Does Canyon Vista Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Canyon Vista Medical Center. In a medical emergency, call 911.

Where is Canyon Vista Medical Center?

5700 East Highway 90, Sierra Vista, AZ 85635, in Cochise County, Arizona.

What is the phone number of Canyon Vista Medical Center?

(520) 263-2220, as listed by Medicare (CMS).

What is the Medicare star rating of Canyon Vista Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Canyon Vista Medical Center — Sierra Vista, AZ

Quick answers

Does Canyon Vista Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Canyon Vista Medical Center. In a medical emergency, call 911.
Where is Canyon Vista Medical Center?: 5700 East Highway 90, Sierra Vista, AZ 85635, in Cochise County, Arizona.
What is the phone number of Canyon Vista Medical Center?: (520) 263-2220, as listed by Medicare (CMS).
What is the Medicare star rating of Canyon Vista Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Conditions treated^[10][14]

Depression
Anxiety
Bipolar disorder
Psychosis
Mood disorders
Post-traumatic stress disorder (PTSD)
Substance use associated with mental health issues

Treatments^{[5][10][14][15][17]}

Cryoablation
Stress tests
Echocardiograms
Transesophageal echocardiogram
Nuclear imaging
12-lead EKG
Holter monitoring
Cardiac calcium scoring
HeartFlow analysis
Medication management
Group therapy

Procedures^[5][9][17]

Robotic-assisted knee replacement
Robotic-assisted surgery
Bronchoscopy
Endoscopy/colonoscopy
Manometry
CT scan
Cardiac CT angiography
MRI
Mammography
Stereotactic biopsy
DEXA scan
Ultrasound
Fluoroscopy
X-ray

Programs and centers^{[4][5][7][8][10][13][14][16]}

Chest Pain Center
Intensive Outpatient Program
Bone and Joint Institute
Emergency Room
Adult inpatient behavioral health unit
Emergency mental health services
Help for Heroes (military, veterans, first responders)
Labor and delivery
Sports medicine
Laboratory services
Acute care unit

Emergency care (hospital website)^[4][8][12]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Joint Commission Certified Advanced Primary Stroke Center

Visiting and practical information

Visiting	Visitors 8 a.m.-6 p.m., age 16+; ICU and PCU visitors allowed 24 hours, two at a time^[6]
Parking	Patients and visitors use front lots north of the building; ER visitors use lots southwest, closer to the ED entrance^[6]
Interpreters and languages	Phone and tablet translation available; ask your care team for interpreter help^[18]
Patient portal	https://www.canyonvistamedicalcenter.com/patient-portal

Recognition^[8][12][13]

Joint Commission Gold Seal of Approval
Advanced Primary Stroke Center certification (The Joint Commission)
Accredited Chest Pain Center with Primary PCI (American College of Cardiology)
Laboratory accredited by The Joint Commission and College of American Pathologists

Doctors and clinicians (273)

273 doctors and other clinicians list Canyon Vista 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

And 249 more: the button below opens the full list.

Other emergency rooms nearby

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

Copper Queen Community Hospital23 mi · Bisbee, AZ · Critical Access Hospital
Benson Hospital29 mi · Benson, AZ · Critical Access Hospital
Holy Cross Hospital45 mi · Nogales, AZ · Critical Access Hospital
Northwest Medical Center Sahuarita52 mi · Sahuarita, AZ · Acute Care Hospital
Northern Cochise Community Hospital, Inc.54 mi · Willcox, AZ · Critical Access Hospital

Other hospitals nearby

Cornerstone Specialty Hospitals Tucson59 mi · Tucson, AZ · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Life Care Center of Sierra Vista2.3 mi · Sierra Vista, AZ · 2 of 5 stars
Haven of Sierra Vista, LLC3.0 mi · Sierra Vista, AZ · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Casa de la Paz Hospice3.5 mi · Sierra Vista, AZ · 4 of 5 stars
Valor Hospice3.5 mi · Sierra Vista, AZ · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Bayada Home Health Care, Inc3.5 mi · Sierra Vista, AZ · 3 of 5 stars
Trinity Visiting Nurse and Homecare, LLC3.5 mi · Sierra Vista, AZ
Eden Home Health4.2 mi · Sierra Vista, AZ · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

032654-Fresenius Kidney Care Canyon Vista3.5 mi · Sierra Vista, AZ · 3 of 5 stars
DaVita Sierra Vista Dialysis3.5 mi · Sierra Vista, AZ · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Cochise Eye and Laser/Rf Eye PC3.5 mi · Sierra Vista, AZ
Southwestern Eye Center - Sierra Vista Surgery Cen3.5 mi · Sierra Vista, AZ

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Chiricahua Community Health Centers, Inc. Ronald Mobile Dental Clinic2.1 mi · Sierra Vista, AZ · Community health center
Chiricahua Community Health Centers, Inc. Sierra Vista Family Dental Center and Administration2.1 mi · Sierra Vista, AZ · Community health center
Chiricahua Community Health Centers, Inc. Behavioral Health Center - Sierra Vista2.1 mi · Sierra Vista, AZ · Community health center

Clinics and urgent care

Wilde Desert Family Medicine3.5 mi · Sierra Vista, AZ · Rural health clinic
Copper Queen Community Hospital Hereford RHC11 mi · Hereford, AZ · Rural health clinic
Copper Queen Community Hospital Palominas Hereford RHC11 mi · Hereford, AZ · Rural health clinic

Pharmacies

Arizona CVS Stores LLC3.5 mi · Sierra Vista, AZ · Pharmacy
Chiricahua Community Health Centers Inc3.5 mi · Sierra Vista, AZ · Pharmacy
Raley's Arizona LLC3.5 mi · Sierra Vista, AZ · Community/retail pharmacy

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 Canyon Vista 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	56%National average: 71%
Nurses “always” communicated well	73%National average: 80%
Doctors “always” communicated well	72%National average: 80%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	79%National average: 74%
Area around the room “always” quiet at night	55%National average: 60%
Completed surveys	790Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.782No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 attack patients	13.4%
Deaths within 30 days: heart failure patients	11%
Deaths within 30 days: pneumonia patients	16%
Deaths within 30 days: COPD patients	6.4%
Deaths within 30 days: stroke patients	12.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Complications after hip or knee replacement	4.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	201 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	53%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Arizona Best hospitals in Arizona

