Does Cameron Health have an emergency room?

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

Where is Cameron Health?

416 E Maumee St, Angola, IN 46703, in Steuben County, Indiana.

What is the phone number of Cameron Health?

(260) 665-2141, as listed by Medicare (CMS).

What is the Medicare star rating of Cameron Health?

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

Cameron Health — Phone, Address, ER & Ratings

Quick answers

Does Cameron Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cameron Health. In a medical emergency, call 911.
Where is Cameron Health?: 416 E Maumee St, Angola, IN 46703, in Steuben County, Indiana.
What is the phone number of Cameron Health?: (260) 665-2141, as listed by Medicare (CMS).
What is the Medicare star rating of Cameron Health?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^{[4][5][7][10][11][12][13]}

Cardiology
Orthopedics
Emergency care
Maternity and birthing
Imaging and diagnostics
Palliative care

Conditions treated^{[11][13][14][15][16][17]}

Coronary artery disease
Heart failure
Cardiomyopathy
Hypertension
Arrhythmias
Peripheral vascular disease
Valvular heart disease
Osteoarthritis
Fractures
Chronic joint pain
Foot disorders
Soft tissue injuries

Treatments^{[7][8][9][11][13][16]}

Total joint replacement
Reconstructive orthopedic surgery
Casting and splinting of fractures
Cardioversion
Cardiac device monitoring
General inpatient hospice
Chronic care management
Steroid injections

Procedures^{[4][11][12][16]}

Echocardiogram (TTE and TEE)
Stress testing
MRI
CT scan
PET/CT
3D mammography
Ultrasound
DEXA scan
Fluoroscopy
Surgical repair of fractures
C-section

Programs and centers^[4][7][12]

Encircled Care Program
Special Touch Delivery Program
Cameron Breast Health Program
Childbirth and new parent classes

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (315)

315 doctors and other clinicians list Cameron Health 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 (315)

A M. Ferguson, PAPhysician Assistant
Abhishek Prabhu, DOEmergency Medicine
Abigail Vanlaningham, PAPhysician Assistant
Adam C. Thomas, MDUrology
Adam R. Carr, DOOrthopedic Surgery
Adam Rettig, MDEmergency Medicine
Ahmad Taftaf, MDInternal Medicine
Ahmer K. Ghori, MDOrthopedic Surgery
Alaina C. Patrick, NPNurse Practitioner
Albert V. Emilian, MDEmergency Medicine
Allison M. Crone, MDDiagnostic Radiology
Alma Aveytia Camacho, MDRheumatology
Amanda L. Prater, NPNurse Practitioner
Amber N. Handshoe, NPNurse Practitioner
Amritpal Anand, MDRheumatology
Ana Stephany Schroeder, NPNurse Practitioner
Andre G. Melendez, MDInfectious Disease
Andrea L. Haller, MDNeurology
Andrea L. Wierman, DOEmergency Medicine
Andrea M. Tompkins, MDDiagnostic Radiology
Andrea MollPhysician Assistant
Andrew S. Bollier, PAPhysician Assistant
Andrew Weatherington, CNACertified Registered Nurse Anesthetist (CRNA)
Anne E. Reitz, NPNurse Practitioner

And 291 more: the button below opens the full list.

Other emergency rooms nearby

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

Parkview Dekalb Hospital19 mi · Auburn, IN · Acute Care Hospital
Parkview Noble Hospital20 mi · Kendallville, IN · Acute Care Hospital
Community Hospitals and Wellness Centers21 mi · Montpelier, OH · Critical Access Hospital
Insight Hospital and Medical Center Coldwater21 mi · Coldwater, MI · Acute Care Hospital
Parkview Lagrange Hospital22 mi · Lagrange, IN · Critical Access Hospital

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

Other hospitals near Angola

Northeastern Center18 mi · Auburn, IN · Psychiatric Hospital

Hospitals in Steuben 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

Lakeland Rehab and Healthcare Center0.3 mi · Angola, IN · 3 of 5 stars
Northern Lakes Nursing and Rehabilitation Center0.3 mi · Angola, IN · 2 of 5 stars
The Pines of Dekalb15 mi · Butler, IN · 4 of 5 stars

All nursing homes in the state →

Dialysis facilities

FMC - Coldwater19 mi · Coldwater, MI · 2 of 5 stars
DaVita Kendallville Renal Center19 mi · Kendallville, IN · 4 of 5 stars
FMC - Dekalb County Dialysis20 mi · Auburn, IN · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Lake George Surgery Center, LLC7.4 mi · Fremont, IN

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

Bowen Center Angola2.0 mi · Angola, IN · Community health center
Alliance Health Centers on 7th Street18 mi · Auburn, IN · Community health center
Alliance Health Centers- Dekalb Suite 10119 mi · Auburn, IN · Community health center

Clinics and urgent care

Cameron Family Medicine1.6 mi · Angola, IN · Rural health clinic
Cameron Family Medicine - North1.6 mi · Angola, IN · Rural health clinic
Cameron Jointaccess Ortho & Urgent1.6 mi · Angola, IN · Rural health clinic

Pharmacies

Cameron Medical Outreach, Inc1.6 mi · Angola, IN · Community/retail pharmacy
Hook-Superx LLC1.6 mi · Angola, IN · Pharmacy
Wal-Mart Stores East LP1.6 mi · Angola, IN · Community/retail pharmacy

Assisted living nearby

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

The Haven11 mi · Montgomery, MI

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 Cameron Health 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 hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	75%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	82%National average: 80%
“Always” got help as soon as they wanted	63%National average: 64%
Staff “always” explained medicines before giving them	65%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	86%National average: 73%
Completed surveys	187Response rate: 25%

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

Complications and deaths

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

Deaths within 30 days: heart failure patients	9.7%
Deaths within 30 days: pneumonia patients	15.6%
Deaths within 30 days: COPD patients	8%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients

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)	15.6%
Readmitted within 30 days: heart failure	20.4%
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	18.9%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	171 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)	88%National average: 66%

