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Critical Access Hospital

Caverna Memorial Hospital

Also listed as: The Medical Center at Caverna

Horse Cave, Kentucky · Hart County · Emergency services listed

  • 1501 South Dixie Street, Horse Cave, KY 42749 · Directions
  • (270) 786‑2191
  • Emergency room: yes
  • Medicare overall rating: not rated
  • Hospital type: Critical Access Hospital · Ownership: Voluntary non-profit - Private

Caverna Memorial Hospital is a critical access hospital at 1501 South Dixie Street, Horse Cave, KY 42749. Phone: (270) 786-2191. It has an emergency department.

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

Summary

Caverna Memorial Hospital is a critical access hospital in Horse Cave, Kentucky. Medicare data lists emergency services. Its official website lists 35 services, specialties and programs. Medicare lists 100 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
25Beds (hospital website)
35Services listed

Quick answers

Does Caverna Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Caverna Memorial Hospital. In a medical emergency, call 911.
Where is Caverna Memorial Hospital?
1501 South Dixie Street, Horse Cave, KY 42749, in Hart County, Kentucky.
What is the phone number of Caverna Memorial Hospital?
(270) 786-2191, as listed by Medicare (CMS).
What is the Medicare star rating of Caverna Memorial Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4]

Treatments[5]

Procedures[4]

  • CT scanning
  • Low-dose lung cancer screening
  • Mobile MRI (shared unit, rotating schedule)

Programs and centers[4][5]

  • Skilled Medical Care and Rehabilitation
  • Senior Perspectives outpatient counseling
  • Inpatient and outpatient rehabilitation services

Emergency care (hospital website)[4]

Emergency roomYes

Doctors and clinicians (100)

100 doctors and other clinicians list Caverna Memorial 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

Doctors with a page on this site (100)

And 76 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are →

Other hospitals near Horse Cave

Hospitals in Hart County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

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 Caverna Memorial 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.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.6%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 46 common services exactly as Caverna Memorial 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 →

Show the prices of 46 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: OB ED VISIT LEVEL 3 $899 Not listed in the file $269.70 – $743.47
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Aetna — All Plans: $743.47
  • Aetna (Medicaid) — Aetna Better Health: $269.70
  • Aetna (Medicare) — All Plans: $278.69
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $685.58
  • Anthem — Pathway HMO: $617.02
  • Anthem — Pathway HPN: $651.30
  • Anthem — Pathway Transitions HMO: $479.90
  • Anthem (Medicaid) — Anthem Medicaid: $269.70
  • Anthem (Medicare) — All Plans: $278.69
  • Center Care — Center Care: $658.34
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LEVEL 3 $1,079 Not listed in the file $323.70 – $892.33
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Aetna — All Plans: $892.33
  • Aetna (Medicaid) — Aetna Better Health: $323.70
  • Aetna (Medicare) — All Plans: $334.49
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $822.85
  • Anthem — Pathway HMO: $740.56
  • Anthem — Pathway HPN: $781.70
  • Anthem — Pathway Transitions HMO: $575.99
  • Anthem (Medicaid) — Anthem Medicaid: $323.70
  • Anthem (Medicare) — All Plans: $334.49
  • Center Care — Center Care: $790.15
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LEVEL 3 $1,079 Not listed in the file $421.85 – $849.07
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Aetna — All Plans: $847.01
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $849.07
  • Anthem — Pathway HMO: $764.16
  • Anthem — Pathway HPN: $806.61
  • Anthem — Pathway Transitions HMO: $594.35
  • Center Care — Center Care: $828.02
  • Center Care — Center Care Select: $828.02
  • Cigna — All Plans: $828.02
  • First Health — Work Comp: $421.85
  • HealthComp — Med Center Health Medical Plan: $828.02
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: OB ED VISIT LEVEL 4 $1,435 Not listed in the file $430.50 – $1,186.74
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Aetna — All Plans: $1,186.74
  • Aetna (Medicaid) — Aetna Better Health: $430.50
  • Aetna (Medicare) — All Plans: $444.85
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,094.33
  • Anthem — Pathway HMO: $984.90
  • Anthem — Pathway HPN: $1,039.61
  • Anthem — Pathway Transitions HMO: $766.03
  • Anthem (Medicaid) — Anthem Medicaid: $430.50
  • Anthem (Medicare) — All Plans: $444.85
  • Center Care — Center Care: $1,050.85
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LEVEL 4 $1,722 Not listed in the file $516.60 – $1,424.09
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Aetna — All Plans: $1,424.09
  • Aetna (Medicaid) — Aetna Better Health: $516.60
  • Aetna (Medicare) — All Plans: $533.82
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,313.20
  • Anthem — Pathway HMO: $1,181.88
  • Anthem — Pathway HPN: $1,247.54
  • Anthem — Pathway Transitions HMO: $919.24
  • Anthem (Medicaid) — Anthem Medicaid: $516.60
  • Anthem (Medicare) — All Plans: $533.82
  • Center Care — Center Care: $1,261.02
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LEVEL 4 $1,722 Not listed in the file $673.24 – $1,355.04
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna — All Plans: $1,351.77
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,355.04
  • Anthem — Pathway HMO: $1,219.54
  • Anthem — Pathway HPN: $1,287.29
  • Anthem — Pathway Transitions HMO: $948.53
  • Center Care — Center Care: $1,321.46
  • Center Care — Center Care Select: $1,321.46
  • Cigna — All Plans: $1,321.46
  • First Health — Work Comp: $673.24
  • HealthComp — Med Center Health Medical Plan: $1,321.46
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: OB ED VISIT LEVEL 5 $2,124 Not listed in the file $637.20 – $1,756.55
Emergency room visit (high): 10 of 22 insurance plan rates
  • Aetna — All Plans: $1,756.55
  • Aetna (Medicaid) — Aetna Better Health: $637.20
  • Aetna (Medicare) — All Plans: $658.44
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,619.76
  • Anthem — Pathway HMO: $1,457.79
  • Anthem — Pathway HPN: $1,538.77
  • Anthem — Pathway Transitions HMO: $1,133.83
  • Anthem (Medicaid) — Anthem Medicaid: $637.20
  • Anthem (Medicare) — All Plans: $658.44
  • Center Care — Center Care: $1,555.41
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LEVEL 5 $2,549 Not listed in the file $764.70 – $2,108.02
Emergency room visit (high): 10 of 22 insurance plan rates
  • Aetna — All Plans: $2,108.02
  • Aetna (Medicaid) — Aetna Better Health: $764.70
  • Aetna (Medicare) — All Plans: $790.19
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,943.87
  • Anthem — Pathway HMO: $1,749.48
  • Anthem — Pathway HPN: $1,846.67
  • Anthem — Pathway Transitions HMO: $1,360.71
  • Anthem (Medicaid) — Anthem Medicaid: $764.70
  • Anthem (Medicare) — All Plans: $790.19
  • Center Care — Center Care: $1,866.63
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LEVEL 5 $2,549 Not listed in the file $996.57 – $2,005.81
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna — All Plans: $2,000.96
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,005.81
  • Anthem — Pathway HMO: $1,805.23
  • Anthem — Pathway HPN: $1,905.52
  • Anthem — Pathway Transitions HMO: $1,404.07
  • Center Care — Center Care: $1,956.10
  • Center Care — Center Care Select: $1,956.10
  • Cigna — All Plans: $1,956.10
  • First Health — Work Comp: $996.57
  • HealthComp — Med Center Health Medical Plan: $1,956.10

