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Acute Care Hospital

Cameron Regional Medical Center

Cameron, Missouri · Clinton County · Emergency services listed

Cameron Regional Medical Center is an acute care hospital at 1600 E Evergreen, Cameron, MO 64429. Phone: (816) 632-2101. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

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

Summary

Cameron Regional Medical Center is an acute care hospital in Cameron, Missouri. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 87 services, specialties and programs. Medicare lists 155 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(816) 632‑2101 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
60Beds (hospital website)
155Doctors and clinicians
87Services listed

Quick answers

Does Cameron Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Cameron Regional Medical Center. In a medical emergency, call 911.
Where is Cameron Regional Medical Center?
1600 E Evergreen, Cameron, MO 64429, in Clinton County, Missouri.
What is the phone number of Cameron Regional Medical Center?
(816) 632-2101, as listed by Medicare (CMS).
What is the Medicare star rating of Cameron Regional Medical Center?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Cameron Regional Medical Center for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cameron Regional Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1950; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][8][10][11]

Conditions treated[7][9][11]

Treatments[4][7][10][11]

Procedures[7][9][10]

Programs and centers[8][11][13]

  • Inpatient rehabilitation unit (six-bed, Medicare-certified)
  • Patient courtesy van service
  • Outpatient specialty clinics

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

Emergency roomYes
Open 24/7Yes
Stroke designationCertified Level III Stroke Center

Visiting and practical information

VisitingVisiting hours 7am to 8:30pm; children under 13 must be accompanied by an adult[12]
Patient portalhttps://mycarecorner.net

Recognition[7][9][11]

  • Certified Level III Stroke Center
  • Mammography unit accredited by the American College of Radiology
  • Medicare-certified inpatient rehabilitation unit

Doctors and clinicians (155)

155 doctors and other clinicians list Cameron Regional Medical Center 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 (155)

And 131 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Cameron

Hospitals in Clinton County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1065%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well81%National average: 80%
“Always” got help as soon as they wanted64%National average: 64%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean64%National average: 73%
Completed surveys187Response rate: 30%

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

Infections caught in the hospital

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

Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.838No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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

Complications and deaths

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

Deaths within 30 days: heart failure patients17.1%
Deaths within 30 days: pneumonia patients22.1%
Deaths within 30 days: COPD patients12.7%
Serious complications (patient safety indicator PSI-90)0.95No different from the national rate
Complications after hip or knee replacement4%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths 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)16.6%
Readmitted within 30 days: heart failure21.7%
Readmitted within 30 days: pneumonia16.5%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: hip or knee replacement5.7%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted 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)108 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)53%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Cameron Regional Medical Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.1950Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure0.8964Fewer readmissions than expected
Pneumonia0.9572Fewer readmissions than expected
COPD (chronic lung disease)0.9785Fewer readmissions than expected
Hip or knee replacement0.8106Fewer readmissions than expected
No result publishedHeart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score22.12 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)2.50 out of 100
Person and community engagement (patient survey)36.00 out of 100
Safety (infections and sepsis care)0.00 out of 100
Efficiency and cost reduction (Medicare spending)50.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio0.98Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in MissouriBest hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Cameron Regional Medical Center 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 →

$ 3 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 71 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT VISIT NEW $10 Not listed in the file $75.97 – $113.96
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $75.97
  • Blue Cross Blue Shield — Blue Care HMO: $75.97
  • Blue Cross Blue Shield — Blue Select PPO: $75.97
  • Blue Cross Blue Shield — Medicare Advantage HMO: $75.97
  • Medica — Medicare Cost Plan: $80.27
  • Oscar — Medicare Advantage: $113.96
  • United Healthcare — Medicaid CHIP: $92.91
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: TELEHEALTH CLINIC NEW PT LEVEL 3 $65 Not listed in the file $75.97 – $113.96
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $75.97
  • Blue Cross Blue Shield — Blue Care HMO: $101.53
  • Blue Cross Blue Shield — Blue Select PPO: $101.53
  • Blue Cross Blue Shield — Medicare Advantage HMO: $75.97
  • Medica — Medicare Cost Plan: $80.27
  • Oscar — Medicare Advantage: $113.96
  • United Healthcare — Medicaid CHIP: $109.08
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT LEVEL 3 CLINIC $118 Not listed in the file $75.97 – $113.96
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $75.97
  • Blue Cross Blue Shield — Blue Care HMO: $75.97
  • Blue Cross Blue Shield — Blue Select PPO: $75.97
  • Blue Cross Blue Shield — Medicare Advantage HMO: $75.97
  • Medica — Medicare Cost Plan: $80.27
  • Oscar — Medicare Advantage: $113.96
  • United Healthcare — Medicaid CHIP: $92.91
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT VISIT NEW $10 Not listed in the file $123.62 – $185.43
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $123.62
  • Blue Cross Blue Shield — Blue Care HMO: $123.62
  • Blue Cross Blue Shield — Blue Select PPO: $123.62
  • Blue Cross Blue Shield — Medicare Advantage HMO: $123.62
  • Medica — Medicare Cost Plan: $130.57
  • Oscar — Medicare Advantage: $185.43
  • United Healthcare — Medicaid CHIP: $138.56
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: TELEHEALTH HOME NEW PT LEVEL 4 $172 Not listed in the file $123.62 – $185.43
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $123.62
  • Blue Cross Blue Shield — Blue Care HMO: $153.07
  • Blue Cross Blue Shield — Blue Select PPO: $153.07
  • Blue Cross Blue Shield — Medicare Advantage HMO: $123.62
  • Medica — Medicare Cost Plan: $130.57
  • Oscar — Medicare Advantage: $185.43
  • United Healthcare — Medicaid CHIP: $163.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT LEVEL 4 CLINIC $172 Not listed in the file $123.62 – $185.43
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $123.62
  • Blue Cross Blue Shield — Blue Care HMO: $123.62
  • Blue Cross Blue Shield — Blue Select PPO: $123.62
  • Blue Cross Blue Shield — Medicare Advantage HMO: $123.62
  • Medica — Medicare Cost Plan: $130.57
  • Oscar — Medicare Advantage: $185.43
  • United Healthcare — Medicaid CHIP: $138.56
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT NEW VISIT $10 Not listed in the file $168.10 – $252.15
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $168.10
  • Blue Cross Blue Shield — Blue Care HMO: $168.10
  • Blue Cross Blue Shield — Blue Select PPO: $168.10
  • Blue Cross Blue Shield — Medicare Advantage HMO: $168.10
  • Medica — Medicare Cost Plan: $177.54
  • Oscar — Medicare Advantage: $252.15
  • United Healthcare — Medicaid CHIP: $183.27
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: TELEHEALTH CLINIC NEW PT LEVEL 5 $236 Not listed in the file $168.10 – $252.15
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $168.10
  • Blue Cross Blue Shield — Blue Care HMO: $202.56
  • Blue Cross Blue Shield — Blue Select PPO: $202.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $168.10
  • Medica — Medicare Cost Plan: $177.54
  • Oscar — Medicare Advantage: $252.15
  • United Healthcare — Medicaid CHIP: $216.17
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT LEVEL 5 CLINIC $236 Not listed in the file $168.10 – $252.15
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $168.10
  • Blue Cross Blue Shield — Blue Care HMO: $168.10
  • Blue Cross Blue Shield — Blue Select PPO: $168.10
  • Blue Cross Blue Shield — Medicare Advantage HMO: $168.10
  • Medica — Medicare Cost Plan: $177.54
  • Oscar — Medicare Advantage: $252.15
  • United Healthcare — Medicaid CHIP: $183.27
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT VISIT EST $10 Not listed in the file $61.04 – $91.56
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $61.04
  • Blue Cross Blue Shield — Blue Care HMO: $61.04
  • Blue Cross Blue Shield — Blue Select PPO: $61.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $61.04
  • Medica — Medicare Cost Plan: $64.46
  • Oscar — Medicare Advantage: $91.56
