Does Catawba Valley Medical Center have an emergency room?

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

Where is Catawba Valley Medical Center?

810 Fairgrove Church Rd, Hickory, NC 28602, in Catawba County, North Carolina.

What is the phone number of Catawba Valley Medical Center?

(828) 326-3809, as listed by Medicare (CMS).

What is the Medicare star rating of Catawba Valley Medical Center?

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

Catawba Valley Medical Center — Hickory, NC

Quick answers

Does Catawba Valley Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Catawba Valley Medical Center. In a medical emergency, call 911.
Where is Catawba Valley Medical Center?: 810 Fairgrove Church Rd, Hickory, NC 28602, in Catawba County, North Carolina.
What is the phone number of Catawba Valley Medical Center?: (828) 326-3809, as listed by Medicare (CMS).
What is the Medicare star rating of Catawba Valley Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7][11]

Cancer Care
Heart & Vascular Care
Women and Children
Surgical Services
Imaging
Critical Care
Infectious Disease
Orthopedics
Palliative Medicine
Psychiatry
Rehabilitation
Sleep Disorders
Stroke care
Wound Healing and Hyperbarics
Emergency Department
Surgical Weight Loss
Radiology
Nuclear medicine
Hospital medicine

Conditions treated^[10][11][12]

Treatments^[11][12]

Bariatric surgery
Gastric bypass
Sleeve gastrectomy
Extracorporeal shock wave lithotripsy
Microwave ablation
Cryoablation
Nuclear medicine therapy

Procedures^[10][11]

CT scan
MRI
PET/CT
Mammography
Bone density (DEXA) scan
Ultrasound
CT angiography
Echocardiography
Carotid Doppler
Cardiac MRI

Programs and centers^{[7][9][10][12]}

Surgical Weight Management Program
Stroke program (Primary Stroke Team)
Telestroke network
Outpatient Surgery Center
Hospitalist service

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visitors welcome; clinical restrictions may apply. Ask your nurse for current guidelines^[5]
Parking	Outpatient Surgery: park in the 'D' parking area near the Outpatient Surgery entrance^[9]
Interpreters and languages	An interpreter is provided when a patient does not understand the predominant language or is hearing impaired^[8]
Patient portal	https://www.catawbavalleyhealth.org/medical-center/patient-portal/

Recognition^[5][11][12]

The Joint Commission accreditation
American College of Radiology (ACR) accreditation for imaging
Metabolic & Bariatric Surgery accreditation (American College of Surgeons and ASMBS)

Doctors and clinicians (556)

556 doctors and other clinicians list Catawba Valley Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 532 more: the button below opens the full list.

Other emergency rooms nearby

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

Frye Regional Medical Center4.4 mi · Hickory, NC · Acute Care Hospital
Atrium Health Lincoln16 mi · Lincolnton, NC · Acute Care Hospital
Caldwell Memorial Hospital20 mi · Lenoir, NC · Acute Care Hospital
Blue Ridge Healthcare Hospitals, Inc22 mi · Morganton, NC · Acute Care Hospital
Iredell Davis Behavioral Health Hospital23 mi · Statesville, NC · Psychiatric Hospital

Other hospitals nearby

Iredell Memorial Hospital Inc23 mi · Statesville, NC · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Conover Nursing and Rehabilitation Center2.0 mi · Conover, NC · 5 of 5 stars
The Greens at Hickory2.2 mi · Hickory, NC · 2 of 5 stars
Trinity Village4.3 mi · Hickory, NC · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Carolina Caring5.5 mi · Newton, NC · 4 of 5 stars
Alexander Hospice15 mi · Taylorsville, NC
Hospice of Iredell County, Inc24 mi · Statesville, NC · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Guardian Home Health5.3 mi · Hickory, NC · 3 of 5 stars
Interim Healthcare of the Tria5.3 mi · Hickory, NC
Centerwell Home Health7.2 mi · Hickory, NC · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Services of Catawba Valley3.6 mi · Conover, NC · 4 of 5 stars
Fresenius Kidney Care-Newton5.5 mi · Newton, NC · 4 of 5 stars
DaVita Catawba County Dialysis7.2 mi · Hickory, NC · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Catawba Valley Medical Group, Inc.5.3 mi · Hickory, NC
Viewmont Surgery Center5.3 mi · Hickory, NC
Graystone Eye Surgery Center7.2 mi · Hickory, NC

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Kintegra Family Dentistry - Hickory0.3 mi · Hickory, NC · Community health center
Kintegra at St. Stephens Elementary1.4 mi · Conover, NC · Community health center
Kintegra at Catawba Valley Community College1.6 mi · Hickory, NC · Community health center

Clinics and urgent care

Catawba Valley Medical Group Inc5.3 mi · Hickory, NC · Urgent care center
G&N Medical, PLLC5.3 mi · Hickory, NC · Urgent care center
Catawba Urgent Care of Mountain View LLC7.2 mi · Hickory, NC · Urgent care center

Pharmacies

Bowman Drug Company Incorporated3.6 mi · Conover, NC · Community/retail pharmacy
Conover Drug Company Inc3.6 mi · Conover, NC · Community/retail pharmacy
Medical Village Vital Care, Inc.3.6 mi · Conover, NC · Community/retail pharmacy

Assisted living nearby

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

Comfort Cove3.6 mi · Conover, NC
Heritage Care Home of Austin3.6 mi · Conover, NC
Heritage Care of Conover3.6 mi · Conover, NC
Brookdale Falling Creek5.3 mi · Hickory, NC

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	74%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	575Response rate: 18%

