Does Carlinville Area Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Carlinville Area Hospital. In a medical emergency, call 911.

Where is Carlinville Area Hospital?

20733 N Broad Street, Carlinville, IL 62626, in Macoupin County, Illinois.

What is the phone number of Carlinville Area Hospital?

(217) 854-3141, as listed by Medicare (CMS).

What is the Medicare star rating of Carlinville Area Hospital?

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

Carlinville Area Hospital — Carlinville, IL

Quick answers

Does Carlinville Area Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Carlinville Area Hospital. In a medical emergency, call 911.
Where is Carlinville Area Hospital?: 20733 N Broad Street, Carlinville, IL 62626, in Macoupin County, Illinois.
What is the phone number of Carlinville Area Hospital?: (217) 854-3141, as listed by Medicare (CMS).
What is the Medicare star rating of Carlinville Area Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6][8]

Emergency Department
Behavioral Health
Senior Behavioral Health
Cardiopulmonary Services
Imaging Services
Laboratory
Rehabilitation Services
Surgical Services
Pain Management Clinic
Inpatient Care

Treatments^[4]

Outpatient infusion therapy
Chronic care management

Procedures^[6]

Cataract and eye surgery
Colonoscopy
Gastroscopy
General surgery
Hip preservation
Joint reconstruction
Total knee surgery
Laparoscopy
Plastic surgery
Shoulder and elbow surgery
Urology

Programs and centers^[4][8]

Swing Bed Program
Observation Care

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke Ready Hospital (Illinois Department of Public Health)

Visiting and practical information

Visiting	No set hours; critically ill patients may have visitors at any time unless medically contraindicated^[7]
Patient portal	https://www.cahcare.com/patient-portals

Doctors and clinicians (172)

172 doctors and other clinicians list Carlinville Area Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 148 more: the button below opens the full list.

Other emergency rooms nearby

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

St Francis Hospital15 mi · Litchfield, IL · Critical Access Hospital
Community Hospital of Staunton19 mi · Staunton, IL · Critical Access Hospital
Hillsboro Area Hospital23 mi · Hillsboro, IL · Critical Access Hospital
Jersey Community Hospital27 mi · Jerseyville, IL · Acute Care Hospital
OSF Saint Anthony's Health Center27 mi · Alton, IL · Acute Care Hospital

Other hospitals nearby

Thomas H Boyd Memorial Hospital28 mi · Carrollton, IL · Critical Access 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

Carlinville Rehab & HCC0.3 mi · Carlinville, IL · 1 of 5 stars
Hallmark HC of Carlinville0.4 mi · Carlinville, IL · 2 of 5 stars
Lakeside Health & Rehab Center0.8 mi · Carlinville, IL · 1 of 5 stars

All nursing homes in the state →

Dialysis facilities

DaVita Litchfield Dialysis13 mi · Litchfield, IL · 3 of 5 stars
DaVita Montgomery County Dialysis24 mi · Hillsboro, IL · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Carlinville Community Unit School District #10.6 mi · Carlinville, IL · Community health center
Oakland Avenue Clinic0.8 mi · Carlinville, IL · Community health center
Macoupin County Public Health Clinic Site0.8 mi · Carlinville, IL · Community health center

Clinics and urgent care

Carlinville Family Health Care0.0 mi · Carlinville, IL · Rural health clinic
Carlinville Family Practice Center0.0 mi · Carlinville, IL · Rural health clinic
Carlinville Medical Clinic Inc0.0 mi · Carlinville, IL · Rural health clinic