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Canyon Vista 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: New patient level iii	$442	Not listed in the file	Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office/outpatient visit new	$442	Not listed in the file	Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: New patient level iv	$745	Not listed in the file	Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office/outpatient visit new	$745	Not listed in the file	Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New patient level v	$964	Not listed in the file	Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office/outpatient visit new	$964	Not listed in the file	Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Est pt ld op level iii	$295	Not listed in the file	Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/outpatient visit est	$295	Not listed in the file	Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Est pt ld op level iv	$454	Not listed in the file	Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/outpatient visit est	$454	Not listed in the file	Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency dept visit	$1,588	Not listed in the file	$312.25 – $327.86
Emergency room visit (moderate): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $318.50 MCARE_BLUE_CROSS_HMO — M247_1: $327.86 MCARE_HUMANA_GOLD_CHOI — M242_1: $312.25 MCARE_MEDICARE — M235_1: $312.25 MCARE_MEDICARE_HMO_OTH — M230_1: $312.25 MCARE_MEDICARE_PART_A — M237_1: $312.25 MCARE_MEDICARE_PART_B — M236_1: $312.25 MCARE_MEDICARE_RAC — M251_1: $312.25 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Level iii	$1,588	Not listed in the file	$312.25 – $327.86
Emergency room visit (moderate): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $318.50 MCARE_BLUE_CROSS_HMO — M247_1: $327.86 MCARE_HUMANA_GOLD_CHOI — M242_1: $312.25 MCARE_MEDICARE — M235_1: $312.25 MCARE_MEDICARE_HMO_OTH — M230_1: $312.25 MCARE_MEDICARE_PART_A — M237_1: $312.25 MCARE_MEDICARE_PART_B — M236_1: $312.25 MCARE_MEDICARE_RAC — M251_1: $312.25 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency dept visit	$2,480	Not listed in the file	$480.20 – $504.21
Emergency room visit (moderately high): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $489.81 MCARE_BLUE_CROSS_HMO — M247_1: $504.21 MCARE_HUMANA_GOLD_CHOI — M242_1: $480.20 MCARE_MEDICARE — M235_1: $480.20 MCARE_MEDICARE_HMO_OTH — M230_1: $480.20 MCARE_MEDICARE_PART_A — M237_1: $480.20 MCARE_MEDICARE_PART_B — M236_1: $480.20 MCARE_MEDICARE_RAC — M251_1: $480.20 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Level iv	$2,480	Not listed in the file	$480.20 – $504.21
Emergency room visit (moderately high): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $489.81 MCARE_BLUE_CROSS_HMO — M247_1: $504.21 MCARE_HUMANA_GOLD_CHOI — M242_1: $480.20 MCARE_MEDICARE — M235_1: $480.20 MCARE_MEDICARE_HMO_OTH — M230_1: $480.20 MCARE_MEDICARE_PART_A — M237_1: $480.20 MCARE_MEDICARE_PART_B — M236_1: $480.20 MCARE_MEDICARE_RAC — M251_1: $480.20 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency dept visit	$3,341	Not listed in the file	$691.40 – $725.97
Emergency room visit (high): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $705.23 MCARE_BLUE_CROSS_HMO — M247_1: $725.97 MCARE_HUMANA_GOLD_CHOI — M242_1: $691.40 MCARE_MEDICARE — M235_1: $691.40 MCARE_MEDICARE_HMO_OTH — M230_1: $691.40 MCARE_MEDICARE_PART_A — M237_1: $691.40 MCARE_MEDICARE_PART_B — M236_1: $691.40 MCARE_MEDICARE_RAC — M251_1: $691.40 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Level v	$3,341	Not listed in the file	$691.40 – $725.97
Emergency room visit (high): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $705.23 MCARE_BLUE_CROSS_HMO — M247_1: $725.97 MCARE_HUMANA_GOLD_CHOI — M242_1: $691.40 MCARE_MEDICARE — M235_1: $691.40 MCARE_MEDICARE_HMO_OTH — M230_1: $691.40 MCARE_MEDICARE_PART_A — M237_1: $691.40 MCARE_MEDICARE_PART_B — M236_1: $691.40 MCARE_MEDICARE_RAC — M251_1: $691.40 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic metabolic panel	$354	Not listed in the file	Not listed in the file
Basic metabolic panel (blood test): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Metabolic panel total ca	$354	Not listed in the file	Not listed in the file
Basic metabolic panel (blood test): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comp metabolic panel	$569	Not listed in the file	Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehen metabolic panel	$569	Not listed in the file	Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: Obstetric panel	$314	Not listed in the file	Not listed in the file
Obstetric blood test panel: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid panel	$326	Not listed in the file	$13.39 – $14.06
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $13.66 MCARE_BLUE_CROSS_HMO — M247_1: $14.06 MCARE_HUMANA_GOLD_CHOI — M242_1: $13.39 MCARE_MEDICARE — M235_1: $13.39 MCARE_MEDICARE_HMO_OTH — M230_1: $13.39 MCARE_MEDICARE_PART_A — M237_1: $13.39 MCARE_MEDICARE_PART_B — M236_1: $13.39 MCARE_MEDICARE_RAC — M251_1: $13.39 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid profile	$326	Not listed in the file	$13.39 – $14.06
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $13.66 MCARE_BLUE_CROSS_HMO — M247_1: $14.06 MCARE_HUMANA_GOLD_CHOI — M242_1: $13.39 MCARE_MEDICARE — M235_1: $13.39 MCARE_MEDICARE_HMO_OTH — M230_1: $13.39 MCARE_MEDICARE_PART_A — M237_1: $13.39 MCARE_MEDICARE_PART_B — M236_1: $13.39 MCARE_MEDICARE_RAC — M251_1: $13.39 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal function panel	$311	Not listed in the file	Not listed in the file
Kidney function panel: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal panel	$311	Not listed in the file	Not listed in the file
Kidney function panel: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic function panel	$288	Not listed in the file	Not listed in the file
Liver function panel: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Liver panel	$288	Not listed in the file	Not listed in the file
Liver function panel: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Ua complete auto dip + microscopic	$198	Not listed in the file	Not listed in the file
Urine test (automated, with microscope): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis auto w/scope	$198	Not listed in the file	Not listed in the file
Urine test (automated, with microscope): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Specif gvty urine	$98	Not listed in the file	Not listed in the file
Urine test (automated, without microscope): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis auto w/o scope	$98	Not listed in the file	Not listed in the file
Urine test (automated, without microscope): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Assay of psa total	$326	Not listed in the file	Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa	$326	Not listed in the file	Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Assay thyroid stim hormone	$374	Not listed in the file	Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Tsh	$374	Not listed in the file	Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc differential	$192	Not listed in the file	Not listed in the file
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete cbc w/auto diff wbc	$192	Not listed in the file	Not listed in the file
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc	$112	Not listed in the file	Not listed in the file
Complete blood count (CBC), automated: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Complete cbc automated	$112	Not listed in the file	Not listed in the file