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $32 Not listed in the file $5.69 – $26.46
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — All Plans: $26.46
  • Aetna (Medicaid) — Aetna Better Health: $8.46
  • Aetna (Medicare) — All Plans: $9.92
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.69
  • Anthem — Pathway HMO: $5.69
  • Anthem — Pathway HPN: $5.69
  • Anthem — Pathway Transitions HMO: $5.69
  • Anthem (Medicaid) — Anthem Medicaid: $8.46
  • Anthem (Medicare) — All Plans: $9.92
  • Center Care — Center Care: $23.43
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL $32 Not listed in the file $12.51 – $25.18
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — All Plans: $25.12
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $25.18
  • Anthem — Pathway HMO: $22.66
  • Anthem — Pathway HPN: $23.92
  • Anthem — Pathway Transitions HMO: $17.63
  • Center Care — Center Care: $24.56
  • Center Care — Center Care Select: $24.56
  • Cigna — All Plans: $24.56
  • First Health — Work Comp: $12.51
  • HealthComp — Med Center Health Medical Plan: $24.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP. METABOLIC PANEL $40 Not listed in the file $7.15 – $33.08
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — All Plans: $33.08
  • Aetna (Medicaid) — Aetna Better Health: $10.56
  • Aetna (Medicare) — All Plans: $12.40
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $7.15
  • Anthem — Pathway HMO: $7.15
  • Anthem — Pathway HPN: $7.15
  • Anthem — Pathway Transitions HMO: $7.15
  • Anthem (Medicaid) — Anthem Medicaid: $10.56
  • Anthem (Medicare) — All Plans: $12.40
  • Center Care — Center Care: $29.29
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP. METABOLIC PANEL $40 Not listed in the file $15.64 – $31.48
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — All Plans: $31.40
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $31.48
  • Anthem — Pathway HMO: $28.33
  • Anthem — Pathway HPN: $29.90
  • Anthem — Pathway Transitions HMO: $22.03
  • Center Care — Center Care: $30.70
  • Center Care — Center Care Select: $30.70
  • Cigna — All Plans: $30.70
  • First Health — Work Comp: $15.64
  • HealthComp — Med Center Health Medical Plan: $30.70
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: PRENATAL GROUP $178 Not listed in the file $37.20 – $147.21
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna — All Plans: $147.21
  • Aetna (Medicaid) — Aetna Better Health: $47.81
  • Aetna (Medicare) — All Plans: $55.18
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $53.28
  • Anthem — Pathway HMO: $53.28
  • Anthem — Pathway HPN: $53.28
  • Anthem — Pathway Transitions HMO: $53.28
  • Anthem (Medicaid) — Anthem Medicaid: $47.81
  • Anthem (Medicare) — All Plans: $55.18
  • Center Care — Center Care: $130.35
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: PRENATAL GROUP $178 Not listed in the file $69.59 – $140.07
Obstetric blood test panel: 10 of 12 insurance plan rates
  • Aetna — All Plans: $139.73
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $140.07
  • Anthem — Pathway HMO: $126.06
  • Anthem — Pathway HPN: $133.06
  • Anthem — Pathway Transitions HMO: $98.05
  • Center Care — Center Care: $136.60
  • Center Care — Center Care Select: $136.60
  • Cigna — All Plans: $136.60
  • First Health — Work Comp: $69.59
  • HealthComp — Med Center Health Medical Plan: $136.60
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PNL $112 Not listed in the file $9.68 – $92.62
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — All Plans: $92.62
  • Aetna (Medicaid) — Aetna Better Health: $13.39
  • Aetna (Medicare) — All Plans: $34.72
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.68
  • Anthem — Pathway HMO: $9.68
  • Anthem — Pathway HPN: $9.68
  • Anthem — Pathway Transitions HMO: $9.68
  • Anthem (Medicaid) — Anthem Medicaid: $13.39
  • Anthem (Medicare) — All Plans: $34.72
  • Center Care — Center Care: $82.02
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $98 Not listed in the file $9.68 – $81.05
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — All Plans: $81.05
  • Aetna (Medicaid) — Aetna Better Health: $13.39
  • Aetna (Medicare) — All Plans: $30.38
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.68
  • Anthem — Pathway HMO: $9.68
  • Anthem — Pathway HPN: $9.68
  • Anthem — Pathway Transitions HMO: $9.68
  • Anthem (Medicaid) — Anthem Medicaid: $13.39
  • Anthem (Medicare) — All Plans: $30.38
  • Center Care — Center Care: $71.77
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE $50 Not listed in the file $9.68 – $41.35
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — All Plans: $41.35
  • Aetna (Medicaid) — Aetna Better Health: $13.39
  • Aetna (Medicare) — All Plans: $15.50
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.68
  • Anthem — Pathway HMO: $9.68
  • Anthem — Pathway HPN: $9.68
  • Anthem — Pathway Transitions HMO: $9.68
  • Anthem (Medicaid) — Anthem Medicaid: $13.39
  • Anthem (Medicare) — All Plans: $15.50
  • Center Care — Center Care: $36.62
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $33 Not listed in the file $5.69 – $27.29
Kidney function panel: 10 of 22 insurance plan rates
  • Aetna — All Plans: $27.29
  • Aetna (Medicaid) — Aetna Better Health: $8.68
  • Aetna (Medicare) — All Plans: $10.23
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.69
  • Anthem — Pathway HMO: $5.69
  • Anthem — Pathway HPN: $5.69
  • Anthem — Pathway Transitions HMO: $5.69
  • Anthem (Medicaid) — Anthem Medicaid: $8.68
  • Anthem (Medicare) — All Plans: $10.23
  • Center Care — Center Care: $24.17
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL $33 Not listed in the file $12.90 – $25.97
Kidney function panel: 10 of 12 insurance plan rates
  • Aetna — All Plans: $25.91
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $25.97
  • Anthem — Pathway HMO: $23.37
  • Anthem — Pathway HPN: $24.67
  • Anthem — Pathway Transitions HMO: $18.18
  • Center Care — Center Care: $25.32
  • Center Care — Center Care Select: $25.32
  • Cigna — All Plans: $25.32
  • First Health — Work Comp: $12.90
  • HealthComp — Med Center Health Medical Plan: $25.32
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL A $31 Not listed in the file $5.69 – $25.64
Liver function panel: 10 of 22 insurance plan rates
  • Aetna — All Plans: $25.64
  • Aetna (Medicaid) — Aetna Better Health: $8.17
  • Aetna (Medicare) — All Plans: $9.61
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.69
  • Anthem — Pathway HMO: $5.69
  • Anthem — Pathway HPN: $5.69
  • Anthem — Pathway Transitions HMO: $5.69
  • Anthem (Medicaid) — Anthem Medicaid: $8.17
  • Anthem (Medicare) — All Plans: $9.61
  • Center Care — Center Care: $22.70
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL A $31 Not listed in the file $12.12 – $24.39
Liver function panel: 10 of 12 insurance plan rates
  • Aetna — All Plans: $24.34
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $24.39
  • Anthem — Pathway HMO: $21.95
  • Anthem — Pathway HPN: $23.17
  • Anthem — Pathway Transitions HMO: $17.08
  • Center Care — Center Care: $23.79
  • Center Care — Center Care Select: $23.79
  • Cigna — All Plans: $23.79
  • First Health — Work Comp: $12.12
  • HealthComp — Med Center Health Medical Plan: $23.79
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: AUTOM UA W/ MICROSCOPY $12 Not listed in the file $2.47 – $9.92
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna — All Plans: $9.92
  • Aetna (Medicaid) — Aetna Better Health: $3.17
  • Aetna (Medicare) — All Plans: $3.72
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $2.69
  • Anthem — Pathway HMO: $2.69
  • Anthem — Pathway HPN: $2.69
  • Anthem — Pathway Transitions HMO: $2.69
  • Anthem (Medicaid) — Anthem Medicaid: $3.17
  • Anthem (Medicare) — All Plans: $3.72
  • Center Care — Center Care: $8.79
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: AUTOM UA W/ MICROSCOPY $12 Not listed in the file $4.69 – $9.44
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • Aetna — All Plans: $9.42
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.44
  • Anthem — Pathway HMO: $8.50
  • Anthem — Pathway HPN: $8.97
  • Anthem — Pathway Transitions HMO: $6.61
  • Center Care — Center Care: $9.21
  • Center Care — Center Care Select: $9.21
  • Cigna — All Plans: $9.21
  • First Health — Work Comp: $4.69
  • HealthComp — Med Center Health Medical Plan: $9.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BLOOD,URINE, SCREEN $9 Not listed in the file $1.75 – $7.44
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna — All Plans: $7.44
  • Aetna (Medicaid) — Aetna Better Health: $2.25
  • Aetna (Medicare) — All Plans: $2.79
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1.91
  • Anthem — Pathway HMO: $1.91
  • Anthem — Pathway HPN: $1.91
  • Anthem — Pathway Transitions HMO: $1.91
  • Anthem (Medicaid) — Anthem Medicaid: $2.25
  • Anthem (Medicare) — All Plans: $2.79
  • Center Care — Center Care: $6.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: MICRO-GLUCOSE,URINE SCREEN $9 Not listed in the file $1.75 – $7.44
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna — All Plans: $7.44
  • Aetna (Medicaid) — Aetna Better Health: $2.25
  • Aetna (Medicare) — All Plans: $2.79
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1.91
  • Anthem — Pathway HMO: $1.91
  • Anthem — Pathway HPN: $1.91
  • Anthem — Pathway Transitions HMO: $1.91
  • Anthem (Medicaid) — Anthem Medicaid: $2.25
  • Anthem (Medicare) — All Plans: $2.79
  • Center Care — Center Care: $6.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: MICRO-KETONE,URINE SCREEN $9 Not listed in the file $1.75 – $7.44
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna — All Plans: $7.44
  • Aetna (Medicaid) — Aetna Better Health: $2.25
  • Aetna (Medicare) — All Plans: $2.79
