Does CHI Saint Joseph Berea NF have an emergency room?

Yes. Medicare (CMS) data lists emergency services at CHI Saint Joseph Berea NF. In a medical emergency, call 911.

Where is CHI Saint Joseph Berea NF?

305 Estill Street, Berea, KY 40403, in Madison County, Kentucky.

What is the phone number of CHI Saint Joseph Berea NF?

(859) 986-3151, as listed by Medicare (CMS).

What is the Medicare star rating of CHI Saint Joseph Berea NF?

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

CHI Saint Joseph Berea NF — Phone, Address & ER

Quick answers

Does CHI Saint Joseph Berea NF have an emergency room?: Yes. Medicare (CMS) data lists emergency services at CHI Saint Joseph Berea NF. In a medical emergency, call 911.
Where is CHI Saint Joseph Berea NF?: 305 Estill Street, Berea, KY 40403, in Madison County, Kentucky.
What is the phone number of CHI Saint Joseph Berea NF?: (859) 986-3151, as listed by Medicare (CMS).
What is the Medicare star rating of CHI Saint Joseph Berea NF?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^[4][5]

Critical Care
Diagnostic Imaging and Diagnostic Radiology
Emergency Medicine
Family Medicine
Geriatric Medicine
Internal Medicine
Neurology
Orthopedics and Sports Medicine
Physical Therapy and Rehabilitation
Primary Care
Pulmonary
Sleep Medicine
Women's Health
Heart and Vascular Care
General Surgery

Conditions treated^[5]

Stroke
Transient ischemic attack (TIA)

Treatments^[5]

Outpatient infusion

Programs and centers^[4][5]

Swing bed program
Center for Healthy Aging
Senior Renewal Center (outpatient counseling)
Sleep Center
Breast Care center
Infusion Center

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes

Recognition^[5]

Accredited by The Joint Commission

Doctors and clinicians (132)

132 doctors and other clinicians list CHI Saint Joseph Berea NF 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 (132)

Abdolreza Rabiee, MDEmergency Medicine
Amelia E. HendricksonNurse Practitioner
Amjad A. Bukhari, MDNeurology
Ana L. Castellanos, MDNephrology
Annette WilliamsNurse Practitioner
Aqeel H. Mandviwala, MDPulmonary Disease
Asad Jadoon, MDCardiovascular Disease (Cardiology)
Atef H. ElgassierInternal Medicine
Benjamin M. Callahan, MDEmergency Medicine
Bill J. Hacker, MDInternal Medicine
Bradley Williams, MDFamily Practice
Brian F. BehrendtPhysician Assistant
Brittany SpiveyNurse Practitioner
Brittnee L. Angle, PAPhysician Assistant
Brock A. Barnes, MDFamily Practice
Caleb Morris, DOEmergency Medicine
Carly C. Whitaker, CNACertified Registered Nurse Anesthetist (CRNA)
Cassaundra H. CollettNurse Practitioner
Charles J. Beach, NPNurse Practitioner
Chelsea B. Garrison, MDEmergency Medicine
Dale R. Absher, MDDiagnostic Radiology
Daniel F. Gaspar, MDInternal Medicine
Darcy Taddeo, PAPhysician Assistant
Dasen R. Ritchey, MDGeneral Surgery

And 108 more: the button below opens the full list.

Other emergency rooms nearby

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

Baptist Health Richmond11 mi · Richmond, KY · Acute Care Hospital
Rockcastle County Hospital, Inc.15 mi · Mount Vernon, KY · Acute Care Hospital
Marcum and Wallace Memorial Hospital19 mi · Irvine, KY · Critical Access Hospital
Ephraim McDowell Fort Logan Hospital20 mi · Stanford, KY · Critical Access Hospital
Ephraim McDowell Regional Medical Center27 mi · Danville, KY · Acute Care Hospital

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

Other hospitals near Berea

Select Specialty Hospital - Central Kentucky27 mi · Danville, KY · Long-Term Acute Care Hospital

Hospitals in Madison County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

The Terrace Nursing and Rehabilitation Center1.4 mi · Berea, KY · 3 of 5 stars
Berea Health and Rehabilitation1.7 mi · Berea, KY · 1 of 5 stars
Kenwood Health and Rehabilitation Center12 mi · Richmond, KY · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Compassionate Care Plus13 mi · Richmond, KY · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Commonwealth Home Health13 mi · Richmond, KY · 3.5 of 5 stars
Lifeline Rockcastle Home Health15 mi · Mount Vernon, KY · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Nak Berea, LLC1.3 mi · Berea, KY · 2 of 5 stars
DCI - Richmond13 mi · Richmond, KY · 3 of 5 stars
FMC - Central Richmond13 mi · Richmond, KY · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Berea Primary Care Clinic0.2 mi · Berea, KY · Community health center
Berea Community School0.4 mi · Berea, KY · Community health center
White House Clinics Berea Pediatrics2.7 mi · Berea, KY · Community health center

Clinics and urgent care

Berea Rural Health Center1.3 mi · Berea, KY · Rural health clinic
Berea Walk in Clinic1.3 mi · Berea, KY · Rural health clinic
Rural Family Practice1.3 mi · Berea, KY · Rural health clinic

Pharmacies

Berea Drug Co Inc1.3 mi · Berea, KY · Community/retail pharmacy
Health Help Inc1.3 mi · Berea, KY · Pharmacy
Med-Save LLC1.3 mi · Berea, KY · Community/retail pharmacy

Assisted living nearby

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

Arcadian Cove13 mi · Richmond, KY
McCready Manor13 mi · Richmond, KY
Morning Pointe of Richmond13 mi · Richmond, KY
Spring Arbor of Richmond13 mi · Richmond, KY

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 CHI Saint Joseph Berea NF 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)	5 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	5 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	91%National average: 80%
Doctors “always” communicated well	92%National average: 80%
“Always” got help as soon as they wanted	79%National average: 64%
Staff “always” explained medicines before giving them	76%National average: 62%
Were given information about recovery at home	95%National average: 86%
Room and bathroom “always” clean	84%National average: 73%
Completed surveys	130Response rate: 18%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	17.7%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.7%
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	19.4%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	118 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	77%National average: 66%

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

See every measure on Medicare Care Compare →

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 Kentucky Best hospitals in Kentucky

