Does Calhoun-Liberty Hospital have an emergency room?

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

Where is Calhoun-Liberty Hospital?

16257 State Rd 71S, Blountstown, FL 32424, in Calhoun County, Florida.

What is the phone number of Calhoun-Liberty Hospital?

(850) 674-5411, as listed by Medicare (CMS).

What is the Medicare star rating of Calhoun-Liberty 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.

Calhoun-Liberty Hospital — Blountstown, FL

Quick answers

Does Calhoun-Liberty Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Calhoun-Liberty Hospital. In a medical emergency, call 911.
Where is Calhoun-Liberty Hospital?: 16257 State Rd 71S, Blountstown, FL 32424, in Calhoun County, Florida.
What is the phone number of Calhoun-Liberty Hospital?: (850) 674-5411, as listed by Medicare (CMS).
What is the Medicare star rating of Calhoun-Liberty 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^[5][6][9]

Cardiovascular care
Emergency medicine
Primary care
Radiology
Respiratory therapy

Conditions treated^[9]

Hypertension
Hyperlipidemia
Coronary artery disease
Heart failure
Heart valve disorders
Heart rhythm disorders

Treatments^[5]

Infusion therapy (most medications except chemotherapy)
Short-term transitional rehab
Inpatient short-stay care

Procedures^[5][6]

Mammography
Laboratory testing
CT, MRI, ultrasound, echocardiogram and X-ray imaging

Programs and centers^[6]

Stroke telehealth consult with Tallahassee Memorial neurologists
Behavioral health telemedicine program in the ER

Emergency care (hospital website)^[6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Main lobby open 8 a.m.-5 p.m. CT Mon-Fri; after hours and weekends enter via Emergency Department; quiet hours 9 p.m.-7 a.m^[7]
Patient portal	MyCareCorner

Doctors and clinicians (61)

61 doctors and other clinicians list Calhoun-Liberty 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

And 37 more: the button below opens the full list.

Other emergency rooms nearby

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

Jackson Hospital33 mi · Marianna, FL · Acute Care Hospital
Ascension Sacred Heart Bay37 mi · Panama City, FL · Acute Care Hospital
HCA Florida Gulf Coast Hospital38 mi · Panama City, FL · Acute Care Hospital
Northwest Florida Community Hospital38 mi · Chipley, FL · Critical Access Hospital
Donalsonville Hospital Inc40 mi · Donalsonville, GA · Acute Care Hospital

Other hospitals nearby

Florida State Hospital Unit 14 Psych26 mi · Chattahoochee, FL · Psychiatric Hospital
Florida State Hospital Unit 31 Med26 mi · Chattahoochee, FL · Acute Care Hospital
Select Specialty Hospital - Panama City37 mi · Panama City, FL · Long-Term Acute Care Hospital
Emerald Coast Behavioral Hospital37 mi · Panama City, FL · Psychiatric 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

Blountstown Health and Rehabilitation Center3.9 mi · Blountstown, FL · 4 of 5 stars
River Valley Rehabilitation Center5.1 mi · Blountstown, FL · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Enhabit Home Health0.0 mi · Blountstown, FL · 4 of 5 stars
Grey to Glory Home Health LLC10 mi · Bristol, FL
Centerwell Home Health21 mi · Marianna, FL · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Marianna Dialysis Center21 mi · Marianna, FL · 3 of 5 stars

All dialysis facilities 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

PanCare - Blountstown4.3 mi · Blountstown, FL · Community health center
PanCare Health Mobile Unit #46.9 mi · Bristol, FL · Community health center
PanCare-Liberty6.9 mi · Bristol, FL · Community health center

Clinics and urgent care

Calhoun-Liberty Hospital0.0 mi · Blountstown, FL · Rural health clinic
Panhandle Rural Health & Primary Care Inc0.0 mi · Blountstown, FL · Rural health clinic
The Medical Center of Blountstown0.0 mi · Blountstown, FL · Rural health clinic

Pharmacies

Pancare of Florida, Inc0.0 mi · Blountstown, FL · Community/retail pharmacy

Assisted living nearby

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

Rivertown Assisted Living, LLC0.0 mi · Blountstown, FL
Rivertown Senior Care0.0 mi · Blountstown, FL
Liberty Oaks ALF LLC10 mi · Bristol, FL

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 Calhoun-Liberty 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	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	17%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
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	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	16.6%
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	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	122 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Too few cases to report