Pharmacies

Carlinville Health & Prescription Services0.0 mi · Carlinville, IL · Pharmacy
Carlinville Health & Prescriptions Services Inc0.0 mi · Carlinville, IL · Community/retail pharmacy
Walmart Inc.0.0 mi · Carlinville, IL · 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 Carlinville Area Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	85%National average: 71%
Nurses “always” communicated well	92%National average: 80%
Doctors “always” communicated well	89%National average: 80%
Staff “always” explained medicines before giving them	79%National average: 62%
Were given information about recovery at home	95%National average: 86%
Room and bathroom “always” clean	90%National average: 74%
Area around the room “always” quiet at night	53%National average: 60%
Completed surveys	45Response rate: 30%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	12.2%
Deaths within 30 days: pneumonia patients	16.3%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21%
Readmitted within 30 days: pneumonia	16.1%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	124 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as Carlinville Area Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 10 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT VISIT LEVEL 3	$500	$350	$311 – $3,396.04
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $385 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $385 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $385 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $400 CorVel Workers Comp — CorVel Workers Comp: $400
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: WND VISIT MD LEVEL 3 NEW	$232	$162.40	$144.30 – $3,396.04
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $178.64 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $178.64 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $178.64 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $185.60 CorVel Workers Comp — CorVel Workers Comp: $185.60
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: NEW OFFICE VISIT 3, LOW MDM	$379	$265.30	$235.74 – $3,396.04
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $291.83 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $291.83 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $291.83 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $303.20 CorVel Workers Comp — CorVel Workers Comp: $303.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT VISIT LEVEL 4	$618	$432.60	$384.40 – $3,396.04
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $475.86 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $475.86 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $475.86 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $494.40 CorVel Workers Comp — CorVel Workers Comp: $494.40
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: WND VISIT MD LEVEL 4 NEW	$342	$239.40	$212.72 – $3,396.04
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $263.34 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $263.34 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $263.34 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $273.60 CorVel Workers Comp — CorVel Workers Comp: $273.60
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: NEW OFFICE VISIT 4, MODERATE MDM	$519	$363.30	$322.82 – $3,396.04
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $399.63 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $399.63 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $399.63 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $415.20 CorVel Workers Comp — CorVel Workers Comp: $415.20
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT VISIT LEVEL 5	$784	$548.80	$487.65 – $3,396.04
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $603.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $603.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $603.68 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $627.20 CorVel Workers Comp — CorVel Workers Comp: $627.20
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: NEW OFFICE VISIT 5, HIGH MDM	$623	$436.10	$387.51 – $3,396.04
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $479.71 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $479.71 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $479.71 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $498.40 CorVel Workers Comp — CorVel Workers Comp: $498.40
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT VISIT 5 HIGH MDM	$389	$272.30	$241.96 – $3,396.04
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $299.53 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $299.53 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $299.53 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $311.20 CorVel Workers Comp — CorVel Workers Comp: $311.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 3	$217	$151.90	$134.97 – $3,396.04
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $167.09 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $167.09 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $167.09 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $173.60 CorVel Workers Comp — CorVel Workers Comp: $173.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: WND VISIT MD LEVEL 3 EST	$161	$112.70	$100.14 – $3,396.04
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $123.97 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $123.97 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $123.97 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $128.80 CorVel Workers Comp — CorVel Workers Comp: $128.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EST OFFICE VISIT 3, LOW MDM	$404	$282.80	$251.29 – $3,396.04
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $311.08 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $311.08 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $311.08 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $323.20 CorVel Workers Comp — CorVel Workers Comp: $323.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 4	$300	$210	$186.60 – $3,396.04
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $231 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $231 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $231 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $240 CorVel Workers Comp — CorVel Workers Comp: $240
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT VISIT LEVEL 4	$500	$350	$311 – $3,396.04
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $385 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $385 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $385 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $400 CorVel Workers Comp — CorVel Workers Comp: $400
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: WND VISIT MD LEVEL 4 EST	$216	$151.20	$134.35 – $3,396.04
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $166.32 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $166.32 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $166.32 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $172.80 CorVel Workers Comp — CorVel Workers Comp: $172.80
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE CONSULT 3, LOW MDM - GLOBAL	$541	$378.70	$336.50 – $3,396.04
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $416.57 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $416.57 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $416.57 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $432.80 CorVel Workers Comp — CorVel Workers Comp: $432.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULT 3, LOW MDM - GLOBAL	$541	$378.70	$194.76 – $772.86
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates Aetna — Commercial: $369.50 Aetna — Medicare Advantage: $254.27 Aetna Workers Comp — Aetna Workers Comp: $378.70 Blue Cross Blue Shield — Commercial: $772.86 Blue Cross Blue Shield — Medicare Advantage: $254.27 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $416.57 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $416.57 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $378.70 Cigna Commercial — Cigna Commercial: $354.36 CorVel Auto Medical — CorVel Auto Medical: $432.80
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE CONSULT 4, MODERATE MDM - GLOBAL	$806	$564.20	$501.33 – $3,396.04
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $620.62 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $620.62 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $620.62 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $644.80 CorVel Workers Comp — CorVel Workers Comp: $644.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULT 4, MODERATE MDM - GLOBAL	$806	$564.20	$290.16 – $1,151.43
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates Aetna — Commercial: $550.50 Aetna — Medicare Advantage: $378.82 Aetna Workers Comp — Aetna Workers Comp: $564.20 Blue Cross Blue Shield — Commercial: $1,151.43 Blue Cross Blue Shield — Medicare Advantage: $378.82 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $620.62 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $620.62 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $564.20 Cigna Commercial — Cigna Commercial: $527.93 CorVel Auto Medical — CorVel Auto Medical: $644.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Initial annual phys exam, ages 18-39 GL	$338	$236.60	$210.24 – $3,396.04
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $260.26 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $260.26 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $260.26 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $270.40 CorVel Workers Comp — CorVel Workers Comp: $270.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 1st Preventive Medicine New Patient Age	$242	$169.40	$150.52 – $3,396.04
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $186.34 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $186.34 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $186.34 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $193.60 CorVel Workers Comp — CorVel Workers Comp: $193.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Initial annual phys exam, ages 18-39 GL	$338	$236.60	$121.68 – $482.86
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates Aetna — Commercial: $230.85 Aetna — Medicare Advantage: $158.86 Aetna Workers Comp — Aetna Workers Comp: $236.60 Blue Cross Blue Shield — Commercial: $482.86 Blue Cross Blue Shield — Medicare Advantage: $158.86 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $260.26 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $260.26 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $236.60 Cigna Commercial — Cigna Commercial: $221.39 CorVel Auto Medical — CorVel Auto Medical: $270.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Initial annual phys exam, ages 40-64 GL	$390	$273	$242.58 – $3,396.04
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $300.30 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $300.30 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $300.30 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $312 CorVel Workers Comp — CorVel Workers Comp: $312
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 1st Preventive Medicine New Patient Age	$259	$181.30	$161.10 – $3,396.04
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $199.43 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $199.43 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $199.43 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $207.20 CorVel Workers Comp — CorVel Workers Comp: $207.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Initial Wellness Exam, New Pt 40-64	$434	$303.80	$269.95 – $3,396.04