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)	0.576No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.263No different from the national benchmark
Surgical site infections after colon surgery	0.539No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.799No different from the national benchmark
MRSA bloodstream infections	0.35No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.155Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	14.9%
Deaths within 30 days: heart failure patients	17.3%
Deaths within 30 days: pneumonia patients	23.4%
Deaths within 30 days: COPD patients	9.5%
Deaths within 30 days: stroke patients	11.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.93No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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	13.4%
Readmitted within 30 days: heart failure	18.7%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	19.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	59%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Hickory Best hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Catawba Valley Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient office or other outpatient visit, 30 min	$451	$271	$36 – $383
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $71 Blue Cross Blue Shield — HMO: $223 Blue Cross Blue Shield — Medicare Advantage: $72 Blue Cross Blue Shield — PPO: $223 CareSource North Carolina — Commercial: $155 Cigna — Commercial: $248 Cigna — Medicare Advantage: $69 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $70 Devoted Health — Medicare Advantage: $72 DirectNet — Commercial: $271
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 30 min	$456	$274	$59 – $470
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates Aetna — Commercial: $116 Blue Cross Blue Shield — HMO: $225 Blue Cross Blue Shield — Medicare Advantage: $117 Blue Cross Blue Shield — PPO: $225 CareSource North Carolina — Commercial: $251 Cigna — Commercial: $251 Cigna — Medicare Advantage: $112 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $470 Devoted Health — Medicare Advantage: $117 Gateway — Medicare Advantage: $117
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · both In the file: New patient office or other outpatient visit, 30 min	Not listed in the file	Not listed in the file	$178 – $315
New patient office visit (about 30–44 minutes): rates for 2 insurance plans DirectNet — Commercial: $315 United Healthcare — Commercial: $178
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient office or other outpatient visit, 45 min	$544	$326	$59 – $462
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $117 Blue Cross Blue Shield — HMO: $269 Blue Cross Blue Shield — Medicare Advantage: $118 Blue Cross Blue Shield — PPO: $269 CareSource North Carolina — Commercial: $253 Cigna — Commercial: $299 Cigna — Medicare Advantage: $113 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $115 Devoted Health — Medicare Advantage: $118 DirectNet — Commercial: $326
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 45 min	$549	$329	$89 – $566
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates Aetna — Commercial: $176 Blue Cross Blue Shield — HMO: $271 Blue Cross Blue Shield — Medicare Advantage: $177 Blue Cross Blue Shield — PPO: $271 CareSource North Carolina — Commercial: $380 Cigna — Commercial: $302 Cigna — Medicare Advantage: $169 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $566 Devoted Health — Medicare Advantage: $177 Gateway — Medicare Advantage: $177
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · both In the file: New patient office or other outpatient visit, 45 min	Not listed in the file	Not listed in the file	$269 – $379
New patient office visit (about 45–59 minutes): rates for 2 insurance plans DirectNet — Commercial: $379 United Healthcare — Commercial: $269
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient office or other outpatient visit, 60 min	$730	$438	$81 – $621
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $160 Blue Cross Blue Shield — HMO: $361 Blue Cross Blue Shield — Medicare Advantage: $162 Blue Cross Blue Shield — PPO: $361 CareSource North Carolina — Commercial: $346 Cigna — Commercial: $402 Cigna — Medicare Advantage: $154 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $157 Devoted Health — Medicare Advantage: $162 DirectNet — Commercial: $438
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 60 min	$737	$442	$118 – $759
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates Aetna — Commercial: $234 Blue Cross Blue Shield — HMO: $364 Blue Cross Blue Shield — Medicare Advantage: $237 Blue Cross Blue Shield — PPO: $364 CareSource North Carolina — Commercial: $507 Cigna — Commercial: $405 Cigna — Medicare Advantage: $225 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $759 Devoted Health — Medicare Advantage: $237 Gateway — Medicare Advantage: $237
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · both In the file: New patient office or other outpatient visit, 60 min	Not listed in the file	Not listed in the file	$358 – $509
New patient office visit (about 60–74 minutes): rates for 2 insurance plans DirectNet — Commercial: $509 United Healthcare — Commercial: $358
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Est Office Vst Level Iii	$305	$183	$29 – $259
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $58 Blue Cross Blue Shield — HMO: $151 Blue Cross Blue Shield — Medicare Advantage: $58 Blue Cross Blue Shield — PPO: $151 CareSource North Carolina — Commercial: $125 Cigna — Commercial: $168 Cigna — Medicare Advantage: $56 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $57 Devoted Health — Medicare Advantage: $58 DirectNet — Commercial: $183
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Established Opt 20 Min Level 3	$111	$67	$29 – $125
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $58 Blue Cross Blue Shield — HMO: $55 Blue Cross Blue Shield — Medicare Advantage: $58 Blue Cross Blue Shield — PPO: $55 CareSource North Carolina — Commercial: $125 Cigna — Commercial: $61 Cigna — Medicare Advantage: $56 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $57 Devoted Health — Medicare Advantage: $58 DirectNet — Commercial: $67
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level 3	$309	$185	$48 – $318
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates Aetna — Commercial: $94 Blue Cross Blue Shield — HMO: $153 Blue Cross Blue Shield — Medicare Advantage: $95 Blue Cross Blue Shield — PPO: $153 CareSource North Carolina — Commercial: $204 Cigna — Commercial: $170 Cigna — Medicare Advantage: $91 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $318 Devoted Health — Medicare Advantage: $95 Gateway — Medicare Advantage: $95
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Est Office Vst Level Iv	$470	$282	$43 – $400
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $85 Blue Cross Blue Shield — HMO: $232 Blue Cross Blue Shield — Medicare Advantage: $86 Blue Cross Blue Shield — PPO: $232 CareSource North Carolina — Commercial: $184 Cigna — Commercial: $259 Cigna — Medicare Advantage: $82 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $83 Devoted Health — Medicare Advantage: $86 DirectNet — Commercial: $282
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Established Opt 30 Min Level 4	$165	$99	$43 – $184
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $85 Blue Cross Blue Shield — HMO: $82 Blue Cross Blue Shield — Medicare Advantage: $86 Blue Cross Blue Shield — PPO: $82 CareSource North Carolina — Commercial: $184 Cigna — Commercial: $91 Cigna — Medicare Advantage: $82 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $83 Devoted Health — Medicare Advantage: $86 DirectNet — Commercial: $99
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level 4	$474	$284	$68 – $488
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates Aetna — Commercial: $135 Blue Cross Blue Shield — HMO: $234 Blue Cross Blue Shield — Medicare Advantage: $136 Blue Cross Blue Shield — PPO: $234 CareSource North Carolina — Commercial: $291 Cigna — Commercial: $261 Cigna — Medicare Advantage: $129 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $488 Devoted Health — Medicare Advantage: $136 Gateway — Medicare Advantage: $136
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Patient office consultation, 40 min	$170	$102	$84 – $145
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Commercial: $104 Blue Cross Blue Shield — HMO: $84 Blue Cross Blue Shield — PPO: $84 Cigna — Commercial: $94 Humana — Commercial: $136 MedCost — Commercial: $116 MedCost — Ultra: $85 MultiPlan — Commercial: $145 Prime Health Service — Commercial: $128 United Healthcare — Commercial: $85
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · both In the file: Patient office consultation, 40 min	Not listed in the file	Not listed in the file	$117
Office consultation with a specialist (moderate): rates for 1 insurance plan DirectNet — Commercial: $117
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Patient office consultation, 60 min	$259	$155	$128 – $220
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Commercial: $158 Blue Cross Blue Shield — HMO: $128 Blue Cross Blue Shield — PPO: $128 Cigna — Commercial: $142 Humana — Commercial: $207 MedCost — Commercial: $177 MedCost — Ultra: $130 MultiPlan — Commercial: $220 Prime Health Service — Commercial: $194 United Healthcare — Commercial: $130
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · both In the file: Patient office consultation, 60 min	Not listed in the file	Not listed in the file	$179
Office consultation with a specialist (moderate to high): rates for 1 insurance plan DirectNet — Commercial: $179
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ed Visit Level 3	$103	$62	$35 – $149
Emergency room visit (moderate): 10 of 23 insurance plan rates Aetna — Commercial: $69 Blue Cross Blue Shield — HMO: $51 Blue Cross Blue Shield — Medicare Advantage: $70 Blue Cross Blue Shield — PPO: $51 CareSource North Carolina — Commercial: $149 Cigna — Commercial: $57 Cigna — Medicare Advantage: $66 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $68 Devoted Health — Medicare Advantage: $70 DirectNet — Commercial: $62
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Er Visit Low Mdm Level 3	$135	$81	$35 – $149
Emergency room visit (moderate): 10 of 23 insurance plan rates Aetna — Commercial: $69 Blue Cross Blue Shield — HMO: $67 Blue Cross Blue Shield — Medicare Advantage: $70 Blue Cross Blue Shield — PPO: $67 CareSource North Carolina — Commercial: $149 Cigna — Commercial: $74 Cigna — Medicare Advantage: $66 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $68 Devoted Health — Medicare Advantage: $70 DirectNet — Commercial: $81
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er/exp Level 3	$1,400	$840	$138 – $1,442
Emergency room visit (moderate): 10 of 21 insurance plan rates Aetna — Commercial: $274 Blue Cross Blue Shield — HMO: $692 Blue Cross Blue Shield — Medicare Advantage: $277 Blue Cross Blue Shield — PPO: $692 CareSource North Carolina — Commercial: $593 Cigna — Commercial: $770 Cigna — Medicare Advantage: $263 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $1,442 Devoted Health — Medicare Advantage: $277 Gateway — Medicare Advantage: $277
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ed Visit Level 4	$192	$115	$59 – $254
Emergency room visit (moderately high): 10 of 23 insurance plan rates Aetna — Commercial: $118 Blue Cross Blue Shield — HMO: $95 Blue Cross Blue Shield — Medicare Advantage: $119 Blue Cross Blue Shield — PPO: $95 CareSource North Carolina — Commercial: $254 Cigna — Commercial: $106 Cigna — Medicare Advantage: $113 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $115 Devoted Health — Medicare Advantage: $119 DirectNet — Commercial: $115
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Er Visit Mod Mdm Level 4	$243	$146	$59 – $254
Emergency room visit (moderately high): 10 of 23 insurance plan rates Aetna — Commercial: $118 Blue Cross Blue Shield — HMO: $120 Blue Cross Blue Shield — Medicare Advantage: $119 Blue Cross Blue Shield — PPO: $120 CareSource North Carolina — Commercial: $254 Cigna — Commercial: $134 Cigna — Medicare Advantage: $113 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $115 Devoted Health — Medicare Advantage: $119 DirectNet — Commercial: $146
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Exp Level 4	$2,600	$1,560	$211 – $2,679
Emergency room visit (moderately high): 10 of 21 insurance plan rates Aetna — Commercial: $419 Blue Cross Blue Shield — HMO: $1,284 Blue Cross Blue Shield — Medicare Advantage: $423 Blue Cross Blue Shield — PPO: $1,284 CareSource North Carolina — Commercial: $906 Cigna — Commercial: $1,430 Cigna — Medicare Advantage: $403 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $2,679 Devoted Health — Medicare Advantage: $423 Gateway — Medicare Advantage: $423
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ed Vist Level 5	$286	$172	$86 – $369
Emergency room visit (high): 10 of 23 insurance plan rates Aetna — Commercial: $171 Blue Cross Blue Shield — HMO: $141 Blue Cross Blue Shield — Medicare Advantage: $172 Blue Cross Blue Shield — PPO: $141 CareSource North Carolina — Commercial: $369 Cigna — Commercial: $157 Cigna — Medicare Advantage: $164 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $167 Devoted Health — Medicare Advantage: $172 DirectNet — Commercial: $172
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Er Visit Mod Mdm Level 5	$417	$250	$86 – $369
Emergency room visit (high): 10 of 23 insurance plan rates Aetna — Commercial: $171 Blue Cross Blue Shield — HMO: $206 Blue Cross Blue Shield — Medicare Advantage: $172 Blue Cross Blue Shield — PPO: $206 CareSource North Carolina — Commercial: $369 Cigna — Commercial: $229 Cigna — Medicare Advantage: $164 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $167 Devoted Health — Medicare Advantage: $172 DirectNet — Commercial: $250
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Exp Level 5	$3,800	$2,280	$302 – $3,915
Emergency room visit (high): 10 of 21 insurance plan rates Aetna — Commercial: $598 Blue Cross Blue Shield — HMO: $1,877 Blue Cross Blue Shield — Medicare Advantage: $604 Blue Cross Blue Shield — PPO: $1,877 CareSource North Carolina — Commercial: $1,293 Cigna — Commercial: $2,090 Cigna — Medicare Advantage: $575 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $3,915 Devoted Health — Medicare Advantage: $604 Gateway — Medicare Advantage: $604

