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Children's Hospital

Childrens Hospital of the Kings Daughters Inc

Norfolk, Virginia · Norfolk City · Emergency services listed

Summary

Childrens Hospital of the Kings Daughters Inc is a children's hospital in Norfolk, Virginia. Medicare data lists emergency services. Its official website lists 49 services, specialties and programs. Medicare lists 23 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a children's hospital?

A hospital that treats babies, children and teenagers, with doctors and equipment made for young patients. More about hospital types

Call(757) 668‑9647 Directions Website Medicare profile
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Exterior of Childrens Hospital of the Kings Daughters Inc
Photo: Sichensliu, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
266Beds (hospital website)
23Doctors and clinicians
49Services listed

Quick answers

Does Childrens Hospital of the Kings Daughters Inc have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Childrens Hospital of the Kings Daughters Inc. In a medical emergency, call 911.
Where is Childrens Hospital of the Kings Daughters Inc?
601 Children's Lane, Norfolk, VA 23507, in Norfolk City, Virginia.
What is the phone number of Childrens Hospital of the Kings Daughters Inc?
(757) 668-9647, as listed by Medicare (CMS).
What is the Medicare star rating of Childrens Hospital of the Kings Daughters Inc?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[6][7][8][11]

Conditions treated[6][8]

Treatments[6][8]

Procedures[12]

  • Outpatient surgery

Programs and centers[5][6][8][10][11]

  • Level 1 Pediatric Trauma Center
  • Mobile Intensive Care Transport
  • Inpatient pediatric rehabilitation unit
  • Injury Prevention Program

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel 1 Pediatric Trauma Center

Visiting and practical information

ParkingVisitor garage on Wagner Avenue; free all-day parking for one car per patient per day with paperwork; emergency families use Garage E[4]
Interpreters and languagesPatient interpretation line (833) 326-1153 listed[4]

Recognition[6][9]

  • Level I Children's Surgery Center (American College of Surgeons highest level of pediatric surgical care certification)
  • College of American Pathologists (CAP) laboratory accreditation

Doctors and clinicians (23)

23 doctors and other clinicians list Childrens Hospital of the Kings Daughters Inc 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 (23)

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

What Childrens Hospital of the Kings Daughters Inc 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.

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 NorfolkBest hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Childrens Hospital of the Kings Daughters Inc 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 →

$ 7 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW L* $110 $99 $55.11 – $110.04
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $105.27
  • Aetna Better Health — All Products: $71.65
  • Anthem — All Commercial Products Except Healthkeepers: $175.63
  • Anthem — Healthkeepers: $170.33
  • Anthem Healthkeepers Plus — All Products: $55.11
  • Carolina Complete Health — Tailored Plan: $83.32
  • Evernorth — CIGNA Behavioral Health: $93.01
  • First Health — All Commercial Products: $99
  • Humana Healthy Horizons — All Products: $66.14
  • Johns Hopkins HealthCare — All Products: $104.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF OP NEW 30+MIN $23.15 $20.84 $5.32 – $5.48
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW LW MDM 30+MIN $23.15 $20.84 $5.32 – $21.99
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW M* $745 $670.50 $122.35 – $707.75
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $178.33
  • Aetna Better Health — All Products: $159.06
  • Anthem — All Commercial Products Except Healthkeepers: $261.57
  • Anthem — Healthkeepers: $253.67
  • Anthem Healthkeepers Plus — All Products: $122.35
  • Carolina Complete Health — Tailored Plan: $129.21
  • Evernorth — CIGNA Behavioral Health: $131.86
  • First Health — All Commercial Products: $670.50
  • Humana Healthy Horizons — All Products: $146.82
  • Johns Hopkins HealthCare — All Products: $707.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW MOD MDM 45-59M $23.15 $20.84 $5.32 – $21.99
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF OP NEW 45 MIN-- $23.15 $20.84 $5.32 – $21.99
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW H* $209 $188.10 $109.08 – $232.74
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $232.74
  • Aetna Better Health — All Products: $141.80
  • Anthem — All Commercial Products Except Healthkeepers: $345.90
  • Anthem — Healthkeepers: $335.46
  • Anthem Healthkeepers Plus — All Products: $109.08
  • Carolina Complete Health — Tailored Plan: $163.34
  • Evernorth — CIGNA Behavioral Health: $167.89
  • First Health — All Commercial Products: $188.10
  • Humana Healthy Horizons — All Products: $130.90
  • Johns Hopkins HealthCare — All Products: $198.55
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF OP NEW 60+MIN $23.15 $20.84 $5.32 – $5.48
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW HIMDM 60+MIN $23.15 $20.84 $5.32 – $21.99
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTAB* $61 $54.90 $42.70 – $86.78
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $70.60
  • Aetna Better Health — All Products: $58.47
  • Anthem — All Commercial Products Except Healthkeepers: $142
  • Anthem — Healthkeepers: $137.71
  • Anthem Healthkeepers Plus — All Products: $44.98
  • Carolina Complete Health — Tailored Plan: $55.92
  • Evernorth — CIGNA Behavioral Health: $50.63
  • First Health — All Commercial Products: $54.90
  • Humana Healthy Horizons — All Products: $53.97
  • Johns Hopkins HealthCare — All Products: $57.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST LW MDM 20+M $23.15 $20.84 $5.32 – $21.99
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF OP VST 20+MIN $23.15 $20.84 $5.32 – $21.99
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTAB* $88 $79.20 $61.60 – $122.93
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $108.89
  • Aetna Better Health — All Products: $82.27
  • Anthem — All Commercial Products Except Healthkeepers: $200.19
  • Anthem — Healthkeepers: $194.14
  • Anthem Healthkeepers Plus — All Products: $63.29
  • Carolina Complete Health — Tailored Plan: $84.25
  • Evernorth — CIGNA Behavioral Health: $79.48
  • First Health — All Commercial Products: $79.20
  • Humana Healthy Horizons — All Products: $75.95
  • Johns Hopkins HealthCare — All Products: $83.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST MOD MDM 30+MIN $23.15 $20.84 $5.32 – $21.99
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF OP VST 30+MIN $23.15 $20.84 $5.32 – $21.99
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OP CONSLTJ NEW/E* $165 $148.50 $45 – $156.75
Office consultation with a specialist (moderate): 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $125.75
  • Aetna Better Health — All Products: $71.86
  • Anthem — All Commercial Products Except Healthkeepers: $187.36
  • Anthem — Healthkeepers: $181.71
  • Anthem Healthkeepers Plus — All Products: $55.28
  • Carolina Complete Health — Tailored Plan: $102.97
  • Evernorth — CIGNA Behavioral Health: $45
  • First Health — All Commercial Products: $148.50
  • Humana Healthy Horizons — All Products: $66.33
  • Johns Hopkins HealthCare — All Products: $156.75
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CON NEW/EST 40M $23.15 $20.84 $5.32 – $21.99
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF CONSULT NEW/ESTAB $23.15 $20.84 $5.32 – $21.99
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OP CONSLTJ NEW/E* $232 $208.80 $78.66 – $220.40
Office consultation with a specialist (moderate to high): 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $202.12
  • Aetna Better Health — All Products: $102.26
  • Anthem — All Commercial Products Except Healthkeepers: $279.18
  • Anthem — Healthkeepers: $270.76
  • Anthem Healthkeepers Plus — All Products: $78.66
  • Carolina Complete Health — Tailored Plan: $152.94
  • Evernorth — CIGNA Behavioral Health: $80
  • First Health — All Commercial Products: $208.80
  • Humana Healthy Horizons — All Products: $94.39
  • Johns Hopkins HealthCare — All Products: $220.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CON NEW/EST 60M $23.15 $20.84 $5.32 – $21.99
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF CONSULT NEW/ESTAB $23.15 $20.84 $5.32 – $21.99
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Cigna — All Commercial Products: $15.37
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREVNT VISIT,NEW,18-39 $23.15 $20.84 $5.32 – $21.99
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
  • WellCare — All Products: $5.48
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier EP In the file: PREVNT VST,NEW,18-39-EP $23.15 $20.84 $5.32 – $21.99
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
  • WellCare — All Products: $5.48
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TJ In the file: PREVNT VST,NEW,18-39-TJ $23.15 $20.84 $5.32 – $21.99
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $5.32
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $5.43
  • Healthy Blue — All Products: $5.32
  • Humana Healthy Horizons — All Products: $337.35
  • Johns Hopkins HealthCare — All Products: $21.99
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
  • WellCare — All Products: $5.48
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 3-LIMITED VISIT $1,684.62 $1,516.16 $387.46 – $1,600.39
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $1,384.76
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $387.46
  • Anthem — All Commercial Products Except Healthkeepers: $937.97
  • Anthem — Healthkeepers: $937.97
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $395.21
  • Cigna — All Commercial Products: $1,118.59
  • First Health — All Commercial Products: $1,516.16
  • Healthy Blue — All Products: $387.46
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL 3-LIMITED VISIT $1,684.62 $1,516.16 $1,118.59 – $1,549.85
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $1,384.76
  • Cigna — All Commercial Products: $1,118.59
  • First Health — All Commercial Products: $1,516.16
  • MedCost — All Commercial Products: $1,549.85
  • Multiplan — All Commercial Products: $1,549.85
  • PHCS — All Commercial Products: $1,549.85
  • UnitedHealthcare — MAMSI: $1,275.26
  • UnitedHealthcare — OneNet Options: $1,384.76
  • VHN — Commercial Products: $1,549.85
  • Virginia Health Network — VHN Plus: $1,347.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: LEVEL 3-LIMITED VT-25 $1,684.62 $1,516.16 $387.46 – $1,600.39
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $1,384.76
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $387.46
  • Anthem — All Commercial Products Except Healthkeepers: $937.97
  • Anthem — Healthkeepers: $937.97
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $395.21
  • Cigna — All Commercial Products: $1,118.59
  • First Health — All Commercial Products: $1,516.16
  • Healthy Blue — All Products: $387.46
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 4-EXTENDED VISIT $2,637.45 $2,373.71 $606.61 – $2,505.58
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,167.98
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $606.61
  • Anthem — All Commercial Products Except Healthkeepers: $1,433.55
  • Anthem — Healthkeepers: $1,433.55
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $618.75
  • Cigna — All Commercial Products: $1,751.27
  • First Health — All Commercial Products: $2,373.70
  • Healthy Blue — All Products: $606.61
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL 4-EXTENDED VISIT $2,637.45 $2,373.71 $1,751.27 – $2,426.45
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $2,167.98
  • Cigna — All Commercial Products: $1,751.27
  • First Health — All Commercial Products: $2,373.70
  • MedCost — All Commercial Products: $2,426.45
  • Multiplan — All Commercial Products: $2,426.45
  • PHCS — All Commercial Products: $2,426.45
  • UnitedHealthcare — MAMSI: $1,996.55
  • UnitedHealthcare — OneNet Options: $2,167.98
  • VHN — Commercial Products: $2,426.45
  • Virginia Health Network — VHN Plus: $2,109.96
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $41,100
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $41,100
  • Aetna Better Health — All Products: $337.35
  • Anthem — All Commercial Products Except Healthkeepers: $1,433.55
  • Anthem — Healthkeepers: $1,433.55
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Humana Healthy Horizons — All Products: $337.35
  • Sentara Community Plan — All Products: $321.78
  • UnitedHealthcare Community Plan — All Products: $275.07
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Carolina Complete Health — Tailored Plan: 23.5% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 5-COMPREHENSV VISIT $4,007.86 $3,607.07 $921.81 – $3,807.47
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $3,294.46
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $921.81
  • Anthem — All Commercial Products Except Healthkeepers: $2,046.25
  • Anthem — Healthkeepers: $2,046.25
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $940.24
  • Cigna — All Commercial Products: $2,661.22
  • First Health — All Commercial Products: $3,607.07
  • Healthy Blue — All Products: $921.81
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL 5-COMPREHENSV VISIT $4,007.86 $3,607.07 $2,661.22 – $3,687.23
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $3,294.46
  • Cigna — All Commercial Products: $2,661.22
  • First Health — All Commercial Products: $3,607.07
  • MedCost — All Commercial Products: $3,687.23
  • Multiplan — All Commercial Products: $3,687.23
  • PHCS — All Commercial Products: $3,687.23
  • UnitedHealthcare — MAMSI: $3,033.95
  • UnitedHealthcare — OneNet Options: $3,294.46
  • VHN — Commercial Products: $3,687.23
  • Virginia Health Network — VHN Plus: $3,206.29
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: LEVEL5-COMPRHNSV VT-25 $4,007.86 $3,607.07 $921.81 – $3,807.47
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $3,294.46
  • Aetna Better Health — All Products: $337.35
  • AmeriHealth Caritas — All Products: $921.81
  • Anthem — All Commercial Products Except Healthkeepers: $2,046.25
  • Anthem — Healthkeepers: $2,046.25
  • Anthem Healthkeepers Plus — All Products: $273.25
  • Carolina Complete Health — Tailored Plan: $940.24
  • Cigna — All Commercial Products: $2,661.22
  • First Health — All Commercial Products: $3,607.07
  • Healthy Blue — All Products: $921.81