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as CHI Saint Joseph Berea NF lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 71 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 3 NEW	$377	$181.74	$104.02 – $343.07
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $301.60 Aetna — Commercial\|HMO: $301.60 Aetna — Commercial\|PPO: $301.60 Aetna — Medicaid\|Better Health: $116.87 Aetna — Medicare\|All Plans: $108.73 BCBS - Anthem — Commercial\|HMO PPO: $271.44 BCBS - Anthem — Commercial\|Pathway: $237.51 BCBS - Anthem — Medicaid\|All Plans: $122.72 BCBS - Anthem — Medicare\|All Plans: $105.56 CareSource — Commercial\|All Plans: $211.12
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 3 NEW	$377	$181.74	$173.42 – $343.07
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $290.29 Aetna — Commercial\|HMO: $290.29 Aetna — Commercial\|PPO: $290.29 Cigna — Commercial\|All Other Plans: $260.13 Cigna — Commercial\|PPO: $260.13 Humana — Commercial\|All Plans: $173.42 Multiplan — Commercial\|All Plans: $343.07
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 4 NEW	$491	$236.69	$135.47 – $446.81
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $392.80 Aetna — Commercial\|HMO: $392.80 Aetna — Commercial\|PPO: $392.80 Aetna — Medicaid\|Better Health: $152.21 Aetna — Medicare\|All Plans: $141.61 BCBS - Anthem — Commercial\|HMO PPO: $353.52 BCBS - Anthem — Commercial\|Pathway: $309.33 BCBS - Anthem — Medicaid\|All Plans: $159.83 BCBS - Anthem — Medicare\|All Plans: $137.48 CareSource — Commercial\|All Plans: $274.96
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 4 NEW	$491	$236.69	$225.86 – $446.81
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $378.07 Aetna — Commercial\|HMO: $378.07 Aetna — Commercial\|PPO: $378.07 Cigna — Commercial\|All Other Plans: $338.79 Cigna — Commercial\|PPO: $338.79 Humana — Commercial\|All Plans: $225.86 Multiplan — Commercial\|All Plans: $446.81
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 5 NEW	$583	$281.04	$160.85 – $530.53
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $466.40 Aetna — Commercial\|HMO: $466.40 Aetna — Commercial\|PPO: $466.40 Aetna — Medicaid\|Better Health: $180.73 Aetna — Medicare\|All Plans: $168.14 BCBS - Anthem — Commercial\|HMO PPO: $419.76 BCBS - Anthem — Commercial\|Pathway: $367.29 BCBS - Anthem — Medicaid\|All Plans: $189.77 BCBS - Anthem — Medicare\|All Plans: $163.24 CareSource — Commercial\|All Plans: $326.48
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 5 NEW	$583	$281.04	$268.18 – $530.53
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $448.91 Aetna — Commercial\|HMO: $448.91 Aetna — Commercial\|PPO: $448.91 Cigna — Commercial\|All Other Plans: $402.27 Cigna — Commercial\|PPO: $402.27 Humana — Commercial\|All Plans: $268.18 Multiplan — Commercial\|All Plans: $530.53
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 3 EST	$317	$152.82	$87.47 – $288.47
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $253.60 Aetna — Commercial\|HMO: $253.60 Aetna — Commercial\|PPO: $253.60 Aetna — Medicaid\|Better Health: $98.27 Aetna — Medicare\|All Plans: $91.43 BCBS - Anthem — Commercial\|HMO PPO: $228.24 BCBS - Anthem — Commercial\|Pathway: $199.71 BCBS - Anthem — Medicaid\|All Plans: $103.19 BCBS - Anthem — Medicare\|All Plans: $88.76 CareSource — Commercial\|All Plans: $177.52
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 3 EST	$317	$152.82	$145.82 – $288.47
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $244.09 Aetna — Commercial\|HMO: $244.09 Aetna — Commercial\|PPO: $244.09 Cigna — Commercial\|All Other Plans: $218.73 Cigna — Commercial\|PPO: $218.73 Humana — Commercial\|All Plans: $145.82 Multiplan — Commercial\|All Plans: $288.47
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 4 EST	$359	$173.06	$99.05 – $326.69
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $287.20 Aetna — Commercial\|HMO: $287.20 Aetna — Commercial\|PPO: $287.20 Aetna — Medicaid\|Better Health: $111.29 Aetna — Medicare\|All Plans: $103.54 BCBS - Anthem — Commercial\|HMO PPO: $258.48 BCBS - Anthem — Commercial\|Pathway: $226.17 BCBS - Anthem — Medicaid\|All Plans: $116.86 BCBS - Anthem — Medicare\|All Plans: $100.52 CareSource — Commercial\|All Plans: $201.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 4 EST	$359	$173.06	$165.14 – $326.69
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $276.43 Aetna — Commercial\|HMO: $276.43 Aetna — Commercial\|PPO: $276.43 Cigna — Commercial\|All Other Plans: $247.71 Cigna — Commercial\|PPO: $247.71 Humana — Commercial\|All Plans: $165.14 Multiplan — Commercial\|All Plans: $326.69
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC ED LEVEL 3	$640	$308.52	$176.58 – $709
Emergency room visit (moderate): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $512 Aetna — Commercial\|HMO: $512 Aetna — Commercial\|PPO: $512 Aetna — Medicaid\|Better Health: $198.40 Aetna — Medicare\|All Plans: $184.58 BCBS - Anthem — Commercial\|HMO PPO: $709 BCBS - Anthem — Commercial\|Pathway: $600 BCBS - Anthem — Medicaid\|All Plans: $208.32 BCBS - Anthem — Medicare\|All Plans: $179.20 CareSource — Commercial\|All Plans: $358.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC ED LEVEL 3	$640	$308.52	$294.40 – $582.40
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $492.80 Aetna — Commercial\|HMO: $492.80 Aetna — Commercial\|PPO: $492.80 Cigna — Commercial\|All Other Plans: $441.60 Cigna — Commercial\|PPO: $441.60 Humana — Commercial\|All Plans: $294.40 Multiplan — Commercial\|All Plans: $582.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ED LEVEL 4	$1,164	$561.12	$321.15 – $1,059.24
Emergency room visit (moderately high): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $931.20 Aetna — Commercial\|HMO: $931.20 Aetna — Commercial\|PPO: $931.20 Aetna — Medicaid\|Better Health: $360.84 Aetna — Medicare\|All Plans: $335.70 BCBS - Anthem — Commercial\|HMO PPO: $709 BCBS - Anthem — Commercial\|Pathway: $600 BCBS - Anthem — Medicaid\|All Plans: $378.89 BCBS - Anthem — Medicare\|All Plans: $325.92 CareSource — Commercial\|All Plans: $651.84
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC ED LEVEL 4	$1,164	$561.12	$535.44 – $1,059.24
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $896.28 Aetna — Commercial\|HMO: $896.28 Aetna — Commercial\|PPO: $896.28 Cigna — Commercial\|All Other Plans: $803.16 Cigna — Commercial\|PPO: $803.16 Humana — Commercial\|All Plans: $535.44 Multiplan — Commercial\|All Plans: $1,059.24
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ED LEVEL 5	$1,513	$729.35	$417.44 – $1,376.83
Emergency room visit (high): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,210.40 Aetna — Commercial\|HMO: $1,210.40 Aetna — Commercial\|PPO: $1,210.40 Aetna — Medicaid\|Better Health: $469.03 Aetna — Medicare\|All Plans: $436.35 BCBS - Anthem — Commercial\|HMO PPO: $709 BCBS - Anthem — Commercial\|Pathway: $600 BCBS - Anthem — Medicaid\|All Plans: $492.49 BCBS - Anthem — Medicare\|All Plans: $423.64 CareSource — Commercial\|All Plans: $847.28
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC ED LEVEL 5	$1,513	$729.35	$695.98 – $1,376.83
Emergency room visit (high): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,165.01 Aetna — Commercial\|HMO: $1,165.01 Aetna — Commercial\|PPO: $1,165.01 Cigna — Commercial\|All Other Plans: $1,043.97 Cigna — Commercial\|PPO: $1,043.97 Humana — Commercial\|All Plans: $695.98 Multiplan — Commercial\|All Plans: $1,376.83