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals	$447	$268	$5 – $460
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — Commercial: $11 Blue Cross Blue Shield — HMO: $218 Blue Cross Blue Shield — Medicare Advantage: $11 Blue Cross Blue Shield — PPO: $218 CareSource North Carolina — Commercial: $24 Cigna — Commercial: $246 Cigna — Medicare Advantage: $11 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $460 Devoted Health — Medicare Advantage: $11 DirectNet — Commercial: $89
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · both In the file: Blood test, comprehensive group of blood chemicals	Not listed in the file	Not listed in the file	$22
Comprehensive metabolic panel (blood test): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $22
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, lipids	$200	$120	$7 – $206
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna — Commercial: $14 Blue Cross Blue Shield — HMO: $98 Blue Cross Blue Shield — Medicare Advantage: $14 Blue Cross Blue Shield — PPO: $98 CareSource North Carolina — Commercial: $30 Cigna — Commercial: $110 Cigna — Medicare Advantage: $13 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $206 Devoted Health — Medicare Advantage: $14 DirectNet — Commercial: $40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Kidney function panel test	$146	$88	$4 – $150
Kidney function panel: 10 of 23 insurance plan rates Aetna — Commercial: $9 Blue Cross Blue Shield — HMO: $71 Blue Cross Blue Shield — Medicare Advantage: $9 Blue Cross Blue Shield — PPO: $71 CareSource North Carolina — Commercial: $20 Cigna — Commercial: $80 Cigna — Medicare Advantage: $9 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $150 Devoted Health — Medicare Advantage: $9 DirectNet — Commercial: $29
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · both In the file: Kidney function panel test	Not listed in the file	Not listed in the file	$18
Kidney function panel: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $18
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver function blood test	$407	$244	$4 – $419
Liver function panel: 10 of 23 insurance plan rates Aetna — Commercial: $8 Blue Cross Blue Shield — HMO: $199 Blue Cross Blue Shield — Medicare Advantage: $9 Blue Cross Blue Shield — PPO: $199 CareSource North Carolina — Commercial: $18 Cigna — Commercial: $224 Cigna — Medicare Advantage: $8 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $419 Devoted Health — Medicare Advantage: $9 DirectNet — Commercial: $81
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test using microscope	$164	$98	$2 – $169
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna — Commercial: $3 Blue Cross Blue Shield — HMO: $80 Blue Cross Blue Shield — Medicare Advantage: $3 Blue Cross Blue Shield — PPO: $80 CareSource North Carolina — Commercial: $7 Cigna — Commercial: $90 Cigna — Medicare Advantage: $3 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $169 Devoted Health — Medicare Advantage: $3 DirectNet — Commercial: $33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · both In the file: Urinalysis test using microscope	Not listed in the file	Not listed in the file	$6
Urine test (automated, with microscope): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $6
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test	$22	$13	$2 – $23
Urine test (manual, without microscope): 10 of 23 insurance plan rates Aetna — Commercial: $4 Blue Cross Blue Shield — HMO: $11 Blue Cross Blue Shield — Medicare Advantage: $4 Blue Cross Blue Shield — PPO: $11 CareSource North Carolina — Commercial: $8 Cigna — Commercial: $12 Cigna — Medicare Advantage: $3 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $23 Devoted Health — Medicare Advantage: $4 DirectNet — Commercial: $4
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test	$7	$4	$1 – $7
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna — Commercial: $2 Blue Cross Blue Shield — HMO: $3 Blue Cross Blue Shield — Medicare Advantage: $2 Blue Cross Blue Shield — PPO: $3 CareSource North Carolina — Commercial: $5 Cigna — Commercial: $4 Cigna — Medicare Advantage: $2 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $7 Devoted Health — Medicare Advantage: $2 DirectNet — Commercial: $1
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total prostate-specific antigen (PSA) test	$135	$81	$9 – $139
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna — Commercial: $19 Blue Cross Blue Shield — HMO: $66 Blue Cross Blue Shield — Medicare Advantage: $19 Blue Cross Blue Shield — PPO: $66 CareSource North Carolina — Commercial: $41 Cigna — Commercial: $74 Cigna — Medicare Advantage: $18 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $139 Devoted Health — Medicare Advantage: $19 DirectNet — Commercial: $27
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · both In the file: Total prostate-specific antigen (PSA) test	Not listed in the file	Not listed in the file	$36
PSA (prostate specific antigen) blood test: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $36
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), automated	$165	$99	$3 – $170
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna — Commercial: $7 Blue Cross Blue Shield — HMO: $81 Blue Cross Blue Shield — Medicare Advantage: $7 Blue Cross Blue Shield — PPO: $81 CareSource North Carolina — Commercial: $15 Cigna — Commercial: $91 Cigna — Medicare Advantage: $6 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $170 Devoted Health — Medicare Advantage: $7 DirectNet — Commercial: $33
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · both In the file: Complete blood cell count (CBC), automated	Not listed in the file	Not listed in the file	$20
Complete blood count (CBC), automated: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, clotting time	$47	$28	$2 – $48
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna — Commercial: $4 Blue Cross Blue Shield — HMO: $23 Blue Cross Blue Shield — Medicare Advantage: $5 Blue Cross Blue Shield — PPO: $23 CareSource North Carolina — Commercial: $10 Cigna — Commercial: $26 Cigna — Medicare Advantage: $4 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $48 Devoted Health — Medicare Advantage: $5 DirectNet — Commercial: $9
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · both In the file: Blood test, clotting time	Not listed in the file	Not listed in the file	$8
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $8
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Coagulation assessment blood test	$49	$29	$3 – $50
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna — Commercial: $6 Blue Cross Blue Shield — HMO: $24 Blue Cross Blue Shield — Medicare Advantage: $6 Blue Cross Blue Shield — PPO: $24 CareSource North Carolina — Commercial: $14 Cigna — Commercial: $27 Cigna — Medicare Advantage: $6 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $50 Devoted Health — Medicare Advantage: $6 DirectNet — Commercial: $10