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

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

See every measure on Medicare Care Compare →

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 Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Cameron Health 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 73 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$220.46	$132.28	$42.22 – $105.09
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates Aetna — Commercial: $67.80 Aetna — Medicare: $67.80 Anthem Blue Cross of IN — Medicaid: $102.28 Anthem Blue Cross of IN — Medicare: $102.28 Anthem Blue Cross of IN — PPO/Pathway: $102.28 Anthem Blue Cross of IN — Traditional: $102.28 Buckeye Health — Medicaid OOS: $42.22 CareSource Indiana of IN — Hoosier Healthwise/HIP: $102.28 CareSource Indiana of IN — Just 4 Me: $77.97 CareSource Indiana of IN — Medicare: $74.58
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 3 VISIT NEW	$204	$122.40	$40.80 – $189.72
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $172.18 Aetna — Medicare: $67.32 Anthem Blue Cross of IN — Medicaid: $40.80 Anthem Blue Cross of IN — Medicare: $67.32 Anthem Blue Cross of IN — PPO/Pathway: $116.69 Anthem Blue Cross of IN — Traditional: $127.01 CareSource Indiana of IN — Hoosier Healthwise/HIP: $40.80 CareSource Indiana of IN — Just 4 Me: $77.42 CareSource Indiana of IN — Medicare: $74.05 Centivo — All Commercial: $110.98
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 3 VISIT NEW	$204	$122.40	$153 – $189.72
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Aetna — Commercial: $176.26 Cigna — All Commercial: $176.05 CORVEL — All Commercial: $189.72 Coventry — All Commercial: $179.52 Encore — All Commercial: $187.78 Frontpath — All Commercial: $187.68 Humana — ChoiceCare: $176.19 Lutheran Preferred — All Commercial: $183.60 PHCS — All Commercial: $153 PHP — All Commercial: $154.71
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$333.60	$200.16	$68.35 – $172.31
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates Aetna — Commercial: $111.17 Aetna — Medicare: $111.17 Anthem Blue Cross of IN — Medicaid: $153.78 Anthem Blue Cross of IN — Medicare: $153.78 Anthem Blue Cross of IN — PPO/Pathway: $153.78 Anthem Blue Cross of IN — Traditional: $153.78 Buckeye Health — Medicaid OOS: $68.35 CareSource Indiana of IN — Hoosier Healthwise/HIP: $153.78 CareSource Indiana of IN — Just 4 Me: $127.85 CareSource Indiana of IN — Medicare: $122.29
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 4 VISIT NEW	$308.85	$185.31	$40.80 – $287.23
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $260.67 Aetna — Medicare: $101.92 Anthem Blue Cross of IN — Medicaid: $40.80 Anthem Blue Cross of IN — Medicare: $101.92 Anthem Blue Cross of IN — PPO/Pathway: $176.66 Anthem Blue Cross of IN — Traditional: $192.29 CareSource Indiana of IN — Hoosier Healthwise/HIP: $40.80 CareSource Indiana of IN — Just 4 Me: $117.21 CareSource Indiana of IN — Medicare: $112.11 Centivo — All Commercial: $168.01
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 4 VISIT NEW	$308.85	$185.31	$231.64 – $287.23
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Aetna — Commercial: $266.85 Cigna — All Commercial: $266.54 CORVEL — All Commercial: $287.23 Coventry — All Commercial: $271.79 Encore — All Commercial: $284.30 Frontpath — All Commercial: $284.14 Humana — ChoiceCare: $266.75 Lutheran Preferred — All Commercial: $277.96 PHCS — All Commercial: $231.64 PHP — All Commercial: $234.23
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$444.40	$266.64	$92.75 – $235.37
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates Aetna — Commercial: $151.85 Aetna — Medicare: $151.85 Anthem Blue Cross of IN — Medicaid: $202.95 Anthem Blue Cross of IN — Medicare: $202.95 Anthem Blue Cross of IN — PPO/Pathway: $202.95 Anthem Blue Cross of IN — Traditional: $202.95 Buckeye Health — Medicaid OOS: $92.75 CareSource Indiana of IN — Hoosier Healthwise/HIP: $202.95 CareSource Indiana of IN — Just 4 Me: $174.63 CareSource Indiana of IN — Medicare: $167.03
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 5 VISIT NEW	$394.75	$236.85	$40.80 – $367.12
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $333.17 Aetna — Medicare: $130.27 Anthem Blue Cross of IN — Medicaid: $40.80 Anthem Blue Cross of IN — Medicare: $130.27 Anthem Blue Cross of IN — PPO/Pathway: $225.80 Anthem Blue Cross of IN — Traditional: $245.77 CareSource Indiana of IN — Hoosier Healthwise/HIP: $40.80 CareSource Indiana of IN — Just 4 Me: $149.81 CareSource Indiana of IN — Medicare: $143.29 Centivo — All Commercial: $214.74
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 5 VISIT NEW	$394.75	$236.85	$296.06 – $367.12
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates Aetna — Commercial: $341.06 Cigna — All Commercial: $340.67 CORVEL — All Commercial: $367.12 Coventry — All Commercial: $347.38 Encore — All Commercial: $363.37 Frontpath — All Commercial: $363.17 Humana — ChoiceCare: $340.95 Lutheran Preferred — All Commercial: $355.27 PHCS — All Commercial: $296.06 PHP — All Commercial: $299.38
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$179.68	$107.81	$33.74 – $85.41
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates Aetna — Commercial: $55.10 Aetna — Medicare: $55.10 Anthem Blue Cross of IN — Medicaid: $83.88 Anthem Blue Cross of IN — Medicare: $83.88 Anthem Blue Cross of IN — PPO/Pathway: $83.88 Anthem Blue Cross of IN — Traditional: $83.88 Buckeye Health — Medicaid OOS: $33.74 CareSource Indiana of IN — Hoosier Healthwise/HIP: $83.88 CareSource Indiana of IN — Just 4 Me: $63.37 CareSource Indiana of IN — Medicare: $60.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 3 VISIT EST	$147	$88.20	$40.80 – $136.71
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $124.07 Aetna — Medicare: $48.51 Anthem Blue Cross of IN — Medicaid: $40.80 Anthem Blue Cross of IN — Medicare: $48.51 Anthem Blue Cross of IN — PPO/Pathway: $84.08 Anthem Blue Cross of IN — Traditional: $91.52 CareSource Indiana of IN — Hoosier Healthwise/HIP: $40.80 CareSource Indiana of IN — Just 4 Me: $55.79 CareSource Indiana of IN — Medicare: $53.36 Centivo — All Commercial: $79.97
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 3 VISIT EST	$147	$88.20	$110.25 – $136.71
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Aetna — Commercial: $127.01 Cigna — All Commercial: $126.86 CORVEL — All Commercial: $136.71 Coventry — All Commercial: $129.36 Encore — All Commercial: $135.31 Frontpath — All Commercial: $135.24 Humana — ChoiceCare: $126.96 Lutheran Preferred — All Commercial: $132.30 PHCS — All Commercial: $110.25 PHP — All Commercial: $111.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$255.98	$153.59	$49.49 – $125.47
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates Aetna — Commercial: $80.95 Aetna — Medicare: $80.95 Anthem Blue Cross of IN — Medicaid: $118.14 Anthem Blue Cross of IN — Medicare: $118.14 Anthem Blue Cross of IN — PPO/Pathway: $118.14 Anthem Blue Cross of IN — Traditional: $118.14 Buckeye Health — Medicaid OOS: $49.49 CareSource Indiana of IN — Hoosier Healthwise/HIP: $118.14 CareSource Indiana of IN — Just 4 Me: $93.09 CareSource Indiana of IN — Medicare: $89.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 4 VISIT EST	$192.63	$115.58	$40.80 – $179.15
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $162.58 Aetna — Medicare: $63.57 Anthem Blue Cross of IN — Medicaid: $40.80 Anthem Blue Cross of IN — Medicare: $63.57 Anthem Blue Cross of IN — PPO/Pathway: $110.18 Anthem Blue Cross of IN — Traditional: $119.93 CareSource Indiana of IN — Hoosier Healthwise/HIP: $40.80 CareSource Indiana of IN — Just 4 Me: $73.10 CareSource Indiana of IN — Medicare: $69.92 Centivo — All Commercial: $104.79
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CMCH LEVEL 4 VISIT EST	$192.63	$115.58	$144.47 – $179.15
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Aetna — Commercial: $166.43 Cigna — All Commercial: $166.24 CORVEL — All Commercial: $179.15 Coventry — All Commercial: $169.51 Encore — All Commercial: $177.32 Frontpath — All Commercial: $177.22 Humana — ChoiceCare: $166.37 Lutheran Preferred — All Commercial: $173.37 PHCS — All Commercial: $144.47 PHP — All Commercial: $146.09
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$213.74	$128.24	$47.76 – $125.80
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates Buckeye Health — Medicaid OOS: $47.76 Frontpath — All Commercial: $94.82 Humana — ChoiceCare: $105.64 Lutheran Preferred — All Commercial: $89 Molina Healthcare of OH — Medicaid OOS/Medicare: $47.76 PHP — All Commercial: $85.10 Signature Care — EPO: $125.80 Signature Care — PPO: $125.80 Three Rivers Preferred — All Commercial: $87 United Healthcare — Commercial: $98.13
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$305.92	$183.55	$76.31 – $179.35
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Buckeye Health — Medicaid OOS: $76.31 Frontpath — All Commercial: $151.41 Humana — ChoiceCare: $156.76 Lutheran Preferred — All Commercial: $136 Molina Healthcare of OH — Medicaid OOS/Medicare: $76.31 PHP — All Commercial: $129.72 Signature Care — EPO: $179.35 Signature Care — PPO: $179.35 Three Rivers Preferred — All Commercial: $133 United Healthcare — Commercial: $155.89
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PREVENTIVE VISIT,NEW,18-39	$255.32	$153.19	$48.97 – $119.32
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates Anthem Blue Cross of IN — Medicaid: $119.32 Anthem Blue Cross of IN — Medicare: $119.32 Anthem Blue Cross of IN — PPO/Pathway: $119.32 Anthem Blue Cross of IN — Traditional: $119.32 Buckeye Health — Medicaid OOS: $48.97 CareSource Indiana of IN — Hoosier Healthwise/HIP: $119.32 Frontpath — All Commercial: $98.11 Humana — ChoiceCare: $79.23 Lutheran Preferred — All Commercial: $94 Managed Health Services — Medicaid: $119.32
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PREVENTIVE VISIT,NEW,40-64	$294.78	$176.87	$62.29 – $137.67
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates Anthem Blue Cross of IN — Medicaid: $137.67 Anthem Blue Cross of IN — Medicare: $137.67 Anthem Blue Cross of IN — PPO/Pathway: $137.67 Anthem Blue Cross of IN — Traditional: $137.67 Buckeye Health — Medicaid OOS: $62.29 CareSource Indiana of IN — Hoosier Healthwise/HIP: $137.67 Frontpath — All Commercial: $118.88 Humana — ChoiceCare: $97.13 Lutheran Preferred — All Commercial: $114 Managed Health Services — Medicaid: $137.67
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$130.60	$78.36	$37.68 – $138.75
Emergency room visit (moderate): 10 of 31 insurance plan rates Aetna — Commercial: $65.36 Aetna — Medicare: $65.36 Anthem Blue Cross of IN — Medicaid: $64.70 Anthem Blue Cross of IN — Medicare: $64.70 Anthem Blue Cross of IN — PPO/Pathway: $64.70 Anthem Blue Cross of IN — Traditional: $64.70 Buckeye Health — Medicaid OOS: $37.68 CareSource Indiana of IN — Hoosier Healthwise/HIP: $64.70 CareSource Indiana of IN — Just 4 Me: $75.16 CareSource Indiana of IN — Medicare: $71.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3	$1,468.69	$881.21	$75.80 – $1,365.88
Emergency room visit (moderate): 10 of 30 insurance plan rates Aetna — Commercial: $1,239.57 Aetna — Medicare: $484.67 Anthem Blue Cross of IN — Medicaid: $75.80 Anthem Blue Cross of IN — Medicare: $484.67 Anthem Blue Cross of IN — PPO/Pathway: $840.09 Anthem Blue Cross of IN — Traditional: $914.41 CareSource Indiana of IN — Hoosier Healthwise/HIP: $75.80 CareSource Indiana of IN — Just 4 Me: $557.37 CareSource Indiana of IN — Medicare: $533.13 Centivo — All Commercial: $798.97
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3	$1,468.69	$881.21	$1,101.52 – $1,365.88
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — Commercial: $1,268.95 Cigna — All Commercial: $1,267.48 CORVEL — All Commercial: $1,365.88 Coventry — All Commercial: $1,292.45 Encore — All Commercial: $1,351.93 Frontpath — All Commercial: $1,351.19 Humana — ChoiceCare: $1,268.51 Lutheran Preferred — All Commercial: $1,321.82 PHCS — All Commercial: $1,101.52 PHP — All Commercial: $1,113.85
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$222.10	$133.26	$62.91 – $221.25
Emergency room visit (moderately high): 10 of 31 insurance plan rates Aetna — Commercial: $111.13 Aetna — Medicare: $111.13 Anthem Blue Cross of IN — Medicaid: $110.18 Anthem Blue Cross of IN — Medicare: $110.18 Anthem Blue Cross of IN — PPO/Pathway: $110.18 Anthem Blue Cross of IN — Traditional: $110.18 Buckeye Health — Medicaid OOS: $62.91 CareSource Indiana of IN — Hoosier Healthwise/HIP: $110.18 CareSource Indiana of IN — Just 4 Me: $127.80 CareSource Indiana of IN — Medicare: $122.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4	$2,234.36	$1,340.62	$75.80 – $2,077.95
Emergency room visit (moderately high): 10 of 30 insurance plan rates Aetna — Commercial: $1,885.80 Aetna — Medicare: $737.34 Anthem Blue Cross of IN — Medicaid: $75.80 Anthem Blue Cross of IN — Medicare: $737.34 Anthem Blue Cross of IN — PPO/Pathway: $1,278.05 Anthem Blue Cross of IN — Traditional: $1,391.11 CareSource Indiana of IN — Hoosier Healthwise/HIP: $75.80 CareSource Indiana of IN — Just 4 Me: $847.94 CareSource Indiana of IN — Medicare: $811.07 Centivo — All Commercial: $1,215.49
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4	$2,234.36	$1,340.62	$1,675.77 – $2,077.95
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — Commercial: $1,930.49 Cigna — All Commercial: $1,928.25 CORVEL — All Commercial: $2,077.95 Coventry — All Commercial: $1,966.24 Encore — All Commercial: $2,056.73 Frontpath — All Commercial: $2,055.61 Humana — ChoiceCare: $1,929.82 Lutheran Preferred — All Commercial: $2,010.92 PHCS — All Commercial: $1,675.77 PHP — All Commercial: $1,694.54
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$322.80	$193.68	$94.23 – $288.75
Emergency room visit (high): 10 of 31 insurance plan rates Aetna — Commercial: $161.52 Aetna — Medicare: $161.52 Anthem Blue Cross of IN — Medicaid: $159.69 Anthem Blue Cross of IN — Medicare: $159.69 Anthem Blue Cross of IN — PPO/Pathway: $159.69 Anthem Blue Cross of IN — Traditional: $159.69 Buckeye Health — Medicaid OOS: $94.23 CareSource Indiana of IN — Hoosier Healthwise/HIP: $159.69 CareSource Indiana of IN — Just 4 Me: $185.75 CareSource Indiana of IN — Medicare: $177.67
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRITICAL TEAM RESPONSE<30 MIN (!!PH,PCH,CMCH USE ONLY)	$3,805.57	$2,283.34	$75.80 – $3,539.18
Emergency room visit (high): 10 of 30 insurance plan rates Aetna — Commercial: $3,211.90 Aetna — Medicare: $1,255.84 Anthem Blue Cross of IN — Medicaid: $75.80 Anthem Blue Cross of IN — Medicare: $1,255.84 Anthem Blue Cross of IN — PPO/Pathway: $2,176.79 Anthem Blue Cross of IN — Traditional: $2,369.35 CareSource Indiana of IN — Hoosier Healthwise/HIP: $75.80 CareSource Indiana of IN — Just 4 Me: $1,444.21 CareSource Indiana of IN — Medicare: $1,381.42 Centivo — All Commercial: $2,070.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5	$3,371.44	$2,022.86	$75.80 – $3,135.44
Emergency room visit (high): 10 of 30 insurance plan rates Aetna — Commercial: $2,845.50 Aetna — Medicare: $1,112.58 Anthem Blue Cross of IN — Medicaid: $75.80 Anthem Blue Cross of IN — Medicare: $1,112.58 Anthem Blue Cross of IN — PPO/Pathway: $1,928.46 Anthem Blue Cross of IN — Traditional: $2,099.06 CareSource Indiana of IN — Hoosier Healthwise/HIP: $75.80 CareSource Indiana of IN — Just 4 Me: $1,279.46 CareSource Indiana of IN — Medicare: $1,223.83 Centivo — All Commercial: $1,834.06