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC LAB BASIC METABOLIC PANEL	$78	$37.61	$5.69 – $70.98
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $62.40 Aetna — Commercial\|HMO: $62.40 Aetna — Commercial\|PPO: $62.40 Aetna — Medicaid\|Better Health: $8.55 Aetna — Medicare\|All Plans: $22.50 BCBS - Anthem — Commercial\|HMO PPO: $5.69 BCBS - Anthem — Commercial\|Pathway: $5.69 BCBS - Anthem — Medicaid\|All Plans: $8.89 BCBS - Anthem — Medicare\|All Plans: $21.84 CareSource — Commercial\|All Plans: $43.68
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC LAB BASIC METABOLIC PANEL	$78	$37.61	$35.88 – $70.98
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $60.06 Aetna — Commercial\|HMO: $60.06 Aetna — Commercial\|PPO: $60.06 Cigna — Commercial\|All Other Plans: $53.82 Cigna — Commercial\|PPO: $53.82 Humana — Commercial\|All Plans: $35.88 Multiplan — Commercial\|All Plans: $70.98
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC LAB COMP METABOLIC PANEL	$427	$205.84	$7.15 – $388.57
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $341.60 Aetna — Commercial\|HMO: $341.60 Aetna — Commercial\|PPO: $341.60 Aetna — Medicaid\|Better Health: $10.67 Aetna — Medicare\|All Plans: $123.15 BCBS - Anthem — Commercial\|HMO PPO: $7.15 BCBS - Anthem — Commercial\|Pathway: $7.15 BCBS - Anthem — Medicaid\|All Plans: $11.09 BCBS - Anthem — Medicare\|All Plans: $119.56 CareSource — Commercial\|All Plans: $239.12
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC LAB COMP METABOLIC PANEL	$427	$205.84	$196.42 – $388.57
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $328.79 Aetna — Commercial\|HMO: $328.79 Aetna — Commercial\|PPO: $328.79 Cigna — Commercial\|All Other Plans: $294.63 Cigna — Commercial\|PPO: $294.63 Humana — Commercial\|All Plans: $196.42 Multiplan — Commercial\|All Plans: $388.57
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL	$240	$115.70	$47.81 – $218.40
Obstetric blood test panel: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $192 Aetna — Commercial\|HMO: $192 Aetna — Commercial\|PPO: $192 Aetna — Medicaid\|Better Health: $48.29 Aetna — Medicare\|All Plans: $69.22 BCBS - Anthem — Commercial\|HMO PPO: $53.28 BCBS - Anthem — Commercial\|Pathway: $53.28 BCBS - Anthem — Medicaid\|All Plans: $50.21 BCBS - Anthem — Medicare\|All Plans: $67.20 CareSource — Commercial\|All Plans: $134.40
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL	$240	$115.70	$110.40 – $218.40
Obstetric blood test panel: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $184.80 Aetna — Commercial\|HMO: $184.80 Aetna — Commercial\|PPO: $184.80 Cigna — Commercial\|All Other Plans: $165.60 Cigna — Commercial\|PPO: $165.60 Humana — Commercial\|All Plans: $110.40 Multiplan — Commercial\|All Plans: $218.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LAB LIPID PANEL	$119	$57.37	$9.68 – $108.29
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $95.20 Aetna — Commercial\|HMO: $95.20 Aetna — Commercial\|PPO: $95.20 Aetna — Medicaid\|Better Health: $13.53 Aetna — Medicare\|All Plans: $34.32 BCBS - Anthem — Commercial\|HMO PPO: $9.68 BCBS - Anthem — Commercial\|Pathway: $9.68 BCBS - Anthem — Medicaid\|All Plans: $14.06 BCBS - Anthem — Medicare\|All Plans: $33.32 CareSource — Commercial\|All Plans: $66.64
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LAB LIPID PANEL	$119	$57.37	$54.74 – $108.29
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $91.63 Aetna — Commercial\|HMO: $91.63 Aetna — Commercial\|PPO: $91.63 Cigna — Commercial\|All Other Plans: $82.11 Cigna — Commercial\|PPO: $82.11 Humana — Commercial\|All Plans: $54.74 Multiplan — Commercial\|All Plans: $108.29
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL PROFILE	$51	$24.59	$5.69 – $46.41
Kidney function panel: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $40.80 Aetna — Commercial\|HMO: $40.80 Aetna — Commercial\|PPO: $40.80 Aetna — Medicaid\|Better Health: $8.77 Aetna — Medicare\|All Plans: $14.71 BCBS - Anthem — Commercial\|HMO PPO: $5.69 BCBS - Anthem — Commercial\|Pathway: $5.69 BCBS - Anthem — Medicaid\|All Plans: $9.12 BCBS - Anthem — Medicare\|All Plans: $14.28 CareSource — Commercial\|All Plans: $28.56
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL PROFILE	$51	$24.59	$23.46 – $46.41
Kidney function panel: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $39.27 Aetna — Commercial\|HMO: $39.27 Aetna — Commercial\|PPO: $39.27 Cigna — Commercial\|All Other Plans: $35.19 Cigna — Commercial\|PPO: $35.19 Humana — Commercial\|All Plans: $23.46 Multiplan — Commercial\|All Plans: $46.41
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC LAB HEPATIC FUNCTION PANEL	$105	$50.62	$5.69 – $95.55
Liver function panel: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $84 Aetna — Commercial\|HMO: $84 Aetna — Commercial\|PPO: $84 Aetna — Medicaid\|Better Health: $8.26 Aetna — Medicare\|All Plans: $30.29 BCBS - Anthem — Commercial\|HMO PPO: $5.69 BCBS - Anthem — Commercial\|Pathway: $5.69 BCBS - Anthem — Medicaid\|All Plans: $8.58 BCBS - Anthem — Medicare\|All Plans: $29.40 CareSource — Commercial\|All Plans: $58.80
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC LAB HEPATIC FUNCTION PANEL	$105	$50.62	$48.30 – $95.55
Liver function panel: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $80.85 Aetna — Commercial\|HMO: $80.85 Aetna — Commercial\|PPO: $80.85 Cigna — Commercial\|All Other Plans: $72.45 Cigna — Commercial\|PPO: $72.45 Humana — Commercial\|All Plans: $48.30 Multiplan — Commercial\|All Plans: $95.55
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC LAB AUTO URINALYS W/ MICRO	$65	$31.34	$2.69 – $59.15
Urine test (automated, with microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $52 Aetna — Commercial\|HMO: $52 Aetna — Commercial\|PPO: $52 Aetna — Medicaid\|Better Health: $3.21 Aetna — Medicare\|All Plans: $18.75 BCBS - Anthem — Commercial\|HMO PPO: $2.69 BCBS - Anthem — Commercial\|Pathway: $2.69 BCBS - Anthem — Medicaid\|All Plans: $3.33 BCBS - Anthem — Medicare\|All Plans: $18.20 CareSource — Commercial\|All Plans: $36.40
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC LAB AUTO URINALYS W/ MICRO	$65	$31.34	$29.90 – $59.15
Urine test (automated, with microscope): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $50.05 Aetna — Commercial\|HMO: $50.05 Aetna — Commercial\|PPO: $50.05 Cigna — Commercial\|All Other Plans: $44.85 Cigna — Commercial\|PPO: $44.85 Humana — Commercial\|All Plans: $29.90 Multiplan — Commercial\|All Plans: $59.15
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC LAB N-AUTO URINALYS OT POC	$37	$17.84	$2.05 – $33.67
Urine test (manual, without microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $29.60 Aetna — Commercial\|HMO: $29.60 Aetna — Commercial\|PPO: $29.60 Aetna — Medicaid\|Better Health: $3.52 Aetna — Medicare\|All Plans: $10.68 BCBS - Anthem — Commercial\|HMO PPO: $2.05 BCBS - Anthem — Commercial\|Pathway: $2.05 BCBS - Anthem — Medicaid\|All Plans: $3.66 BCBS - Anthem — Medicare\|All Plans: $10.36 CareSource — Commercial\|All Plans: $20.72