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 Florida Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Calhoun-Liberty 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 In the file: OFFICE OUTPATIENT NEW 30 MINUTES	$148.50	$148.50	$35.20 – $115.32
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Cigna — Default: $74.25 Humana — Default: $61.78 Humana — Medicare Advantage: $46.57 Medicare A FL JN — Default: $46.57 Medicare B FL JN — Default: $115.32 Tricare East Region DOS lt 01012025 — Default: $35.20 United Healthcare — Medicare Advantage: $46.57 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $46.57
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: TREATMENT RM LEVEL 3	$55	$38.50	$13.04 – $53.90
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Cigna — Default: $27.50 Humana — Default: $22.88 Humana — Medicare Advantage: $17.25 Medicare A FL JN — Default: $17.25 Medicare B FL JN — Default: $53.90 Tricare East Region DOS lt 01012025 — Default: $13.04 United Healthcare — Medicare Advantage: $17.25 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $17.25
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier 95 In the file: TELEHEALTH OUTPATIENT VISIT 30 MINUTES,TELEHEALTH	$115.50	$115.50	$27.38 – $113.19
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Cigna — Default: $57.75 Humana — Default: $48.05 Humana — Medicare Advantage: $36.22 Medicare A FL JN — Default: $36.22 Medicare B FL JN — Default: $113.19 Tricare East Region DOS lt 01012025 — Default: $27.38 United Healthcare — Medicare Advantage: $36.22 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $36.22
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE OUTPATIENT NEW 45 MINUTES	$220	$220	$52.15 – $174.20
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Cigna — Default: $110 Humana — Default: $91.52 Humana — Medicare Advantage: $68.99 Medicare A FL JN — Default: $68.99 Medicare B FL JN — Default: $174.20 Tricare East Region DOS lt 01012025 — Default: $52.15 United Healthcare — Medicare Advantage: $68.99 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $68.99
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE OUTPATIENT NEW 60 MINUTES	$280.50	$280.50	$66.49 – $233.35
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Cigna — Default: $140.25 Humana — Default: $116.69 Humana — Medicare Advantage: $87.96 Medicare A FL JN — Default: $87.96 Medicare B FL JN — Default: $233.35 Tricare East Region DOS lt 01012025 — Default: $66.49 United Healthcare — Medicare Advantage: $87.96 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $87.96
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE OUTPATIENT VISIT 15 MINUTES	$115.50	$115.50	$27.38 – $92.67
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Cigna — Default: $57.75 Humana — Default: $48.05 Humana — Medicare Advantage: $36.22 Medicare A FL JN — Default: $36.22 Medicare B FL JN — Default: $92.67 Tricare East Region DOS lt 01012025 — Default: $27.38 United Healthcare — Medicare Advantage: $36.22 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $36.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: TREATMENT RM-LEVEL 3	$98	$68.60	$23.23 – $92.67
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Cigna — Default: $49 Humana — Default: $40.77 Humana — Medicare Advantage: $30.73 Medicare A FL JN — Default: $30.73 Medicare B FL JN — Default: $92.67 Tricare East Region DOS lt 01012025 — Default: $23.23 United Healthcare — Medicare Advantage: $30.73 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $30.73
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 95 In the file: TELEHEALTH OUTPATIENT VISIT 15 MINUTES,TELEHEALTH	$115.50	$115.50	$27.38 – $92.67
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Cigna — Default: $57.75 Humana — Default: $48.05 Humana — Medicare Advantage: $36.22 Medicare A FL JN — Default: $36.22 Medicare B FL JN — Default: $92.67 Tricare East Region DOS lt 01012025 — Default: $27.38 United Healthcare — Medicare Advantage: $36.22 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $36.22
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE OUTPATIENT VISIT 25 MINUTES	$148.50	$148.50	$35.20 – $132.32
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Cigna — Default: $74.25 Humana — Default: $61.78 Humana — Medicare Advantage: $46.57 Medicare A FL JN — Default: $46.57 Medicare B FL JN — Default: $132.32 Tricare East Region DOS lt 01012025 — Default: $35.20 United Healthcare — Medicare Advantage: $46.57 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $46.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: TREATMENT RM-LEVEL 4	$130	$91	$30.82 – $127.40
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Cigna — Default: $65 Humana — Default: $54.08 Humana — Medicare Advantage: $40.77 Medicare A FL JN — Default: $40.77 Medicare B FL JN — Default: $127.40 Tricare East Region DOS lt 01012025 — Default: $30.82 United Healthcare — Medicare Advantage: $40.77 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $40.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · modifier 25 In the file: TELEHEALTH OUTPATIENT VISIT 25 MINUTES,SEPARATE E&M SAME DAY	$148.50	$148.50	$35.20 – $132.32
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Cigna — Default: $74.25 Humana — Default: $61.78 Humana — Medicare Advantage: $46.57 Medicare A FL JN — Default: $46.57 Medicare B FL JN — Default: $132.32 Tricare East Region DOS lt 01012025 — Default: $35.20 United Healthcare — Medicare Advantage: $46.57 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $46.57
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 1	$203.50	$203.50	$48.24 – $101.75
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Cigna — Default: $101.75 Humana — Default: $84.66 Humana — Medicare Advantage: $63.82 Medicare A FL JN — Default: $63.82 Tricare East Region DOS lt 01012025 — Default: $48.24 United Healthcare — Medicare Advantage: $63.82 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $63.82
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT	$220	$220	$52.15 – $110
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Cigna — Default: $110 Humana — Default: $91.52 Humana — Medicare Advantage: $68.99 Medicare A FL JN — Default: $68.99 Tricare East Region DOS lt 01012025 — Default: $52.15 United Healthcare — Medicare Advantage: $68.99 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $68.99
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER VISIT LEVEL 3	$332.99	$332.99	$70.97 – $332.99
Emergency room visit (moderate): rates for 9 insurance plans Cigna — Default: $166.50 Humana — Default: $138.53 Humana — Medicare Advantage: $104.43 Medicare A FL JN — Default: $104.43 Medicare B FL JN — Default: $70.97 Tricare East Region DOS lt 01012025 — Default: $78.93 United Healthcare — Default: $332.99 United Healthcare — Medicare Advantage: $104.43 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $104.43
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: E & M LEVEL 3	$330	$330	$70.97 – $165
Emergency room visit (moderate): rates for 8 insurance plans Cigna — Default: $165 Humana — Default: $108.26 Humana — Medicare Advantage: $81.61 Medicare A FL JN — Default: $81.61 Medicare B FL JN — Default: $70.97 Tricare East Region DOS lt 01012025 — Default: $78.22 United Healthcare — Medicare Advantage: $81.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $81.61
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER VISIT LEVEL 4	$473.40	$473.40	$112.22 – $450
Emergency room visit (moderately high): rates for 9 insurance plans Cigna — Default: $236.70 Humana — Default: $196.94 Humana — Medicare Advantage: $148.46 Medicare A FL JN — Default: $148.46 Medicare B FL JN — Default: $120.99 Tricare East Region DOS lt 01012025 — Default: $112.22 United Healthcare — Default: $450 United Healthcare — Medicare Advantage: $148.46 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $148.46
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: E & M LEVEL 4	$440	$440	$104.30 – $220
Emergency room visit (moderately high): rates for 8 insurance plans Cigna — Default: $220 Humana — Default: $184.57 Humana — Medicare Advantage: $139.14 Medicare A FL JN — Default: $139.14 Medicare B FL JN — Default: $120.99 Tricare East Region DOS lt 01012025 — Default: $104.30 United Healthcare — Medicare Advantage: $139.14 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $139.14
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER VISIT LEVEL 5	$733.68	$733.68	$173.91 – $450
Emergency room visit (high): rates for 9 insurance plans Cigna — Default: $366.84 Humana — Default: $305.21 Humana — Medicare Advantage: $230.08 Medicare A FL JN — Default: $230.08 Medicare B FL JN — Default: $174.89 Tricare East Region DOS lt 01012025 — Default: $173.91 United Healthcare — Default: $450 United Healthcare — Medicare Advantage: $230.08 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $230.08
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: E & M LEVEL 5	$550	$550	$130.37 – $275
Emergency room visit (high): rates for 8 insurance plans Cigna — Default: $275 Humana — Default: $266.80 Humana — Medicare Advantage: $201.13 Medicare A FL JN — Default: $201.13 Medicare B FL JN — Default: $174.89 Tricare East Region DOS lt 01012025 — Default: $130.37 United Healthcare — Medicare Advantage: $201.13 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $201.13