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$110.42	$66.25	$8.46 – $102.69
Basic metabolic panel (blood test): 10 of 30 insurance plan rates Aetna — Commercial: $93.19 Aetna — Medicare: $36.44 Anthem Blue Cross of IN — Medicaid: $8.46 Anthem Blue Cross of IN — Medicare: $36.44 Anthem Blue Cross of IN — PPO/Pathway: $50.55 Anthem Blue Cross of IN — Traditional: $50.55 CareSource Indiana of IN — Hoosier Healthwise/HIP: $8.46 CareSource Indiana of IN — Just 4 Me: $41.90 CareSource Indiana of IN — Medicare: $40.08 Centivo — All Commercial: $60.07
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$110.42	$66.25	$82.81 – $102.69
Basic metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — Commercial: $95.40 Cigna — All Commercial: $95.29 CORVEL — All Commercial: $102.69 Coventry — All Commercial: $97.17 Encore — All Commercial: $101.64 Frontpath — All Commercial: $101.59 Humana — ChoiceCare: $95.37 Lutheran Preferred — All Commercial: $99.38 PHCS — All Commercial: $82.81 PHP — All Commercial: $83.74
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$150.47	$90.28	$10.56 – $139.94
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates Aetna — Commercial: $127 Aetna — Medicare: $49.66 Anthem Blue Cross of IN — Medicaid: $10.56 Anthem Blue Cross of IN — Medicare: $49.66 Anthem Blue Cross of IN — PPO/Pathway: $68.89 Anthem Blue Cross of IN — Traditional: $68.89 CareSource Indiana of IN — Hoosier Healthwise/HIP: $10.56 CareSource Indiana of IN — Just 4 Me: $57.10 CareSource Indiana of IN — Medicare: $54.62 Centivo — All Commercial: $81.86
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$150.47	$90.28	$112.85 – $139.94
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — Commercial: $130.01 Cigna — All Commercial: $129.86 CORVEL — All Commercial: $139.94 Coventry — All Commercial: $132.41 Encore — All Commercial: $138.51 Frontpath — All Commercial: $138.43 Humana — ChoiceCare: $129.96 Lutheran Preferred — All Commercial: $135.42 PHCS — All Commercial: $112.85 PHP — All Commercial: $114.12
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$127.91	$76.74	$13.39 – $118.96
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Aetna — Commercial: $107.96 Aetna — Medicare: $42.21 Anthem Blue Cross of IN — Medicaid: $13.39 Anthem Blue Cross of IN — Medicare: $42.21 Anthem Blue Cross of IN — PPO/Pathway: $58.56 Anthem Blue Cross of IN — Traditional: $58.56 CareSource Indiana of IN — Hoosier Healthwise/HIP: $13.39 CareSource Indiana of IN — Just 4 Me: $48.54 CareSource Indiana of IN — Medicare: $46.43 Centivo — All Commercial: $69.58
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NMR LIPOPROFILE (WITH GRAPH)	$127.91	$76.74	$13.39 – $118.96
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Aetna — Commercial: $107.96 Aetna — Medicare: $42.21 Anthem Blue Cross of IN — Medicaid: $13.39 Anthem Blue Cross of IN — Medicare: $42.21 Anthem Blue Cross of IN — PPO/Pathway: $58.56 Anthem Blue Cross of IN — Traditional: $58.56 CareSource Indiana of IN — Hoosier Healthwise/HIP: $13.39 CareSource Indiana of IN — Just 4 Me: $48.54 CareSource Indiana of IN — Medicare: $46.43 Centivo — All Commercial: $69.58
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$127.91	$76.74	$13.39 – $118.96
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Aetna — Commercial: $107.96 Aetna — Medicare: $42.21 Anthem Blue Cross of IN — Medicaid: $13.39 Anthem Blue Cross of IN — Medicare: $42.21 Anthem Blue Cross of IN — PPO/Pathway: $58.56 Anthem Blue Cross of IN — Traditional: $58.56 CareSource Indiana of IN — Hoosier Healthwise/HIP: $13.39 CareSource Indiana of IN — Just 4 Me: $48.54 CareSource Indiana of IN — Medicare: $46.43 Centivo — All Commercial: $69.58
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$115.57	$69.34	$8.68 – $107.48
Kidney function panel: 10 of 30 insurance plan rates Aetna — Commercial: $97.54 Aetna — Medicare: $38.14 Anthem Blue Cross of IN — Medicaid: $8.68 Anthem Blue Cross of IN — Medicare: $38.14 Anthem Blue Cross of IN — PPO/Pathway: $52.91 Anthem Blue Cross of IN — Traditional: $52.91 CareSource Indiana of IN — Hoosier Healthwise/HIP: $8.68 CareSource Indiana of IN — Just 4 Me: $43.86 CareSource Indiana of IN — Medicare: $41.95 Centivo — All Commercial: $62.87
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$115.57	$69.34	$86.68 – $107.48
Kidney function panel: 10 of 14 insurance plan rates Aetna — Commercial: $99.85 Cigna — All Commercial: $99.74 CORVEL — All Commercial: $107.48 Coventry — All Commercial: $101.70 Encore — All Commercial: $106.38 Frontpath — All Commercial: $106.32 Humana — ChoiceCare: $99.82 Lutheran Preferred — All Commercial: $104.01 PHCS — All Commercial: $86.68 PHP — All Commercial: $87.65
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIVER PROFILE	$92	$55.20	$8.17 – $85.56
Liver function panel: 10 of 30 insurance plan rates Aetna — Commercial: $77.65 Aetna — Medicare: $30.36 Anthem Blue Cross of IN — Medicaid: $8.17 Anthem Blue Cross of IN — Medicare: $30.36 Anthem Blue Cross of IN — PPO/Pathway: $42.12 Anthem Blue Cross of IN — Traditional: $42.12 CareSource Indiana of IN — Hoosier Healthwise/HIP: $8.17 CareSource Indiana of IN — Just 4 Me: $34.91 CareSource Indiana of IN — Medicare: $33.40 Centivo — All Commercial: $50.05
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIVER PROFILE	$92	$55.20	$69 – $85.56
Liver function panel: 10 of 14 insurance plan rates Aetna — Commercial: $79.49 Cigna — All Commercial: $79.40 CORVEL — All Commercial: $85.56 Coventry — All Commercial: $80.96 Encore — All Commercial: $84.69 Frontpath — All Commercial: $84.64 Humana — ChoiceCare: $79.46 Lutheran Preferred — All Commercial: $82.80 PHCS — All Commercial: $69 PHP — All Commercial: $69.77
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS (WITH MICRO)	$71.81	$43.08	$3.17 – $66.78
Urine test (automated, with microscope): 10 of 30 insurance plan rates Aetna — Commercial: $60.61 Aetna — Medicare: $23.70 Anthem Blue Cross of IN — Medicaid: $3.17 Anthem Blue Cross of IN — Medicare: $23.70 Anthem Blue Cross of IN — PPO/Pathway: $32.87 Anthem Blue Cross of IN — Traditional: $32.87 CareSource Indiana of IN — Hoosier Healthwise/HIP: $3.17 CareSource Indiana of IN — Just 4 Me: $27.25 CareSource Indiana of IN — Medicare: $26.07 Centivo — All Commercial: $39.06
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS (WITH MICRO)	$71.81	$43.08	$53.86 – $66.78
Urine test (automated, with microscope): 10 of 14 insurance plan rates Aetna — Commercial: $62.04 Cigna — All Commercial: $61.97 CORVEL — All Commercial: $66.78 Coventry — All Commercial: $63.19 Encore — All Commercial: $66.10 Frontpath — All Commercial: $66.07 Humana — ChoiceCare: $62.02 Lutheran Preferred — All Commercial: $64.63 PHCS — All Commercial: $53.86 PHP — All Commercial: $54.46
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URINALYSIS NONAUTO W/O SCOPE	$6.96	$4.18	$2.61 – $5.39
Urine test (manual, without microscope): 10 of 31 insurance plan rates Aetna — Commercial: $3.48 Aetna — Medicare: $3.48 Anthem Blue Cross of IN — Medicaid: $3.48 Anthem Blue Cross of IN — Medicare: $3.48 Anthem Blue Cross of IN — PPO/Pathway: $3.48 Anthem Blue Cross of IN — Traditional: $3.48 Buckeye Health — Medicaid OOS: $2.61 CareSource Indiana of IN — Hoosier Healthwise/HIP: $3.48 CareSource Indiana of IN — Just 4 Me: $4 CareSource Indiana of IN — Medicare: $3.83
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS	$56.98	$34.19	$2.25 – $52.99
Urine test (automated, without microscope): 10 of 30 insurance plan rates Aetna — Commercial: $48.09 Aetna — Medicare: $18.80 Anthem Blue Cross of IN — Medicaid: $2.25 Anthem Blue Cross of IN — Medicare: $18.80 Anthem Blue Cross of IN — PPO/Pathway: $26.09 Anthem Blue Cross of IN — Traditional: $26.09 CareSource Indiana of IN — Hoosier Healthwise/HIP: $2.25 CareSource Indiana of IN — Just 4 Me: $21.62 CareSource Indiana of IN — Medicare: $20.68 Centivo — All Commercial: $31
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URINALYSIS, AUTO, W/O SCOPE	$4.50	$2.70	$1.69 – $3.49
Urine test (automated, without microscope): 10 of 29 insurance plan rates Aetna — Commercial: $2.25 Aetna — Medicare: $2.25 Anthem Blue Cross of IN — Medicaid: $2.25 Anthem Blue Cross of IN — Medicare: $2.25 Anthem Blue Cross of IN — PPO/Pathway: $2.25 Anthem Blue Cross of IN — Traditional: $2.25 CareSource Indiana of IN — Hoosier Healthwise/HIP: $2.25 CareSource Indiana of IN — Just 4 Me: $2.59 CareSource Indiana of IN — Medicare: $2.48 Centivo — All Commercial: $3.49
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS	$56.98	$34.19	$42.73 – $52.99
Urine test (automated, without microscope): 10 of 14 insurance plan rates Aetna — Commercial: $49.23 Cigna — All Commercial: $49.17 CORVEL — All Commercial: $52.99 Coventry — All Commercial: $50.14 Encore — All Commercial: $52.45 Frontpath — All Commercial: $52.42 Humana — ChoiceCare: $49.21 Lutheran Preferred — All Commercial: $51.28 PHCS — All Commercial: $42.73 PHP — All Commercial: $43.21
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA SCREEN	$160	$96	$18.39 – $148.80
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — Commercial: $135.04 Aetna — Medicare: $52.80 Anthem Blue Cross of IN — Medicaid: $18.39 Anthem Blue Cross of IN — Medicare: $52.80 Anthem Blue Cross of IN — PPO/Pathway: $73.25 Anthem Blue Cross of IN — Traditional: $73.25 CareSource Indiana of IN — Hoosier Healthwise/HIP: $18.39 CareSource Indiana of IN — Just 4 Me: $60.72 CareSource Indiana of IN — Medicare: $58.08 Centivo — All Commercial: $87.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL	$160	$96	$18.39 – $148.80
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — Commercial: $135.04 Aetna — Medicare: $52.80 Anthem Blue Cross of IN — Medicaid: $18.39 Anthem Blue Cross of IN — Medicare: $52.80 Anthem Blue Cross of IN — PPO/Pathway: $73.25 Anthem Blue Cross of IN — Traditional: $73.25 CareSource Indiana of IN — Hoosier Healthwise/HIP: $18.39 CareSource Indiana of IN — Just 4 Me: $60.72 CareSource Indiana of IN — Medicare: $58.08 Centivo — All Commercial: $87.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL W/REFLEX TO FREE	$160	$96	$18.39 – $148.80
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — Commercial: $135.04 Aetna — Medicare: $52.80 Anthem Blue Cross of IN — Medicaid: $18.39 Anthem Blue Cross of IN — Medicare: $52.80 Anthem Blue Cross of IN — PPO/Pathway: $73.25 Anthem Blue Cross of IN — Traditional: $73.25 CareSource Indiana of IN — Hoosier Healthwise/HIP: $18.39 CareSource Indiana of IN — Just 4 Me: $60.72 CareSource Indiana of IN — Medicare: $58.08 Centivo — All Commercial: $87.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH REFLEX FREE T4	$152.85	$91.71	$16.80 – $142.15
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Aetna — Commercial: $129.01 Aetna — Medicare: $50.44 Anthem Blue Cross of IN — Medicaid: $16.80 Anthem Blue Cross of IN — Medicare: $50.44 Anthem Blue Cross of IN — PPO/Pathway: $69.97 Anthem Blue Cross of IN — Traditional: $69.97 CareSource Indiana of IN — Hoosier Healthwise/HIP: $16.80 CareSource Indiana of IN — Just 4 Me: $58.01 CareSource Indiana of IN — Medicare: $55.48 Centivo — All Commercial: $83.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEWBORN TSH	$10.91	$6.55	$3.60 – $16.80
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Aetna — Commercial: $9.21 Aetna — Medicare: $3.60 Anthem Blue Cross of IN — Medicaid: $16.80 Anthem Blue Cross of IN — Medicare: $3.60 Anthem Blue Cross of IN — PPO/Pathway: $4.99 Anthem Blue Cross of IN — Traditional: $4.99 CareSource Indiana of IN — Hoosier Healthwise/HIP: $16.80 CareSource Indiana of IN — Just 4 Me: $4.14 CareSource Indiana of IN — Medicare: $3.96 Centivo — All Commercial: $5.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THY STIM HORMONE	$152.85	$91.71	$16.80 – $142.15
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Aetna — Commercial: $129.01 Aetna — Medicare: $50.44 Anthem Blue Cross of IN — Medicaid: $16.80 Anthem Blue Cross of IN — Medicare: $50.44 Anthem Blue Cross of IN — PPO/Pathway: $69.97 Anthem Blue Cross of IN — Traditional: $69.97 CareSource Indiana of IN — Hoosier Healthwise/HIP: $16.80 CareSource Indiana of IN — Just 4 Me: $58.01 CareSource Indiana of IN — Medicare: $55.48 Centivo — All Commercial: $83.15
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMAGRAM/AUTO DIFFERENTIAL	$80.82	$48.49	$7.77 – $75.16
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates Aetna — Commercial: $68.21 Aetna — Medicare: $26.67 Anthem Blue Cross of IN — Medicaid: $7.77 Anthem Blue Cross of IN — Medicare: $26.67 Anthem Blue Cross of IN — PPO/Pathway: $37 Anthem Blue Cross of IN — Traditional: $37 CareSource Indiana of IN — Hoosier Healthwise/HIP: $7.77 CareSource Indiana of IN — Just 4 Me: $30.67 CareSource Indiana of IN — Medicare: $29.34 Centivo — All Commercial: $43.97
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEMAGRAM/AUTO DIFFERENTIAL	$80.82	$48.49	$60.62 – $75.16
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Aetna — Commercial: $69.83 Cigna — All Commercial: $69.75 CORVEL — All Commercial: $75.16 Coventry — All Commercial: $71.12 Encore — All Commercial: $74.39 Frontpath — All Commercial: $74.35 Humana — ChoiceCare: $69.80 Lutheran Preferred — All Commercial: $72.74 PHCS — All Commercial: $60.62 PHP — All Commercial: $61.29
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMAGRAM W/PLATELETS	$58.41	$35.04	$6.47 – $54.32
Complete blood count (CBC), automated: 10 of 30 insurance plan rates Aetna — Commercial: $49.30 Aetna — Medicare: $19.28 Anthem Blue Cross of IN — Medicaid: $6.47 Anthem Blue Cross of IN — Medicare: $19.28 Anthem Blue Cross of IN — PPO/Pathway: $26.74 Anthem Blue Cross of IN — Traditional: $26.74 CareSource Indiana of IN — Hoosier Healthwise/HIP: $6.47 CareSource Indiana of IN — Just 4 Me: $22.17 CareSource Indiana of IN — Medicare: $21.20 Centivo — All Commercial: $31.78
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEMAGRAM W/PLATELETS	$58.41	$35.04	$43.81 – $54.32
Complete blood count (CBC), automated: 10 of 14 insurance plan rates Aetna — Commercial: $50.47 Cigna — All Commercial: $50.41 CORVEL — All Commercial: $54.32 Coventry — All Commercial: $51.40 Encore — All Commercial: $53.77 Frontpath — All Commercial: $53.74 Humana — ChoiceCare: $50.45 Lutheran Preferred — All Commercial: $52.57 PHCS — All Commercial: $43.81 PHP — All Commercial: $44.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTIME/INR	$51.11	$30.67	$4.29 – $47.53
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — Commercial: $43.14 Aetna — Medicare: $16.87 Anthem Blue Cross of IN — Medicaid: $4.29 Anthem Blue Cross of IN — Medicare: $16.87 Anthem Blue Cross of IN — PPO/Pathway: $23.40 Anthem Blue Cross of IN — Traditional: $23.40 CareSource Indiana of IN — Hoosier Healthwise/HIP: $4.29 CareSource Indiana of IN — Just 4 Me: $19.40 CareSource Indiana of IN — Medicare: $18.55 Centivo — All Commercial: $27.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$44.19	$26.51	$4.29 – $41.10
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — Commercial: $37.30 Aetna — Medicare: $14.58 Anthem Blue Cross of IN — Medicaid: $4.29 Anthem Blue Cross of IN — Medicare: $14.58 Anthem Blue Cross of IN — PPO/Pathway: $20.23 Anthem Blue Cross of IN — Traditional: $20.23 CareSource Indiana of IN — Hoosier Healthwise/HIP: $4.29 CareSource Indiana of IN — Just 4 Me: $16.77 CareSource Indiana of IN — Medicare: $16.04 Centivo — All Commercial: $24.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME POCT	$44.19	$26.51	$4.29 – $41.10
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — Commercial: $37.30 Aetna — Medicare: $14.58 Anthem Blue Cross of IN — Medicaid: $4.29 Anthem Blue Cross of IN — Medicare: $14.58 Anthem Blue Cross of IN — PPO/Pathway: $20.23 Anthem Blue Cross of IN — Traditional: $20.23 CareSource Indiana of IN — Hoosier Healthwise/HIP: $4.29 CareSource Indiana of IN — Just 4 Me: $16.77 CareSource Indiana of IN — Medicare: $16.04 Centivo — All Commercial: $24.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT (REF LAB)	$136.85	$82.11	$6.01 – $127.27
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Aetna — Commercial: $115.50 Aetna — Medicare: $45.16 Anthem Blue Cross of IN — Medicaid: $6.01 Anthem Blue Cross of IN — Medicare: $45.16 Anthem Blue Cross of IN — PPO/Pathway: $62.65 Anthem Blue Cross of IN — Traditional: $62.65 CareSource Indiana of IN — Hoosier Healthwise/HIP: $6.01 CareSource Indiana of IN — Just 4 Me: $51.93 CareSource Indiana of IN — Medicare: $49.68 Centivo — All Commercial: $74.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT	$136.85	$82.11	$6.01 – $127.27
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Aetna — Commercial: $115.50 Aetna — Medicare: $45.16 Anthem Blue Cross of IN — Medicaid: $6.01 Anthem Blue Cross of IN — Medicare: $45.16 Anthem Blue Cross of IN — PPO/Pathway: $62.65 Anthem Blue Cross of IN — Traditional: $62.65 CareSource Indiana of IN — Hoosier Healthwise/HIP: $6.01 CareSource Indiana of IN — Just 4 Me: $51.93 CareSource Indiana of IN — Medicare: $49.68 Centivo — All Commercial: $74.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC APTT (REF LAB)	$136.85	$82.11	$102.64 – $127.27
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Aetna — Commercial: $118.24 Cigna — All Commercial: $118.10 CORVEL — All Commercial: $127.27 Coventry — All Commercial: $120.43 Encore — All Commercial: $125.97 Frontpath — All Commercial: $125.90 Humana — ChoiceCare: $118.20 Lutheran Preferred — All Commercial: $123.17 PHCS — All Commercial: $102.64 PHP — All Commercial: $103.79