  • United Healthcare — Medicaid CHIP: $75.21
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: TELEHEALTH CLINIC EST PT LEVEL 3 $65 Not listed in the file $61.04 – $91.56
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $61.04
  • Blue Cross Blue Shield — Blue Care HMO: $82.71
  • Blue Cross Blue Shield — Blue Select PPO: $82.71
  • Blue Cross Blue Shield — Medicare Advantage HMO: $61.04
  • Medica — Medicare Cost Plan: $64.46
  • Oscar — Medicare Advantage: $91.56
  • United Healthcare — Medicaid CHIP: $88.84
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP ESTABLISHED LEVEL 3 $65 Not listed in the file $61.04 – $91.56
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $61.04
  • Blue Cross Blue Shield — Blue Care HMO: $61.04
  • Blue Cross Blue Shield — Blue Select PPO: $61.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $61.04
  • Medica — Medicare Cost Plan: $64.46
  • Oscar — Medicare Advantage: $91.56
  • United Healthcare — Medicaid CHIP: $75.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT VISIT EST $10 Not listed in the file $89.89 – $134.84
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $89.89
  • Blue Cross Blue Shield — Blue Care HMO: $89.89
  • Blue Cross Blue Shield — Blue Select PPO: $89.89
  • Blue Cross Blue Shield — Medicare Advantage HMO: $89.89
  • Medica — Medicare Cost Plan: $95.04
  • Oscar — Medicare Advantage: $134.84
  • United Healthcare — Medicaid CHIP: $106.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: TELEHEALTH CLINIC EST PT LEVEL 4 $65 Not listed in the file $89.89 – $134.84
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $89.89
  • Blue Cross Blue Shield — Blue Care HMO: $116.85
  • Blue Cross Blue Shield — Blue Select PPO: $116.85
  • Blue Cross Blue Shield — Medicare Advantage HMO: $89.89
  • Medica — Medicare Cost Plan: $95.04
  • Oscar — Medicare Advantage: $134.84
  • United Healthcare — Medicaid CHIP: $125.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: ESTABLISHED OUTPATIENT LEVEL 4 $99 Not listed in the file $89.89 – $134.84
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $89.89
  • Blue Cross Blue Shield — Blue Care HMO: $89.89
  • Blue Cross Blue Shield — Blue Select PPO: $89.89
  • Blue Cross Blue Shield — Medicare Advantage HMO: $89.89
  • Medica — Medicare Cost Plan: $95.04
  • Oscar — Medicare Advantage: $134.84
  • United Healthcare — Medicaid CHIP: $106.15
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: CONSULTATION DETAILED (LOW COMPL) $182 Not listed in the file $100.10 – $129.95
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • Medica — IFB Segment: $116.66
  • Oscar — Medicare Advantage: $100.10
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $129.95
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT CONSULT N $10 Not listed in the file $86.24 – $120.15
Office consultation with a specialist (moderate): rates for 2 insurance plans
  • Medica — Medicare Cost Plan: $86.24
  • United Healthcare — Medicaid CHIP: $120.15
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE/OUTPT CONSULT NEW/EST $220 Not listed in the file $86.24 – $120.15
Office consultation with a specialist (moderate): rates for 2 insurance plans
  • Medica — Medicare Cost Plan: $86.24
  • United Healthcare — Medicaid CHIP: $120.15
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: CONSULTATION DETAILED (LOW COMPL) $267 Not listed in the file $146.85 – $190.64
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
  • Medica — IFB Segment: $171.15
  • Oscar — Medicare Advantage: $146.85
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $190.64
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: CONSULTATION (OP) LEV 4 $10 Not listed in the file $131.24 – $176.33
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Medica — Medicare Cost Plan: $131.24
  • United Healthcare — Medicaid CHIP: $176.33
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE/OUPT CONSULT NE $10 Not listed in the file $131.24 – $176.33
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Medica — Medicare Cost Plan: $131.24
  • United Healthcare — Medicaid CHIP: $176.33
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PHYS PREV MED NP 18-39 $188 Not listed in the file $52.42 – $91.53
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans
  • Medica — Medicare Cost Plan: $91.53
  • United Healthcare — Medicaid CHIP: $52.42
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39 99385 $198 Not listed in the file $126.04
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • United Healthcare — Medicaid CHIP: $126.04
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PHYS PREV MED NP 40-64 $206 Not listed in the file $52.42 – $110.96
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans
  • Medica — Medicare Cost Plan: $110.96
  • United Healthcare — Medicaid CHIP: $52.42
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64 99386 $216 Not listed in the file $145.46
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • United Healthcare — Medicaid CHIP: $145.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL 3 INTERMEDIATE $1,224 Not listed in the file $236.04 – $795.60
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $260.48
  • Blue Cross Blue Shield — Blue Care HMO: $325
  • Blue Cross Blue Shield — Blue Select PPO: $450
  • Blue Cross Blue Shield — Medicare Advantage HMO: $260.48
  • Cigna — Commercial PPO/HMO: $612
  • Cigna — True Choice Medicare PPO/HMO: $612
  • Medica — IFB Segment: $784.58
  • Medica — Medicare Cost Plan: $260.48
  • Oscar — Medicare Advantage: $673.20
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $795.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: E R PHYSICIAN INTERMED $1,224 Not listed in the file $59.80 – $99.78
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $66.52
  • Blue Cross Blue Shield — Blue Care HMO: $66.52
  • Blue Cross Blue Shield — Blue Select PPO: $66.52
  • Blue Cross Blue Shield — Medicare Advantage HMO: $66.52
  • Medica — Medicare Cost Plan: $69.84
  • Oscar — Medicare Advantage: $99.78
  • United Healthcare — Medicaid CHIP: $59.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER PHYSICIAN INTERMEDIATE $1,224 Not listed in the file $59.80 – $99.78
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $66.52
  • Blue Cross Blue Shield — Blue Care HMO: $66.52
  • Blue Cross Blue Shield — Blue Select PPO: $66.52
  • Blue Cross Blue Shield — Medicare Advantage HMO: $66.52
  • Medica — Medicare Cost Plan: $69.84
  • Oscar — Medicare Advantage: $99.78
  • United Healthcare — Medicaid CHIP: $59.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL 4 EXTENSIVE $1,725 Not listed in the file $363 – $1,121.25
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $400.58
  • Blue Cross Blue Shield — Blue Care HMO: $425
  • Blue Cross Blue Shield — Blue Select PPO: $575
  • Blue Cross Blue Shield — Medicare Advantage HMO: $400.58
  • Cigna — Commercial PPO/HMO: $862.50
  • Cigna — True Choice Medicare PPO/HMO: $862.50
  • Medica — IFB Segment: $1,105.73
  • Medica — Medicare Cost Plan: $400.58
  • Oscar — Medicare Advantage: $948.75
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $1,121.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: E R PHYSICIAN EXTENSIVE $1,725 Not listed in the file $100.99 – $170.40
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $113.60
  • Blue Cross Blue Shield — Blue Care HMO: $113.60
  • Blue Cross Blue Shield — Blue Select PPO: $113.60
  • Blue Cross Blue Shield — Medicare Advantage HMO: $113.60
  • Medica — Medicare Cost Plan: $118.85
  • Oscar — Medicare Advantage: $170.40
  • United Healthcare — Medicaid CHIP: $100.99
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER PHYSICIAN EXTENSIVE $1,725 Not listed in the file $100.99 – $170.40
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $113.60
  • Blue Cross Blue Shield — Blue Care HMO: $113.60
  • Blue Cross Blue Shield — Blue Select PPO: $113.60
  • Blue Cross Blue Shield — Medicare Advantage HMO: $113.60
  • Medica — Medicare Cost Plan: $118.85
  • Oscar — Medicare Advantage: $170.40
  • United Healthcare — Medicaid CHIP: $100.99
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL 5 COMPREHENSIVE $2,716 Not listed in the file $522.66 – $1,765.40
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $576.76
  • Blue Cross Blue Shield — Blue Care HMO: $575
  • Blue Cross Blue Shield — Blue Select PPO: $750
  • Blue Cross Blue Shield — Medicare Advantage HMO: $576.76
  • Cigna — Commercial PPO/HMO: $1,358
  • Cigna — True Choice Medicare PPO/HMO: $1,358
  • Medica — IFB Segment: $1,740.96
  • Medica — Medicare Cost Plan: $576.76
  • Oscar — Medicare Advantage: $1,493.80
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $1,765.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: E.R.PHYSICIAN-COMP $1,791 Not listed in the file $146.64 – $247.32
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $164.88
  • Blue Cross Blue Shield — Blue Care HMO: $164.88
  • Blue Cross Blue Shield — Blue Select PPO: $164.88
  • Blue Cross Blue Shield — Medicare Advantage HMO: $164.88
  • Medica — Medicare Cost Plan: $172.21
  • Oscar — Medicare Advantage: $247.32
  • United Healthcare — Medicaid CHIP: $146.64
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER PHYSICIAN COMP $1,791 Not listed in the file $146.64 – $247.32
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $164.88
  • Blue Cross Blue Shield — Blue Care HMO: $164.88
  • Blue Cross Blue Shield — Blue Select PPO: $164.88
  • Blue Cross Blue Shield — Medicare Advantage HMO: $164.88
  • Medica — Medicare Cost Plan: $172.21
  • Oscar — Medicare Advantage: $247.32
  • United Healthcare — Medicaid CHIP: $146.64