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HC LAB N-AUTO URINALYS OT POC	$37	$17.84	$17.02 – $33.67
Urine test (manual, without microscope): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $28.49 Aetna — Commercial\|HMO: $28.49 Aetna — Commercial\|PPO: $28.49 Cigna — Commercial\|All Other Plans: $25.53 Cigna — Commercial\|PPO: $25.53 Humana — Commercial\|All Plans: $17.02 Multiplan — Commercial\|All Plans: $33.67
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC LAB AUTO URINALYS WO MICRO	$24	$11.57	$1.91 – $21.84
Urine test (automated, without microscope): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $19.20 Aetna — Commercial\|HMO: $19.20 Aetna — Commercial\|PPO: $19.20 Aetna — Medicaid\|Better Health: $2.28 Aetna — Medicare\|All Plans: $6.93 BCBS - Anthem — Commercial\|HMO PPO: $1.91 BCBS - Anthem — Commercial\|Pathway: $1.91 BCBS - Anthem — Medicaid\|All Plans: $2.37 BCBS - Anthem — Medicare\|All Plans: $6.72 CareSource — Commercial\|All Plans: $13.44
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC LAB AUTO URINALYS WO MICRO	$24	$11.57	$11.04 – $21.84
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $18.48 Aetna — Commercial\|HMO: $18.48 Aetna — Commercial\|PPO: $18.48 Cigna — Commercial\|All Other Plans: $16.56 Cigna — Commercial\|PPO: $16.56 Humana — Commercial\|All Plans: $11.04 Multiplan — Commercial\|All Plans: $21.84
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC LAB PROSTATIC SPECIFIC ANTIGEN	$229	$110.40	$15.64 – $208.39
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $183.20 Aetna — Commercial\|HMO: $183.20 Aetna — Commercial\|PPO: $183.20 Aetna — Medicaid\|Better Health: $18.58 Aetna — Medicare\|All Plans: $66.05 BCBS - Anthem — Commercial\|HMO PPO: $15.64 BCBS - Anthem — Commercial\|Pathway: $15.64 BCBS - Anthem — Medicaid\|All Plans: $19.31 BCBS - Anthem — Medicare\|All Plans: $64.12 CareSource — Commercial\|All Plans: $128.24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HC LAB PROSTATIC SPECIFIC ANTIGEN	$229	$110.40	$105.34 – $208.39
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $176.33 Aetna — Commercial\|HMO: $176.33 Aetna — Commercial\|PPO: $176.33 Cigna — Commercial\|All Other Plans: $158.01 Cigna — Commercial\|PPO: $158.01 Humana — Commercial\|All Plans: $105.34 Multiplan — Commercial\|All Plans: $208.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC LAB TSH	$154	$74.24	$14.28 – $140.14
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $123.20 Aetna — Commercial\|HMO: $123.20 Aetna — Commercial\|PPO: $123.20 Aetna — Medicaid\|Better Health: $16.97 Aetna — Medicare\|All Plans: $44.42 BCBS - Anthem — Commercial\|HMO PPO: $14.28 BCBS - Anthem — Commercial\|Pathway: $14.28 BCBS - Anthem — Medicaid\|All Plans: $17.64 BCBS - Anthem — Medicare\|All Plans: $43.12 CareSource — Commercial\|All Plans: $86.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC LAB TSH	$154	$74.24	$70.84 – $140.14
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $118.58 Aetna — Commercial\|HMO: $118.58 Aetna — Commercial\|PPO: $118.58 Cigna — Commercial\|All Other Plans: $106.26 Cigna — Commercial\|PPO: $106.26 Humana — Commercial\|All Plans: $70.84 Multiplan — Commercial\|All Plans: $140.14
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC LAB CBC W/AUTO DIFF	$97	$46.76	$6.61 – $88.27
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $77.60 Aetna — Commercial\|HMO: $77.60 Aetna — Commercial\|PPO: $77.60 Aetna — Medicaid\|Better Health: $7.85 Aetna — Medicare\|All Plans: $27.98 BCBS - Anthem — Commercial\|HMO PPO: $6.61 BCBS - Anthem — Commercial\|Pathway: $6.61 BCBS - Anthem — Medicaid\|All Plans: $8.16 BCBS - Anthem — Medicare\|All Plans: $27.16 CareSource — Commercial\|All Plans: $54.32
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC LAB CBC W/AUTO DIFF	$97	$46.76	$44.62 – $88.27
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $74.69 Aetna — Commercial\|HMO: $74.69 Aetna — Commercial\|PPO: $74.69 Cigna — Commercial\|All Other Plans: $66.93 Cigna — Commercial\|PPO: $66.93 Humana — Commercial\|All Plans: $44.62 Multiplan — Commercial\|All Plans: $88.27
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC LAB CBC (W/PLT&HEMOGRAM)	$72	$34.71	$5.50 – $65.52
Complete blood count (CBC), automated: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $57.60 Aetna — Commercial\|HMO: $57.60 Aetna — Commercial\|PPO: $57.60 Aetna — Medicaid\|Better Health: $6.54 Aetna — Medicare\|All Plans: $20.77 BCBS - Anthem — Commercial\|HMO PPO: $5.50 BCBS - Anthem — Commercial\|Pathway: $5.50 BCBS - Anthem — Medicaid\|All Plans: $6.80 BCBS - Anthem — Medicare\|All Plans: $20.16 CareSource — Commercial\|All Plans: $40.32
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC LAB CBC (W/PLT&HEMOGRAM)	$72	$34.71	$33.12 – $65.52
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $55.44 Aetna — Commercial\|HMO: $55.44 Aetna — Commercial\|PPO: $55.44 Cigna — Commercial\|All Other Plans: $49.68 Cigna — Commercial\|PPO: $49.68 Humana — Commercial\|All Plans: $33.12 Multiplan — Commercial\|All Plans: $65.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC LAB PT	$90	$43.39	$3.34 – $81.90
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $72 Aetna — Commercial\|HMO: $72 Aetna — Commercial\|PPO: $72 Aetna — Medicaid\|Better Health: $4.34 Aetna — Medicare\|All Plans: $25.96 BCBS - Anthem — Commercial\|HMO PPO: $3.34 BCBS - Anthem — Commercial\|Pathway: $3.34 BCBS - Anthem — Medicaid\|All Plans: $4.51 BCBS - Anthem — Medicare\|All Plans: $25.20 CareSource — Commercial\|All Plans: $50.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HC LAB PT	$90	$43.39	$41.40 – $81.90
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $69.30 Aetna — Commercial\|HMO: $69.30 Aetna — Commercial\|PPO: $69.30 Cigna — Commercial\|All Other Plans: $62.10 Cigna — Commercial\|PPO: $62.10 Humana — Commercial\|All Plans: $41.40 Multiplan — Commercial\|All Plans: $81.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LAB PTT	$172	$82.92	$5.10 – $156.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $137.60 Aetna — Commercial\|HMO: $137.60 Aetna — Commercial\|PPO: $137.60 Aetna — Medicaid\|Better Health: $6.08 Aetna — Medicare\|All Plans: $49.61 BCBS - Anthem — Commercial\|HMO PPO: $5.10 BCBS - Anthem — Commercial\|Pathway: $5.10 BCBS - Anthem — Medicaid\|All Plans: $6.32 BCBS - Anthem — Medicare\|All Plans: $48.16 CareSource — Commercial\|All Plans: $96.32
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC LAB PTT	$172	$82.92	$79.12 – $156.52
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $132.44 Aetna — Commercial\|HMO: $132.44 Aetna — Commercial\|PPO: $132.44 Cigna — Commercial\|All Other Plans: $118.68 Cigna — Commercial\|PPO: $118.68 Humana — Commercial\|All Plans: $79.12 Multiplan — Commercial\|All Plans: $156.52

