Does Centrastate Medical Center have an emergency room?

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

Where is Centrastate Medical Center?

901 West Main Street, Freehold, NJ 07728, in Monmouth County, New Jersey.

What is the phone number of Centrastate Medical Center?

(732) 294-7012, as listed by Medicare (CMS).

What is the Medicare star rating of Centrastate Medical Center?

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

Centrastate Medical Center — Freehold, NJ

Quick answers

Does Centrastate Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Centrastate Medical Center. In a medical emergency, call 911.
Where is Centrastate Medical Center?: 901 West Main Street, Freehold, NJ 07728, in Monmouth County, New Jersey.
What is the phone number of Centrastate Medical Center?: (732) 294-7012, as listed by Medicare (CMS).
What is the Medicare star rating of Centrastate Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Neuroscience
Cancer care
Maternity
Heart care
Children's health
Women's health
Emergency services
Pediatric emergency care
Stroke and cerebrovascular disease

Conditions treated^[6]

Treatments^[4][6]

Radiation therapy (TrueBeam photon therapy)
Urgent care (First Care Urgent Care)
Observation care

Programs and centers^[4][6]

Cardio-oncology
Cardio-oncology program
Advanced Primary Stroke Center (Joint Commission)
Chest Pain Center
Pediatric emergency department
First Care Urgent Care
Emergency observation unit
Statesir Cancer Center
Volunteer program

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting 10 a.m. to 7 p.m., seven days a week^[4]
Parking	Lots 2 or 3 for main entrance; free valet at the Donna O'Donnell, RN, Medical Arts Building entrance^[4]
Patient portal	MyChart

Recognition^[4][5][6][7]

HeartCARE Center National Distinction of Excellence (American College of Cardiology) 2026
Magnet Recognition (ANCC)
Emergency Nurses Association Lantern Award (2026-2029)
Joint Commission accredited Advanced Primary Stroke Center

Doctors and clinicians (980)

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

Main specialties

Doctors with a page on this site (980)

Aamir MalikEndocrinology
Aarefa H. Shakir, MDFamily Practice
Aaron C. Vanhise, DOCardiovascular Disease (Cardiology)
Aaron D. Skolnik, MDDiagnostic Radiology
Aaron E. Jacobson, DODiagnostic Radiology
Aasim I. Chaudhry, MDFamily Practice
Abdulrahman Museedi, MDCardiovascular Disease (Cardiology)
Abha Ojha Kathuria, MDGeneral Surgery
Abhishek Singh, MDAdvanced Heart Failure and Transplant Cardiology
Adam C. Krajewski, MDDiagnostic Radiology
Adam M. Meyers, DOPhysical Medicine and Rehabilitation
Agah S. Razvi, MDOtolaryngology
Agnieszka Dziubak, NPNurse Practitioner
Ahmed Alansari, MDGastroenterology
Ahmed M. Abdel-Megid, MDRheumatology
Aileen C. Estavillo, MDInternal Medicine
Aileen Chen, MDHematology/Oncology
Aileen Joanna Almeda Vasquez, NPNurse Practitioner
Akanksha Saxena, MDFamily Practice
Akwasi A. Boateng, MDUrology
Alan Guy, MDPhysical Medicine and Rehabilitation
Alan S. Nasar, MDOrthopedic Surgery
Alejandro Cruz Ponce, DOInternal Medicine
Aleksandra S. NovikNurse Practitioner

And 956 more: the button below opens the full list.

Other emergency rooms nearby

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

Monmouth Medical Center-Southern Campus12 mi · Lakewood, NJ · Acute Care Hospital
Bayshore Medical Center13 mi · Holmdel, NJ · Acute Care Hospital
Jersey Shore University Medical Center14 mi · Neptune, NJ · Acute Care Hospital
Ocean Medical Center15 mi · Brick, NJ · Acute Care Hospital
Riverview Medical Center15 mi · Red Bank, NJ · Acute Care Hospital

Other hospitals nearby

Specialty Hospital of Central Jersey12 mi · Lakewood, NJ · Long-Term Acute Care Hospital
Encompass Health Rehab Hospital of Tinton Falls13 mi · Tinton Falls, NJ · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

The Manor0.1 mi · Freehold, NJ · 4 of 5 stars
The Jewish Home for Rehabilitation and Nursing0.1 mi · Freehold, NJ · 5 of 5 stars
Applewood Village, Inc0.9 mi · Freehold, NJ · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Dove Hospice Services of New Jersey, LLC3.8 mi · Manalapan, NJ · 4 of 5 stars
Hackensack Meridian Hospice13 mi · Neptune, NJ · 3 of 5 stars
Swan Hospice13 mi · Lakewood, NJ · 2 of 5 stars

All hospice providers in the state →

Home health agencies

Hackensack Meridian at Home Monmouth County13 mi · Neptune, NJ · 3 of 5 stars
Seabrook Home Health Agency13 mi · Tinton Falls, NJ · 2 of 5 stars
Hackensack Meridian at Home Ocean County14 mi · Brick, NJ

All home health agencies in the state →

Dialysis facilities

DCI Freehold1.5 mi · Freehold, NJ · 4 of 5 stars
DaVita Freehold Dialysis3.8 mi · Manalapan, NJ · 4 of 5 stars
DaVita Wall Township Home Training8.3 mi · WALL Township, NJ · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Bogdan Surgery Center, PC1.5 mi · Freehold, NJ
Endoscopy Center of Monmouth County1.5 mi · Freehold, NJ
Freehold Surgical Center, LLC1.5 mi · Freehold, NJ

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

Freehold Family Health Center2.2 mi · Freehold, NJ · Community health center
OHI - Freehold2.6 mi · Freehold, NJ · Community health center
Chemed10 mi · Lakewood, NJ · Community health center

Clinics and urgent care

Hackensack Meridian Urgent Care, PC1.5 mi · Freehold, NJ · Urgent care center
Summit Medical Group PA1.5 mi · Freehold, NJ · Urgent care center
Urgent Care One, LLC1.5 mi · Freehold, NJ · Urgent care center