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $334.18 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $334.18 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $334.18 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $347.20 CorVel Workers Comp — CorVel Workers Comp: $347.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL THREE	$1,058	$740.60	$658.08 – $3,396.04
Emergency room visit (moderate): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $814.66 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $814.66 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $814.66 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $846.40 CorVel Workers Comp — CorVel Workers Comp: $846.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ER PHYSICIAN LEVEL THREE	$376	$263.20	$233.87 – $3,396.04
Emergency room visit (moderate): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $289.52 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $289.52 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $289.52 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $300.80 CorVel Workers Comp — CorVel Workers Comp: $300.80
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT EXPANDED	$353	$247.10	$219.57 – $3,396.04
Emergency room visit (moderate): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $271.81 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $271.81 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $271.81 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $282.40 CorVel Workers Comp — CorVel Workers Comp: $282.40
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL FOUR	$1,467	$1,026.90	$912.47 – $3,396.04
Emergency room visit (moderately high): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,129.59 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,129.59 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,129.59 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,173.60 CorVel Workers Comp — CorVel Workers Comp: $1,173.60
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ER PHYSICIAN LEVEL FOUR	$421	$294.70	$261.86 – $3,396.04
Emergency room visit (moderately high): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $324.17 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $324.17 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $324.17 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $336.80 CorVel Workers Comp — CorVel Workers Comp: $336.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL FOUR	$1,467	$1,026.90	$528.12 – $2,095.71
Emergency room visit (moderately high): 10 of 27 insurance plan rates Aetna — Commercial: $1,001.96 Aetna — Medicare Advantage: $689.49 Aetna Workers Comp — Aetna Workers Comp: $1,026.90 Blue Cross Blue Shield — Commercial: $2,095.71 Blue Cross Blue Shield — Medicare Advantage: $689.49 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,129.59 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,129.59 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,026.90 Cigna Commercial — Cigna Commercial: $960.89 CorVel Auto Medical — CorVel Auto Medical: $1,173.60
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL FIVE	$2,104	$1,472.80	$1,100 – $3,396.04
Emergency room visit (high): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,620.08 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,620.08 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,620.08 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,683.20 CorVel Workers Comp — CorVel Workers Comp: $1,683.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL FIVE	$2,104	$1,472.80	$757.44 – $3,005.71
Emergency room visit (high): 10 of 27 insurance plan rates Aetna — Commercial: $1,437.03 Aetna — Medicare Advantage: $988.88 Aetna Workers Comp — Aetna Workers Comp: $1,472.80 Blue Cross Blue Shield — Commercial: $3,005.71 Blue Cross Blue Shield — Medicare Advantage: $988.88 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,620.08 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,620.08 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,472.80 Cigna Commercial — Cigna Commercial: $1,378.12 CorVel Auto Medical — CorVel Auto Medical: $1,683.20
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 25 In the file: ER LEVEL FIVE	$2,104	$1,472.80	$1,100 – $3,396.04
Emergency room visit (high): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,620.08 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,620.08 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,620.08 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,683.20 CorVel Workers Comp — CorVel Workers Comp: $1,683.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$219	$153.30	$136.22 – $3,396.04
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $168.63 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $168.63 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $168.63 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $175.20 CorVel Workers Comp — CorVel Workers Comp: $175.20
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DAILY BASIC METABOLIC PANEL	$219	$153.30	$136.22 – $3,396.04
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $168.63 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $168.63 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $168.63 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $175.20 CorVel Workers Comp — CorVel Workers Comp: $175.20
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel Calcium Total	$119	$83.30	$74.02 – $3,396.04
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $91.63 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $91.63 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $91.63 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $95.20 CorVel Workers Comp — CorVel Workers Comp: $95.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$249	$174.30	$154.88 – $3,396.04
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $191.73 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $191.73 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $191.73 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $199.20 CorVel Workers Comp — CorVel Workers Comp: $199.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DAILY COMPREHENSIVE METABOLIC PANEL	$299	$209.30	$185.98 – $3,396.04
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $230.23 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $230.23 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $230.23 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $239.20 CorVel Workers Comp — CorVel Workers Comp: $239.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSOC CHG GHP & CMP REF	$84	$58.80	$52.25 – $3,396.04
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $64.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $64.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $64.68 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $67.20 CorVel Workers Comp — CorVel Workers Comp: $67.20
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB PANEL	$821	$574.70	$510.66 – $3,396.04
Obstetric blood test panel: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $632.17 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $632.17 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $632.17 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $656.80 CorVel Workers Comp — CorVel Workers Comp: $656.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PANEL	$821	$574.70	$295.56 – $1,172.86
Obstetric blood test panel: 10 of 27 insurance plan rates Aetna — Commercial: $560.74 Aetna — Medicare Advantage: $385.87 Aetna Workers Comp — Aetna Workers Comp: $574.70 Blue Cross Blue Shield — Commercial: $1,172.86 Blue Cross Blue Shield — Medicare Advantage: $385.87 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $632.17 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $632.17 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $574.70 Cigna Commercial — Cigna Commercial: $537.76 CorVel Auto Medical — CorVel Auto Medical: $656.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$208	$145.60	$129.38 – $3,396.04
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $160.16 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $160.16 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $160.16 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $166.40 CorVel Workers Comp — CorVel Workers Comp: $166.40
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSOC CHG LIPID PANEL REF	$81	$56.70	$50.38 – $3,396.04
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $62.37 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $62.37 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $62.37 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $64.80 CorVel Workers Comp — CorVel Workers Comp: $64.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel	$109	$76.30	$67.80 – $3,396.04
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $83.93 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $83.93 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $83.93 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $87.20 CorVel Workers Comp — CorVel Workers Comp: $87.20
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$228	$159.60	$141.82 – $3,396.04
Kidney function panel: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $175.56 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $175.56 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $175.56 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $182.40 CorVel Workers Comp — CorVel Workers Comp: $182.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$228	$159.60	$82.08 – $325.71
Kidney function panel: 10 of 27 insurance plan rates Aetna — Commercial: $155.72 Aetna — Medicare Advantage: $107.16 Aetna Workers Comp — Aetna Workers Comp: $159.60 Blue Cross Blue Shield — Commercial: $325.71 Blue Cross Blue Shield — Medicare Advantage: $107.16 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $175.56 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $175.56 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $159.60 Cigna Commercial — Cigna Commercial: $149.34 CorVel Auto Medical — CorVel Auto Medical: $182.40
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIVER PROFILE	$336	$235.20	$208.99 – $3,396.04
Liver function panel: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $258.72 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $258.72 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $258.72 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $268.80 CorVel Workers Comp — CorVel Workers Comp: $268.80
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatc Funcj Panel	$187	$130.90	$116.31 – $3,396.04
Liver function panel: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $143.99 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $143.99 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $143.99 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $149.60 CorVel Workers Comp — CorVel Workers Comp: $149.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PROFILE	$336	$235.20	$120.96 – $480
Liver function panel: 10 of 27 insurance plan rates Aetna — Commercial: $229.49 Aetna — Medicare Advantage: $157.92 Aetna Workers Comp — Aetna Workers Comp: $235.20 Blue Cross Blue Shield — Commercial: $480 Blue Cross Blue Shield — Medicare Advantage: $157.92 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $258.72 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $258.72 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $235.20 Cigna Commercial — Cigna Commercial: $220.08 CorVel Auto Medical — CorVel Auto Medical: $268.80