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT BRAIN	$912	$439.64	$251.63 – $1,262
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $729.60 Aetna — Commercial\|HMO: $729.60 Aetna — Commercial\|PPO: $729.60 Aetna — Medicaid\|Better Health: $282.72 Aetna — Medicare\|All Plans: $263.03 BCBS - Anthem — Commercial\|HMO PPO: $912 BCBS - Anthem — Commercial\|Pathway: $912 BCBS - Anthem — Medicaid\|All Plans: $296.86 BCBS - Anthem — Medicare\|All Plans: $255.36 CareSource — Commercial\|All Plans: $510.72
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT BRAIN	$912	$439.64	$419.52 – $829.92
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $702.24 Aetna — Commercial\|HMO: $702.24 Aetna — Commercial\|PPO: $702.24 Cigna — Commercial\|All Other Plans: $629.28 Cigna — Commercial\|PPO: $629.28 Humana — Commercial\|All Plans: $419.52 Multiplan — Commercial\|All Plans: $829.92
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MR BRAIN WOW CONTRAST	$3,332	$1,606.21	$919.30 – $3,032.12
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $2,665.60 Aetna — Commercial\|HMO: $2,665.60 Aetna — Commercial\|PPO: $2,665.60 Aetna — Medicaid\|Better Health: $1,032.92 Aetna — Medicare\|All Plans: $960.95 BCBS - Anthem — Commercial\|HMO PPO: $2,399.04 BCBS - Anthem — Commercial\|Pathway: $2,099.16 BCBS - Anthem — Medicaid\|All Plans: $1,084.57 BCBS - Anthem — Medicare\|All Plans: $932.96 CareSource — Commercial\|All Plans: $1,865.92
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MR BRAIN WOW CONTRAST	$3,332	$1,606.21	$1,532.72 – $3,032.12
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $2,565.64 Aetna — Commercial\|HMO: $2,565.64 Aetna — Commercial\|PPO: $2,565.64 Cigna — Commercial\|All Other Plans: $2,299.08 Cigna — Commercial\|PPO: $2,299.08 Humana — Commercial\|All Plans: $1,532.72 Multiplan — Commercial\|All Plans: $3,032.12
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XR CHEST 2 VIEWS	$551	$265.62	$152.03 – $501.41
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $440.80 Aetna — Commercial\|HMO: $440.80 Aetna — Commercial\|PPO: $440.80 Aetna — Medicaid\|Better Health: $170.81 Aetna — Medicare\|All Plans: $158.91 BCBS - Anthem — Medicaid\|All Plans: $179.36 BCBS - Anthem — Medicare\|All Plans: $154.28 CareSource — Commercial\|All Plans: $308.56 Cigna — Commercial\|All Other Plans: $380.19 Cigna — Commercial\|PPO: $380.19
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC XR CHEST 2 VIEWS	$551	$265.62	$253.46 – $501.41
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $424.27 Aetna — Commercial\|HMO: $424.27 Aetna — Commercial\|PPO: $424.27 Cigna — Commercial\|All Other Plans: $380.19 Cigna — Commercial\|PPO: $380.19 Humana — Commercial\|All Plans: $253.46 Multiplan — Commercial\|All Plans: $501.41
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC XR SPINE LUMBAR 4-5 VIEW	$408	$196.68	$112.57 – $371.28
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $326.40 Aetna — Commercial\|HMO: $326.40 Aetna — Commercial\|PPO: $326.40 Aetna — Medicaid\|Better Health: $126.48 Aetna — Medicare\|All Plans: $117.67 BCBS - Anthem — Medicaid\|All Plans: $132.81 BCBS - Anthem — Medicare\|All Plans: $114.24 CareSource — Commercial\|All Plans: $228.48 Cigna — Commercial\|All Other Plans: $281.52 Cigna — Commercial\|PPO: $281.52
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC XR SPINE LUMBAR 4-5 VIEW	$408	$196.68	$187.68 – $371.28
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $314.16 Aetna — Commercial\|HMO: $314.16 Aetna — Commercial\|PPO: $314.16 Cigna — Commercial\|All Other Plans: $281.52 Cigna — Commercial\|PPO: $281.52 Humana — Commercial\|All Plans: $187.68 Multiplan — Commercial\|All Plans: $371.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MR SPINE LUMBAR	$1,936	$933.26	$534.15 – $1,761.76
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,548.80 Aetna — Commercial\|HMO: $1,548.80 Aetna — Commercial\|PPO: $1,548.80 Aetna — Medicaid\|Better Health: $600.16 Aetna — Medicare\|All Plans: $558.35 BCBS - Anthem — Commercial\|HMO PPO: $1,393.92 BCBS - Anthem — Commercial\|Pathway: $1,219.68 BCBS - Anthem — Medicaid\|All Plans: $630.17 BCBS - Anthem — Medicare\|All Plans: $542.08 CareSource — Commercial\|All Plans: $1,084.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRIG LIMITED LUMBAR	$1,332	$642.10	$367.50 – $1,212.12
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,065.60 Aetna — Commercial\|HMO: $1,065.60 Aetna — Commercial\|PPO: $1,065.60 Aetna — Medicaid\|Better Health: $412.92 Aetna — Medicare\|All Plans: $384.15 BCBS - Anthem — Commercial\|HMO PPO: $959.04 BCBS - Anthem — Commercial\|Pathway: $839.16 BCBS - Anthem — Medicaid\|All Plans: $433.57 BCBS - Anthem — Medicare\|All Plans: $372.96 CareSource — Commercial\|All Plans: $745.92
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MR SPINE LUMBAR	$1,936	$933.26	$890.56 – $1,761.76
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,490.72 Aetna — Commercial\|HMO: $1,490.72 Aetna — Commercial\|PPO: $1,490.72 Cigna — Commercial\|All Other Plans: $1,335.84 Cigna — Commercial\|PPO: $1,335.84 Humana — Commercial\|All Plans: $890.56 Multiplan — Commercial\|All Plans: $1,761.76
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST	$1,875	$903.86	$517.32 – $1,706.25
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,500 Aetna — Commercial\|HMO: $1,500 Aetna — Commercial\|PPO: $1,500 Aetna — Medicaid\|Better Health: $581.25 Aetna — Medicare\|All Plans: $540.75 BCBS - Anthem — Commercial\|HMO PPO: $1,096 BCBS - Anthem — Commercial\|Pathway: $928 BCBS - Anthem — Medicaid\|All Plans: $610.32 BCBS - Anthem — Medicare\|All Plans: $525 CareSource — Commercial\|All Plans: $1,050
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST	$1,875	$903.86	$862.50 – $1,706.25
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,443.75 Aetna — Commercial\|HMO: $1,443.75 Aetna — Commercial\|PPO: $1,443.75 Cigna — Commercial\|All Other Plans: $1,293.75 Cigna — Commercial\|PPO: $1,293.75 Humana — Commercial\|All Plans: $862.50 Multiplan — Commercial\|All Plans: $1,706.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MR LOWER EXTREM JNT WO CONT	$2,146	$1,034.49	$592.09 – $1,952.86
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,716.80 Aetna — Commercial\|HMO: $1,716.80 Aetna — Commercial\|PPO: $1,716.80 Aetna — Medicaid\|Better Health: $665.26 Aetna — Medicare\|All Plans: $618.91 BCBS - Anthem — Commercial\|HMO PPO: $1,545.12 BCBS - Anthem — Commercial\|Pathway: $1,351.98 BCBS - Anthem — Medicaid\|All Plans: $698.53 BCBS - Anthem — Medicare\|All Plans: $600.88 CareSource — Commercial\|All Plans: $1,201.76
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MR LOWER EXTREM JNT WO CONT	$2,146	$1,034.49	$987.16 – $1,952.86
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,652.42 Aetna — Commercial\|HMO: $1,652.42 Aetna — Commercial\|PPO: $1,652.42 Cigna — Commercial\|All Other Plans: $1,480.74 Cigna — Commercial\|PPO: $1,480.74 Humana — Commercial\|All Plans: $987.16 Multiplan — Commercial\|All Plans: $1,952.86
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD&PEL W CONTRAST	$1,980	$954.47	$546.29 – $1,801.80
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,584 Aetna — Commercial\|HMO: $1,584 Aetna — Commercial\|PPO: $1,584 Aetna — Medicaid\|Better Health: $613.80 Aetna — Medicare\|All Plans: $571.04 BCBS - Anthem — Commercial\|HMO PPO: $1,096 BCBS - Anthem — Commercial\|Pathway: $928 BCBS - Anthem — Medicaid\|All Plans: $644.49 BCBS - Anthem — Medicare\|All Plans: $554.40 CareSource — Commercial\|All Plans: $1,108.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD&PEL W CONTRAST	$1,980	$954.47	$910.80 – $1,801.80
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,524.60 Aetna — Commercial\|HMO: $1,524.60 Aetna — Commercial\|PPO: $1,524.60 Cigna — Commercial\|All Other Plans: $1,366.20 Cigna — Commercial\|PPO: $1,366.20 Humana — Commercial\|All Plans: $910.80 Multiplan — Commercial\|All Plans: $1,801.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC U/S ABDOMINAL COMP	$1,230	$592.93	$339.36 – $1,119.30
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $984 Aetna — Commercial\|HMO: $984 Aetna — Commercial\|PPO: $984 Aetna — Medicaid\|Better Health: $381.30 Aetna — Medicare\|All Plans: $354.74 BCBS - Anthem — Medicaid\|All Plans: $400.37 BCBS - Anthem — Medicare\|All Plans: $344.40 CareSource — Commercial\|All Plans: $688.80 Cigna — Commercial\|All Other Plans: $848.70 Cigna — Commercial\|PPO: $848.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC U/S ABDOMINAL COMP	$1,230	$592.93	$565.80 – $1,119.30
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $947.10 Aetna — Commercial\|HMO: $947.10 Aetna — Commercial\|PPO: $947.10 Cigna — Commercial\|All Other Plans: $848.70 Cigna — Commercial\|PPO: $848.70 Humana — Commercial\|All Plans: $565.80 Multiplan — Commercial\|All Plans: $1,119.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC U/S OB>=14 WKS-1 FETUS	$743	$358.17	$205 – $676.13
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $594.40 Aetna — Commercial\|HMO: $594.40 Aetna — Commercial\|PPO: $594.40 Aetna — Medicaid\|Better Health: $230.33 Aetna — Medicare\|All Plans: $214.29 BCBS - Anthem — Medicaid\|All Plans: $241.85 BCBS - Anthem — Medicare\|All Plans: $208.04 CareSource — Commercial\|All Plans: $416.08 Cigna — Commercial\|All Other Plans: $512.67 Cigna — Commercial\|PPO: $512.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC U/S OB>=14 WKS-1 FETUS	$743	$358.17	$341.78 – $676.13
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $572.11 Aetna — Commercial\|HMO: $572.11 Aetna — Commercial\|PPO: $572.11 Cigna — Commercial\|All Other Plans: $512.67 Cigna — Commercial\|PPO: $512.67 Humana — Commercial\|All Plans: $341.78 Multiplan — Commercial\|All Plans: $676.13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC U/SENDO VAG (EV)	$1,088	$524.48	$300.18 – $990.08
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $870.40 Aetna — Commercial\|HMO: $870.40 Aetna — Commercial\|PPO: $870.40 Aetna — Medicaid\|Better Health: $337.28 Aetna — Medicare\|All Plans: $313.78 BCBS - Anthem — Medicaid\|All Plans: $354.15 BCBS - Anthem — Medicare\|All Plans: $304.64 CareSource — Commercial\|All Plans: $609.28 Cigna — Commercial\|All Other Plans: $750.72 Cigna — Commercial\|PPO: $750.72
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC U/SENDO VAG (EV)	$1,088	$524.48	$500.48 – $990.08
Transvaginal ultrasound: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $837.76 Aetna — Commercial\|HMO: $837.76 Aetna — Commercial\|PPO: $837.76 Cigna — Commercial\|All Other Plans: $750.72 Cigna — Commercial\|PPO: $750.72 Humana — Commercial\|All Plans: $500.48 Multiplan — Commercial\|All Plans: $990.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC DIG SCREEN MAMMO UNI	$260	$125.34	$71.74 – $255
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $208 Aetna — Commercial\|HMO: $208 Aetna — Commercial\|PPO: $208 Aetna — Medicaid\|Better Health: $80.60 Aetna — Medicare\|All Plans: $80.95 BCBS - Anthem — Commercial\|HMO PPO: $175 BCBS - Anthem — Commercial\|Pathway: $147 BCBS - Anthem — Medicaid\|All Plans: $84.63 BCBS - Anthem — Medicare\|All Plans: $78.59 CareSource — Commercial\|All Plans: $157.18
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO SCRN BIL & CAD	$433	$208.73	$78.59 – $394.03
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $346.40 Aetna — Commercial\|HMO: $346.40 Aetna — Commercial\|PPO: $346.40 Aetna — Medicaid\|Better Health: $134.23 Aetna — Medicare\|All Plans: $80.95 BCBS - Anthem — Commercial\|HMO PPO: $175 BCBS - Anthem — Commercial\|Pathway: $147 BCBS - Anthem — Medicaid\|All Plans: $140.95 BCBS - Anthem — Medicare\|All Plans: $78.59 CareSource — Commercial\|All Plans: $157.18
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO SCRN DIGITAL BIL IMP	$286	$137.87	$78.59 – $260.26
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $228.80 Aetna — Commercial\|HMO: $228.80 Aetna — Commercial\|PPO: $228.80 Aetna — Medicaid\|Better Health: $88.66 Aetna — Medicare\|All Plans: $80.95 BCBS - Anthem — Commercial\|HMO PPO: $175 BCBS - Anthem — Commercial\|Pathway: $147 BCBS - Anthem — Medicaid\|All Plans: $93.10 BCBS - Anthem — Medicare\|All Plans: $78.59 CareSource — Commercial\|All Plans: $157.18