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PROFILE $219 Not listed in the file $7.61 – $140.38
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $8.46
  • Blue Cross Blue Shield — Medicare Advantage HMO: $8.46
  • Cigna — Commercial PPO/HMO: $131.40
  • Cigna — True Choice Medicare PPO/HMO: $131.40
  • Medica — IFB Segment: $140.38
  • Medica — Medicare Cost Plan: $8.46
  • Oscar — Medicare Advantage: $120.45
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $8.46
  • United Healthcare — Medicaid CHIP: $7.61
  • United Healthcare — Medicare Advantage: $8.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: BARIATRIC CMP $20 Not listed in the file $9.50 – $12.82
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $10.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $10.56
  • Cigna — Commercial PPO/HMO: $12
  • Cigna — True Choice Medicare PPO/HMO: $12
  • Medica — IFB Segment: $12.82
  • Medica — Medicare Cost Plan: $10.56
  • Oscar — Medicare Advantage: $11
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $10.56
  • United Healthcare — Medicaid CHIP: $9.50
  • United Healthcare — Medicare Advantage: $10.98
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC (SENDOUT) $351 Not listed in the file $9.50 – $224.99
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $10.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $10.56
  • Cigna — Commercial PPO/HMO: $210.60
  • Cigna — True Choice Medicare PPO/HMO: $210.60
  • Medica — IFB Segment: $224.99
  • Medica — Medicare Cost Plan: $10.56
  • Oscar — Medicare Advantage: $193.05
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $10.56
  • United Healthcare — Medicaid CHIP: $9.50
  • United Healthcare — Medicare Advantage: $10.98
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC $351 Not listed in the file $9.50 – $224.99
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $10.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $10.56
  • Cigna — Commercial PPO/HMO: $210.60
  • Cigna — True Choice Medicare PPO/HMO: $210.60
  • Medica — IFB Segment: $224.99
  • Medica — Medicare Cost Plan: $10.56
  • Oscar — Medicare Advantage: $193.05
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $10.56
  • United Healthcare — Medicaid CHIP: $9.50
  • United Healthcare — Medicare Advantage: $10.98
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: BARIATRIC LIPID $20 Not listed in the file $11 – $13.93
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $13.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $13.39
  • Cigna — Commercial PPO/HMO: $12
  • Cigna — True Choice Medicare PPO/HMO: $12
  • Medica — IFB Segment: $12.82
  • Medica — Medicare Cost Plan: $13.39
  • Oscar — Medicare Advantage: $11
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $13.39
  • United Healthcare — Medicaid CHIP: $12.05
  • United Healthcare — Medicare Advantage: $13.93
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE-HDL $321 Not listed in the file $12.05 – $205.76
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $13.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $13.39
  • Cigna — Commercial PPO/HMO: $192.60
  • Cigna — True Choice Medicare PPO/HMO: $192.60
  • Medica — IFB Segment: $205.76
  • Medica — Medicare Cost Plan: $13.39
  • Oscar — Medicare Advantage: $176.55
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $13.39
  • United Healthcare — Medicaid CHIP: $12.05
  • United Healthcare — Medicare Advantage: $13.93
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $250 Not listed in the file $7.35 – $160.25
Liver function panel: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $8.17
  • Blue Cross Blue Shield — Medicare Advantage HMO: $8.17
  • Cigna — Commercial PPO/HMO: $150
  • Cigna — True Choice Medicare PPO/HMO: $150
  • Medica — IFB Segment: $160.25
  • Medica — Medicare Cost Plan: $8.17
  • Oscar — Medicare Advantage: $137.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $8.17
  • United Healthcare — Medicaid CHIP: $7.35
  • United Healthcare — Medicare Advantage: $8.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: *URINALYSIS W/MICRO $78 Not listed in the file $2.85 – $50
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $3.17
  • Blue Cross Blue Shield — Medicare Advantage HMO: $3.17
  • Cigna — Commercial PPO/HMO: $46.80
  • Cigna — True Choice Medicare PPO/HMO: $46.80
  • Medica — IFB Segment: $50
  • Medica — Medicare Cost Plan: $3.17
  • Oscar — Medicare Advantage: $42.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $3.17
  • United Healthcare — Medicaid CHIP: $2.85
  • United Healthcare — Medicare Advantage: $3.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA (ONLY) $13 Not listed in the file $3.13 – $8.33
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $3.48
  • Blue Cross Blue Shield — Medicare Advantage HMO: $3.48
  • Cigna — Commercial PPO/HMO: $7.80
  • Cigna — True Choice Medicare PPO/HMO: $7.80
  • Medica — IFB Segment: $8.33
  • Medica — Medicare Cost Plan: $3.48
  • Oscar — Medicare Advantage: $7.15
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $3.48
  • United Healthcare — Medicaid CHIP: $3.13
  • United Healthcare — Medicare Advantage: $3.62
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: *URINALYSIS DIP STICK NON $13 Not listed in the file $3.13 – $8.33
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $3.48
  • Blue Cross Blue Shield — Medicare Advantage HMO: $3.48
  • Cigna — Commercial PPO/HMO: $7.80
  • Cigna — True Choice Medicare PPO/HMO: $7.80
  • Medica — IFB Segment: $8.33
  • Medica — Medicare Cost Plan: $3.48
  • Oscar — Medicare Advantage: $7.15
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $3.48
  • United Healthcare — Medicaid CHIP: $3.13
  • United Healthcare — Medicare Advantage: $3.62
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPECIFIC GRAVITY, URINE $13 Not listed in the file $3.13 – $8.33
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $3.48
  • Blue Cross Blue Shield — Medicare Advantage HMO: $3.48
  • Cigna — Commercial PPO/HMO: $7.80
  • Cigna — True Choice Medicare PPO/HMO: $7.80
  • Medica — IFB Segment: $8.33
  • Medica — Medicare Cost Plan: $3.48
  • Oscar — Medicare Advantage: $7.15
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $3.48
  • United Healthcare — Medicaid CHIP: $3.13
  • United Healthcare — Medicare Advantage: $3.62
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: *URINALYSIS W/O MICRO $30 Not listed in the file $2.03 – $19.23
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2.25
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2.25
  • Cigna — Commercial PPO/HMO: $18
  • Cigna — True Choice Medicare PPO/HMO: $18
  • Medica — IFB Segment: $19.23
  • Medica — Medicare Cost Plan: $2.25
  • Oscar — Medicare Advantage: $16.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $2.25
  • United Healthcare — Medicaid CHIP: $2.03
  • United Healthcare — Medicare Advantage: $2.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA (Reflex) $30 Not listed in the file $2.03 – $19.23
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2.25
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2.25
  • Cigna — Commercial PPO/HMO: $18
  • Cigna — True Choice Medicare PPO/HMO: $18
  • Medica — IFB Segment: $19.23
  • Medica — Medicare Cost Plan: $2.25
  • Oscar — Medicare Advantage: $16.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $2.25
  • United Healthcare — Medicaid CHIP: $2.03
  • United Healthcare — Medicare Advantage: $2.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINAYLIS AUTO W/O MIC $30 Not listed in the file Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (POST) $88 Not listed in the file $16.55 – $56.41
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $18.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $18.39
  • Cigna — Commercial PPO/HMO: $52.80
  • Cigna — True Choice Medicare PPO/HMO: $52.80
  • Medica — IFB Segment: $56.41
  • Medica — Medicare Cost Plan: $18.39
  • Oscar — Medicare Advantage: $48.40
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $18.39
  • United Healthcare — Medicaid CHIP: $16.55
  • United Healthcare — Medicare Advantage: $19.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA DIAGNOSTIC $88 Not listed in the file $16.55 – $56.41
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $18.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $18.39
  • Cigna — Commercial PPO/HMO: $52.80
  • Cigna — True Choice Medicare PPO/HMO: $52.80
  • Medica — IFB Segment: $56.41
  • Medica — Medicare Cost Plan: $18.39
  • Oscar — Medicare Advantage: $48.40
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $18.39
  • United Healthcare — Medicaid CHIP: $16.55
  • United Healthcare — Medicare Advantage: $19.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA ULTRA SENSITIVITY $88 Not listed in the file $16.55 – $56.41
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $18.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $18.39
  • Cigna — Commercial PPO/HMO: $52.80
  • Cigna — True Choice Medicare PPO/HMO: $52.80
  • Medica — IFB Segment: $56.41
  • Medica — Medicare Cost Plan: $18.39
  • Oscar — Medicare Advantage: $48.40
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $18.39
  • United Healthcare — Medicaid CHIP: $16.55
  • United Healthcare — Medicare Advantage: $19.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $188 Not listed in the file $15.12 – $120.51
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $16.80
  • Blue Cross Blue Shield — Medicare Advantage HMO: $16.80
  • Cigna — Commercial PPO/HMO: $112.80
  • Cigna — True Choice Medicare PPO/HMO: $112.80
  • Medica — IFB Segment: $120.51
  • Medica — Medicare Cost Plan: $16.80
  • Oscar — Medicare Advantage: $103.40
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $16.80
  • United Healthcare — Medicaid CHIP: $15.12
  • United Healthcare — Medicare Advantage: $17.47
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADE PROFILE $188 Not listed in the file $15.12 – $120.51
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $16.80
  • Blue Cross Blue Shield — Medicare Advantage HMO: $16.80
  • Cigna — Commercial PPO/HMO: $112.80
  • Cigna — True Choice Medicare PPO/HMO: $112.80
  • Medica — IFB Segment: $120.51
  • Medica — Medicare Cost Plan: $16.80
  • Oscar — Medicare Advantage: $103.40
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $16.80
  • United Healthcare — Medicaid CHIP: $15.12
  • United Healthcare — Medicare Advantage: $17.47
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: BARIATRIC TSH $20 Not listed in the file $11 – $17.47
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $16.80
  • Blue Cross Blue Shield — Medicare Advantage HMO: $16.80
  • Cigna — Commercial PPO/HMO: $12
  • Cigna — True Choice Medicare PPO/HMO: $12
  • Medica — IFB Segment: $12.82
  • Medica — Medicare Cost Plan: $16.80
  • Oscar — Medicare Advantage: $11
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $16.80
  • United Healthcare — Medicaid CHIP: $15.12
  • United Healthcare — Medicare Advantage: $17.47
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CBC W/AUTO DIF $93 Not listed in the file $6.99 – $59.61
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $7.77
  • Blue Cross Blue Shield — Medicare Advantage HMO: $7.77
  • Cigna — Commercial PPO/HMO: $55.80
  • Cigna — True Choice Medicare PPO/HMO: $55.80
  • Medica — IFB Segment: $59.61
  • Medica — Medicare Cost Plan: $7.77
  • Oscar — Medicare Advantage: $51.15
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $7.77
  • United Healthcare — Medicaid CHIP: $6.99
  • United Healthcare — Medicare Advantage: $8.08
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CBC $93 Not listed in the file $6.99 – $59.61
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $7.77
  • Blue Cross Blue Shield — Medicare Advantage HMO: $7.77
  • Cigna — Commercial PPO/HMO: $55.80
  • Cigna — True Choice Medicare PPO/HMO: $55.80
  • Medica — IFB Segment: $59.61
  • Medica — Medicare Cost Plan: $7.77
  • Oscar — Medicare Advantage: $51.15
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $7.77
  • United Healthcare — Medicaid CHIP: $6.99
  • United Healthcare — Medicare Advantage: $8.08
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC (w/o Diff) $77 Not listed in the file $5.82 – $49.36
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $6.47
  • Blue Cross Blue Shield — Medicare Advantage HMO: $6.47
  • Cigna — Commercial PPO/HMO: $46.20
  • Cigna — True Choice Medicare PPO/HMO: $46.20
  • Medica — IFB Segment: $49.36
  • Medica — Medicare Cost Plan: $6.47
  • Oscar — Medicare Advantage: $42.35
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $6.47
  • United Healthcare — Medicaid CHIP: $5.82
  • United Healthcare — Medicare Advantage: $6.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME $36 Not listed in the file $3.86 – $23.08
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $4.29
  • Blue Cross Blue Shield — Medicare Advantage HMO: $4.29
  • Cigna — Commercial PPO/HMO: $21.60
  • Cigna — True Choice Medicare PPO/HMO: $21.60
  • Medica — IFB Segment: $23.08
  • Medica — Medicare Cost Plan: $4.29
  • Oscar — Medicare Advantage: $19.80
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $4.29
  • United Healthcare — Medicaid CHIP: $3.86
  • United Healthcare — Medicare Advantage: $4.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME; 85610 $36 Not listed in the file $4.29 – $4.38
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • Blue Cross Blue Shield — Blue Care HMO: $4.29
  • Blue Cross Blue Shield — Blue Select PPO: $4.29
  • United Healthcare — Medicaid CHIP: $4.38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT (PRL) $95 Not listed in the file $5.41 – $60.90
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $6.01
  • Blue Cross Blue Shield — Medicare Advantage HMO: $6.01
  • Cigna — Commercial PPO/HMO: $57
  • Cigna — True Choice Medicare PPO/HMO: $57
  • Medica — IFB Segment: $60.90
  • Medica — Medicare Cost Plan: $6.01
  • Oscar — Medicare Advantage: $52.25
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $6.01
  • United Healthcare — Medicaid CHIP: $5.41
  • United Healthcare — Medicare Advantage: $6.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT; PLASMA OR WHOLE BLOOD $95 Not listed in the file $5.41 – $60.90
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $6.01
  • Blue Cross Blue Shield — Medicare Advantage HMO: $6.01
  • Cigna — Commercial PPO/HMO: $57
  • Cigna — True Choice Medicare PPO/HMO: $57
  • Medica — IFB Segment: $60.90
  • Medica — Medicare Cost Plan: $6.01
  • Oscar — Medicare Advantage: $52.25
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $6.01
  • United Healthcare — Medicaid CHIP: $5.41
  • United Healthcare — Medicare Advantage: $6.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT DAILY $95 Not listed in the file $5.41 – $60.90
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $6.01
  • Blue Cross Blue Shield — Medicare Advantage HMO: $6.01
  • Cigna — Commercial PPO/HMO: $57
  • Cigna — True Choice Medicare PPO/HMO: $57
  • Medica — IFB Segment: $60.90
  • Medica — Medicare Cost Plan: $6.01
  • Oscar — Medicare Advantage: $52.25
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $6.01
  • United Healthcare — Medicaid CHIP: $5.41
  • United Healthcare — Medicare Advantage: $6.25