Pharmacies

Iron Bridge Apothecary LLC1.5 mi · Freehold, NJ · Community/retail pharmacy
Ocean Health Initiatives, Inc1.5 mi · Freehold, NJ · Pharmacy
Poets Square Pharmacy Inc1.5 mi · Freehold, NJ · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	62%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	1,571Response rate: 26%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.373No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.808No different from the national benchmark
Surgical site infections after colon surgery	0Better than the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.452No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.037Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.3%
Deaths within 30 days: heart failure patients	8.4%
Deaths within 30 days: pneumonia patients	14%
Deaths within 30 days: COPD patients	8%
Deaths within 30 days: stroke patients	10.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.22No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15.5%
Readmitted within 30 days: heart failure	20%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	21%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	219 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)	73%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New Jersey Best hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as Centrastate Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: E&M New Patient Level 3	$181	$96.77	$41.59 – $12,000
New patient office visit (about 30–44 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $108.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $108.60 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $108.60 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $108.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $43.40
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M New Patient Level 3	$181	$96.77	$47.82 – $12,000
New patient office visit (about 30–44 minutes): 10 of 205 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $142.64 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $142.64 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $142.64
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: E&M New Patient Level 4	$195	$157.63	$38.96 – $195
New patient office visit (about 45–59 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $117 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $117 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $117 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $117 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $46.76
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M New Patient Level 4	$195	$157.63	$67.20 – $12,000
New patient office visit (about 45–59 minutes): 10 of 205 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $142.64 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $142.64 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $142.64
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New Patient	$208	$208	$47.80 – $12,000
New patient office visit (about 60–74 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $124.80 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $124.80 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $124.80 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $124.80 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $49.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Patient	$210.77	$210.77	$67.20 – $12,000
New patient office visit (about 60–74 minutes): 10 of 205 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $186.61 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $142.64 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $142.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M Est Patient Level 3	$189.62	$77.82	$26.32 – $12,000
Established patient office visit (about 20–29 minutes): 10 of 205 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $67.67 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $142.64 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $142.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$171	$77.82	$26.32 – $171
Established patient office visit (about 20–29 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $102.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $102.60 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $102.60 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $102.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $41.01
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: E&M Est Patient Level 3	$171	$77.82	$39.30 – $12,000
Established patient office visit (about 20–29 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $102.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $102.60 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $102.60 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $102.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $41.01
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Bh Med Mgmt OP Est 25 Min	$206.89	$114.53	$40.89 – $12,000
Established patient office visit (about 30–39 minutes): 10 of 205 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $142.64 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $142.64 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $142.64 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $142.64
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$180	$114.53	$35.96 – $180
Established patient office visit (about 30–39 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $108 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $108 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $108 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $108 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $43.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: E&M Est Patient Level 4	$180	$114.53	$41.36 – $12,000
Established patient office visit (about 30–39 minutes): 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $108 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $142.64 AETNA [5002] — CSMC AETNA: $108 AETNA [5002] — CSMC AETNA HTC: $199.70 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $108 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $199.70 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $142.64 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $142.64 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $108 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $43.16
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Consultation Visits	$250	$250	$49.95 – $250
Office consultation with a specialist (moderate): 10 of 141 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $150 AETNA [5002] — CSMC AETNA: $150 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $150 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $150 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $59.95 AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $187.50 ALLIED BENEFIT SYSTEMS [5046] — CSMC AETNA: $150 ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $183.15 ALLSTATE [5047] — CSMC HORIZON CASUALTY PIP: $149.25 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $154.70
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev Med E&M New 18-39 Yr	$1,639	$32.68	$27.11 – $154.21
Preventive checkup, new patient, age 18–39: 10 of 206 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $28.42 AETNA [5002] — CSMC AETNA HTC: $39.78 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $39.78 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $28.42 AMERIHEALTH CARITAS VIP CARE [5313] — CSMC AMERIHEALTH CARITAS: $28.70 AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] — CSMC AMERIHEALTH CARITAS: $28.70 ANTHEM BCBSNY MEDICARE [5312] — CSMC HORIZON BRAVEN: $28.42 ANTHEM BCBSNY MEDICARE IP SPLITS [5476] — CSMC HORIZON BRAVEN: $28.42 ANTHEM MEDICARE PFFS [5052] — CSMC HORIZON BRAVEN: $28.42 ANTHEM MEDICARE PFFS IP SPLITS [5474] — CSMC HORIZON BRAVEN: $28.42
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED E&M Level 3	$3,209.50	$464.53	$113.58 – $3,862
Emergency room visit (moderate): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $306.48 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $429.07 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $429.07 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $306.48 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $306.48 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $306.48
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED E&M Level 3	$2,500	$352.45	$113.58 – $3,862
Emergency room visit (moderate): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $306.48 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $429.07 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $429.07 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $306.48 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $306.48 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $599.50
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED E&M Level 4 W/Crisis Mhp	$4,243	$542.02	$191.63 – $4,243
Emergency room visit (moderately high): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $471.32 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $659.85 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $659.85 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $471.32 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $471.32 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $1,017.47
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED E&M Level 4	$3,032	$542.02	$191.63 – $3,862
Emergency room visit (moderately high): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $471.32 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $659.85 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $659.85 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $471.32 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $471.32 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $727.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED E&M Level 4	$6,375.07	$768.62	$191.63 – $3,862
Emergency room visit (moderately high): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $471.32 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $659.85 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $659.85 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $471.32 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $471.32 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $471.32
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED E&M Level 5	$4,266	$780.41	$278.06 – $4,266
Emergency room visit (high): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $678.62 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $950.06 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $950.06 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $678.62 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $678.62 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $1,022.99
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED E&M Level 5	$7,486.12	$1,640.37	$278.06 – $3,862
Emergency room visit (high): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $678.62 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $950.06 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $950.06 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $678.62 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $678.62 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $678.62
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED E&M Level 5 W/Crisis Mhpmd	$4,515	$780.41	$278.06 – $4,515
Emergency room visit (high): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,809 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $678.62 AETNA [5002] — CSMC AETNA: $1,809 AETNA [5002] — CSMC AETNA HTC: $950.06 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,411 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $950.06 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $678.62 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $678.62 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,809 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $1,082.70