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan	$2,400	$1,440	$101 – $2,472
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $105 Blue Cross Blue Shield — HMO: $1,171 Blue Cross Blue Shield — Medicare Advantage: $106 Blue Cross Blue Shield — PPO: $1,171 CareSource North Carolina — Commercial: $227 Cigna — Commercial: $1,320 Cigna — Medicare Advantage: $101 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $2,472 Devoted Health — Medicare Advantage: $106 DirectNet — Commercial: $450
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · both In the file: CT scan	Not listed in the file	Not listed in the file	$111
CT scan of the head or brain, without contrast: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $111
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Scan	$5,163	$3,098	$337 – $5,319
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Aetna — Commercial: $350 Blue Cross Blue Shield — HMO: $2,551 Blue Cross Blue Shield — Medicare Advantage: $354 Blue Cross Blue Shield — PPO: $2,551 CareSource North Carolina — Commercial: $758 Cigna — Commercial: $2,840 Cigna — Medicare Advantage: $337 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $5,319 Devoted Health — Medicare Advantage: $354 DirectNet — Commercial: $500
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · both In the file: MRI Scan	Not listed in the file	Not listed in the file	$382
MRI of the brain, before and after contrast: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $382
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest 2 Views	$522	$313	$44 – $538
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — Commercial: $87 Blue Cross Blue Shield — HMO: $255 Blue Cross Blue Shield — Medicare Advantage: $88 Blue Cross Blue Shield — PPO: $255 CareSource North Carolina — Commercial: $189 Cigna — Commercial: $287 Cigna — Medicare Advantage: $84 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $538 Devoted Health — Medicare Advantage: $88 DirectNet — Commercial: $313
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xray Chest Pa & Lateral Rout	$522	$313	$44 – $538
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — Commercial: $87 Blue Cross Blue Shield — HMO: $255 Blue Cross Blue Shield — Medicare Advantage: $88 Blue Cross Blue Shield — PPO: $255 CareSource North Carolina — Commercial: $189 Cigna — Commercial: $287 Cigna — Medicare Advantage: $84 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $538 Devoted Health — Medicare Advantage: $88 DirectNet — Commercial: $313
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Decubiti Bilateral	$522	$313	$44 – $538
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — Commercial: $87 Blue Cross Blue Shield — HMO: $255 Blue Cross Blue Shield — Medicare Advantage: $88 Blue Cross Blue Shield — PPO: $255 CareSource North Carolina — Commercial: $189 Cigna — Commercial: $287 Cigna — Medicare Advantage: $84 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $538 Devoted Health — Medicare Advantage: $88 DirectNet — Commercial: $313
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-Ray of lower back	$989	$593	$53 – $1,019
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — Commercial: $105 Blue Cross Blue Shield — HMO: $483 Blue Cross Blue Shield — Medicare Advantage: $106 Blue Cross Blue Shield — PPO: $483 CareSource North Carolina — Commercial: $227 Cigna — Commercial: $544 Cigna — Medicare Advantage: $101 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $1,019 Devoted Health — Medicare Advantage: $106 DirectNet — Commercial: $593
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · both In the file: X-Ray of lower back	Not listed in the file	Not listed in the file	$108
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $108
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of lower spinal canal	$3,828	$2,297	$230 – $3,944
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $239 Blue Cross Blue Shield — HMO: $1,891 Blue Cross Blue Shield — Medicare Advantage: $242 Blue Cross Blue Shield — PPO: $1,891 CareSource North Carolina — Commercial: $518 Cigna — Commercial: $2,105 Cigna — Medicare Advantage: $230 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $3,944 Devoted Health — Medicare Advantage: $242 DirectNet — Commercial: $500
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · both In the file: MRI scan of lower spinal canal	Not listed in the file	Not listed in the file	$242
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $242
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of pelvis with contrast	$3,641	$2,185	$169 – $3,751
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Aetna — Commercial: $176 Blue Cross Blue Shield — HMO: $1,777 Blue Cross Blue Shield — Medicare Advantage: $178 Blue Cross Blue Shield — PPO: $1,777 CareSource North Carolina — Commercial: $381 Cigna — Commercial: $2,003 Cigna — Medicare Advantage: $169 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $3,751 Devoted Health — Medicare Advantage: $178 DirectNet — Commercial: $450
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · both In the file: CT scan of pelvis with contrast	Not listed in the file	Not listed in the file	$195
CT scan of the pelvis, with contrast: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $195
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of leg joint	$3,648	$2,189	$230 – $3,758
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $239 Blue Cross Blue Shield — HMO: $1,802 Blue Cross Blue Shield — Medicare Advantage: $242 Blue Cross Blue Shield — PPO: $1,802 CareSource North Carolina — Commercial: $518 Cigna — Commercial: $2,006 Cigna — Medicare Advantage: $230 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $3,758 Devoted Health — Medicare Advantage: $242 DirectNet — Commercial: $500
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · both In the file: MRI scan of leg joint	Not listed in the file	Not listed in the file	$242
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $242
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast	$6,281	$3,769	$337 – $6,471
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Aetna — Commercial: $350 Blue Cross Blue Shield — HMO: $3,065 Blue Cross Blue Shield — Medicare Advantage: $354 Blue Cross Blue Shield — PPO: $3,065 CareSource North Carolina — Commercial: $758 Cigna — Commercial: $3,455 Cigna — Medicare Advantage: $337 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $6,471 Devoted Health — Medicare Advantage: $354 DirectNet — Commercial: $450
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · both In the file: CT scan of abdomen and pelvis with contrast	Not listed in the file	Not listed in the file	$379
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $379
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound of abdomen	$1,512	$907	$53 – $1,558
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Aetna — Commercial: $105 Blue Cross Blue Shield — HMO: $738 Blue Cross Blue Shield — Medicare Advantage: $106 Blue Cross Blue Shield — PPO: $738 CareSource North Carolina — Commercial: $227 Cigna — Commercial: $832 Cigna — Medicare Advantage: $101 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $1,558 Devoted Health — Medicare Advantage: $106 DirectNet — Commercial: $250
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · both In the file: Ultrasound of abdomen	Not listed in the file	Not listed in the file	$110
Ultrasound of the abdomen, complete: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $110
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Abdomial ultrasound of pregnant uterus	$656	$394	$53 – $676
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $105 Blue Cross Blue Shield — HMO: $320 Blue Cross Blue Shield — Medicare Advantage: $106 Blue Cross Blue Shield — PPO: $320 CareSource North Carolina — Commercial: $227 Cigna — Commercial: $361 Cigna — Medicare Advantage: $101 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $676 Devoted Health — Medicare Advantage: $106 DirectNet — Commercial: $250
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Abdomial ultrasound of pregnant uterus	$656	$394	$67 – $558
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $133 Blue Cross Blue Shield — HMO: $324 Blue Cross Blue Shield — Medicare Advantage: $135 Blue Cross Blue Shield — PPO: $324 CareSource North Carolina — Commercial: $289 Cigna — Commercial: $361 Cigna — Medicare Advantage: $128 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $131 Devoted Health — Medicare Advantage: $135 DirectNet — Commercial: $394
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Abdomial ultrasound of pregnant uterus	$22	$13	$11 – $103
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $47 Blue Cross Blue Shield — HMO: $11 Blue Cross Blue Shield — Medicare Advantage: $48 Blue Cross Blue Shield — PPO: $11 CareSource North Carolina — Commercial: $103 Cigna — Commercial: $12 Cigna — Medicare Advantage: $46 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $47 Devoted Health — Medicare Advantage: $48 DirectNet — Commercial: $13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound pelvis through vagina	$1,069	$641	$53 – $1,101
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna — Commercial: $105 Blue Cross Blue Shield — HMO: $522 Blue Cross Blue Shield — Medicare Advantage: $106 Blue Cross Blue Shield — PPO: $522 CareSource North Carolina — Commercial: $227 Cigna — Commercial: $588 Cigna — Medicare Advantage: $101 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $1,101 Devoted Health — Medicare Advantage: $106 DirectNet — Commercial: $250
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ultrasound pelvis through vagina	$1,058	$635	$58 – $899
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna — Commercial: $115 Blue Cross Blue Shield — HMO: $523 Blue Cross Blue Shield — Medicare Advantage: $116 Blue Cross Blue Shield — PPO: $523 CareSource North Carolina — Commercial: $249 Cigna — Commercial: $582 Cigna — Medicare Advantage: $111 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $113 Devoted Health — Medicare Advantage: $116 DirectNet — Commercial: $635
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · both In the file: Ultrasound pelvis through vagina	Not listed in the file	Not listed in the file	$110
Transvaginal ultrasound: rates for 1 insurance plan MDSave — Cash Pay Marketplace: $110
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of one breast	$539	$323	$96 – $555
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna — Commercial: $121 Blue Cross Blue Shield — HMO: $263 Blue Cross Blue Shield — Medicare Advantage: $123 Blue Cross Blue Shield — PPO: $263 CareSource North Carolina — Commercial: $263 Cigna — Commercial: $296 Cigna — Medicare Advantage: $117 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $555 Devoted Health — Medicare Advantage: $123 DirectNet — Commercial: $120
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of both breasts	$816	$490	$96 – $841
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Commercial: $154 Blue Cross Blue Shield — HMO: $398 Blue Cross Blue Shield — Medicare Advantage: $155 Blue Cross Blue Shield — PPO: $398 CareSource North Carolina — Commercial: $333 Cigna — Commercial: $449 Cigna — Medicare Advantage: $148 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $841 Devoted Health — Medicare Advantage: $155 DirectNet — Commercial: $120
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography, screening, bilateral	$493	$296	$96 – $508
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Commercial: $124 Blue Cross Blue Shield — HMO: $241 Blue Cross Blue Shield — Medicare Advantage: $125 Blue Cross Blue Shield — PPO: $241 CareSource North Carolina — Commercial: $268 Cigna — Commercial: $271 Cigna — Medicare Advantage: $119 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $508 Devoted Health — Medicare Advantage: $125 DirectNet — Commercial: $120