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CONTRAST $2,500 Not listed in the file $90.66 – $1,602.50
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $100.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.04
  • Cigna — Commercial PPO/HMO: $675
  • Cigna — True Choice Medicare PPO/HMO: $675
  • Medica — IFB Segment: $1,602.50
  • Medica — Medicare Cost Plan: $100.04
  • Oscar — Medicare Advantage: $1,375
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $100.04
  • United Healthcare — Medicaid CHIP: $90.66
  • United Healthcare — Medicare Advantage: $104.04
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CODE STROKE CT HEAD $2,500 Not listed in the file $90.66 – $1,602.50
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $100.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.04
  • Cigna — Commercial PPO/HMO: $675
  • Cigna — True Choice Medicare PPO/HMO: $675
  • Medica — IFB Segment: $1,602.50
  • Medica — Medicare Cost Plan: $100.04
  • Oscar — Medicare Advantage: $1,375
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $100.04
  • United Healthcare — Medicaid CHIP: $90.66
  • United Healthcare — Medicare Advantage: $104.04
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT - HEAD/BRAIN WO CONTRAST $65 Not listed in the file $38.66 – $141.56
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $94.37
  • Blue Cross Blue Shield — Blue Care HMO: $94.37
  • Blue Cross Blue Shield — Blue Select PPO: $94.37
  • Blue Cross Blue Shield — Medicare Advantage HMO: $94.37
  • Medica — Medicare Cost Plan: $39.21
  • Oscar — Medicare Advantage: $141.56
  • United Healthcare — Medicaid CHIP: $38.66
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR BRAIN W/WO CONTRAST * $6,347 Not listed in the file $304.45 – $4,068.43
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $335.96
  • Blue Cross Blue Shield — Medicare Advantage HMO: $335.96
  • Cigna — Commercial PPO/HMO: $850
  • Cigna — True Choice Medicare PPO/HMO: $850
  • Medica — IFB Segment: $4,068.43
  • Medica — Medicare Cost Plan: $335.96
  • Oscar — Medicare Advantage: $3,490.85
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $335.96
  • United Healthcare — Medicaid CHIP: $304.45
  • United Healthcare — Medicare Advantage: $349.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST PA AND LAT 2 VIEW * $477 Not listed in the file $75.06 – $305.76
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $82.83
  • Blue Cross Blue Shield — Medicare Advantage HMO: $82.83
  • Cigna — Commercial PPO/HMO: $286.20
  • Cigna — True Choice Medicare PPO/HMO: $286.20
  • Medica — IFB Segment: $305.76
  • Medica — Medicare Cost Plan: $82.83
  • Oscar — Medicare Advantage: $262.35
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $82.83
  • United Healthcare — Medicaid CHIP: $75.06
  • United Healthcare — Medicare Advantage: $86.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: DAILY CHEST PA AND LAT 2 VIEW * $477 Not listed in the file $75.06 – $305.76
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $82.83
  • Blue Cross Blue Shield — Medicare Advantage HMO: $82.83
  • Cigna — Commercial PPO/HMO: $286.20
  • Cigna — True Choice Medicare PPO/HMO: $286.20
  • Medica — IFB Segment: $305.76
  • Medica — Medicare Cost Plan: $82.83
  • Oscar — Medicare Advantage: $262.35
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $82.83
  • United Healthcare — Medicaid CHIP: $75.06
  • United Healthcare — Medicare Advantage: $86.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST PA & LATERAL 2 VIEW * $477 Not listed in the file $75.06 – $305.76
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $82.83
  • Blue Cross Blue Shield — Medicare Advantage HMO: $82.83
  • Cigna — Commercial PPO/HMO: $286.20
  • Cigna — True Choice Medicare PPO/HMO: $286.20
  • Medica — IFB Segment: $305.76
  • Medica — Medicare Cost Plan: $82.83
  • Oscar — Medicare Advantage: $262.35
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $82.83
  • United Healthcare — Medicaid CHIP: $75.06
  • United Healthcare — Medicare Advantage: $86.14
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR 5 VIEW $628 Not listed in the file $90.66 – $402.55
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $100.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.04
  • Cigna — Commercial PPO/HMO: $376.80
  • Cigna — True Choice Medicare PPO/HMO: $376.80
  • Medica — IFB Segment: $402.55
  • Medica — Medicare Cost Plan: $100.04
  • Oscar — Medicare Advantage: $345.40
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $100.04
  • United Healthcare — Medicaid CHIP: $90.66
  • United Healthcare — Medicare Advantage: $104.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR LUMBAR SPINE WO CONTRAST * $5,025 Not listed in the file $206.06 – $3,221.03
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $227.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $227.39
  • Cigna — Commercial PPO/HMO: $850
  • Cigna — True Choice Medicare PPO/HMO: $850
  • Medica — IFB Segment: $3,221.03
  • Medica — Medicare Cost Plan: $227.39
  • Oscar — Medicare Advantage: $2,763.75
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $227.39
  • United Healthcare — Medicaid CHIP: $206.06
  • United Healthcare — Medicare Advantage: $236.49
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CONTRAST $2,500 Not listed in the file $151.76 – $1,602.50
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $167.47
  • Blue Cross Blue Shield — Medicare Advantage HMO: $167.47
  • Cigna — Commercial PPO/HMO: $675
  • Cigna — True Choice Medicare PPO/HMO: $675
  • Medica — IFB Segment: $1,602.50
  • Medica — Medicare Cost Plan: $167.47
  • Oscar — Medicare Advantage: $1,375
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $167.47
  • United Healthcare — Medicaid CHIP: $151.76
  • United Healthcare — Medicare Advantage: $174.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR LOWER EXTR ANY JOINT W/O CONTRAST $4,650 Not listed in the file $206.06 – $2,980.65
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $227.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $227.39
  • Cigna — Commercial PPO/HMO: $850
  • Cigna — True Choice Medicare PPO/HMO: $850
  • Medica — IFB Segment: $2,980.65
  • Medica — Medicare Cost Plan: $227.39
  • Oscar — Medicare Advantage: $2,557.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $227.39
  • United Healthcare — Medicaid CHIP: $206.06
  • United Healthcare — Medicare Advantage: $236.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MR LOWER EXTR ANY JOINT LEFT W/O CONTRAS $4,650 Not listed in the file $206.06 – $2,980.65
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $227.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $227.39
  • Cigna — Commercial PPO/HMO: $850
  • Cigna — True Choice Medicare PPO/HMO: $850
  • Medica — IFB Segment: $2,980.65
  • Medica — Medicare Cost Plan: $227.39
  • Oscar — Medicare Advantage: $2,557.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $227.39
  • United Healthcare — Medicaid CHIP: $206.06
  • United Healthcare — Medicare Advantage: $236.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MR LOWER EXTR ANY JOINT RIGHT W/O CONTRA $4,650 Not listed in the file $206.06 – $2,980.65
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $227.39
  • Blue Cross Blue Shield — Medicare Advantage HMO: $227.39
  • Cigna — Commercial PPO/HMO: $850
  • Cigna — True Choice Medicare PPO/HMO: $850
  • Medica — IFB Segment: $2,980.65
  • Medica — Medicare Cost Plan: $227.39
  • Oscar — Medicare Advantage: $2,557.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $227.39
  • United Healthcare — Medicaid CHIP: $206.06
  • United Healthcare — Medicare Advantage: $236.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD AND PEL W CONTRAST * $8,112 Not listed in the file $304.45 – $5,199.79
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $335.96
  • Blue Cross Blue Shield — Medicare Advantage HMO: $335.96
  • Cigna — Commercial PPO/HMO: $675
  • Cigna — True Choice Medicare PPO/HMO: $675
  • Medica — IFB Segment: $5,199.79
  • Medica — Medicare Cost Plan: $335.96
  • Oscar — Medicare Advantage: $4,461.60
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $335.96
  • United Healthcare — Medicaid CHIP: $304.45
  • United Healthcare — Medicare Advantage: $349.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN * $2,650 Not listed in the file $90.66 – $1,698.65
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $100.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.04
  • Cigna — Commercial PPO/HMO: $1,590
  • Cigna — True Choice Medicare PPO/HMO: $1,590
  • Medica — IFB Segment: $1,698.65
  • Medica — Medicare Cost Plan: $100.04
  • Oscar — Medicare Advantage: $1,457.50
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $100.04
  • United Healthcare — Medicaid CHIP: $90.66
  • United Healthcare — Medicare Advantage: $104.04
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB GREATER THAN 14 WKS $867 Not listed in the file $90.66 – $555.75
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $100.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.04
  • Cigna — Commercial PPO/HMO: $520.20
  • Cigna — True Choice Medicare PPO/HMO: $520.20
  • Medica — IFB Segment: $555.75
  • Medica — Medicare Cost Plan: $100.04
  • Oscar — Medicare Advantage: $476.85
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $100.04
  • United Healthcare — Medicaid CHIP: $90.66
  • United Healthcare — Medicare Advantage: $104.04
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS $75 Not listed in the file $35.99 – $174.66
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $116.44
  • Blue Cross Blue Shield — Blue Care HMO: $116.44
  • Blue Cross Blue Shield — Blue Select PPO: $116.44
  • Blue Cross Blue Shield — Medicare Advantage HMO: $116.44
  • Medica — Medicare Cost Plan: $46.10
  • Oscar — Medicare Advantage: $174.66
  • United Healthcare — Medicaid CHIP: $35.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US < 14 WKS ADDL FETUS $867 Not listed in the file $116.44 – $130.67
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Blue Cross Blue Shield — Blue Care HMO: $116.44
  • Blue Cross Blue Shield — Blue Select PPO: $116.44
  • United Healthcare — Medicaid CHIP: $130.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US EV PELVIC $795 Not listed in the file $90.66 – $509.60
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $100.04
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.04
  • Cigna — Commercial PPO/HMO: $477
  • Cigna — True Choice Medicare PPO/HMO: $477
  • Medica — IFB Segment: $509.60
  • Medica — Medicare Cost Plan: $100.04
  • Oscar — Medicare Advantage: $437.25
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $100.04
  • United Healthcare — Medicaid CHIP: $90.66
  • United Healthcare — Medicare Advantage: $104.04
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: NON-OB TRANSVAG US $795 Not listed in the file $101.42 – $114.63
Transvaginal ultrasound: rates for 3 insurance plans
  • Blue Cross Blue Shield — Blue Care HMO: $101.42
  • Blue Cross Blue Shield — Blue Select PPO: $101.42
  • United Healthcare — Medicaid CHIP: $114.63
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM TOMO UNILATERAL RT DX $283 Not listed in the file $73.15 – $181.40
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $73.15
  • Blue Cross Blue Shield — Medicare Advantage HMO: $73.15
  • Cigna — Commercial PPO/HMO: $169.80
  • Cigna — True Choice Medicare PPO/HMO: $169.80
  • Medica — IFB Segment: $181.40
  • Medica — Medicare Cost Plan: $73.15
  • Oscar — Medicare Advantage: $155.65
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $73.15
  • United Healthcare — Medicaid CHIP: $105.69
  • United Healthcare — Medicare Advantage: $76.08
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM SPOT MAG LT $283 Not listed in the file $73.15 – $181.40
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $73.15
  • Blue Cross Blue Shield — Medicare Advantage HMO: $73.15
  • Cigna — Commercial PPO/HMO: $169.80
  • Cigna — True Choice Medicare PPO/HMO: $169.80
  • Medica — IFB Segment: $181.40
  • Medica — Medicare Cost Plan: $73.15
  • Oscar — Medicare Advantage: $155.65
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $73.15
  • United Healthcare — Medicaid CHIP: $105.69
  • United Healthcare — Medicare Advantage: $76.08
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM SPOT MAG RT $283 Not listed in the file $73.15 – $181.40
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $73.15
  • Blue Cross Blue Shield — Medicare Advantage HMO: $73.15
  • Cigna — Commercial PPO/HMO: $169.80
  • Cigna — True Choice Medicare PPO/HMO: $169.80
  • Medica — IFB Segment: $181.40
  • Medica — Medicare Cost Plan: $73.15
  • Oscar — Medicare Advantage: $155.65
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $73.15
  • United Healthcare — Medicaid CHIP: $105.69
  • United Healthcare — Medicare Advantage: $76.08
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: CAD DIAGNOSTIC BILATERAL $318 Not listed in the file $93.16 – $203.84
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $93.16
  • Blue Cross Blue Shield — Medicare Advantage HMO: $93.16
  • Cigna — Commercial PPO/HMO: $190.80
  • Cigna — True Choice Medicare PPO/HMO: $190.80
  • Medica — IFB Segment: $203.84
  • Medica — Medicare Cost Plan: $93.16
  • Oscar — Medicare Advantage: $174.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $93.16
  • United Healthcare — Medicaid CHIP: $133.12
  • United Healthcare — Medicare Advantage: $96.89
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: CAD DIAG BILATERAL $318 Not listed in the file $93.16 – $203.84
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $93.16
  • Blue Cross Blue Shield — Medicare Advantage HMO: $93.16
  • Cigna — Commercial PPO/HMO: $190.80
  • Cigna — True Choice Medicare PPO/HMO: $190.80
  • Medica — IFB Segment: $203.84
  • Medica — Medicare Cost Plan: $93.16
  • Oscar — Medicare Advantage: $174.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $93.16
  • United Healthcare — Medicaid CHIP: $133.12
  • United Healthcare — Medicare Advantage: $96.89
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM 2D DIGITAL BILAT MAMMOGRAPHY DIAG $318 Not listed in the file $93.16 – $203.84
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $93.16
  • Blue Cross Blue Shield — Medicare Advantage HMO: $93.16
  • Cigna — Commercial PPO/HMO: $190.80
  • Cigna — True Choice Medicare PPO/HMO: $190.80
  • Medica — IFB Segment: $203.84
  • Medica — Medicare Cost Plan: $93.16
  • Oscar — Medicare Advantage: $174.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $93.16
  • United Healthcare — Medicaid CHIP: $133.12
  • United Healthcare — Medicare Advantage: $96.89
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM 2D DIGITAL SCREENING MAMMOGRAPHY $318 Not listed in the file $77 – $203.84
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $77
  • Blue Cross Blue Shield — Medicare Advantage HMO: $77
  • Cigna — Commercial PPO/HMO: $190.80
  • Cigna — True Choice Medicare PPO/HMO: $190.80
  • Medica — IFB Segment: $203.84
  • Medica — Medicare Cost Plan: $77
  • Oscar — Medicare Advantage: $174.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $77
  • United Healthcare — Medicaid CHIP: $107.82
  • United Healthcare — Medicare Advantage: $80.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM BILAT MAMMO SCREEN $318 Not listed in the file $77 – $203.84
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $77
  • Blue Cross Blue Shield — Medicare Advantage HMO: $77
  • Cigna — Commercial PPO/HMO: $190.80
  • Cigna — True Choice Medicare PPO/HMO: $190.80
  • Medica — IFB Segment: $203.84
  • Medica — Medicare Cost Plan: $77
  • Oscar — Medicare Advantage: $174.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $77
  • United Healthcare — Medicaid CHIP: $107.82
  • United Healthcare — Medicare Advantage: $80.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM UNILAT MAMMO SCREENING $318 Not listed in the file $77 – $203.84
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $77
  • Blue Cross Blue Shield — Medicare Advantage HMO: $77
  • Cigna — Commercial PPO/HMO: $190.80
  • Cigna — True Choice Medicare PPO/HMO: $190.80
  • Medica — IFB Segment: $203.84
  • Medica — Medicare Cost Plan: $77
  • Oscar — Medicare Advantage: $174.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $77
  • United Healthcare — Medicaid CHIP: $107.82
  • United Healthcare — Medicare Advantage: $80.08