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1.91
  • Anthem — Pathway HMO: $1.91
  • Anthem — Pathway HPN: $1.91
  • Anthem — Pathway Transitions HMO: $1.91
  • Anthem (Medicaid) — Anthem Medicaid: $2.25
  • Anthem (Medicare) — All Plans: $2.79
  • Center Care — Center Care: $6.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC ANTIGEN $69 Not listed in the file $14.31 – $57.06
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — All Plans: $57.06
  • Aetna (Medicaid) — Aetna Better Health: $18.39
  • Aetna (Medicare) — All Plans: $21.39
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $15.64
  • Anthem — Pathway HMO: $15.64
  • Anthem — Pathway HPN: $15.64
  • Anthem — Pathway Transitions HMO: $15.64
  • Anthem (Medicaid) — Anthem Medicaid: $18.39
  • Anthem (Medicare) — All Plans: $21.39
  • Center Care — Center Care: $50.53
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA,TOTAL $69 Not listed in the file $14.31 – $57.06
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — All Plans: $57.06
  • Aetna (Medicaid) — Aetna Better Health: $18.39
  • Aetna (Medicare) — All Plans: $21.39
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $15.64
  • Anthem — Pathway HMO: $15.64
  • Anthem — Pathway HPN: $15.64
  • Anthem — Pathway Transitions HMO: $15.64
  • Anthem (Medicaid) — Anthem Medicaid: $18.39
  • Anthem (Medicare) — All Plans: $21.39
  • Center Care — Center Care: $50.53
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA ULTRA SENSITIVE $69 Not listed in the file $14.31 – $57.06
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — All Plans: $57.06
  • Aetna (Medicaid) — Aetna Better Health: $18.39
  • Aetna (Medicare) — All Plans: $21.39
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $15.64
  • Anthem — Pathway HMO: $15.64
  • Anthem — Pathway HPN: $15.64
  • Anthem — Pathway Transitions HMO: $15.64
  • Anthem (Medicaid) — Anthem Medicaid: $18.39
  • Anthem (Medicare) — All Plans: $21.39
  • Center Care — Center Care: $50.53
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $71 Not listed in the file $13.07 – $58.72
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — All Plans: $58.72
  • Aetna (Medicaid) — Aetna Better Health: $16.80
  • Aetna (Medicare) — All Plans: $22.01
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $14.28
  • Anthem — Pathway HMO: $14.28
  • Anthem — Pathway HPN: $14.28
  • Anthem — Pathway Transitions HMO: $14.28
  • Anthem (Medicaid) — Anthem Medicaid: $16.80
  • Anthem (Medicare) — All Plans: $22.01
  • Center Care — Center Care: $51.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH ULTRA SENSITIVE $51 Not listed in the file $13.07 – $42.18
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — All Plans: $42.18
  • Aetna (Medicaid) — Aetna Better Health: $16.80
  • Aetna (Medicare) — All Plans: $15.81
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $14.28
  • Anthem — Pathway HMO: $14.28
  • Anthem — Pathway HPN: $14.28
  • Anthem — Pathway Transitions HMO: $14.28
  • Anthem (Medicaid) — Anthem Medicaid: $16.80
  • Anthem (Medicare) — All Plans: $15.81
  • Center Care — Center Care: $37.35
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADE $199 Not listed in the file $13.07 – $164.57
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — All Plans: $164.57
  • Aetna (Medicaid) — Aetna Better Health: $16.80
  • Aetna (Medicare) — All Plans: $61.69
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $14.28
  • Anthem — Pathway HMO: $14.28
  • Anthem — Pathway HPN: $14.28
  • Anthem — Pathway Transitions HMO: $14.28
  • Anthem (Medicaid) — Anthem Medicaid: $16.80
  • Anthem (Medicare) — All Plans: $61.69
  • Center Care — Center Care: $145.73
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTOMATED DIFF ONLY $29 Not listed in the file $6.05 – $23.98
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — All Plans: $23.98
  • Aetna (Medicaid) — Aetna Better Health: $7.77
  • Aetna (Medicare) — All Plans: $8.99
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.61
  • Anthem — Pathway HMO: $6.61
  • Anthem — Pathway HPN: $6.61
  • Anthem — Pathway Transitions HMO: $6.61
  • Anthem (Medicaid) — Anthem Medicaid: $7.77
  • Anthem (Medicare) — All Plans: $8.99
  • Center Care — Center Care: $21.24
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/ AUTOMATED DIFF ONLY $29 Not listed in the file $6.05 – $23.98
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — All Plans: $23.98
  • Aetna (Medicaid) — Aetna Better Health: $7.77
  • Aetna (Medicare) — All Plans: $8.99
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.61
  • Anthem — Pathway HMO: $6.61
  • Anthem — Pathway HPN: $6.61
  • Anthem — Pathway Transitions HMO: $6.61
  • Anthem (Medicaid) — Anthem Medicaid: $7.77
  • Anthem (Medicare) — All Plans: $8.99
  • Center Care — Center Care: $21.24
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HEMAT-CBC-INCLUDES DIFF $29 Not listed in the file $6.05 – $23.98
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — All Plans: $23.98
  • Aetna (Medicaid) — Aetna Better Health: $7.77
  • Aetna (Medicare) — All Plans: $8.99
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.61
  • Anthem — Pathway HMO: $6.61
  • Anthem — Pathway HPN: $6.61
  • Anthem — Pathway Transitions HMO: $6.61
  • Anthem (Medicaid) — Anthem Medicaid: $7.77
  • Anthem (Medicare) — All Plans: $8.99
  • Center Care — Center Care: $21.24
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMAT-BLOOD COUNT W/O DIFF $24 Not listed in the file $5.03 – $19.85
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna — All Plans: $19.85
  • Aetna (Medicaid) — Aetna Better Health: $6.47
  • Aetna (Medicare) — All Plans: $7.44
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.50
  • Anthem — Pathway HMO: $5.50
  • Anthem — Pathway HPN: $5.50
  • Anthem — Pathway Transitions HMO: $5.50
  • Anthem (Medicaid) — Anthem Medicaid: $6.47
  • Anthem (Medicare) — All Plans: $7.44
  • Center Care — Center Care: $17.58
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HEMAT-BLOOD COUNT W/O DIFF $24 Not listed in the file $9.38 – $18.89
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Aetna — All Plans: $18.84
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $18.89
  • Anthem — Pathway HMO: $17
  • Anthem — Pathway HPN: $17.94
  • Anthem — Pathway Transitions HMO: $13.22
  • Center Care — Center Care: $18.42
  • Center Care — Center Care Select: $18.42
  • Cigna — All Plans: $18.42
  • First Health — Work Comp: $9.38
  • HealthComp — Med Center Health Medical Plan: $18.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PTINR POC WKHL $15 Not listed in the file $3.34 – $12.40
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — All Plans: $12.40
  • Aetna (Medicaid) — Aetna Better Health: $4.29
  • Aetna (Medicare) — All Plans: $4.65
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $3.34
  • Anthem — Pathway HMO: $3.34
  • Anthem — Pathway HPN: $3.34
  • Anthem — Pathway Transitions HMO: $3.34
  • Anthem (Medicaid) — Anthem Medicaid: $4.29
  • Anthem (Medicare) — All Plans: $4.65
  • Center Care — Center Care: $10.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: INR POC $15 Not listed in the file $3.34 – $12.40
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — All Plans: $12.40
  • Aetna (Medicaid) — Aetna Better Health: $4.29
  • Aetna (Medicare) — All Plans: $4.65
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $3.34
  • Anthem — Pathway HMO: $3.34
  • Anthem — Pathway HPN: $3.34
  • Anthem — Pathway Transitions HMO: $3.34
  • Anthem (Medicaid) — Anthem Medicaid: $4.29
  • Anthem (Medicare) — All Plans: $4.65
  • Center Care — Center Care: $10.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PTINR PLUS POC $90 Not listed in the file $3.34 – $74.43
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — All Plans: $74.43
  • Aetna (Medicaid) — Aetna Better Health: $4.29
  • Aetna (Medicare) — All Plans: $27.90
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $3.34
  • Anthem — Pathway HMO: $3.34
  • Anthem — Pathway HPN: $3.34
  • Anthem — Pathway Transitions HMO: $3.34
  • Anthem (Medicaid) — Anthem Medicaid: $4.29
  • Anthem (Medicare) — All Plans: $27.90
  • Center Care — Center Care: $65.91
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: APTT $23 Not listed in the file $4.68 – $19.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — All Plans: $19.02
  • Aetna (Medicaid) — Aetna Better Health: $6.01
  • Aetna (Medicare) — All Plans: $7.13
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.10
  • Anthem — Pathway HMO: $5.10
  • Anthem — Pathway HPN: $5.10
  • Anthem — Pathway Transitions HMO: $5.10
  • Anthem (Medicaid) — Anthem Medicaid: $6.01
  • Anthem (Medicare) — All Plans: $7.13
  • Center Care — Center Care: $16.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME $27 Not listed in the file $4.68 – $22.33
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — All Plans: $22.33
  • Aetna (Medicaid) — Aetna Better Health: $6.01
  • Aetna (Medicare) — All Plans: $8.37
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.10
  • Anthem — Pathway HMO: $5.10
  • Anthem — Pathway HPN: $5.10
  • Anthem — Pathway Transitions HMO: $5.10
  • Anthem (Medicaid) — Anthem Medicaid: $6.01
  • Anthem (Medicare) — All Plans: $8.37
  • Center Care — Center Care: $19.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $31 Not listed in the file $4.68 – $25.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — All Plans: $25.64
  • Aetna (Medicaid) — Aetna Better Health: $6.01
  • Aetna (Medicare) — All Plans: $9.61
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.10
  • Anthem — Pathway HMO: $5.10
  • Anthem — Pathway HPN: $5.10
  • Anthem — Pathway Transitions HMO: $5.10
  • Anthem (Medicaid) — Anthem Medicaid: $6.01
  • Anthem (Medicare) — All Plans: $9.61
  • Center Care — Center Care: $22.70