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS w/Microscopy/C&S if indicated	$102	$71.40	$63.44 – $3,396.04
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $78.54 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $78.54 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $78.54 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $81.60 CorVel Workers Comp — CorVel Workers Comp: $81.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS w/ REFLEX to Microscopy	$102	$71.40	$63.44 – $3,396.04
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $78.54 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $78.54 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $78.54 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $81.60 CorVel Workers Comp — CorVel Workers Comp: $81.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt Auto Mic	$54	$37.80	$33.59 – $3,396.04
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $41.58 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $41.58 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $41.58 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $43.20 CorVel Workers Comp — CorVel Workers Comp: $43.20
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS DIP NON-AUTOMATED	$30	$21	$18.66 – $3,396.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $23.10 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $23.10 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $23.10 Cigna Commercial — Cigna Commercial: $2,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CorVel Auto Medical — CorVel Auto Medical: $24 CorVel Workers Comp — CorVel Workers Comp: $24
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O	$25	$17.50	$15.55 – $3,396.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $19.25 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $19.25 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $19.25 Cigna Commercial — Cigna Commercial: $2,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CorVel Auto Medical — CorVel Auto Medical: $20 CorVel Workers Comp — CorVel Workers Comp: $20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIP NON-AUTOMATED	$30	$21	$10.80 – $42.86
Urine test (manual, without microscope): 10 of 27 insurance plan rates Aetna — Commercial: $20.49 Aetna — Medicare Advantage: $14.10 Aetna Workers Comp — Aetna Workers Comp: $21 Blue Cross Blue Shield — Commercial: $42.86 Blue Cross Blue Shield — Medicare Advantage: $14.10 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $23.10 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $23.10 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $21 Cigna Commercial — Cigna Commercial: $19.65 CorVel Auto Medical — CorVel Auto Medical: $24
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS DIP AUTOMATED	$71	$49.70	$44.16 – $3,396.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $54.67 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $54.67 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $54.67 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $56.80 CorVel Workers Comp — CorVel Workers Comp: $56.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIP AUTOMATED	$71	$49.70	$25.56 – $101.43
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Commercial: $48.49 Aetna — Medicare Advantage: $33.37 Aetna Workers Comp — Aetna Workers Comp: $49.70 Blue Cross Blue Shield — Commercial: $101.43 Blue Cross Blue Shield — Medicare Advantage: $33.37 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $54.67 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $54.67 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $49.70 Cigna Commercial — Cigna Commercial: $46.51 CorVel Auto Medical — CorVel Auto Medical: $56.80
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee · modifier QW In the file: Urnls Dip Stick/Tablet Rgnt Auto W/O Mic	$26	$18.20	$16.17 – $3,396.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $20.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $20.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $20.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $20.80 CorVel Workers Comp — CorVel Workers Comp: $20.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA-DIAGNOSTIC	$238	$166.60	$148.04 – $3,396.04
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $183.26 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $183.26 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $183.26 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $190.40 CorVel Workers Comp — CorVel Workers Comp: $190.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prst8 Spec Ag Tot	$110	$77	$68.42 – $3,396.04
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $84.70 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $84.70 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $84.70 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $88 CorVel Workers Comp — CorVel Workers Comp: $88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA-DIAGNOSTIC	$238	$166.60	$85.68 – $340
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — Commercial: $162.55 Aetna — Medicare Advantage: $111.86 Aetna Workers Comp — Aetna Workers Comp: $166.60 Blue Cross Blue Shield — Commercial: $340 Blue Cross Blue Shield — Medicare Advantage: $111.86 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $183.26 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $183.26 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $166.60 Cigna Commercial — Cigna Commercial: $155.89 CorVel Auto Medical — CorVel Auto Medical: $190.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$200	$140	$124.40 – $3,396.04
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $154 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $154 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $154 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $160 CorVel Workers Comp — CorVel Workers Comp: $160
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID CASCADE PROFILE REF	$131	$91.70	$81.48 – $3,396.04
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $100.87 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $100.87 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $100.87 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $104.80 CorVel Workers Comp — CorVel Workers Comp: $104.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSOC CHG GHP & TSH REF	$84	$58.80	$52.25 – $3,396.04
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $64.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $64.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $64.68 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $67.20 CorVel Workers Comp — CorVel Workers Comp: $67.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC, W/AUTO DIFF	$177	$123.90	$110.09 – $3,396.04
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $136.29 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $136.29 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $136.29 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $141.60 CorVel Workers Comp — CorVel Workers Comp: $141.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF CHARGE ONLY	$177	$123.90	$110.09 – $3,396.04
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $136.29 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $136.29 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $136.29 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $141.60 CorVel Workers Comp — CorVel Workers Comp: $141.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSOC CHG GHP & CBC/AUTO DIFF REF	$84	$58.80	$52.25 – $3,396.04
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $64.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $64.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $64.68 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $67.20 CorVel Workers Comp — CorVel Workers Comp: $67.20
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/O DIFF	$155	$108.50	$96.41 – $3,396.04
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $119.35 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $119.35 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $119.35 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $124 CorVel Workers Comp — CorVel Workers Comp: $124
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM CHARGE ONLY	$155	$108.50	$96.41 – $3,396.04
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $119.35 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $119.35 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $119.35 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $124 CorVel Workers Comp — CorVel Workers Comp: $124
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DAILY CBC W/O DIFF	$155	$108.50	$96.41 – $3,396.04
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $119.35 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $119.35 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $119.35 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $124 CorVel Workers Comp — CorVel Workers Comp: $124
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME	$98	$68.60	$60.96 – $3,396.04
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $75.46 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $75.46 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $75.46 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $78.40 CorVel Workers Comp — CorVel Workers Comp: $78.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT (COAG PROFILE)	$93	$65.10	$57.85 – $3,396.04
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $71.61 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $71.61 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $71.61 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $74.40 CorVel Workers Comp — CorVel Workers Comp: $74.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DAILY PROTIME	$98	$68.60	$60.96 – $3,396.04
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $75.46 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $75.46 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $75.46 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $78.40 CorVel Workers Comp — CorVel Workers Comp: $78.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT	$142	$99.40	$88.32 – $3,396.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $109.34 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $109.34 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $109.34 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $113.60 CorVel Workers Comp — CorVel Workers Comp: $113.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APTT-LA (REF)	$116	$81.20	$72.15 – $3,396.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $89.32 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $89.32 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $89.32 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $92.80 CorVel Workers Comp — CorVel Workers Comp: $92.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DAILY PTT	$142	$99.40	$88.32 – $3,396.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $109.34 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $109.34 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $109.34 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $113.60 CorVel Workers Comp — CorVel Workers Comp: $113.60