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Insertion of catheter into left heart for diagnosis	$8,733	$5,240	$1,643 – $8,997
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $3,254 Blue Cross Blue Shield — HMO: $4,314 Blue Cross Blue Shield — Medicare Advantage: $3,285 Blue Cross Blue Shield — PPO: $4,314 CareSource North Carolina — Commercial: $7,040 Cigna — Commercial: $4,803 Cigna — Medicare Advantage: $3,129 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $8,997 Devoted Health — Medicare Advantage: $3,285 DirectNet — Commercial: $5,240
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Ep Exam No Induc	$10,863	$6,518	$3,952 – $16,937
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates Aetna — Commercial: $7,829 Blue Cross Blue Shield — HMO: $5,366 Blue Cross Blue Shield — Medicare Advantage: $7,904 Blue Cross Blue Shield — PPO: $5,366 CareSource North Carolina — Commercial: $16,937 Cigna — Commercial: $5,975 Cigna — Medicare Advantage: $7,528 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $11,191 Devoted Health — Medicare Advantage: $7,904 DirectNet — Commercial: $6,518
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comp Ep Abl Atr Fib	$56,457	$33,874	$13,244 – $58,162
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Aetna — Commercial: $26,236 Blue Cross Blue Shield — HMO: $27,890 Blue Cross Blue Shield — Medicare Advantage: $26,488 Blue Cross Blue Shield — PPO: $27,890 CareSource North Carolina — Commercial: $56,760 Cigna — Commercial: $31,051 Cigna — Medicare Advantage: $25,227 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $58,162 Devoted Health — Medicare Advantage: $26,488 DirectNet — Commercial: $33,874
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sleep study	$6,317	$3,790	$435 – $6,508
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates Aetna — Commercial: $862 Blue Cross Blue Shield — HMO: $3,121 Blue Cross Blue Shield — Medicare Advantage: $870 Blue Cross Blue Shield — PPO: $3,121 CareSource North Carolina — Commercial: $1,865 Cigna — Commercial: $3,474 Cigna — Medicare Advantage: $829 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $6,508 Devoted Health — Medicare Advantage: $870 DirectNet — Commercial: $3,790
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · both In the file: Sleep study	Not listed in the file	Not listed in the file	$1,347
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $1,347