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: C/T-HEAD W/O CONT $1,693 Not listed in the file $246.40 – $1,015.80
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $670
  • Aetna (Medicaid) — Aetna Better Health: $507.90
  • Aetna (Medicare) — All Plans: $524.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $352
  • Anthem — Pathway HMO: $316.80
  • Anthem — Pathway HPN: $334.40
  • Anthem — Pathway Transitions HMO: $246.40
  • Anthem (Medicaid) — Anthem Medicaid: $507.90
  • Anthem (Medicare) — All Plans: $524.83
  • Center Care — Center Care: $335
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: C/T-HEAD W/O CONT $1,693 Not listed in the file $661.91 – $1,329.01
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Aetna — All Plans: $1,329.01
  • Center Care — Center Care: $1,299.21
  • Cigna — All Plans: $1,299.21
  • First Health — Work Comp: $661.91
  • Self-Pay — Self-Pay: $1,015.80
  • United Healthcare — All Plans: $1,299.21
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI-BRAIN WO/C,FU W/C & SEQ $3,350 Not listed in the file $370.30 – $2,010
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $750
  • Aetna (Medicaid) — Aetna Better Health: $1,005
  • Aetna (Medicare) — All Plans: $1,038.50
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $529
  • Anthem — Pathway HMO: $476.10
  • Anthem — Pathway HPN: $502.55
  • Anthem — Pathway Transitions HMO: $370.30
  • Anthem (Medicaid) — Anthem Medicaid: $1,005
  • Anthem (Medicare) — All Plans: $1,038.50
  • Center Care — Center Care: $489
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI-BRAIN WO/C,FU W/C & SEQ $3,350 Not listed in the file $1,309.74 – $2,636.11
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna — All Plans: $2,629.75
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,636.11
  • Anthem — Pathway HMO: $2,372.50
  • Anthem — Pathway HPN: $2,504.31
  • Anthem — Pathway Transitions HMO: $1,845.28
  • Center Care — Center Care: $2,570.79
  • Center Care — Center Care Select: $2,570.79
  • Cigna — All Plans: $2,570.79
  • First Health — Work Comp: $1,309.74
  • HealthComp — Med Center Health Medical Plan: $2,570.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY CHEST 2 VIEWS $476 Not listed in the file $142.80 – $393.65
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — All Plans: $393.65
  • Aetna (Medicaid) — Aetna Better Health: $142.80
  • Aetna (Medicare) — All Plans: $147.56
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $363
  • Anthem — Pathway HMO: $326.70
  • Anthem — Pathway HPN: $344.85
  • Anthem — Pathway Transitions HMO: $254.10
  • Anthem (Medicaid) — Anthem Medicaid: $142.80
  • Anthem (Medicare) — All Plans: $147.56
  • Center Care — Center Care: $348.57
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-RAY CHEST 2 VIEWS $476 Not listed in the file $186.10 – $374.56
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna — All Plans: $373.66
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $374.56
  • Anthem — Pathway HMO: $337.11
  • Anthem — Pathway HPN: $355.84
  • Anthem — Pathway Transitions HMO: $262.20
  • Center Care — Center Care: $365.28
  • Center Care — Center Care Select: $365.28
  • Cigna — All Plans: $365.28
  • First Health — Work Comp: $186.10
  • HealthComp — Med Center Health Medical Plan: $365.28
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XRAY L-SPINE MIN 4 VIEWS $951 Not listed in the file $285.30 – $786.48
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — All Plans: $786.48
  • Aetna (Medicaid) — Aetna Better Health: $285.30
  • Aetna (Medicare) — All Plans: $294.81
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $725.23
  • Anthem — Pathway HMO: $652.71
  • Anthem — Pathway HPN: $688.97
  • Anthem — Pathway Transitions HMO: $507.66
  • Anthem (Medicaid) — Anthem Medicaid: $285.30
  • Anthem (Medicare) — All Plans: $294.81
  • Center Care — Center Care: $696.42
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XRAY L-SPINE MIN 4 VIEWS $951 Not listed in the file $371.81 – $748.34
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — All Plans: $746.53
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $748.34
  • Anthem — Pathway HMO: $673.51
  • Anthem — Pathway HPN: $710.92
  • Anthem — Pathway Transitions HMO: $523.84
  • Center Care — Center Care: $729.80
  • Center Care — Center Care Select: $729.80
  • Cigna — All Plans: $729.80
  • First Health — Work Comp: $371.81
  • HealthComp — Med Center Health Medical Plan: $729.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI-L SPINE W/O CONTRAST $2,824 Not listed in the file $370.30 – $1,694.40
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $750
  • Aetna (Medicaid) — Aetna Better Health: $847.20
  • Aetna (Medicare) — All Plans: $875.44
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $529
  • Anthem — Pathway HMO: $476.10
  • Anthem — Pathway HPN: $502.55
  • Anthem — Pathway Transitions HMO: $370.30
  • Anthem (Medicaid) — Anthem Medicaid: $847.20
  • Anthem (Medicare) — All Plans: $875.44
  • Center Care — Center Care: $489
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI-L SPINE W/O CONTRAST $2,824 Not listed in the file $1,104.09 – $2,222.21
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna — All Plans: $2,216.84
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,222.21
  • Anthem — Pathway HMO: $1,999.98
  • Anthem — Pathway HPN: $2,111.10
  • Anthem — Pathway Transitions HMO: $1,555.54
  • Center Care — Center Care: $2,167.14
  • Center Care — Center Care Select: $2,167.14
  • Cigna — All Plans: $2,167.14
  • First Health — Work Comp: $1,104.09
  • HealthComp — Med Center Health Medical Plan: $2,167.14
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS WITH CONTRAST $2,494 Not listed in the file $246.40 – $1,496.40
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $670
  • Aetna (Medicaid) — Aetna Better Health: $748.20
  • Aetna (Medicare) — All Plans: $773.14
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $352
  • Anthem — Pathway HMO: $316.80
  • Anthem — Pathway HPN: $334.40
  • Anthem — Pathway Transitions HMO: $246.40
  • Anthem (Medicaid) — Anthem Medicaid: $748.20
  • Anthem (Medicare) — All Plans: $773.14
  • Center Care — Center Care: $335
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS WITH CONTRAST $2,494 Not listed in the file $975.07 – $1,957.79
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Aetna — All Plans: $1,957.79
  • Center Care — Center Care: $1,913.90
  • Cigna — All Plans: $1,913.90
  • First Health — Work Comp: $975.07
  • Self-Pay — Self-Pay: $1,496.40
  • United Healthcare — All Plans: $1,913.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR LOW EXT ANY JT WO CON LEFT $2,293 Not listed in the file $370.30 – $1,375.80
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $750
  • Aetna (Medicaid) — Aetna Better Health: $687.90
  • Aetna (Medicare) — All Plans: $710.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $529
  • Anthem — Pathway HMO: $476.10
  • Anthem — Pathway HPN: $502.55
  • Anthem — Pathway Transitions HMO: $370.30
  • Anthem (Medicaid) — Anthem Medicaid: $687.90
  • Anthem (Medicare) — All Plans: $710.83
  • Center Care — Center Care: $489
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR LOW EXT ANY JT WO CON RIGHT $2,293 Not listed in the file $370.30 – $1,375.80
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $750
  • Aetna (Medicaid) — Aetna Better Health: $687.90
  • Aetna (Medicare) — All Plans: $710.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $529
  • Anthem — Pathway HMO: $476.10
  • Anthem — Pathway HPN: $502.55
  • Anthem — Pathway Transitions HMO: $370.30
  • Anthem (Medicaid) — Anthem Medicaid: $687.90
  • Anthem (Medicare) — All Plans: $710.83
  • Center Care — Center Care: $489
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MR LOW EXT ANY JT WO CON LEFT $2,293 Not listed in the file $896.49 – $1,804.36
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Aetna — All Plans: $1,800.01
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,804.36
  • Anthem — Pathway HMO: $1,623.93
  • Anthem — Pathway HPN: $1,714.14
  • Anthem — Pathway Transitions HMO: $1,263.05
  • Center Care — Center Care: $1,759.65
  • Center Care — Center Care Select: $1,759.65
  • Cigna — All Plans: $1,759.65
  • First Health — Work Comp: $896.49
  • HealthComp — Med Center Health Medical Plan: $1,759.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ENTEROGRAPHY $5,853 Not listed in the file $246.40 – $3,511.80
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $670
  • Aetna (Medicaid) — Aetna Better Health: $1,755.90
  • Aetna (Medicare) — All Plans: $1,814.43
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $352
  • Anthem — Pathway HMO: $316.80
  • Anthem — Pathway HPN: $334.40
  • Anthem — Pathway Transitions HMO: $246.40
  • Anthem (Medicaid) — Anthem Medicaid: $1,755.90
  • Anthem (Medicare) — All Plans: $1,814.43
  • Center Care — Center Care: $335
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN/PELVIS W CONTRAST $4,902 Not listed in the file $246.40 – $2,941.20
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $670
  • Aetna (Medicaid) — Aetna Better Health: $1,470.60
  • Aetna (Medicare) — All Plans: $1,519.62
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $352
  • Anthem — Pathway HMO: $316.80
  • Anthem — Pathway HPN: $334.40
  • Anthem — Pathway Transitions HMO: $246.40
  • Anthem (Medicaid) — Anthem Medicaid: $1,470.60
  • Anthem (Medicare) — All Plans: $1,519.62
  • Center Care — Center Care: $335
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN/PELVIS W CONTRAST $4,902 Not listed in the file $1,916.52 – $3,848.07
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Aetna — All Plans: $3,848.07
  • Center Care — Center Care: $3,761.79
  • Cigna — All Plans: $3,761.79
  • First Health — Work Comp: $1,916.52
  • Self-Pay — Self-Pay: $2,941.20
  • United Healthcare — All Plans: $3,761.79
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMINAL COMPLETE $2,231 Not listed in the file $669.30 – $1,845.04
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — All Plans: $1,845.04
  • Aetna (Medicaid) — Aetna Better Health: $669.30
  • Aetna (Medicare) — All Plans: $691.61
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,701.36
  • Anthem — Pathway HMO: $1,531.22
  • Anthem — Pathway HPN: $1,616.29
  • Anthem — Pathway Transitions HMO: $1,190.95
  • Anthem (Medicaid) — Anthem Medicaid: $669.30
  • Anthem (Medicare) — All Plans: $691.61
  • Center Care — Center Care: $1,633.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMINAL COMPLETE $2,231 Not listed in the file $872.25 – $1,751.34
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Aetna — All Plans: $1,751.34
  • Center Care — Center Care: $1,712.07
  • Cigna — All Plans: $1,712.07
  • First Health — Work Comp: $872.25
  • Self-Pay — Self-Pay: $1,338.60
  • United Healthcare — All Plans: $1,712.07
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG COMP - >14 WKS $857 Not listed in the file $257.10 – $708.74
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
  • Aetna — All Plans: $708.74
  • Aetna (Medicaid) — Aetna Better Health: $257.10
  • Aetna (Medicare) — All Plans: $265.67
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $653.55
  • Anthem — Pathway HMO: $588.19
  • Anthem — Pathway HPN: $620.87
  • Anthem — Pathway Transitions HMO: $457.48
  • Anthem (Medicaid) — Anthem Medicaid: $257.10
  • Anthem (Medicare) — All Plans: $265.67
  • Center Care — Center Care: $627.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG COMP - >14 WKS $857 Not listed in the file $335.06 – $672.75
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • Aetna — All Plans: $672.75
  • Center Care — Center Care: $657.66
  • Cigna — All Plans: $657.66
  • First Health — Work Comp: $335.06
  • Self-Pay — Self-Pay: $514.20
  • United Healthcare — All Plans: $657.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US PELVIC TRANSVAGINAL $1,254 Not listed in the file $376.20 – $1,037.06
Transvaginal ultrasound: 10 of 22 insurance plan rates
  • Aetna — All Plans: $1,037.06
  • Aetna (Medicaid) — Aetna Better Health: $376.20
  • Aetna (Medicare) — All Plans: $388.74
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $956.30
  • Anthem — Pathway HMO: $860.67
  • Anthem — Pathway HPN: $908.49
  • Anthem — Pathway Transitions HMO: $669.41
  • Anthem (Medicaid) — Anthem Medicaid: $376.20
  • Anthem (Medicare) — All Plans: $388.74
  • Center Care — Center Care: $918.30
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US PELVIC TRANSVAGINAL $1,254 Not listed in the file $490.27 – $984.39
Transvaginal ultrasound: rates for 6 insurance plans
  • Aetna — All Plans: $984.39
  • Center Care — Center Care: $962.32
  • Cigna — All Plans: $962.32
  • First Health — Work Comp: $490.27
  • Self-Pay — Self-Pay: $752.40
  • United Healthcare — All Plans: $962.32
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMO UNI RT $370 Not listed in the file $111 – $305.99
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $305.99
  • Aetna (Medicaid) — Aetna Better Health: $111
  • Aetna (Medicare) — All Plans: $114.70
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $111
  • Anthem (Medicare) — All Plans: $114.70
  • Center Care — Center Care: $270.95
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMO UNI LT $370 Not listed in the file $111 – $305.99
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $305.99
  • Aetna (Medicaid) — Aetna Better Health: $111
  • Aetna (Medicare) — All Plans: $114.70
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $111
  • Anthem (Medicare) — All Plans: $114.70
  • Center Care — Center Care: $270.95
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAG MAMMO ADDL VIEWS RT $299 Not listed in the file $89.70 – $247.27
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — All Plans: $247.27
  • Aetna (Medicaid) — Aetna Better Health: $89.70
  • Aetna (Medicare) — All Plans: $92.69
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $89.70
  • Anthem (Medicare) — All Plans: $92.69
  • Center Care — Center Care: $218.96
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIAG ADDL VIEW MAMMO BI $363 Not listed in the file $108.90 – $300.20
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — All Plans: $300.20
  • Aetna (Medicaid) — Aetna Better Health: $108.90
  • Aetna (Medicare) — All Plans: $112.53
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $108.90
  • Anthem (Medicare) — All Plans: $112.53
  • Center Care — Center Care: $265.82
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMO BILATERAL BI $414 Not listed in the file $124.20 – $342.38
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — All Plans: $342.38
  • Aetna (Medicaid) — Aetna Better Health: $124.20
  • Aetna (Medicare) — All Plans: $128.34
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $124.20
  • Anthem (Medicare) — All Plans: $128.34
  • Center Care — Center Care: $303.17
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO BILAT ADDL $463 Not listed in the file $138.90 – $382.90
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — All Plans: $382.90
  • Aetna (Medicaid) — Aetna Better Health: $138.90
  • Aetna (Medicare) — All Plans: $143.53
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $138.90
  • Anthem (Medicare) — All Plans: $143.53
  • Center Care — Center Care: $339.05
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREENING MAMMO BILATERAL $371 Not listed in the file $111.30 – $306.82
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — All Plans: $306.82
  • Aetna (Medicaid) — Aetna Better Health: $111.30
  • Aetna (Medicare) — All Plans: $115.01
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $111.30
  • Anthem (Medicare) — All Plans: $115.01
  • Center Care — Center Care: $271.68
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREEN MAMMO UNI RT $317 Not listed in the file $95.10 – $262.16
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — All Plans: $262.16
  • Aetna (Medicaid) — Aetna Better Health: $95.10
  • Aetna (Medicare) — All Plans: $98.27
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $95.10
  • Anthem (Medicare) — All Plans: $98.27
  • Center Care — Center Care: $232.14
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREENING MAMMO UNI LT $317 Not listed in the file $95.10 – $262.16
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — All Plans: $262.16
  • Aetna (Medicaid) — Aetna Better Health: $95.10
  • Aetna (Medicare) — All Plans: $98.27
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $235
  • Anthem — Pathway HMO: $211.50
  • Anthem — Pathway HPN: $223.25
  • Anthem — Pathway Transitions HMO: $164.50
  • Anthem (Medicaid) — Anthem Medicaid: $95.10
  • Anthem (Medicare) — All Plans: $98.27
  • Center Care — Center Care: $232.14