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 (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT BRAIN WO CONTRAST	$2,674	$1,871.80	$1,100 – $3,396.04
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,058.98 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,058.98 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,058.98 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $2,139.20 CorVel Workers Comp — CorVel Workers Comp: $2,139.20
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT BRAIN WO CONTRAST	$2,674	$1,871.80	$962.64 – $3,820
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,826.34 Aetna — Medicare Advantage: $1,256.78 Aetna Workers Comp — Aetna Workers Comp: $1,871.80 Blue Cross Blue Shield — Commercial: $3,820 Blue Cross Blue Shield — Medicare Advantage: $1,256.78 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,058.98 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,058.98 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,871.80 Cigna Commercial — Cigna Commercial: $1,751.47 CorVel Auto Medical — CorVel Auto Medical: $2,139.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W+WO CONTRAST	$6,216	$4,351.20	$1,100 – $6,216
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $4,786.32 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $4,786.32 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $4,786.32 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $4,972.80 CorVel Workers Comp — CorVel Workers Comp: $4,972.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W+WO CONTRAST	$6,216	$4,351.20	$2,237.76 – $8,880
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates Aetna — Commercial: $4,245.53 Aetna — Medicare Advantage: $2,921.52 Aetna Workers Comp — Aetna Workers Comp: $4,351.20 Blue Cross Blue Shield — Commercial: $8,880 Blue Cross Blue Shield — Medicare Advantage: $2,921.52 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $4,786.32 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $4,786.32 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $4,351.20 Cigna Commercial — Cigna Commercial: $4,071.48 CorVel Auto Medical — CorVel Auto Medical: $4,972.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CHEST 2V	$504	$352.80	$313.49 – $3,396.04
Chest X-ray, 2 views: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $388.08 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $388.08 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $388.08 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $403.20 CorVel Workers Comp — CorVel Workers Comp: $403.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CHEST 2V - V	$202	$141.40	$125.64 – $3,396.04
Chest X-ray, 2 views: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $155.54 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $155.54 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $155.54 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $161.60 CorVel Workers Comp — CorVel Workers Comp: $161.60
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CHEST PEDS 2V - V	$202	$141.40	$125.64 – $3,396.04
Chest X-ray, 2 views: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $155.54 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $155.54 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $155.54 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $161.60 CorVel Workers Comp — CorVel Workers Comp: $161.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE & 2V OBLIQUE	$662	$463.40	$411.76 – $3,396.04
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $509.74 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $509.74 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $509.74 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $529.60 CorVel Workers Comp — CorVel Workers Comp: $529.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE 4 VIEWS	$690	$483	$429.18 – $3,396.04
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $531.30 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $531.30 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $531.30 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $552 CorVel Workers Comp — CorVel Workers Comp: $552
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE & 2V OBLIQUE - V	$265	$185.50	$164.83 – $3,396.04
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $204.05 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $204.05 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $204.05 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $212 CorVel Workers Comp — CorVel Workers Comp: $212
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR WO CONTRAST	$4,116	$2,881.20	$1,100 – $4,116
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $3,169.32 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $3,169.32 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $3,169.32 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $3,292.80 CorVel Workers Comp — CorVel Workers Comp: $3,292.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR WO CONTRAST	$4,116	$2,881.20	$1,481.76 – $5,880
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.23 Aetna — Medicare Advantage: $1,934.52 Aetna Workers Comp — Aetna Workers Comp: $2,881.20 Blue Cross Blue Shield — Commercial: $5,880 Blue Cross Blue Shield — Medicare Advantage: $1,934.52 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $3,169.32 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $3,169.32 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,881.20 Cigna Commercial — Cigna Commercial: $2,695.98 CorVel Auto Medical — CorVel Auto Medical: $3,292.80
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIC W/ CONTRAST	$3,845	$2,691.50	$1,100 – $3,845
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,960.65 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,960.65 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,960.65 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $3,076 CorVel Workers Comp — CorVel Workers Comp: $3,076
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIC W/ CONTRAST	$3,845	$2,691.50	$1,384.20 – $5,492.86
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Commercial: $2,626.14 Aetna — Medicare Advantage: $1,807.15 Aetna Workers Comp — Aetna Workers Comp: $2,691.50 Blue Cross Blue Shield — Commercial: $5,492.86 Blue Cross Blue Shield — Medicare Advantage: $1,807.15 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,960.65 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,960.65 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,691.50 Cigna Commercial — Cigna Commercial: $2,518.48 CorVel Auto Medical — CorVel Auto Medical: $3,076
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LE ANY JOINT WO CONTRAST	$2,784	$1,948.80	$1,100 – $3,396.04
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,143.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,143.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,143.68 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $2,227.20 CorVel Workers Comp — CorVel Workers Comp: $2,227.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LE ANY JOINT WO CONTRAST	$2,784	$1,948.80	$1,002.24 – $3,977.14
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,901.47 Aetna — Medicare Advantage: $1,308.48 Aetna Workers Comp — Aetna Workers Comp: $1,948.80 Blue Cross Blue Shield — Commercial: $3,977.14 Blue Cross Blue Shield — Medicare Advantage: $1,308.48 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,143.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,143.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,948.80 Cigna Commercial — Cigna Commercial: $1,823.52 CorVel Auto Medical — CorVel Auto Medical: $2,227.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT ABD/PEL W/ CONTRAST	$5,733	$4,013.10	$1,100 – $5,733
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $4,414.41 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $4,414.41 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $4,414.41 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $4,586.40 CorVel Workers Comp — CorVel Workers Comp: $4,586.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT Enterography	$3,966	$2,776.20	$1,100 – $3,966
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $3,053.82 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $3,053.82 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $3,053.82 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $3,172.80 CorVel Workers Comp — CorVel Workers Comp: $3,172.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD/PEL W/ CONTRAST	$5,733	$4,013.10	$2,063.88 – $8,190
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates Aetna — Commercial: $3,915.64 Aetna — Medicare Advantage: $2,694.51 Aetna Workers Comp — Aetna Workers Comp: $4,013.10 Blue Cross Blue Shield — Commercial: $8,190 Blue Cross Blue Shield — Medicare Advantage: $2,694.51 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $4,414.41 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $4,414.41 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $4,013.10 Cigna Commercial — Cigna Commercial: $3,755.12 CorVel Auto Medical — CorVel Auto Medical: $4,586.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,517	$1,061.90	$943.57 – $3,396.04
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,168.09 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,168.09 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,168.09 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,213.60 CorVel Workers Comp — CorVel Workers Comp: $1,213.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,517	$1,061.90	$546.12 – $2,167.14
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates Aetna — Commercial: $1,036.11 Aetna — Medicare Advantage: $712.99 Aetna Workers Comp — Aetna Workers Comp: $1,061.90 Blue Cross Blue Shield — Commercial: $2,167.14 Blue Cross Blue Shield — Medicare Advantage: $712.99 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,168.09 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,168.09 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,061.90 Cigna Commercial — Cigna Commercial: $993.64 CorVel Auto Medical — CorVel Auto Medical: $1,213.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB COMPLETE	$1,007	$704.90	$626.35 – $3,396.04
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $775.39 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $775.39 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $775.39 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $805.60 CorVel Workers Comp — CorVel Workers Comp: $805.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMPLETE	$1,007	$704.90	$362.52 – $1,438.57
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates Aetna — Commercial: $687.78 Aetna — Medicare Advantage: $473.29 Aetna Workers Comp — Aetna Workers Comp: $704.90 Blue Cross Blue Shield — Commercial: $1,438.57 Blue Cross Blue Shield — Medicare Advantage: $473.29 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $775.39 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $775.39 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $704.90 Cigna Commercial — Cigna Commercial: $659.59 CorVel Auto Medical — CorVel Auto Medical: $805.60
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAG NON OB	$1,115	$780.50	$693.53 – $3,396.04
Transvaginal ultrasound: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $858.55 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $858.55 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $858.55 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $892 CorVel Workers Comp — CorVel Workers Comp: $892
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAG NON OB	$1,115	$780.50	$401.40 – $1,592.86
Transvaginal ultrasound: 10 of 27 insurance plan rates Aetna — Commercial: $761.55 Aetna — Medicare Advantage: $524.05 Aetna Workers Comp — Aetna Workers Comp: $780.50 Blue Cross Blue Shield — Commercial: $1,592.86 Blue Cross Blue Shield — Medicare Advantage: $524.05 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $858.55 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $858.55 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $780.50 Cigna Commercial — Cigna Commercial: $730.33 CorVel Auto Medical — CorVel Auto Medical: $892
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: DIG MAM DIAG R UNILATERA	$463	$324.10	$287.99 – $3,396.04
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $356.51 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $356.51 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $356.51 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $370.40 CorVel Workers Comp — CorVel Workers Comp: $370.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: DIG MAM DIAG L UNILATERA	$463	$324.10	$287.99 – $3,396.04
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $356.51 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $356.51 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $356.51 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $370.40 CorVel Workers Comp — CorVel Workers Comp: $370.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: DIG 3D MAM DIAG L UNILATERA	$463	$324.10	$287.99 – $3,396.04
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $356.51 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $356.51 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $356.51 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $370.40 CorVel Workers Comp — CorVel Workers Comp: $370.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIG MAM DIAG BILATERAL	$624	$436.80	$388.13 – $3,396.04
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $480.48 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $480.48 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $480.48 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $499.20 CorVel Workers Comp — CorVel Workers Comp: $499.20
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIG 3D MAM DIAG BILATERAL	$624	$436.80	$388.13 – $3,396.04
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $480.48 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $480.48 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $480.48 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $499.20 CorVel Workers Comp — CorVel Workers Comp: $499.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIG MAM DIAG BILATERAL	$624	$436.80	$224.64 – $891.43
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Commercial: $426.19 Aetna — Medicare Advantage: $293.28 Aetna Workers Comp — Aetna Workers Comp: $436.80 Blue Cross Blue Shield — Commercial: $891.43 Blue Cross Blue Shield — Medicare Advantage: $293.28 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $480.48 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $480.48 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $436.80 Cigna Commercial — Cigna Commercial: $408.72 CorVel Auto Medical — CorVel Auto Medical: $499.20
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIG MAM SCREENING BILATERAL	$450	$315	$279.90 – $3,396.04
Screening mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $346.50 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $346.50 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $346.50 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $360 CorVel Workers Comp — CorVel Workers Comp: $360
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIG MAM SPECIAL SCREENING	$423	$296.10	$263.11 – $3,396.04
Screening mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $325.71 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $325.71 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $325.71 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $338.40 CorVel Workers Comp — CorVel Workers Comp: $338.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIG 3D MAM SCREENING BILATERAL	$450	$315	$279.90 – $3,396.04
Screening mammogram, both breasts: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $346.50 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $346.50 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $346.50 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $360 CorVel Workers Comp — CorVel Workers Comp: $360

