Does Christ Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Christ Hospital. In a medical emergency, call 911.

Where is Christ Hospital?

2139 Auburn Avenue, Cincinnati, OH 45219, in Hamilton County, Ohio.

What is the phone number of Christ Hospital?

(513) 585-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Christ Hospital?

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

Does Medicare reduce its payments to Christ Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Christ Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4879; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Christ Hospital — Phone, Address, ER & Ratings

Quick answers

Does Christ Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Christ Hospital. In a medical emergency, call 911.
Where is Christ Hospital?: 2139 Auburn Avenue, Cincinnati, OH 45219, in Hamilton County, Ohio.
What is the phone number of Christ Hospital?: (513) 585-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Christ Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Christ Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Christ Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4879; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[4][6][12][13]}

Cardiology (Heart & Vascular)
Cardiovascular and vascular surgery
Cardiac electrophysiology
Orthopedics (Joint & Spine)
Cancer care
Emergency medicine
Critical care (cardiovascular ICU)
Women's surgery
Same-day surgery

Conditions treated^[5][13]

Heart attack
Chest pain or pressure
Severe allergic reaction (anaphylaxis)
Severe asthma attack
Broken bone
Severe burn
Deep wound
Dehydration
Difficulty breathing / shortness of breath
Dizziness, balance problems or loss of coordination
Fainting
Severe head injury or concussion
Pneumonia
Poisoning
Seizures
Shock
Swallowed object
Trouble speaking or understanding speech
Vaginal bleeding
Psychiatric evaluation (emergency)

Treatments^{[5][6][12][13]}

Emergency care
Cardiovascular intensive care
Cardiovascular step-down care
Dialysis

Procedures^[6][12]

Cardiac catheterization
Electrophysiology procedures
Heart and vascular surgery
Cardiovascular testing and advanced cardiac imaging
Angiography
Endoscopy
Joint and spine surgery
Women's surgery
CT scan
MRI
PET/CT scan
Nuclear medicine imaging
Ultrasound
X-ray
EEG
Pulmonary function testing

Programs and centers^{[6][7][8][14]}

Heart & Vascular Center in Mt. Auburn
Cardiac catheterization and electrophysiology labs
Cardiovascular ICU
Heart Center
Joint and Spine Center
Cancer Center
Women's Surgery Center
Same Day Surgery
Heart & Vascular Center (Mt. Auburn)
Richard T. Farmer Family Cardiovascular ICU (16 beds)
Cardiovascular Step-Down Unit
Chest Pain Network
MyChart Bedside (inpatient app)

Emergency care (hospital website)^[5][8][10]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	No set visiting hours on the main campus; visitor restrictions may apply for safety, isolation or patient request^[9]
Parking	Free parking in garages and lots on the Mt. Auburn campus; $7 valet at some entrances on weekdays^[7]
Interpreters and languages	Interpreters, translators or assistive devices provided if needed^[11]
Patient portal	MyChart

Recognition^{[5][6][11][13][15]}

Accredited by The Joint Commission
Lantern Award for emergency care (2026-2029)
Magnet Designation for nursing care
CMS Five-Star Overall Hospital Quality rating
Women's Choice Award, America's Best 100 Hospitals for Patient Experience
Top 50 Cardiovascular Hospital (2025)
U.S. News #3 Hospital in Ohio

Doctors and clinicians (1,589)

1,589 doctors and other clinicians list Christ Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,565 more: the button below opens the full list.

Other emergency rooms nearby

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

University of Cincinnati Medical Center, LLC1.1 mi · Cincinnati, OH · Acute Care Hospital
Cincinnati Children's Hospital Medical Center1.5 mi · Cincinnati, OH · Children's Hospital
Good Samaritan Hospital1.5 mi · Cincinnati, OH · Acute Care Hospital
Cincinnati VA Medical Center1.9 mi · Cincinnati, OH · Federal/VA Acute Care Hospital
St Elizabeth Ft Thomas3.7 mi · Fort Thomas, KY · Acute Care Hospital

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

Other hospitals near Cincinnati

Select Specialty Hospital-Cincinnati, Inc0.0 mi · Cincinnati, OH · Long-Term Acute Care Hospital
TriHealth Rehabilitation Hospital LLC3.1 mi · Cincinnati, OH · Inpatient Rehabilitation Hospital