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOMNOGRAPHY	$5,481	$2,642.14	$1,512.21 – $4,987.71
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $4,384.80 Aetna — Commercial\|HMO: $4,384.80 Aetna — Commercial\|PPO: $4,384.80 Aetna — Medicaid\|Better Health: $1,699.11 Aetna — Medicare\|All Plans: $1,580.73 BCBS - Anthem — Medicaid\|All Plans: $1,784.07 BCBS - Anthem — Medicare\|All Plans: $1,534.68 CareSource — Commercial\|All Plans: $3,069.36 Cigna — Commercial\|All Other Plans: $3,781.89 Cigna — Commercial\|PPO: $3,781.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC POLYSOMNOGRAPHY	$5,481	$2,642.14	$2,521.26 – $4,987.71
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $4,220.37 Aetna — Commercial\|HMO: $4,220.37 Aetna — Commercial\|PPO: $4,220.37 Cigna — Commercial\|All Other Plans: $3,781.89 Cigna — Commercial\|PPO: $3,781.89 Humana — Commercial\|All Plans: $2,521.26 Multiplan — Commercial\|All Plans: $4,987.71

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: HC OT THER EXERCISE 15 MIN	$167	$80.51	$46.08 – $151.97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $133.60 Aetna — Commercial\|HMO: $133.60 Aetna — Commercial\|PPO: $133.60 Aetna — Medicaid\|Better Health: $51.77 Aetna — Medicare\|All Plans: $48.17 BCBS - Anthem — Medicaid\|All Plans: $54.36 BCBS - Anthem — Medicare\|All Plans: $46.76 CareSource — Commercial\|All Plans: $93.52 Cigna — Commercial\|All Other Plans: $115.23 Cigna — Commercial\|PPO: $115.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THER EXERCISE 15 MIN	$120	$57.85	$33.11 – $109.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $96 Aetna — Commercial\|HMO: $96 Aetna — Commercial\|PPO: $96 Aetna — Medicaid\|Better Health: $37.20 Aetna — Medicare\|All Plans: $34.61 BCBS - Anthem — Medicaid\|All Plans: $39.06 BCBS - Anthem — Medicare\|All Plans: $33.60 CareSource — Commercial\|All Plans: $67.20 Cigna — Commercial\|All Other Plans: $82.80 Cigna — Commercial\|PPO: $82.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC OT THER EXERCISE 15 MIN	$167	$80.51	$76.82 – $151.97
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $128.59 Aetna — Commercial\|HMO: $128.59 Aetna — Commercial\|PPO: $128.59 Cigna — Commercial\|All Other Plans: $115.23 Cigna — Commercial\|PPO: $115.23 Humana — Commercial\|All Plans: $76.82 Multiplan — Commercial\|All Plans: $151.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN	$362	$174.51	$99.88 – $329.42
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $289.60 Aetna — Commercial\|HMO: $289.60 Aetna — Commercial\|PPO: $289.60 Aetna — Medicaid\|Better Health: $112.22 Aetna — Medicare\|All Plans: $104.41 BCBS - Anthem — Medicaid\|All Plans: $117.84 BCBS - Anthem — Medicare\|All Plans: $101.36 CareSource — Commercial\|All Plans: $202.72 Cigna — Commercial\|All Other Plans: $249.78 Cigna — Commercial\|PPO: $249.78
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN	$362	$174.51	$166.52 – $329.42
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $278.74 Aetna — Commercial\|HMO: $278.74 Aetna — Commercial\|PPO: $278.74 Cigna — Commercial\|All Other Plans: $249.78 Cigna — Commercial\|PPO: $249.78 Humana — Commercial\|All Plans: $166.52 Multiplan — Commercial\|All Plans: $329.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MOD COMPLEX	$362	$174.51	$99.88 – $329.42
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $289.60 Aetna — Commercial\|HMO: $289.60 Aetna — Commercial\|PPO: $289.60 Aetna — Medicaid\|Better Health: $112.22 Aetna — Medicare\|All Plans: $104.41 BCBS - Anthem — Medicaid\|All Plans: $117.84 BCBS - Anthem — Medicare\|All Plans: $101.36 CareSource — Commercial\|All Plans: $202.72 Cigna — Commercial\|All Other Plans: $249.78 Cigna — Commercial\|PPO: $249.78
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL MOD COMPLEX	$362	$174.51	$166.52 – $329.42
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $278.74 Aetna — Commercial\|HMO: $278.74 Aetna — Commercial\|PPO: $278.74 Cigna — Commercial\|All Other Plans: $249.78 Cigna — Commercial\|PPO: $249.78 Humana — Commercial\|All Plans: $166.52 Multiplan — Commercial\|All Plans: $329.42
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEX	$362	$174.51	$99.88 – $329.42
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: $289.60 Aetna — Commercial\|HMO: $289.60 Aetna — Commercial\|PPO: $289.60 Aetna — Medicaid\|Better Health: $112.22 Aetna — Medicare\|All Plans: $104.41 BCBS - Anthem — Medicaid\|All Plans: $117.84 BCBS - Anthem — Medicare\|All Plans: $101.36 CareSource — Commercial\|All Plans: $202.72 Cigna — Commercial\|All Other Plans: $249.78 Cigna — Commercial\|PPO: $249.78
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEX	$362	$174.51	$166.52 – $329.42
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $278.74 Aetna — Commercial\|HMO: $278.74 Aetna — Commercial\|PPO: $278.74 Cigna — Commercial\|All Other Plans: $249.78 Cigna — Commercial\|PPO: $249.78 Humana — Commercial\|All Plans: $166.52 Multiplan — Commercial\|All Plans: $329.42
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY 30 MIN W PAT	$331	$159.56	$91.33 – $301.21
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates Aetna — Commercial\|All Other Plans: $264.80 Aetna — Commercial\|HMO: $264.80 Aetna — Commercial\|PPO: $264.80 Aetna — Medicaid\|Better Health: $102.61 Aetna — Medicare\|All Plans: $95.47 BCBS - Anthem — Medicaid\|All Plans: $107.75 BCBS - Anthem — Medicare\|All Plans: $92.68 CareSource — Commercial\|All Plans: $185.36 Cigna — Commercial\|All Other Plans: $228.39 Cigna — Commercial\|PPO: $228.39
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: HC PSYCHOTHERAPY 30 MIN W PAT	$331	$159.56	$152.26 – $301.21
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $254.87 Aetna — Commercial\|HMO: $254.87 Aetna — Commercial\|PPO: $254.87 Cigna — Commercial\|All Other Plans: $228.39 Cigna — Commercial\|PPO: $228.39 Humana — Commercial\|All Plans: $152.26 Multiplan — Commercial\|All Plans: $301.21
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYTX PT & FAMILY 45 MIN	$457	$220.30	$126.09 – $415.87
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates Aetna — Commercial\|All Other Plans: $365.60 Aetna — Commercial\|HMO: $365.60 Aetna — Commercial\|PPO: $365.60 Aetna — Medicaid\|Better Health: $141.67 Aetna — Medicare\|All Plans: $131.80 BCBS - Anthem — Medicaid\|All Plans: $148.76 BCBS - Anthem — Medicare\|All Plans: $127.96 CareSource — Commercial\|All Plans: $255.92 Cigna — Commercial\|All Other Plans: $315.33 Cigna — Commercial\|PPO: $315.33
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: HC PSYTX PT & FAMILY 45 MIN	$457	$220.30	$210.22 – $415.87
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $351.89 Aetna — Commercial\|HMO: $351.89 Aetna — Commercial\|PPO: $351.89 Cigna — Commercial\|All Other Plans: $315.33 Cigna — Commercial\|PPO: $315.33 Humana — Commercial\|All Plans: $210.22 Multiplan — Commercial\|All Plans: $415.87
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PSYTX PT & FAMILY 60 MIN	$638	$307.56	$176.03 – $580.58
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates Aetna — Commercial\|All Other Plans: $510.40 Aetna — Commercial\|HMO: $510.40 Aetna — Commercial\|PPO: $510.40 Aetna — Medicaid\|Better Health: $197.78 Aetna — Medicare\|All Plans: $184 BCBS - Anthem — Medicaid\|All Plans: $207.67 BCBS - Anthem — Medicare\|All Plans: $178.64 CareSource — Commercial\|All Plans: $357.28 Cigna — Commercial\|All Other Plans: $440.22 Cigna — Commercial\|PPO: $440.22
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: HC PSYTX PT & FAMILY 60 MIN	$638	$307.56	$293.48 – $580.58
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $491.26 Aetna — Commercial\|HMO: $491.26 Aetna — Commercial\|PPO: $491.26 Cigna — Commercial\|All Other Plans: $440.22 Cigna — Commercial\|PPO: $440.22 Humana — Commercial\|All Plans: $293.48 Multiplan — Commercial\|All Plans: $580.58
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYCHOTHERAPY W/PAT PRESENT 50 MINS	$756	$364.44	$208.59 – $687.96
Family psychotherapy, with the patient: 10 of 20 insurance plan rates Aetna — Commercial\|All Other Plans: $604.80 Aetna — Commercial\|HMO: $604.80 Aetna — Commercial\|PPO: $604.80 Aetna — Medicaid\|Better Health: $234.36 Aetna — Medicare\|All Plans: $218.04 BCBS - Anthem — Medicaid\|All Plans: $246.08 BCBS - Anthem — Medicare\|All Plans: $211.68 CareSource — Commercial\|All Plans: $423.36 Cigna — Commercial\|All Other Plans: $521.64 Cigna — Commercial\|PPO: $521.64
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: HC FAMILY PSYCHOTHERAPY W/PAT PRESENT 50 MINS	$756	$364.44	$347.76 – $687.96
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $582.12 Aetna — Commercial\|HMO: $582.12 Aetna — Commercial\|PPO: $582.12 Cigna — Commercial\|All Other Plans: $521.64 Cigna — Commercial\|PPO: $521.64 Humana — Commercial\|All Plans: $347.76 Multiplan — Commercial\|All Plans: $687.96
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP PSYCHOTHERAPY 45-50 MIN	$413	$199.09	$113.95 – $375.83
Group psychotherapy: 10 of 20 insurance plan rates Aetna — Commercial\|All Other Plans: $330.40 Aetna — Commercial\|HMO: $330.40 Aetna — Commercial\|PPO: $330.40 Aetna — Medicaid\|Better Health: $128.03 Aetna — Medicare\|All Plans: $119.11 BCBS - Anthem — Medicaid\|All Plans: $134.44 BCBS - Anthem — Medicare\|All Plans: $115.64 CareSource — Commercial\|All Plans: $231.28 Cigna — Commercial\|All Other Plans: $284.97 Cigna — Commercial\|PPO: $284.97
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: HC GROUP PSYCHOTHERAPY 45-50 MIN	$413	$199.09	$189.98 – $375.83
Group psychotherapy: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $318.01 Aetna — Commercial\|HMO: $318.01 Aetna — Commercial\|PPO: $318.01 Cigna — Commercial\|All Other Plans: $284.97 Cigna — Commercial\|PPO: $284.97 Humana — Commercial\|All Plans: $189.98 Multiplan — Commercial\|All Plans: $375.83