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $479.05 $431.15 $8.46 – $455.10
Basic metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $393.78
  • Aetna Better Health — All Products: $13.78
  • AmeriHealth Caritas — All Products: $14.62
  • Anthem — All Commercial Products Except Healthkeepers: $16.92
  • Anthem — Healthkeepers: $16.92
  • Anthem — Reference Lab: $9.58
  • Anthem Healthkeepers Plus — All Products: $11.16
  • Carolina Complete Health — Tailored Plan: $14.91
  • Cigna — All Commercial Products: $318.09
  • First Health — All Commercial Products: $431.15
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $479.05 $431.15 $318.09 – $440.73
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $393.78
  • Cigna — All Commercial Products: $318.09
  • First Health — All Commercial Products: $431.15
  • MedCost — All Commercial Products: $440.73
  • Multiplan — All Commercial Products: $440.73
  • PHCS — All Commercial Products: $440.73
  • UnitedHealthcare — MAMSI: $362.64
  • UnitedHealthcare — OneNet Options: $393.78
  • VHN — Commercial Products: $440.73
  • Virginia Health Network — VHN Plus: $383.24
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $405.17 $364.65 $10.56 – $384.91
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $333.05
  • Aetna Better Health — All Products: $13.78
  • AmeriHealth Caritas — All Products: $15.41
  • Anthem — All Commercial Products Except Healthkeepers: $21.12
  • Anthem — Healthkeepers: $21.12
  • Anthem — Reference Lab: $11.98
  • Anthem Healthkeepers Plus — All Products: $11.16
  • Carolina Complete Health — Tailored Plan: $15.72
  • Cigna — All Commercial Products: $269.03
  • First Health — All Commercial Products: $364.65
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $405.17 $364.65 $269.03 – $372.76
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $333.05
  • Cigna — All Commercial Products: $269.03
  • First Health — All Commercial Products: $364.65
  • MedCost — All Commercial Products: $372.76
  • Multiplan — All Commercial Products: $372.76
  • PHCS — All Commercial Products: $372.76
  • UnitedHealthcare — MAMSI: $306.71
  • UnitedHealthcare — OneNet Options: $333.05
  • VHN — Commercial Products: $372.76
  • Virginia Health Network — VHN Plus: $324.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $195.42 $175.88 $13.39 – $185.65
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $160.64
  • Aetna Better Health — All Products: $13.78
  • AmeriHealth Caritas — All Products: $24.45
  • Anthem — All Commercial Products Except Healthkeepers: $26.78
  • Anthem — Healthkeepers: $26.78
  • Anthem — Reference Lab: $15.18
  • Anthem Healthkeepers Plus — All Products: $11.16
  • Carolina Complete Health — Tailored Plan: $24.94
  • Cigna — All Commercial Products: $129.76
  • First Health — All Commercial Products: $175.88
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE $195.42 $175.88 $129.76 – $179.79
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $160.64
  • Cigna — All Commercial Products: $129.76
  • First Health — All Commercial Products: $175.88
  • MedCost — All Commercial Products: $179.79
  • Multiplan — All Commercial Products: $179.79
  • PHCS — All Commercial Products: $179.79
  • UnitedHealthcare — MAMSI: $147.93
  • UnitedHealthcare — OneNet Options: $160.64
  • VHN — Commercial Products: $179.79
  • Virginia Health Network — VHN Plus: $156.34
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $278.39 $250.55 $8.68 – $264.47
Kidney function panel: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $228.84
  • Aetna Better Health — All Products: $13.78
  • AmeriHealth Caritas — All Products: $14.62
  • Anthem — All Commercial Products Except Healthkeepers: $17.36
  • Anthem — Healthkeepers: $17.36
  • Anthem — Reference Lab: $9.84
  • Anthem Healthkeepers Plus — All Products: $11.16
  • Carolina Complete Health — Tailored Plan: $14.91
  • Cigna — All Commercial Products: $184.85
  • First Health — All Commercial Products: $250.55
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $278.39 $250.55 $184.85 – $256.12
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $228.84
  • Cigna — All Commercial Products: $184.85
  • First Health — All Commercial Products: $250.55
  • MedCost — All Commercial Products: $256.12
  • Multiplan — All Commercial Products: $256.12
  • PHCS — All Commercial Products: $256.12
  • UnitedHealthcare — MAMSI: $210.74
  • UnitedHealthcare — OneNet Options: $228.84
  • VHN — Commercial Products: $256.12
  • Virginia Health Network — VHN Plus: $222.71
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $293.27 $263.94 $8.17 – $278.61
Liver function panel: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $241.07
  • Aetna Better Health — All Products: $13.78
  • AmeriHealth Caritas — All Products: $14.62
  • Anthem — All Commercial Products Except Healthkeepers: $16.34
  • Anthem — Healthkeepers: $16.34
  • Anthem — Reference Lab: $9.26
  • Anthem Healthkeepers Plus — All Products: $11.16
  • Carolina Complete Health — Tailored Plan: $14.91
  • Cigna — All Commercial Products: $194.73
  • First Health — All Commercial Products: $263.94
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $293.27 $263.94 $194.73 – $269.81
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $241.07
  • Cigna — All Commercial Products: $194.73
  • First Health — All Commercial Products: $263.94
  • MedCost — All Commercial Products: $269.81
  • Multiplan — All Commercial Products: $269.81
  • PHCS — All Commercial Products: $269.81
  • UnitedHealthcare — MAMSI: $222.01
  • UnitedHealthcare — OneNet Options: $241.07
  • VHN — Commercial Products: $269.81
  • Virginia Health Network — VHN Plus: $234.62
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS/MICRO $132.86 $119.57 $3.17 – $126.22
Urine test (automated, with microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $109.21
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $5.78
  • Anthem — All Commercial Products Except Healthkeepers: $6.34
  • Anthem — Healthkeepers: $6.34
  • Anthem — Reference Lab: $3.58
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $5.90
  • Cigna — All Commercial Products: $88.22
  • First Health — All Commercial Products: $119.57
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE W/MICROSCOPIC $132.86 $119.57 $3.17 – $126.22
Urine test (automated, with microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $109.21
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $5.78
  • Anthem — All Commercial Products Except Healthkeepers: $6.34
  • Anthem — Healthkeepers: $6.34
  • Anthem — Reference Lab: $3.58
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $5.90
  • Cigna — All Commercial Products: $88.22
  • First Health — All Commercial Products: $119.57
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS/MICRO $132.86 $119.57 $88.22 – $122.23
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $109.21
  • Cigna — All Commercial Products: $88.22
  • First Health — All Commercial Products: $119.57
  • MedCost — All Commercial Products: $122.23
  • Multiplan — All Commercial Products: $122.23
  • PHCS — All Commercial Products: $122.23
  • UnitedHealthcare — MAMSI: $100.58
  • UnitedHealthcare — OneNet Options: $109.21
  • VHN — Commercial Products: $122.23
  • Virginia Health Network — VHN Plus: $106.29
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MET REDUCING SUBST $91.26 $82.13 $2.90 – $86.70
Urine test (manual, without microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $75.02
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $4.67
  • Anthem — All Commercial Products Except Healthkeepers: $6.96
  • Anthem — Healthkeepers: $6.96
  • Anthem — Reference Lab: $2.90
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $4.76
  • Cigna — All Commercial Products: $60.60
  • First Health — All Commercial Products: $82.13
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYS,NA W/O-MICRO $91.26 $82.13 $2.90 – $86.70
Urine test (manual, without microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $75.02
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $4.67
  • Anthem — All Commercial Products Except Healthkeepers: $6.96
  • Anthem — Healthkeepers: $6.96
  • Anthem — Reference Lab: $2.90
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $4.76
  • Cigna — All Commercial Products: $60.60
  • First Health — All Commercial Products: $82.13
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE KETONE DIPSTICK $54.60 $49.14 $2.90 – $51.87
Urine test (manual, without microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $44.88
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $4.67
  • Anthem — All Commercial Products Except Healthkeepers: $6.96
  • Anthem — Healthkeepers: $6.96
  • Anthem — Reference Lab: $2.90
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $4.76
  • Cigna — All Commercial Products: $36.25
  • First Health — All Commercial Products: $49.14
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE UA AUTO W/O MICRO $61.19 $55.07 $2.25 – $58.13
Urine test (automated, without microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $50.30
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $4.10
  • Anthem — All Commercial Products Except Healthkeepers: $4.50
  • Anthem — Healthkeepers: $4.50
  • Anthem — Reference Lab: $2.54
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $4.18
  • Cigna — All Commercial Products: $40.63
  • First Health — All Commercial Products: $55.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GLUCOSE URINE $61.19 $55.07 $2.25 – $58.13
Urine test (automated, without microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $50.30
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $4.10
  • Anthem — All Commercial Products Except Healthkeepers: $4.50
  • Anthem — Healthkeepers: $4.50
  • Anthem — Reference Lab: $2.54
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $4.18