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: POLYSOMNOGRAPHY, 4 OR MORE PAR, DIAG	$5,213	$3,649.10	$1,100 – $5,213
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $4,014.01 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $4,014.01 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $4,014.01 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $4,170.40 CorVel Workers Comp — CorVel Workers Comp: $4,170.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOMNOGRAPHY, 4 OR MORE PAR, DIAG	$5,213	$3,649.10	$1,876.68 – $7,447.14
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates Aetna — Commercial: $3,560.48 Aetna — Medicare Advantage: $2,450.11 Aetna Workers Comp — Aetna Workers Comp: $3,649.10 Blue Cross Blue Shield — Commercial: $7,447.14 Blue Cross Blue Shield — Medicare Advantage: $2,450.11 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $4,014.01 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $4,014.01 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $3,649.10 Cigna Commercial — Cigna Commercial: $3,414.52 CorVel Auto Medical — CorVel Auto Medical: $4,170.40

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEALTH PROMOTION EXERCISE, PER 1/2 HOUR	$103	$72.10	$64.07 – $3,396.04
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $79.31 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $79.31 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $79.31 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $82.40 CorVel Workers Comp — CorVel Workers Comp: $82.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYS THERAPY-IND THERAPY-OFFSITE/15 MIN	$184	$128.80	$114.45 – $3,396.04
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $141.68 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $141.68 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $141.68 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $147.20 CorVel Workers Comp — CorVel Workers Comp: $147.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT-IND THERAPY-ONSITE/15 MIN	$172	$120.40	$106.98 – $3,396.04
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $132.44 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $132.44 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $132.44 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $137.60 CorVel Workers Comp — CorVel Workers Comp: $137.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP95 In the file: PTV PT EVAL LOW COMPLEX TELEHEALTH	$126	$88.20	$78.37 – $3,396.04
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $100.80 CorVel Workers Comp — CorVel Workers Comp: $100.80
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PTV PHYSICAL THERAPY EVAL LOW COMPLEX	$127	$88.90	$78.99 – $3,396.04
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.79 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.79 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.79 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $101.60 CorVel Workers Comp — CorVel Workers Comp: $101.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GPKX In the file: PTV PT EVAL LOW COMPLEX TELEHEALTH - KX	$126	$88.20	$78.37 – $3,396.04
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $100.80 CorVel Workers Comp — CorVel Workers Comp: $100.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP95 In the file: PTV PT EVAL MODERATE COMP TELEHEALTH	$126	$88.20	$78.37 – $3,396.04
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $100.80 CorVel Workers Comp — CorVel Workers Comp: $100.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PTV EVALUATION MODERATE COMPLEXITY	$148	$103.60	$92.06 – $3,396.04
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $113.96 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $113.96 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $113.96 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $118.40 CorVel Workers Comp — CorVel Workers Comp: $118.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GPKX In the file: PTV EVAL MODERATE COMP TELEHEALTH - KX	$126	$88.20	$78.37 – $3,396.04
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $100.80 CorVel Workers Comp — CorVel Workers Comp: $100.80
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP95 In the file: PTV EVAL HIGH COMPLEX TELEHEALTH	$126	$88.20	$78.37 – $3,396.04
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $100.80 CorVel Workers Comp — CorVel Workers Comp: $100.80
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PTV EVALUATION HIGH COMPLEX	$177	$123.90	$110.09 – $3,396.04
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $136.29 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $136.29 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $136.29 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $141.60 CorVel Workers Comp — CorVel Workers Comp: $141.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GPKX In the file: PTV EVAL HIGH COMPLEX TELEHEALTH - KX	$126	$88.20	$78.37 – $3,396.04
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $97.02 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $97.02 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $97.02 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $100.80 CorVel Workers Comp — CorVel Workers Comp: $100.80
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH THERAPY INDV 16-37 MIN	$356	$249.20	$221.43 – $3,396.04
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $274.12 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $274.12 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $274.12 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $284.80 CorVel Workers Comp — CorVel Workers Comp: $284.80
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy 16-37 min w/patient	$151	$105.70	$93.92 – $3,396.04
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $116.27 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $116.27 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $116.27 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $120.80 CorVel Workers Comp — CorVel Workers Comp: $120.80
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH THERAPY INDV 16-37 MIN	$356	$249.20	$128.16 – $508.57
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $243.15 Aetna — Medicare Advantage: $167.32 Aetna Workers Comp — Aetna Workers Comp: $249.20 Blue Cross Blue Shield — Commercial: $508.57 Blue Cross Blue Shield — Medicare Advantage: $167.32 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $274.12 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $274.12 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $249.20 Cigna Commercial — Cigna Commercial: $233.18 CorVel Auto Medical — CorVel Auto Medical: $284.80
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH THERAPY INDV 38-52 MIN	$398	$278.60	$247.56 – $3,396.04
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $306.46 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $306.46 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $306.46 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $318.40 CorVel Workers Comp — CorVel Workers Comp: $318.40
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy 38-52 min w/patient	$200	$140	$124.40 – $3,396.04
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $154 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $154 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $154 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $160 CorVel Workers Comp — CorVel Workers Comp: $160
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH THERAPY INDV 38-52 MIN	$398	$278.60	$143.28 – $568.57
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $271.83 Aetna — Medicare Advantage: $187.06 Aetna Workers Comp — Aetna Workers Comp: $278.60 Blue Cross Blue Shield — Commercial: $568.57 Blue Cross Blue Shield — Medicare Advantage: $187.06 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $306.46 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $306.46 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $278.60 Cigna Commercial — Cigna Commercial: $260.69 CorVel Auto Medical — CorVel Auto Medical: $318.40
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH THERAPY INDV 60 MIN	$630	$441	$391.86 – $3,396.04
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $485.10 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $485.10 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $485.10 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $504 CorVel Workers Comp — CorVel Workers Comp: $504
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy, 53-67 min w/patient	$294	$205.80	$182.87 – $3,396.04
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $226.38 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $226.38 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $226.38 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $235.20 CorVel Workers Comp — CorVel Workers Comp: $235.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH THERAPY INDV 60 MIN	$630	$441	$226.80 – $900
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates Aetna — Commercial: $430.29 Aetna — Medicare Advantage: $296.10 Aetna Workers Comp — Aetna Workers Comp: $441 Blue Cross Blue Shield — Commercial: $900 Blue Cross Blue Shield — Medicare Advantage: $296.10 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $485.10 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $485.10 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $441 Cigna Commercial — Cigna Commercial: $412.65 CorVel Auto Medical — CorVel Auto Medical: $504
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH FAMILY W/O PATIENT	$381	$266.70	$236.98 – $3,396.04
Family psychotherapy, without the patient: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $293.37 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $293.37 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $293.37 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $304.80 CorVel Workers Comp — CorVel Workers Comp: $304.80
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Family psychotx W/O patient 50 min	$399	$279.30	$248.18 – $3,396.04
Family psychotherapy, without the patient: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $307.23 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $307.23 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $307.23 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $319.20 CorVel Workers Comp — CorVel Workers Comp: $319.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH FAMILY W/O PATIENT	$381	$266.70	$137.16 – $544.29
Family psychotherapy, without the patient: 10 of 27 insurance plan rates Aetna — Commercial: $260.22 Aetna — Medicare Advantage: $179.07 Aetna Workers Comp — Aetna Workers Comp: $266.70 Blue Cross Blue Shield — Commercial: $544.29 Blue Cross Blue Shield — Medicare Advantage: $179.07 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $293.37 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $293.37 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $266.70 Cigna Commercial — Cigna Commercial: $249.56 CorVel Auto Medical — CorVel Auto Medical: $304.80
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH FAMILY W/PATIENT	$381	$266.70	$236.98 – $3,396.04
Family psychotherapy, with the patient: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $293.37 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $293.37 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $293.37 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $304.80 CorVel Workers Comp — CorVel Workers Comp: $304.80
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Family psychotx WITH patient 50 min	$412	$288.40	$256.26 – $3,396.04
Family psychotherapy, with the patient: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $317.24 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $317.24 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $317.24 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $329.60 CorVel Workers Comp — CorVel Workers Comp: $329.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH FAMILY W/PATIENT	$381	$266.70	$137.16 – $544.29
Family psychotherapy, with the patient: 10 of 27 insurance plan rates Aetna — Commercial: $260.22 Aetna — Medicare Advantage: $179.07 Aetna Workers Comp — Aetna Workers Comp: $266.70 Blue Cross Blue Shield — Commercial: $544.29 Blue Cross Blue Shield — Medicare Advantage: $179.07 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $293.37 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $293.37 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $266.70 Cigna Commercial — Cigna Commercial: $249.56 CorVel Auto Medical — CorVel Auto Medical: $304.80
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH GROUP THERAPY	$437	$305.90	$271.81 – $3,396.04
Group psychotherapy: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $336.49 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $336.49 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $336.49 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $349.60 CorVel Workers Comp — CorVel Workers Comp: $349.60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH GROUP THERAPY	$437	$305.90	$157.32 – $624.29
Group psychotherapy: 10 of 27 insurance plan rates Aetna — Commercial: $298.47 Aetna — Medicare Advantage: $205.39 Aetna Workers Comp — Aetna Workers Comp: $305.90 Blue Cross Blue Shield — Commercial: $624.29 Blue Cross Blue Shield — Medicare Advantage: $205.39 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $336.49 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $336.49 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $305.90 Cigna Commercial — Cigna Commercial: $286.24 CorVel Auto Medical — CorVel Auto Medical: $349.60

