Does Cayuga Medical Center at Ithaca have an emergency room?

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

Where is Cayuga Medical Center at Ithaca?

101 Dates Drive, Ithaca, NY 14850, in Tompkins County, New York.

What is the phone number of Cayuga Medical Center at Ithaca?

(607) 274-4401, as listed by Medicare (CMS).

What is the Medicare star rating of Cayuga Medical Center at Ithaca?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Cayuga Medical Center at Ithaca for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cayuga Medical Center at Ithaca under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1481; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Cayuga Medical Center at Ithaca — Phone & Address

Quick answers

Does Cayuga Medical Center at Ithaca have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cayuga Medical Center at Ithaca. In a medical emergency, call 911.
Where is Cayuga Medical Center at Ithaca?: 101 Dates Drive, Ithaca, NY 14850, in Tompkins County, New York.
What is the phone number of Cayuga Medical Center at Ithaca?: (607) 274-4401, as listed by Medicare (CMS).
What is the Medicare star rating of Cayuga Medical Center at Ithaca?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Cayuga Medical Center at Ithaca for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Cayuga Medical Center at Ithaca under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1481; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[5][7][8][9][10]}

Emergency medicine
Adult and pediatric medical and surgical care
Cardiology
Interventional cardiology
Vascular surgery
Intensive and cardiac care
Obstetrics and gynecology
Pediatrics
Neonatal care (Level II Special Care Nursery)
Adult and adolescent psychiatry
Inpatient medical rehabilitation
Oncology
Radiation oncology
Hospital medicine (hospitalists)
Diagnostic imaging
Nuclear medicine
Laboratory services

Conditions treated^[7][8][11]

Treatments^{[7][8][11][12]}

Emergency care for adults and children
Treatment of sexual assault victims
Psychiatric evaluation and care in the emergency department
Radiation therapy (Radiation Medicine program)
Palliative care services for cancer patients
Percutaneous coronary intervention (PCI)
Inpatient medical rehabilitation

Procedures^[7][8][9]

Cardiac catheterization
Percutaneous coronary intervention (PCI)
Pacemaker implantation
Balloon angioplasty and stenting
Vascular bypass surgery
Carotid endarterectomy
Echocardiography
Nuclear cardiology imaging
Pediatric tele-echocardiography for newborns
MRI
Outpatient surgery

Programs and centers^{[5][7][8][9][11][12][13]}

SANE program for sexual assault victims
Stroke Center
Sexual assault victim care in the emergency department
Chest Pain Center with Primary PCI and Resuscitation
Cardiac catheterization program
Cayuga Cancer Center (Commission on Cancer-approved program)
Weill Cornell Medicine clinical affiliation for oncology
Maternal-child health care (Birthplace)
Internal Medicine Residency Program

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Visiting hours Mon-Fri 1-7 p.m., Sat-Sun 9 a.m.-2 p.m^[4]
Patient portal	MyChart

Recognition^{[5][7][8][9][11]}

Primary Stroke Center (NYS Department of Health and Joint Commission)
Joint Commission accreditation
NYS Department of Health certified Stroke Center
Advanced Primary Stroke Center Certification (Joint Commission)
ACC Chest Pain Center with Primary PCI and Resuscitation accreditation
Commission on Cancer approval (continuous since 1985)
Comprehensive Community Cancer Center (National Cancer Institute)
ACR accreditation (imaging, MRI and nuclear cardiology)
Intersocietal Accreditation Commission (echocardiography)
Blue Distinction Center for Maternity Care
NYS Department of Health Patient Safety Award
Rural referral center

Doctors and clinicians (558)

558 doctors and other clinicians list Cayuga Medical Center at Ithaca 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 534 more: the button below opens the full list.

Other emergency rooms nearby

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

Schuyler Hospital18 mi · Montour Falls, NY · Critical Access Hospital
Guthrie Cortland Regional Medical Center20 mi · Cortland, NY · Acute Care Hospital
Arnot Ogden Medical Center30 mi · Elmira, NY · Acute Care Hospital
Soldiers and Sailors Memorial Hospital of Yates30 mi · Penn Yan, NY · Critical Access Hospital
Auburn Community Hospital32 mi · Auburn, NY · Acute Care Hospital

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

Other hospitals near Ithaca

Elmira Psychiatric Center29 mi · Elmira, NY · Psychiatric Hospital

Hospitals in Tompkins 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

Cayuga Nursing and Rehabilitation Center0.6 mi · Ithaca, NY · 2 of 5 stars
Kendal at Ithaca2.9 mi · Ithaca, NY · 4 of 5 stars
Beechtree Center for Rehabilitation and Nursing3.0 mi · Ithaca, NY · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hospicare & Palliative Care Services3.3 mi · Ithaca, NY · 4 of 5 stars

All hospice providers in the state →

Home health agencies

VNS Ithaca Tompkins Co Chha3.3 mi · Ithaca, NY · 4 of 5 stars
Guthrie Home Health19 mi · Cortland, NY · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Ithaca Dialysis Center3.3 mi · Ithaca, NY · 3 of 5 stars
FMC St. Joseph's - Cortland19 mi · Cortland, NY · 4 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.

Cortland Surgical Center19 mi · Cortland, NY

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

Moravia Medical Office18 mi · Moravia, NY · Community health center
Cortland Medical Office19 mi · Cortland, NY · Community health center
Ovid Community Health20 mi · Ovid, NY · Community health center

Clinics and urgent care

Wellnow Urgent Care, PC3.3 mi · Ithaca, NY · Urgent care center
Schuyler Hospital Inc16 mi · Montour Falls, NY · Rural health clinic
Schuyler Hospital Inc20 mi · Ovid, NY · Rural health clinic

Pharmacies

Genoa Healthcare LLC3.3 mi · Ithaca, NY · Community/retail pharmacy
Kinney Drugs Inc3.3 mi · Ithaca, NY · Community/retail pharmacy
KPH Healthcare Services, Inc.3.3 mi · Ithaca, NY · Community/retail pharmacy

Assisted living nearby

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

Bridges Cornell Heights - The Colonial3.3 mi · Ithaca, NY
Bridges Cornell Heights - The Tudor3.3 mi · Ithaca, NY
Brookdale Ithaca Assisted Living3.3 mi · Ithaca, NY
Brookdale Ithaca Memory Care3.3 mi · Ithaca, NY

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	75%National average: 80%
“Always” got help as soon as they wanted	65%National average: 64%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	69%National average: 73%
Completed surveys	769Response rate: 27%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.617No different from the national benchmark
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.597No different from the national benchmark
Not reported to Medicare	Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.2%
Deaths within 30 days: heart failure patients	11.9%
Deaths within 30 days: pneumonia patients	22%
Deaths within 30 days: COPD patients	10.9%
Deaths within 30 days: stroke patients	15.1%
Serious complications (patient safety indicator PSI-90)	0.99No different from the national rate
Complications after hip or knee replacement	5.8%
Too few cases to report	Deaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	15.3%
Readmitted within 30 days: heart attack	13.8%
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	15.8%
Readmitted within 30 days: COPD	18.7%
Readmitted within 30 days: hip or knee replacement	6.3%
Too few cases to report	Readmitted within 30 days: coronary bypass surgery