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy, therapeutic exercise	$226	$136	$15 – $233
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates Aetna — Commercial: $29 Blue Cross Blue Shield — HMO: $112 Blue Cross Blue Shield — Medicare Advantage: $29 Blue Cross Blue Shield — PPO: $112 CareSource North Carolina — Commercial: $63 Cigna — Commercial: $124 Cigna — Medicare Advantage: $28 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $233 Devoted Health — Medicare Advantage: $29 DirectNet — Commercial: $136
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · both In the file: Physical therapy, therapeutic exercise	Not listed in the file	Not listed in the file	$84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Complexity Eval	$337	$202	$50 – $347
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates Aetna — Commercial: $98 Blue Cross Blue Shield — HMO: $166 Blue Cross Blue Shield — Medicare Advantage: $99 Blue Cross Blue Shield — PPO: $166 CareSource North Carolina — Commercial: $213 Cigna — Commercial: $185 Cigna — Medicare Advantage: $95 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $347 Devoted Health — Medicare Advantage: $99 DirectNet — Commercial: $202
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · both In the file: Low Complexity Eval	Not listed in the file	Not listed in the file	$129
Physical therapy evaluation (low complexity): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $129
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Consult Fee Evaluation Client	$330	$198	$50 – $340
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates Aetna — Commercial: $98 Blue Cross Blue Shield — HMO: $163 Blue Cross Blue Shield — Medicare Advantage: $99 Blue Cross Blue Shield — PPO: $163 CareSource North Carolina — Commercial: $213 Cigna — Commercial: $182 Cigna — Medicare Advantage: $95 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $340 Devoted Health — Medicare Advantage: $99 DirectNet — Commercial: $198
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Initial Test Set Up Client	$300	$180	$50 – $309
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates Aetna — Commercial: $98 Blue Cross Blue Shield — HMO: $148 Blue Cross Blue Shield — Medicare Advantage: $99 Blue Cross Blue Shield — PPO: $148 CareSource North Carolina — Commercial: $213 Cigna — Commercial: $165 Cigna — Medicare Advantage: $95 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $309 Devoted Health — Medicare Advantage: $99 DirectNet — Commercial: $180
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mod Complexity Eval	$337	$202	$50 – $347
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates Aetna — Commercial: $98 Blue Cross Blue Shield — HMO: $166 Blue Cross Blue Shield — Medicare Advantage: $99 Blue Cross Blue Shield — PPO: $166 CareSource North Carolina — Commercial: $213 Cigna — Commercial: $185 Cigna — Medicare Advantage: $95 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $347 Devoted Health — Medicare Advantage: $99 DirectNet — Commercial: $202
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: High Complexity Eval	$337	$202	$50 – $347
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates Aetna — Commercial: $98 Blue Cross Blue Shield — HMO: $166 Blue Cross Blue Shield — Medicare Advantage: $99 Blue Cross Blue Shield — PPO: $166 CareSource North Carolina — Commercial: $213 Cigna — Commercial: $185 Cigna — Medicare Advantage: $95 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $347 Devoted Health — Medicare Advantage: $99 DirectNet — Commercial: $202
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · both In the file: High Complexity Eval	Not listed in the file	Not listed in the file	$129
Physical therapy evaluation (high complexity): rates for 1 insurance plan MDSave — Cash Pay Marketplace: $129
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 30 min	Not listed in the file	Not listed in the file	$36 – $155
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates Aetna — Commercial: $72 Blue Cross Blue Shield — Medicare Advantage: $73 CareSource North Carolina — Commercial: $155 Cigna — Medicare Advantage: $69 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $70 Devoted Health — Medicare Advantage: $73 Gateway — Medicare Advantage: $73 Humana — Medicare Advantage: $70 Liberty Advantage — Medicare Advantage: $73 Longevity Healthcare — Medicare Advantage: $73
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 45 min	$158	$95	$48 – $205
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates Aetna — Commercial: $95 Blue Cross Blue Shield — HMO: $78 Blue Cross Blue Shield — Medicare Advantage: $96 Blue Cross Blue Shield — PPO: $78 CareSource North Carolina — Commercial: $205 Cigna — Commercial: $87 Cigna — Medicare Advantage: $91 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $93 Devoted Health — Medicare Advantage: $96 DirectNet — Commercial: $95