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP (BASIC MET PANEL)	$101.69	$101.69	$7.15 – $50.84
Basic metabolic panel (blood test): rates for 9 insurance plans Cigna — Default: $50.84 Humana — Default: $11 Humana — Medicare Advantage: $8.29 Medicare A FL JN — Default: $8.29 Medicare B FL JN — Default: $8.29 Tricare East Region DOS lt 01012025 — Default: $24.10 United Healthcare — Default: $7.15 United Healthcare — Medicare Advantage: $8.29 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $8.29
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP (COMP METAB PANEL)	$147.63	$147.63	$8.92 – $73.82
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Cigna — Default: $73.82 Humana — Default: $13.73 Humana — Medicare Advantage: $10.35 Medicare A FL JN — Default: $10.35 Medicare B FL JN — Default: $10.35 Tricare East Region DOS lt 01012025 — Default: $34.99 United Healthcare — Default: $8.92 United Healthcare — Medicare Advantage: $10.35 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP W/ADJUSTED CALCIUM	$136.50	$136.50	$8.92 – $68.25
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Cigna — Default: $68.25 Humana — Default: $13.73 Humana — Medicare Advantage: $10.35 Medicare A FL JN — Default: $10.35 Medicare B FL JN — Default: $10.35 Tricare East Region DOS lt 01012025 — Default: $32.35 United Healthcare — Default: $8.92 United Healthcare — Medicare Advantage: $10.35 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $10.35
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	$195	$136.50	$35.47 – $97.50
Obstetric blood test panel: rates for 9 insurance plans Cigna — Default: $97.50 Humana — Default: $62.15 Humana — Medicare Advantage: $46.85 Medicare A FL JN — Default: $46.85 Medicare B FL JN — Default: $46.85 Tricare East Region DOS lt 01012025 — Default: $46.22 United Healthcare — Default: $35.47 United Healthcare — Medicare Advantage: $46.85 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $46.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$179.50	$179.50	$11.31 – $89.75
Cholesterol panel (lipid panel): rates for 9 insurance plans Cigna — Default: $89.75 Humana — Default: $17.41 Humana — Medicare Advantage: $13.12 Medicare A FL JN — Default: $13.12 Medicare B FL JN — Default: $13.12 Tricare East Region DOS lt 01012025 — Default: $42.55 United Healthcare — Default: $11.31 United Healthcare — Medicare Advantage: $13.12 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID - QUEST	$271.72	$271.72	$11.31 – $135.86
Cholesterol panel (lipid panel): rates for 9 insurance plans Cigna — Default: $135.86 Humana — Default: $17.41 Humana — Medicare Advantage: $13.12 Medicare A FL JN — Default: $13.12 Medicare B FL JN — Default: $13.12 Tricare East Region DOS lt 01012025 — Default: $64.41 United Healthcare — Default: $11.31 United Healthcare — Medicare Advantage: $13.12 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $13.12
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$107.38	$107.38	$7.33 – $53.69
Kidney function panel: rates for 9 insurance plans Cigna — Default: $53.69 Humana — Default: $11.28 Humana — Medicare Advantage: $8.51 Medicare A FL JN — Default: $8.51 Medicare B FL JN — Default: $8.51 Tricare East Region DOS lt 01012025 — Default: $25.46 United Healthcare — Default: $7.33 United Healthcare — Medicare Advantage: $8.51 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $8.51
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$94.03	$94.03	$6.89 – $47.02
Liver function panel: rates for 9 insurance plans Cigna — Default: $47.02 Humana — Default: $10.62 Humana — Medicare Advantage: $8.01 Medicare A FL JN — Default: $8.01 Medicare B FL JN — Default: $8.01 Tricare East Region DOS lt 01012025 — Default: $22.29 United Healthcare — Default: $6.89 United Healthcare — Medicare Advantage: $8.01 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $8.01
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: .URINALYSIS W/ MICRO	$65.49	$65.49	$2.67 – $32.74
Urine test (automated, with microscope): rates for 9 insurance plans Cigna — Default: $32.74 Humana — Default: $4.12 Humana — Medicare Advantage: $3.11 Medicare A FL JN — Default: $3.11 Medicare B FL JN — Default: $3.11 Tricare East Region DOS lt 01012025 — Default: $15.52 United Healthcare — Default: $2.67 United Healthcare — Medicare Advantage: $3.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $3.11
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O	$16.50	$16.50	$2.16 – $8.25
Urine test (manual, without microscope): rates for 9 insurance plans Cigna — Default: $8.25 Humana — Default: $4.52 Humana — Medicare Advantage: $3.41 Medicare A FL JN — Default: $3.41 Medicare B FL JN — Default: $3.41 Tricare East Region DOS lt 01012025 — Default: $3.91 United Healthcare — Default: $2.16 United Healthcare — Medicare Advantage: $3.41 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $3.41
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: .URINALYSIS W/O MICRO	$52.15	$52.15	$1.90 – $26.08