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	262 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	38%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	0.1481Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	0.9289Fewer readmissions than expected
Heart failure	0.9736Fewer readmissions than expected
Pneumonia	0.9370Fewer readmissions than expected
COPD (chronic lung disease)	0.9937Fewer readmissions than expected
Hip or knee replacement	0.9772Fewer readmissions than expected
No result published	Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	18.33 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	16.00 out of 100
Person and community engagement (patient survey)	34.00 out of 100
Safety (infections and sepsis care)	23.33 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.04Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in New York Best hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Cayuga Medical Center at Ithaca 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 82 common services

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) · Hospital (facility) fee In the file: HC Office Outpatient New 30 Minutes	$310.80	$170.94	$93.24 – $699.30
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — All Products: $238.38 Aetna — Medicare Advantage: $153.85 Aetna — Student Health Plans: $232.17 Emblem Health — All Products: $289.04 Excellus — All Products: $242.27 Fidelis — Managed Medicaid _ Aliessa_QHP: $699.30 Independent Health — All Products: $298.37 Martins Point — Tricare: $320.12 Molina — Managed Medicaid _HARP - CHP: $93.24 Molina — Managed Medicaid_Essential Plan 1-4: $93.24
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient New 45 Minutes	$424.20	$233.31	$127.26 – $954.45
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — All Products: $325.36 Aetna — Medicare Advantage: $209.98 Aetna — Student Health Plans: $316.88 Emblem Health — All Products: $394.51 Excellus — All Products: $330.66 Fidelis — Managed Medicaid _ Aliessa_QHP: $954.45 Independent Health — All Products: $407.23 Martins Point — Tricare: $436.93 Molina — Managed Medicaid _HARP - CHP: $127.26 Molina — Managed Medicaid_Essential Plan 1-4: $127.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient New 60 Minutes	$756	$415.80	$226.80 – $1,701
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — All Products: $579.85 Aetna — Medicare Advantage: $374.22 Aetna — Student Health Plans: $564.73 Emblem Health — All Products: $703.08 Excellus — All Products: $589.30 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,701 Independent Health — All Products: $725.76 Martins Point — Tricare: $778.68 Molina — Managed Medicaid _HARP - CHP: $226.80 Molina — Managed Medicaid_Essential Plan 1-4: $226.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient Visit 15 Minutes	$261.45	$143.80	$78.44 – $588.26
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — All Products: $200.53 Aetna — Medicare Advantage: $129.42 Aetna — Student Health Plans: $195.30 Emblem Health — All Products: $243.15 Excellus — All Products: $203.80 Fidelis — Managed Medicaid _ Aliessa_QHP: $588.26 Independent Health — All Products: $250.99 Martins Point — Tricare: $269.29 Molina — Managed Medicaid _HARP - CHP: $78.44 Molina — Managed Medicaid_Essential Plan 1-4: $78.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient Visit 25 Minutes	$737.34	$405.54	$221.20 – $1,659.02
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — All Products: $565.54 Aetna — Medicare Advantage: $364.98 Aetna — Student Health Plans: $550.79 Emblem Health — All Products: $685.73 Excellus — All Products: $574.76 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,659.02 Independent Health — All Products: $707.85 Martins Point — Tricare: $759.46 Molina — Managed Medicaid _HARP - CHP: $221.20 Molina — Managed Medicaid_Essential Plan 1-4: $221.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Preventive Visit,New,18-39	$189	$103.95	$56.70 – $425.25
Preventive checkup, new patient, age 18–39: 10 of 13 insurance plan rates Aetna — All Products: $144.96 Aetna — Medicare Advantage: $93.56 Aetna — Student Health Plans: $141.18 Emblem Health — All Products: $175.77 Excellus — All Products: $147.33 Fidelis — Managed Medicaid _ Aliessa_QHP: $425.25 Independent Health — All Products: $181.44 Martins Point — Tricare: $194.67 Molina — Managed Medicaid _HARP - CHP: $56.70 Molina — Managed Medicaid_Essential Plan 1-4: $56.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Department Level 3 Visit Moderate Severity	$609	$334.95	$337.49 – $368.01
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — All Products: $467.10 Aetna — Medicare Advantage: $340.75 Aetna — Student Health Plans: $454.92 Emblem Health — All Products: $566.37 Excellus — All Products: $474.72 Excellus — Medicare Advantage: $340.75 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,370.25 Independent Health — All Products: $584.64 Martins Point — Tricare: $337.49 Molina — Managed Medicaid _HARP - CHP: $182.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Department Level 4 Visit High/Urgent Severity	$1,008	$554.40	$519.02 – $562.53
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — All Products: $773.14 Aetna — Medicare Advantage: $520.86 Aetna — Student Health Plans: $752.98 Emblem Health — All Products: $937.44 Excellus — All Products: $785.74 Excellus — Medicare Advantage: $520.86 Fidelis — Managed Medicaid _ Aliessa_QHP: $2,268 Independent Health — All Products: $967.68 Martins Point — Tricare: $519.02 Molina — Managed Medicaid _HARP - CHP: $302.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Department Level 5 Visit High Severity&Threat Func	$1,638	$900.90	$491.40 – $3,685.50
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — All Products: $1,256.35 Aetna — Medicare Advantage: $743.39 Aetna — Student Health Plans: $1,223.59 Emblem Health — All Products: $1,523.34 Excellus — All Products: $1,276.82 Excellus — Medicare Advantage: $743.39 Fidelis — Managed Medicaid _ Aliessa_QHP: $3,685.50 Independent Health — All Products: $1,572.48 Martins Point — Tricare: $747.29 Molina — Managed Medicaid _HARP - CHP: $491.40