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/>	$1,362	$953.40	$847.16 – $3,396.04
Removal of breast growth (open surgery): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,048.74 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,048.74 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,048.74 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,089.60 CorVel Workers Comp — CorVel Workers Comp: $1,089.60
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/>	$1,362	$953.40	$490.32 – $1,945.71
Removal of breast growth (open surgery): 10 of 27 insurance plan rates Aetna — Commercial: $930.25 Aetna — Medicare Advantage: $640.14 Aetna Workers Comp — Aetna Workers Comp: $953.40 Blue Cross Blue Shield — Commercial: $1,945.71 Blue Cross Blue Shield — Medicare Advantage: $640.14 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,048.74 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,048.74 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $953.40 Cigna Commercial — Cigna Commercial: $892.11 CorVel Auto Medical — CorVel Auto Medical: $1,089.60
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AQ In the file: EXCISION OF BREAST CYST 1 OR MORE LESION	$1,443	$1,010.10	$897.55 – $3,396.04
Removal of breast growth (open surgery): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,111.11 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,111.11 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,111.11 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,154.40 CorVel Workers Comp — CorVel Workers Comp: $1,154.40
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ARTHROPLASTY KNEE TOTAL	$8,421	$5,894.70	$1,100 – $8,421
Total knee replacement: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $6,484.17 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $6,484.17 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $6,484.17 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $6,736.80 CorVel Workers Comp — CorVel Workers Comp: $6,736.80
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ARTHROPLASTY KNEE TOTAL	$8,421	$5,894.70	$3,031.56 – $12,030
Total knee replacement: 10 of 27 insurance plan rates Aetna — Commercial: $5,751.54 Aetna — Medicare Advantage: $3,957.87 Aetna Workers Comp — Aetna Workers Comp: $5,894.70 Blue Cross Blue Shield — Commercial: $12,030 Blue Cross Blue Shield — Medicare Advantage: $3,957.87 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $6,484.17 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $6,484.17 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $5,894.70 Cigna Commercial — Cigna Commercial: $5,515.76 CorVel Auto Medical — CorVel Auto Medical: $6,736.80
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AS In the file: ARTHROPLASTY KNEE 1ST ASSIST	$2,106	$1,474.20	$1,100 – $3,396.04
Total knee replacement: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,621.62 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,621.62 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,621.62 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,684.80 CorVel Workers Comp — CorVel Workers Comp: $1,684.80
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ARTHROSCOPY SHOULDER DECOMPRESSION SUB	$688	$481.60	$427.94 – $3,396.04
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $529.76 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $529.76 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $529.76 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $550.40 CorVel Workers Comp — CorVel Workers Comp: $550.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ARTHROSCOPY SHOULDER DECOMPRESSION SUB	$688	$481.60	$247.68 – $982.86
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates Aetna — Commercial: $469.90 Aetna — Medicare Advantage: $323.36 Aetna Workers Comp — Aetna Workers Comp: $481.60 Blue Cross Blue Shield — Commercial: $982.86 Blue Cross Blue Shield — Medicare Advantage: $323.36 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $529.76 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $529.76 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $481.60 Cigna Commercial — Cigna Commercial: $450.64 CorVel Auto Medical — CorVel Auto Medical: $550.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AS In the file: ARTHROSCOPY SHOULDER DECOMP ASSIST	$172	$120.40	$106.98 – $3,396.04
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $132.44 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $132.44 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $132.44 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $137.60 CorVel Workers Comp — CorVel Workers Comp: $137.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ARTHROSCOPY KNEE SURG W/MENISCECTOMY	$2,624	$1,836.80	$1,100 – $3,396.04
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,020.48 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,020.48 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,020.48 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $2,099.20 CorVel Workers Comp — CorVel Workers Comp: $2,099.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ARTHROSCOPY KNEE SURG W/MENISCECTOMY	$2,624	$1,836.80	$944.64 – $3,748.57
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates Aetna — Commercial: $1,792.19 Aetna — Medicare Advantage: $1,233.28 Aetna Workers Comp — Aetna Workers Comp: $1,836.80 Blue Cross Blue Shield — Commercial: $3,748.57 Blue Cross Blue Shield — Medicare Advantage: $1,233.28 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,020.48 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,020.48 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,836.80 Cigna Commercial — Cigna Commercial: $1,718.72 CorVel Auto Medical — CorVel Auto Medical: $2,099.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AS In the file: Remove torn knee cartilage ASSIST	$656	$459.20	$408.03 – $3,396.04
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $505.12 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $505.12 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $505.12 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $524.80 CorVel Workers Comp — CorVel Workers Comp: $524.80
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: GASTROINTESTINAL ENDOSCOPY WITH BIOPSY	$785	$549.50	$488.27 – $3,396.04
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $604.45 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $604.45 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $604.45 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $628 CorVel Workers Comp — CorVel Workers Comp: $628
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EGD-DIAGNOSTIC	$690	$483	$429.18 – $3,396.04
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $531.30 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $531.30 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $531.30 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $552 CorVel Workers Comp — CorVel Workers Comp: $552
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GASTROINTESTINAL ENDOSCOPY WITH BIOPSY	$785	$549.50	$282.60 – $1,121.43
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Commercial: $536.16 Aetna — Medicare Advantage: $368.95 Aetna Workers Comp — Aetna Workers Comp: $549.50 Blue Cross Blue Shield — Commercial: $1,121.43 Blue Cross Blue Shield — Medicare Advantage: $368.95 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $604.45 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $604.45 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $549.50 Cigna Commercial — Cigna Commercial: $514.18 CorVel Auto Medical — CorVel Auto Medical: $628
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EGD WITH BIOPSY (SINGLE OR MULTIPLE)	$1,014	$709.80	$630.71 – $3,396.04
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $780.78 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $780.78 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $780.78 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $811.20 CorVel Workers Comp — CorVel Workers Comp: $811.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD WITH BIOPSY (SINGLE OR MULTIPLE)	$1,014	$709.80	$365.04 – $1,448.57
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates Aetna — Commercial: $692.56 Aetna — Medicare Advantage: $476.58 Aetna Workers Comp — Aetna Workers Comp: $709.80 Blue Cross Blue Shield — Commercial: $1,448.57 Blue Cross Blue Shield — Medicare Advantage: $476.58 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $780.78 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $780.78 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $709.80 Cigna Commercial — Cigna Commercial: $664.17 CorVel Auto Medical — CorVel Auto Medical: $811.20
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLONOSCOPY	$2,125	$1,487.50	$1,100 – $3,396.04
Colonoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,636.25 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,636.25 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,636.25 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,700 CorVel Workers Comp — CorVel Workers Comp: $1,700
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY	$2,125	$1,487.50	$765 – $3,035.71
Colonoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — Commercial: $1,451.38 Aetna — Medicare Advantage: $998.75 Aetna Workers Comp — Aetna Workers Comp: $1,487.50 Blue Cross Blue Shield — Commercial: $3,035.71 Blue Cross Blue Shield — Medicare Advantage: $998.75 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,636.25 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,636.25 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,487.50 Cigna Commercial — Cigna Commercial: $1,391.88 CorVel Auto Medical — CorVel Auto Medical: $1,700
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLONOSCOPY, SINGLE OR MULTIPLE	$2,062	$1,443.40	$1,100 – $3,396.04
Colonoscopy with biopsy: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,587.74 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,587.74 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,587.74 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,649.60 CorVel Workers Comp — CorVel Workers Comp: $1,649.60
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY, SINGLE OR MULTIPLE	$2,062	$1,443.40	$742.32 – $2,945.71
Colonoscopy with biopsy: 10 of 27 insurance plan rates Aetna — Commercial: $1,408.35 Aetna — Medicare Advantage: $969.14 Aetna Workers Comp — Aetna Workers Comp: $1,443.40 Blue Cross Blue Shield — Commercial: $2,945.71 Blue Cross Blue Shield — Medicare Advantage: $969.14 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,587.74 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,587.74 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,443.40 Cigna Commercial — Cigna Commercial: $1,350.61 CorVel Auto Medical — CorVel Auto Medical: $1,649.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AQ In the file: COLONOSCOPY, REMOVAL OF TUMOR, SNARE	$2,095	$1,466.50	$1,100 – $3,396.04