Complete blood count (CBC), automated: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin time	$103	Not listed in the file	Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime	$103	Not listed in the file	Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Anti-phospholipid ab-aptt	$164	Not listed in the file	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin time partial	$164	Not listed in the file	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: Ct head unenhanced	$2,413	Not listed in the file	$253.23 – $265.89
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $258.29 MCARE_BLUE_CROSS_HMO — M247_1: $265.89 MCARE_HUMANA_GOLD_CHOI — M242_1: $253.23 MCARE_MEDICARE — M235_1: $253.23 MCARE_MEDICARE_HMO_OTH — M230_1: $253.23 MCARE_MEDICARE_PART_A — M237_1: $253.23 MCARE_MEDICARE_PART_B — M236_1: $253.23 MCARE_MEDICARE_RAC — M251_1: $253.23 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: Ct head/brain w/o dye	$2,413	Not listed in the file	$253.23 – $265.89
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $258.29 MCARE_BLUE_CROSS_HMO — M247_1: $265.89 MCARE_HUMANA_GOLD_CHOI — M242_1: $253.23 MCARE_MEDICARE — M235_1: $253.23 MCARE_MEDICARE_HMO_OTH — M230_1: $253.23 MCARE_MEDICARE_PART_A — M237_1: $253.23 MCARE_MEDICARE_PART_B — M236_1: $253.23 MCARE_MEDICARE_RAC — M251_1: $253.23 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain combined	$8,793	Not listed in the file	$964 – $1,012.20
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $983.28 MCARE_BLUE_CROSS_HMO — M247_1: $1,012.20 MCARE_HUMANA_GOLD_CHOI — M242_1: $964 MCARE_MEDICARE — M235_1: $964 MCARE_MEDICARE_HMO_OTH — M230_1: $964 MCARE_MEDICARE_PART_A — M237_1: $964 MCARE_MEDICARE_PART_B — M236_1: $964 MCARE_MEDICARE_RAC — M251_1: $964 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain stem w/o & w/dye	$8,793	Not listed in the file	$964 – $1,012.20
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $983.28 MCARE_BLUE_CROSS_HMO — M247_1: $1,012.20 MCARE_HUMANA_GOLD_CHOI — M242_1: $964 MCARE_MEDICARE — M235_1: $964 MCARE_MEDICARE_HMO_OTH — M230_1: $964 MCARE_MEDICARE_PART_A — M237_1: $964 MCARE_MEDICARE_PART_B — M236_1: $964 MCARE_MEDICARE_RAC — M251_1: $964 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Chest 2 views	$757	Not listed in the file	$950.22 – $997.73
Chest X-ray, 2 views: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $969.22 MCARE_BLUE_CROSS_HMO — M247_1: $997.73 MCARE_HUMANA_GOLD_CHOI — M242_1: $950.22 MCARE_MEDICARE — M235_1: $950.22 MCARE_MEDICARE_HMO_OTH — M230_1: $950.22 MCARE_MEDICARE_PART_A — M237_1: $950.22 MCARE_MEDICARE_PART_B — M236_1: $950.22 MCARE_MEDICARE_RAC — M251_1: $950.22 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-ray exam chest 2 views	$757	Not listed in the file	$950.22 – $997.73
Chest X-ray, 2 views: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $969.22 MCARE_BLUE_CROSS_HMO — M247_1: $997.73 MCARE_HUMANA_GOLD_CHOI — M242_1: $950.22 MCARE_MEDICARE — M235_1: $950.22 MCARE_MEDICARE_HMO_OTH — M230_1: $950.22 MCARE_MEDICARE_PART_A — M237_1: $950.22 MCARE_MEDICARE_PART_B — M236_1: $950.22 MCARE_MEDICARE_RAC — M251_1: $950.22 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L-spine comp min 4 views	$2,160	Not listed in the file	$119.92 – $125.92
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $122.32 MCARE_BLUE_CROSS_HMO — M247_1: $125.92 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.92 MCARE_MEDICARE — M235_1: $119.92 MCARE_MEDICARE_HMO_OTH — M230_1: $119.92 MCARE_MEDICARE_PART_A — M237_1: $119.92 MCARE_MEDICARE_PART_B — M236_1: $119.92 MCARE_MEDICARE_RAC — M251_1: $119.92 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-ray exam l-2 spine 4/>vws	$2,160	Not listed in the file	$119.92 – $125.92
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $122.32 MCARE_BLUE_CROSS_HMO — M247_1: $125.92 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.92 MCARE_MEDICARE — M235_1: $119.92 MCARE_MEDICARE_HMO_OTH — M230_1: $119.92 MCARE_MEDICARE_PART_A — M237_1: $119.92 MCARE_MEDICARE_PART_B — M236_1: $119.92 MCARE_MEDICARE_RAC — M251_1: $119.92 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri lumbar spine unenhan	$7,028	Not listed in the file	$609.27 – $639.73
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $621.45 MCARE_BLUE_CROSS_HMO — M247_1: $639.73 MCARE_HUMANA_GOLD_CHOI — M242_1: $609.27 MCARE_MEDICARE — M235_1: $609.27 MCARE_MEDICARE_HMO_OTH — M230_1: $609.27 MCARE_MEDICARE_PART_A — M237_1: $609.27 MCARE_MEDICARE_PART_B — M236_1: $609.27 MCARE_MEDICARE_RAC — M251_1: $609.27 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri lumbar spine w/o dye	$7,028	Not listed in the file	$609.27 – $639.73
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $621.45 MCARE_BLUE_CROSS_HMO — M247_1: $639.73 MCARE_HUMANA_GOLD_CHOI — M242_1: $609.27 MCARE_MEDICARE — M235_1: $609.27 MCARE_MEDICARE_HMO_OTH — M230_1: $609.27 MCARE_MEDICARE_PART_A — M237_1: $609.27 MCARE_MEDICARE_PART_B — M236_1: $609.27 MCARE_MEDICARE_RAC — M251_1: $609.27 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis enhanced	$3,606	Not listed in the file	$490.69 – $515.22
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $500.50 MCARE_BLUE_CROSS_HMO — M247_1: $515.22 MCARE_HUMANA_GOLD_CHOI — M242_1: $490.69 MCARE_MEDICARE — M235_1: $490.69 MCARE_MEDICARE_HMO_OTH — M230_1: $490.69 MCARE_MEDICARE_PART_A — M237_1: $490.69 MCARE_MEDICARE_PART_B — M236_1: $490.69 MCARE_MEDICARE_RAC — M251_1: $490.69 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis w/dye	$3,606	Not listed in the file	$490.69 – $515.22
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $500.50 MCARE_BLUE_CROSS_HMO — M247_1: $515.22 MCARE_HUMANA_GOLD_CHOI — M242_1: $490.69 MCARE_MEDICARE — M235_1: $490.69 MCARE_MEDICARE_HMO_OTH — M230_1: $490.69 MCARE_MEDICARE_PART_A — M237_1: $490.69 MCARE_MEDICARE_PART_B — M236_1: $490.69 MCARE_MEDICARE_RAC — M251_1: $490.69 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: Mri jnt of lwr extre w/o dye	$10,315	Not listed in the file	$609.27 – $639.73
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $621.45 MCARE_BLUE_CROSS_HMO — M247_1: $639.73 MCARE_HUMANA_GOLD_CHOI — M242_1: $609.27 MCARE_MEDICARE — M235_1: $609.27 MCARE_MEDICARE_HMO_OTH — M230_1: $609.27 MCARE_MEDICARE_PART_A — M237_1: $609.27 MCARE_MEDICARE_PART_B — M236_1: $609.27 MCARE_MEDICARE_RAC — M251_1: $609.27 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: Mri le jnt unenh-bilat	$10,315	Not listed in the file	$609.27 – $639.73
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $621.45 MCARE_BLUE_CROSS_HMO — M247_1: $639.73 MCARE_HUMANA_GOLD_CHOI — M242_1: $609.27 MCARE_MEDICARE — M235_1: $609.27 MCARE_MEDICARE_HMO_OTH — M230_1: $609.27 MCARE_MEDICARE_PART_A — M237_1: $609.27 MCARE_MEDICARE_PART_B — M236_1: $609.27 MCARE_MEDICARE_RAC — M251_1: $609.27 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct abd & pelv w/contrast	$7,573	Not listed in the file	$490.69 – $515.22
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $500.50 MCARE_BLUE_CROSS_HMO — M247_1: $515.22 MCARE_HUMANA_GOLD_CHOI — M242_1: $490.69 MCARE_MEDICARE — M235_1: $490.69 MCARE_MEDICARE_HMO_OTH — M230_1: $490.69 MCARE_MEDICARE_PART_A — M237_1: $490.69 MCARE_MEDICARE_PART_B — M236_1: $490.69 MCARE_MEDICARE_RAC — M251_1: $490.69 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct abd + pelvis w/ contrast	$7,573	Not listed in the file	$490.69 – $515.22
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $500.50 MCARE_BLUE_CROSS_HMO — M247_1: $515.22 MCARE_HUMANA_GOLD_CHOI — M242_1: $490.69 MCARE_MEDICARE — M235_1: $490.69 MCARE_MEDICARE_HMO_OTH — M230_1: $490.69 MCARE_MEDICARE_PART_A — M237_1: $490.69 MCARE_MEDICARE_PART_B — M236_1: $490.69 MCARE_MEDICARE_RAC — M251_1: $490.69 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us abdomen comp	$2,242	Not listed in the file	$345.64 – $362.93