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel Calcium Total - Bundled Charge	$107.10	$58.91	$80 – $109.24
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — All Products: $82.15 Aetna — Medicare Advantage: $8.46 Aetna — Student Health Plans: $80 Emblem Health — All Products: $99.60 Excellus — All Products: $83.48 Excellus — Managed Medicaid: $32.20 Excellus — Medicare Advantage: $8.46 Fidelis — Managed Medicaid _ Aliessa_QHP: $72.45 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $72.45 Independent Health — All Products: $102.82
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Metabolic Panel,Comprehensive - Bundled Charge	$136.50	$75.08	$10.56 – $140.60
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — All Products: $104.70 Aetna — Medicare Advantage: $10.56 Aetna — Student Health Plans: $101.97 Emblem Health — All Products: $126.95 Excellus — All Products: $106.40 Excellus — Managed Medicaid: $32.20 Excellus — Medicare Advantage: $10.56 Fidelis — Managed Medicaid _ Aliessa_QHP: $72.45 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $72.45 Independent Health — All Products: $131.04
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Obstetric Panel - Bundled Charge	$624.03	$343.22	$466.15 – $636.51
Obstetric blood test panel: 10 of 16 insurance plan rates Aetna — All Products: $478.63 Aetna — Medicare Advantage: $47.81 Aetna — Student Health Plans: $466.15 Emblem Health — All Products: $580.35 Excellus — All Products: $486.43 Excellus — Managed Medicaid: $32.20 Excellus — Medicare Advantage: $47.81 Fidelis — Managed Medicaid _ Aliessa_QHP: $72.45 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $72.45 Independent Health — All Products: $599.07
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel - Bundled Charge	$133.35	$73.34	$99.61 – $136.02
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — All Products: $102.28 Aetna — Medicare Advantage: $13.39 Aetna — Student Health Plans: $99.61 Emblem Health — All Products: $124.02 Excellus — All Products: $103.95 Excellus — Managed Medicaid: $32.20 Excellus — Medicare Advantage: $13.39 Fidelis — Managed Medicaid _ Aliessa_QHP: $72.45 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $72.45 Independent Health — All Products: $128.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel - Bundled Charge	$139.65	$76.81	$104.32 – $142.44
Kidney function panel: 10 of 16 insurance plan rates Aetna — All Products: $107.11 Aetna — Medicare Advantage: $8.68 Aetna — Student Health Plans: $104.32 Emblem Health — All Products: $129.87 Excellus — All Products: $108.86 Excellus — Managed Medicaid: $32.20 Excellus — Medicare Advantage: $8.68 Fidelis — Managed Medicaid _ Aliessa_QHP: $72.45 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $72.45 Independent Health — All Products: $134.06
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel - Bundled Charge	$128.10	$70.46	$95.69 – $130.66
Liver function panel: 10 of 16 insurance plan rates Aetna — All Products: $98.25 Aetna — Medicare Advantage: $8.17 Aetna — Student Health Plans: $95.69 Emblem Health — All Products: $119.13 Excellus — All Products: $99.85 Excellus — Managed Medicaid: $32.20 Excellus — Medicare Advantage: $8.17 Fidelis — Managed Medicaid _ Aliessa_QHP: $72.45 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $72.45 Independent Health — All Products: $122.98
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$124.92	$68.71	$93.32 – $127.42
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — All Products: $95.81 Aetna — Medicare Advantage: $3.17 Aetna — Student Health Plans: $93.32 Emblem Health — All Products: $116.18 Excellus — All Products: $97.38 Excellus — Managed Medicaid: $13.14 Excellus — Medicare Advantage: $3.17 Fidelis — Managed Medicaid _ Aliessa_QHP: $29.57 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $29.57 Independent Health — All Products: $119.92
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis, Auto, W/Scope - Bundled Charge	$111.30	$61.22	$83.14 – $113.53
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — All Products: $85.37 Aetna — Medicare Advantage: $3.17 Aetna — Student Health Plans: $83.14 Emblem Health — All Products: $103.51 Excellus — All Products: $86.76 Excellus — Managed Medicaid: $13.14 Excellus — Medicare Advantage: $3.17 Fidelis — Managed Medicaid _ Aliessa_QHP: $29.57 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $29.57 Independent Health — All Products: $106.85
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Nonauto W/O Scope	$63	$34.65	$47.06 – $64.26
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — All Products: $48.32 Aetna — Medicare Advantage: $3.48 Aetna — Student Health Plans: $47.06 Emblem Health — All Products: $58.59 Excellus — All Products: $49.11 Excellus — Managed Medicaid: $13.14 Excellus — Medicare Advantage: $3.48 Fidelis — Managed Medicaid _ Aliessa_QHP: $29.57 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $29.57 Independent Health — All Products: $60.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Nonauto W/O Scope - POCT Urinalysis Dipstick	$49.35	$27.14	$36.86 – $50.34
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — All Products: $37.85 Aetna — Medicare Advantage: $3.48 Aetna — Student Health Plans: $36.86 Emblem Health — All Products: $45.90 Excellus — All Products: $38.47 Excellus — Managed Medicaid: $13.14 Excellus — Medicare Advantage: $3.48 Fidelis — Managed Medicaid _ Aliessa_QHP: $29.57 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $29.57 Independent Health — All Products: $47.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only	$63	$34.65	$47.06 – $64.26
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — All Products: $48.32 Aetna — Medicare Advantage: $2.25 Aetna — Student Health Plans: $47.06 Emblem Health — All Products: $58.59 Excellus — All Products: $49.11 Excellus — Managed Medicaid: $13.14 Excellus — Medicare Advantage: $2.25 Fidelis — Managed Medicaid _ Aliessa_QHP: $29.57 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $29.57 Independent Health — All Products: $60.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostate Specific Antigen,Total - Psa	$239.40	$131.67	$178.83 – $244.19
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — All Products: $183.62 Aetna — Medicare Advantage: $18.39 Aetna — Student Health Plans: $178.83 Emblem Health — All Products: $222.64 Excellus — All Products: $186.61 Excellus — Managed Medicaid: $13.40 Excellus — Medicare Advantage: $18.39 Fidelis — Managed Medicaid _ Aliessa_QHP: $30.15 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $30.15 Independent Health — All Products: $229.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostate Specific Antigen,Total - Psa Screening	$239.40	$131.67	$178.83 – $244.19
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — All Products: $183.62 Aetna — Medicare Advantage: $18.39 Aetna — Student Health Plans: $178.83 Emblem Health — All Products: $222.64 Excellus — All Products: $186.61 Excellus — Managed Medicaid: $13.40 Excellus — Medicare Advantage: $18.39 Fidelis — Managed Medicaid _ Aliessa_QHP: $30.15 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $30.15 Independent Health — All Products: $229.82
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$252	$138.60	$188.24 – $257.04
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — All Products: $193.28 Aetna — Medicare Advantage: $16.80 Aetna — Student Health Plans: $188.24 Emblem Health — All Products: $234.36 Excellus — All Products: $196.43 Excellus — Managed Medicaid: $31.46 Excellus — Medicare Advantage: $16.80 Fidelis — Managed Medicaid _ Aliessa_QHP: $70.79 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $70.79 Independent Health — All Products: $241.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc & Auto Diff Wbc - Additional Charge	$64.05	$35.23	$7.77 – $65.97
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — All Products: $49.13 Aetna — Medicare Advantage: $7.77 Aetna — Student Health Plans: $47.85 Emblem Health — All Products: $59.57 Excellus — All Products: $49.93 Excellus — Managed Medicaid: $13.79 Excellus — Medicare Advantage: $7.77 Fidelis — Managed Medicaid _ Aliessa_QHP: $31.03 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $31.03 Independent Health — All Products: $61.49
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc - Cbc	$52.50	$28.88	$6.47 – $54.08
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — All Products: $40.27 Aetna — Medicare Advantage: $6.47 Aetna — Student Health Plans: $39.22 Emblem Health — All Products: $48.83 Excellus — All Products: $40.92 Excellus — Managed Medicaid: $13.79 Excellus — Medicare Advantage: $6.47 Fidelis — Managed Medicaid _ Aliessa_QHP: $31.03 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $31.03 Independent Health — All Products: $50.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc - Additional Charge	$52.50	$28.88	$6.47 – $54.08
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — All Products: $40.27 Aetna — Medicare Advantage: $6.47 Aetna — Student Health Plans: $39.22 Emblem Health — All Products: $48.83 Excellus — All Products: $40.92 Excellus — Managed Medicaid: $13.79 Excellus — Medicare Advantage: $6.47 Fidelis — Managed Medicaid _ Aliessa_QHP: $31.03 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $31.03 Independent Health — All Products: $50.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time - Protime-Inr	$60.90	$33.50	$4.29 – $62.73
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — All Products: $46.71 Aetna — Medicare Advantage: $4.29 Aetna — Student Health Plans: $45.49 Emblem Health — All Products: $56.64 Excellus — All Products: $47.47 Excellus — Managed Medicaid: $16.58 Excellus — Medicare Advantage: $4.29 Fidelis — Managed Medicaid _ Aliessa_QHP: $37.31 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $37.31 Independent Health — All Products: $58.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time - Prothrombin Mixing Study	$97.65	$53.71	$72.94 – $99.60
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — All Products: $74.90 Aetna — Medicare Advantage: $4.29 Aetna — Student Health Plans: $72.94 Emblem Health — All Products: $90.81 Excellus — All Products: $76.12 Excellus — Managed Medicaid: $16.58 Excellus — Medicare Advantage: $4.29 Fidelis — Managed Medicaid _ Aliessa_QHP: $37.31 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $37.31 Independent Health — All Products: $93.74
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time - Additional Charge	$14.70	$8.09	$10.98 – $14.99
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — All Products: $11.27 Aetna — Medicare Advantage: $4.29 Aetna — Student Health Plans: $10.98 Emblem Health — All Products: $13.67 Excellus — All Products: $11.46 Excellus — Managed Medicaid: $16.58 Excellus — Medicare Advantage: $4.29 Fidelis — Managed Medicaid _ Aliessa_QHP: $37.31 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $37.31 Independent Health — All Products: $14.11
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thromboplas Time Partial - Aptt	$165.17	$90.84	$123.38 – $168.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — All Products: $126.69 Aetna — Medicare Advantage: $6.01 Aetna — Student Health Plans: $123.38 Emblem Health — All Products: $153.61 Excellus — All Products: $128.75 Excellus — Managed Medicaid: $16.58 Excellus — Medicare Advantage: $6.01 Fidelis — Managed Medicaid _ Aliessa_QHP: $37.31 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $37.31 Independent Health — All Products: $158.56
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thromboplas Time Partial - Additional Charge	$35.70	$19.64	$26.67 – $36.41
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — All Products: $27.38 Aetna — Medicare Advantage: $6.01 Aetna — Student Health Plans: $26.67 Emblem Health — All Products: $33.20 Excellus — All Products: $27.83 Excellus — Managed Medicaid: $16.58 Excellus — Medicare Advantage: $6.01 Fidelis — Managed Medicaid _ Aliessa_QHP: $37.31 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $37.31 Independent Health — All Products: $34.27