Urine test (automated, without microscope): rates for 9 insurance plans Cigna — Default: $26.08 Humana — Default: $2.92 Humana — Medicare Advantage: $2.20 Medicare A FL JN — Default: $2.20 Medicare B FL JN — Default: $2.20 Tricare East Region DOS lt 01012025 — Default: $12.36 United Healthcare — Default: $1.90 United Healthcare — Medicare Advantage: $2.20 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $2.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROSTATE SPECIFIC ANTIGEN	$152.74	$152.74	$15.53 – $76.37
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Cigna — Default: $76.37 Humana — Default: $23.91 Humana — Medicare Advantage: $18.02 Medicare A FL JN — Default: $18.02 Medicare B FL JN — Default: $18.02 Tricare East Region DOS lt 01012025 — Default: $36.21 United Healthcare — Default: $15.53 United Healthcare — Medicare Advantage: $18.02 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $18.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA ULTRASENSITIVE	$120.48	$120.48	$15.53 – $60.24
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Cigna — Default: $60.24 Humana — Default: $23.91 Humana — Medicare Advantage: $18.02 Medicare A FL JN — Default: $18.02 Medicare B FL JN — Default: $18.02 Tricare East Region DOS lt 01012025 — Default: $28.56 United Healthcare — Default: $15.53 United Healthcare — Medicare Advantage: $18.02 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $18.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH (THRYROID STIM HORM)	$113.88	$113.88	$14.18 – $56.94
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Cigna — Default: $56.94 Humana — Default: $21.84 Humana — Medicare Advantage: $16.46 Medicare A FL JN — Default: $16.46 Medicare B FL JN — Default: $16.46 Tricare East Region DOS lt 01012025 — Default: $26.99 United Healthcare — Default: $14.18 United Healthcare — Medicare Advantage: $16.46 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH - QUEST	$113.88	$113.88	$14.18 – $56.94
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Cigna — Default: $56.94 Humana — Default: $21.84 Humana — Medicare Advantage: $16.46 Medicare A FL JN — Default: $16.46 Medicare B FL JN — Default: $16.46 Tricare East Region DOS lt 01012025 — Default: $26.99 United Healthcare — Default: $14.18 United Healthcare — Medicare Advantage: $16.46 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $16.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .CBC/AUTO/DIF(CHARGE ONLY)	$88.44	$88.44	$6.56 – $44.22
Complete blood count (CBC) with differential: rates for 9 insurance plans Cigna — Default: $44.22 Humana — Default: $10.10 Humana — Medicare Advantage: $7.61 Medicare A FL JN — Default: $7.61 Medicare B FL JN — Default: $7.61 Tricare East Region DOS lt 01012025 — Default: $20.96 United Healthcare — Default: $6.56 United Healthcare — Medicare Advantage: $7.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $7.61
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: .CBC/AUTO(CHARGE ONLY)	$60.66	$60.66	$5.47 – $30.33
Complete blood count (CBC), automated: rates for 9 insurance plans Cigna — Default: $30.33 Humana — Default: $8.41 Humana — Medicare Advantage: $6.34 Medicare A FL JN — Default: $6.34 Medicare B FL JN — Default: $6.34 Tricare East Region DOS lt 01012025 — Default: $14.38 United Healthcare — Default: $5.47 United Healthcare — Medicare Advantage: $6.34 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $6.34
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HEMOGRAM/CBC W/O DIFF	$60.66	$60.66	$5.47 – $30.33
Complete blood count (CBC), automated: rates for 9 insurance plans Cigna — Default: $30.33 Humana — Default: $8.41 Humana — Medicare Advantage: $6.34 Medicare A FL JN — Default: $6.34 Medicare B FL JN — Default: $6.34 Tricare East Region DOS lt 01012025 — Default: $14.38 United Healthcare — Default: $5.47 United Healthcare — Medicare Advantage: $6.34 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $6.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT (PROTHROMBIN TIME)	$68	$68	$3.32 – $34
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Cigna — Default: $34 Humana — Default: $5.58 Humana — Medicare Advantage: $4.20 Medicare A FL JN — Default: $4.20 Medicare B FL JN — Default: $4.20 Tricare East Region DOS lt 01012025 — Default: $16.12 United Healthcare — Default: $3.32 United Healthcare — Medicare Advantage: $4.20 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $4.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$87.27	$87.27	$5.07 – $43.64
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Cigna — Default: $43.64 Humana — Default: $7.81 Humana — Medicare Advantage: $5.89 Medicare A FL JN — Default: $5.89 Medicare B FL JN — Default: $5.89 Tricare East Region DOS lt 01012025 — Default: $20.69 United Healthcare — Default: $5.07 United Healthcare — Medicare Advantage: $5.89 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT-LA	$137.50	$137.50	$5.07 – $68.75
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Cigna — Default: $68.75 Humana — Default: $7.81 Humana — Medicare Advantage: $5.89 Medicare A FL JN — Default: $5.89 Medicare B FL JN — Default: $5.89 Tricare East Region DOS lt 01012025 — Default: $32.59 United Healthcare — Default: $5.07 United Healthcare — Medicare Advantage: $5.89 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $5.89