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel Total Ca	$75	$9.73	$4.48 – $75
Basic metabolic panel (blood test): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16.38 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8.46 AETNA [5002] — CSMC AETNA: $16.38 AETNA [5002] — CSMC AETNA HTC: $11.84 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12.77 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $11.84 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $8.46 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $8.46 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16.38 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $8.12
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel Total Ca	$633	$62.48	$4.48 – $18.70
Basic metabolic panel (blood test): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16.38 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8.46 AETNA [5002] — CSMC AETNA: $16.38 AETNA [5002] — CSMC AETNA HTC: $11.84 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12.77 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $11.84 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $5.92 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $5.92 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16.38 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $8.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel	$597	$131.39	$5.60 – $24.19
Comprehensive metabolic panel (blood test): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $7.39 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $10.56 AETNA [5002] — CSMC AETNA: $7.39 AETNA [5002] — CSMC AETNA HTC: $14.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $7.39 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $14.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $7.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $7.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $7.39 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $10.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$135	$12.14	$5.60 – $135
Comprehensive metabolic panel (blood test): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $18.50 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $10.56 AETNA [5002] — CSMC AETNA: $18.50 AETNA [5002] — CSMC AETNA HTC: $14.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $14.43 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $14.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $10.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $10.56 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $18.50 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $10.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel	$632	$98.69	$7.10 – $29.59
Cholesterol panel (lipid panel): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $25.93 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $13.39 AETNA [5002] — CSMC AETNA: $25.93 AETNA [5002] — CSMC AETNA HTC: $18.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $20.22 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $18.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $13.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $13.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $25.93 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $12.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$115	$15.40	$7.10 – $115
Cholesterol panel (lipid panel): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $25.93 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $13.39 AETNA [5002] — CSMC AETNA: $25.93 AETNA [5002] — CSMC AETNA HTC: $18.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $20.22 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $18.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $13.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $13.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $25.93 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $12.85
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$154	$9.98	$4.60 – $154
Kidney function panel: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16.80 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8.68 AETNA [5002] — CSMC AETNA: $16.80 AETNA [5002] — CSMC AETNA HTC: $12.15 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $13.10 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $12.15 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $8.68 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $8.68 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16.80 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $8.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel	$603	$45.70	$4.60 – $19.18
Kidney function panel: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16.80 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8.68 AETNA [5002] — CSMC AETNA: $16.80 AETNA [5002] — CSMC AETNA HTC: $12.15 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $13.10 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $12.15 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $8.68 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $8.68 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16.80 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $8.33
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$166	$9.40	$4.33 – $166
Liver function panel: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $15.80 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8.17 AETNA [5002] — CSMC AETNA: $15.80 AETNA [5002] — CSMC AETNA HTC: $11.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12.32 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $11.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $8.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $8.17 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $15.80 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $7.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel	$634	$81.56	$4.33 – $18.06
Liver function panel: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $15.80 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8.17 AETNA [5002] — CSMC AETNA: $15.80 AETNA [5002] — CSMC AETNA HTC: $11.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12.32 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $11.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $8.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $8.17 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $15.80 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $7.85
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Auto W Micro	$92	$3.65	$2.54 – $92
Urine test (automated, with microscope): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $6.13 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3.17 AETNA [5002] — CSMC AETNA: $6.13 AETNA [5002] — CSMC AETNA HTC: $4.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $4.78 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $4.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3.17 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $6.13 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $3.05
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis Auto W Micro	$1,426	$149.62	$1.68 – $7.01
Urine test (automated, with microscope): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $6.13 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3.17 AETNA [5002] — CSMC AETNA: $6.13 AETNA [5002] — CSMC AETNA HTC: $4.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $4.78 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $4.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3.17 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3.17 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $6.13 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $3.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis Non Auto WO Micro	$3,147 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$4	$1.68 – $7.69
Urine test (manual, without microscope): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $4.95 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3.48 AETNA [5002] — CSMC AETNA: $4.95 AETNA [5002] — CSMC AETNA HTC: $4.87 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $3.86 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $4.87 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3.48 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3.48 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $4.95 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $3.34
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Non Auto WO Micro	$36	$4	$1.68 – $36
Urine test (manual, without microscope): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $4.95 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3.48 AETNA [5002] — CSMC AETNA: $4.95 AETNA [5002] — CSMC AETNA HTC: $4.87 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $3.86 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $4.87 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3.48 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3.48 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $4.95 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $3.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Auto WO Micro	$790	$94.50	$1.19 – $4.97
Urine test (automated, without microscope): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $4.35 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $2.25 AETNA [5002] — CSMC AETNA: $4.35 AETNA [5002] — CSMC AETNA HTC: $3.15 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $3.39 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $3.15 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $2.25 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $2.25 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $4.35 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $2.16
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Auto WO Micro	$55	$2.59	$1.19 – $55
Urine test (automated, without microscope): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $4.35 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $2.25 AETNA [5002] — CSMC AETNA: $4.35 AETNA [5002] — CSMC AETNA HTC: $3.15 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $3.39 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $3.15 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $2.25 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $2.25 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $4.35 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $2.16
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specific Antigen Psa Total	$340	$21.15	$9.75 – $340
PSA (prostate specific antigen) blood test: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $35.58 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $18.39 AETNA [5002] — CSMC AETNA: $35.58 AETNA [5002] — CSMC AETNA HTC: $25.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $27.75 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $25.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $18.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $18.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $35.58 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $17.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate Specific Antigen Psa Total	$1,022	$131.01	$9.75 – $41.16
PSA (prostate specific antigen) blood test: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $12.87 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $18.39 AETNA [5002] — CSMC AETNA: $12.87 AETNA [5002] — CSMC AETNA HTC: $25.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12.87 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $25.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $12.87 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $12.87 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $12.87 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $17.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone Tsh	$757	$127.20	$8.90 – $42
Thyroid stimulating hormone (TSH) test: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $32.50 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $16.80 AETNA [5002] — CSMC AETNA: $32.50 AETNA [5002] — CSMC AETNA HTC: $23.52 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $25.35 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $23.52 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $11.76 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $11.76 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $32.50 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $16.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone Tsh	$188	$19.32	$8.90 – $188
Thyroid stimulating hormone (TSH) test: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $32.50 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $16.80 AETNA [5002] — CSMC AETNA: $32.50 AETNA [5002] — CSMC AETNA HTC: $23.52 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $25.35 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $23.52 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $16.80 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $16.80 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $32.50 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $16.13
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc Cmplt W Plt W Auto Wbc Diff	$104	$8.94	$4.12 – $104
Complete blood count (CBC) with differential: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $15.05 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $7.77 AETNA [5002] — CSMC AETNA: $15.05 AETNA [5002] — CSMC AETNA HTC: $10.88 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $11.74 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $10.88 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $7.77 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $7.77 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $15.05 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $7.46
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Cbc Cmplt W Plt W Auto Wbc Diff	$682	$109.86	$4.12 – $17.17
Complete blood count (CBC) with differential: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $15.05 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $7.77 AETNA [5002] — CSMC AETNA: $15.05 AETNA [5002] — CSMC AETNA HTC: $10.88 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $11.74 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $10.88 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $7.77 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $7.77 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $15.05 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $7.46
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc Cmplt W Plt WO Diff	$72	$7.44	$3.43 – $72
Complete blood count (CBC), automated: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $12.53 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $6.47 AETNA [5002] — CSMC AETNA: $12.53 AETNA [5002] — CSMC AETNA HTC: $9.06 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $9.77 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $9.06 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $6.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $6.47 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $12.53 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $6.22
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Cbc Cmplt W Plt WO Diff	$768	$99.43	$3.43 – $14.30
Complete blood count (CBC), automated: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $12.53 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $6.47 AETNA [5002] — CSMC AETNA: $12.53 AETNA [5002] — CSMC AETNA HTC: $9.06 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $9.77 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $9.06 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $6.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $6.47 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $12.53 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $6.22
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothombin Time	$1,078	$112.08	$2.27 – $136.44
Blood clotting time test (prothrombin time, PT): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $7.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $97.46 AETNA [5002] — CSMC AETNA: $7.60 AETNA [5002] — CSMC AETNA HTC: $136.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $5.93 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $136.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $97.46 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $97.46 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $7.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothombin Time Alupp	$21	$4.93	$2.27 – $21
Blood clotting time test (prothrombin time, PT): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $7.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $4.29 AETNA [5002] — CSMC AETNA: $7.60 AETNA [5002] — CSMC AETNA HTC: $6.01 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $5.93 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $6.01 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $4.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $4.29 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $7.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothombin Time	$86	$4.93	$2.27 – $86
Blood clotting time test (prothrombin time, PT): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $7.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $4.29 AETNA [5002] — CSMC AETNA: $7.60 AETNA [5002] — CSMC AETNA HTC: $6.01 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $5.93 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $6.01 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $4.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $4.29 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $7.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $4.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin Time Partial Ptt Alupp	$35	$6.91	$4.21 – $35
Blood clotting test (partial thromboplastin time, PTT): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $11.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $6.01 AETNA [5002] — CSMC AETNA: $11.60 AETNA [5002] — CSMC AETNA HTC: $8.41 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $9.05 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $8.41 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $6.01 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $6.01 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $11.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin Time Partial Ptt	$97	$6.91	$4.21 – $97
Blood clotting test (partial thromboplastin time, PTT): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $11.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $6.01 AETNA [5002] — CSMC AETNA: $11.60 AETNA [5002] — CSMC AETNA HTC: $8.41 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $9.05 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $8.41 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $6.01 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $6.01 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $11.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin Time Partial Ptt	$1,498	$112.08	$4.81 – $136.44
Blood clotting test (partial thromboplastin time, PTT): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $11.60 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $97.46 AETNA [5002] — CSMC AETNA: $11.60 AETNA [5002] — CSMC AETNA HTC: $136.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $9.05 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $136.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $97.46 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $97.46 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $11.60 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $5.77