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one or more breast growth, open procedure	$21,800	$13,080	$1,984 – $22,458
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Aetna — Commercial: $3,930 Blue Cross Blue Shield — HMO: $10,769 Blue Cross Blue Shield — Medicare Advantage: $3,968 Blue Cross Blue Shield — PPO: $10,769 CareSource North Carolina — Commercial: $8,503 Cigna — Commercial: $11,990 Cigna — Medicare Advantage: $3,779 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $22,458 Devoted Health — Medicare Advantage: $3,968 DirectNet — Commercial: $13,080
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shaving of shoulder bone using endoscope	$48,898	$29,339	$24,156 – $50,375
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Blue Cross Blue Shield — HMO: $24,156 Blue Cross Blue Shield — PPO: $24,156 Cigna — Commercial: $26,894 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $50,375 DirectNet — Commercial: $29,339 Humana — Commercial: $39,118 MedCost — Commercial: $33,495 MedCost — Ultra: $24,449 MultiPlan — Commercial: $41,563 Prime Health Service — Commercial: $36,674
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one knee cartilage using an endoscope	$18,544	$11,126	$1,658 – $19,104
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Aetna — Commercial: $3,284 Blue Cross Blue Shield — HMO: $9,161 Blue Cross Blue Shield — Medicare Advantage: $3,316 Blue Cross Blue Shield — PPO: $9,161 CareSource North Carolina — Commercial: $7,105 Cigna — Commercial: $10,199 Cigna — Medicare Advantage: $3,158 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $19,104 Devoted Health — Medicare Advantage: $3,316 DirectNet — Commercial: $11,126
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of tonsils and adenoid glands, patient younger than age 12	$12,860	$7,716	$3,000 – $13,248
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Aetna — Commercial: $5,942 Blue Cross Blue Shield — HMO: $6,353 Blue Cross Blue Shield — Medicare Advantage: $5,999 Blue Cross Blue Shield — PPO: $6,353 CareSource North Carolina — Commercial: $12,855 Cigna — Commercial: $7,073 Cigna — Medicare Advantage: $5,713 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $13,248 Devoted Health — Medicare Advantage: $5,999 DirectNet — Commercial: $7,716
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$9,460	$5,676	$460 – $9,746
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $910 Blue Cross Blue Shield — HMO: $4,673 Blue Cross Blue Shield — Medicare Advantage: $919 Blue Cross Blue Shield — PPO: $4,673 CareSource North Carolina — Commercial: $1,970 Cigna — Commercial: $5,203 Cigna — Medicare Advantage: $875 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $9,746 Devoted Health — Medicare Advantage: $919 DirectNet — Commercial: $5,676
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope	$10,863	$6,518	$460 – $11,191
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Aetna — Commercial: $910 Blue Cross Blue Shield — HMO: $5,366 Blue Cross Blue Shield — Medicare Advantage: $919 Blue Cross Blue Shield — PPO: $5,366 CareSource North Carolina — Commercial: $1,970 Cigna — Commercial: $5,975 Cigna — Medicare Advantage: $875 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $11,191 Devoted Health — Medicare Advantage: $919 DirectNet — Commercial: $6,518
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of large bowel using an endoscope	$7,100	$4,260	$471 – $7,314
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $933 Blue Cross Blue Shield — HMO: $3,507 Blue Cross Blue Shield — Medicare Advantage: $942 Blue Cross Blue Shield — PPO: $3,507 CareSource North Carolina — Commercial: $2,019 Cigna — Commercial: $3,905 Cigna — Medicare Advantage: $898 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $7,314 Devoted Health — Medicare Advantage: $942 DirectNet — Commercial: $4,260
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of large bowel using an endoscope	$8,100	$4,860	$606 – $8,345
Colonoscopy with biopsy: 10 of 23 insurance plan rates Aetna — Commercial: $1,201 Blue Cross Blue Shield — HMO: $4,001 Blue Cross Blue Shield — Medicare Advantage: $1,213 Blue Cross Blue Shield — PPO: $4,001 CareSource North Carolina — Commercial: $2,599 Cigna — Commercial: $4,455 Cigna — Medicare Advantage: $1,155 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $8,345 Devoted Health — Medicare Advantage: $1,213 DirectNet — Commercial: $4,860
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of polyps or growths of large bowel using an endoscope	$8,800	$5,280	$606 – $9,066
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Aetna — Commercial: $1,201 Blue Cross Blue Shield — HMO: $4,347 Blue Cross Blue Shield — Medicare Advantage: $1,213 Blue Cross Blue Shield — PPO: $4,347 CareSource North Carolina — Commercial: $2,599 Cigna — Commercial: $4,840 Cigna — Medicare Advantage: $1,155 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $9,066 Devoted Health — Medicare Advantage: $1,213 DirectNet — Commercial: $5,280
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of gallbladder using an endoscope	$21,000	$12,600	$3,063 – $21,634
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates Aetna — Commercial: $6,068 Blue Cross Blue Shield — HMO: $10,374 Blue Cross Blue Shield — Medicare Advantage: $6,127 Blue Cross Blue Shield — PPO: $10,374 CareSource North Carolina — Commercial: $13,128 Cigna — Commercial: $11,550 Cigna — Medicare Advantage: $5,835 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $21,634 Devoted Health — Medicare Advantage: $6,127 DirectNet — Commercial: $12,600
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair of groin hernia patient age 5 years or older	$19,500	$11,700	$1,814 – $20,089
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Aetna — Commercial: $3,594 Blue Cross Blue Shield — HMO: $9,633 Blue Cross Blue Shield — Medicare Advantage: $3,628 Blue Cross Blue Shield — PPO: $9,633 CareSource North Carolina — Commercial: $7,775 Cigna — Commercial: $10,725 Cigna — Medicare Advantage: $3,456 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $20,089 Devoted Health — Medicare Advantage: $3,628 DirectNet — Commercial: $11,700
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate gland	$7,208	$4,325	$3,561 – $7,426
Prostate biopsy: 10 of 12 insurance plan rates Aetna — Commercial: $4,390 Blue Cross Blue Shield — HMO: $3,561 Blue Cross Blue Shield — PPO: $3,561 Cigna — Commercial: $3,964 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $7,426 DirectNet — Commercial: $4,325 Humana — Commercial: $5,766 MedCost — Commercial: $4,937 MedCost — Ultra: $3,604 MultiPlan — Commercial: $6,127
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$90,206	$54,124	$5,386 – $92,930
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates Aetna — Commercial: $10,670 Blue Cross Blue Shield — HMO: $44,562 Blue Cross Blue Shield — Medicare Advantage: $10,772 Blue Cross Blue Shield — PPO: $44,562 CareSource North Carolina — Commercial: $23,083 Cigna — Commercial: $49,613 Cigna — Medicare Advantage: $10,259 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $92,930 Devoted Health — Medicare Advantage: $10,772 DirectNet — Commercial: $54,124
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of therapeutic substance	$1,219	$731	$358 – $1,533
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $709 Blue Cross Blue Shield — HMO: $602 Blue Cross Blue Shield — Medicare Advantage: $715 Blue Cross Blue Shield — PPO: $602 CareSource North Carolina — Commercial: $1,533 Cigna — Commercial: $670 Cigna — Medicare Advantage: $681 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $1,256 Devoted Health — Medicare Advantage: $715 DirectNet — Commercial: $731
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of anesthetic into lower spine using imaging guidance	$2,049	$1,229	$448 – $2,111
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $888 Blue Cross Blue Shield — HMO: $1,012 Blue Cross Blue Shield — Medicare Advantage: $896 Blue Cross Blue Shield — PPO: $1,012 CareSource North Carolina — Commercial: $1,921 Cigna — Commercial: $1,127 Cigna — Medicare Advantage: $854 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $2,111 Devoted Health — Medicare Advantage: $896 DirectNet — Commercial: $1,229
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of recurring cataract in lens capsule using laser	$16,479	$9,887	$279 – $16,977
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates Aetna — Commercial: $552 Blue Cross Blue Shield — HMO: $8,141 Blue Cross Blue Shield — Medicare Advantage: $557 Blue Cross Blue Shield — PPO: $8,141 CareSource North Carolina — Commercial: $1,194 Cigna — Commercial: $9,063 Cigna — Medicare Advantage: $531 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $16,977 Devoted Health — Medicare Advantage: $557 DirectNet — Commercial: $9,887
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of cataract with insertion of lens	$13,479	$8,087	$1,169 – $13,886
Cataract removal with lens implant: 10 of 23 insurance plan rates Aetna — Commercial: $2,316 Blue Cross Blue Shield — HMO: $6,659 Blue Cross Blue Shield — Medicare Advantage: $2,339 Blue Cross Blue Shield — PPO: $6,659 CareSource North Carolina — Commercial: $5,012 Cigna — Commercial: $7,413 Cigna — Medicare Advantage: $2,227 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $13,886 Devoted Health — Medicare Advantage: $2,339 DirectNet — Commercial: $8,087