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 In the file: CT HEAD & BRAIN W/O CONT	$1,297	$1,297	$102.10 – $648.50
CT scan of the head or brain, without contrast: rates for 9 insurance plans Cigna — Default: $648.50 Humana — Default: $539.55 Humana — Medicare Advantage: $406.74 Medicare A FL JN — Default: $406.74 Medicare B FL JN — Default: $102.10 Tricare East Region DOS lt 01012025 — Default: $307.44 United Healthcare — Default: $337 United Healthcare — Medicare Advantage: $406.74 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $406.74
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O CO	$99	$69.30	$23.46 – $97.02
CT scan of the head or brain, without contrast: rates for 8 insurance plans Cigna — Default: $49.50 Humana — Default: $59.51 Humana — Medicare Advantage: $44.86 Medicare A FL JN — Default: $44.86 Medicare B FL JN — Default: $97.02 Tricare East Region DOS lt 01012025 — Default: $23.46 United Healthcare — Medicare Advantage: $44.86 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $44.86
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEWS	$238	$238	$31.64 – $169
Chest X-ray, 2 views: rates for 9 insurance plans Cigna — Default: $119 Humana — Default: $99.01 Humana — Medicare Advantage: $74.64 Medicare A FL JN — Default: $74.64 Medicare B FL JN — Default: $31.64 Tricare East Region DOS lt 01012025 — Default: $56.42 United Healthcare — Default: $169 United Healthcare — Medicare Advantage: $74.64 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $74.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L-S SPINE AP/LAT 2 OBQ	$390	$390	$50.97 – $195
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Cigna — Default: $195 Humana — Default: $162.24 Humana — Medicare Advantage: $122.30 Medicare A FL JN — Default: $122.30 Medicare B FL JN — Default: $50.97 Tricare East Region DOS lt 01012025 — Default: $92.45 United Healthcare — Default: $169 United Healthcare — Medicare Advantage: $122.30 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $122.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L-SPINE CANAL W/	$1,621	$1,134.70	$183.49 – $810.50
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Cigna — Default: $810.50 Humana — Default: $674.34 Humana — Medicare Advantage: $508.35 Medicare A FL JN — Default: $508.35 Medicare B FL JN — Default: $183.49 Tricare East Region DOS lt 01012025 — Default: $384.24 United Healthcare — Default: $562 United Healthcare — Medicare Advantage: $508.35 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $508.35
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W CONT	$1,705	$1,705	$214.78 – $852.50
CT scan of the pelvis, with contrast: rates for 9 insurance plans Cigna — Default: $852.50 Humana — Default: $709.28 Humana — Medicare Advantage: $534.69 Medicare A FL JN — Default: $534.69 Medicare B FL JN — Default: $214.78 Tricare East Region DOS lt 01012025 — Default: $404.15 United Healthcare — Default: $337 United Healthcare — Medicare Advantage: $534.69 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $534.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONT-PRO	$134	$93.80	$31.76 – $131.32
CT scan of the pelvis, with contrast: rates for 8 insurance plans Cigna — Default: $67 Humana — Default: $80.77 Humana — Medicare Advantage: $60.89 Medicare A FL JN — Default: $60.89 Medicare B FL JN — Default: $131.32 Tricare East Region DOS lt 01012025 — Default: $31.76 United Healthcare — Medicare Advantage: $60.89 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $60.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOW/EXT JOINT W/	$1,621	$1,134.70	$195.02 – $810.50
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Cigna — Default: $810.50 Humana — Default: $674.34 Humana — Medicare Advantage: $508.35 Medicare A FL JN — Default: $508.35 Medicare B FL JN — Default: $195.02 Tricare East Region DOS lt 01012025 — Default: $384.24 United Healthcare — Default: $562 United Healthcare — Medicare Advantage: $508.35 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $508.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD/PELVIS W/ CONTRAST	$2,449	$2,449	$286.20 – $1,224.50
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Cigna — Default: $1,224.50 Humana — Default: $1,018.78 Humana — Medicare Advantage: $768.01 Medicare A FL JN — Default: $768.01 Medicare B FL JN — Default: $286.20 Tricare East Region DOS lt 01012025 — Default: $580.51 United Healthcare — Default: $337 United Healthcare — Medicare Advantage: $768.01 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $768.01
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$640	$640	$109.23 – $320