  • Cigna — All Commercial Products: $40.63
  • First Health — All Commercial Products: $55.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KETONES $61.19 $55.07 $2.25 – $58.13
Urine test (automated, without microscope): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $50.30
  • Aetna Better Health — All Products: $4.49
  • AmeriHealth Caritas — All Products: $4.10
  • Anthem — All Commercial Products Except Healthkeepers: $4.50
  • Anthem — Healthkeepers: $4.50
  • Anthem — Reference Lab: $2.54
  • Anthem Healthkeepers Plus — All Products: $3.63
  • Carolina Complete Health — Tailored Plan: $4.18
  • Cigna — All Commercial Products: $40.63
  • First Health — All Commercial Products: $55.07
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPEC ANTIG) $28.67 $25.80 $18.39 – $34.56
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $23.57
  • Aetna Better Health — All Products: $18.37
  • AmeriHealth Caritas — All Products: $33.55
  • Anthem — All Commercial Products Except Healthkeepers: $28.67
  • Anthem — Healthkeepers: $28.67
  • Anthem — Reference Lab: $20.85
  • Anthem Healthkeepers Plus — All Products: $14.88
  • Carolina Complete Health — Tailored Plan: $34.22
  • Cigna — All Commercial Products: $19.04
  • First Health — All Commercial Products: $25.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPEC ANTIG) $28.67 $25.80 $19.04 – $26.38
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $23.57
  • Cigna — All Commercial Products: $19.04
  • First Health — All Commercial Products: $25.80
  • MedCost — All Commercial Products: $26.38
  • Multiplan — All Commercial Products: $26.38
  • PHCS — All Commercial Products: $26.38
  • UnitedHealthcare — MAMSI: $21.70
  • UnitedHealthcare — OneNet Options: $23.57
  • VHN — Commercial Products: $26.38
  • Virginia Health Network — VHN Plus: $22.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URTICARIA TSH $178.24 $160.42 $16.80 – $169.33
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $146.51
  • Aetna Better Health — All Products: $20.16
  • AmeriHealth Caritas — All Products: $29.73
  • Anthem — All Commercial Products Except Healthkeepers: $33.60
  • Anthem — Healthkeepers: $33.60
  • Anthem — Reference Lab: $19.04
  • Anthem Healthkeepers Plus — All Products: $16.33
  • Carolina Complete Health — Tailored Plan: $30.32
  • Cigna — All Commercial Products: $118.35
  • First Health — All Commercial Products: $160.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH HIGH SENSITIVE $178.24 $160.42 $16.80 – $169.33
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $146.51
  • Aetna Better Health — All Products: $20.16
  • AmeriHealth Caritas — All Products: $29.73
  • Anthem — All Commercial Products Except Healthkeepers: $33.60
  • Anthem — Healthkeepers: $33.60
  • Anthem — Reference Lab: $19.04
  • Anthem Healthkeepers Plus — All Products: $16.33
  • Carolina Complete Health — Tailored Plan: $30.32
  • Cigna — All Commercial Products: $118.35
  • First Health — All Commercial Products: $160.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH(THYROID STIM HORMONE) $218.30 $196.47 $16.80 – $207.38
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $179.44
  • Aetna Better Health — All Products: $20.16
  • AmeriHealth Caritas — All Products: $29.73
  • Anthem — All Commercial Products Except Healthkeepers: $33.60
  • Anthem — Healthkeepers: $33.60
  • Anthem — Reference Lab: $19.04
  • Anthem Healthkeepers Plus — All Products: $16.33
  • Carolina Complete Health — Tailored Plan: $30.32
  • Cigna — All Commercial Products: $144.95
  • First Health — All Commercial Products: $196.47
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC CHEMO $154.35 $138.92 $7.77 – $146.63
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $126.88
  • Aetna Better Health — All Products: $9.07
  • AmeriHealth Caritas — All Products: $14.17
  • Anthem — All Commercial Products Except Healthkeepers: $15.54
  • Anthem — Healthkeepers: $15.54
  • Anthem — Reference Lab: $8.82
  • Anthem Healthkeepers Plus — All Products: $7.35
  • Carolina Complete Health — Tailored Plan: $14.45
  • Cigna — All Commercial Products: $102.49
  • First Health — All Commercial Products: $138.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC/PLATELET AUTOMATED $154.35 $138.92 $7.77 – $146.63
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $126.88
  • Aetna Better Health — All Products: $9.07
  • AmeriHealth Caritas — All Products: $14.17
  • Anthem — All Commercial Products Except Healthkeepers: $15.54
  • Anthem — Healthkeepers: $15.54
  • Anthem — Reference Lab: $8.82
  • Anthem Healthkeepers Plus — All Products: $7.35
  • Carolina Complete Health — Tailored Plan: $14.45
  • Cigna — All Commercial Products: $102.49
  • First Health — All Commercial Products: $138.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROBLAS,WBC $113.40 $102.06 $7.77 – $107.73
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $93.21
  • Aetna Better Health — All Products: $9.07
  • AmeriHealth Caritas — All Products: $14.17
  • Anthem — All Commercial Products Except Healthkeepers: $15.54
  • Anthem — Healthkeepers: $15.54
  • Anthem — Reference Lab: $8.82
  • Anthem Healthkeepers Plus — All Products: $7.35
  • Carolina Complete Health — Tailored Plan: $14.45
  • Cigna — All Commercial Products: $75.30
  • First Health — All Commercial Products: $102.06
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM $138.37 $124.53 $6.47 – $131.45
Complete blood count (CBC), automated: 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $113.74
  • Aetna Better Health — All Products: $9.07
  • AmeriHealth Caritas — All Products: $11.81
  • Anthem — All Commercial Products Except Healthkeepers: $12.94
  • Anthem — Healthkeepers: $12.94
  • Anthem — Reference Lab: $7.34
  • Anthem Healthkeepers Plus — All Products: $7.35
  • Carolina Complete Health — Tailored Plan: $12.05
  • Cigna — All Commercial Products: $91.88
  • First Health — All Commercial Products: $124.53
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM $138.37 $124.53 $91.88 – $127.30
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $113.74
  • Cigna — All Commercial Products: $91.88
  • First Health — All Commercial Products: $124.53
  • MedCost — All Commercial Products: $127.30
  • Multiplan — All Commercial Products: $127.30
  • PHCS — All Commercial Products: $127.30
  • UnitedHealthcare — MAMSI: $104.75
  • UnitedHealthcare — OneNet Options: $113.74
  • VHN — Commercial Products: $127.30
  • Virginia Health Network — VHN Plus: $110.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT POP $78.18 $70.36 $4.29 – $74.27
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $64.26
  • Aetna Better Health — All Products: $6.72
  • AmeriHealth Caritas — All Products: $7.17
  • Anthem — All Commercial Products Except Healthkeepers: $8.58
  • Anthem — Healthkeepers: $8.58
  • Anthem — Reference Lab: $4.45
  • Anthem Healthkeepers Plus — All Products: $5.44
  • Carolina Complete Health — Tailored Plan: $7.31
  • Cigna — All Commercial Products: $51.91
  • First Health — All Commercial Products: $70.36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT (PROTIME) $87.65 $78.89 $4.29 – $83.27
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $72.05
  • Aetna Better Health — All Products: $6.72
  • AmeriHealth Caritas — All Products: $7.17
  • Anthem — All Commercial Products Except Healthkeepers: $8.58
  • Anthem — Healthkeepers: $8.58
  • Anthem — Reference Lab: $4.45
  • Anthem Healthkeepers Plus — All Products: $5.44
  • Carolina Complete Health — Tailored Plan: $7.31
  • Cigna — All Commercial Products: $58.20
  • First Health — All Commercial Products: $78.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT POP $78.18 $70.36 $51.91 – $71.93
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $64.26
  • Cigna — All Commercial Products: $51.91
  • First Health — All Commercial Products: $70.36
  • MedCost — All Commercial Products: $71.93
  • Multiplan — All Commercial Products: $71.93
  • PHCS — All Commercial Products: $71.93
  • UnitedHealthcare — MAMSI: $59.18
  • UnitedHealthcare — OneNet Options: $64.26
  • VHN — Commercial Products: $71.93
  • Virginia Health Network — VHN Plus: $62.54
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT $78.28 $70.45 $6.01 – $74.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $64.35
  • Aetna Better Health — All Products: $6.72
  • AmeriHealth Caritas — All Products: $10.95
  • Anthem — All Commercial Products Except Healthkeepers: $12.02
  • Anthem — Healthkeepers: $12.02
  • Anthem — Reference Lab: $6.80
  • Anthem Healthkeepers Plus — All Products: $5.44
  • Carolina Complete Health — Tailored Plan: $11.17
  • Cigna — All Commercial Products: $51.98
  • First Health — All Commercial Products: $70.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APHOS BILL-3 $57.49 $51.74 $6.01 – $54.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates
  • Aetna — All Commercial Products: $47.26
  • Aetna Better Health — All Products: $6.72
  • AmeriHealth Caritas — All Products: $10.95
  • Anthem — All Commercial Products Except Healthkeepers: $12.02
  • Anthem — Healthkeepers: $12.02
  • Anthem — Reference Lab: $6.80
  • Anthem Healthkeepers Plus — All Products: $5.44
  • Carolina Complete Health — Tailored Plan: $11.17
  • Cigna — All Commercial Products: $38.17
  • First Health — All Commercial Products: $51.74
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APTT $78.28 $70.45 $51.98 – $72.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $64.35
  • Cigna — All Commercial Products: $51.98
  • First Health — All Commercial Products: $70.45
  • MedCost — All Commercial Products: $72.02
  • Multiplan — All Commercial Products: $72.02
  • PHCS — All Commercial Products: $72.02
  • UnitedHealthcare — MAMSI: $59.26
  • UnitedHealthcare — OneNet Options: $64.35
  • VHN — Commercial Products: $72.02
  • Virginia Health Network — VHN Plus: $62.62