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $352.56 MCARE_BLUE_CROSS_HMO — M247_1: $362.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $345.64 MCARE_MEDICARE — M235_1: $345.64 MCARE_MEDICARE_HMO_OTH — M230_1: $345.64 MCARE_MEDICARE_PART_A — M237_1: $345.64 MCARE_MEDICARE_PART_B — M236_1: $345.64 MCARE_MEDICARE_RAC — M251_1: $345.64 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us exam abdom complete	$2,242	Not listed in the file	$345.64 – $362.93
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $352.56 MCARE_BLUE_CROSS_HMO — M247_1: $362.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $345.64 MCARE_MEDICARE — M235_1: $345.64 MCARE_MEDICARE_HMO_OTH — M230_1: $345.64 MCARE_MEDICARE_PART_A — M237_1: $345.64 MCARE_MEDICARE_PART_B — M236_1: $345.64 MCARE_MEDICARE_RAC — M251_1: $345.64 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ob us >= 14 wks sngl fetus	$2,507	Not listed in the file	$119.92 – $125.92
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $122.32 MCARE_BLUE_CROSS_HMO — M247_1: $125.92 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.92 MCARE_MEDICARE — M235_1: $119.92 MCARE_MEDICARE_HMO_OTH — M230_1: $119.92 MCARE_MEDICARE_PART_A — M237_1: $119.92 MCARE_MEDICARE_PART_B — M236_1: $119.92 MCARE_MEDICARE_RAC — M251_1: $119.92 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Us preg after 1st trimester	$2,507	Not listed in the file	$119.92 – $125.92
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $122.32 MCARE_BLUE_CROSS_HMO — M247_1: $125.92 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.92 MCARE_MEDICARE — M235_1: $119.92 MCARE_MEDICARE_HMO_OTH — M230_1: $119.92 MCARE_MEDICARE_PART_A — M237_1: $119.92 MCARE_MEDICARE_PART_B — M236_1: $119.92 MCARE_MEDICARE_RAC — M251_1: $119.92 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal us non-ob	$1,679	Not listed in the file	$119.92 – $125.92
Transvaginal ultrasound: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $122.32 MCARE_BLUE_CROSS_HMO — M247_1: $125.92 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.92 MCARE_MEDICARE — M235_1: $119.92 MCARE_MEDICARE_HMO_OTH — M230_1: $119.92 MCARE_MEDICARE_PART_A — M237_1: $119.92 MCARE_MEDICARE_PART_B — M236_1: $119.92 MCARE_MEDICARE_RAC — M251_1: $119.92 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Us transvaginal	$1,679	Not listed in the file	$119.92 – $125.92
Transvaginal ultrasound: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $122.32 MCARE_BLUE_CROSS_HMO — M247_1: $125.92 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.92 MCARE_MEDICARE — M235_1: $119.92 MCARE_MEDICARE_HMO_OTH — M230_1: $119.92 MCARE_MEDICARE_PART_A — M237_1: $119.92 MCARE_MEDICARE_PART_B — M236_1: $119.92 MCARE_MEDICARE_RAC — M251_1: $119.92 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Dx mammo incl cad uni	$836	Not listed in the file	$119.32 – $125.29
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $121.71 MCARE_BLUE_CROSS_HMO — M247_1: $125.29 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.32 MCARE_MEDICARE — M235_1: $119.32 MCARE_MEDICARE_HMO_OTH — M230_1: $119.32 MCARE_MEDICARE_PART_A — M237_1: $119.32 MCARE_MEDICARE_PART_B — M236_1: $119.32 MCARE_MEDICARE_RAC — M251_1: $119.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Ma mammo dx-lt w/ or w/o cad	$836	Not listed in the file	$119.32 – $125.29
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $121.71 MCARE_BLUE_CROSS_HMO — M247_1: $125.29 MCARE_HUMANA_GOLD_CHOI — M242_1: $119.32 MCARE_MEDICARE — M235_1: $119.32 MCARE_MEDICARE_HMO_OTH — M230_1: $119.32 MCARE_MEDICARE_PART_A — M237_1: $119.32 MCARE_MEDICARE_PART_B — M236_1: $119.32 MCARE_MEDICARE_RAC — M251_1: $119.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Dx mammo incl cad bi	$1,088	Not listed in the file	$150.38 – $157.90
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $153.39 MCARE_BLUE_CROSS_HMO — M247_1: $157.90 MCARE_HUMANA_GOLD_CHOI — M242_1: $150.38 MCARE_MEDICARE — M235_1: $150.38 MCARE_MEDICARE_HMO_OTH — M230_1: $150.38 MCARE_MEDICARE_PART_A — M237_1: $150.38 MCARE_MEDICARE_PART_B — M236_1: $150.38 MCARE_MEDICARE_RAC — M251_1: $150.38 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Ma mammo dx-bi w/ or w/o cad	$1,088	Not listed in the file	$150.38 – $157.90
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $153.39 MCARE_BLUE_CROSS_HMO — M247_1: $157.90 MCARE_HUMANA_GOLD_CHOI — M242_1: $150.38 MCARE_MEDICARE — M235_1: $150.38 MCARE_MEDICARE_HMO_OTH — M230_1: $150.38 MCARE_MEDICARE_PART_A — M237_1: $150.38 MCARE_MEDICARE_PART_B — M236_1: $150.38 MCARE_MEDICARE_RAC — M251_1: $150.38 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Ma mammo screen w/ or w/o cad	$809	Not listed in the file	$121.84 – $127.93
Screening mammogram, both breasts: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $124.28 MCARE_BLUE_CROSS_HMO — M247_1: $127.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $121.84 MCARE_MEDICARE — M235_1: $121.84 MCARE_MEDICARE_HMO_OTH — M230_1: $121.84 MCARE_MEDICARE_PART_A — M237_1: $121.84 MCARE_MEDICARE_PART_B — M236_1: $121.84 MCARE_MEDICARE_RAC — M251_1: $121.84 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Scr mammo bi incl cad	$809	Not listed in the file	$121.84 – $127.93
Screening mammogram, both breasts: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $124.28 MCARE_BLUE_CROSS_HMO — M247_1: $127.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $121.84 MCARE_MEDICARE — M235_1: $121.84 MCARE_MEDICARE_HMO_OTH — M230_1: $121.84 MCARE_MEDICARE_PART_A — M237_1: $121.84 MCARE_MEDICARE_PART_B — M236_1: $121.84 MCARE_MEDICARE_RAC — M251_1: $121.84 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Left hrt cath w/ventrclgrphy	$328,422.78	Not listed in the file	$3,627.18 – $3,808.53
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $3,699.72 MCARE_BLUE_CROSS_HMO — M247_1: $3,808.53 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,627.18 MCARE_MEDICARE — M235_1: $3,627.18 MCARE_MEDICARE_HMO_OTH — M230_1: $3,627.18 MCARE_MEDICARE_PART_A — M237_1: $3,627.18 MCARE_MEDICARE_PART_B — M236_1: $3,627.18 MCARE_MEDICARE_RAC — M251_1: $3,627.18 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6/> yrs 4/> param	$7,737	Not listed in the file	$1,147.32 – $1,204.69
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,170.27 MCARE_BLUE_CROSS_HMO — M247_1: $1,204.69 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,147.32 MCARE_MEDICARE — M235_1: $1,147.32 MCARE_MEDICARE_HMO_OTH — M230_1: $1,147.32 MCARE_MEDICARE_PART_A — M237_1: $1,147.32 MCARE_MEDICARE_PART_B — M236_1: $1,147.32 MCARE_MEDICARE_RAC — M251_1: $1,147.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysomnography 6/> years 4/> parameters	$7,737	Not listed in the file	$1,147.32 – $1,204.69
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,170.27 MCARE_BLUE_CROSS_HMO — M247_1: $1,204.69 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,147.32 MCARE_MEDICARE — M235_1: $1,147.32 MCARE_MEDICARE_HMO_OTH — M230_1: $1,147.32 MCARE_MEDICARE_PART_A — M237_1: $1,147.32 MCARE_MEDICARE_PART_B — M236_1: $1,147.32 MCARE_MEDICARE_RAC — M251_1: $1,147.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Occupational ther exercise	$442	Not listed in the file	$28.39 – $29.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $28.96 MCARE_BLUE_CROSS_HMO — M247_1: $29.81 MCARE_HUMANA_GOLD_CHOI — M242_1: $28.39 MCARE_MEDICARE — M235_1: $28.39 MCARE_MEDICARE_HMO_OTH — M230_1: $28.39 MCARE_MEDICARE_PART_A — M237_1: $28.39 MCARE_MEDICARE_PART_B — M236_1: $28.39 MCARE_MEDICARE_RAC — M251_1: $28.39 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic exercises	$442	Not listed in the file	$28.39 – $29.81