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART CATH-LV ONLY $11,596 Not listed in the file $3,478.80 – $9,589.89
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Aetna — All Plans: $9,589.89
  • Aetna (Medicaid) — Aetna Better Health: $3,478.80
  • Aetna (Medicare) — All Plans: $3,594.76
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $8,843.11
  • Anthem — Pathway HMO: $7,958.80
  • Anthem — Pathway HPN: $8,400.95
  • Anthem — Pathway Transitions HMO: $6,190.18
  • Anthem (Medicaid) — Anthem Medicaid: $3,478.80
  • Anthem (Medicare) — All Plans: $3,594.76
  • Center Care — Center Care: $8,491.75
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LEFT HEART CATH-LV ONLY $11,596 Not listed in the file $4,533.65 – $9,102.86
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Aetna — All Plans: $9,102.86
  • Center Care — Center Care: $8,898.77
  • Cigna — All Plans: $8,898.77
  • First Health — Work Comp: $4,533.65
  • Self-Pay — Self-Pay: $6,957.60
  • United Healthcare — All Plans: $8,898.77
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EPS W/INDUC/ABL AFIB/PULM VEIN $24,993 Not listed in the file $7,497.90 – $20,669.21
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Aetna — All Plans: $20,669.21
  • Aetna (Medicaid) — Aetna Better Health: $7,497.90
  • Aetna (Medicare) — All Plans: $7,747.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $19,059.66
  • Anthem — Pathway HMO: $17,153.70
  • Anthem — Pathway HPN: $18,106.68
  • Anthem — Pathway Transitions HMO: $13,341.76
  • Anthem (Medicaid) — Anthem Medicaid: $7,497.90
  • Anthem (Medicare) — All Plans: $7,747.83
  • Center Care — Center Care: $18,302.37
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EPS W/INDUC/ABL AFIB/PULM VEIN $24,993 Not listed in the file $9,771.43 – $19,619.51
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans
  • Aetna — All Plans: $19,619.51
  • Center Care — Center Care: $19,179.63
  • Cigna — All Plans: $19,179.63
  • First Health — Work Comp: $9,771.43
  • Self-Pay — Self-Pay: $14,995.80
  • United Healthcare — All Plans: $19,179.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM W/STAGING, W/TECH $3,794 Not listed in the file $1,138.20 – $3,137.64
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna — All Plans: $3,137.64
  • Aetna (Medicaid) — Aetna Better Health: $1,138.20
  • Aetna (Medicare) — All Plans: $1,176.14
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,893.30
  • Anthem — Pathway HMO: $2,603.97
  • Anthem — Pathway HPN: $2,748.64
  • Anthem — Pathway Transitions HMO: $2,025.31
  • Anthem (Medicaid) — Anthem Medicaid: $1,138.20
  • Anthem (Medicare) — All Plans: $1,176.14
  • Center Care — Center Care: $2,778.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOM W/STAGING, W/TECH $3,794 Not listed in the file $1,483.33 – $2,985.50
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna — All Plans: $2,978.29
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,985.50
  • Anthem — Pathway HMO: $2,686.95
  • Anthem — Pathway HPN: $2,836.22
  • Anthem — Pathway Transitions HMO: $2,089.85
  • Center Care — Center Care: $2,911.52
  • Center Care — Center Care Select: $2,911.52
  • Cigna — All Plans: $2,911.52
  • First Health — Work Comp: $1,483.33
  • HealthComp — Med Center Health Medical Plan: $2,911.52