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head WO	$2,420	$135.36	$117.70 – $2,420
CT scan of the head or brain, without contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $380.21 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $380.21 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $296.56 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $380.21 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $580.32
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head WO	$2,420	$135.36	$117.70 – $1,235
CT scan of the head or brain, without contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $380.21 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $380.21 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $296.56 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $380.21 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $117.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain W&WO	$7,086.80	$476.54	$354 – $2,103.77
MRI of the brain, before and after contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $698.69 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $414.39 AETNA [5002] — CSMC AETNA: $698.69 AETNA [5002] — CSMC AETNA HTC: $580.14 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $544.98 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $580.14 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $414.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $414.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $698.69 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $414.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain W&WO	$1,208	$476.54	$241.36 – $2,103.77
MRI of the brain, before and after contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $698.69 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $414.39 AETNA [5002] — CSMC AETNA: $698.69 AETNA [5002] — CSMC AETNA HTC: $580.14 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $544.98 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $580.14 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $414.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $414.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $698.69 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $289.68
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Xr Chest 2 Vw	$478	$112.08	$21.42 – $478
Chest X-ray, 2 views: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $41.22 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $97.46 AETNA [5002] — CSMC AETNA: $41.22 AETNA [5002] — CSMC AETNA HTC: $136.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $32.15 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $136.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $97.46 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $97.46 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $41.22 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $114.62
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest 2 Vw	$1,078	$112.08	$21.42 – $199.79
Chest X-ray, 2 views: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $41.22 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $97.46 AETNA [5002] — CSMC AETNA: $41.22 AETNA [5002] — CSMC AETNA HTC: $136.44 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $32.15 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $136.44 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $97.46 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $97.46 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $41.22 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $97.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Spine Lumbosacr 4+ Vw	$1,216	$135.36	$41.13 – $299.09
X-ray of the lower spine, at least 4 views: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $81.93 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $81.93 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $63.91 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $81.93 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $117.70
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Xr Spine Lumbosacr 4+ Vw	$1,216	$135.36	$41.13 – $1,216
X-ray of the lower spine, at least 4 views: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $81.93 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $81.93 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $63.91 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $81.93 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $291.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumb WO	$4,469	$322.54	$267.55 – $1,852
MRI of the lower back (lumbar spine), without contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $698.69 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $280.47 AETNA [5002] — CSMC AETNA: $698.69 AETNA [5002] — CSMC AETNA HTC: $392.66 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $544.98 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $392.66 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $698.69 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $280.47
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumb WO	$753	$322.54	$150.45 – $1,852
MRI of the lower back (lumbar spine), without contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $698.69 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $280.47 AETNA [5002] — CSMC AETNA: $698.69 AETNA [5002] — CSMC AETNA HTC: $392.66 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $544.98 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $392.66 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $698.69 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $180.57
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W	$4,384.08	$237.54	$185.30 – $1,235
CT scan of the pelvis, with contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $577.12 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $206.56 AETNA [5002] — CSMC AETNA: $577.12 AETNA [5002] — CSMC AETNA HTC: $289.18 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $450.15 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $289.18 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $206.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $206.56 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $577.12 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $206.56
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis W	$2,875	$237.54	$185.30 – $2,875
CT scan of the pelvis, with contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $577.12 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $206.56 AETNA [5002] — CSMC AETNA: $577.12 AETNA [5002] — CSMC AETNA HTC: $289.18 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $450.15 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $289.18 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $206.56 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $206.56 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $577.12 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $689.43
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Joint Lwr Extrm WO	$4,469	$322.54	$267.55 – $1,852
MRI of a leg joint (such as the knee), without contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $698.69 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $280.47 AETNA [5002] — CSMC AETNA: $698.69 AETNA [5002] — CSMC AETNA HTC: $392.66 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $544.98 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $392.66 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $698.69 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $280.47
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Joint Lwr Extrm WO	$753	$322.54	$150.45 – $1,852
MRI of a leg joint (such as the knee), without contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $698.69 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $280.47 AETNA [5002] — CSMC AETNA: $698.69 AETNA [5002] — CSMC AETNA HTC: $392.66 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $544.98 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $392.66 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $280.47 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $280.47 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $698.69 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $180.57
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abd & Pelvis W	$5,672	$454.59	$185.30 – $5,672
CT scan of the abdomen and pelvis, with contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $539.18 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $395.29 AETNA [5002] — CSMC AETNA: $539.18 AETNA [5002] — CSMC AETNA HTC: $553.41 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $420.56 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $553.41 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $395.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $395.29 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $539.18 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $1,360.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abd & Pelvis W	$6,844.56	$566.67	$185.30 – $1,235
CT scan of the abdomen and pelvis, with contrast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $539.18 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $395.29 AETNA [5002] — CSMC AETNA: $539.18 AETNA [5002] — CSMC AETNA HTC: $553.41 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $420.56 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $553.41 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $395.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $395.29 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $539.18 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $395.29
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Cmplt	$1,423	$135.36	$110.88 – $379.59
Ultrasound of the abdomen, complete: 10 of 198 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $205.50 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $205.50 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $160.29 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $205.50 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $117.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Cmplt	$1,423	$135.36	$110.88 – $1,423
Ultrasound of the abdomen, complete: 10 of 198 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $205.50 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $205.50 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $160.29 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $205.50 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $341.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Uterus OB 14+ Wks Sng Fetus	$663	$141.90	$103.91 – $379.59
Pregnancy ultrasound (after the first trimester): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $207.78 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $123.39 AETNA [5002] — CSMC AETNA: $207.78 AETNA [5002] — CSMC AETNA HTC: $172.74 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $162.07 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $172.74 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $123.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $123.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $207.78 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $123.39
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Uterus OB 14+ Wks Sng Fetus	$629	$141.90	$103.91 – $629
Pregnancy ultrasound (after the first trimester): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $207.78 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $123.39 AETNA [5002] — CSMC AETNA: $207.78 AETNA [5002] — CSMC AETNA HTC: $172.74 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $162.07 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $172.74 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $123.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $123.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $207.78 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $150.83
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal Non OB	$1,442	$278.93	$117.70 – $379.59
Transvaginal ultrasound: 10 of 198 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $183.62 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $183.62 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $143.22 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $183.62 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $117.70
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non OB	$931	$135.36	$117.70 – $931
Transvaginal ultrasound: 10 of 198 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $183.62 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $117.70 AETNA [5002] — CSMC AETNA: $183.62 AETNA [5002] — CSMC AETNA HTC: $164.78 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $143.22 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $164.78 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $117.70 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $117.70 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $183.62 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $223.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammogram Dx Dig Uni	$875	$239.58	$62.71 – $281.90
Diagnostic mammogram, one breast: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $241.24 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $94.06 AETNA [5002] — CSMC AETNA: $241.24 AETNA [5002] — CSMC AETNA HTC: $131.68 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $188.17 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $131.68 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $94.06 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $94.06 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $241.24 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $94.06
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammogram Dx Dig Uni	$380	$108.17	$62.71 – $380
Diagnostic mammogram, one breast: 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $241.24 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $94.06 AETNA [5002] — CSMC AETNA: $241.24 AETNA [5002] — CSMC AETNA HTC: $131.68 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $188.17 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $131.68 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $94.06 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $94.06 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $241.24 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $91.12
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammogram Dx Dig Bil	$1,054	$269.20	$78.60 – $361.43
Diagnostic mammogram, both breasts: 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $308.63 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $119.82 AETNA [5002] — CSMC AETNA: $308.63 AETNA [5002] — CSMC AETNA HTC: $167.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $240.73 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $167.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $119.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $119.82 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $308.63 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $119.82
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mammogram Dx Dig Bil	$456	$137.79	$78.60 – $456
Diagnostic mammogram, both breasts: 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $308.63 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $119.82 AETNA [5002] — CSMC AETNA: $308.63 AETNA [5002] — CSMC AETNA HTC: $167.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $240.73 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $167.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $119.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $119.82 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $308.63 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $109.35
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Scrn Dig Uni	$411	$113.95	$57.81 – $411
Screening mammogram, both breasts: 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $254.90 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $99.09 AETNA [5002] — CSMC AETNA: $254.90 AETNA [5002] — CSMC AETNA HTC: $138.73 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $198.83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $138.73 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $99.09 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $99.09 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $254.90 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $98.56
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Scrn Dig Bil	$411	$113.95	$57.81 – $411
Screening mammogram, both breasts: 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $254.90 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $99.09 AETNA [5002] — CSMC AETNA: $254.90 AETNA [5002] — CSMC AETNA HTC: $138.73 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $198.83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $138.73 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $99.09 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $99.09 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $254.90 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $98.56
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammogram Scrn Dig Bil	$511	$143.57	$57.81 – $298.05
Screening mammogram, both breasts: 10 of 205 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $254.90 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $99.09 AETNA [5002] — CSMC AETNA: $254.90 AETNA [5002] — CSMC AETNA HTC: $138.73 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $198.83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $138.73 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $99.09 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $99.09 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $254.90 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $99.09

