133.92
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $81.14
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $130.20
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $84.54
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $167.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $161.82
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $182.28
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes $186 $148.80 $75.05 – $481.74
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $83.70
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $167.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $133.92
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $81.14
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $130.20
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $84.54
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $167.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $161.82
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $182.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes $209.30 $167.44 $75.05 – $542.09
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $94.19
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $188.37
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $150.70
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $81.14
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $146.51
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $95.13
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $188.37
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $182.09
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $205.11
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes $209.30 $167.44 $75.05 – $542.09
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $94.19
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $188.37
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $150.70
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $81.14
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $146.51
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $95.13
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $188.37
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $182.09
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $205.11
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes $232.50 $186 $75.05 – $602.18
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $104.63
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $209.25
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $167.40
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $81.14
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $162.75
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $105.67
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $209.25
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $202.28
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $227.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes $232.50 $186 $75.05 – $602.18
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $104.63
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $209.25
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $167.40
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $81.14
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $162.75
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $105.67
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $75.05
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $209.25
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $202.28
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $227.85

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis $2,920 $2,336 $988.44 – $2,981.92
Total hip replacement: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $1,059.65
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,044
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,430.53
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $1,747.87
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $988.44
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $1,070.25
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $1,616.78
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $2,628
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,801.41
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $2,861.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee $2,916 $2,332.80 $987.30 – $2,978.12
Total knee replacement: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $1,057.64
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,041.20
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,427.81
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $1,746.29
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $987.30
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $1,068.22
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $1,615.32
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $2,624.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,797.99
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $2,857.68
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope $386 $308.80 $131.03 – $429.50
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $134.99
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $270.20
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $182.24
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $233.49
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $131.03
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $136.34
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $215.98
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $347.40
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $229.48
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $378.28
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope $1,248 $998.40 $422.98 – $1,326.78
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $471.85
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $873.60
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $637
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $743.67
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $422.98
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $476.57
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $687.89
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,123.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $802.15
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,223.04
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older) $1,060 $848 $400.10 – $1,108.17
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $457.51
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $742
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $617.64
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $706.73
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $400.10
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $462.09
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $653.73
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $954
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $777.77
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,038.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Repair of groin hernia (5 years or older) $2,472 $1,977.60 $1,112.40 – $6,402.48
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $1,112.40
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,224.80
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $1,779.84
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $2,678.55
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $1,730.40
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $1,123.52
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $2,477.66
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $2,224.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,150.64
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $2,422.56
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve $1,012 $809.60 $348.58 – $991.76
Carpal tunnel release: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $387.51
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $708.40
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $523.14
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $600.25
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $348.58
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $391.39
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $555.23
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $910.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $658.77
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $991.76
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: Release and/or relocation of hand nerve $1,518 $1,214.40 $348.58 – $1,487.64
Carpal tunnel release: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $387.51
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,062.60
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $523.14
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $600.25
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $348.58
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $391.39
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $555.23
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,366.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $658.77
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,487.64
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser $817 $653.60 $256.65 – $800.66
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $258.37
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $571.90
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $348.80
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $427.44
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $256.65
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $260.95
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $395.38
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $735.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $439.23
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $800.66
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens $1,211 $968.80 $421.34 – $1,221.41
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $436.69
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $847.70
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $589.53
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $748.64
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $421.34
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $441.06
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $692.49
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,089.90
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $742.37
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,186.78
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: Removal of cataract with insertion of prosthetic lens $1,817 $1,453.60 $421.34 – $1,780.66
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $436.69
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,271.90
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $589.53
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $748.64
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $421.34
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $441.06
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $692.49
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $1,635.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $742.37
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $1,780.66

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $66,263.14 $53,010.51 $8,088 – $64,937.88
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $8,088
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $59,636.83
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $12,940.80
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $22,682.73
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $49,697.36
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $8,168.88
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $20,981.52
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $59,636.83
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $57,648.93
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $64,937.88
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $58,654.42 $46,923.54 $2,696 – $57,481.33
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • AETNA MEDICARE — AETNA MEDICARE: $2,696
  • AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $52,788.98
  • AMBETTER COMM EXCH - ALL PLANS — AMBETTER COMM EXCH - ALL PLANS: $4,313.60
  • BLUE CROSS COMM - ALL OTHER PLANS — BLUE CROSS COMM - ALL OTHER PLANS: $26,217.04
  • BLUE CROSS MCAID — BLUE CROSS MCAID: $43,990.82
  • BLUE CROSS MCR ADV — BLUE CROSS MCR ADV: $2,722.96
  • BLUE CROSS QHP/QEP — BLUE CROSS QHP/QEP: $24,250.77
  • CHRISTIAN HEALTH AID-ALL PLANS — CHRISTIAN HEALTH AID-ALL PLANS: $52,788.98
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $51,029.35
  • FIRST CHOICE - ALL PLANS — FIRST CHOICE - ALL PLANS: $57,481.33

Source: Bonner General Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address520 North Third Avenue, Sandpoint, ID 83864
CountyBonner County
StateIdaho
Phone(208) 263‑1441
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
CMS Certification Number131328
Name in Medicare recordsBONNER GENERAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteBonner General Health
Official websitebonnergeneral.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Bonner General Health — bonnergeneral.org
  2. Services - Bonner General Health — bonnergeneral.org
  3. Emergency Department - Bonner General Health — bonnergeneral.org
  4. Emergency Department - Bonner General Health — bonnergeneral.org
  5. BGH Emergency Department the first Critical Access Hospital in Idaho to be recognized as Pediatric Capable by the Idaho — bonnergeneral.org
  6. Cancer Services - Bonner General Health — bonnergeneral.org
  7. Cardiopulmonary Services - Bonner General Health — bonnergeneral.org
  8. Diagnostic Imaging - Bonner General Health — bonnergeneral.org
  9. Surgical Services - Bonner General Health — bonnergeneral.org
  10. Visiting a Patient - Bonner General Health — bonnergeneral.org