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PTA THERAP EXERCISE 15 MIN $107 Not listed in the file $32.10 – $88.49
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — All Plans: $88.49
  • Aetna (Medicaid) — Aetna Better Health: $32.10
  • Aetna (Medicare) — All Plans: $33.17
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $81.60
  • Anthem — Pathway HMO: $73.44
  • Anthem — Pathway HPN: $77.52
  • Anthem — Pathway Transitions HMO: $57.12
  • Anthem (Medicaid) — Anthem Medicaid: $32.10
  • Anthem (Medicare) — All Plans: $33.17
  • Center Care — Center Care: $78.36
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT-THERAPEUTIC EXERCISE 15 MIN $147 Not listed in the file $44.10 – $121.57
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — All Plans: $121.57
  • Aetna (Medicaid) — Aetna Better Health: $44.10
  • Aetna (Medicare) — All Plans: $45.57
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $112.10
  • Anthem — Pathway HMO: $100.89
  • Anthem — Pathway HPN: $106.50
  • Anthem — Pathway Transitions HMO: $78.47
  • Anthem (Medicaid) — Anthem Medicaid: $44.10
  • Anthem (Medicare) — All Plans: $45.57
  • Center Care — Center Care: $107.65
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: TELEHEALTH TE $107 Not listed in the file $32.10 – $88.49
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — All Plans: $88.49
  • Aetna (Medicaid) — Aetna Better Health: $32.10
  • Aetna (Medicare) — All Plans: $33.17
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $81.60
  • Anthem — Pathway HMO: $73.44
  • Anthem — Pathway HPN: $77.52
  • Anthem — Pathway Transitions HMO: $57.12
  • Anthem (Medicaid) — Anthem Medicaid: $32.10
  • Anthem (Medicare) — All Plans: $33.17
  • Center Care — Center Care: $78.36
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: TELEHEALTH EVAL LOW $247 Not listed in the file $74.10 – $204.27
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $204.27
  • Aetna (Medicaid) — Aetna Better Health: $74.10
  • Aetna (Medicare) — All Plans: $76.57
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $188.36
  • Anthem — Pathway HMO: $169.53
  • Anthem — Pathway HPN: $178.94
  • Anthem — Pathway Transitions HMO: $131.85
  • Anthem (Medicaid) — Anthem Medicaid: $74.10
  • Anthem (Medicare) — All Plans: $76.57
  • Center Care — Center Care: $180.88
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN $340 Not listed in the file $102 – $281.18
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $281.18
  • Aetna (Medicaid) — Aetna Better Health: $102
  • Aetna (Medicare) — All Plans: $105.40
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $259.28
  • Anthem — Pathway HMO: $233.36
  • Anthem — Pathway HPN: $246.32
  • Anthem — Pathway Transitions HMO: $181.50
  • Anthem (Medicaid) — Anthem Medicaid: $102
  • Anthem (Medicare) — All Plans: $105.40
  • Center Care — Center Care: $248.98
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: WKU EVAL LOW COMPLEXITY $279 Not listed in the file $83.70 – $230.73
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $230.73
  • Aetna (Medicaid) — Aetna Better Health: $83.70
  • Aetna (Medicare) — All Plans: $86.49
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $212.77
  • Anthem — Pathway HMO: $191.49
  • Anthem — Pathway HPN: $202.13
  • Anthem — Pathway Transitions HMO: $148.94
  • Anthem (Medicaid) — Anthem Medicaid: $83.70
  • Anthem (Medicare) — All Plans: $86.49
  • Center Care — Center Care: $204.31
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: TELEHEALTH EVAL MOD $247 Not listed in the file $74.10 – $204.27
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $204.27
  • Aetna (Medicaid) — Aetna Better Health: $74.10
  • Aetna (Medicare) — All Plans: $76.57
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $188.36
  • Anthem — Pathway HMO: $169.53
  • Anthem — Pathway HPN: $178.94
  • Anthem — Pathway Transitions HMO: $131.85
  • Anthem (Medicaid) — Anthem Medicaid: $74.10
  • Anthem (Medicare) — All Plans: $76.57
  • Center Care — Center Care: $180.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN $340 Not listed in the file $102 – $281.18
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $281.18
  • Aetna (Medicaid) — Aetna Better Health: $102
  • Aetna (Medicare) — All Plans: $105.40
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $259.28
  • Anthem — Pathway HMO: $233.36
  • Anthem — Pathway HPN: $246.32
  • Anthem — Pathway Transitions HMO: $181.50
  • Anthem (Medicaid) — Anthem Medicaid: $102
  • Anthem (Medicare) — All Plans: $105.40
  • Center Care — Center Care: $248.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: WKU EVAL MODERATE COMPLEXITY $279 Not listed in the file $83.70 – $230.73
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $230.73
  • Aetna (Medicaid) — Aetna Better Health: $83.70
  • Aetna (Medicare) — All Plans: $86.49
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $212.77
  • Anthem — Pathway HMO: $191.49
  • Anthem — Pathway HPN: $202.13
  • Anthem — Pathway Transitions HMO: $148.94
  • Anthem (Medicaid) — Anthem Medicaid: $83.70
  • Anthem (Medicare) — All Plans: $86.49
  • Center Care — Center Care: $204.31
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: TELEHEALTH EVAL HIGH $247 Not listed in the file $74.10 – $204.27
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $204.27
  • Aetna (Medicaid) — Aetna Better Health: $74.10
  • Aetna (Medicare) — All Plans: $76.57
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $188.36
  • Anthem — Pathway HMO: $169.53
  • Anthem — Pathway HPN: $178.94
  • Anthem — Pathway Transitions HMO: $131.85
  • Anthem (Medicaid) — Anthem Medicaid: $74.10
  • Anthem (Medicare) — All Plans: $76.57
  • Center Care — Center Care: $180.88
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN $340 Not listed in the file $102 – $281.18
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $281.18
  • Aetna (Medicaid) — Aetna Better Health: $102
  • Aetna (Medicare) — All Plans: $105.40
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $259.28
  • Anthem — Pathway HMO: $233.36
  • Anthem — Pathway HPN: $246.32
  • Anthem — Pathway Transitions HMO: $181.50
  • Anthem (Medicaid) — Anthem Medicaid: $102
  • Anthem (Medicare) — All Plans: $105.40
  • Center Care — Center Care: $248.98
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: WKU EVAL HIGH COMPLEXITY $279 Not listed in the file $83.70 – $230.73
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — All Plans: $230.73
  • Aetna (Medicaid) — Aetna Better Health: $83.70
  • Aetna (Medicare) — All Plans: $86.49
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $212.77
  • Anthem — Pathway HMO: $191.49
  • Anthem — Pathway HPN: $202.13
  • Anthem — Pathway Transitions HMO: $148.94
  • Anthem (Medicaid) — Anthem Medicaid: $83.70
  • Anthem (Medicare) — All Plans: $86.49
  • Center Care — Center Care: $204.31
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIVIDUAL THERAPY 30 MIN $167 Not listed in the file $50.10 – $138.11
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $138.11
  • Aetna (Medicaid) — Aetna Better Health: $50.10
  • Aetna (Medicare) — All Plans: $51.77
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $127.35
  • Anthem — Pathway HMO: $114.62
  • Anthem — Pathway HPN: $120.99
  • Anthem — Pathway Transitions HMO: $89.15
  • Anthem (Medicaid) — Anthem Medicaid: $50.10
  • Anthem (Medicare) — All Plans: $51.77
  • Center Care — Center Care: $122.29
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 30 MINUTES $167 Not listed in the file $50.10 – $138.11
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $138.11
  • Aetna (Medicaid) — Aetna Better Health: $50.10
  • Aetna (Medicare) — All Plans: $51.77
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $127.35
  • Anthem — Pathway HMO: $114.62
  • Anthem — Pathway HPN: $120.99
  • Anthem — Pathway Transitions HMO: $89.15
  • Anthem (Medicaid) — Anthem Medicaid: $50.10
  • Anthem (Medicare) — All Plans: $51.77
  • Center Care — Center Care: $122.29
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: TH PSYTX PT&/FAMILY 30 MIN $167 Not listed in the file $50.10 – $138.11