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: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,363 – $3,975
Removal of breast growth (open surgery): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $3,975 BCBS - Anthem — Commercial\|Pathway: $3,363 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	Not listed in the file
Total hip replacement: 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|All Other Plans: 69% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 69% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	Not listed in the file
Total knee replacement: 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|All Other Plans: 69% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 69% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$3,363 – $3,975
Shoulder arthroscopy: shaving of shoulder bone: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $3,975 BCBS - Anthem — Commercial\|Pathway: $3,363 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$3,815 – $4,508
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $4,508 BCBS - Anthem — Commercial\|Pathway: $3,815 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$3,363 – $3,975
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $3,975 BCBS - Anthem — Commercial\|Pathway: $3,363 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH	$2,159	$1,040.76	$595.67 – $2,348
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,727.20 Aetna — Commercial\|HMO: $1,727.20 Aetna — Commercial\|PPO: $1,727.20 Aetna — Medicaid\|Better Health: $669.29 Aetna — Medicare\|All Plans: $622.66 BCBS - Anthem — Commercial\|HMO PPO: $2,348 BCBS - Anthem — Commercial\|Pathway: $1,988 BCBS - Anthem — Medicaid\|All Plans: $702.76 BCBS - Anthem — Medicare\|All Plans: $604.52 CareSource — Commercial\|All Plans: $1,209.04
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH	$2,159	$1,040.76	$993.14 – $1,964.69
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,662.43 Aetna — Commercial\|HMO: $1,662.43 Aetna — Commercial\|PPO: $1,662.43 Cigna — Commercial\|All Other Plans: $1,489.71 Cigna — Commercial\|PPO: $1,489.71 Humana — Commercial\|All Plans: $993.14 Multiplan — Commercial\|All Plans: $1,964.69
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD WITH BIOPSY	$2,273	$1,095.71	$627.13 – $2,565
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,818.40 Aetna — Commercial\|HMO: $1,818.40 Aetna — Commercial\|PPO: $1,818.40 Aetna — Medicaid\|Better Health: $704.63 Aetna — Medicare\|All Plans: $655.54 BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 BCBS - Anthem — Medicaid\|All Plans: $739.87 BCBS - Anthem — Medicare\|All Plans: $636.44 CareSource — Commercial\|All Plans: $1,272.88
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD WITH BIOPSY	$2,273	$1,095.71	$1,045.58 – $2,068.43
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,750.21 Aetna — Commercial\|HMO: $1,750.21 Aetna — Commercial\|PPO: $1,750.21 Cigna — Commercial\|All Other Plans: $1,568.37 Cigna — Commercial\|PPO: $1,568.37 Humana — Commercial\|All Plans: $1,045.58 Multiplan — Commercial\|All Plans: $2,068.43
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$2,170 – $2,565
Colonoscopy (diagnostic): 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY AND BIOPSY	$2,768	$1,334.33	$763.70 – $2,565
Colonoscopy with biopsy: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $2,214.40 Aetna — Commercial\|HMO: $2,214.40 Aetna — Commercial\|PPO: $2,214.40 Aetna — Medicaid\|Better Health: $858.08 Aetna — Medicare\|All Plans: $798.30 BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 BCBS - Anthem — Medicaid\|All Plans: $900.99 BCBS - Anthem — Medicare\|All Plans: $775.04 CareSource — Commercial\|All Plans: $1,550.08
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: HC COLONOSCOPY AND BIOPSY	$2,768	$1,334.33	$1,273.28 – $2,518.88
Colonoscopy with biopsy: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $2,131.36 Aetna — Commercial\|HMO: $2,131.36 Aetna — Commercial\|PPO: $2,131.36 Cigna — Commercial\|All Other Plans: $1,909.92 Cigna — Commercial\|PPO: $1,909.92 Humana — Commercial\|All Plans: $1,273.28 Multiplan — Commercial\|All Plans: $2,518.88
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY W/LESION REMOVAL	$1,854	$893.73	$511.52 – $2,565
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,483.20 Aetna — Commercial\|HMO: $1,483.20 Aetna — Commercial\|PPO: $1,483.20 Aetna — Medicaid\|Better Health: $574.74 Aetna — Medicare\|All Plans: $534.70 BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 BCBS - Anthem — Medicaid\|All Plans: $603.48 BCBS - Anthem — Medicare\|All Plans: $519.12 CareSource — Commercial\|All Plans: $1,038.24
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: HC COLONOSCOPY W/LESION REMOVAL	$1,854	$893.73	$852.84 – $1,687.14
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,427.58 Aetna — Commercial\|HMO: $1,427.58 Aetna — Commercial\|PPO: $1,427.58 Cigna — Commercial\|All Other Plans: $1,279.26 Cigna — Commercial\|PPO: $1,279.26 Humana — Commercial\|All Plans: $852.84 Multiplan — Commercial\|All Plans: $1,687.14
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$2,170 – $2,565
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$4,168 – $4,926
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $4,926 BCBS - Anthem — Commercial\|Pathway: $4,168 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,815 – $4,508
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $4,508 BCBS - Anthem — Commercial\|Pathway: $3,815 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY PROSTATE NEEDLE	$4,327	$2,085.85	$1,193.82 – $3,937.57
Prostate biopsy: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $3,461.60 Aetna — Commercial\|HMO: $3,461.60 Aetna — Commercial\|PPO: $3,461.60 Aetna — Medicaid\|Better Health: $1,341.37 Aetna — Medicare\|All Plans: $1,247.91 BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 BCBS - Anthem — Medicaid\|All Plans: $1,408.44 BCBS - Anthem — Medicare\|All Plans: $1,211.56 CareSource — Commercial\|All Plans: $2,423.12
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY PROSTATE NEEDLE	$4,327	$2,085.85	$1,990.42 – $3,937.57
Prostate biopsy: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $3,331.79 Aetna — Commercial\|HMO: $3,331.79 Aetna — Commercial\|PPO: $3,331.79 Cigna — Commercial\|All Other Plans: $2,985.63 Cigna — Commercial\|PPO: $2,985.63 Humana — Commercial\|All Plans: $1,990.42 Multiplan — Commercial\|All Plans: $3,937.57
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|All Other Plans: 69% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|PPO: 69% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,363 – $3,975
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $3,975 BCBS - Anthem — Commercial\|Pathway: $3,363 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC INJ LUMBAR W IMAGING	$1,700	$819.50	$469.03 – $2,348
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,360 Aetna — Commercial\|HMO: $1,360 Aetna — Commercial\|PPO: $1,360 Aetna — Medicaid\|Better Health: $527 Aetna — Medicare\|All Plans: $490.28 BCBS - Anthem — Commercial\|HMO PPO: $2,348 BCBS - Anthem — Commercial\|Pathway: $1,988 BCBS - Anthem — Medicaid\|All Plans: $553.35 BCBS - Anthem — Medicare\|All Plans: $476 CareSource — Commercial\|All Plans: $952
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC INJ LUMBAR W IMAGING	$1,700	$819.50	$782 – $1,547
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,309 Aetna — Commercial\|HMO: $1,309 Aetna — Commercial\|PPO: $1,309 Cigna — Commercial\|All Other Plans: $1,173 Cigna — Commercial\|PPO: $1,173 Humana — Commercial\|All Plans: $782 Multiplan — Commercial\|All Plans: $1,547
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC INJ(S) FORAMEN LUMB/SAC	$1,872	$902.41	$516.49 – $2,348
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,497.60 Aetna — Commercial\|HMO: $1,497.60 Aetna — Commercial\|PPO: $1,497.60 Aetna — Medicaid\|Better Health: $580.32 Aetna — Medicare\|All Plans: $539.89 BCBS - Anthem — Commercial\|HMO PPO: $2,348 BCBS - Anthem — Commercial\|Pathway: $1,988 BCBS - Anthem — Medicaid\|All Plans: $609.34 BCBS - Anthem — Medicare\|All Plans: $524.16 CareSource — Commercial\|All Plans: $1,048.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: HC INJ(S) FORAMEN LUMB/SAC	$1,872	$902.41	$861.12 – $1,703.52
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,441.44 Aetna — Commercial\|HMO: $1,441.44 Aetna — Commercial\|PPO: $1,441.44 Cigna — Commercial\|All Other Plans: $1,291.68 Cigna — Commercial\|PPO: $1,291.68 Humana — Commercial\|All Plans: $861.12 Multiplan — Commercial\|All Plans: $1,703.52
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$2,170 – $2,565
Carpal tunnel release: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: HC DISCISSION2ND CATARACTLASER	$1,456	$701.88	$401.72 – $2,565
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates Aetna — Commercial\|All Other Plans: $1,164.80 Aetna — Commercial\|HMO: $1,164.80 Aetna — Commercial\|PPO: $1,164.80 Aetna — Medicaid\|Better Health: $451.36 Aetna — Medicare\|All Plans: $419.92 BCBS - Anthem — Commercial\|HMO PPO: $2,565 BCBS - Anthem — Commercial\|Pathway: $2,170 BCBS - Anthem — Medicaid\|All Plans: $473.93 BCBS - Anthem — Medicare\|All Plans: $407.68 CareSource — Commercial\|All Plans: $815.36
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: HC DISCISSION2ND CATARACTLASER	$1,456	$701.88	$669.76 – $1,324.96
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans Aetna — Commercial\|All Other Plans: $1,121.12 Aetna — Commercial\|HMO: $1,121.12 Aetna — Commercial\|PPO: $1,121.12 Cigna — Commercial\|All Other Plans: $1,004.64 Cigna — Commercial\|PPO: $1,004.64 Humana — Commercial\|All Plans: $669.76 Multiplan — Commercial\|All Plans: $1,324.96
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$3,175 – $3,753
Cataract removal with lens implant: 10 of 24 insurance plan rates BCBS - Anthem — Commercial\|HMO PPO: $3,753 BCBS - Anthem — Commercial\|Pathway: $3,175 Aetna — Commercial\|All Other Plans: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|HMO: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial\|PPO: 80% (a percentage in the contract, not a dollar amount) Aetna — Medicaid\|Better Health: 31% (a percentage in the contract, not a dollar amount) Aetna — Medicare\|All Plans: 28.84% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicaid\|All Plans: 32.55% (a percentage in the contract, not a dollar amount) BCBS - Anthem — Medicare\|All Plans: 28% (a percentage in the contract, not a dollar amount) CareSource — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount)