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: HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$1,396.50	$768.08	$1,043.19 – $1,340.64
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates Aetna — All Products: $1,071.12 Aetna — Medicare Advantage: $130.50 Aetna — Student Health Plans: $1,043.19 Emblem Health — All Products: $1,298.75 Excellus — All Products: $1,088.57 Excellus — Medicare Advantage: $130.50 Fidelis — Managed Medicaid _ Aliessa_QHP: $121.20 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $121.20 Independent Health — All Products: $1,340.64 Martins Point — Tricare: $129.62
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain Combo - MRI Brain W WO Contrast	$4,189.50	$2,304.23	$435.29 – $470.33
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates Aetna — All Products: $3,213.35 Aetna — Medicare Advantage: $435.49 Aetna — Student Health Plans: $3,129.56 Emblem Health — All Products: $3,896.24 Excellus — All Products: $3,265.72 Excellus — Medicare Advantage: $435.49 Fidelis — Managed Medicaid _ Aliessa_QHP: $505 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $505 Independent Health — All Products: $4,021.92 Martins Point — Tricare: $435.29
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$330.75	$181.91	$247.07 – $317.52
Chest X-ray, 2 views: 10 of 15 insurance plan rates Aetna — All Products: $253.69 Aetna — Medicare Advantage: $108.63 Aetna — Student Health Plans: $247.07 Emblem Health — All Products: $307.60 Excellus — All Products: $257.82 Excellus — Medicare Advantage: $108.63 Fidelis — Managed Medicaid _ Aliessa_QHP: $15.15 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $15.15 Independent Health — All Products: $317.52 Martins Point — Tricare: $107.32
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$577.50	$317.63	$431.39 – $554.40
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates Aetna — All Products: $442.94 Aetna — Medicare Advantage: $130.50 Aetna — Student Health Plans: $431.39 Emblem Health — All Products: $537.08 Excellus — All Products: $450.16 Excellus — Medicare Advantage: $130.50 Fidelis — Managed Medicaid _ Aliessa_QHP: $30.30 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $30.30 Independent Health — All Products: $554.40 Martins Point — Tricare: $129.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$4,452	$2,448.60	$3,325.64 – $4,273.92
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Aetna — All Products: $3,414.68 Aetna — Medicare Advantage: $297.84 Aetna — Student Health Plans: $3,325.64 Emblem Health — All Products: $4,140.36 Excellus — All Products: $3,470.33 Excellus — Medicare Advantage: $297.84 Fidelis — Managed Medicaid _ Aliessa_QHP: $505 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $505 Independent Health — All Products: $4,273.92 Martins Point — Tricare: $294.62
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$2,005.50	$1,103.03	$1,498.11 – $1,925.28
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates Aetna — All Products: $1,538.22 Aetna — Medicare Advantage: $218.95 Aetna — Student Health Plans: $1,498.11 Emblem Health — All Products: $1,865.12 Excellus — All Products: $1,563.29 Excellus — Medicare Advantage: $218.95 Fidelis — Managed Medicaid _ Aliessa_QHP: $171.70 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $171.70 Independent Health — All Products: $1,925.28 Martins Point — Tricare: $216.98
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ext Low Jnt W/O Con	$3,895.50	$2,142.53	$2,909.94 – $3,739.68
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Aetna — All Products: $2,987.85 Aetna — Medicare Advantage: $297.84 Aetna — Student Health Plans: $2,909.94 Emblem Health — All Products: $3,622.82 Excellus — All Products: $3,036.54 Excellus — Medicare Advantage: $297.84 Fidelis — Managed Medicaid _ Aliessa_QHP: $505 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $505 Independent Health — All Products: $3,739.68 Martins Point — Tricare: $294.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$3,864	$2,125.20	$435.29 – $470.33
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Aetna — All Products: $2,963.69 Aetna — Medicare Advantage: $435.49 Aetna — Student Health Plans: $2,886.41 Emblem Health — All Products: $3,593.52 Excellus — All Products: $3,011.99 Excellus — Medicare Advantage: $435.49 Fidelis — Managed Medicaid _ Aliessa_QHP: $109.01 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $109.01 Independent Health — All Products: $3,709.44 Martins Point — Tricare: $435.29
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen	$966	$531.30	$721.60 – $927.36
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Aetna — All Products: $740.92 Aetna — Medicare Advantage: $130.50 Aetna — Student Health Plans: $721.60 Emblem Health — All Products: $898.38 Excellus — All Products: $753 Excellus — Medicare Advantage: $130.50 Fidelis — Managed Medicaid _ Aliessa_QHP: $60.60 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $60.60 Independent Health — All Products: $927.36 Martins Point — Tricare: $129.62
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First	$934.50	$513.98	$129.62 – $140.94
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Aetna — All Products: $716.76 Aetna — Medicare Advantage: $130.50 Aetna — Student Health Plans: $698.07 Emblem Health — All Products: $869.09 Excellus — All Products: $728.44 Excellus — Medicare Advantage: $130.50 Fidelis — Managed Medicaid _ Aliessa_QHP: $55.55 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $55.55 Independent Health — All Products: $897.12 Martins Point — Tricare: $129.62
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Echography,Transvaginal - US Pelvis Transvaginal	$682.50	$375.38	$129.62 – $140.94
Transvaginal ultrasound: 10 of 15 insurance plan rates Aetna — All Products: $523.48 Aetna — Medicare Advantage: $130.50 Aetna — Student Health Plans: $509.83 Emblem Health — All Products: $634.73 Excellus — All Products: $532.01 Excellus — Medicare Advantage: $130.50 Fidelis — Managed Medicaid _ Aliessa_QHP: $60.60 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $60.60 Independent Health — All Products: $655.20 Martins Point — Tricare: $129.62
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic	$556.50	$306.08	$415.71 – $567.63
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — All Products: $426.84 Aetna — Medicare Advantage: $168.11 Aetna — Student Health Plans: $415.71 Emblem Health — All Products: $517.55 Excellus — All Products: $433.79 Excellus — Medicare Advantage: $168.11 Fidelis — Managed Medicaid _ Aliessa_QHP: $97.97 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $97.97 Independent Health — All Products: $534.24 Martins Point — Tricare: $573.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$693	$381.15	$517.67 – $706.86
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Products: $531.53 Aetna — Medicare Advantage: $213.08 Aetna — Student Health Plans: $517.67 Emblem Health — All Products: $644.49 Excellus — All Products: $540.19 Excellus — Medicare Advantage: $213.08 Fidelis — Managed Medicaid _ Aliessa_QHP: $97.97 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $97.97 Independent Health — All Products: $665.28 Martins Point — Tricare: $713.79
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening	$567	$311.85	$423.55 – $578.34
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Products: $434.89 Aetna — Medicare Advantage: $172.34 Aetna — Student Health Plans: $423.55 Emblem Health — All Products: $527.31 Excellus — All Products: $441.98 Excellus — Medicare Advantage: $172.34 Fidelis — Managed Medicaid _ Aliessa_QHP: $97.97 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $97.97 Independent Health — All Products: $544.32 Martins Point — Tricare: $584.01