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Lhc W Vntrgrphy	$112,769.40	$23,960.87	$1,608.24 – $32,708
Left heart catheterization (diagnostic): 10 of 186 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16,315 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $20,835.54 AETNA [5002] — CSMC AETNA: $16,315 AETNA [5002] — CSMC AETNA HTC: $29,169.76 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12,726 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $29,169.76 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $20,835.54 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $20,835.54 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16,315 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $20,835.54
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Lhc W Vntrgrphy	$8,979	$4,291.87	$1,608.24 – $16,315
Left heart catheterization (diagnostic): 10 of 186 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16,315 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3,732.06 AETNA [5002] — CSMC AETNA: $16,315 AETNA [5002] — CSMC AETNA HTC: $5,224.89 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12,726 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $5,224.89 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3,732.06 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3,732.06 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16,315 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $2,153.16
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Ep Eval Cmp WO Induct Ra/Rv Record	$76,091.81	$13,778.96	$458.35 – $12,326.47
Heart rhythm study (electrophysiology evaluation): 10 of 174 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $8,804.62 AETNA [5002] — CSMC AETNA HTC: $12,326.47 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $12,326.47 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $8,804.62 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $8,804.62 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $8,804.62 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $8,804.62 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $8,804.62 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $8,804.62 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $8,804.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Ep Eval Cmp W Ablation Afib < 3 Hr	$225,263.83	$41,136.53	$663.54 – $39,851.45
Heart rhythm study with ablation for atrial fibrillation: 10 of 174 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $28,465.32 AETNA [5002] — CSMC AETNA HTC: $39,851.45 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $39,851.45 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $28,465.32 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $28,465.32 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $28,465.32 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $28,465.32 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $28,465.32 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $28,465.32 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $28,465.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6+ Yrs 4+ Paramtrs	$7,600	$1,295.02	$1,039.27 – $7,600
Sleep study (overnight, in a sleep lab): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,706.23 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,126.11 AETNA [5002] — CSMC AETNA: $1,706.23 AETNA [5002] — CSMC AETNA HTC: $1,576.55 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,330.86 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,576.55 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,126.11 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,126.11 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,706.23 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $1,822.48
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6+ Yrs 4+ Paramtrs	$7,600	$1,295.02	$1,039.27 – $5,532.66
Sleep study (overnight, in a sleep lab): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $1,706.23 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,126.11 AETNA [5002] — CSMC AETNA: $1,706.23 AETNA [5002] — CSMC AETNA HTC: $1,576.55 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $1,330.86 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,576.55 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,126.11 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,126.11 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $1,706.23 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,126.11