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG 12 LEAD W/INTERPRETATION & REPORT $46.25 Not listed in the file $12.80 – $19.20
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $12.80
  • Blue Cross Blue Shield — Blue Care HMO: $12.80
  • Blue Cross Blue Shield — Blue Select PPO: $12.80
  • Blue Cross Blue Shield — Medicare Advantage HMO: $12.80
  • Medica — Medicare Cost Plan: $13.94
  • Oscar — Medicare Advantage: $19.20
  • United Healthcare — Medicaid CHIP: $18.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: SLEEP STUDY POLY $4,674 Not listed in the file $867.31 – $3,337.24
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $957.08
  • Blue Cross Blue Shield — Blue Care HMO: $3,038.10
  • Blue Cross Blue Shield — Blue Select PPO: $1,607.86
  • Blue Cross Blue Shield — Medicare Advantage HMO: $957.08
  • Cigna — Commercial PPO/HMO: $2,804.40
  • Cigna — True Choice Medicare PPO/HMO: $2,804.40
  • Medica — IFB Segment: $2,996.03
  • Medica — Medicare Cost Plan: $957.08
  • Oscar — Medicare Advantage: $2,570.70
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $3,337.24

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: EXERCISE THERAPEUTIC EA 15 MIN 97110 $242 Not listed in the file $25.31 – $172.79
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $26.82
  • Blue Cross Blue Shield — Medicare Advantage HMO: $26.82
  • Cigna — Commercial PPO/HMO: $95
  • Cigna — True Choice Medicare PPO/HMO: $95
  • Medica — IFB Segment: $155.12
  • Medica — Medicare Cost Plan: $26.82
  • Oscar — Medicare Advantage: $133.10
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $172.79
  • United Healthcare — Medicaid CHIP: $25.31
  • United Healthcare — Medicare Advantage: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: PT ASST EXERCISE THER EA 15 MIN 97110 $242 Not listed in the file $25.31 – $172.79
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $26.82
  • Blue Cross Blue Shield — Medicare Advantage HMO: $26.82
  • Cigna — Commercial PPO/HMO: $95
  • Cigna — True Choice Medicare PPO/HMO: $95
  • Medica — IFB Segment: $155.12
  • Medica — Medicare Cost Plan: $26.82
  • Oscar — Medicare Advantage: $133.10
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $172.79
  • United Healthcare — Medicaid CHIP: $25.31
  • United Healthcare — Medicare Advantage: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: OT EXERCISE EA 15 MIN $242 Not listed in the file $25.31 – $172.79
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $26.82
  • Blue Cross Blue Shield — Medicare Advantage HMO: $26.82
  • Cigna — Commercial PPO/HMO: $95
  • Cigna — True Choice Medicare PPO/HMO: $95
  • Medica — IFB Segment: $155.12
  • Medica — Medicare Cost Plan: $26.82
  • Oscar — Medicare Advantage: $133.10
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $172.79
  • United Healthcare — Medicaid CHIP: $25.31
  • United Healthcare — Medicare Advantage: $27.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT EVALUATION LOW COMPLEXITY 97161 $258 Not listed in the file $86.18 – $184.21
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $91.36
  • Blue Cross Blue Shield — Medicare Advantage HMO: $91.36
  • Cigna — Commercial PPO/HMO: $95
  • Cigna — True Choice Medicare PPO/HMO: $95
  • Medica — IFB Segment: $165.38
  • Medica — Medicare Cost Plan: $91.36
  • Oscar — Medicare Advantage: $141.90
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $184.21
  • United Healthcare — Medicaid CHIP: $86.18
  • United Healthcare — Medicare Advantage: $95.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT EVALUATION MODERATE COMPLEXITY 97162 $282 Not listed in the file $86.18 – $201.35
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $91.36
  • Blue Cross Blue Shield — Medicare Advantage HMO: $91.36
  • Cigna — Commercial PPO/HMO: $95
  • Cigna — True Choice Medicare PPO/HMO: $95
  • Medica — IFB Segment: $180.76
  • Medica — Medicare Cost Plan: $91.36
  • Oscar — Medicare Advantage: $155.10
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $201.35
  • United Healthcare — Medicaid CHIP: $86.18
  • United Healthcare — Medicare Advantage: $95.01
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT EVALUATION HIGH COMPLEXITY 97163 $356 Not listed in the file $86.18 – $254.18
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna — Medicare Advantage: $91.36
  • Blue Cross Blue Shield — Medicare Advantage HMO: $91.36
  • Cigna — Commercial PPO/HMO: $95
  • Cigna — True Choice Medicare PPO/HMO: $95
  • Medica — IFB Segment: $228.20
  • Medica — Medicare Cost Plan: $91.36
  • Oscar — Medicare Advantage: $195.80
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $254.18
  • United Healthcare — Medicaid CHIP: $86.18
  • United Healthcare — Medicare Advantage: $95.01
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient a $75 Not listed in the file $67.82 – $101.73
Psychotherapy, 30 minutes: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $67.82
  • Blue Cross Blue Shield — Blue Care HMO: $67.82
  • Blue Cross Blue Shield — Blue Select PPO: $67.82
  • Blue Cross Blue Shield — Medicare Advantage HMO: $67.82
  • Medica — Medicare Cost Plan: $68.07
  • Oscar — Medicare Advantage: $101.73
  • United Healthcare — Medicaid CHIP: $77.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient a $112 Not listed in the file $89.44 – $134.16
Psychotherapy, 45 minutes: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $89.44
  • Blue Cross Blue Shield — Blue Care HMO: $89.44
  • Blue Cross Blue Shield — Blue Select PPO: $89.44
  • Blue Cross Blue Shield — Medicare Advantage HMO: $89.44
  • Medica — Medicare Cost Plan: $89.97
  • Oscar — Medicare Advantage: $134.16
  • United Healthcare — Medicaid CHIP: $101.90
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPHY W PT $174 Not listed in the file $100.80 – $151.20
Family psychotherapy, with the patient: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $100.80
  • Blue Cross Blue Shield — Blue Care HMO: $100.80
  • Blue Cross Blue Shield — Blue Select PPO: $100.80
  • Blue Cross Blue Shield — Medicare Advantage HMO: $100.80
  • Medica — Medicare Cost Plan: $101.22
  • Oscar — Medicare Advantage: $151.20
  • United Healthcare — Medicaid CHIP: $101.11