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Electrocardiogram Complete	$241.50	$132.83	$119.54 – $246.33
Electrocardiogram (ECG/EKG) with reading: 10 of 14 insurance plan rates Aetna — All Products: $185.23 Aetna — Medicare Advantage: $119.54 Aetna — Student Health Plans: $180.40 Emblem Health — All Products: $224.60 Excellus — All Products: $188.25 Fidelis — Managed Medicaid _ Aliessa_QHP: $15.15 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $15.15 Independent Health — All Products: $231.84 Martins Point — Tricare: $248.75 Molina — Managed Medicaid _HARP - CHP: $15.15
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/	$8,452.50	$4,648.88	$6,314.02 – $8,114.40
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates Aetna — All Products: $6,483.07 Aetna — Medicare Advantage: $4,046.85 Aetna — Student Health Plans: $6,314.02 Emblem Health — All Products: $7,860.83 Excellus — All Products: $6,588.72 Excellus — Managed Medicaid: $1,959.46 Excellus — Medicare Advantage: $4,046.85 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,408.79 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,408.79 Independent Health — All Products: $8,114.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ep Compre Electrophysiologic W/O Arrhyt Induction	$17,592.75	$9,676.01	$13,141.78 – $16,889.04
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates Aetna — All Products: $13,493.64 Aetna — Medicare Advantage: $9,736.19 Aetna — Student Health Plans: $13,141.78 Emblem Health — All Products: $16,361.26 Excellus — All Products: $13,713.55 Excellus — Managed Medicaid: $583.74 Excellus — Medicare Advantage: $9,736.19 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,313.42 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,313.42 Independent Health — All Products: $16,889.04
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$57,312.15	$31,521.68	$42,812.18 – $55,019.66
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates Aetna — All Products: $43,958.42 Aetna — Medicare Advantage: $32,627.47 Aetna — Student Health Plans: $42,812.18 Emblem Health — All Products: $53,300.30 Excellus — All Products: $44,674.82 Excellus — Managed Medicaid: $1,003.55 Excellus — Medicare Advantage: $32,627.47 Fidelis — Managed Medicaid _ Aliessa_QHP: $2,257.99 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $2,257.99 Independent Health — All Products: $55,019.66
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$4,441.50	$2,442.83	$933.58 – $2,100.56
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — All Products: $3,406.63 Aetna — Medicare Advantage: $1,071.95 Aetna — Student Health Plans: $3,317.80 Emblem Health — All Products: $4,130.60 Excellus — All Products: $3,462.15 Excellus — Managed Medicaid: $933.58 Excellus — Medicare Advantage: $1,071.95 Fidelis — Managed Medicaid _ Aliessa_QHP: $2,100.56 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $2,100.56 Independent Health — All Products: $4,263.84