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $28.96 MCARE_BLUE_CROSS_HMO — M247_1: $29.81 MCARE_HUMANA_GOLD_CHOI — M242_1: $28.39 MCARE_MEDICARE — M235_1: $28.39 MCARE_MEDICARE_HMO_OTH — M230_1: $28.39 MCARE_MEDICARE_PART_A — M237_1: $28.39 MCARE_MEDICARE_PART_B — M236_1: $28.39 MCARE_MEDICARE_RAC — M251_1: $28.39 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pt eval low complex 20 min	$445	Not listed in the file	$96.65 – $101.48
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $98.58 MCARE_BLUE_CROSS_HMO — M247_1: $101.48 MCARE_HUMANA_GOLD_CHOI — M242_1: $96.65 MCARE_MEDICARE — M235_1: $96.65 MCARE_MEDICARE_HMO_OTH — M230_1: $96.65 MCARE_MEDICARE_PART_A — M237_1: $96.65 MCARE_MEDICARE_PART_B — M236_1: $96.65 MCARE_MEDICARE_RAC — M251_1: $96.65 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pt eval mod complex 30 min	$445	Not listed in the file	$96.65 – $101.48
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $98.58 MCARE_BLUE_CROSS_HMO — M247_1: $101.48 MCARE_HUMANA_GOLD_CHOI — M242_1: $96.65 MCARE_MEDICARE — M235_1: $96.65 MCARE_MEDICARE_HMO_OTH — M230_1: $96.65 MCARE_MEDICARE_PART_A — M237_1: $96.65 MCARE_MEDICARE_PART_B — M236_1: $96.65 MCARE_MEDICARE_RAC — M251_1: $96.65 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pt eval high complex 45 min	$445	Not listed in the file	$96.65 – $101.48
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $98.58 MCARE_BLUE_CROSS_HMO — M247_1: $101.48 MCARE_HUMANA_GOLD_CHOI — M242_1: $96.65 MCARE_MEDICARE — M235_1: $96.65 MCARE_MEDICARE_HMO_OTH — M230_1: $96.65 MCARE_MEDICARE_PART_A — M237_1: $96.65 MCARE_MEDICARE_PART_B — M236_1: $96.65 MCARE_MEDICARE_RAC — M251_1: $96.65 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Removal of breast lesion	$33,043.62	Not listed in the file	$4,318.32 – $4,534.23
Removal of breast growth (open surgery): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $4,404.68 MCARE_BLUE_CROSS_HMO — M247_1: $4,534.23 MCARE_HUMANA_GOLD_CHOI — M242_1: $4,318.32 MCARE_MEDICARE — M235_1: $4,318.32 MCARE_MEDICARE_HMO_OTH — M230_1: $4,318.32 MCARE_MEDICARE_PART_A — M237_1: $4,318.32 MCARE_MEDICARE_PART_B — M236_1: $4,318.32 MCARE_MEDICARE_RAC — M251_1: $4,318.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier 50 In the file: Removal of breast lesion	$45,964.76	Not listed in the file	$4,318.32 – $4,534.23
Removal of breast growth (open surgery): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $4,404.68 MCARE_BLUE_CROSS_HMO — M247_1: $4,534.23 MCARE_HUMANA_GOLD_CHOI — M242_1: $4,318.32 MCARE_MEDICARE — M235_1: $4,318.32 MCARE_MEDICARE_HMO_OTH — M230_1: $4,318.32 MCARE_MEDICARE_PART_A — M237_1: $4,318.32 MCARE_MEDICARE_PART_B — M236_1: $4,318.32 MCARE_MEDICARE_RAC — M251_1: $4,318.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier LT In the file: Removal of breast lesion	$50,054.24	Not listed in the file	$4,318.32 – $4,534.23
Removal of breast growth (open surgery): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $4,404.68 MCARE_BLUE_CROSS_HMO — M247_1: $4,534.23 MCARE_HUMANA_GOLD_CHOI — M242_1: $4,318.32 MCARE_MEDICARE — M235_1: $4,318.32 MCARE_MEDICARE_HMO_OTH — M230_1: $4,318.32 MCARE_MEDICARE_PART_A — M237_1: $4,318.32 MCARE_MEDICARE_PART_B — M236_1: $4,318.32 MCARE_MEDICARE_RAC — M251_1: $4,318.32 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Total hip arthroplasty	$142,917.57	Not listed in the file	$14,510.03 – $15,235.54
Total hip replacement: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $14,800.24 MCARE_BLUE_CROSS_HMO — M247_1: $15,235.54 MCARE_HUMANA_GOLD_CHOI — M242_1: $14,510.03 MCARE_MEDICARE — M235_1: $14,510.03 MCARE_MEDICARE_HMO_OTH — M230_1: $14,510.03 MCARE_MEDICARE_PART_A — M237_1: $14,510.03 MCARE_MEDICARE_PART_B — M236_1: $14,510.03 MCARE_MEDICARE_RAC — M251_1: $14,510.03 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	$116,234.70	Not listed in the file	$14,510.03 – $15,235.54
Total hip replacement: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $14,800.24 MCARE_BLUE_CROSS_HMO — M247_1: $15,235.54 MCARE_HUMANA_GOLD_CHOI — M242_1: $14,510.03 MCARE_MEDICARE — M235_1: $14,510.03 MCARE_MEDICARE_HMO_OTH — M230_1: $14,510.03 MCARE_MEDICARE_PART_A — M237_1: $14,510.03 MCARE_MEDICARE_PART_B — M236_1: $14,510.03 MCARE_MEDICARE_RAC — M251_1: $14,510.03 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT In the file: Total hip arthroplasty	$122,182.41	Not listed in the file	$14,510.03 – $15,235.54
Total hip replacement: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $14,800.24 MCARE_BLUE_CROSS_HMO — M247_1: $15,235.54 MCARE_HUMANA_GOLD_CHOI — M242_1: $14,510.03 MCARE_MEDICARE — M235_1: $14,510.03 MCARE_MEDICARE_HMO_OTH — M230_1: $14,510.03 MCARE_MEDICARE_PART_A — M237_1: $14,510.03 MCARE_MEDICARE_PART_B — M236_1: $14,510.03 MCARE_MEDICARE_RAC — M251_1: $14,510.03 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Total knee arthroplasty	$167,759.89	Not listed in the file	$14,510.03 – $15,235.54
Total knee replacement: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $14,800.24 MCARE_BLUE_CROSS_HMO — M247_1: $15,235.54 MCARE_HUMANA_GOLD_CHOI — M242_1: $14,510.03 MCARE_MEDICARE — M235_1: $14,510.03 MCARE_MEDICARE_HMO_OTH — M230_1: $14,510.03 MCARE_MEDICARE_PART_A — M237_1: $14,510.03 MCARE_MEDICARE_PART_B — M236_1: $14,510.03 MCARE_MEDICARE_RAC — M251_1: $14,510.03 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	$157,609.61	Not listed in the file	$14,510.03 – $15,235.54
Total knee replacement: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $14,800.24 MCARE_BLUE_CROSS_HMO — M247_1: $15,235.54 MCARE_HUMANA_GOLD_CHOI — M242_1: $14,510.03 MCARE_MEDICARE — M235_1: $14,510.03 MCARE_MEDICARE_HMO_OTH — M230_1: $14,510.03 MCARE_MEDICARE_PART_A — M237_1: $14,510.03 MCARE_MEDICARE_PART_B — M236_1: $14,510.03 MCARE_MEDICARE_RAC — M251_1: $14,510.03 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier LT In the file: Total knee arthroplasty	$165,728.45	Not listed in the file	$14,510.03 – $15,235.54
Total knee replacement: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $14,800.24 MCARE_BLUE_CROSS_HMO — M247_1: $15,235.54 MCARE_HUMANA_GOLD_CHOI — M242_1: $14,510.03 MCARE_MEDICARE — M235_1: $14,510.03 MCARE_MEDICARE_HMO_OTH — M230_1: $14,510.03 MCARE_MEDICARE_PART_A — M237_1: $14,510.03 MCARE_MEDICARE_PART_B — M236_1: $14,510.03 MCARE_MEDICARE_RAC — M251_1: $14,510.03 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Shoulder arthroscopy/surgery	$63,552.78	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier LT In the file: Shoulder arthroscopy/surgery	$73,929.35	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier RT In the file: Shoulder arthroscopy/surgery	$77,079.33	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: Knee arthroscopy/surgery	$105,324.90	Not listed in the file	$3,658.98 – $3,841.93
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $3,732.16 MCARE_BLUE_CROSS_HMO — M247_1: $3,841.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,658.98 MCARE_MEDICARE — M235_1: $3,658.98 MCARE_MEDICARE_HMO_OTH — M230_1: $3,658.98 MCARE_MEDICARE_PART_A — M237_1: $3,658.98 MCARE_MEDICARE_PART_B — M236_1: $3,658.98 MCARE_MEDICARE_RAC — M251_1: $3,658.98 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery	$59,037.72	Not listed in the file	$3,658.98 – $3,841.93
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $3,732.16 MCARE_BLUE_CROSS_HMO — M247_1: $3,841.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,658.98 MCARE_MEDICARE — M235_1: $3,658.98 MCARE_MEDICARE_HMO_OTH — M230_1: $3,658.98 MCARE_MEDICARE_PART_A — M237_1: $3,658.98 MCARE_MEDICARE_PART_B — M236_1: $3,658.98 MCARE_MEDICARE_RAC — M251_1: $3,658.98 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT In the file: Knee arthroscopy/surgery	$56,869.72	Not listed in the file	$3,658.98 – $3,841.93