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O $2,680.73 $2,412.66 $616.57 – $2,546.69
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,203.56
  • Aetna Better Health — All Products: $591.14
  • AmeriHealth Caritas — All Products: $616.57
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $478.82
  • Carolina Complete Health — Tailored Plan: $628.90
  • Cigna — All Commercial Products: $1,780
  • First Health — All Commercial Products: $2,412.66
  • Healthy Blue — All Products: $616.57
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN/ORBITS W/O $2,680.73 $2,412.66 $616.57 – $2,546.69
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,203.56
  • Aetna Better Health — All Products: $591.14
  • AmeriHealth Caritas — All Products: $616.57
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $478.82
  • Carolina Complete Health — Tailored Plan: $628.90
  • Cigna — All Commercial Products: $1,780
  • First Health — All Commercial Products: $2,412.66
  • Healthy Blue — All Products: $616.57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD W/O $2,680.73 $2,412.66 $1,780 – $2,466.27
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $2,203.56
  • Cigna — All Commercial Products: $1,780
  • First Health — All Commercial Products: $2,412.66
  • MedCost — All Commercial Products: $2,466.27
  • Multiplan — All Commercial Products: $2,466.27
  • PHCS — All Commercial Products: $2,466.27
  • UnitedHealthcare — MAMSI: $2,029.31
  • UnitedHealthcare — OneNet Options: $2,203.56
  • VHN — Commercial Products: $2,466.27
  • Virginia Health Network — VHN Plus: $2,144.58
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO $6,878.77 $6,190.89 $1,582.12 – $6,534.83
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $5,654.35
  • Aetna Better Health — All Products: $743.02
  • AmeriHealth Caritas — All Products: $1,582.12
  • Anthem — All Commercial Products Except Healthkeepers: $1,198.67
  • Anthem — Healthkeepers: $1,198.67
  • Anthem Healthkeepers Plus — All Products: $601.84
  • Carolina Complete Health — Tailored Plan: $1,613.76
  • Cigna — All Commercial Products: $4,567.50
  • First Health — All Commercial Products: $6,190.89
  • Healthy Blue — All Products: $1,582.12
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO $6,878.77 $6,190.89 $4,567.50 – $6,328.47
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $5,654.35
  • Cigna — All Commercial Products: $4,567.50
  • First Health — All Commercial Products: $6,190.89
  • MedCost — All Commercial Products: $6,328.47
  • Multiplan — All Commercial Products: $6,328.47
  • PHCS — All Commercial Products: $6,328.47
  • UnitedHealthcare — MAMSI: $5,207.23
  • UnitedHealthcare — OneNet Options: $5,654.35
  • VHN — Commercial Products: $6,328.47
  • Virginia Health Network — VHN Plus: $5,503.02
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAGNETIC IMAGE, BRAIN (MRI) Not listed in the file Not listed in the file $2,036.80 – $41,100
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $41,100
  • Aetna Better Health — All Products: $743.02
  • Anthem — All Commercial Products Except Healthkeepers: $1,198.67
  • Anthem — Healthkeepers: $1,198.67
  • Anthem Healthkeepers Plus — All Products: $601.84
  • Humana Healthy Horizons — All Products: $743.02
  • Sentara Community Plan — All Products: $708.72
  • Sentara Health Plans — All Commercial Products: $2,036.80
  • UnitedHealthcare Community Plan — All Products: $605.84
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST LAT DECUBTS ONLY $549.87 $494.88 $126.47 – $522.38
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $451.99
  • Aetna Better Health — All Products: $102.48
  • AmeriHealth Caritas — All Products: $126.47
  • Anthem — All Commercial Products Except Healthkeepers: $299.13
  • Anthem — Healthkeepers: $299.13
  • Anthem Healthkeepers Plus — All Products: $83.01
  • Carolina Complete Health — Tailored Plan: $129
  • Cigna — All Commercial Products: $365.11
  • First Health — All Commercial Products: $494.88
  • Healthy Blue — All Products: $126.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST PA AND LAT $549.87 $494.88 $126.47 – $522.38
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $451.99
  • Aetna Better Health — All Products: $102.48
  • AmeriHealth Caritas — All Products: $126.47
  • Anthem — All Commercial Products Except Healthkeepers: $299.13
  • Anthem — Healthkeepers: $299.13
  • Anthem Healthkeepers Plus — All Products: $83.01
  • Carolina Complete Health — Tailored Plan: $129
  • Cigna — All Commercial Products: $365.11
  • First Health — All Commercial Products: $494.88
  • Healthy Blue — All Products: $126.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2VW ADD FLUO $549.87 $494.88 $126.47 – $522.38
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $451.99
  • Aetna Better Health — All Products: $102.48
  • AmeriHealth Caritas — All Products: $126.47
  • Anthem — All Commercial Products Except Healthkeepers: $299.13
  • Anthem — Healthkeepers: $299.13
  • Anthem Healthkeepers Plus — All Products: $83.01
  • Carolina Complete Health — Tailored Plan: $129
  • Cigna — All Commercial Products: $365.11
  • First Health — All Commercial Products: $494.88
  • Healthy Blue — All Products: $126.47
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR COMP W OBLIQUES $1,171.13 $1,054.02 $269.36 – $1,112.57
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $962.67
  • Aetna Better Health — All Products: $102.48
  • AmeriHealth Caritas — All Products: $269.36
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $83.01
  • Carolina Complete Health — Tailored Plan: $274.75
  • Cigna — All Commercial Products: $777.63
  • First Health — All Commercial Products: $1,054.02
  • Healthy Blue — All Products: $269.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE SERIES $1,171.13 $1,054.02 $269.36 – $1,112.57
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $962.67
  • Aetna Better Health — All Products: $102.48
  • AmeriHealth Caritas — All Products: $269.36
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $83.01
  • Carolina Complete Health — Tailored Plan: $274.75
  • Cigna — All Commercial Products: $777.63
  • First Health — All Commercial Products: $1,054.02
  • Healthy Blue — All Products: $269.36
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR COMP W OBLIQUES $1,171.13 $1,054.02 $777.63 – $1,077.44
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $962.67
  • Cigna — All Commercial Products: $777.63
  • First Health — All Commercial Products: $1,054.02
  • MedCost — All Commercial Products: $1,077.44
  • Multiplan — All Commercial Products: $1,077.44
  • PHCS — All Commercial Products: $1,077.44
  • UnitedHealthcare — MAMSI: $886.55
  • UnitedHealthcare — OneNet Options: $962.67
  • VHN — Commercial Products: $1,077.44
  • Virginia Health Network — VHN Plus: $936.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L-SPINE W/O $5,388.47 $4,849.62 $1,239.35 – $5,119.05
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $4,429.32
  • Aetna Better Health — All Products: $441.84
  • AmeriHealth Caritas — All Products: $1,239.35
  • Anthem — All Commercial Products Except Healthkeepers: $819.92
  • Anthem — Healthkeepers: $819.92
  • Anthem Healthkeepers Plus — All Products: $357.89
  • Carolina Complete Health — Tailored Plan: $1,264.14
  • Cigna — All Commercial Products: $3,577.94
  • First Health — All Commercial Products: $4,849.62
  • Healthy Blue — All Products: $1,239.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L-SPINE W/O $5,388.47 $4,849.62 $3,577.94 – $4,957.39
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $4,429.32
  • Cigna — All Commercial Products: $3,577.94
  • First Health — All Commercial Products: $4,849.62
  • MedCost — All Commercial Products: $4,957.39
  • Multiplan — All Commercial Products: $4,957.39
  • PHCS — All Commercial Products: $4,957.39
  • UnitedHealthcare — MAMSI: $4,079.07
  • UnitedHealthcare — OneNet Options: $4,429.32
  • VHN — Commercial Products: $4,957.39
  • Virginia Health Network — VHN Plus: $4,310.78
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAGNETIC IMAGE, LUMBAR SPINE Not listed in the file Not listed in the file $1,845.45 – $41,100
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $41,100
  • Aetna Better Health — All Products: $441.84
  • Anthem — All Commercial Products Except Healthkeepers: $819.92
  • Anthem — Healthkeepers: $819.92
  • Anthem Healthkeepers Plus — All Products: $357.89
  • Humana Healthy Horizons — All Products: $441.84
  • Sentara Community Plan — All Products: $421.45
  • Sentara Health Plans — All Commercial Products: $1,845.45
  • UnitedHealthcare Community Plan — All Products: $360.27
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ $3,517.53 $3,165.78 $809.03 – $3,341.65
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,891.41
  • Aetna Better Health — All Products: $591.14
  • AmeriHealth Caritas — All Products: $809.03
  • Anthem — All Commercial Products Except Healthkeepers: $602.56
  • Anthem — Healthkeepers: $602.56
  • Anthem Healthkeepers Plus — All Products: $478.82
  • Carolina Complete Health — Tailored Plan: $825.21
  • Cigna — All Commercial Products: $2,335.64
  • First Health — All Commercial Products: $3,165.78
  • Healthy Blue — All Products: $809.03
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/ $3,517.53 $3,165.78 $2,335.64 – $3,236.13
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $2,891.41
  • Cigna — All Commercial Products: $2,335.64
  • First Health — All Commercial Products: $3,165.78
  • MedCost — All Commercial Products: $3,236.13
  • Multiplan — All Commercial Products: $3,236.13
  • PHCS — All Commercial Products: $3,236.13
  • UnitedHealthcare — MAMSI: $2,662.77
  • UnitedHealthcare — OneNet Options: $2,891.41
  • VHN — Commercial Products: $3,236.13
  • Virginia Health Network — VHN Plus: $2,814.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWR EXTR JNT W/O $3,523.32 $3,170.99 $810.36 – $3,347.15
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,896.17
  • Aetna Better Health — All Products: $441.84
  • AmeriHealth Caritas — All Products: $810.36
  • Anthem — All Commercial Products Except Healthkeepers: $819.92
  • Anthem — Healthkeepers: $819.92
  • Anthem Healthkeepers Plus — All Products: $357.89
  • Carolina Complete Health — Tailored Plan: $826.57
  • Cigna — All Commercial Products: $2,339.48
  • First Health — All Commercial Products: $3,170.99
  • Healthy Blue — All Products: $810.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWR EXTR JNT W/O $3,523.32 $3,170.99 $2,339.48 – $3,241.45
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $2,896.17
  • Cigna — All Commercial Products: $2,339.48
  • First Health — All Commercial Products: $3,170.99
  • MedCost — All Commercial Products: $3,241.45
  • Multiplan — All Commercial Products: $3,241.45
  • PHCS — All Commercial Products: $3,241.45
  • UnitedHealthcare — MAMSI: $2,667.15
  • UnitedHealthcare — OneNet Options: $2,896.17
  • VHN — Commercial Products: $3,241.45
  • Virginia Health Network — VHN Plus: $2,818.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI LWR EXT JNT W/O RT $3,381.64 $3,043.48 $777.78 – $3,212.56
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,779.71
  • Aetna Better Health — All Products: $441.84
  • AmeriHealth Caritas — All Products: $777.78
  • Anthem — All Commercial Products Except Healthkeepers: $819.92
  • Anthem — Healthkeepers: $819.92
  • Anthem Healthkeepers Plus — All Products: $357.89
  • Carolina Complete Health — Tailored Plan: $793.33
  • Cigna — All Commercial Products: $2,245.41
  • First Health — All Commercial Products: $3,043.48
  • Healthy Blue — All Products: $777.78
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOM & PELVIS W/ $6,410.49 $5,769.44 $1,474.41 – $6,089.97
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $5,269.42
  • Aetna Better Health — All Products: $591.14
  • AmeriHealth Caritas — All Products: $1,474.41
  • Anthem — All Commercial Products Except Healthkeepers: $1,198.67
  • Anthem — Healthkeepers: $1,198.67
  • Anthem Healthkeepers Plus — All Products: $478.82
  • Carolina Complete Health — Tailored Plan: $1,503.90
  • Cigna — All Commercial Products: $4,256.57
  • First Health — All Commercial Products: $5,769.44
  • Healthy Blue — All Products: $1,474.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOM & PELVIS W/ $6,410.49 $5,769.44 $4,256.57 – $5,897.65
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $5,269.42
  • Cigna — All Commercial Products: $4,256.57
  • First Health — All Commercial Products: $5,769.44
  • MedCost — All Commercial Products: $5,897.65
  • Multiplan — All Commercial Products: $5,897.65
  • PHCS — All Commercial Products: $5,897.65
  • UnitedHealthcare — MAMSI: $4,852.74
  • UnitedHealthcare — OneNet Options: $5,269.42
  • VHN — Commercial Products: $5,897.65
  • Virginia Health Network — VHN Plus: $5,128.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST Not listed in the file Not listed in the file $41,100
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $41,100
  • Aetna Better Health — All Products: $591.14
  • Anthem — All Commercial Products Except Healthkeepers: $1,198.67
  • Anthem — Healthkeepers: $1,198.67
  • Anthem Healthkeepers Plus — All Products: $478.82
  • Humana Healthy Horizons — All Products: $591.14
  • Sentara Community Plan — All Products: $563.85
  • UnitedHealthcare Community Plan — All Products: $482
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Carolina Complete Health — Tailored Plan: 23.5% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPL $2,195.35 $1,975.82 $360.42 – $2,085.58
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $1,804.58
  • Aetna Better Health — All Products: $304.42
  • AmeriHealth Caritas — All Products: $504.93
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $246.58
  • Carolina Complete Health — Tailored Plan: $515.03
  • Cigna — All Commercial Products: $1,457.71
  • First Health — All Commercial Products: $1,975.82
  • Healthy Blue — All Products: $504.93
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD CMPL W/VAS DPL-LTD $2,195.35 $1,975.82 $360.42 – $2,085.58
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $1,804.58
  • Aetna Better Health — All Products: $304.42
  • AmeriHealth Caritas — All Products: $504.93
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $246.58
  • Carolina Complete Health — Tailored Plan: $515.03
  • Cigna — All Commercial Products: $1,457.71
  • First Health — All Commercial Products: $1,975.82
  • Healthy Blue — All Products: $504.93
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPL $2,195.35 $1,975.82 $1,457.71 – $2,019.72
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $1,804.58
  • Cigna — All Commercial Products: $1,457.71
  • First Health — All Commercial Products: $1,975.82
  • MedCost — All Commercial Products: $2,019.72
  • Multiplan — All Commercial Products: $2,019.72
  • PHCS — All Commercial Products: $2,019.72
  • UnitedHealthcare — MAMSI: $1,661.88
  • UnitedHealthcare — OneNet Options: $1,804.58
  • VHN — Commercial Products: $2,019.72
  • Virginia Health Network — VHN Plus: $1,756.28
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,355.53 $1,219.98 $310.86 – $1,287.75
Transvaginal ultrasound: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $1,114.25
  • Aetna Better Health — All Products: $200.93
  • AmeriHealth Caritas — All Products: $311.77
  • Anthem — All Commercial Products Except Healthkeepers: $359.08
  • Anthem — Healthkeepers: $359.08
  • Anthem Healthkeepers Plus — All Products: $162.75
  • Carolina Complete Health — Tailored Plan: $318.01
  • Cigna — All Commercial Products: $900.07
  • First Health — All Commercial Products: $1,219.98
  • Healthy Blue — All Products: $311.77
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,355.53 $1,219.98 $900.07 – $1,247.09
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $1,114.25
  • Cigna — All Commercial Products: $900.07
  • First Health — All Commercial Products: $1,219.98
  • MedCost — All Commercial Products: $1,247.09
  • Multiplan — All Commercial Products: $1,247.09
  • PHCS — All Commercial Products: $1,247.09
  • UnitedHealthcare — MAMSI: $1,026.14
  • UnitedHealthcare — OneNet Options: $1,114.25
  • VHN — Commercial Products: $1,247.09
  • Virginia Health Network — VHN Plus: $1,084.42