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) In the file: Tx Proc 1+ Tx Exercises 15 Min	$3,125	$354.97	$30.90 – $154
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $30.90 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $43.26 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $43.26 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $32.12 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $32.12 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $30.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Tx Proc 1+ Tx Exercises 15 Min	$265	$35.54	$24.62 – $265
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $30.90 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $43.26 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $43.26 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $32.12 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $32.12 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $63.55
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Eval Phys Therapy Low Complx	$466	$120.93	$68 – $466
Physical therapy evaluation (low complexity): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $105.16 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $147.22 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $147.22 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $111.75
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Eval Phys Therapy Low Complx	$2,791	$382.07	$68 – $164.81
Physical therapy evaluation (low complexity): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $105.16 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $147.22 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $147.22 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $105.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Eval Phys Therapy Mod Complex	$2,092	$303.93	$68 – $164.81
Physical therapy evaluation (moderate complexity): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $105.16 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $147.22 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $147.22 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $105.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Eval Phys Therapy Mod Complex	$512	$120.93	$68 – $512
Physical therapy evaluation (moderate complexity): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $105.16 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $147.22 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $147.22 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $122.78
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Eval Phys Therapy High Complex	$2,145	$297.34	$68 – $164.81
Physical therapy evaluation (high complexity): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $105.16 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $147.22 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $147.22 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $105.16
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Eval Phys Therapy High Complex	$570	$120.93	$68 – $570
Physical therapy evaluation (high complexity): 10 of 206 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $107 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $105.16 AETNA [5002] — CSMC AETNA: $107 AETNA [5002] — CSMC AETNA HTC: $147.22 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $83 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $147.22 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $109.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $109.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $107 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $136.69
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx Pt 16-37 Min	$464	$214.39	$55.89 – $391
Psychotherapy, 30 minutes: 10 of 143 insurance plan rates AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $87.24 ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $68 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $391 AMERIHEALTH [5008] — CSMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391 AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — CSMC AMERIHEALTH MEDICARE: $391 AMERIHEALTH MEDIGAP [5049] — CSMC AMERIHEALTH MEDICARE: $391 ANTHEM BCBSNY MEDICAID [5511] — CSMC MEDICAID: $79.31 APWU HEALTHCARE [5053] — CSMC UNITED: $55.89 CENTIVO [5405] — CSMC CIGNA PPO: $68 CIGNA [5012] — CSMC CIGNA OAP: $68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx Pt 38-52 Min	$968	$201.90	$79.31 – $391
Psychotherapy, 45 minutes: 10 of 143 insurance plan rates AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $87.24 ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $90 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $391 AMERIHEALTH [5008] — CSMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391 AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — CSMC AMERIHEALTH MEDICARE: $391 AMERIHEALTH MEDIGAP [5049] — CSMC AMERIHEALTH MEDICARE: $391 ANTHEM BCBSNY MEDICAID [5511] — CSMC MEDICAID: $79.31 CENTIVO [5405] — CSMC CIGNA PPO: $90 CIGNA [5012] — CSMC CIGNA OAP: $90 CIGNA [5012] — CSMC CIGNA PPO: $90
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx Pt 53+ Min	$730	$214.39	$79.31 – $391
Psychotherapy, 60 minutes: 10 of 143 insurance plan rates AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $87.24 ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $133 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $391 AMERIHEALTH [5008] — CSMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391 AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — CSMC AMERIHEALTH MEDICARE: $391 AMERIHEALTH MEDIGAP [5049] — CSMC AMERIHEALTH MEDICARE: $391 ANTHEM BCBSNY MEDICAID [5511] — CSMC MEDICAID: $79.31 APWU HEALTHCARE [5053] — CSMC UNITED: $89.35 CENTIVO [5405] — CSMC CIGNA PPO: $133 CIGNA [5012] — CSMC CIGNA OAP: $133
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Psytx Family WO Pt 50 Min	$684	$214.39	$27.50 – $174.33
Family psychotherapy, without the patient: 10 of 141 insurance plan rates ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $97 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $102.22 AMERIHEALTH [5008] — CSMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $102.22 ANTHEM BCBSNY MEDICAID [5511] — CSMC MEDICAID: $27.50 CENTIVO [5405] — CSMC CIGNA PPO: $97 CIGNA [5012] — CSMC CIGNA OAP: $97 CIGNA [5012] — CSMC CIGNA PPO: $97 CIGNA BEHAVIORAL HEALTH PPO [5323] — CSMC CIGNA PPO: $97 CIGNA GREAT WEST [5305] — CSMC CIGNA OAP: $97 CIGNA HEALTH PARTNERS [5342] — CSMC CIGNA OAP: $97
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Psytx Family W Pt 50 Min	$684	$214.39	$30 – $193.47
Family psychotherapy, with the patient: 10 of 141 insurance plan rates ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $102 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $106.76 AMERIHEALTH [5008] — CSMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $106.76 ANTHEM BCBSNY MEDICAID [5511] — CSMC MEDICAID: $30 CENTIVO [5405] — CSMC CIGNA PPO: $102 CIGNA [5012] — CSMC CIGNA OAP: $102 CIGNA [5012] — CSMC CIGNA PPO: $102 CIGNA BEHAVIORAL HEALTH PPO [5323] — CSMC CIGNA PPO: $102 CIGNA GREAT WEST [5305] — CSMC CIGNA OAP: $102 CIGNA HEALTH PARTNERS [5342] — CSMC CIGNA OAP: $102
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Psytx Group	$917	$116.24	$24 – $202
Group psychotherapy: 10 of 143 insurance plan rates AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $30.25 ALLIED BENEFIT SYSTEMS [5046] — CSMC CIGNA PPO: $24 AMERIHEALTH [5008] — CSMC AMERIHEALTH LOCAL VALUE NETWORK: $202 AMERIHEALTH [5008] — CSMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $202 AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — CSMC AMERIHEALTH MEDICARE: $202 AMERIHEALTH MEDIGAP [5049] — CSMC AMERIHEALTH MEDICARE: $202 ANTHEM BCBSNY MEDICAID [5511] — CSMC MEDICAID: $27.50 CENTIVO [5405] — CSMC CIGNA PPO: $24 CIGNA [5012] — CSMC CIGNA OAP: $24 CIGNA [5012] — CSMC CIGNA PPO: $24