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: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$37.31
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Aetna — Medicare Advantage: $37.31 Excellus — Medicare Advantage: $37.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC Pt Therapeutic Exercises	$139.65	$76.81	$69.13 – $142.44
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — All Products: $107.11 Aetna — Medicare Advantage: $69.13 Aetna — Student Health Plans: $104.32 Emblem Health — All Products: $129.87 Excellus — All Products: $108.86 Excellus — Managed Medicaid: $77.57 Fidelis — Managed Medicaid _ Aliessa_QHP: $174.53 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $174.53 Independent Health — All Products: $134.06 Martins Point — Tricare: $143.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC Ot Therapeutic Exercises	$139.65	$76.81	$69.13 – $142.44
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — All Products: $107.11 Aetna — Medicare Advantage: $69.13 Aetna — Student Health Plans: $104.32 Emblem Health — All Products: $129.87 Excellus — All Products: $108.86 Excellus — Managed Medicaid: $77.57 Fidelis — Managed Medicaid _ Aliessa_QHP: $174.53 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $174.53 Independent Health — All Products: $134.06 Martins Point — Tricare: $143.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$126.43
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — Medicare Advantage: $126.43 Excellus — Medicare Advantage: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$338.10	$185.96	$167.36 – $344.86
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — All Products: $259.32 Aetna — Medicare Advantage: $167.36 Aetna — Student Health Plans: $252.56 Emblem Health — All Products: $314.43 Excellus — All Products: $263.55 Excellus — Managed Medicaid: $136.22 Fidelis — Managed Medicaid _ Aliessa_QHP: $306.50 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $306.50 Independent Health — All Products: $324.58 Martins Point — Tricare: $348.24
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$126.43
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — Medicare Advantage: $126.43 Excellus — Medicare Advantage: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$338.10	$185.96	$167.36 – $344.86
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — All Products: $259.32 Aetna — Medicare Advantage: $167.36 Aetna — Student Health Plans: $252.56 Emblem Health — All Products: $314.43 Excellus — All Products: $263.55 Excellus — Managed Medicaid: $136.22 Fidelis — Managed Medicaid _ Aliessa_QHP: $306.50 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $306.50 Independent Health — All Products: $324.58 Martins Point — Tricare: $348.24
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$126.43
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — Medicare Advantage: $126.43 Excellus — Medicare Advantage: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC Pt Physical Therapy Evaluation High Complex 45 Mins	$338.10	$185.96	$167.36 – $344.86
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — All Products: $259.32 Aetna — Medicare Advantage: $167.36 Aetna — Student Health Plans: $252.56 Emblem Health — All Products: $314.43 Excellus — All Products: $263.55 Excellus — Managed Medicaid: $136.22 Fidelis — Managed Medicaid _ Aliessa_QHP: $306.50 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $306.50 Independent Health — All Products: $324.58 Martins Point — Tricare: $348.24
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy Patient &/ Family 30 Minutes	$243.60	$133.98	$181.97 – $233.86
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — All Products: $186.84 Aetna — Medicare Advantage: $221.56 Aetna — Student Health Plans: $181.97 Emblem Health — All Products: $226.55 Excellus — All Products: $189.89 Excellus — Managed Medicaid: $123.83 Excellus — Medicare Advantage: $221.56 Fidelis — Managed Medicaid _ Aliessa_QHP: $278.62 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $278.62 Independent Health — All Products: $233.86
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy Patient &/ Family 45 Minutes	$499.80	$274.89	$373.35 – $479.81
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — All Products: $383.35 Aetna — Medicare Advantage: $221.56 Aetna — Student Health Plans: $373.35 Emblem Health — All Products: $464.81 Excellus — All Products: $389.59 Excellus — Managed Medicaid: $165.11 Excellus — Medicare Advantage: $221.56 Fidelis — Managed Medicaid _ Aliessa_QHP: $371.50 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $371.50 Independent Health — All Products: $479.81
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$165.11 – $371.50
Psychotherapy, 60 minutes: rates for 6 insurance plans Excellus — Managed Medicaid: $165.11 Fidelis — Managed Medicaid _ Aliessa_QHP: $371.50 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $371.50 Martins Point — Tricare: $195.83 Molina — Managed Medicaid _HARP - CHP: $165.11 Molina — Managed Medicaid_Essential Plan 1-4: $371.50
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$165.11 – $371.50
Psychotherapy, 60 minutes: rates for 3 insurance plans Aetna — Medicare Advantage: $221.56 Excellus — Medicare Advantage: $221.56 Wellcare — Medicare Advantage Today's Options: $239.29
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$123.83 – $278.62
Family psychotherapy, without the patient: rates for 6 insurance plans Excellus — Managed Medicaid: $123.83 Fidelis — Managed Medicaid _ Aliessa_QHP: $278.62 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $278.62 Martins Point — Tricare: $195.83 Molina — Managed Medicaid _HARP - CHP: $123.83 Molina — Managed Medicaid_Essential Plan 1-4: $278.62
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$123.83 – $278.62
Family psychotherapy, without the patient: rates for 3 insurance plans Aetna — Medicare Advantage: $221.56 Excellus — Medicare Advantage: $221.56 Wellcare — Medicare Advantage Today's Options: $239.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy W Phys	$447.30	$246.02	$334.13 – $429.41
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — All Products: $343.08 Aetna — Medicare Advantage: $221.56 Aetna — Student Health Plans: $334.13 Emblem Health — All Products: $415.99 Excellus — All Products: $348.67 Excellus — Managed Medicaid: $123.83 Excellus — Medicare Advantage: $221.56 Fidelis — Managed Medicaid _ Aliessa_QHP: $278.62 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $278.62 Independent Health — All Products: $429.41
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Group Psychotherapy	$340	$187	$253.98 – $326.40
Group psychotherapy: 10 of 16 insurance plan rates Aetna — All Products: $260.78 Aetna — Medicare Advantage: $126.81 Aetna — Student Health Plans: $253.98 Emblem Health — All Products: $316.20 Excellus — All Products: $265.03 Excellus — Managed Medicaid: $63.98 Excellus — Medicare Advantage: $126.81 Fidelis — Managed Medicaid _ Aliessa_QHP: $143.96 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $143.96 Independent Health — All Products: $326.40