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD SCAN W/O CONTRAST	$1,734	$1,040.40	$56.64 – $1,612.62
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,463.50 Aetna — Medicare: $572.22 Anthem Blue Cross of IN — Medicaid: $56.64 Anthem Blue Cross of IN — Medicare: $572.22 Anthem Blue Cross of IN — PPO/Pathway: $1,292 Anthem Blue Cross of IN — Traditional: $1,292 CareSource Indiana of IN — Hoosier Healthwise/HIP: $56.64 CareSource Indiana of IN — Just 4 Me: $658.05 CareSource Indiana of IN — Medicare: $629.44 Centivo — All Commercial: $943.30
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD SCAN W/O CONTRAST	$1,734	$1,040.40	$1,300.50 – $1,612.62
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Aetna — Commercial: $1,498.18 Cigna — All Commercial: $1,496.44 CORVEL — All Commercial: $1,612.62 Coventry — All Commercial: $1,525.92 Encore — All Commercial: $1,596.15 Frontpath — All Commercial: $1,595.28 Humana — ChoiceCare: $1,497.66 Lutheran Preferred — All Commercial: $1,560.60 PHCS — All Commercial: $1,300.50 PHP — All Commercial: $1,315.07
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI-BRAIN W/WO CONTRAST	$2,652	$1,591.20	$193.88 – $2,466.36
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates Aetna — Commercial: $2,238.29 Aetna — Medicare: $875.16 Anthem Blue Cross of IN — Medicaid: $193.88 Anthem Blue Cross of IN — Medicare: $875.16 Anthem Blue Cross of IN — PPO/Pathway: $1,739 Anthem Blue Cross of IN — Traditional: $1,739 CareSource Indiana of IN — Hoosier Healthwise/HIP: $193.88 CareSource Indiana of IN — Just 4 Me: $1,006.43 CareSource Indiana of IN — Medicare: $962.68 Centivo — All Commercial: $1,442.69
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI-BRAIN W/WO CONTRAST	$2,652	$1,591.20	$1,989 – $2,466.36
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Aetna — Commercial: $2,291.33 Cigna — All Commercial: $2,288.68 CORVEL — All Commercial: $2,466.36 Coventry — All Commercial: $2,333.76 Encore — All Commercial: $2,441.17 Frontpath — All Commercial: $2,439.84 Humana — ChoiceCare: $2,290.53 Lutheran Preferred — All Commercial: $2,386.80 PHCS — All Commercial: $1,989 PHP — All Commercial: $2,011.28
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS	$414.38	$248.62	$62.12 – $385.37
Chest X-ray, 2 views: 10 of 30 insurance plan rates Aetna — Commercial: $349.74 Aetna — Medicare: $136.75 Anthem Blue Cross of IN — Medicaid: $62.12 Anthem Blue Cross of IN — Medicare: $136.75 Anthem Blue Cross of IN — PPO/Pathway: $237.03 Anthem Blue Cross of IN — Traditional: $257.99 CareSource Indiana of IN — Hoosier Healthwise/HIP: $62.12 CareSource Indiana of IN — Just 4 Me: $157.26 CareSource Indiana of IN — Medicare: $150.42 Centivo — All Commercial: $225.42
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS	$414.38	$248.62	$310.79 – $385.37
Chest X-ray, 2 views: 10 of 14 insurance plan rates Aetna — Commercial: $358.02 Cigna — All Commercial: $357.61 CORVEL — All Commercial: $385.37 Coventry — All Commercial: $364.65 Encore — All Commercial: $381.44 Frontpath — All Commercial: $381.23 Humana — ChoiceCare: $357.90 Lutheran Preferred — All Commercial: $372.94 PHCS — All Commercial: $310.79 PHP — All Commercial: $314.27
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$42.20	$25.32	$18.09 – $49
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — Commercial: $21.22 Aetna — Medicare: $21.22 Anthem Blue Cross of IN — Medicaid: $20.74 Anthem Blue Cross of IN — Medicare: $20.74 Anthem Blue Cross of IN — PPO/Pathway: $20.74 Anthem Blue Cross of IN — Traditional: $20.74 Buckeye Health — Medicaid OOS: $22.86 CareSource Indiana of IN — Hoosier Healthwise/HIP: $20.74 CareSource Indiana of IN — Just 4 Me: $24.40 CareSource Indiana of IN — Medicare: $23.34
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY-LS SPINE MIN 4 VIEWS	$841.50	$504.90	$23.45 – $782.60
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates Aetna — Commercial: $710.23 Aetna — Medicare: $277.69 Anthem Blue Cross of IN — Medicaid: $23.45 Anthem Blue Cross of IN — Medicare: $277.69 Anthem Blue Cross of IN — PPO/Pathway: $481.34 Anthem Blue Cross of IN — Traditional: $523.92 CareSource Indiana of IN — Hoosier Healthwise/HIP: $23.45 CareSource Indiana of IN — Just 4 Me: $319.35 CareSource Indiana of IN — Medicare: $305.46 Centivo — All Commercial: $457.78
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY-LS SPINE MIN 4 VIEWS	$841.50	$504.90	$631.12 – $782.60
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Aetna — Commercial: $727.06 Cigna — All Commercial: $726.21 CORVEL — All Commercial: $782.60 Coventry — All Commercial: $740.52 Encore — All Commercial: $774.60 Frontpath — All Commercial: $774.18 Humana — ChoiceCare: $726.80 Lutheran Preferred — All Commercial: $757.35 PHCS — All Commercial: $631.12 PHP — All Commercial: $638.19
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG X-RAY LUMBAR SPINE 4 VW	$74.84	$44.90	$34.07 – $74
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates Aetna — Commercial: $37.63 Aetna — Medicare: $37.63 Anthem Blue Cross of IN — Medicaid: $35.05 Anthem Blue Cross of IN — Medicare: $35.05 Anthem Blue Cross of IN — PPO/Pathway: $35.05 Anthem Blue Cross of IN — Traditional: $35.05 Buckeye Health — Medicaid OOS: $37.41 CareSource Indiana of IN — Hoosier Healthwise/HIP: $35.05 CareSource Indiana of IN — Just 4 Me: $43.27 CareSource Indiana of IN — Medicare: $41.39
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI-LUMBAR SPINE W/O CONTRAST	$2,038.98	$1,223.39	$117.33 – $1,896.25
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,720.90 Aetna — Medicare: $672.86 Anthem Blue Cross of IN — Medicaid: $117.33 Anthem Blue Cross of IN — Medicare: $672.86 Anthem Blue Cross of IN — PPO/Pathway: $1,739 Anthem Blue Cross of IN — Traditional: $1,739 CareSource Indiana of IN — Hoosier Healthwise/HIP: $117.33 CareSource Indiana of IN — Just 4 Me: $773.79 CareSource Indiana of IN — Medicare: $740.15 Centivo — All Commercial: $1,109.21
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI-SPINE SURVEY LUM W/O CON	$2,038.98	$1,223.39	$117.33 – $1,896.25
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,720.90 Aetna — Medicare: $672.86 Anthem Blue Cross of IN — Medicaid: $117.33 Anthem Blue Cross of IN — Medicare: $672.86 Anthem Blue Cross of IN — PPO/Pathway: $1,739 Anthem Blue Cross of IN — Traditional: $1,739 CareSource Indiana of IN — Hoosier Healthwise/HIP: $117.33 CareSource Indiana of IN — Just 4 Me: $773.79 CareSource Indiana of IN — Medicare: $740.15 Centivo — All Commercial: $1,109.21
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI-LUMBAR SPINE W/O CONTRAST	$2,038.98	$1,223.39	$1,529.23 – $1,896.25
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Aetna — Commercial: $1,761.68 Cigna — All Commercial: $1,759.64 CORVEL — All Commercial: $1,896.25 Coventry — All Commercial: $1,794.30 Encore — All Commercial: $1,876.88 Frontpath — All Commercial: $1,875.86 Humana — ChoiceCare: $1,761.07 Lutheran Preferred — All Commercial: $1,835.08 PHCS — All Commercial: $1,529.23 PHP — All Commercial: $1,546.36
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,038.98	$1,223.39	$123.28 – $1,896.25
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,720.90 Aetna — Medicare: $672.86 Anthem Blue Cross of IN — Medicaid: $123.28 Anthem Blue Cross of IN — Medicare: $672.86 Anthem Blue Cross of IN — PPO/Pathway: $1,166.30 Anthem Blue Cross of IN — Traditional: $1,269.47 CareSource Indiana of IN — Hoosier Healthwise/HIP: $123.28 CareSource Indiana of IN — Just 4 Me: $773.79 CareSource Indiana of IN — Medicare: $740.15 Centivo — All Commercial: $1,109.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,038.98	$1,223.39	$1,529.23 – $1,896.25
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Aetna — Commercial: $1,761.68 Cigna — All Commercial: $1,759.64 CORVEL — All Commercial: $1,896.25 Coventry — All Commercial: $1,794.30 Encore — All Commercial: $1,876.88 Frontpath — All Commercial: $1,875.86 Humana — ChoiceCare: $1,761.07 Lutheran Preferred — All Commercial: $1,835.08 PHCS — All Commercial: $1,529.23 PHP — All Commercial: $1,546.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MRI-CUSTOM JOINT W/O CON LT	$1,734	$1,040.40	$129.47 – $1,739
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,463.50 Aetna — Medicare: $572.22 Anthem Blue Cross of IN — Medicaid: $129.47 Anthem Blue Cross of IN — Medicare: $572.22 Anthem Blue Cross of IN — PPO/Pathway: $1,739 Anthem Blue Cross of IN — Traditional: $1,739 CareSource Indiana of IN — Hoosier Healthwise/HIP: $129.47 CareSource Indiana of IN — Just 4 Me: $658.05 CareSource Indiana of IN — Medicare: $629.44 Centivo — All Commercial: $943.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: HC MRI-CUSTOM JOINT W/O CON RT	$1,734	$1,040.40	$129.47 – $1,739
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,463.50 Aetna — Medicare: $572.22 Anthem Blue Cross of IN — Medicaid: $129.47 Anthem Blue Cross of IN — Medicare: $572.22 Anthem Blue Cross of IN — PPO/Pathway: $1,739 Anthem Blue Cross of IN — Traditional: $1,739 CareSource Indiana of IN — Hoosier Healthwise/HIP: $129.47 CareSource Indiana of IN — Just 4 Me: $658.05 CareSource Indiana of IN — Medicare: $629.44 Centivo — All Commercial: $943.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC MRI-KNEE W/O CONTRAST BI	$2,754	$1,652.40	$129.47 – $2,561.22
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $2,324.38 Aetna — Medicare: $908.82 Anthem Blue Cross of IN — Medicaid: $129.47 Anthem Blue Cross of IN — Medicare: $908.82 Anthem Blue Cross of IN — PPO/Pathway: $1,739 Anthem Blue Cross of IN — Traditional: $1,739 CareSource Indiana of IN — Hoosier Healthwise/HIP: $129.47 CareSource Indiana of IN — Just 4 Me: $1,045.14 CareSource Indiana of IN — Medicare: $999.70 Centivo — All Commercial: $1,498.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELVIS W/CONTRAST	$3,264	$1,958.40	$162.17 – $3,035.52
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates Aetna — Commercial: $2,754.82 Aetna — Medicare: $1,077.12 Anthem Blue Cross of IN — Medicaid: $162.17 Anthem Blue Cross of IN — Medicare: $1,077.12 Anthem Blue Cross of IN — PPO/Pathway: $1,292 Anthem Blue Cross of IN — Traditional: $1,292 CareSource Indiana of IN — Hoosier Healthwise/HIP: $162.17 CareSource Indiana of IN — Just 4 Me: $1,238.69 CareSource Indiana of IN — Medicare: $1,184.83 Centivo — All Commercial: $1,775.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELVIS W/CONTRAST	$3,264	$1,958.40	$2,448 – $3,035.52
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Aetna — Commercial: $2,820.10 Cigna — All Commercial: $2,816.83 CORVEL — All Commercial: $3,035.52 Coventry — All Commercial: $2,872.32 Encore — All Commercial: $3,004.51 Frontpath — All Commercial: $3,002.88 Humana — ChoiceCare: $2,819.12 Lutheran Preferred — All Commercial: $2,937.60 PHCS — All Commercial: $2,448 PHP — All Commercial: $2,475.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC U/S ABDOMEN COMPLETE	$1,292.16	$775.29	$70.27 – $1,201.71
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates Aetna — Commercial: $1,090.58 Aetna — Medicare: $426.41 Anthem Blue Cross of IN — Medicaid: $70.27 Anthem Blue Cross of IN — Medicare: $426.41 Anthem Blue Cross of IN — PPO/Pathway: $739.12 Anthem Blue Cross of IN — Traditional: $804.50 CareSource Indiana of IN — Hoosier Healthwise/HIP: $70.27 CareSource Indiana of IN — Just 4 Me: $490.37 CareSource Indiana of IN — Medicare: $469.05 Centivo — All Commercial: $702.94
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC U/S ABDOMEN COMPLETE	$1,292.16	$775.29	$969.12 – $1,201.71
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Aetna — Commercial: $1,116.43 Cigna — All Commercial: $1,115.13 CORVEL — All Commercial: $1,201.71 Coventry — All Commercial: $1,137.10 Encore — All Commercial: $1,189.43 Frontpath — All Commercial: $1,188.79 Humana — ChoiceCare: $1,116.04 Lutheran Preferred — All Commercial: $1,162.94 PHCS — All Commercial: $969.12 PHP — All Commercial: $979.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC U/S MATERNITY > 14 WEEKS INITIAL GESTATION	$1,025.50	$615.30	$67.54 – $953.72
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates Aetna — Commercial: $865.52 Aetna — Medicare: $338.42 Anthem Blue Cross of IN — Medicaid: $67.54 Anthem Blue Cross of IN — Medicare: $338.42 Anthem Blue Cross of IN — PPO/Pathway: $586.59 Anthem Blue Cross of IN — Traditional: $638.48 CareSource Indiana of IN — Hoosier Healthwise/HIP: $67.54 CareSource Indiana of IN — Just 4 Me: $389.18 CareSource Indiana of IN — Medicare: $372.26 Centivo — All Commercial: $557.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC U/S MATERNITY > 14 WEEKS INITIAL GESTATION	$1,025.50	$615.30	$769.12 – $953.72
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Aetna — Commercial: $886.03 Cigna — All Commercial: $885.01 CORVEL — All Commercial: $953.72 Coventry — All Commercial: $902.44 Encore — All Commercial: $943.97 Frontpath — All Commercial: $943.46 Humana — ChoiceCare: $885.72 Lutheran Preferred — All Commercial: $922.95 PHCS — All Commercial: $769.12 PHP — All Commercial: $777.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG US, OB >/= 14 WKS, SNGL FETUS	$163.24	$97.94	$77.56 – $198
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates Aetna — Commercial: $82.07 Aetna — Medicare: $82.07 Anthem Blue Cross of IN — Medicaid: $77.56 Anthem Blue Cross of IN — Medicare: $77.56 Anthem Blue Cross of IN — PPO/Pathway: $77.56 Anthem Blue Cross of IN — Traditional: $77.56 Buckeye Health — Medicaid OOS: $99.62 CareSource Indiana of IN — Hoosier Healthwise/HIP: $77.56 CareSource Indiana of IN — Just 4 Me: $94.38 CareSource Indiana of IN — Medicare: $90.28
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC U/S TRANSVAGINAL NON-MATERNITY	$902.12	$541.27	$64.08 – $838.97
Transvaginal ultrasound: 10 of 30 insurance plan rates Aetna — Commercial: $761.39 Aetna — Medicare: $297.70 Anthem Blue Cross of IN — Medicaid: $64.08 Anthem Blue Cross of IN — Medicare: $297.70 Anthem Blue Cross of IN — PPO/Pathway: $516.01 Anthem Blue Cross of IN — Traditional: $561.66 CareSource Indiana of IN — Hoosier Healthwise/HIP: $64.08 CareSource Indiana of IN — Just 4 Me: $342.35 CareSource Indiana of IN — Medicare: $327.47 Centivo — All Commercial: $490.75
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC U/S TRANSVAGINAL NON-MATERNITY	$902.12	$541.27	$676.59 – $838.97
Transvaginal ultrasound: 10 of 14 insurance plan rates Aetna — Commercial: $779.43 Cigna — All Commercial: $778.53 CORVEL — All Commercial: $838.97 Coventry — All Commercial: $793.87 Encore — All Commercial: $830.40 Frontpath — All Commercial: $829.95 Humana — ChoiceCare: $779.16 Lutheran Preferred — All Commercial: $811.91 PHCS — All Commercial: $676.59 PHP — All Commercial: $684.17
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: PR ULTRASOUND,TRANSVAGINAL NON-OB	$156.48	$93.89	$69.50 – $175
Transvaginal ultrasound: 10 of 32 insurance plan rates Aetna — Commercial: $78.66 Aetna — Medicare: $78.66 Anthem Blue Cross of IN — Medicaid: $75.77 Anthem Blue Cross of IN — Medicare: $75.77 Anthem Blue Cross of IN — PPO/Pathway: $75.77 Anthem Blue Cross of IN — Traditional: $75.77 Buckeye Health — Medicaid OOS: $71.50 CareSource Indiana of IN — Hoosier Healthwise/HIP: $75.77 CareSource Indiana of IN — Just 4 Me: $90.46 CareSource Indiana of IN — Medicare: $86.53
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DX INCL CAD UNILATERAL	$319.92	$191.95	$65.56 – $297.53
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates Aetna — Commercial: $270.01 Aetna — Medicare: $105.57 Anthem Blue Cross of IN — Medicaid: $65.56 Anthem Blue Cross of IN — Medicare: $105.57 Anthem Blue Cross of IN — PPO/Pathway: $102 Anthem Blue Cross of IN — Traditional: $111 CareSource Indiana of IN — Hoosier Healthwise/HIP: $65.56 CareSource Indiana of IN — Just 4 Me: $121.41 CareSource Indiana of IN — Medicare: $116.13 Centivo — All Commercial: $174.04
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DX INCL CAD UNILATERAL	$319.92	$191.95	$239.94 – $297.53
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Aetna — Commercial: $276.41 Cigna — All Commercial: $276.09 CORVEL — All Commercial: $297.53 Coventry — All Commercial: $281.53 Encore — All Commercial: $294.49 Frontpath — All Commercial: $294.33 Humana — ChoiceCare: $276.31 Lutheran Preferred — All Commercial: $287.93 PHCS — All Commercial: $239.94 PHP — All Commercial: $242.63
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DX INCL CAD BILATERAL	$381.48	$228.89	$83.89 – $354.78
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates Aetna — Commercial: $321.97 Aetna — Medicare: $125.89 Anthem Blue Cross of IN — Medicaid: $83.89 Anthem Blue Cross of IN — Medicare: $125.89 Anthem Blue Cross of IN — PPO/Pathway: $102 Anthem Blue Cross of IN — Traditional: $111 CareSource Indiana of IN — Hoosier Healthwise/HIP: $83.89 CareSource Indiana of IN — Just 4 Me: $144.77 CareSource Indiana of IN — Medicare: $138.48 Centivo — All Commercial: $207.53
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DX INCL CAD BILATERAL	$381.48	$228.89	$286.11 – $354.78
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates Aetna — Commercial: $329.60 Cigna — All Commercial: $329.22 CORVEL — All Commercial: $354.78 Coventry — All Commercial: $335.70 Encore — All Commercial: $351.15 Frontpath — All Commercial: $350.96 Humana — ChoiceCare: $329.48 Lutheran Preferred — All Commercial: $343.33 PHCS — All Commercial: $286.11 PHP — All Commercial: $289.31
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING INCL CAD BILATERAL	$268.51	$161.11	$69.28 – $249.71
Screening mammogram, both breasts: 10 of 30 insurance plan rates Aetna — Commercial: $226.62 Aetna — Medicare: $88.61 Anthem Blue Cross of IN — Medicaid: $69.28 Anthem Blue Cross of IN — Medicare: $88.61 Anthem Blue Cross of IN — PPO/Pathway: $102 Anthem Blue Cross of IN — Traditional: $111 CareSource Indiana of IN — Hoosier Healthwise/HIP: $69.28 CareSource Indiana of IN — Just 4 Me: $101.90 CareSource Indiana of IN — Medicare: $97.47 Centivo — All Commercial: $146.07
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING INCL CAD BILATERAL	$268.51	$161.11	$201.38 – $249.71
Screening mammogram, both breasts: 10 of 14 insurance plan rates Aetna — Commercial: $231.99 Cigna — All Commercial: $231.72 CORVEL — All Commercial: $249.71 Coventry — All Commercial: $236.29 Encore — All Commercial: $247.16 Frontpath — All Commercial: $247.03 Humana — ChoiceCare: $231.91 Lutheran Preferred — All Commercial: $241.66 PHCS — All Commercial: $201.38 PHP — All Commercial: $203.64
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: HC MAMMOGRAM SCREENING INCL CAD UNILATERAL	$269.01	$161.41	$69.28 – $250.18
Screening mammogram, both breasts: 10 of 30 insurance plan rates Aetna — Commercial: $227.04 Aetna — Medicare: $88.77 Anthem Blue Cross of IN — Medicaid: $69.28 Anthem Blue Cross of IN — Medicare: $88.77 Anthem Blue Cross of IN — PPO/Pathway: $102 Anthem Blue Cross of IN — Traditional: $111 CareSource Indiana of IN — Hoosier Healthwise/HIP: $69.28 CareSource Indiana of IN — Just 4 Me: $102.09 CareSource Indiana of IN — Medicare: $97.65 Centivo — All Commercial: $146.34