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $138.11
  • Aetna (Medicaid) — Aetna Better Health: $50.10
  • Aetna (Medicare) — All Plans: $51.77
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $127.35
  • Anthem — Pathway HMO: $114.62
  • Anthem — Pathway HPN: $120.99
  • Anthem — Pathway Transitions HMO: $89.15
  • Anthem (Medicaid) — Anthem Medicaid: $50.10
  • Anthem (Medicare) — All Plans: $51.77
  • Center Care — Center Care: $122.29
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIVIDUAL THERAPY 45 MIN $193 Not listed in the file $57.90 – $159.61
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $159.61
  • Aetna (Medicaid) — Aetna Better Health: $57.90
  • Aetna (Medicare) — All Plans: $59.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.18
  • Anthem — Pathway HMO: $132.46
  • Anthem — Pathway HPN: $139.82
  • Anthem — Pathway Transitions HMO: $103.03
  • Anthem (Medicaid) — Anthem Medicaid: $57.90
  • Anthem (Medicare) — All Plans: $59.83
  • Center Care — Center Care: $141.33
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 45 MINUTES $219 Not listed in the file $65.70 – $181.11
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $181.11
  • Aetna (Medicaid) — Aetna Better Health: $65.70
  • Aetna (Medicare) — All Plans: $67.89
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $167.01
  • Anthem — Pathway HMO: $150.31
  • Anthem — Pathway HPN: $158.66
  • Anthem — Pathway Transitions HMO: $116.91
  • Anthem (Medicaid) — Anthem Medicaid: $65.70
  • Anthem (Medicare) — All Plans: $67.89
  • Center Care — Center Care: $160.37
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: TH PSYTX W PT 45 MIN $219 Not listed in the file $65.70 – $181.11
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $181.11
  • Aetna (Medicaid) — Aetna Better Health: $65.70
  • Aetna (Medicare) — All Plans: $67.89
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $167.01
  • Anthem — Pathway HMO: $150.31
  • Anthem — Pathway HPN: $158.66
  • Anthem — Pathway Transitions HMO: $116.91
  • Anthem (Medicaid) — Anthem Medicaid: $65.70
  • Anthem (Medicare) — All Plans: $67.89
  • Center Care — Center Care: $160.37
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIVIDUAL THERAPY 60 MINUTES $193 Not listed in the file $57.90 – $159.61
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • Aetna — All Plans: $159.61
  • Aetna (Medicaid) — Aetna Better Health: $57.90
  • Aetna (Medicare) — All Plans: $59.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.18
  • Anthem — Pathway HMO: $132.46
  • Anthem — Pathway HPN: $139.82
  • Anthem — Pathway Transitions HMO: $103.03
  • Anthem (Medicaid) — Anthem Medicaid: $57.90
  • Anthem (Medicare) — All Plans: $59.83
  • Center Care — Center Care: $141.33
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: INDIVIDUAL THERAPY 60 MINUTES $193 Not listed in the file $75.46 – $151.87
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates
  • Aetna — All Plans: $151.50
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $151.87
  • Anthem — Pathway HMO: $136.68
  • Anthem — Pathway HPN: $144.28
  • Anthem — Pathway Transitions HMO: $106.31
  • Center Care — Center Care: $148.11
  • Center Care — Center Care Select: $148.11
  • Cigna — All Plans: $148.11
  • First Health — Work Comp: $75.46
  • HealthComp — Med Center Health Medical Plan: $148.11
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY WITHOUT PATIENT $219 Not listed in the file $65.70 – $181.11
Family psychotherapy, without the patient: 10 of 22 insurance plan rates
  • Aetna — All Plans: $181.11
  • Aetna (Medicaid) — Aetna Better Health: $65.70
  • Aetna (Medicare) — All Plans: $67.89
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $167.01
  • Anthem — Pathway HMO: $150.31
  • Anthem — Pathway HPN: $158.66
  • Anthem — Pathway Transitions HMO: $116.91
  • Anthem (Medicaid) — Anthem Medicaid: $65.70
  • Anthem (Medicare) — All Plans: $67.89
  • Center Care — Center Care: $160.37
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY THERAPY WITHOUT PATIENT $219 Not listed in the file $85.62 – $172.33
Family psychotherapy, without the patient: 10 of 12 insurance plan rates
  • Aetna — All Plans: $171.91
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $172.33
  • Anthem — Pathway HMO: $155.10
  • Anthem — Pathway HPN: $163.71
  • Anthem — Pathway Transitions HMO: $120.63
  • Center Care — Center Care: $168.06
  • Center Care — Center Care Select: $168.06
  • Cigna — All Plans: $168.06
  • First Health — Work Comp: $85.62
  • HealthComp — Med Center Health Medical Plan: $168.06
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY-1/2HR INT $193 Not listed in the file $57.90 – $159.61
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Aetna — All Plans: $159.61
  • Aetna (Medicaid) — Aetna Better Health: $57.90
  • Aetna (Medicare) — All Plans: $59.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.18
  • Anthem — Pathway HMO: $132.46
  • Anthem — Pathway HPN: $139.82
  • Anthem — Pathway Transitions HMO: $103.03
  • Anthem (Medicaid) — Anthem Medicaid: $57.90
  • Anthem (Medicare) — All Plans: $59.83
  • Center Care — Center Care: $141.33
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY-1/2HR SUB $193 Not listed in the file $57.90 – $159.61
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Aetna — All Plans: $159.61
  • Aetna (Medicaid) — Aetna Better Health: $57.90
  • Aetna (Medicare) — All Plans: $59.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.18
  • Anthem — Pathway HMO: $132.46
  • Anthem — Pathway HPN: $139.82
  • Anthem — Pathway Transitions HMO: $103.03
  • Anthem (Medicaid) — Anthem Medicaid: $57.90
  • Anthem (Medicare) — All Plans: $59.83
  • Center Care — Center Care: $141.33
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY-1HR INT $219 Not listed in the file $65.70 – $181.11
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Aetna — All Plans: $181.11
  • Aetna (Medicaid) — Aetna Better Health: $65.70
  • Aetna (Medicare) — All Plans: $67.89
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $167.01
  • Anthem — Pathway HMO: $150.31
  • Anthem — Pathway HPN: $158.66
  • Anthem — Pathway Transitions HMO: $116.91
  • Anthem (Medicaid) — Anthem Medicaid: $65.70
  • Anthem (Medicare) — All Plans: $67.89
  • Center Care — Center Care: $160.37
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP THERAPY (50 MIN) $194 Not listed in the file $58.20 – $160.44
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — All Plans: $160.44
  • Aetna (Medicaid) — Aetna Better Health: $58.20
  • Aetna (Medicare) — All Plans: $60.14
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.94
  • Anthem — Pathway HMO: $133.15
  • Anthem — Pathway HPN: $140.55
  • Anthem — Pathway Transitions HMO: $103.56
  • Anthem (Medicaid) — Anthem Medicaid: $58.20
  • Anthem (Medicare) — All Plans: $60.14
  • Center Care — Center Care: $142.07
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY INITIAL $193 Not listed in the file $57.90 – $159.61
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — All Plans: $159.61
  • Aetna (Medicaid) — Aetna Better Health: $57.90
  • Aetna (Medicare) — All Plans: $59.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.18
  • Anthem — Pathway HMO: $132.46
  • Anthem — Pathway HPN: $139.82
  • Anthem — Pathway Transitions HMO: $103.03
  • Anthem (Medicaid) — Anthem Medicaid: $57.90
  • Anthem (Medicare) — All Plans: $59.83
  • Center Care — Center Care: $141.33
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY SUBSEQUENT $193 Not listed in the file $57.90 – $159.61
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — All Plans: $159.61
  • Aetna (Medicaid) — Aetna Better Health: $57.90
  • Aetna (Medicare) — All Plans: $59.83
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $147.18
  • Anthem — Pathway HMO: $132.46
  • Anthem — Pathway HPN: $139.82
  • Anthem — Pathway Transitions HMO: $103.03
  • Anthem (Medicaid) — Anthem Medicaid: $57.90
  • Anthem (Medicare) — All Plans: $59.83
  • Center Care — Center Care: $141.33