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	Not listed in the file	Not listed in the file	$78,714 – $135,887
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates Aetna — Medicaid\|Better Health: $3,024 Aetna — Medicare\|All Plans: $3,686 BCBS - Anthem — Commercial\|HMO PPO: $135,887 BCBS - Anthem — Commercial\|Pathway: $121,517 BCBS - Anthem — Medicaid\|All Plans: $3,176 BCBS - Anthem — Medicare\|All Plans: $3,578 CareSource — Commercial\|All Plans: $7,156 Humana — Medicaid\|All Plans: $3,024 Humana — Medicare\|All Plans: $3,578 Passport by Molina — Medicaid\|All Plans: $3,085
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	Not listed in the file	Not listed in the file	$15,378 – $26,548
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates Aetna — Medicaid\|Better Health: $3,024 Aetna — Medicare\|All Plans: $3,686 BCBS - Anthem — Commercial\|HMO PPO: $26,548 BCBS - Anthem — Commercial\|Pathway: $23,740 BCBS - Anthem — Medicaid\|All Plans: $3,176 BCBS - Anthem — Medicare\|All Plans: $3,578 CareSource — Commercial\|All Plans: $7,156 Humana — Medicaid\|All Plans: $3,024 Humana — Medicare\|All Plans: $3,578 Passport by Molina — Medicaid\|All Plans: $3,085
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$19,309 – $33,333
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates Aetna — Medicaid\|Better Health: $3,024 Aetna — Medicare\|All Plans: $3,686 BCBS - Anthem — Commercial\|HMO PPO: $33,333 BCBS - Anthem — Commercial\|Pathway: $29,808 BCBS - Anthem — Medicaid\|All Plans: $3,176 BCBS - Anthem — Medicare\|All Plans: $3,578 CareSource — Commercial\|All Plans: $7,156 Humana — Medicaid\|All Plans: $3,024 Humana — Medicare\|All Plans: $3,578 Passport by Molina — Medicaid\|All Plans: $3,085
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	Not listed in the file	Not listed in the file	$9,777 – $16,878
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates Aetna — Medicaid\|Better Health: $3,024 Aetna — Medicare\|All Plans: $3,686 BCBS - Anthem — Commercial\|HMO PPO: $16,878 BCBS - Anthem — Commercial\|Pathway: $15,093 BCBS - Anthem — Medicaid\|All Plans: $3,176 BCBS - Anthem — Medicare\|All Plans: $3,578 CareSource — Commercial\|All Plans: $7,156 Humana — Medicaid\|All Plans: $3,024 Humana — Medicare\|All Plans: $3,578 Passport by Molina — Medicaid\|All Plans: $3,085

Source: CHI Saint Joseph Berea NF’s standard charges file (commonspirit.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 28, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	305 Estill Street, Berea, KY 40403
County	Madison County
State	Kentucky
Phone	(859) 986‑3151
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	181329
Name in Medicare records	CHI SAINT JOSEPH BEREA NF
Profile level	Medicare data + hospital website
Name on the hospital’s website	Saint Joseph Hospital - Berea
Official website	commonspirit.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

CommonSpirit - Saint Joseph Hospital - Berea — commonspirit.org
CommonSpirit - Saint Joseph Hospital - Berea, KY | CommonSpirit Health — commonspirit.org

CHI Saint Joseph Berea NF

Summary

Profile from official sources

At a glance