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: 00400 EXCISION OF CYST, FIBROADENOMA $58 Not listed in the file $386.98 – $580.47
Removal of breast growth (open surgery): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $386.98
  • Blue Cross Blue Shield — Blue Care HMO: $386.98
  • Blue Cross Blue Shield — Blue Select PPO: $386.98
  • Blue Cross Blue Shield — Medicare Advantage HMO: $386.98
  • Medica — Medicare Cost Plan: $413.28
  • Oscar — Medicare Advantage: $580.47
  • United Healthcare — Medicaid CHIP: $394.12
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXC CYST BEN OR MALIG TUMOR MF 1 OR MORE $1,288 Not listed in the file $386.98 – $580.47
Removal of breast growth (open surgery): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $386.98
  • Blue Cross Blue Shield — Blue Care HMO: $386.98
  • Blue Cross Blue Shield — Blue Select PPO: $386.98
  • Blue Cross Blue Shield — Medicare Advantage HMO: $386.98
  • Medica — Medicare Cost Plan: $413.28
  • Oscar — Medicare Advantage: $580.47
  • United Healthcare — Medicaid CHIP: $394.12
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: 01214 TOTAL HIP ARTHRO W/WO AUTO-ALL $58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Not listed in the file $966.27 – $1,778.90
Total hip replacement: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $1,185.93
  • Blue Cross Blue Shield — Blue Care HMO: $1,185.93
  • Blue Cross Blue Shield — Blue Select PPO: $1,185.93
  • Blue Cross Blue Shield — Medicare Advantage HMO: $1,185.93
  • Medica — Medicare Cost Plan: $1,263.08
  • Oscar — Medicare Advantage: $1,778.90
  • United Healthcare — Medicaid CHIP: $966.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP $1,755 Not listed in the file $966.27 – $1,778.90
Total hip replacement: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $1,185.93
  • Blue Cross Blue Shield — Blue Care HMO: $1,185.93
  • Blue Cross Blue Shield — Blue Select PPO: $1,185.93
  • Blue Cross Blue Shield — Medicare Advantage HMO: $1,185.93
  • Medica — Medicare Cost Plan: $1,263.08
  • Oscar — Medicare Advantage: $1,778.90
  • United Healthcare — Medicaid CHIP: $966.27
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: ANES TOT KNEE ARTHROPLASTY $58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Not listed in the file $965.28 – $1,776.75
Total knee replacement: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $1,184.50
  • Blue Cross Blue Shield — Blue Care HMO: $1,184.50
  • Blue Cross Blue Shield — Blue Select PPO: $1,184.50
  • Blue Cross Blue Shield — Medicare Advantage HMO: $1,184.50
  • Medica — Medicare Cost Plan: $1,261.15
  • Oscar — Medicare Advantage: $1,776.75
  • United Healthcare — Medicaid CHIP: $965.28
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: 01402 TOTAL KNEE $58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Not listed in the file $965.28 – $1,776.75
Total knee replacement: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $1,184.50
  • Blue Cross Blue Shield — Blue Care HMO: $1,184.50
  • Blue Cross Blue Shield — Blue Select PPO: $1,184.50
  • Blue Cross Blue Shield — Medicare Advantage HMO: $1,184.50
  • Medica — Medicare Cost Plan: $1,261.15
  • Oscar — Medicare Advantage: $1,776.75
  • United Healthcare — Medicaid CHIP: $965.28
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: ARTHROPLASTY MED LAT $1,760 Not listed in the file $965.28 – $1,776.75
Total knee replacement: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $1,184.50
  • Blue Cross Blue Shield — Blue Care HMO: $1,184.50
  • Blue Cross Blue Shield — Blue Select PPO: $1,184.50
  • Blue Cross Blue Shield — Medicare Advantage HMO: $1,184.50
  • Medica — Medicare Cost Plan: $1,261.15
  • Oscar — Medicare Advantage: $1,776.75
  • United Healthcare — Medicaid CHIP: $965.28
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: ANES SHOULDER ARTHROSCOPY $58 Not listed in the file $158.97 – $395.50
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $158.97
  • Blue Cross Blue Shield — Blue Care HMO: $158.97
  • Blue Cross Blue Shield — Blue Select PPO: $158.97
  • Blue Cross Blue Shield — Medicare Advantage HMO: $158.97
  • Medica — Medicare Cost Plan: $167.55
  • Oscar — Medicare Advantage: $238.46
  • United Healthcare — Medicaid CHIP: $395.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: 01630 ANESTH SHOULDER ARTHROSCOPY DECOMP $58 Not listed in the file $158.97 – $395.50
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $158.97
  • Blue Cross Blue Shield — Blue Care HMO: $158.97
  • Blue Cross Blue Shield — Blue Select PPO: $158.97
  • Blue Cross Blue Shield — Medicare Advantage HMO: $158.97
  • Medica — Medicare Cost Plan: $167.55
  • Oscar — Medicare Advantage: $238.46
  • United Healthcare — Medicaid CHIP: $395.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHOULDER ARTHROSCOPY/SURGERY $271 Not listed in the file $158.97 – $395.50
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $158.97
  • Blue Cross Blue Shield — Blue Care HMO: $158.97
  • Blue Cross Blue Shield — Blue Select PPO: $158.97
  • Blue Cross Blue Shield — Medicare Advantage HMO: $158.97
  • Medica — Medicare Cost Plan: $167.55
  • Oscar — Medicare Advantage: $238.46
  • United Healthcare — Medicaid CHIP: $395.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ANES ARTHROSCOPY $58 Not listed in the file $409.55 – $749.39
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $499.59
  • Blue Cross Blue Shield — Blue Care HMO: $499.59
  • Blue Cross Blue Shield — Blue Select PPO: $499.59
  • Blue Cross Blue Shield — Medicare Advantage HMO: $499.59
  • Medica — Medicare Cost Plan: $536.69
  • Oscar — Medicare Advantage: $749.39
  • United Healthcare — Medicaid CHIP: $409.55
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: 01400 ANESTH ARTHROSCOPY KNEE W/MENISCET $58 Not listed in the file $409.55 – $749.39
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $499.59
  • Blue Cross Blue Shield — Blue Care HMO: $499.59
  • Blue Cross Blue Shield — Blue Select PPO: $499.59
  • Blue Cross Blue Shield — Medicare Advantage HMO: $499.59
  • Medica — Medicare Cost Plan: $536.69
  • Oscar — Medicare Advantage: $749.39
  • United Healthcare — Medicaid CHIP: $409.55
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY $822 Not listed in the file $409.55 – $749.39
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $499.59
  • Blue Cross Blue Shield — Blue Care HMO: $499.59
  • Blue Cross Blue Shield — Blue Select PPO: $499.59
  • Blue Cross Blue Shield — Medicare Advantage HMO: $499.59
  • Medica — Medicare Cost Plan: $536.69
  • Oscar — Medicare Advantage: $749.39
  • United Healthcare — Medicaid CHIP: $409.55
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: ANES REMOVAL OF TONSILS AND ADENOIDS $58 Not listed in the file $226.54 – $402.80
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $268.53
  • Blue Cross Blue Shield — Blue Care HMO: $268.53
  • Blue Cross Blue Shield — Blue Select PPO: $268.53
  • Blue Cross Blue Shield — Medicare Advantage HMO: $268.53
  • Medica — Medicare Cost Plan: $288.44
  • Oscar — Medicare Advantage: $402.80
  • United Healthcare — Medicaid CHIP: $226.54
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: 00170 ANESTH TONSILLECTOMY AND ADENOIDEC $58 Not listed in the file $226.54 – $402.80
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $268.53
  • Blue Cross Blue Shield — Blue Care HMO: $268.53
  • Blue Cross Blue Shield — Blue Select PPO: $268.53
  • Blue Cross Blue Shield — Medicare Advantage HMO: $268.53
  • Medica — Medicare Cost Plan: $288.44
  • Oscar — Medicare Advantage: $402.80
  • United Healthcare — Medicaid CHIP: $226.54
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: T AND A UNDER 12 $1,772 Not listed in the file $226.54 – $402.80
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $268.53
  • Blue Cross Blue Shield — Blue Care HMO: $268.53
  • Blue Cross Blue Shield — Blue Select PPO: $268.53
  • Blue Cross Blue Shield — Medicare Advantage HMO: $268.53
  • Medica — Medicare Cost Plan: $288.44
  • Oscar — Medicare Advantage: $402.80
  • United Healthcare — Medicaid CHIP: $226.54
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: 00731 ANESTH UPPER GI ENDOSCOPY $58 Not listed in the file $111.95 – $231
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $111.95
  • Blue Cross Blue Shield — Blue Care HMO: $111.95
  • Blue Cross Blue Shield — Blue Select PPO: $111.95
  • Blue Cross Blue Shield — Medicare Advantage HMO: $111.95
  • Medica — Medicare Cost Plan: $118.94
  • Oscar — Medicare Advantage: $167.93
  • United Healthcare — Medicaid CHIP: $231
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: E G D/BRUSH $628.78 Not listed in the file $111.95 – $231
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $111.95
  • Blue Cross Blue Shield — Blue Care HMO: $111.95
  • Blue Cross Blue Shield — Blue Select PPO: $111.95
  • Blue Cross Blue Shield — Medicare Advantage HMO: $111.95
  • Medica — Medicare Cost Plan: $118.94
  • Oscar — Medicare Advantage: $167.93
  • United Healthcare — Medicaid CHIP: $231
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: 00731 UPPER GASTROINTESTINAL ENDOSCOPY $58 Not listed in the file $125.90 – $295.49
Upper GI endoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $125.90
  • Blue Cross Blue Shield — Blue Care HMO: $125.90
  • Blue Cross Blue Shield — Blue Select PPO: $125.90
  • Blue Cross Blue Shield — Medicare Advantage HMO: $125.90
  • Medica — Medicare Cost Plan: $134.41
  • Oscar — Medicare Advantage: $188.85
  • United Healthcare — Medicaid CHIP: $295.49
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: E G D/BIOPSY $729 Not listed in the file $125.90 – $295.49
Upper GI endoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $125.90
  • Blue Cross Blue Shield — Blue Care HMO: $125.90
  • Blue Cross Blue Shield — Blue Select PPO: $125.90
  • Blue Cross Blue Shield — Medicare Advantage HMO: $125.90
  • Medica — Medicare Cost Plan: $134.41
  • Oscar — Medicare Advantage: $188.85
  • United Healthcare — Medicaid CHIP: $295.49
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: 00811 ANESTH FOR LOWER INTESTINAL ENDOSC $58 Not listed in the file $168.73 – $290.56
Colonoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $168.73
  • Blue Cross Blue Shield — Blue Care HMO: $168.73
  • Blue Cross Blue Shield — Blue Select PPO: $168.73
  • Blue Cross Blue Shield — Medicare Advantage HMO: $168.73
  • Medica — Medicare Cost Plan: $178.84
  • Oscar — Medicare Advantage: $253.10
  • United Healthcare — Medicaid CHIP: $290.56
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY/BRUSH $780 Not listed in the file $168.73 – $290.56
Colonoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $168.73
  • Blue Cross Blue Shield — Blue Care HMO: $168.73
  • Blue Cross Blue Shield — Blue Select PPO: $168.73
  • Blue Cross Blue Shield — Medicare Advantage HMO: $168.73
  • Medica — Medicare Cost Plan: $178.84
  • Oscar — Medicare Advantage: $253.10
  • United Healthcare — Medicaid CHIP: $290.56
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: 00810 ANESTH FOR LOWER INTESTINAL ENDOSC $58 Not listed in the file $183.59 – $374.28
Colonoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $183.59