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM, COMPLETE Not listed in the file Not listed in the file $263 – $29,250 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $47.93
  • Anthem — All Commercial Products Except Healthkeepers: $29,250 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Healthkeepers: $29,250 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem Healthkeepers Plus — All Products: $38.82
  • Humana Healthy Horizons — All Products: $47.93
  • Sentara Community Plan — All Products: $45.72
  • Sentara Health Plans — All Commercial Products: $263
  • UnitedHealthcare Community Plan — All Products: $39.08
  • Aetna — All Commercial Products: 8,220% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT CATH,S&I,1 INJ $27,518.22 $24,766.40 $6,329.19 – $26,142.31
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $22,619.98
  • Aetna Better Health — All Products: $4,562.10
  • AmeriHealth Caritas — All Products: $6,329.19
  • Anthem — All Commercial Products Except Healthkeepers: $11,138.80
  • Anthem — Healthkeepers: $11,138.80
  • Anthem Healthkeepers Plus — All Products: $3,695.30
  • Carolina Complete Health — Tailored Plan: $6,455.77
  • Cigna — All Commercial Products: $18,272.10
  • First Health — All Commercial Products: $24,766.40
  • Healthy Blue — All Products: $6,329.19
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LT CATH,S&I,1 INJ $27,518.22 $24,766.40 $18,272.10 – $25,316.76
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $22,619.98
  • Cigna — All Commercial Products: $18,272.10
  • First Health — All Commercial Products: $24,766.40
  • MedCost — All Commercial Products: $25,316.76
  • Multiplan — All Commercial Products: $25,316.76
  • PHCS — All Commercial Products: $25,316.76
  • UnitedHealthcare — MAMSI: $20,831.29
  • UnitedHealthcare — OneNet Options: $22,619.98
  • VHN — Commercial Products: $25,316.76
  • Virginia Health Network — VHN Plus: $22,014.58
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP EVAL WO A INDUCTI $11,241.17 $10,117.05 $2,585.47 – $10,679.11
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $9,240.24
  • Aetna Better Health — All Products: $12,566.42
  • AmeriHealth Caritas — All Products: $2,585.47
  • Anthem — All Commercial Products Except Healthkeepers: $26,798.67
  • Anthem — Healthkeepers: $26,798.67
  • Anthem Healthkeepers Plus — All Products: $10,178.80
  • Carolina Complete Health — Tailored Plan: $2,637.18
  • Cigna — All Commercial Products: $7,464.14
  • First Health — All Commercial Products: $10,117.05
  • Healthy Blue — All Products: $2,585.47
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP EVAL WO A INDUCTI $11,241.17 $10,117.05 $7,464.14 – $10,341.88
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $9,240.24
  • Cigna — All Commercial Products: $7,464.14
  • First Health — All Commercial Products: $10,117.05
  • MedCost — All Commercial Products: $10,341.88
  • Multiplan — All Commercial Products: $10,341.88
  • PHCS — All Commercial Products: $10,341.88
  • UnitedHealthcare — MAMSI: $8,509.57
  • UnitedHealthcare — OneNet Options: $9,240.24
  • VHN — Commercial Products: $10,341.88
  • Virginia Health Network — VHN Plus: $8,992.94
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABLATION/TRANS PUNCTURE $23,067.20 $20,760.48 $5,305.46 – $21,913.84
Heart rhythm study with ablation for atrial fibrillation: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $18,961.24
  • Aetna Better Health — All Products: $31,352.44
  • AmeriHealth Caritas — All Products: $5,305.46
  • Anthem — All Commercial Products Except Healthkeepers: $89,805.84
  • Anthem — Healthkeepers: $89,805.84
  • Anthem Healthkeepers Plus — All Products: $25,395.47
  • Carolina Complete Health — Tailored Plan: $5,411.57
  • Cigna — All Commercial Products: $15,316.62
  • First Health — All Commercial Products: $20,760.48
  • Healthy Blue — All Products: $5,305.46
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABLATION/TRANS PUNCTURE $23,067.20 $20,760.48 $15,316.62 – $21,221.82
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $18,961.24
  • Cigna — All Commercial Products: $15,316.62
  • First Health — All Commercial Products: $20,760.48
  • MedCost — All Commercial Products: $21,221.82
  • Multiplan — All Commercial Products: $21,221.82
  • PHCS — All Commercial Products: $21,221.82
  • UnitedHealthcare — MAMSI: $17,461.87
  • UnitedHealthcare — OneNet Options: $18,961.24
  • VHN — Commercial Products: $21,221.82
  • Virginia Health Network — VHN Plus: $18,453.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG/4 + PARMS-AGE6&UP $5,882.11 $5,293.90 $1,352.89 – $5,588
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $4,835.09
  • Aetna Better Health — All Products: $1,413.78
  • AmeriHealth Caritas — All Products: $1,352.89
  • Anthem — All Commercial Products Except Healthkeepers: $2,950.41
  • Anthem — Healthkeepers: $2,950.41
  • Anthem Healthkeepers Plus — All Products: $1,145.16
  • Carolina Complete Health — Tailored Plan: $1,379.94
  • Cigna — All Commercial Products: $3,905.72
  • First Health — All Commercial Products: $5,293.90
  • Healthy Blue — All Products: $1,352.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG/4 + PARMS-AGE6&UP $5,882.11 $5,293.90 $3,905.72 – $5,411.54
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $4,835.09
  • Cigna — All Commercial Products: $3,905.72
  • First Health — All Commercial Products: $5,293.90
  • MedCost — All Commercial Products: $5,411.54
  • Multiplan — All Commercial Products: $5,411.54
  • PHCS — All Commercial Products: $5,411.54
  • UnitedHealthcare — MAMSI: $4,452.76
  • UnitedHealthcare — OneNet Options: $4,835.09
  • VHN — Commercial Products: $5,411.54
  • Virginia Health Network — VHN Plus: $4,705.69
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: RS-PSG/4+PARMS-AGE6&UP $5,882.11 $5,293.90 $1,352.89 – $5,588
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $4,835.09
  • Aetna Better Health — All Products: $706.89
  • AmeriHealth Caritas — All Products: $1,352.89
  • Anthem — All Commercial Products Except Healthkeepers: $1,475.20
  • Anthem — Healthkeepers: $1,475.20
  • Anthem Healthkeepers Plus — All Products: $572.58
  • Carolina Complete Health — Tailored Plan: $1,379.94
  • Cigna — All Commercial Products: $3,905.72
  • First Health — All Commercial Products: $5,293.90
  • Healthy Blue — All Products: $1,352.89