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ELECTROCARDIOGRAM, COMPLETE	$28.64	$17.18	$12.97 – $33.23
Electrocardiogram (ECG/EKG) with reading: 10 of 32 insurance plan rates Aetna — Commercial: $14.36 Aetna — Medicare: $14.36 Anthem Blue Cross of IN — Medicaid: $12.97 Anthem Blue Cross of IN — Medicare: $12.97 Anthem Blue Cross of IN — PPO/Pathway: $12.97 Anthem Blue Cross of IN — Traditional: $12.97 Buckeye Health — Medicaid OOS: $13.90 CareSource Indiana of IN — Hoosier Healthwise/HIP: $12.97 CareSource Indiana of IN — Just 4 Me: $16.51 CareSource Indiana of IN — Medicare: $15.80
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,248.66	$749.20	$360.26 – $972.73
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates Aetna — Commercial: $626.64 Aetna — Medicare: $626.64 Anthem Blue Cross of IN — Medicaid: $563.89 Anthem Blue Cross of IN — Medicare: $563.89 Anthem Blue Cross of IN — PPO/Pathway: $563.89 Anthem Blue Cross of IN — Traditional: $563.89 Buckeye Health — Medicaid OOS: $360.26 CareSource Indiana of IN — Hoosier Healthwise/HIP: $563.89 CareSource Indiana of IN — Just 4 Me: $720.64 CareSource Indiana of IN — Medicare: $689.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SLEEP STUDY 6/> YRS 4/> PARAM 6+ HRS RECORDING	$5,924.77	$3,554.86	$200.10 – $5,510.04
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates Aetna — Commercial: $5,000.51 Aetna — Medicare: $1,955.17 Anthem Blue Cross of IN — Medicaid: $200.10 Anthem Blue Cross of IN — Medicare: $1,955.17 Anthem Blue Cross of IN — PPO/Pathway: $3,388.97 Anthem Blue Cross of IN — Traditional: $3,688.76 CareSource Indiana of IN — Hoosier Healthwise/HIP: $200.10 CareSource Indiana of IN — Just 4 Me: $2,248.45 CareSource Indiana of IN — Medicare: $2,150.69 Centivo — All Commercial: $3,223.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SLEEP STUDY 6/> YRS 4/> PARAM 6+ HRS RECORDING	$5,924.77	$3,554.86	$4,443.58 – $5,510.04
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Aetna — Commercial: $5,119 Cigna — All Commercial: $5,113.08 CORVEL — All Commercial: $5,510.04 Coventry — All Commercial: $5,213.80 Encore — All Commercial: $5,453.75 Frontpath — All Commercial: $5,450.79 Humana — ChoiceCare: $5,117.22 Lutheran Preferred — All Commercial: $5,332.29 PHCS — All Commercial: $4,443.58 PHP — All Commercial: $4,493.35