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric care, planned vaginal delivery	$4,375	$2,625	$1,074 – $4,602
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,127 Blue Cross Blue Shield — HMO: $2,161 Blue Cross Blue Shield — Medicare Advantage: $2,148 Blue Cross Blue Shield — PPO: $2,161 CareSource North Carolina — Commercial: $4,602 Cigna — Commercial: $2,406 Cigna — Medicare Advantage: $2,045 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $2,086 Devoted Health — Medicare Advantage: $2,148 DirectNet — Commercial: $2,625
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric care, planned vaginal delivery	$4,500	$2,700	$1,074 – $4,636
Vaginal delivery, with care before and after: 10 of 21 insurance plan rates Aetna — Commercial: $2,127 Blue Cross Blue Shield — Medicare Advantage: $2,148 CareSource North Carolina — Commercial: $4,602 Cigna — Commercial: $2,475 Cigna — Medicare Advantage: $2,045 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $4,636 Devoted Health — Medicare Advantage: $2,148 DirectNet — Commercial: $2,700 Gateway — Medicare Advantage: $2,148 Humana — Commercial: $3,600
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · both In the file: Obstetric care, planned vaginal delivery	Not listed in the file	Not listed in the file	$4,765
Vaginal delivery, with care before and after: rates for 2 insurance plans Blue Cross Blue Shield — HMO: $4,765 Blue Cross Blue Shield — PPO: $4,765
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric care, planned cesarean delivery	$3,978	$2,387	$1,193 – $5,112
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,363 Blue Cross Blue Shield — HMO: $1,965 Blue Cross Blue Shield — Medicare Advantage: $2,385 Blue Cross Blue Shield — PPO: $1,965 CareSource North Carolina — Commercial: $5,112 Cigna — Commercial: $2,188 Cigna — Medicare Advantage: $2,272 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $2,317 Devoted Health — Medicare Advantage: $2,385 DirectNet — Commercial: $2,387
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric care, planned cesarean delivery	$5,500	$3,300	$1,193 – $5,666
Cesarean delivery (C-section), with care before and after: 10 of 21 insurance plan rates Aetna — Commercial: $2,363 Blue Cross Blue Shield — Medicare Advantage: $2,385 CareSource North Carolina — Commercial: $5,112 Cigna — Commercial: $3,025 Cigna — Medicare Advantage: $2,272 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $5,666 Devoted Health — Medicare Advantage: $2,385 DirectNet — Commercial: $3,300 Gateway — Medicare Advantage: $2,385 Humana — Commercial: $4,400
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · both In the file: Obstetric care, planned cesarean delivery	Not listed in the file	Not listed in the file	$5,992
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Blue Cross Blue Shield — HMO: $5,992 Blue Cross Blue Shield — PPO: $5,992
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric care, planned vaginal delivery (post delivery by cesarean section)	$4,500	$2,700	$1,123 – $4,813
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,225 Blue Cross Blue Shield — HMO: $2,223 Blue Cross Blue Shield — Medicare Advantage: $2,246 Blue Cross Blue Shield — PPO: $2,223 CareSource North Carolina — Commercial: $4,813 Cigna — Commercial: $2,475 Cigna — Medicare Advantage: $2,139 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $4,636 Devoted Health — Medicare Advantage: $2,246 DirectNet — Commercial: $2,700
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric care, planned vaginal delivery (post delivery by cesarean section)	$4,375	$2,625	$1,123 – $4,813
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,225 Blue Cross Blue Shield — HMO: $2,161 Blue Cross Blue Shield — Medicare Advantage: $2,246 Blue Cross Blue Shield — PPO: $2,161 CareSource North Carolina — Commercial: $4,813 Cigna — Commercial: $2,406 Cigna — Medicare Advantage: $2,139 Coventry Health Care of the Carolinas, Inc. — Medicare Advantage: $2,182 Devoted Health — Medicare Advantage: $2,246 DirectNet — Commercial: $2,625

Source: Catawba Valley Medical Center’s standard charges file (secure.claraprice.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	810 Fairgrove Church Rd, Hickory, NC 28602
County	Catawba County
State	North Carolina
Phone	(828) 326‑3809
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	340143
Name in Medicare records	CATAWBA VALLEY MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(828) 326‑3000^[4]
Official website	catawbavalleyhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Catawba Valley Medical Center Services — catawbavalleyhealth.org
Medical Center - Catawba Valley Health System — catawbavalleyhealth.org
Emergency Department - Catawba Valley Health System — catawbavalleyhealth.org
Hospitalists - Catawba Valley Health System — catawbavalleyhealth.org
Your Visit - Catawba Valley Health System — catawbavalleyhealth.org
Outpatient Surgery - Catawba Valley Health System — catawbavalleyhealth.org
Stroke - Catawba Valley Health System — catawbavalleyhealth.org
Imaging - Catawba Valley Health System — catawbavalleyhealth.org
Surgical Weight Loss - Catawba Valley Health System — catawbavalleyhealth.org

Catawba Valley Medical Center

Summary

Profile from official sources

At a glance