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXERCISES-EA 15MN-COTA $183.29 $164.96 $42.16 – $174.13
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $150.66
  • Aetna Better Health — All Products: $65.18
  • AmeriHealth Caritas — All Products: $42.16
  • Anthem — All Commercial Products Except Healthkeepers: $71.83
  • Anthem — Healthkeepers: $71.83
  • Anthem Healthkeepers Plus — All Products: $52.80
  • Carolina Complete Health — Tailored Plan: $43
  • Cigna — All Commercial Products: $121.70
  • First Health — All Commercial Products: $164.96
  • Healthy Blue — All Products: $42.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXERCISES-EA 15MN-COTA $183.29 $164.96 $121.70 – $168.63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $150.66
  • Cigna — All Commercial Products: $121.70
  • First Health — All Commercial Products: $164.96
  • MedCost — All Commercial Products: $168.63
  • Multiplan — All Commercial Products: $168.63
  • PHCS — All Commercial Products: $168.63
  • UnitedHealthcare — MAMSI: $138.75
  • UnitedHealthcare — OneNet Options: $150.66
  • VHN — Commercial Products: $168.63
  • Virginia Health Network — VHN Plus: $146.63
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EXERCISES-EA 15MN-PT $183.29 $164.96 $42.16 – $174.13
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $150.66
  • Aetna Better Health — All Products: $65.18
  • AmeriHealth Caritas — All Products: $42.16
  • Anthem — All Commercial Products Except Healthkeepers: $71.83
  • Anthem — Healthkeepers: $71.83
  • Anthem Healthkeepers Plus — All Products: $52.80
  • Carolina Complete Health — Tailored Plan: $43
  • Cigna — All Commercial Products: $121.70
  • First Health — All Commercial Products: $164.96
  • Healthy Blue — All Products: $42.16
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX $355.76 $320.18 $81.82 – $337.97
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $292.43
  • Aetna Better Health — All Products: $429.52
  • AmeriHealth Caritas — All Products: $81.82
  • Anthem — All Commercial Products Except Healthkeepers: $243.28
  • Anthem — Healthkeepers: $243.28
  • Anthem Healthkeepers Plus — All Products: $347.91
  • Carolina Complete Health — Tailored Plan: $83.46
  • Cigna — All Commercial Products: $236.22
  • First Health — All Commercial Products: $320.18
  • Healthy Blue — All Products: $81.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX $355.76 $320.18 $236.22 – $327.30
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $292.43
  • Cigna — All Commercial Products: $236.22
  • First Health — All Commercial Products: $320.18
  • MedCost — All Commercial Products: $327.30
  • Multiplan — All Commercial Products: $327.30
  • PHCS — All Commercial Products: $327.30
  • UnitedHealthcare — MAMSI: $269.31
  • UnitedHealthcare — OneNet Options: $292.43
  • VHN — Commercial Products: $327.30
  • Virginia Health Network — VHN Plus: $284.61
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX $355.76 $320.18 $81.82 – $337.97
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $292.43
  • Aetna Better Health — All Products: $429.52
  • AmeriHealth Caritas — All Products: $81.82
  • Anthem — All Commercial Products Except Healthkeepers: $243.28
  • Anthem — Healthkeepers: $243.28
  • Anthem Healthkeepers Plus — All Products: $347.91
  • Carolina Complete Health — Tailored Plan: $83.46
  • Cigna — All Commercial Products: $236.22
  • First Health — All Commercial Products: $320.18
  • Healthy Blue — All Products: $81.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX $259.09 $233.18 $59.59 – $246.14
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $212.97
  • Aetna Better Health — All Products: $429.52
  • AmeriHealth Caritas — All Products: $59.59
  • Anthem — All Commercial Products Except Healthkeepers: $243.28
  • Anthem — Healthkeepers: $243.28
  • Anthem Healthkeepers Plus — All Products: $347.91
  • Carolina Complete Health — Tailored Plan: $60.78
  • Cigna — All Commercial Products: $172.04
  • First Health — All Commercial Products: $233.18
  • Healthy Blue — All Products: $59.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX $259.09 $233.18 $172.04 – $238.36
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $212.97
  • Cigna — All Commercial Products: $172.04
  • First Health — All Commercial Products: $233.18
  • MedCost — All Commercial Products: $238.36
  • Multiplan — All Commercial Products: $238.36
  • PHCS — All Commercial Products: $238.36
  • UnitedHealthcare — MAMSI: $196.13
  • UnitedHealthcare — OneNet Options: $212.97
  • VHN — Commercial Products: $238.36
  • Virginia Health Network — VHN Plus: $207.27
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX $527 $474.30 $121.21 – $500.65
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $433.19
  • Aetna Better Health — All Products: $429.52
  • AmeriHealth Caritas — All Products: $121.21
  • Anthem — All Commercial Products Except Healthkeepers: $243.28
  • Anthem — Healthkeepers: $243.28
  • Anthem Healthkeepers Plus — All Products: $347.91
  • Carolina Complete Health — Tailored Plan: $123.63
  • Cigna — All Commercial Products: $349.93
  • First Health — All Commercial Products: $474.30
  • Healthy Blue — All Products: $121.21
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX $609.68 $548.71 $140.23 – $579.20
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $501.16
  • Aetna Better Health — All Products: $429.52
  • AmeriHealth Caritas — All Products: $140.23
  • Anthem — All Commercial Products Except Healthkeepers: $243.28
  • Anthem — Healthkeepers: $243.28
  • Anthem Healthkeepers Plus — All Products: $347.91
  • Carolina Complete Health — Tailored Plan: $143.03
  • Cigna — All Commercial Products: $404.83
  • First Health — All Commercial Products: $548.71
  • Healthy Blue — All Products: $140.23
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: TEL-PT EVAL HIGH CMPLX $609.68 $548.71 $140.23 – $579.20
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $501.16
  • Aetna Better Health — All Products: $429.52
  • AmeriHealth Caritas — All Products: $140.23
  • Anthem — All Commercial Products Except Healthkeepers: $243.28
  • Anthem — Healthkeepers: $243.28
  • Anthem Healthkeepers Plus — All Products: $347.91
  • Carolina Complete Health — Tailored Plan: $143.03
  • Cigna — All Commercial Products: $404.83
  • First Health — All Commercial Products: $548.71
  • Healthy Blue — All Products: $140.23
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX $609.68 $548.71 $404.83 – $560.91
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $501.16
  • Cigna — All Commercial Products: $404.83
  • First Health — All Commercial Products: $548.71
  • MedCost — All Commercial Products: $560.91
  • Multiplan — All Commercial Products: $560.91
  • PHCS — All Commercial Products: $560.91
  • UnitedHealthcare — MAMSI: $461.53
  • UnitedHealthcare — OneNet Options: $501.16
  • VHN — Commercial Products: $560.91
  • Virginia Health Network — VHN Plus: $487.74
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URG-INDV PSYCH F/UP30M $259.22 $233.30 $50 – $246.26
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $98.24
  • Aetna Better Health — All Products: $239.23
  • Anthem — All Commercial Products Except Healthkeepers: $65.81
  • Anthem — Healthkeepers: $65.81
  • Anthem Healthkeepers Plus — All Products: $193.77
  • Carolina Complete Health — Tailored Plan: $53.28
  • Evernorth — CIGNA Behavioral Health: $50
  • First Health — All Commercial Products: $233.30
  • Humana Healthy Horizons — All Products: $239.23
  • Johns Hopkins HealthCare — All Products: $246.26
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB-INDV PSYCH F/UP30MN $259.22 $233.30 $50 – $246.26
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $98.24
  • Aetna Better Health — All Products: $239.23
  • Anthem — All Commercial Products Except Healthkeepers: $65.81
  • Anthem — Healthkeepers: $65.81
  • Anthem Healthkeepers Plus — All Products: $193.77
  • Carolina Complete Health — Tailored Plan: $53.28
  • Evernorth — CIGNA Behavioral Health: $50
  • First Health — All Commercial Products: $233.30
  • Humana Healthy Horizons — All Products: $239.23
  • Johns Hopkins HealthCare — All Products: $246.26
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-INDV PSYCH F/UP30MN $259.22 $233.30 $50 – $246.26
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $98.24
  • Aetna Better Health — All Products: $239.23
  • Anthem — All Commercial Products Except Healthkeepers: $65.81
  • Anthem — Healthkeepers: $65.81
  • Anthem Healthkeepers Plus — All Products: $193.77
  • Carolina Complete Health — Tailored Plan: $53.28
  • Evernorth — CIGNA Behavioral Health: $50
  • First Health — All Commercial Products: $233.30
  • Humana Healthy Horizons — All Products: $239.23
  • Johns Hopkins HealthCare — All Products: $246.26
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URG-INDV PSYCH F/UP45 $343.79 $309.41 $69.21 – $326.60