  • Blue Cross Blue Shield — Blue Care HMO: $183.59
  • Blue Cross Blue Shield — Blue Select PPO: $183.59
  • Blue Cross Blue Shield — Medicare Advantage HMO: $183.59
  • Medica — Medicare Cost Plan: $194.27
  • Oscar — Medicare Advantage: $275.39
  • United Healthcare — Medicaid CHIP: $374.28
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY/BX $1,130 Not listed in the file $183.59 – $374.28
Colonoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $183.59
  • Blue Cross Blue Shield — Blue Care HMO: $183.59
  • Blue Cross Blue Shield — Blue Select PPO: $183.59
  • Blue Cross Blue Shield — Medicare Advantage HMO: $183.59
  • Medica — Medicare Cost Plan: $194.27
  • Oscar — Medicare Advantage: $275.39
  • United Healthcare — Medicaid CHIP: $374.28
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: 00811 ANESTHESIA FOR LOWER INTESTINE END $58 Not listed in the file $231.60 – $389.51
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $231.60
  • Blue Cross Blue Shield — Blue Care HMO: $231.60
  • Blue Cross Blue Shield — Blue Select PPO: $231.60
  • Blue Cross Blue Shield — Medicare Advantage HMO: $231.60
  • Medica — Medicare Cost Plan: $245.91
  • Oscar — Medicare Advantage: $347.40
  • United Healthcare — Medicaid CHIP: $389.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY/SNARE $1,106 Not listed in the file $231.60 – $389.51
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Aetna — Medicare Advantage: $231.60
  • Blue Cross Blue Shield — Blue Care HMO: $231.60
  • Blue Cross Blue Shield — Blue Select PPO: $231.60
  • Blue Cross Blue Shield — Medicare Advantage HMO: $231.60
  • Medica — Medicare Cost Plan: $245.91
  • Oscar — Medicare Advantage: $347.40
  • United Healthcare — Medicaid CHIP: $389.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLONSCOPY SCREEN NOT HI RISK EA 10YRS $1,043 Not listed in the file $358.79 – $891.97
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $857.66
  • Blue Cross Blue Shield — Blue Care HMO: $674.82
  • Blue Cross Blue Shield — Blue Select PPO: $358.79
  • Blue Cross Blue Shield — Medicare Advantage HMO: $857.66
  • Cigna — Commercial PPO/HMO: $625.80
  • Cigna — True Choice Medicare PPO/HMO: $625.80
  • Medica — IFB Segment: $668.56
  • Medica — Medicare Cost Plan: $857.66
  • Oscar — Medicare Advantage: $573.65
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $744.70
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: CLRCTL CNCR SCRNG CLNSCPY NOT HIGH RISK $388 Not listed in the file $169.05 – $253.58
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • Aetna — Medicare Advantage: $169.05
  • Blue Cross Blue Shield — Blue Care HMO: $169.05
  • Blue Cross Blue Shield — Blue Select PPO: $169.05
  • Blue Cross Blue Shield — Medicare Advantage HMO: $169.05
  • Medica — Medicare Cost Plan: $179.17
  • Oscar — Medicare Advantage: $253.58
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: ANES FOR LAP CHOLECYSTECOMY $58 Not listed in the file $501.18 – $922.32
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $614.88
  • Blue Cross Blue Shield — Blue Care HMO: $614.88
  • Blue Cross Blue Shield — Blue Select PPO: $614.88
  • Blue Cross Blue Shield — Medicare Advantage HMO: $614.88
  • Medica — Medicare Cost Plan: $652.78
  • Oscar — Medicare Advantage: $922.32
  • United Healthcare — Medicaid CHIP: $501.18
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: 00790 ANESTH LAP CHOLE W/GUIDED TRANS $58 Not listed in the file $501.18 – $922.32
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $614.88
  • Blue Cross Blue Shield — Blue Care HMO: $614.88
  • Blue Cross Blue Shield — Blue Select PPO: $614.88
  • Blue Cross Blue Shield — Medicare Advantage HMO: $614.88
  • Medica — Medicare Cost Plan: $652.78
  • Oscar — Medicare Advantage: $922.32
  • United Healthcare — Medicaid CHIP: $501.18
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPRAROSCOPIC SURGICAL CHOLECYSTECTOMY $690 Not listed in the file $501.18 – $922.32
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $614.88
  • Blue Cross Blue Shield — Blue Care HMO: $614.88
  • Blue Cross Blue Shield — Blue Select PPO: $614.88
  • Blue Cross Blue Shield — Medicare Advantage HMO: $614.88
  • Medica — Medicare Cost Plan: $652.78
  • Oscar — Medicare Advantage: $922.32
  • United Healthcare — Medicaid CHIP: $501.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: 00830 ANESTH REPAIR INT INGUINAL HERNIA $58 Not listed in the file $397.19 – $729.92
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $486.61
  • Blue Cross Blue Shield — Blue Care HMO: $486.61
  • Blue Cross Blue Shield — Blue Select PPO: $486.61
  • Blue Cross Blue Shield — Medicare Advantage HMO: $486.61
  • Medica — Medicare Cost Plan: $517.68
  • Oscar — Medicare Advantage: $729.92
  • United Healthcare — Medicaid CHIP: $397.19
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: HERNIA ING HERNIA 5 & OVER $1,265 Not listed in the file $397.19 – $729.92
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $486.61
  • Blue Cross Blue Shield — Blue Care HMO: $486.61
  • Blue Cross Blue Shield — Blue Select PPO: $486.61
  • Blue Cross Blue Shield — Medicare Advantage HMO: $486.61
  • Medica — Medicare Cost Plan: $517.68
  • Oscar — Medicare Advantage: $729.92
  • United Healthcare — Medicaid CHIP: $397.19
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: 00400 ANESTH FOR PROC ON THE INTEGUMENTA $58 Not listed in the file $119.73 – $183.80
Prostate biopsy: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $119.73
  • Blue Cross Blue Shield — Blue Care HMO: $119.73
  • Blue Cross Blue Shield — Blue Select PPO: $119.73
  • Blue Cross Blue Shield — Medicare Advantage HMO: $119.73
  • Medica — Medicare Cost Plan: $127.01
  • Oscar — Medicare Advantage: $179.60
  • United Healthcare — Medicaid CHIP: $183.80
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: 00952 ANESTH HYSTEROSCOPY SRG W/BIOPSY $58 Not listed in the file $214.49 – $1,054.13
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $214.49
  • Blue Cross Blue Shield — Blue Care HMO: $214.49
  • Blue Cross Blue Shield — Blue Select PPO: $214.49
  • Blue Cross Blue Shield — Medicare Advantage HMO: $214.49
  • Medica — Medicare Cost Plan: $227.39
  • Oscar — Medicare Advantage: $321.74
  • United Healthcare — Medicaid CHIP: $1,054.13
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY SURGICAL W/BIOPSY $1,564 Not listed in the file $214.49 – $1,054.13
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $214.49
  • Blue Cross Blue Shield — Blue Care HMO: $214.49
  • Blue Cross Blue Shield — Blue Select PPO: $214.49
  • Blue Cross Blue Shield — Medicare Advantage HMO: $214.49
  • Medica — Medicare Cost Plan: $227.39
  • Oscar — Medicare Advantage: $321.74
  • United Healthcare — Medicaid CHIP: $1,054.13
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC $1,735 Not listed in the file $590.36 – $1,238.79
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $651.47
  • Blue Cross Blue Shield — Blue Care HMO: $91.37
  • Blue Cross Blue Shield — Blue Select PPO: $91.37
  • Blue Cross Blue Shield — Medicare Advantage HMO: $651.47
  • Medica — IFB Segment: $1,112.14
  • Medica — Medicare Cost Plan: $651.47
  • Oscar — Medicare Advantage: $954.25
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $1,238.79
  • United Healthcare — Medicaid CHIP: $590.36
  • United Healthcare — Medicare Advantage: $677.53
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ, A/S, TRANSF EPID; LUMB/SAC, SGL LEV $2,032 Not listed in the file $758.96 – $1,450.85
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $837.51
  • Blue Cross Blue Shield — Medicare Advantage HMO: $837.51
  • Medica — IFB Segment: $1,302.51
  • Medica — Medicare Cost Plan: $837.51
  • Oscar — Medicare Advantage: $1,117.60
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $1,450.85
  • United Healthcare — Medicaid CHIP: $758.96
  • United Healthcare — Medicare Advantage: $871.01
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ, A/S, TRANSF EPID; L/S, EA ADTL LEV $2,032 Not listed in the file $758.96 – $1,450.85
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $837.51
  • Blue Cross Blue Shield — Medicare Advantage HMO: $837.51
  • Medica — IFB Segment: $1,302.51
  • Medica — Medicare Cost Plan: $837.51
  • Oscar — Medicare Advantage: $1,117.60
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $1,450.85
  • United Healthcare — Medicaid CHIP: $758.96
  • United Healthcare — Medicare Advantage: $871.01
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL L/S $171 Not listed in the file $101.79 – $189.23
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $101.79
  • Blue Cross Blue Shield — Blue Care HMO: $101.79
  • Blue Cross Blue Shield — Blue Select PPO: $101.79
  • Blue Cross Blue Shield — Medicare Advantage HMO: $101.79
  • Medica — Medicare Cost Plan: $108.68
  • Oscar — Medicare Advantage: $152.69
  • United Healthcare — Medicaid CHIP: $189.23
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: ANES NEUROPLASTY; MEDIAN NERVE AT CARP $58 Not listed in the file $335.75 – $601.77
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $401.18
  • Blue Cross Blue Shield — Blue Care HMO: $401.18
  • Blue Cross Blue Shield — Blue Select PPO: $401.18
  • Blue Cross Blue Shield — Medicare Advantage HMO: $401.18
  • Medica — Medicare Cost Plan: $433.44
  • Oscar — Medicare Advantage: $601.77
  • United Healthcare — Medicaid CHIP: $335.75
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: 01810 ANESTH NEUROPLASTY TRANPSTN MEDIAN $58 Not listed in the file $335.75 – $601.77
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $401.18
  • Blue Cross Blue Shield — Blue Care HMO: $401.18
  • Blue Cross Blue Shield — Blue Select PPO: $401.18
  • Blue Cross Blue Shield — Medicare Advantage HMO: $401.18
  • Medica — Medicare Cost Plan: $433.44
  • Oscar — Medicare Advantage: $601.77
  • United Healthcare — Medicaid CHIP: $335.75
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: NEUROPLASTY AND OR TRANSPOSITION $656 Not listed in the file $335.75 – $601.77
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $401.18
  • Blue Cross Blue Shield — Blue Care HMO: $401.18
  • Blue Cross Blue Shield — Blue Select PPO: $401.18
  • Blue Cross Blue Shield — Medicare Advantage HMO: $401.18
  • Medica — Medicare Cost Plan: $433.44
  • Oscar — Medicare Advantage: $601.77
  • United Healthcare — Medicaid CHIP: $335.75
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT REMV W/IMPLANT $1,734.75 Not listed in the file $954.11 – $2,231.35
Cataract removal with lens implant: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,145.53
  • Blue Cross Blue Shield — Blue Care HMO: $1,688.12
  • Blue Cross Blue Shield — Blue Select PPO: $1,931.11
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,145.53
  • Cigna — Commercial PPO/HMO: $1,040.85
  • Cigna — True Choice Medicare PPO/HMO: $1,040.85
  • Medica — IFB Segment: $1,111.97
  • Medica — Medicare Cost Plan: $2,145.53
  • Oscar — Medicare Advantage: $954.11
  • United Healthcare — Individual Exchange Benefit Plan Commercial: $1,238.61
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: 00142 EXTRACAPSLR CATARCT EXTRCTN W $58 Not listed in the file Not listed in the file