Ultrasound of the abdomen, complete: rates for 9 insurance plans Cigna — Default: $320 Humana — Default: $266.24 Humana — Medicare Advantage: $200.70 Medicare A FL JN — Default: $200.70 Medicare B FL JN — Default: $109.23 Tricare East Region DOS lt 01012025 — Default: $151.70 United Healthcare — Default: $180 United Healthcare — Medicare Advantage: $200.70 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $200.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE-	$95	$66.50	$22.52 – $93.10
Ultrasound of the abdomen, complete: rates for 8 insurance plans Cigna — Default: $47.50 Humana — Default: $56.29 Humana — Medicare Advantage: $42.43 Medicare A FL JN — Default: $42.43 Medicare B FL JN — Default: $93.10 Tricare East Region DOS lt 01012025 — Default: $22.52 United Healthcare — Medicare Advantage: $42.43 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $42.43
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US FETAL STUDY COMP >14WK	$566	$566	$130.01 – $283
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Cigna — Default: $283 Humana — Default: $235.46 Humana — Medicare Advantage: $177.50 Medicare A FL JN — Default: $177.50 Medicare B FL JN — Default: $130.01 Tricare East Region DOS lt 01012025 — Default: $134.17 United Healthcare — Default: $180 United Healthcare — Medicare Advantage: $177.50 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $177.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL	$549	$549	$112.19 – $274.50
Transvaginal ultrasound: rates for 9 insurance plans Cigna — Default: $274.50 Humana — Default: $228.38 Humana — Medicare Advantage: $172.17 Medicare A FL JN — Default: $172.17 Medicare B FL JN — Default: $112.19 Tricare East Region DOS lt 01012025 — Default: $130.14 United Healthcare — Default: $180 United Healthcare — Medicare Advantage: $172.17 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $172.17
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL-PRO	$82	$57.40	$19.44 – $80.36
Transvaginal ultrasound: rates for 8 insurance plans Cigna — Default: $41 Humana — Default: $48.87 Humana — Medicare Advantage: $36.84 Medicare A FL JN — Default: $36.84 Medicare B FL JN — Default: $80.36 Tricare East Region DOS lt 01012025 — Default: $19.44 United Healthcare — Medicare Advantage: $36.84 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $36.84
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MAMMO DIAG UNI RT 2D,RIGHT SIDE	$281	$281	$66.61 – $140.50
Diagnostic mammogram, one breast: rates for 9 insurance plans Cigna — Default: $140.50 Humana — Default: $116.90 Humana — Medicare Advantage: $88.12 Medicare A FL JN — Default: $88.12 Medicare B FL JN — Default: $118.31 Tricare East Region DOS lt 01012025 — Default: $66.61 United Healthcare — Default: $74 United Healthcare — Medicare Advantage: $88.12 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $88.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MAMMO DIAG UNI LT 2D,LEFT SIDE	$281	$281	$66.61 – $140.50
Diagnostic mammogram, one breast: rates for 9 insurance plans Cigna — Default: $140.50 Humana — Default: $116.90 Humana — Medicare Advantage: $88.12 Medicare A FL JN — Default: $88.12 Medicare B FL JN — Default: $118.31 Tricare East Region DOS lt 01012025 — Default: $66.61 United Healthcare — Default: $74 United Healthcare — Medicare Advantage: $88.12 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $88.12
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIAGNOSTIC BL 2D	$859	$859	$74 – $429.50
Diagnostic mammogram, both breasts: rates for 9 insurance plans Cigna — Default: $429.50 Humana — Default: $357.34 Humana — Medicare Advantage: $269.38 Medicare A FL JN — Default: $269.38 Medicare B FL JN — Default: $149.92 Tricare East Region DOS lt 01012025 — Default: $203.62 United Healthcare — Default: $74 United Healthcare — Medicare Advantage: $269.38 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $269.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIAGNOSTIC BL 3D W/TOMO	$859	$859	$74 – $429.50
Diagnostic mammogram, both breasts: rates for 9 insurance plans Cigna — Default: $429.50 Humana — Default: $357.34 Humana — Medicare Advantage: $269.38 Medicare A FL JN — Default: $269.38 Medicare B FL JN — Default: $149.92 Tricare East Region DOS lt 01012025 — Default: $203.62 United Healthcare — Default: $74 United Healthcare — Medicare Advantage: $269.38 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $269.38
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO-SCREEN 2D BILATERAL	$750	$750	$74 – $375
Screening mammogram, both breasts: rates for 9 insurance plans Cigna — Default: $375 Humana — Default: $113.57 Humana — Medicare Advantage: $85.61 Medicare A FL JN — Default: $85.61 Medicare B FL JN — Default: $120.25 Tricare East Region DOS lt 01012025 — Default: $177.78 United Healthcare — Default: $74 United Healthcare — Medicare Advantage: $85.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $85.61