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $3,732.16 MCARE_BLUE_CROSS_HMO — M247_1: $3,841.93 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,658.98 MCARE_MEDICARE — M235_1: $3,658.98 MCARE_MEDICARE_HMO_OTH — M230_1: $3,658.98 MCARE_MEDICARE_PART_A — M237_1: $3,658.98 MCARE_MEDICARE_PART_B — M236_1: $3,658.98 MCARE_MEDICARE_RAC — M251_1: $3,658.98 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Egd diagnostic brush wash	$60,744.85	Not listed in the file	$1,057.30 – $1,110.16
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,078.44 MCARE_BLUE_CROSS_HMO — M247_1: $1,110.16 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,057.30 MCARE_MEDICARE — M235_1: $1,057.30 MCARE_MEDICARE_HMO_OTH — M230_1: $1,057.30 MCARE_MEDICARE_PART_A — M237_1: $1,057.30 MCARE_MEDICARE_PART_B — M236_1: $1,057.30 MCARE_MEDICARE_RAC — M251_1: $1,057.30 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	$40,975.99	Not listed in the file	$1,057.30 – $1,110.16
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,078.44 MCARE_BLUE_CROSS_HMO — M247_1: $1,110.16 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,057.30 MCARE_MEDICARE — M235_1: $1,057.30 MCARE_MEDICARE_HMO_OTH — M230_1: $1,057.30 MCARE_MEDICARE_PART_A — M237_1: $1,057.30 MCARE_MEDICARE_PART_B — M236_1: $1,057.30 MCARE_MEDICARE_RAC — M251_1: $1,057.30 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Egd biopsy single/multiple	$68,889.32	Not listed in the file	$1,057.30 – $1,110.16
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,078.44 MCARE_BLUE_CROSS_HMO — M247_1: $1,110.16 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,057.30 MCARE_MEDICARE — M235_1: $1,057.30 MCARE_MEDICARE_HMO_OTH — M230_1: $1,057.30 MCARE_MEDICARE_PART_A — M237_1: $1,057.30 MCARE_MEDICARE_PART_B — M236_1: $1,057.30 MCARE_MEDICARE_RAC — M251_1: $1,057.30 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	$12,037.60	Not listed in the file	$1,057.30 – $1,110.16
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,078.44 MCARE_BLUE_CROSS_HMO — M247_1: $1,110.16 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,057.30 MCARE_MEDICARE — M235_1: $1,057.30 MCARE_MEDICARE_HMO_OTH — M230_1: $1,057.30 MCARE_MEDICARE_PART_A — M237_1: $1,057.30 MCARE_MEDICARE_PART_B — M236_1: $1,057.30 MCARE_MEDICARE_RAC — M251_1: $1,057.30 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Diagnostic colonoscopy	$11,559.51	Not listed in the file	$1,028.14 – $1,079.55
Colonoscopy (diagnostic): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,048.71 MCARE_BLUE_CROSS_HMO — M247_1: $1,079.55 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,028.14 MCARE_MEDICARE — M235_1: $1,028.14 MCARE_MEDICARE_HMO_OTH — M230_1: $1,028.14 MCARE_MEDICARE_PART_A — M237_1: $1,028.14 MCARE_MEDICARE_PART_B — M236_1: $1,028.14 MCARE_MEDICARE_RAC — M251_1: $1,028.14 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonoscopy and biopsy	$67,605.98	Not listed in the file	$1,329.66 – $1,396.14
Colonoscopy with biopsy: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,356.25 MCARE_BLUE_CROSS_HMO — M247_1: $1,396.14 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,329.66 MCARE_MEDICARE — M235_1: $1,329.66 MCARE_MEDICARE_HMO_OTH — M230_1: $1,329.66 MCARE_MEDICARE_PART_A — M237_1: $1,329.66 MCARE_MEDICARE_PART_B — M236_1: $1,329.66 MCARE_MEDICARE_RAC — M251_1: $1,329.66 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	$12,174.46	Not listed in the file	$1,329.66 – $1,396.14
Colonoscopy with biopsy: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,356.25 MCARE_BLUE_CROSS_HMO — M247_1: $1,396.14 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,329.66 MCARE_MEDICARE — M235_1: $1,329.66 MCARE_MEDICARE_HMO_OTH — M230_1: $1,329.66 MCARE_MEDICARE_PART_A — M237_1: $1,329.66 MCARE_MEDICARE_PART_B — M236_1: $1,329.66 MCARE_MEDICARE_RAC — M251_1: $1,329.66 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Colonoscopy w/lesion removal	$135,866.52	Not listed in the file	$1,329.66 – $1,396.14
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,356.25 MCARE_BLUE_CROSS_HMO — M247_1: $1,396.14 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,329.66 MCARE_MEDICARE — M235_1: $1,329.66 MCARE_MEDICARE_HMO_OTH — M230_1: $1,329.66 MCARE_MEDICARE_PART_A — M237_1: $1,329.66 MCARE_MEDICARE_PART_B — M236_1: $1,329.66 MCARE_MEDICARE_RAC — M251_1: $1,329.66 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	$12,618.54	Not listed in the file	$1,329.66 – $1,396.14
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,356.25 MCARE_BLUE_CROSS_HMO — M247_1: $1,396.14 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,329.66 MCARE_MEDICARE — M235_1: $1,329.66 MCARE_MEDICARE_HMO_OTH — M230_1: $1,329.66 MCARE_MEDICARE_PART_A — M237_1: $1,329.66 MCARE_MEDICARE_PART_B — M236_1: $1,329.66 MCARE_MEDICARE_RAC — M251_1: $1,329.66 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind	$10,713.42	Not listed in the file	$1,028.14 – $1,079.55
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,048.71 MCARE_BLUE_CROSS_HMO — M247_1: $1,079.55 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,028.14 MCARE_MEDICARE — M235_1: $1,028.14 MCARE_MEDICARE_HMO_OTH — M230_1: $1,028.14 MCARE_MEDICARE_PART_A — M237_1: $1,028.14 MCARE_MEDICARE_PART_B — M236_1: $1,028.14 MCARE_MEDICARE_RAC — M251_1: $1,028.14 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Laparoscopic cholecystectomy	$140,005.21	Not listed in the file	$6,579.46 – $6,908.44
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $6,711.05 MCARE_BLUE_CROSS_HMO — M247_1: $6,908.44 MCARE_HUMANA_GOLD_CHOI — M242_1: $6,579.46 MCARE_MEDICARE — M235_1: $6,579.46 MCARE_MEDICARE_HMO_OTH — M230_1: $6,579.46 MCARE_MEDICARE_PART_A — M237_1: $6,579.46 MCARE_MEDICARE_PART_B — M236_1: $6,579.46 MCARE_MEDICARE_RAC — M251_1: $6,579.46 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	$103,482.59	Not listed in the file	$6,579.46 – $6,908.44
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $6,711.05 MCARE_BLUE_CROSS_HMO — M247_1: $6,908.44 MCARE_HUMANA_GOLD_CHOI — M242_1: $6,579.46 MCARE_MEDICARE — M235_1: $6,579.46 MCARE_MEDICARE_HMO_OTH — M230_1: $6,579.46 MCARE_MEDICARE_PART_A — M237_1: $6,579.46 MCARE_MEDICARE_PART_B — M236_1: $6,579.46 MCARE_MEDICARE_RAC — M251_1: $6,579.46 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Prp i/hern init reduc >5 yr	$105,445.42	Not listed in the file	$3,979.75 – $4,178.74
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $4,059.35 MCARE_BLUE_CROSS_HMO — M247_1: $4,178.74 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,979.75 MCARE_MEDICARE — M235_1: $3,979.75 MCARE_MEDICARE_HMO_OTH — M230_1: $3,979.75 MCARE_MEDICARE_PART_A — M237_1: $3,979.75 MCARE_MEDICARE_PART_B — M236_1: $3,979.75 MCARE_MEDICARE_RAC — M251_1: $3,979.75 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	$42,176.57	Not listed in the file	$3,979.75 – $4,178.74
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $4,059.35 MCARE_BLUE_CROSS_HMO — M247_1: $4,178.74 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,979.75 MCARE_MEDICARE — M235_1: $3,979.75 MCARE_MEDICARE_HMO_OTH — M230_1: $3,979.75 MCARE_MEDICARE_PART_A — M237_1: $3,979.75 MCARE_MEDICARE_PART_B — M236_1: $3,979.75 MCARE_MEDICARE_RAC — M251_1: $3,979.75 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 50 In the file: Prp i/hern init reduc >5 yr	$126,390.81	Not listed in the file	$3,979.75 – $4,178.74