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: ANES ROUTINE OB CARE $58 Not listed in the file $1,802.10 – $3,344.28
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,229.52
  • Blue Cross Blue Shield — Blue Care HMO: $2,229.52
  • Blue Cross Blue Shield — Blue Select PPO: $2,229.52
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,229.52
  • Medica — Medicare Cost Plan: $2,390.60
  • Oscar — Medicare Advantage: $3,344.28
  • United Healthcare — Medicaid CHIP: $1,802.10
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: 01967 ANESTH OBSTETRIC CARE INCL ANTEPAR $58 Not listed in the file $1,802.10 – $3,344.28
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,229.52
  • Blue Cross Blue Shield — Blue Care HMO: $2,229.52
  • Blue Cross Blue Shield — Blue Select PPO: $2,229.52
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,229.52
  • Medica — Medicare Cost Plan: $2,390.60
  • Oscar — Medicare Advantage: $3,344.28
  • United Healthcare — Medicaid CHIP: $1,802.10
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: ROUTINE OB CARE $2,740 Not listed in the file $1,802.10 – $3,344.28
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,229.52
  • Blue Cross Blue Shield — Blue Care HMO: $2,229.52
  • Blue Cross Blue Shield — Blue Select PPO: $2,229.52
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,229.52
  • Medica — Medicare Cost Plan: $2,390.60
  • Oscar — Medicare Advantage: $3,344.28
  • United Healthcare — Medicaid CHIP: $1,802.10
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: ANES FOR ROUTINE OB CARE $58 Not listed in the file $1,987.76 – $3,720.84
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,480.56
  • Blue Cross Blue Shield — Blue Care HMO: $2,480.56
  • Blue Cross Blue Shield — Blue Select PPO: $2,480.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,480.56
  • Medica — Medicare Cost Plan: $2,659.68
  • Oscar — Medicare Advantage: $3,720.84
  • United Healthcare — Medicaid CHIP: $1,987.76
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: 01961 ANESTH ROUTINE OB CARE $58 Not listed in the file $1,987.76 – $3,720.84
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,480.56
  • Blue Cross Blue Shield — Blue Care HMO: $2,480.56
  • Blue Cross Blue Shield — Blue Select PPO: $2,480.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,480.56
  • Medica — Medicare Cost Plan: $2,659.68
  • Oscar — Medicare Advantage: $3,720.84
  • United Healthcare — Medicaid CHIP: $1,987.76
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: ROUTINE OB CARE INCLUDING CESAREAN DELIV $3,510 Not listed in the file $1,987.76 – $3,720.84
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,480.56
  • Blue Cross Blue Shield — Blue Care HMO: $2,480.56
  • Blue Cross Blue Shield — Blue Select PPO: $2,480.56
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,480.56
  • Medica — Medicare Cost Plan: $2,659.68
  • Oscar — Medicare Advantage: $3,720.84
  • United Healthcare — Medicaid CHIP: $1,987.76
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: 01967 NEURAXIAL LABOR ANALGESIA/ANESTH F $58 Not listed in the file $1,882.18 – $3,509.57
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,339.71
  • Blue Cross Blue Shield — Blue Care HMO: $2,339.71
  • Blue Cross Blue Shield — Blue Select PPO: $2,339.71
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,339.71
  • Medica — Medicare Cost Plan: $2,507.83
  • Oscar — Medicare Advantage: $3,509.57
  • United Healthcare — Medicaid CHIP: $1,882.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: ROUTIN OB CARE AFTER VAG DELIV $2,804 Not listed in the file $1,882.18 – $3,509.57
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $2,339.71
  • Blue Cross Blue Shield — Blue Care HMO: $2,339.71
  • Blue Cross Blue Shield — Blue Select PPO: $2,339.71
  • Blue Cross Blue Shield — Medicare Advantage HMO: $2,339.71
  • Medica — Medicare Cost Plan: $2,507.83
  • Oscar — Medicare Advantage: $3,509.57
  • United Healthcare — Medicaid CHIP: $1,882.18

Source: Cameron Regional Medical Center’s standard charges file (cameronregional.org, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1600 E Evergreen, Cameron, MO 64429
CountyClinton County
StateMissouri
Phone(816) 632‑2101
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
CMS Certification Number260057
Name in Medicare recordsCAMERON REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitecameronregional.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. About Cameron Regional Medical Center — cameronregional.org
  2. Cameron Regional Medical Center | Missouri | MO — cameronregional.org
  3. Emergency Care – Cameron Regional Medical Center — cameronregional.org
  4. Outpatient Specialty Clinics — cameronregional.org
  5. Radiology/Imaging – Cameron Regional Medical Center — cameronregional.org
  6. Cameron Regional Medical Center Surgery Services — cameronregional.org
  7. Inpatient Rehabilitation at Cameron Regional Medical — cameronregional.org
  8. Cameron Hospital Visitors Information — cameronregional.org
  9. Cameron Regional Patient Transportation — cameronregional.org