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC THER EXERCISE/15 MIN-PT	$137.53	$82.52	$45.38 – $127.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $116.08 Aetna — Medicare: $45.38 Anthem Blue Cross of IN — Medicaid: $47.81 Anthem Blue Cross of IN — Medicare: $45.38 Anthem Blue Cross of IN — PPO/Pathway: $78.67 Anthem Blue Cross of IN — Traditional: $85.63 CareSource Indiana of IN — Hoosier Healthwise/HIP: $47.81 CareSource Indiana of IN — Just 4 Me: $52.19 CareSource Indiana of IN — Medicare: $49.92 Centivo — All Commercial: $74.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC THER EXERCISE/15 MIN-OT	$140	$84	$46.20 – $130.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $118.16 Aetna — Medicare: $46.20 Anthem Blue Cross of IN — Medicaid: $47.81 Anthem Blue Cross of IN — Medicare: $46.20 Anthem Blue Cross of IN — PPO/Pathway: $80.08 Anthem Blue Cross of IN — Traditional: $87.16 CareSource Indiana of IN — Hoosier Healthwise/HIP: $47.81 CareSource Indiana of IN — Just 4 Me: $53.13 CareSource Indiana of IN — Medicare: $50.82 Centivo — All Commercial: $76.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC THER EXERCISE/15 MIN-PT	$137.53	$82.52	$103.15 – $127.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Aetna — Commercial: $118.83 Cigna — All Commercial: $118.69 CORVEL — All Commercial: $127.90 Coventry — All Commercial: $121.03 Encore — All Commercial: $126.60 Frontpath — All Commercial: $126.53 Humana — ChoiceCare: $118.78 Lutheran Preferred — All Commercial: $123.78 PHCS — All Commercial: $103.15 PHP — All Commercial: $104.30
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX 20 MIN	$269.28	$161.57	$47.81 – $250.43
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna — Commercial: $227.27 Aetna — Medicare: $88.86 Anthem Blue Cross of IN — Medicaid: $47.81 Anthem Blue Cross of IN — Medicare: $88.86 Anthem Blue Cross of IN — PPO/Pathway: $154.03 Anthem Blue Cross of IN — Traditional: $167.65 CareSource Indiana of IN — Hoosier Healthwise/HIP: $47.81 CareSource Indiana of IN — Just 4 Me: $102.19 CareSource Indiana of IN — Medicare: $97.75 Centivo — All Commercial: $146.49
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX 20 MIN	$269.28	$161.57	$201.96 – $250.43
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates Aetna — Commercial: $232.66 Cigna — All Commercial: $232.39 CORVEL — All Commercial: $250.43 Coventry — All Commercial: $236.97 Encore — All Commercial: $247.87 Frontpath — All Commercial: $247.74 Humana — ChoiceCare: $232.58 Lutheran Preferred — All Commercial: $242.35 PHCS — All Commercial: $201.96 PHP — All Commercial: $204.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX 30 MIN	$408.82	$245.29	$47.81 – $380.20
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna — Commercial: $345.04 Aetna — Medicare: $134.91 Anthem Blue Cross of IN — Medicaid: $47.81 Anthem Blue Cross of IN — Medicare: $134.91 Anthem Blue Cross of IN — PPO/Pathway: $233.85 Anthem Blue Cross of IN — Traditional: $254.53 CareSource Indiana of IN — Hoosier Healthwise/HIP: $47.81 CareSource Indiana of IN — Just 4 Me: $155.15 CareSource Indiana of IN — Medicare: $148.40 Centivo — All Commercial: $222.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX 30 MIN	$408.82	$245.29	$306.62 – $380.20
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates Aetna — Commercial: $353.22 Cigna — All Commercial: $352.81 CORVEL — All Commercial: $380.20 Coventry — All Commercial: $359.76 Encore — All Commercial: $376.32 Frontpath — All Commercial: $376.11 Humana — ChoiceCare: $353.10 Lutheran Preferred — All Commercial: $367.94 PHCS — All Commercial: $306.62 PHP — All Commercial: $310.05
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$480.42	$288.25	$47.81 – $446.79
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna — Commercial: $405.47 Aetna — Medicare: $158.54 Anthem Blue Cross of IN — Medicaid: $47.81 Anthem Blue Cross of IN — Medicare: $158.54 Anthem Blue Cross of IN — PPO/Pathway: $274.80 Anthem Blue Cross of IN — Traditional: $299.11 CareSource Indiana of IN — Hoosier Healthwise/HIP: $47.81 CareSource Indiana of IN — Just 4 Me: $182.32 CareSource Indiana of IN — Medicare: $174.39 Centivo — All Commercial: $261.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$480.42	$288.25	$360.31 – $446.79
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates Aetna — Commercial: $415.08 Cigna — All Commercial: $414.60 CORVEL — All Commercial: $446.79 Coventry — All Commercial: $422.77 Encore — All Commercial: $442.23 Frontpath — All Commercial: $441.99 Humana — ChoiceCare: $414.94 Lutheran Preferred — All Commercial: $432.38 PHCS — All Commercial: $360.31 PHP — All Commercial: $364.35
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$168.10	$100.86	$35.58 – $106.93
Psychotherapy, 30 minutes: 10 of 32 insurance plan rates Aetna — Commercial: $68.99 Aetna — Medicare: $68.99 Anthem Blue Cross of IN — Medicaid: $76.90 Anthem Blue Cross of IN — Medicare: $76.90 Anthem Blue Cross of IN — PPO/Pathway: $76.90 Anthem Blue Cross of IN — Traditional: $76.90 Buckeye Health — Medicaid OOS: $35.58 CareSource Indiana of IN — Hoosier Healthwise/HIP: $76.90 CareSource Indiana of IN — Just 4 Me: $79.34 CareSource Indiana of IN — Medicare: $75.89
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$222.78	$133.67	$49.43 – $141.19
Psychotherapy, 45 minutes: 10 of 32 insurance plan rates Aetna — Commercial: $91.09 Aetna — Medicare: $91.09 Anthem Blue Cross of IN — Medicaid: $101.51 Anthem Blue Cross of IN — Medicare: $101.51 Anthem Blue Cross of IN — PPO/Pathway: $101.51 Anthem Blue Cross of IN — Traditional: $101.51 Buckeye Health — Medicaid OOS: $49.43 CareSource Indiana of IN — Hoosier Healthwise/HIP: $101.51 CareSource Indiana of IN — Just 4 Me: $104.75 CareSource Indiana of IN — Medicare: $100.20
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$327.06	$196.24	$75.77 – $208.20
Psychotherapy, 60 minutes: 10 of 32 insurance plan rates Aetna — Commercial: $134.32 Aetna — Medicare: $134.32 Anthem Blue Cross of IN — Medicaid: $150.29 Anthem Blue Cross of IN — Medicare: $150.29 Anthem Blue Cross of IN — PPO/Pathway: $150.29 Anthem Blue Cross of IN — Traditional: $150.29 Buckeye Health — Medicaid OOS: $75.77 CareSource Indiana of IN — Hoosier Healthwise/HIP: $150.29 CareSource Indiana of IN — Just 4 Me: $154.47 CareSource Indiana of IN — Medicare: $147.75
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$208.64	$125.18	$57.66 – $152.21
Family psychotherapy, without the patient: 10 of 32 insurance plan rates Aetna — Commercial: $98.20 Aetna — Medicare: $98.20 Anthem Blue Cross of IN — Medicaid: $96.75 Anthem Blue Cross of IN — Medicare: $96.75 Anthem Blue Cross of IN — PPO/Pathway: $96.75 Anthem Blue Cross of IN — Traditional: $96.75 Buckeye Health — Medicaid OOS: $57.66 CareSource Indiana of IN — Hoosier Healthwise/HIP: $96.75 CareSource Indiana of IN — Just 4 Me: $112.93 CareSource Indiana of IN — Medicare: $108.02
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$216.34	$129.80	$67.71 – $158.16
Family psychotherapy, with the patient: 10 of 32 insurance plan rates Aetna — Commercial: $102.04 Aetna — Medicare: $102.04 Anthem Blue Cross of IN — Medicaid: $100.90 Anthem Blue Cross of IN — Medicare: $100.90 Anthem Blue Cross of IN — PPO/Pathway: $100.90 Anthem Blue Cross of IN — Traditional: $100.90 Buckeye Health — Medicaid OOS: $67.71 CareSource Indiana of IN — Hoosier Healthwise/HIP: $100.90 CareSource Indiana of IN — Just 4 Me: $117.35 CareSource Indiana of IN — Medicare: $112.24
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$59.24	$35.54	$24.09 – $37.34
Group psychotherapy: 10 of 32 insurance plan rates Aetna — Commercial: $24.09 Aetna — Medicare: $24.09 Anthem Blue Cross of IN — Medicaid: $27.30 Anthem Blue Cross of IN — Medicare: $27.30 Anthem Blue Cross of IN — PPO/Pathway: $27.30 Anthem Blue Cross of IN — Traditional: $27.30 Buckeye Health — Medicaid OOS: $29.85 CareSource Indiana of IN — Hoosier Healthwise/HIP: $27.30 CareSource Indiana of IN — Just 4 Me: $27.70 CareSource Indiana of IN — Medicare: $26.50