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 breast lesion	Not listed in the file	Not listed in the file	$1,710.39 – $5,278.58
Removal of breast growth (open surgery): rates for 6 insurance plans Excellus — Managed Medicaid: $1,710.39 Fidelis — Managed Medicaid _ Aliessa_QHP: $3,848.38 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $3,848.38 Martins Point — Tricare: $4,667.36 Molina — Managed Medicaid _HARP - CHP: $1,710.39 Molina — Managed Medicaid_Essential Plan 1-4: $3,848.38
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,710.39 – $5,278.58
Removal of breast growth (open surgery): rates for 3 insurance plans Aetna — Medicare Advantage: $4,887.57 Excellus — Medicare Advantage: $4,887.57 Wellcare — Medicare Advantage Today's Options: $5,278.58
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$3,804.04 – $17,308.43
Total hip replacement: rates for 6 insurance plans Excellus — Managed Medicaid: $3,804.04 Fidelis — Managed Medicaid _ Aliessa_QHP: $8,559.09 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $8,559.09 Martins Point — Tricare: $15,682.86 Molina — Managed Medicaid _HARP - CHP: $3,804.04 Molina — Managed Medicaid_Essential Plan 1-4: $8,559.09
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,804.04 – $17,308.43
Total hip replacement: rates for 3 insurance plans Aetna — Medicare Advantage: $16,026.32 Excellus — Medicare Advantage: $16,026.32 Wellcare — Medicare Advantage Today's Options: $17,308.43
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$3,804.04 – $17,308.43
Total knee replacement: rates for 6 insurance plans Excellus — Managed Medicaid: $3,804.04 Fidelis — Managed Medicaid _ Aliessa_QHP: $8,559.09 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $8,559.09 Martins Point — Tricare: $15,682.86 Molina — Managed Medicaid _HARP - CHP: $3,804.04 Molina — Managed Medicaid_Essential Plan 1-4: $8,559.09
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,804.04 – $17,308.43
Total knee replacement: rates for 3 insurance plans Aetna — Medicare Advantage: $16,026.32 Excellus — Medicare Advantage: $16,026.32 Wellcare — Medicare Advantage Today's Options: $17,308.43
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$1,985.49 – $4,467.35
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Excellus — Managed Medicaid: $1,985.49 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,467.35 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,467.35 Molina — Managed Medicaid _HARP - CHP: $1,985.49 Molina — Managed Medicaid_Essential Plan 1-4: $4,467.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$1,985.49 – $4,467.35
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans Excellus — Managed Medicaid: $1,985.49 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,467.35 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,467.35 Molina — Managed Medicaid _HARP - CHP: $1,985.49 Molina — Managed Medicaid_Essential Plan 1-4: $4,467.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,985.49 – $4,467.35
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Aetna — Medicare Advantage: $4,084.39 Excellus — Medicare Advantage: $4,084.39 Wellcare — Medicare Advantage Today's Options: $4,411.14
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,985.49 – $4,467.35
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Martins Point — Tricare: $3,954.73
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$1,570.60 – $7,980.80
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans Excellus — Managed Medicaid: $1,570.60 Fidelis — Managed Medicaid _ Aliessa_QHP: $3,533.85 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $3,533.85 Martins Point — Tricare: $7,210.37 Molina — Managed Medicaid _HARP - CHP: $1,570.60 Molina — Managed Medicaid_Essential Plan 1-4: $3,533.85
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,570.60 – $7,980.80
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Aetna — Medicare Advantage: $7,389.63 Excellus — Medicare Advantage: $7,389.63 Wellcare — Medicare Advantage Today's Options: $7,980.80
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esophagogastroduodenoscopy Transoral Diagnostic	$4,164.30	$2,290.37	$877.04 – $1,973.34
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — All Products: $3,194.02 Aetna — Medicare Advantage: $1,132.18 Aetna — Student Health Plans: $3,110.73 Emblem Health — All Products: $3,872.80 Excellus — All Products: $3,246.07 Excellus — Managed Medicaid: $877.04 Excellus — Medicare Advantage: $1,132.18 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,973.34 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,973.34 Independent Health — All Products: $3,997.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Transoral Biopsy Single/Multiple - Egd	$4,094.22	$2,251.82	$877.04 – $1,973.34
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — All Products: $3,140.27 Aetna — Medicare Advantage: $1,132.18 Aetna — Student Health Plans: $3,058.38 Emblem Health — All Products: $3,807.62 Excellus — All Products: $3,191.44 Excellus — Managed Medicaid: $877.04 Excellus — Medicare Advantage: $1,132.18 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,973.34 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,973.34 Independent Health — All Products: $3,930.45
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy	$4,106.21	$2,258.42	$3,067.34 – $3,941.96
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — All Products: $3,149.46 Aetna — Medicare Advantage: $1,160.85 Aetna — Student Health Plans: $3,067.34 Emblem Health — All Products: $3,818.78 Excellus — All Products: $3,200.79 Excellus — Managed Medicaid: $842.50 Excellus — Medicare Advantage: $1,160.85 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,895.63 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,895.63 Independent Health — All Products: $3,941.96
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy	$4,394.99	$2,417.24	$3,283.06 – $4,219.19
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — All Products: $3,370.96 Aetna — Medicare Advantage: $1,493.75 Aetna — Student Health Plans: $3,283.06 Emblem Health — All Products: $4,087.34 Excellus — All Products: $3,425.89 Excellus — Managed Medicaid: $842.50 Excellus — Medicare Advantage: $1,493.75 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,895.63 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,895.63 Independent Health — All Products: $4,219.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy	$4,380.03	$2,409.02	$3,271.88 – $4,204.83
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — All Products: $3,359.48 Aetna — Medicare Advantage: $1,493.75 Aetna — Student Health Plans: $3,271.88 Emblem Health — All Products: $4,073.43 Excellus — All Products: $3,414.23 Excellus — Managed Medicaid: $842.50 Excellus — Medicare Advantage: $1,493.75 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,895.63 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,895.63 Independent Health — All Products: $4,204.83
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$842.50 – $1,895.63
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans Excellus — Managed Medicaid: $842.50 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,895.63 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,895.63 Martins Point — Tricare: $1,437.14 Molina — Managed Medicaid _HARP - CHP: $842.50 Molina — Managed Medicaid_Essential Plan 1-4: $1,895.63
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$842.50 – $1,895.63
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Aetna — Medicare Advantage: $1,493.75 Excellus — Medicare Advantage: $1,493.75 Wellcare — Medicare Advantage Today's Options: $1,613.25
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Ca Scrn Not Hi Rsk Ind	$4,142.83	$2,278.56	$3,094.69 – $3,977.12
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — All Products: $3,177.55 Aetna — Medicare Advantage: $1,160.85 Aetna — Student Health Plans: $3,094.69 Emblem Health — All Products: $3,852.83 Excellus — All Products: $3,229.34 Excellus — Managed Medicaid: $842.50 Excellus — Medicare Advantage: $1,160.85 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,895.63 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,895.63 Independent Health — All Products: $3,977.12
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$2,935.10 – $8,150.26
Gallbladder removal by laparoscope: rates for 6 insurance plans Excellus — Managed Medicaid: $2,935.10 Fidelis — Managed Medicaid _ Aliessa_QHP: $6,603.98 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $6,603.98 Martins Point — Tricare: $7,111.27 Molina — Managed Medicaid _HARP - CHP: $2,935.10 Molina — Managed Medicaid_Essential Plan 1-4: $6,603.98
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,935.10 – $8,150.26
Gallbladder removal by laparoscope: rates for 3 insurance plans Aetna — Medicare Advantage: $7,546.53 Excellus — Medicare Advantage: $7,546.53 Wellcare — Medicare Advantage Today's Options: $8,150.26
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$2,268.77 – $5,104.73
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans Excellus — Managed Medicaid: $2,268.77 Fidelis — Managed Medicaid _ Aliessa_QHP: $5,104.73 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $5,104.73 Martins Point — Tricare: $4,301.43 Molina — Managed Medicaid _HARP - CHP: $2,268.77 Molina — Managed Medicaid_Essential Plan 1-4: $5,104.73
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,268.77 – $5,104.73
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Aetna — Medicare Advantage: $4,469.36 Excellus — Medicare Advantage: $4,469.36 Wellcare — Medicare Advantage Today's Options: $4,826.91
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Biopsy of Prostate,Needle/Punch	$8,178.16	$4,497.99	$4,048.19 – $8,341.72
Prostate biopsy: 10 of 15 insurance plan rates Aetna — All Products: $6,272.65 Aetna — Medicare Advantage: $4,048.19 Aetna — Student Health Plans: $6,109.09 Emblem Health — All Products: $7,605.69 Excellus — All Products: $6,374.88 Excellus — Managed Medicaid: $2,168.21 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,878.47 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,878.47 Independent Health — All Products: $7,851.03 Martins Point — Tricare: $2,496.84
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$2,932.91 – $14,330.57
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans Excellus — Managed Medicaid: $2,932.91 Fidelis — Managed Medicaid _ Aliessa_QHP: $6,599.05 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $6,599.05 Martins Point — Tricare: $12,689.83 Molina — Managed Medicaid _HARP - CHP: $2,932.91 Molina — Managed Medicaid_Essential Plan 1-4: $6,599.05
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$2,932.91 – $14,330.57
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Aetna — Medicare Advantage: $13,269.05 Excellus — Medicare Advantage: $13,269.05 Wellcare — Medicare Advantage Today's Options: $14,330.57
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,520.73 – $4,364.12
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans Excellus — Managed Medicaid: $1,520.73 Fidelis — Managed Medicaid _ Aliessa_QHP: $3,421.64 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $3,421.64 Martins Point — Tricare: $3,875.41 Molina — Managed Medicaid _HARP - CHP: $1,520.73 Molina — Managed Medicaid_Essential Plan 1-4: $3,421.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,520.73 – $4,364.12
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Aetna — Medicare Advantage: $4,040.85 Excellus — Medicare Advantage: $4,040.85 Wellcare — Medicare Advantage Today's Options: $4,364.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,163	$1,189.65	$1,615.76 – $2,076.48
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — All Products: $1,659.02 Aetna — Medicare Advantage: $881.14 Aetna — Student Health Plans: $1,615.76 Emblem Health — All Products: $2,011.59 Excellus — All Products: $1,686.06 Excellus — Managed Medicaid: $603.43 Excellus — Medicare Advantage: $881.14 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,357.72 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,357.72 Independent Health — All Products: $2,076.48
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Leve	$2,572.50	$1,414.88	$1,921.66 – $2,469.60
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — All Products: $1,973.11 Aetna — Medicare Advantage: $1,104.07 Aetna — Student Health Plans: $1,921.66 Emblem Health — All Products: $2,392.43 Excellus — All Products: $2,005.26 Excellus — Managed Medicaid: $603.43 Excellus — Medicare Advantage: $1,104.07 Fidelis — Managed Medicaid _ Aliessa_QHP: $1,357.72 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $1,357.72 Independent Health — All Products: $2,469.60
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,444.92 – $3,251.07
Carpal tunnel release: rates for 6 insurance plans Excellus — Managed Medicaid: $1,444.92 Fidelis — Managed Medicaid _ Aliessa_QHP: $3,251.07 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $3,251.07 Martins Point — Tricare: $2,380.15 Molina — Managed Medicaid _HARP - CHP: $1,444.92 Molina — Managed Medicaid_Essential Plan 1-4: $3,251.07
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,444.92 – $3,251.07
Carpal tunnel release: rates for 3 insurance plans Aetna — Medicare Advantage: $2,437.56 Excellus — Medicare Advantage: $2,437.56 Wellcare — Medicare Advantage Today's Options: $2,632.56
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$668.67 – $3,946.59
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans Excellus — Managed Medicaid: $1,754.04 Fidelis — Managed Medicaid _ Aliessa_QHP: $3,946.59 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $3,946.59 Martins Point — Tricare: $668.67 Molina — Managed Medicaid _HARP - CHP: $1,754.04 Molina — Managed Medicaid_Essential Plan 1-4: $3,946.59
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$668.67 – $3,946.59
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Aetna — Medicare Advantage: $686.55 Excellus — Medicare Advantage: $686.55 Wellcare — Medicare Advantage Today's Options: $741.48
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$2,219.10 – $4,992.98
Cataract removal with lens implant: rates for 6 insurance plans Excellus — Managed Medicaid: $2,219.10 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,992.98 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,992.98 Martins Point — Tricare: $2,779.89 Molina — Managed Medicaid _HARP - CHP: $2,219.10 Molina — Managed Medicaid_Essential Plan 1-4: $4,992.98
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,219.10 – $4,992.98
Cataract removal with lens implant: rates for 3 insurance plans Aetna — Medicare Advantage: $2,880.82 Excellus — Medicare Advantage: $2,880.82 Wellcare — Medicare Advantage Today's Options: $3,111.28