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$18,833.03	$5,109.67	$826.48 – $12,000
Removal of breast growth (open surgery): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $4,443.19 AETNA [5002] — CSMC AETNA HTC: $6,220.47 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $6,220.47 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $4,443.19 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $4,443.19 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $4,443.19 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $4,443.19 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $4,443.19 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $4,443.19 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $4,443.19
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$35,615.97	$16,623.99	$2,146 – $23,508
Total hip replacement: 10 of 164 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16,315 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $14,241.77 AETNA [5002] — CSMC AETNA: $16,315 AETNA [5002] — CSMC AETNA HTC: $19,938.48 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12,726 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $19,938.48 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $14,241.77 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $14,241.77 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16,315 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $14,241.77
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments	$32,290.72	$16,594.17	$2,146 – $23,508
Total knee replacement: 10 of 164 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $16,315 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $14,241.77 AETNA [5002] — CSMC AETNA: $16,315 AETNA [5002] — CSMC AETNA HTC: $19,938.48 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $12,726 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $19,938.48 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $14,241.77 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $14,241.77 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $16,315 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $14,241.77
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$23,775.18	$9,318.02	$335.26 – $13,154.68
Shoulder arthroscopy: shaving of shoulder bone: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $7,907.11 AETNA [5002] — CSMC AETNA HTC: $11,069.95 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $11,069.95 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $7,907.11 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $7,907.11 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $7,907.11 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $7,907.11 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $7,907.11 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $7,907.11 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $7,907.11
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$11,386.98	$4,130.03	$1,081.04 – $12,000
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3,591.33 AETNA [5002] — CSMC AETNA HTC: $5,027.86 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $5,027.86 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3,591.33 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3,591.33 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $3,591.33 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $3,591.33 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $3,591.33 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $3,591.33 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $3,591.33
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy & Adenoidectomy <Age 12	$19,166.77	$7,893.67	$576.13 – $12,000
Removal of tonsils and adenoids (under age 12): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $6,864.06 AETNA [5002] — CSMC AETNA HTC: $9,609.68 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $9,609.68 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $6,864.06 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $6,864.06 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $6,864.06 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $6,864.06 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $6,864.06 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $6,864.06 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $6,864.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$15,470.19	$1,193.41	$238.09 – $12,000
Upper GI endoscopy (diagnostic): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,037.75 AETNA [5002] — CSMC AETNA HTC: $1,452.85 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,452.85 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,037.75 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,037.75 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,037.75 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,037.75 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,037.75 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,037.75 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,037.75
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple	$11,900.92	$1,193.41	$267.81 – $12,000
Upper GI endoscopy with biopsy: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,037.75 AETNA [5002] — CSMC AETNA HTC: $1,452.85 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,452.85 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,037.75 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,037.75 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,037.75 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,037.75 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,037.75 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,037.75 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,037.75
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$10,768.65	$1,160.51	$357.11 – $12,000
Colonoscopy (diagnostic): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,009.14 AETNA [5002] — CSMC AETNA HTC: $1,412.79 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,412.79 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,009.14 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,009.14 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,009.14 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,009.14 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,009.14 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,009.14 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,009.14
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple	$12,364.26	$1,500.84	$387.65 – $12,000
Colonoscopy with biopsy: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,305.08 AETNA [5002] — CSMC AETNA HTC: $1,827.11 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,827.11 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,305.08 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,305.08 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,305.08 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,305.08 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,305.08 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,305.08 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,305.08
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$12,448.49	$2,251.26	$492.34 – $12,000
Colonoscopy with removal of polyps (snare): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,305.08 AETNA [5002] — CSMC AETNA HTC: $1,827.11 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,827.11 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,305.08 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,305.08 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,305.08 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,305.08 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,305.08 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,305.08 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,305.08
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$12,257.63	$2,986.52	$498.60 – $12,000
Ultrasound of the lower bowel by endoscope: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,368.11 AETNA [5002] — CSMC AETNA HTC: $1,915.35 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,915.35 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,368.11 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,368.11 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,368.11 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,368.11 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,368.11 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,368.11 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,368.11
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	$10,740.49	$1,160.51	$311.05 – $12,000
Screening colonoscopy (not high risk): 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,009.14 AETNA [5002] — CSMC AETNA HTC: $1,412.79 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,412.79 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,009.14 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,009.14 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,009.14 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,009.14 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,009.14 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,009.14 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,009.14
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy	$17,621.19	$7,883.20	$1,303.21 – $17,874
Gallbladder removal by laparoscope: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $6,457.82 AETNA [5002] — CSMC AETNA HTC: $9,040.95 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $9,040.95 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $6,457.82 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $6,457.82 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $6,457.82 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $6,457.82 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $6,457.82 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $6,457.82 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $6,457.82
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$12,394.30	$4,941.77	$1,035.99 – $12,000
Groin (inguinal) hernia repair, age 5 or older: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3,906.18 AETNA [5002] — CSMC AETNA HTC: $5,468.65 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $5,468.65 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3,906.18 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3,906.18 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $3,906.18 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $3,906.18 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $3,906.18 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $3,906.18 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $3,906.18
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Bx Prostate Ndl/Punch Sng/Mult	$17,520.34	$2,607.53	$248.45 – $12,000
Prostate biopsy: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $2,267.41 AETNA [5002] — CSMC AETNA HTC: $3,174.38 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $3,174.38 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $2,267.41 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $2,267.41 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $2,267.41 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $2,267.41 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $2,267.41 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $2,267.41 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $2,267.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$31,583.98	$13,254.22	$2,146 – $16,133.27
Prostate removal by laparoscope (radical prostatectomy): 10 of 173 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $11,523.76 AETNA [5002] — CSMC AETNA HTC: $16,133.27 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $16,133.27 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $11,523.76 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $11,523.76 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $11,523.76 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $11,523.76 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $11,523.76 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $11,523.76 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $11,523.76
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy W Bx/Polypectomy W/WO D&C	$13,324.38	$4,047.99	$447.39 – $12,000
Hysteroscopy with biopsy of the uterus lining: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $3,519.29 AETNA [5002] — CSMC AETNA HTC: $4,927.01 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $4,927.01 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $3,519.29 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $3,519.29 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $3,519.29 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $3,519.29 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $3,519.29 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $3,519.29 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $3,519.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$2,497	$924.08	$192.45 – $12,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $803.54 AETNA [5002] — CSMC AETNA HTC: $1,124.96 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,124.96 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $803.54 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $803.54 AETNA BETTER HEALTH [5005] — CSMC AETNA BETTER HEALTH: $598.78 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $803.54 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $803.54 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $803.54 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $803.54
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$3,861.79	$924.08	$192.45 – $12,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $803.54 AETNA [5002] — CSMC AETNA HTC: $1,124.96 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,124.96 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $803.54 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $803.54 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $803.54 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $803.54 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $803.54 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $803.54 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $803.54
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$5,679.81	$1,781.96	$216.61 – $12,000
Nerve root injection, lower back, with imaging guidance: 10 of 186 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $1,033.02 AETNA [5002] — CSMC AETNA HTC: $1,446.23 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $1,446.23 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $1,033.02 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $1,033.02 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $1,033.02 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $1,033.02 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $1,033.02 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $1,033.02 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $1,033.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$13,560.16	$2,485.66	$875.86 – $12,000
Carpal tunnel release: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $2,161.44 AETNA [5002] — CSMC AETNA HTC: $3,026.02 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $3,026.02 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $2,161.44 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $2,161.44 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $2,161.44 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $2,161.44 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $2,161.44 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $2,161.44 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $2,161.44
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$17,384	$3,043.33	$1,061.65 – $12,000
Cataract removal with lens implant: 10 of 157 insurance plan rates AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $2,646.38 AETNA [5002] — CSMC AETNA HTC: $3,704.93 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $3,704.93 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $2,646.38 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $2,646.38 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $2,646.38 AETNA MCARE SUPPLEMENTAL [5041] — CSMC AETNA MEDICARE: $2,646.38 AETNA MEDICARE [5003] — CSMC AETNA MEDICARE: $2,646.38 AETNA MEDICARE [5003] — CSMC AETNA NNJ PRIME: $2,646.38 AETNA MEDICARE IP SPLITS [5470] — CSMC AETNA MEDICARE: $2,646.38