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $130.80
  • Aetna Better Health — All Products: $269.24
  • Anthem — All Commercial Products Except Healthkeepers: $87.52
  • Anthem — Healthkeepers: $87.52
  • Anthem Healthkeepers Plus — All Products: $218.09
  • Carolina Complete Health — Tailored Plan: $69.21
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $309.41
  • Humana Healthy Horizons — All Products: $269.24
  • Johns Hopkins HealthCare — All Products: $326.60
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB-INDV PSYCH F/UP45MN $343.79 $309.41 $69.21 – $326.60
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $130.80
  • Aetna Better Health — All Products: $269.24
  • Anthem — All Commercial Products Except Healthkeepers: $87.52
  • Anthem — Healthkeepers: $87.52
  • Anthem Healthkeepers Plus — All Products: $218.09
  • Carolina Complete Health — Tailored Plan: $69.21
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $309.41
  • Humana Healthy Horizons — All Products: $269.24
  • Johns Hopkins HealthCare — All Products: $326.60
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-INDV PSYCH F/UP45MN $343.79 $309.41 $69.21 – $326.60
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $130.80
  • Aetna Better Health — All Products: $269.24
  • Anthem — All Commercial Products Except Healthkeepers: $87.52
  • Anthem — Healthkeepers: $87.52
  • Anthem Healthkeepers Plus — All Products: $218.09
  • Carolina Complete Health — Tailored Plan: $69.21
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $309.41
  • Humana Healthy Horizons — All Products: $269.24
  • Johns Hopkins HealthCare — All Products: $326.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URG-INDV PSYCH F/UP60 $507.58 $456.82 $77 – $482.20
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $196.46
  • Aetna Better Health — All Products: $269.24
  • Anthem — All Commercial Products Except Healthkeepers: $130.95
  • Anthem — Healthkeepers: $130.95
  • Anthem Healthkeepers Plus — All Products: $218.09
  • Carolina Complete Health — Tailored Plan: $101.41
  • Evernorth — CIGNA Behavioral Health: $77
  • First Health — All Commercial Products: $456.82
  • Humana Healthy Horizons — All Products: $269.24
  • Johns Hopkins HealthCare — All Products: $482.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB-INDV PSYCH F/UP60MN $507.27 $456.54 $77 – $481.91
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $196.46
  • Aetna Better Health — All Products: $269.24
  • Anthem — All Commercial Products Except Healthkeepers: $130.95
  • Anthem — Healthkeepers: $130.95
  • Anthem Healthkeepers Plus — All Products: $218.09
  • Carolina Complete Health — Tailored Plan: $101.41
  • Evernorth — CIGNA Behavioral Health: $77
  • First Health — All Commercial Products: $456.54
  • Humana Healthy Horizons — All Products: $269.24
  • Johns Hopkins HealthCare — All Products: $481.91
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-INDV PSYCH F/UP60MN $507.58 $456.82 $77 – $482.20
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $196.46
  • Aetna Better Health — All Products: $269.24
  • Anthem — All Commercial Products Except Healthkeepers: $130.95
  • Anthem — Healthkeepers: $130.95
  • Anthem Healthkeepers Plus — All Products: $218.09
  • Carolina Complete Health — Tailored Plan: $101.41
  • Evernorth — CIGNA Behavioral Health: $77
  • First Health — All Commercial Products: $456.82
  • Humana Healthy Horizons — All Products: $269.24
  • Johns Hopkins HealthCare — All Products: $482.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URG-FAMLY PSYCH W/O PT $329.94 $296.95 $72 – $313.44
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $158.17
  • Aetna Better Health — All Products: $285.60
  • Anthem — All Commercial Products Except Healthkeepers: $95.87
  • Anthem — Healthkeepers: $95.87
  • Anthem Healthkeepers Plus — All Products: $231.33
  • Carolina Complete Health — Tailored Plan: $73.68
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $296.95
  • Humana Healthy Horizons — All Products: $285.60
  • Johns Hopkins HealthCare — All Products: $313.44
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB-FAMILY PSYCH W/O PT $329.94 $296.95 $72 – $313.44
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $158.17
  • Aetna Better Health — All Products: $285.60
  • Anthem — All Commercial Products Except Healthkeepers: $95.87
  • Anthem — Healthkeepers: $95.87
  • Anthem Healthkeepers Plus — All Products: $231.33
  • Carolina Complete Health — Tailored Plan: $73.68
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $296.95
  • Humana Healthy Horizons — All Products: $285.60
  • Johns Hopkins HealthCare — All Products: $313.44
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-FMLY PSYCH W/O PT $329.94 $296.95 $72 – $313.44
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $158.17
  • Aetna Better Health — All Products: $285.60
  • Anthem — All Commercial Products Except Healthkeepers: $95.87
  • Anthem — Healthkeepers: $95.87
  • Anthem Healthkeepers Plus — All Products: $231.33
  • Carolina Complete Health — Tailored Plan: $73.68
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $296.95
  • Humana Healthy Horizons — All Products: $285.60
  • Johns Hopkins HealthCare — All Products: $313.44
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URG-FAMILY PSYCH W/PT $341.62 $307.46 $72 – $324.54
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $164.40
  • Aetna Better Health — All Products: $285.60
  • Anthem — All Commercial Products Except Healthkeepers: $99.21
  • Anthem — Healthkeepers: $99.21
  • Anthem Healthkeepers Plus — All Products: $231.33
  • Carolina Complete Health — Tailored Plan: $91.49
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $307.46
  • Humana Healthy Horizons — All Products: $285.60
  • Johns Hopkins HealthCare — All Products: $324.54
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB-FAMILY PSYCH W/PT $341.62 $307.46 $72 – $324.54
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $164.40
  • Aetna Better Health — All Products: $285.60
  • Anthem — All Commercial Products Except Healthkeepers: $99.21
  • Anthem — Healthkeepers: $99.21
  • Anthem Healthkeepers Plus — All Products: $231.33
  • Carolina Complete Health — Tailored Plan: $91.49
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $307.46
  • Humana Healthy Horizons — All Products: $285.60
  • Johns Hopkins HealthCare — All Products: $324.54
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-FMLY PSYCH W/PT $341.62 $307.46 $72 – $324.54
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — All Commercial Products: $164.40
  • Aetna Better Health — All Products: $285.60
  • Anthem — All Commercial Products Except Healthkeepers: $99.21
  • Anthem — Healthkeepers: $99.21
  • Anthem Healthkeepers Plus — All Products: $231.33
  • Carolina Complete Health — Tailored Plan: $91.49
  • Evernorth — CIGNA Behavioral Health: $72
  • First Health — All Commercial Products: $307.46
  • Humana Healthy Horizons — All Products: $285.60
  • Johns Hopkins HealthCare — All Products: $324.54
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URG-GROUP PSYCHOTHRPY $91.80 $82.62 $26.05 – $87.21
Group psychotherapy: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $79.31
  • Aetna Better Health — All Products: $464.35
  • Anthem — All Commercial Products Except Healthkeepers: $26.05
  • Anthem — Healthkeepers: $26.05
  • Anthem Healthkeepers Plus — All Products: $376.12
  • Carolina Complete Health — Tailored Plan: $26.08
  • Evernorth — CIGNA Behavioral Health: $41
  • First Health — All Commercial Products: $82.62
  • Humana Healthy Horizons — All Products: $464.35
  • Johns Hopkins HealthCare — All Products: $87.21
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB-GRP PSYCHOTHRPY $91.80 $82.62 $26.05 – $87.21
Group psychotherapy: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $79.31
  • Aetna Better Health — All Products: $464.35
  • Anthem — All Commercial Products Except Healthkeepers: $26.05
  • Anthem — Healthkeepers: $26.05
  • Anthem Healthkeepers Plus — All Products: $376.12
  • Carolina Complete Health — Tailored Plan: $26.08
  • Evernorth — CIGNA Behavioral Health: $41
  • First Health — All Commercial Products: $82.62
  • Humana Healthy Horizons — All Products: $464.35
  • Johns Hopkins HealthCare — All Products: $87.21
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-GROUP PSYCHOTHRPY $91.80 $82.62 $26.05 – $87.21
Group psychotherapy: 10 of 21 insurance plan rates
  • Aetna — All Commercial Products: $79.31
  • Aetna Better Health — All Products: $464.35
  • Anthem — All Commercial Products Except Healthkeepers: $26.05
  • Anthem — Healthkeepers: $26.05
  • Anthem Healthkeepers Plus — All Products: $376.12
  • Carolina Complete Health — Tailored Plan: $26.08
  • Evernorth — CIGNA Behavioral Health: $41
  • First Health — All Commercial Products: $82.62
  • Humana Healthy Horizons — All Products: $464.35
  • Johns Hopkins HealthCare — All Products: $87.21