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG CLINIC	$292.50	$292.50	$14.99 – $146.25
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans Cigna — Default: $146.25 Humana — Default: $121.68 Humana — Medicare Advantage: $91.73 Medicare A FL JN — Default: $91.73 Medicare B FL JN — Default: $14.99 Tricare East Region DOS lt 01012025 — Default: $69.34 United Healthcare — Default: $112 United Healthcare — Medicare Advantage: $91.73 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $91.73

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 · modifier GP In the file: PT THERAPEUTIC EXERCISES EA 15 MIN,PHYSICAL THERAPY	$53	$53	$12.56 – $53
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Cigna — Default: $26.50 Humana — Default: $22.05 Humana — Medicare Advantage: $16.62 Medicare A FL JN — Default: $16.62 Medicare B FL JN — Default: $28.05 Tricare East Region DOS lt 01012025 — Default: $12.56 United Healthcare — Default: $53 United Healthcare — Medicare Advantage: $16.62 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $16.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT THERAPEUTIC EXERCISES EA 15 MIN,OCCUPATIONAL THERAPY	$53	$53	$12.56 – $53
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Cigna — Default: $26.50 Humana — Default: $22.05 Humana — Medicare Advantage: $16.62 Medicare A FL JN — Default: $16.62 Medicare B FL JN — Default: $28.05 Tricare East Region DOS lt 01012025 — Default: $12.56 United Healthcare — Default: $53 United Healthcare — Medicare Advantage: $16.62 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $16.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GN In the file: ST THERAPEUTIC EXERCISES EA 15 MIN,SPEECH THERAPY	$32.10	$32.10	$7.61 – $32.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Cigna — Default: $16.05 Humana — Default: $13.35 Humana — Medicare Advantage: $10.06 Medicare A FL JN — Default: $10.06 Medicare B FL JN — Default: $28.05 Tricare East Region DOS lt 01012025 — Default: $7.61 United Healthcare — Default: $32.10 United Healthcare — Medicare Advantage: $10.06 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $10.06
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION LOW COMPLEXITY,PHYSICAL THERAPY	$82.17	$82.17	$19.48 – $80.53
Physical therapy evaluation (low complexity): rates for 9 insurance plans Cigna — Default: $41.08 Humana — Default: $34.18 Humana — Medicare Advantage: $25.76 Medicare A FL JN — Default: $25.76 Medicare B FL JN — Default: $80.53 Tricare East Region DOS lt 01012025 — Default: $19.48 United Healthcare — Default: $62 United Healthcare — Medicare Advantage: $25.76 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $25.76
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION MODERATE COMPLEXITY,PHYSICAL THERAPY	$82.17	$82.17	$19.48 – $80.53
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Cigna — Default: $41.08 Humana — Default: $34.18 Humana — Medicare Advantage: $25.76 Medicare A FL JN — Default: $25.76 Medicare B FL JN — Default: $80.53 Tricare East Region DOS lt 01012025 — Default: $19.48 United Healthcare — Default: $62 United Healthcare — Medicare Advantage: $25.76 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $25.76
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION HIGH COMPLEXITY,PHYSICAL THERAPY	$82.17	$82.17	$19.48 – $80.53
Physical therapy evaluation (high complexity): rates for 9 insurance plans Cigna — Default: $41.08 Humana — Default: $34.18 Humana — Medicare Advantage: $25.76 Medicare A FL JN — Default: $25.76 Medicare B FL JN — Default: $80.53 Tricare East Region DOS lt 01012025 — Default: $19.48 United Healthcare — Default: $62 United Healthcare — Medicare Advantage: $25.76 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $25.76