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $4,059.35 MCARE_BLUE_CROSS_HMO — M247_1: $4,178.74 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,979.75 MCARE_MEDICARE — M235_1: $3,979.75 MCARE_MEDICARE_HMO_OTH — M230_1: $3,979.75 MCARE_MEDICARE_PART_A — M237_1: $3,979.75 MCARE_MEDICARE_PART_B — M236_1: $3,979.75 MCARE_MEDICARE_RAC — M251_1: $3,979.75 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) In the file: Laparo radical prostatectomy	$280,696.44	Not listed in the file	$11,740.83 – $12,327.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $11,975.65 MCARE_BLUE_CROSS_HMO — M247_1: $12,327.87 MCARE_HUMANA_GOLD_CHOI — M242_1: $11,740.83 MCARE_MEDICARE — M235_1: $11,740.83 MCARE_MEDICARE_HMO_OTH — M230_1: $11,740.83 MCARE_MEDICARE_PART_A — M237_1: $11,740.83 MCARE_MEDICARE_PART_B — M236_1: $11,740.83 MCARE_MEDICARE_RAC — M251_1: $11,740.83 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparo radical prostatectomy	$203,337.97	Not listed in the file	$11,740.83 – $12,327.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $11,975.65 MCARE_BLUE_CROSS_HMO — M247_1: $12,327.87 MCARE_HUMANA_GOLD_CHOI — M242_1: $11,740.83 MCARE_MEDICARE — M235_1: $11,740.83 MCARE_MEDICARE_HMO_OTH — M230_1: $11,740.83 MCARE_MEDICARE_PART_A — M237_1: $11,740.83 MCARE_MEDICARE_PART_B — M236_1: $11,740.83 MCARE_MEDICARE_RAC — M251_1: $11,740.83 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy biopsy	$41,238.99	Not listed in the file	$3,585.59 – $3,764.87
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $3,657.30 MCARE_BLUE_CROSS_HMO — M247_1: $3,764.87 MCARE_HUMANA_GOLD_CHOI — M242_1: $3,585.59 MCARE_MEDICARE — M235_1: $3,585.59 MCARE_MEDICARE_HMO_OTH — M230_1: $3,585.59 MCARE_MEDICARE_PART_A — M237_1: $3,585.59 MCARE_MEDICARE_PART_B — M236_1: $3,585.59 MCARE_MEDICARE_RAC — M251_1: $3,585.59 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj facet lumbar/sacral - bilat	$4,757	Not listed in the file	$780.96 – $820.01
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $796.58 MCARE_BLUE_CROSS_HMO — M247_1: $820.01 MCARE_HUMANA_GOLD_CHOI — M242_1: $780.96 MCARE_MEDICARE — M235_1: $780.96 MCARE_MEDICARE_HMO_OTH — M230_1: $780.96 MCARE_MEDICARE_PART_A — M237_1: $780.96 MCARE_MEDICARE_PART_B — M236_1: $780.96 MCARE_MEDICARE_RAC — M251_1: $780.96 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Njx interlaminar lmbr/sac	$4,757	Not listed in the file	$780.96 – $820.01
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $796.58 MCARE_BLUE_CROSS_HMO — M247_1: $820.01 MCARE_HUMANA_GOLD_CHOI — M242_1: $780.96 MCARE_MEDICARE — M235_1: $780.96 MCARE_MEDICARE_HMO_OTH — M230_1: $780.96 MCARE_MEDICARE_PART_A — M237_1: $780.96 MCARE_MEDICARE_PART_B — M236_1: $780.96 MCARE_MEDICARE_RAC — M251_1: $780.96 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Inj foramen epidural l/s	$5,461	Not listed in the file	$1,003.99 – $1,054.19
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,024.07 MCARE_BLUE_CROSS_HMO — M247_1: $1,054.19 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,003.99 MCARE_MEDICARE — M235_1: $1,003.99 MCARE_MEDICARE_HMO_OTH — M230_1: $1,003.99 MCARE_MEDICARE_PART_A — M237_1: $1,003.99 MCARE_MEDICARE_PART_B — M236_1: $1,003.99 MCARE_MEDICARE_RAC — M251_1: $1,003.99 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Lumbar transforaminal - bilat	$5,461	Not listed in the file	$1,003.99 – $1,054.19
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $1,024.07 MCARE_BLUE_CROSS_HMO — M247_1: $1,054.19 MCARE_HUMANA_GOLD_CHOI — M242_1: $1,003.99 MCARE_MEDICARE — M235_1: $1,003.99 MCARE_MEDICARE_HMO_OTH — M230_1: $1,003.99 MCARE_MEDICARE_PART_A — M237_1: $1,003.99 MCARE_MEDICARE_PART_B — M236_1: $1,003.99 MCARE_MEDICARE_RAC — M251_1: $1,003.99 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Carpal tunnel surgery	$25,897.95	Not listed in the file	$2,202.16 – $2,312.27
Carpal tunnel release: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $2,246.20 MCARE_BLUE_CROSS_HMO — M247_1: $2,312.27 MCARE_HUMANA_GOLD_CHOI — M242_1: $2,202.16 MCARE_MEDICARE — M235_1: $2,202.16 MCARE_MEDICARE_HMO_OTH — M230_1: $2,202.16 MCARE_MEDICARE_PART_A — M237_1: $2,202.16 MCARE_MEDICARE_PART_B — M236_1: $2,202.16 MCARE_MEDICARE_RAC — M251_1: $2,202.16 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier LT In the file: Carpal tunnel surgery	$24,837.75	Not listed in the file	$2,202.16 – $2,312.27
Carpal tunnel release: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $2,246.20 MCARE_BLUE_CROSS_HMO — M247_1: $2,312.27 MCARE_HUMANA_GOLD_CHOI — M242_1: $2,202.16 MCARE_MEDICARE — M235_1: $2,202.16 MCARE_MEDICARE_HMO_OTH — M230_1: $2,202.16 MCARE_MEDICARE_PART_A — M237_1: $2,202.16 MCARE_MEDICARE_PART_B — M236_1: $2,202.16 MCARE_MEDICARE_RAC — M251_1: $2,202.16 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier RT In the file: Carpal tunnel surgery	$25,897.95	Not listed in the file	$2,202.16 – $2,312.27
Carpal tunnel release: 10 of 20 insurance plan rates MCARE_AETNA_MEDICARE_H — M244_1: $2,246.20 MCARE_BLUE_CROSS_HMO — M247_1: $2,312.27 MCARE_HUMANA_GOLD_CHOI — M242_1: $2,202.16 MCARE_MEDICARE — M235_1: $2,202.16 MCARE_MEDICARE_HMO_OTH — M230_1: $2,202.16 MCARE_MEDICARE_PART_A — M237_1: $2,202.16 MCARE_MEDICARE_PART_B — M236_1: $2,202.16 MCARE_MEDICARE_RAC — M251_1: $2,202.16 AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: Obstetrical care	$25,773.23	Not listed in the file	Not listed in the file
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: Cesarean delivery	$56,030.25	Not listed in the file	Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery	$48,788.27	Not listed in the file	Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: Vbac delivery	$25,769.30	Not listed in the file	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates AARP_UNITED_HEALTHCARE — AARP: 41.3% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114: 52.8% (a percentage in the contract, not a dollar amount) AETNA_US_HEALTHCARE — A114_1: 52.8% (a percentage in the contract, not a dollar amount) BLUE_CROSS_030 — 500: 55.4% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401: 57.1% (a percentage in the contract, not a dollar amount) HUMANA_HEALTH_CARE — A401_1: 57.1% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OF_A — A216: 41.3% (a percentage in the contract, not a dollar amount) UNITED_HEALTHCARE_OTHE — A217: 41.3% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342: 52.8% (a percentage in the contract, not a dollar amount) ZAETNA_OTHER — A342_1: 52.8% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major hip and knee joint replacement or reattachment of lower extremity without mcc	$153,503.58	Not listed in the file	$11,584 – $33,966.08
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans AARP_UNITED_HEALTHCARE — AARP_1: $11,584 BLUE_CROSS_030 — 500_1: $33,966.08 UNITED_HEALTHCARE_OF_A — A216_1: $11,584 UNITED_HEALTHCARE_OTHE — A217_1: $11,584 ZUNITED_HEALTHCARE_BEN — A306_1: $11,584 ZUNITED_HEALTHCARE_OTH — A351_1: $11,584
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical spinal fusion without cc/mcc	$362,475.16	Not listed in the file	$11,584 – $27,877.60
Neck (cervical) spinal fusion, without complications: rates for 6 insurance plans AARP_UNITED_HEALTHCARE — AARP_1: $11,584 BLUE_CROSS_030 — 500_1: $27,877.60 UNITED_HEALTHCARE_OF_A — A216_1: $11,584 UNITED_HEALTHCARE_OTHE — A217_1: $11,584 ZUNITED_HEALTHCARE_BEN — A306_1: $11,584 ZUNITED_HEALTHCARE_OTH — A351_1: $11,584
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Uterine and adnexa procedures for non-malignancy without cc/mcc	$133,306.72	Not listed in the file	$11,584 – $13,996.98
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans AARP_UNITED_HEALTHCARE — AARP_1: $11,584 BLUE_CROSS_030 — 500_1: $13,996.98 UNITED_HEALTHCARE_OF_A — A216_1: $11,584 UNITED_HEALTHCARE_OTHE — A217_1: $11,584 ZUNITED_HEALTHCARE_BEN — A306_1: $11,584 ZUNITED_HEALTHCARE_OTH — A351_1: $11,584