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXCISE BREAST CYST	$1,044.64	$626.78	$215.08 – $574.68
Removal of breast growth (open surgery): 10 of 32 insurance plan rates Aetna — Commercial: $370.76 Aetna — Medicare: $370.76 Anthem Blue Cross of IN — Medicaid: $464.91 Anthem Blue Cross of IN — Medicare: $464.91 Anthem Blue Cross of IN — PPO/Pathway: $464.91 Anthem Blue Cross of IN — Traditional: $464.91 Buckeye Health — Medicaid OOS: $215.08 CareSource Indiana of IN — Hoosier Healthwise/HIP: $464.91 CareSource Indiana of IN — Just 4 Me: $426.37 CareSource Indiana of IN — Medicare: $407.84
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$488.57
Removal of breast growth (open surgery): rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $488.57 CareSource Indiana of IN — Hoosier Healthwise/HIP: $488.57 Managed Health Services — Medicaid: $488.57 MDWise — Medicaid: $488.57
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TOTAL HIP ARTHROPLASTY	$2,123.78	$1,274.27	$1,064.13 – $2,025.75
Total hip replacement: 10 of 32 insurance plan rates Aetna — Commercial: $1,064.13 Aetna — Medicare: $1,064.13 Anthem Blue Cross of IN — Medicaid: $1,154.08 Anthem Blue Cross of IN — Medicare: $1,154.08 Anthem Blue Cross of IN — PPO/Pathway: $1,154.08 Anthem Blue Cross of IN — Traditional: $1,154.08 Buckeye Health — Medicaid OOS: $1,154.31 CareSource Indiana of IN — Hoosier Healthwise/HIP: $1,154.08 CareSource Indiana of IN — Just 4 Me: $1,223.75 CareSource Indiana of IN — Medicare: $1,170.54
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$6,693.20
Total hip replacement: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $6,693.20 CareSource Indiana of IN — Hoosier Healthwise/HIP: $6,693.20 Managed Health Services — Medicaid: $6,693.20 MDWise — Medicaid: $6,693.20
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TOTAL KNEE ARTHROPLASTY	$2,120.66	$1,272.40	$1,062.09 – $2,023.88
Total knee replacement: 10 of 32 insurance plan rates Aetna — Commercial: $1,062.09 Aetna — Medicare: $1,062.09 Anthem Blue Cross of IN — Medicaid: $1,152.73 Anthem Blue Cross of IN — Medicare: $1,152.73 Anthem Blue Cross of IN — PPO/Pathway: $1,152.73 Anthem Blue Cross of IN — Traditional: $1,152.73 Buckeye Health — Medicaid OOS: $1,228.01 CareSource Indiana of IN — Hoosier Healthwise/HIP: $1,152.73 CareSource Indiana of IN — Just 4 Me: $1,221.40 CareSource Indiana of IN — Medicare: $1,168.30
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$6,693.20
Total knee replacement: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $6,693.20 CareSource Indiana of IN — Hoosier Healthwise/HIP: $6,693.20 Managed Health Services — Medicaid: $6,693.20 MDWise — Medicaid: $6,693.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SHLDR ARTHROSCOP,PART ACROMIOPLAS	$270.56	$162.34	$135.46 – $725.91
Shoulder arthroscopy: shaving of shoulder bone: 10 of 32 insurance plan rates Aetna — Commercial: $135.46 Aetna — Medicare: $135.46 Anthem Blue Cross of IN — Medicaid: $152.82 Anthem Blue Cross of IN — Medicare: $152.82 Anthem Blue Cross of IN — PPO/Pathway: $152.82 Anthem Blue Cross of IN — Traditional: $152.82 Buckeye Health — Medicaid OOS: $161.17 CareSource Indiana of IN — Hoosier Healthwise/HIP: $152.82 CareSource Indiana of IN — Just 4 Me: $155.78 CareSource Indiana of IN — Medicare: $149.01
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (i.e., arch) re	Not listed in the file	Not listed in the file	$488.57
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $488.57 CareSource Indiana of IN — Hoosier Healthwise/HIP: $488.57 Managed Health Services — Medicaid: $488.57 MDWise — Medicaid: $488.57
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR KNEE ARTHROSCOPY/SURGERY MED OR LAT	$946.40	$567.84	$453.93 – $857.67
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates Aetna — Commercial: $474.14 Aetna — Medicare: $474.14 Anthem Blue Cross of IN — Medicaid: $494.35 Anthem Blue Cross of IN — Medicare: $494.35 Anthem Blue Cross of IN — PPO/Pathway: $494.35 Anthem Blue Cross of IN — Traditional: $494.35 Buckeye Health — Medicaid OOS: $453.93 CareSource Indiana of IN — Hoosier Healthwise/HIP: $494.35 CareSource Indiana of IN — Just 4 Me: $545.26 CareSource Indiana of IN — Medicare: $521.55
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$582.98
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $582.98 CareSource Indiana of IN — Hoosier Healthwise/HIP: $582.98 Managed Health Services — Medicaid: $582.98 MDWise — Medicaid: $582.98
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REMOVE TONSILS/ADENOIDS,<12 Y/O	$485.22	$291.13	$194.83 – $468.56
Removal of tonsils and adenoids (under age 12): 10 of 32 insurance plan rates Aetna — Commercial: $243.15 Aetna — Medicare: $243.15 Anthem Blue Cross of IN — Medicaid: $267.16 Anthem Blue Cross of IN — Medicare: $267.16 Anthem Blue Cross of IN — PPO/Pathway: $267.16 Anthem Blue Cross of IN — Traditional: $267.16 Buckeye Health — Medicaid OOS: $194.83 CareSource Indiana of IN — Hoosier Healthwise/HIP: $267.16 CareSource Indiana of IN — Just 4 Me: $279.62 CareSource Indiana of IN — Medicare: $267.46
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$599.22	$359.53	$103.93 – $406.30
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates Aetna — Commercial: $103.93 Aetna — Medicare: $103.93 Anthem Blue Cross of IN — Medicaid: $256.15 Anthem Blue Cross of IN — Medicare: $256.15 Anthem Blue Cross of IN — PPO/Pathway: $256.15 Anthem Blue Cross of IN — Traditional: $256.15 Buckeye Health — Medicaid OOS: $124.24 CareSource Indiana of IN — Hoosier Healthwise/HIP: $256.15 CareSource Indiana of IN — Just 4 Me: $119.52 CareSource Indiana of IN — Medicare: $114.32
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$582.98
Upper GI endoscopy (diagnostic): rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $582.98 CareSource Indiana of IN — Hoosier Healthwise/HIP: $582.98 Managed Health Services — Medicaid: $582.98 MDWise — Medicaid: $582.98
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$776.62	$465.97	$116.27 – $462.40
Upper GI endoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Commercial: $116.27 Aetna — Medicare: $116.27 Anthem Blue Cross of IN — Medicaid: $331.18 Anthem Blue Cross of IN — Medicare: $331.18 Anthem Blue Cross of IN — PPO/Pathway: $331.18 Anthem Blue Cross of IN — Traditional: $331.18 Buckeye Health — Medicaid OOS: $139.81 CareSource Indiana of IN — Hoosier Healthwise/HIP: $331.18 CareSource Indiana of IN — Just 4 Me: $133.71 CareSource Indiana of IN — Medicare: $127.90
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$582.98
Upper GI endoscopy with biopsy: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $582.98 CareSource Indiana of IN — Hoosier Healthwise/HIP: $582.98 Managed Health Services — Medicaid: $582.98 MDWise — Medicaid: $582.98
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$701.82	$421.09	$93.44 – $535.50
Colonoscopy (diagnostic): 10 of 32 insurance plan rates Aetna — Commercial: $154.36 Aetna — Medicare: $154.36 Anthem Blue Cross of IN — Medicaid: $304.26 Anthem Blue Cross of IN — Medicare: $304.26 Anthem Blue Cross of IN — PPO/Pathway: $304.26 Anthem Blue Cross of IN — Traditional: $304.26 Buckeye Health — Medicaid OOS: $93.44 CareSource Indiana of IN — Hoosier Healthwise/HIP: $304.26 CareSource Indiana of IN — Just 4 Me: $177.51 CareSource Indiana of IN — Medicare: $169.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$582.98
Colonoscopy (diagnostic): rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $582.98 CareSource Indiana of IN — Hoosier Healthwise/HIP: $582.98 Managed Health Services — Medicaid: $582.98 MDWise — Medicaid: $582.98
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$891.50	$534.90	$167 – $632.40
Colonoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Commercial: $167 Aetna — Medicare: $167 Anthem Blue Cross of IN — Medicaid: $384.68 Anthem Blue Cross of IN — Medicare: $384.68 Anthem Blue Cross of IN — PPO/Pathway: $384.68 Anthem Blue Cross of IN — Traditional: $384.68 Buckeye Health — Medicaid OOS: $202.79 CareSource Indiana of IN — Hoosier Healthwise/HIP: $384.68 CareSource Indiana of IN — Just 4 Me: $192.05 CareSource Indiana of IN — Medicare: $183.70
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$800.42
Colonoscopy with biopsy: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $800.42 CareSource Indiana of IN — Hoosier Healthwise/HIP: $800.42 Managed Health Services — Medicaid: $800.42 MDWise — Medicaid: $800.42
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$891.50	$534.90	$167 – $632.40
Colonoscopy with biopsy: 10 of 18 insurance plan rates Anthem Blue Cross of IN — Medicaid: $384.68 Anthem Blue Cross of IN — Medicare: $384.68 Anthem Blue Cross of IN — PPO/Pathway: $384.68 Anthem Blue Cross of IN — Traditional: $384.68 Buckeye Health — Medicaid OOS: $202.79 CareSource Indiana of IN — Hoosier Healthwise/HIP: $384.68 Frontpath — All Commercial: $257.97 Humana — ChoiceCare: $279.39 Lutheran Preferred — All Commercial: $279 Managed Health Services — Medicaid: $384.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$930.98	$558.59	$210.50 – $716.55
Colonoscopy with removal of polyps (snare): 10 of 32 insurance plan rates Aetna — Commercial: $210.50 Aetna — Medicare: $210.50 Anthem Blue Cross of IN — Medicaid: $405.04 Anthem Blue Cross of IN — Medicare: $405.04 Anthem Blue Cross of IN — PPO/Pathway: $405.04 Anthem Blue Cross of IN — Traditional: $405.04 Buckeye Health — Medicaid OOS: $257.82 CareSource Indiana of IN — Hoosier Healthwise/HIP: $405.04 CareSource Indiana of IN — Just 4 Me: $242.07 CareSource Indiana of IN — Medicare: $231.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$800.42
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $800.42 CareSource Indiana of IN — Hoosier Healthwise/HIP: $800.42 Managed Health Services — Medicaid: $800.42 MDWise — Medicaid: $800.42
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$828	$496.80	$145.44 – $472.36
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — Commercial: $154.52 Aetna — Medicare: $154.52 Anthem Blue Cross of IN — Medicaid: $304.42 Anthem Blue Cross of IN — Medicare: $304.42 Anthem Blue Cross of IN — PPO/Pathway: $304.42 Anthem Blue Cross of IN — Traditional: $304.42 CareSource Indiana of IN — Hoosier Healthwise/HIP: $304.42 CareSource Indiana of IN — Just 4 Me: $177.70 CareSource Indiana of IN — Medicare: $169.97 Centivo — All Commercial: $239.51
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAP,CHOLECYSTECTOMY	$1,140.24	$684.14	$515.68 – $1,030.83
Gallbladder removal by laparoscope: 10 of 32 insurance plan rates Aetna — Commercial: $571.38 Aetna — Medicare: $571.38 Anthem Blue Cross of IN — Medicaid: $587.64 Anthem Blue Cross of IN — Medicare: $587.64 Anthem Blue Cross of IN — PPO/Pathway: $587.64 Anthem Blue Cross of IN — Traditional: $587.64 Buckeye Health — Medicaid OOS: $515.68 CareSource Indiana of IN — Hoosier Healthwise/HIP: $587.64 CareSource Indiana of IN — Just 4 Me: $657.09 CareSource Indiana of IN — Medicare: $628.52
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$1,079.83
Gallbladder removal by laparoscope: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $1,079.83 CareSource Indiana of IN — Hoosier Healthwise/HIP: $1,079.83 Managed Health Services — Medicaid: $1,079.83 MDWise — Medicaid: $1,079.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REPAIR ING HERNIA,5+Y/O,REDUCIBL	$917.06	$550.24	$313.69 – $712.49
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates Aetna — Commercial: $459.67 Aetna — Medicare: $459.67 Anthem Blue Cross of IN — Medicaid: $467.34 Anthem Blue Cross of IN — Medicare: $467.34 Anthem Blue Cross of IN — PPO/Pathway: $467.34 Anthem Blue Cross of IN — Traditional: $467.34 Buckeye Health — Medicaid OOS: $313.69 CareSource Indiana of IN — Hoosier Healthwise/HIP: $467.34 CareSource Indiana of IN — Just 4 Me: $528.62 CareSource Indiana of IN — Medicare: $505.64
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$582.98
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $582.98 CareSource Indiana of IN — Hoosier Healthwise/HIP: $582.98 Managed Health Services — Medicaid: $582.98 MDWise — Medicaid: $582.98
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR BIOPSY OF PROSTATE,NEEDLE/PUNCH	$434.48	$260.69	$65.41 – $220.18
Prostate biopsy: rates for 6 insurance plans Buckeye Health — Medicaid OOS: $65.41 Frontpath — All Commercial: $167.40 Humana — ChoiceCare: $105.70 Molina Healthcare of OH — Medicaid OOS/Medicare: $65.41 United Healthcare — Commercial: $169.78 United Healthcare — Medicare: $220.18
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY,W/ENDO BX	$2,343.74	$1,406.24	$117.66 – $1,638.55
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates Aetna — Commercial: $188.81 Aetna — Medicare: $188.81 Anthem Blue Cross of IN — Medicaid: $1,113.50 Anthem Blue Cross of IN — Medicare: $1,113.50 Anthem Blue Cross of IN — PPO/Pathway: $1,113.50 Anthem Blue Cross of IN — Traditional: $1,113.50 Buckeye Health — Medicaid OOS: $117.66 CareSource Indiana of IN — Hoosier Healthwise/HIP: $1,113.50 CareSource Indiana of IN — Just 4 Me: $217.13 CareSource Indiana of IN — Medicare: $207.69
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$488.57
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $488.57 CareSource Indiana of IN — Hoosier Healthwise/HIP: $488.57 Managed Health Services — Medicaid: $488.57 MDWise — Medicaid: $488.57
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$886.36	$531.82	$263.04 – $696.86
Carpal tunnel release: 10 of 32 insurance plan rates Aetna — Commercial: $389.54 Aetna — Medicare: $389.54 Anthem Blue Cross of IN — Medicaid: $407.72 Anthem Blue Cross of IN — Medicare: $407.72 Anthem Blue Cross of IN — PPO/Pathway: $407.72 Anthem Blue Cross of IN — Traditional: $407.72 Buckeye Health — Medicaid OOS: $263.04 CareSource Indiana of IN — Hoosier Healthwise/HIP: $407.72 CareSource Indiana of IN — Just 4 Me: $447.97 CareSource Indiana of IN — Medicare: $428.49
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$443.28
Carpal tunnel release: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $443.28 CareSource Indiana of IN — Hoosier Healthwise/HIP: $443.28 Managed Health Services — Medicaid: $443.28 MDWise — Medicaid: $443.28
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (e.g., irri	Not listed in the file	Not listed in the file	$1,106.60
Cataract removal with lens implant: rates for 4 insurance plans Anthem Blue Cross of IN — Medicaid: $1,106.60 CareSource Indiana of IN — Hoosier Healthwise/HIP: $1,106.60 Managed Health Services — Medicaid: $1,106.60 MDWise — Medicaid: $1,106.60