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD- PANENDOSCOPY	$825	$825	$195.56 – $506
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Cigna — Default: $412.50 Humana — Default: $343.20 Humana — Medicare Advantage: $258.72 Medicare A FL JN — Default: $258.72 Medicare B FL JN — Default: $309.52 Tricare East Region DOS lt 01012025 — Default: $195.56 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $258.72 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $258.72
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EDG W BIOP SING OR MULT	$880	$880	$208.59 – $506
Upper GI endoscopy with biopsy: rates for 9 insurance plans Cigna — Default: $440 Humana — Default: $366.08 Humana — Medicare Advantage: $275.97 Medicare A FL JN — Default: $275.97 Medicare B FL JN — Default: $400.60 Tricare East Region DOS lt 01012025 — Default: $208.59 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $275.97 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $275.97
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLON CA SCREEN	$793.65	$793.65	$188.13 – $506
Colonoscopy (diagnostic): rates for 9 insurance plans Cigna — Default: $396.82 Humana — Default: $330.16 Humana — Medicare Advantage: $248.89 Medicare A FL JN — Default: $248.89 Medicare B FL JN — Default: $366.16 Tricare East Region DOS lt 01012025 — Default: $188.13 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $248.89 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $248.89
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY	$1,155	$1,155	$273.78 – $577.50
Colonoscopy (diagnostic): rates for 9 insurance plans Cigna — Default: $577.50 Humana — Default: $480.48 Humana — Medicare Advantage: $362.21 Medicare A FL JN — Default: $362.21 Medicare B FL JN — Default: $366.16 Tricare East Region DOS lt 01012025 — Default: $273.78 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $362.21 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $362.21
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY DISCONTINUED	$550	$550	$130.37 – $506
Colonoscopy (diagnostic): rates for 9 insurance plans Cigna — Default: $275 Humana — Default: $228.80 Humana — Medicare Advantage: $172.48 Medicare A FL JN — Default: $172.48 Medicare B FL JN — Default: $366.16 Tricare East Region DOS lt 01012025 — Default: $130.37 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $172.48 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $172.48
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLON WITH COLD BIOPSY	$1,210	$1,210	$286.82 – $605
Colonoscopy with biopsy: rates for 9 insurance plans Cigna — Default: $605 Humana — Default: $503.36 Humana — Medicare Advantage: $379.46 Medicare A FL JN — Default: $379.46 Medicare B FL JN — Default: $462.20 Tricare East Region DOS lt 01012025 — Default: $286.82 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $379.46 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $379.46
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLON WITH POLYPECTOMY	$1,320	$1,320	$312.90 – $660
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Cigna — Default: $660 Humana — Default: $549.12 Humana — Medicare Advantage: $413.95 Medicare A FL JN — Default: $413.95 Medicare B FL JN — Default: $484 Tricare East Region DOS lt 01012025 — Default: $312.90 United Healthcare — Default: $506 United Healthcare — Medicare Advantage: $413.95 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $413.95

Source: Calhoun-Liberty Hospital’s standard charges file (calhounlibertyhospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 12, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	16257 State Rd 71S, Blountstown, FL 32424
County	Calhoun County
State	Florida
Phone	(850) 674‑5411
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	101304
Name in Medicare records	CALHOUN-LIBERTY HOSPITAL
Profile level	Medicare data + hospital website
Official website	calhounlibertyhospital.com
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Services — calhounlibertyhospital.com
Emergency Department & Emergency Services — calhounlibertyhospital.com
Visiting a Patient — calhounlibertyhospital.com
Cardiovascular Care — calhounlibertyhospital.com

Calhoun-Liberty Hospital

Summary

Profile from official sources

At a glance