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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$474,498.87	$106,141.07	$700 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $259,037
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 173 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $174,769.72 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $83,679.31 AETNA [5002] — CSMC AETNA: $174,769.72 AETNA [5002] — CSMC AETNA HTC: $117,151.03 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $136,323.32 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $117,151.03 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $83,679.31 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $83,679.31 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $174,769.72 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $83,679.31
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$88,151.49	$20,671.54	$700 – $50,837
Hip or knee replacement (major joint of the leg), without major complications: 10 of 173 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $17,230 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $16,310.10 AETNA [5002] — CSMC AETNA: $17,230 AETNA [5002] — CSMC AETNA HTC: $22,834.14 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $13,440 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $22,834.14 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $16,310.10 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $16,310.10 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $17,230 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $16,310.10
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$110,308.22	$27,091.17	$700 – $67,408
Neck (cervical) spinal fusion, without complications: 10 of 173 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $43,613.82 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $21,366.97 AETNA [5002] — CSMC AETNA: $43,613.82 AETNA [5002] — CSMC AETNA HTC: $29,913.76 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $34,019.52 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $29,913.76 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $21,366.97 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $21,366.97 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $43,613.82 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $21,366.97
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$50,566.57	$13,233.06	$700 – $32,161.43
Uterus and ovary surgery (not for cancer), without complications: 10 of 173 insurance plan rates 1199 SEIU BENEFIT AND PENSION [5037] — CSMC AETNA: $22,165.11 AARP MEDICARE COMP [5039] — CSMC UNITED MEDICARE: $10,448.39 AETNA [5002] — CSMC AETNA: $22,165.11 AETNA [5002] — CSMC AETNA HTC: $14,627.75 AETNA [5002] — CSMC AETNA WHOLE HEALTH: $17,289.15 AETNA AHS EMPLOYEE [5306] — CSMC AETNA HTC: $14,627.75 AETNA ASSURE PREMIER PLUS [5422] — CSMC AETNA MEDICARE: $10,448.39 AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — CSMC AETNA MEDICARE: $10,448.39 AETNA BEHAVIORAL HEALTH [5321] — CSMC AETNA: $22,165.11 AETNA CENTRASTATE EMPLOYEE [5425] — CSMC AETNA AHS EMPLOYEE: $10,448.39

Source: Centrastate Medical Center’s standard charges file (atlantichealth.org, CSV, 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 type	Acute Care Hospital
Address	901 West Main Street, Freehold, NJ 07728
County	Monmouth County
State	New Jersey
Phone	(732) 294‑7012
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	310111
Name in Medicare records	CENTRASTATE MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(732) 431‑2000^[4]
Official website	atlantichealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

CentraState Medical Center (Atlantic Health) — atlantichealth.org
Heart Care Awards — atlantichealth.org
CentraState Medical Center Emergency Department — atlantichealth.org
Awards & Accreditations — atlantichealth.org

Centrastate Medical Center

Summary

Profile from official sources

At a glance