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV	$3,968.28	$2,380.97	$1,490.71 – $3,092.42
Vaginal delivery, with care before and after: 10 of 32 insurance plan rates Aetna — Commercial: $1,987.79 Aetna — Medicare: $1,987.79 Anthem Blue Cross of IN — Medicaid: $2,122.89 Anthem Blue Cross of IN — Medicare: $2,122.89 Anthem Blue Cross of IN — PPO/Pathway: $2,122.89 Anthem Blue Cross of IN — Traditional: $2,122.89 Buckeye Health — Medicaid OOS: $2,608 CareSource Indiana of IN — Hoosier Healthwise/HIP: $2,122.89 CareSource Indiana of IN — Just 4 Me: $2,285.96 CareSource Indiana of IN — Medicare: $2,186.57
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,CESAREAN DELIV	$4,395.84	$2,637.50	$1,689.44 – $3,422.49
Cesarean delivery (C-section), with care before and after: 10 of 30 insurance plan rates Aetna — Commercial: $2,201.39 Aetna — Medicare: $2,201.39 Anthem Blue Cross of IN — Medicaid: $2,342.13 Anthem Blue Cross of IN — Medicare: $2,342.13 Anthem Blue Cross of IN — PPO/Pathway: $2,342.13 Anthem Blue Cross of IN — Traditional: $2,342.13 CareSource Indiana of IN — Hoosier Healthwise/HIP: $2,342.13 CareSource Indiana of IN — Just 4 Me: $2,531.60 CareSource Indiana of IN — Medicare: $2,421.53 Centivo — All Commercial: $3,412.15
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	$4,136.38	$2,481.83	$1,574.45 – $3,242.23
Vaginal delivery after a previous C-section, with care before and after: 10 of 30 insurance plan rates Aetna — Commercial: $2,071.72 Aetna — Medicare: $2,071.72 Anthem Blue Cross of IN — Medicaid: $2,206.65 Anthem Blue Cross of IN — Medicare: $2,206.65 Anthem Blue Cross of IN — PPO/Pathway: $2,206.65 Anthem Blue Cross of IN — Traditional: $2,206.65 CareSource Indiana of IN — Hoosier Healthwise/HIP: $2,206.65 CareSource Indiana of IN — Just 4 Me: $2,382.48 CareSource Indiana of IN — Medicare: $2,278.89 Centivo — All Commercial: $3,211.17

Source: Cameron Health’s standard charges file (tq-consumer-static-prd.turquoise.health, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 29, 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	416 E Maumee St, Angola, IN 46703
County	Steuben County
State	Indiana
Phone	(260) 665‑2141
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	151315
Name in Medicare records	CAMERON HEALTH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Cameron Health (Cameron Hospital)
Official website	cameronhealth.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

Birthing Center and Maternity Care | Cameron Health — cameronhealth.com
Emergency Care | Cameron Health — cameronhealth.com
Encircled Care Program | Cameron Health — cameronhealth.com
General Inpatient Hospice | Cameron Health — cameronhealth.com
Chronic Care Management | Cameron Health — cameronhealth.com
Palliative Care | Cameron Health — cameronhealth.com
Cardiology Services | Cameron Health — cameronhealth.com
Imaging and Diagnostics | Cameron Health — cameronhealth.com
Orthopedics | Cameron Health — cameronhealth.com
Chronic Joint Pain Treatment | Cameron Health — cameronhealth.com
Osteoarthritis Orthopedic Treatment | Cameron Health — cameronhealth.com
Fracture Treatment | Cameron Health — cameronhealth.com
Foot Disorders and Pain | Cameron Health — cameronhealth.com