Source: Canyon Vista Medical Center’s standard charges file (canyonvistamedicalcenter.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 18, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	5700 East Highway 90, Sierra Vista, AZ 85635
County	Cochise County
State	Arizona
Phone	(520) 263‑2220
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	030043
Name in Medicare records	CANYON VISTA MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(520) 263‑2000^[4]
Official website	canyonvistamedicalcenter.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Canyon Vista Medical Center — canyonvistamedicalcenter.com
Our Services — canyonvistamedicalcenter.com
Visiting Hours — canyonvistamedicalcenter.com
Emergency Mental Health Services | Sierra Vista, AZ — canyonvistamedicalcenter.com
Emergency Care | Sierra Vista, AZ Emergency Room (ER) — canyonvistamedicalcenter.com
Surgical Services & General Surgery | Sierra Vista, AZ — canyonvistamedicalcenter.com
Adult Inpatient Behavioral Health | Sierra Vista, AZ — canyonvistamedicalcenter.com
Stroke Symptoms & Care | Sierra Vista, AZ Emergency Services — canyonvistamedicalcenter.com
Medical Laboratory Services | Sierra Vista, AZ — canyonvistamedicalcenter.com
Intensive Outpatient Program | Sierra Vista, AZ — canyonvistamedicalcenter.com
Heart Screenings & Imaging | Sierra Vista, AZ — canyonvistamedicalcenter.com
Acute Care Services | Sierra Vista, AZ — canyonvistamedicalcenter.com
Diagnostic Imaging & Radiology | Sierra Vista, AZ — canyonvistamedicalcenter.com
Hospital Patient & Visitor Guide — canyonvistamedicalcenter.com

Canyon Vista Medical Center

Summary

Profile from official sources

At a glance