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) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$2,176.69 – $4,897.55
Vaginal delivery, with care before and after: rates for 5 insurance plans Excellus — Managed Medicaid: $2,176.69 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,897.55 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,897.55 Molina — Managed Medicaid _HARP - CHP: $2,176.69 Molina — Managed Medicaid_Essential Plan 1-4: $4,897.55
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$2,176.69 – $4,897.55
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans Excellus — Managed Medicaid: $2,176.69 Fidelis — Managed Medicaid _ Aliessa_QHP: $4,897.55 Fidelis — Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP: $4,897.55 Molina — Managed Medicaid _HARP - CHP: $2,176.69 Molina — Managed Medicaid_Essential Plan 1-4: $4,897.55

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$104,852.29 – $151,143.21
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans Aetna — All Products: $134,377.03 Aetna — Medicare Advantage: $104,852.29 Aetna — Student Health Plans: $129,306.60 Emblem Health — All Products: $120,915.41 Excellus — Medicare Advantage: $104,852.29 Independent Health — All Products: $117,413.17 Martins Point — Tricare: $151,143.21 UMR Pomco — All Products: $138,026.41 Wellcare — Medicare Advantage Today's Options: $110,094.90
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$20,865.72 – $28,567
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans Aetna — All Products: $26,495.47 Aetna — Student Health Plans: $25,495.72 Emblem Health — All Products: $23,841.20 Independent Health — All Products: $23,150.66 UMR Pomco — All Products: $27,215.02
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$20,865.72 – $28,567
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans Aetna — Medicare Advantage: $20,865.72 Excellus — Medicare Advantage: $20,865.72 Martins Point — Tricare: $28,567 Wellcare — Medicare Advantage Today's Options: $21,909.01
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$26,345.13 – $34,444.52
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans Aetna — All Products: $33,533.82 Aetna — Medicare Advantage: $26,345.13 Aetna — Student Health Plans: $32,268.49 Emblem Health — All Products: $30,174.47 Excellus — Medicare Advantage: $26,345.13 Independent Health — All Products: $29,300.48 Martins Point — Tricare: $31,025.61 UMR Pomco — All Products: $34,444.52 Wellcare — Medicare Advantage Today's Options: $27,662.39
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$13,506.38 – $17,505.15
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans Aetna — All Products: $17,042.32 Aetna — Medicare Advantage: $13,506.38 Aetna — Student Health Plans: $16,399.26 Emblem Health — All Products: $15,335.05 Excellus — Medicare Advantage: $13,506.38 Independent Health — All Products: $14,890.88 Martins Point — Tricare: $17,378.82 UMR Pomco — All Products: $17,505.15 Wellcare — Medicare Advantage Today's Options: $14,181.70

Source: Cayuga Medical Center at Ithaca’s standard charges file (cayugahealth.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 27, 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	101 Dates Drive, Ithaca, NY 14850
County	Tompkins County
State	New York
Phone	(607) 274‑4401
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	330307
Name in Medicare records	CAYUGA MEDICAL CENTER AT ITHACA
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(607) 274‑4011^[4]
Official website	cayugahealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Cayuga Health | Cayuga Medical Center — cayugahealth.org
Emergency Care | Services — cayugahealth.org
Cayuga Health | Cayuga Medical Center — cayugahealth.org
Cayuga Health | Heart & Vascular Center — cayugahealth.org
Cayuga Health | Accreditations — cayugahealth.org
Cayuga Health | Visiting Cayuga Medical Center — cayugahealth.org
Cayuga Health | Cancer Center — cayugahealth.org
Cayuga Health | Emergency Care — cayugahealth.org
Cayuga Health | Advanced Compassionate Care — cayugahealth.org

Cayuga Medical Center at Ithaca

Summary

Profile from official sources

At a glance