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJEXCE BREAST CYST $105.29 $94.76 $24.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $100.03
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • Aetna Better Health — All Products: $2,445.42
  • AmeriHealth Caritas — All Products: $24.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem Healthkeepers Plus — All Products: $1,980.79
  • Carolina Complete Health — Tailored Plan: $24.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — All Commercial Products: $69.91
  • Healthy Blue — All Products: $24.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Humana Healthy Horizons — All Products: $2,445.42
  • Johns Hopkins HealthCare — All Products: $100.03
  • Sentara Community Plan — All Products: $2,332.55
  • UnitedHealthcare Community Plan — All Products: $1,993.96
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $350.40
Removal of breast growth (open surgery): 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $2,445.42
  • Anthem — All Commercial Products Except Healthkeepers: $13,452.83
  • Anthem — Healthkeepers: $13,452.83
  • Anthem Healthkeepers Plus — All Products: $1,980.79
  • Humana Healthy Horizons — All Products: $2,445.42
  • Sentara Community Plan — All Products: $2,332.55
  • Sentara Health Plans — All Commercial Products: $350.40
  • UnitedHealthcare Community Plan — All Products: $1,993.96
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $4,071.54
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
  • Aetna Better Health — All Products: $4,001.76
  • Anthem Healthkeepers Plus — All Products: $3,241.43
  • Humana Healthy Horizons — All Products: $4,001.76
  • Sentara Community Plan — All Products: $3,817.07
  • Sentara Health Plans — All Commercial Products: $4,071.54
  • UnitedHealthcare Community Plan — All Products: $3,262.98
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Carolina Complete Health — Tailored Plan: 23.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $5,009.23
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $4,001.76
  • Anthem — All Commercial Products Except Healthkeepers: $11,242.10
  • Anthem — Healthkeepers: $11,242.10
  • Anthem Healthkeepers Plus — All Products: $3,241.43
  • Humana Healthy Horizons — All Products: $4,001.76
  • Sentara Community Plan — All Products: $3,817.07
  • Sentara Health Plans — All Commercial Products: $5,009.23
  • UnitedHealthcare Community Plan — All Products: $3,262.98
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $4,071.54
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $3,979.14
  • Anthem — All Commercial Products Except Healthkeepers: $20,339.57
  • Anthem — Healthkeepers: $20,339.57
  • Anthem Healthkeepers Plus — All Products: $3,223.11
  • Humana Healthy Horizons — All Products: $3,979.14
  • Sentara Community Plan — All Products: $3,795.49
  • Sentara Health Plans — All Commercial Products: $4,071.54
  • UnitedHealthcare Community Plan — All Products: $3,244.53
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS Not listed in the file Not listed in the file $5,009.23
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $1,851.93
  • Anthem — All Commercial Products Except Healthkeepers: $3,116.42
  • Anthem — Healthkeepers: $3,116.42
  • Anthem Healthkeepers Plus — All Products: $1,500.06
  • Humana Healthy Horizons — All Products: $1,851.93
  • Sentara Community Plan — All Products: $1,766.45
  • Sentara Health Plans — All Commercial Products: $5,009.23
  • UnitedHealthcare Community Plan — All Products: $1,510.03
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY Not listed in the file Not listed in the file $5,009.23
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $1,851.93
  • Anthem — All Commercial Products Except Healthkeepers: $3,116.42
  • Anthem — Healthkeepers: $3,116.42
  • Anthem Healthkeepers Plus — All Products: $1,500.06
  • Humana Healthy Horizons — All Products: $1,851.93
  • Sentara Community Plan — All Products: $1,766.45
  • Sentara Health Plans — All Commercial Products: $5,009.23
  • UnitedHealthcare Community Plan — All Products: $1,510.03
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $782.23
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $1,840.28
  • Anthem — All Commercial Products Except Healthkeepers: $3,195.12
  • Anthem — Healthkeepers: $3,195.12
  • Anthem Healthkeepers Plus — All Products: $1,490.63
  • Humana Healthy Horizons — All Products: $1,840.28
  • Sentara Community Plan — All Products: $1,755.34
  • Sentara Health Plans — All Commercial Products: $782.23
  • UnitedHealthcare Community Plan — All Products: $1,500.54
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $5,009.23
Colonoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $1,840.28
  • Anthem — All Commercial Products Except Healthkeepers: $4,111.57
  • Anthem — Healthkeepers: $4,111.57
  • Anthem Healthkeepers Plus — All Products: $1,490.63
  • Humana Healthy Horizons — All Products: $1,840.28
  • Sentara Community Plan — All Products: $1,755.34
  • Sentara Health Plans — All Commercial Products: $5,009.23
  • UnitedHealthcare Community Plan — All Products: $1,500.54
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY Not listed in the file Not listed in the file $782.23
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $1,840.28
  • Anthem — All Commercial Products Except Healthkeepers: $4,111.57
  • Anthem — Healthkeepers: $4,111.57
  • Anthem Healthkeepers Plus — All Products: $1,490.63
  • Humana Healthy Horizons — All Products: $1,840.28
  • Sentara Community Plan — All Products: $1,755.34
  • Sentara Health Plans — All Commercial Products: $782.23
  • UnitedHealthcare Community Plan — All Products: $1,500.54
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $4,071.54
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $6,702.42
  • Anthem — All Commercial Products Except Healthkeepers: $20,771.51
  • Anthem — Healthkeepers: $20,771.51
  • Anthem Healthkeepers Plus — All Products: $5,428.96
  • Humana Healthy Horizons — All Products: $6,702.42
  • Sentara Community Plan — All Products: $6,393.08
  • Sentara Health Plans — All Commercial Products: $4,071.54
  • UnitedHealthcare Community Plan — All Products: $5,465.05
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA Not listed in the file Not listed in the file $5,009.23
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $6,748.79
  • Anthem — All Commercial Products Except Healthkeepers: $12,301.81
  • Anthem — Healthkeepers: $12,301.81
  • Anthem Healthkeepers Plus — All Products: $5,466.52
  • Humana Healthy Horizons — All Products: $6,748.79
  • Sentara Community Plan — All Products: $6,437.31
  • Sentara Health Plans — All Commercial Products: $5,009.23
  • UnitedHealthcare Community Plan — All Products: $5,502.86
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $2,628 – $29,250
Prostate biopsy: 10 of 19 insurance plan rates
  • Anthem — All Commercial Products Except Healthkeepers: $29,250
  • Anthem — Healthkeepers: $29,250
  • Sentara Health Plans — All Commercial Products: $2,628
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Carolina Complete Health — Tailored Plan: 23.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)
  • First Health — All Commercial Products: 85% (a percentage in the contract, not a dollar amount)
  • Healthy Blue — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Johns Hopkins HealthCare — All Products: 95% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY Not listed in the file Not listed in the file $11,122.20
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $4,370.69
  • Anthem — All Commercial Products Except Healthkeepers: $11,122.20
  • Anthem — Healthkeepers: $11,122.20
  • Anthem Healthkeepers Plus — All Products: $3,540.26
  • Humana Healthy Horizons — All Products: $4,370.69
  • Sentara Community Plan — All Products: $4,168.97
  • UnitedHealthcare Community Plan — All Products: $3,563.79
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Carolina Complete Health — Tailored Plan: 23.5% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ SUB LOWSPINE W/IMG $2,979.29 $2,681.36 $685.24 – $2,830.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — All Commercial Products: $2,448.98
  • Aetna Better Health — All Products: $1,406.39
  • AmeriHealth Caritas — All Products: $685.24
  • Anthem — All Commercial Products Except Healthkeepers: $2,425.32
  • Anthem — Healthkeepers: $2,425.32
  • Anthem Healthkeepers Plus — All Products: $1,139.18
  • Carolina Complete Health — Tailored Plan: $698.94
  • Cigna — All Commercial Products: $1,978.25
  • First Health — All Commercial Products: $2,532.40
  • Healthy Blue — All Products: $685.24
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ SUB LOWSPINE W/IMG $2,979.29 $2,681.36 $1,978.25 – $2,740.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — All Commercial Products: $2,448.98
  • Cigna — All Commercial Products: $1,978.25
  • First Health — All Commercial Products: $2,681.36
  • MedCost — All Commercial Products: $2,740.95
  • Multiplan — All Commercial Products: $2,740.95
  • PHCS — All Commercial Products: $2,740.95
  • UnitedHealthcare — MAMSI: $2,255.32
  • UnitedHealthcare — OneNet Options: $2,448.98
  • VHN — Commercial Products: $2,740.95
  • Virginia Health Network — VHN Plus: $2,383.43
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $2,628
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $2,509.48
  • Anthem — All Commercial Products Except Healthkeepers: $6,709.35
  • Anthem — Healthkeepers: $6,709.35
  • Anthem Healthkeepers Plus — All Products: $2,032.68
  • Humana Healthy Horizons — All Products: $2,509.48
  • Sentara Community Plan — All Products: $2,393.66
  • Sentara Health Plans — All Commercial Products: $2,628
  • UnitedHealthcare Community Plan — All Products: $2,046.19
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $2,628
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $1,060.42
  • Anthem — All Commercial Products Except Healthkeepers: $1,889.77
  • Anthem — Healthkeepers: $1,889.77
  • Anthem Healthkeepers Plus — All Products: $858.94
  • Humana Healthy Horizons — All Products: $1,060.42
  • Sentara Community Plan — All Products: $1,011.48
  • Sentara Health Plans — All Commercial Products: $2,628
  • UnitedHealthcare Community Plan — All Products: $864.65
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS Not listed in the file Not listed in the file $7,096.83
Cataract removal with lens implant: 10 of 24 insurance plan rates
  • Aetna Better Health — All Products: $3,185.40
  • Anthem — All Commercial Products Except Healthkeepers: $7,929.23
  • Anthem — Healthkeepers: $7,929.23
  • Anthem Healthkeepers Plus — All Products: $2,580.18
  • Humana Healthy Horizons — All Products: $3,185.40
  • Sentara Community Plan — All Products: $3,038.38
  • Sentara Health Plans — All Commercial Products: $7,096.83
  • UnitedHealthcare Community Plan — All Products: $2,597.33
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $6,602.07
Vaginal delivery, with care before and after: 10 of 22 insurance plan rates
  • Aetna Better Health — All Products: $4,418.74
  • Anthem Healthkeepers Plus — All Products: $3,579.18
  • Humana Healthy Horizons — All Products: $4,418.74
  • Sentara Community Plan — All Products: $4,214.80
  • Sentara Health Plans — All Commercial Products: $6,602.07
  • UnitedHealthcare Community Plan — All Products: $3,602.97
  • Aetna — All Commercial Products: 82.2% (a percentage in the contract, not a dollar amount)
  • AmeriHealth Caritas — All Products: 23% (a percentage in the contract, not a dollar amount)
  • Carolina Complete Health — Tailored Plan: 23.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $5,793 – $67,141.91
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 7 insurance plans
  • AmeriHealth Caritas — All Products: $65,825.40
  • Anthem — All Commercial Products Except Healthkeepers: $5,793
  • Anthem — Healthkeepers: $5,793
  • Carolina Complete Health — Tailored Plan: $67,141.91
  • Healthy Blue — All Products: $65,825.40
  • WellCare — All Products: $65,825.40
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $5,793 – $81,323.46
Spinal fusion (not neck), without major complications: rates for 7 insurance plans
  • AmeriHealth Caritas — All Products: $79,728.89
  • Anthem — All Commercial Products Except Healthkeepers: $5,793
  • Anthem — Healthkeepers: $5,793
  • Carolina Complete Health — Tailored Plan: $81,323.46
  • Healthy Blue — All Products: $79,728.89
  • WellCare — All Products: $79,728.89
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $5,793 – $11,387.67
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans
  • AmeriHealth Caritas — All Products: $11,164.38
  • Anthem — All Commercial Products Except Healthkeepers: $5,793
  • Anthem — Healthkeepers: $5,793
  • Carolina Complete Health — Tailored Plan: $11,387.67
  • Healthy Blue — All Products: $11,164.38
  • WellCare — All Products: $11,164.38
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $5,793 – $11,401.66
Neck (cervical) spinal fusion, without complications: rates for 7 insurance plans
  • AmeriHealth Caritas — All Products: $11,178.10
  • Anthem — All Commercial Products Except Healthkeepers: $5,793
  • Anthem — Healthkeepers: $5,793
  • Carolina Complete Health — Tailored Plan: $11,401.66
  • Healthy Blue — All Products: $11,178.10
  • WellCare — All Products: $11,178.10
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $5,702.50 – $5,816.55
Uterus and ovary surgery (not for cancer), without complications: rates for 7 insurance plans
  • AmeriHealth Caritas — All Products: $5,702.50
  • Anthem — All Commercial Products Except Healthkeepers: $5,793
  • Anthem — Healthkeepers: $5,793
  • Carolina Complete Health — Tailored Plan: $5,816.55
  • Healthy Blue — All Products: $5,702.50
  • WellCare — All Products: $5,702.50
  • Cigna — All Commercial Products: 66.4% (a percentage in the contract, not a dollar amount)

Source: Childrens Hospital of the Kings Daughters Inc’s standard charges file (chkd.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 17, 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 typeChildren's Hospital
Address601 Children's Lane, Norfolk, VA 23507
CountyNorfolk City
StateVirginia
Phone(757) 668‑9647
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number493301
Name in Medicare recordsCHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(757) 668‑7000[4]
Name on the hospital’s websiteChildren's Hospital of The King's Daughters Main Hospital & Emergency Center
Official websitechkd.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Main Hospital & Emergency Center — chkd.org
  2. CHKD Main Hospital & Emergency Center | Locations | CHKD — chkd.org
  3. Emergency Medicine | CHKD — chkd.org
  4. Rehabilitative Services and Therapy | CHKD — chkd.org
  5. Rehab Unit | CHKD — chkd.org
  6. Laboratory Services | CHKD — chkd.org
  7. Transport Program | CHKD — chkd.org
  8. Trauma Center | Level 1 Pediatric Trauma Center | CHKD — chkd.org
  9. Business Standards and Services | CHKD — chkd.org