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,613.15 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,613.15 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,613.15 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,676 CorVel Workers Comp — CorVel Workers Comp: $1,676
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier AQ In the file: COLONOSCOPY, REMOVAL OF TUMOR, SNARE	$2,095	$1,466.50	$754.20 – $2,992.86
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates Aetna — Commercial: $1,430.89 Aetna — Medicare Advantage: $984.65 Aetna Workers Comp — Aetna Workers Comp: $1,466.50 Blue Cross Blue Shield — Commercial: $2,992.86 Blue Cross Blue Shield — Medicare Advantage: $984.65 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,613.15 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,613.15 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,466.50 Cigna Commercial — Cigna Commercial: $1,372.23 CorVel Auto Medical — CorVel Auto Medical: $1,676
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLORETAL CANCER SCREENING NO HIGH RISK	$1,731	$1,211.70	$1,076.68 – $3,396.04
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,332.87 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,332.87 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,332.87 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,384.80 CorVel Workers Comp — CorVel Workers Comp: $1,384.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLORETAL CANCER SCREENING NO HIGH RISK	$1,731	$1,211.70	$623.16 – $2,472.86
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates Aetna — Commercial: $1,182.27 Aetna — Medicare Advantage: $813.57 Aetna Workers Comp — Aetna Workers Comp: $1,211.70 Blue Cross Blue Shield — Commercial: $2,472.86 Blue Cross Blue Shield — Medicare Advantage: $813.57 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,332.87 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,332.87 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,211.70 Cigna Commercial — Cigna Commercial: $1,133.81 CorVel Auto Medical — CorVel Auto Medical: $1,384.80
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LAP CHOLECYSTECTOMY	$7,008	$4,905.60	$1,100 – $7,008
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $5,396.16 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $5,396.16 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $5,396.16 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $5,606.40 CorVel Workers Comp — CorVel Workers Comp: $5,606.40
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAP CHOLECYSTECTOMY	$7,008	$4,905.60	$2,522.88 – $10,011.43
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates Aetna — Commercial: $4,786.46 Aetna — Medicare Advantage: $3,293.76 Aetna Workers Comp — Aetna Workers Comp: $4,905.60 Blue Cross Blue Shield — Commercial: $10,011.43 Blue Cross Blue Shield — Medicare Advantage: $3,293.76 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $5,396.16 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $5,396.16 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $4,905.60 Cigna Commercial — Cigna Commercial: $4,590.24 CorVel Auto Medical — CorVel Auto Medical: $5,606.40
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AS In the file: LAP CHOLECYSTECTOMY ASSIST	$1,751	$1,225.70	$1,089.12 – $3,396.04
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,348.27 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,348.27 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,348.27 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,400.80 CorVel Workers Comp — CorVel Workers Comp: $1,400.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OPEN INGUINAL HERNIA REPAIR, INITIAL	$3,451	$2,415.70	$1,100 – $3,451
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,657.27 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,657.27 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,657.27 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $2,760.80 CorVel Workers Comp — CorVel Workers Comp: $2,760.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OPEN INGUINAL HERNIA REPAIR, INITIAL	$3,451	$2,415.70	$1,242.36 – $4,930
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates Aetna — Commercial: $2,357.03 Aetna — Medicare Advantage: $1,621.97 Aetna Workers Comp — Aetna Workers Comp: $2,415.70 Blue Cross Blue Shield — Commercial: $4,930 Blue Cross Blue Shield — Medicare Advantage: $1,621.97 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $2,657.27 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $2,657.27 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $2,415.70 Cigna Commercial — Cigna Commercial: $2,260.41 CorVel Auto Medical — CorVel Auto Medical: $2,760.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AS In the file: Open Inguinal Hernia Repair ASSISTANT	$863	$604.10	$536.79 – $3,396.04
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $664.51 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $664.51 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $664.51 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $690.40 CorVel Workers Comp — CorVel Workers Comp: $690.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AQ In the file: HYSTEROSCOPY D & C	$939	$657.30	$584.06 – $3,396.04
Hysteroscopy with biopsy of the uterus lining: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $723.03 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $723.03 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $723.03 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $751.20 CorVel Workers Comp — CorVel Workers Comp: $751.20
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier AQ In the file: HYSTEROSCOPY D & C	$939	$657.30	$338.04 – $1,341.43
Hysteroscopy with biopsy of the uterus lining: 10 of 27 insurance plan rates Aetna — Commercial: $641.34 Aetna — Medicare Advantage: $441.33 Aetna Workers Comp — Aetna Workers Comp: $657.30 Blue Cross Blue Shield — Commercial: $1,341.43 Blue Cross Blue Shield — Medicare Advantage: $441.33 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $723.03 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $723.03 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $657.30 Cigna Commercial — Cigna Commercial: $615.05 CorVel Auto Medical — CorVel Auto Medical: $751.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EPIDURAL INJ - LUMBAR or SACRAL (CAUDAL)	$677	$473.90	$421.09 – $3,396.04
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $521.29 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $521.29 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $521.29 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $541.60 CorVel Workers Comp — CorVel Workers Comp: $541.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EPIDURAL INJ - LUMBAR OR SACRAL (CAUDAL)	$677	$473.90	$421.09 – $3,396.04
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $521.29 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $521.29 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $521.29 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $541.60 CorVel Workers Comp — CorVel Workers Comp: $541.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EPIDURAL INJ - LUMBAR or SACRAL (CAUDAL)	$677	$473.90	$243.72 – $967.14
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates Aetna — Commercial: $462.39 Aetna — Medicare Advantage: $318.19 Aetna Workers Comp — Aetna Workers Comp: $473.90 Blue Cross Blue Shield — Commercial: $967.14 Blue Cross Blue Shield — Medicare Advantage: $318.19 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $521.29 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $521.29 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $473.90 Cigna Commercial — Cigna Commercial: $443.44 CorVel Auto Medical — CorVel Auto Medical: $541.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PC L-S TRANSFORAMINAL INJ - RIGHT	$494	$345.80	$307.27 – $3,396.04
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $380.38 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $380.38 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $380.38 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $395.20 CorVel Workers Comp — CorVel Workers Comp: $395.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PC L-S TRANSFORAMINAL INJ - LEFT	$494	$345.80	$307.27 – $3,396.04
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $380.38 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $380.38 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $380.38 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $395.20 CorVel Workers Comp — CorVel Workers Comp: $395.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PC L-S TRANSFORAMINAL INJ - BIL	$494	$345.80	$307.27 – $3,396.04
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $380.38 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $380.38 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $380.38 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $395.20 CorVel Workers Comp — CorVel Workers Comp: $395.20
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: NEUROPLASTY MEDIAL NERVE CARPAL TUNNEL	$1,350	$945	$839.70 – $3,396.04
Carpal tunnel release: 10 of 27 insurance plan rates Aetna — Commercial: $1,800 Aetna — Medicare Advantage: $2,203.30 Aetna Workers Comp — Aetna Workers Comp: $1,800 Blue Cross Blue Shield — Medicare Advantage: $2,203.30 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,039.50 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,039.50 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $1,039.50 Cigna Commercial — Cigna Commercial: $2,000 CorVel Auto Medical — CorVel Auto Medical: $1,080 CorVel Workers Comp — CorVel Workers Comp: $1,080
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEUROPLASTY MEDIAL NERVE CARPAL TUNNEL	$1,350	$945	$486 – $1,928.57
Carpal tunnel release: 10 of 27 insurance plan rates Aetna — Commercial: $922.05 Aetna — Medicare Advantage: $634.50 Aetna Workers Comp — Aetna Workers Comp: $945 Blue Cross Blue Shield — Commercial: $1,928.57 Blue Cross Blue Shield — Medicare Advantage: $634.50 Blue Cross Blue Shield Auto — Blue Cross Blue Shield Auto: $1,039.50 Blue Cross Blue Shield Medical Rental — Blue Cross Blue Shield Medical Rental: $1,039.50 Blue Cross Blue Shield Workers Comp — Blue Cross Blue Shield Workers Comp: $945 Cigna Commercial — Cigna Commercial: $884.25 CorVel Auto Medical — CorVel Auto Medical: $1,080

Source: Carlinville Area Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 21, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	20733 N Broad Street, Carlinville, IL 62626
County	Macoupin County
State	Illinois
Phone	(217) 854‑3141
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
CMS Certification Number	141347
Name in Medicare records	CARLINVILLE AREA HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Carlinville Area Hospital & Clinics
Official website	cahcare.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Carlinville Area Hospital & Clinics — cahcare.com
Emergency Department — cahcare.com
Surgical Services — cahcare.com
Visitor Information — cahcare.com
Inpatient Care — cahcare.com

Carlinville Area Hospital

Summary

Profile from official sources

At a glance