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: PROSTATE BIOPSY $1,351 Not listed in the file $405.30 – $1,117.28
Prostate biopsy: 10 of 22 insurance plan rates
  • Aetna — All Plans: $1,117.28
  • Aetna (Medicaid) — Aetna Better Health: $405.30
  • Aetna (Medicare) — All Plans: $418.81
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,030.27
  • Anthem — Pathway HMO: $927.25
  • Anthem — Pathway HPN: $978.76
  • Anthem — Pathway Transitions HMO: $721.19
  • Anthem (Medicaid) — Anthem Medicaid: $405.30
  • Anthem (Medicare) — All Plans: $418.81
  • Center Care — Center Care: $989.34
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: PROSTATE BIOPSY $1,351 Not listed in the file $528.20 – $1,060.54
Prostate biopsy: rates for 6 insurance plans
  • Aetna — All Plans: $1,060.54
  • Center Care — Center Care: $1,036.76
  • Cigna — All Plans: $1,036.76
  • First Health — Work Comp: $528.20
  • Self-Pay — Self-Pay: $810.60
  • United Healthcare — All Plans: $1,036.76
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC $983 Not listed in the file $294.90 – $812.94
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — All Plans: $812.94
  • Aetna (Medicaid) — Aetna Better Health: $294.90
  • Aetna (Medicare) — All Plans: $304.73
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $749.64
  • Anthem — Pathway HMO: $674.67
  • Anthem — Pathway HPN: $712.15
  • Anthem — Pathway Transitions HMO: $524.75
  • Anthem (Medicaid) — Anthem Medicaid: $294.90
  • Anthem (Medicare) — All Plans: $304.73
  • Center Care — Center Care: $719.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX INTERLAMINAR LMBR/SAC $983 Not listed in the file $384.32 – $773.52
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — All Plans: $771.65
  • Anthem — Blue Traditional, Blue Access and Blue Preferred: $773.52
  • Anthem — Pathway HMO: $696.17
  • Anthem — Pathway HPN: $734.85
  • Anthem — Pathway Transitions HMO: $541.47
  • Center Care — Center Care: $754.35
  • Center Care — Center Care Select: $754.35
  • Cigna — All Plans: $754.35
  • First Health — Work Comp: $384.32
  • HealthComp — Med Center Health Medical Plan: $754.35

Source: Caverna Memorial Hospital’s standard charges file (medcenterhealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address1501 South Dixie Street, Horse Cave, KY 42749
CountyHart County
StateKentucky
Phone(270) 786‑2191
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number181314
Name in Medicare recordsCAVERNA MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteThe Medical Center at Caverna
Official websitemedcenterhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. The Medical Center at Caverna — medcenterhealth.org
  2. The Medical Center at Caverna Rehabilitation Services – Med Center Health — medcenterhealth.org