All hospitals in Cincinnati · Hospitals in Hamilton County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Seven Acres Senior Living at Clifton1.3 mi · Cincinnati, OH · 5 of 5 stars
Clifton Healthcare Center1.4 mi · Cincinnati, OH · 4 of 5 stars
Lincoln Crawford Care Center1.7 mi · Cincinnati, OH · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Mahogany Home Health and Hospice LLC1.0 mi · Cincinnati, OH
Constellation Hospice1.4 mi · Cincinnati, OH
Starshine Hospice of Childrens Hospital1.4 mi · Cincinnati, OH

All hospice providers in the state →

Home health agencies

Children's Hospital Home Health1.4 mi · Cincinnati, OH
Ohio First Home Healthcare, Inc2.5 mi · Cincinnati, OH
Caretenders of Northern Kentucky4.0 mi · Fort Wright, KY · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita MT Auburn Dialysis1.0 mi · Cincinnati, OH · 1 of 5 stars
DCI - Cincinnati1.4 mi · Cincinnati, OH · 1 of 5 stars
Cincinnati Childrens Hospital Medical Center2.5 mi · Cincinnati, OH

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Skin Cancer Center, Ltd0.4 mi · Cincinnati, OH
Tri-State Endoscopy Center0.4 mi · Cincinnati, OH
Best Centers of America-Ohio, LLC1.0 mi · Cincinnati, OH

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

Crossroad Health Center - Taft0.2 mi · Cincinnati, OH · Community health center
SHELTERHOUSE-Hatton Center for Women0.5 mi · Cincinnati, OH · Community health center
Cincinnati Health Network, Inc.0.5 mi · Cincinnati, OH · Community health center

Clinics and urgent care

Mt. Auburn Urgent Care, LLC0.4 mi · Cincinnati, OH · Urgent care center
Premise Health of Ohio Medical PA1.0 mi · Cincinnati, OH · Urgent care center
Children's Hospital Medical Center2.5 mi · Cincinnati, OH · Urgent care center

Pharmacies

Absolutecare Pharmacy of Ohio, LLC0.4 mi · Cincinnati, OH · Community/retail pharmacy
Christ Hospital0.4 mi · Cincinnati, OH · Community/retail pharmacy
Kroger Limited Partnership I0.4 mi · Cincinnati, OH · Community/retail pharmacy

Assisted living nearby

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

Center for Respite Care, Inc1.0 mi · Cincinnati, OH
The Terrace at Westside1.4 mi · Cincinnati, OH
The Terrace II1.4 mi · Cincinnati, OH
Scarlet Oaks Care Center1.9 mi · Cincinnati, OH

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	2 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	83%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	83%National average: 80%
“Always” got help as soon as they wanted	55%National average: 64%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	66%National average: 73%
Completed surveys	1,497Response rate: 29%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.741No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.74No different from the national benchmark
Surgical site infections after colon surgery	1.027No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.604No different from the national benchmark
MRSA bloodstream infections	0.635No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.918No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.5%
Deaths within 30 days: heart failure patients	9%
Deaths within 30 days: pneumonia patients	12.4%
Deaths within 30 days: COPD patients	10.4%
Deaths within 30 days: stroke patients	11.6%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	0.9No different from the national rate
Complications after hip or knee replacement	6.5%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	15%
Readmitted within 30 days: heart attack	13.4%
Readmitted within 30 days: heart failure	20.8%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	18.7%
Readmitted within 30 days: coronary bypass surgery	10.1%
Readmitted within 30 days: hip or knee replacement	6.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	65%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.4879Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	0.9709Fewer readmissions than expected
Heart failure	0.9313Fewer readmissions than expected
Pneumonia	1.0576More readmissions than expected
COPD (chronic lung disease)	1.0008More readmissions than expected
Hip or knee replacement	0.9478Fewer readmissions than expected
Coronary bypass surgery (CABG)	1.0080More readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	42.75 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	41.67 out of 100
Person and community engagement (patient survey)	61.00 out of 100
Safety (infections and sepsis care)	48.33 out of 100
Efficiency and cost reduction (Medicare spending)	20.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	0.96Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in Cincinnati Best hospitals in Cincinnati

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Christ Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 14 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.

Show the prices of 83 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$157	$94.20	$25 – $157
New patient office visit (about 30–44 minutes): 10 of 166 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $107.59 AETNA [2000] — AETNA HMO/PPO [200018]: $140.02 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $146.64 AETNA [2000] — AETNA MEDICARE SUPPLEMENT [200023]: $105.65 AETNA [2000] — AETNA NETWORK/TPA [200021]: $121.28 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $105.65 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $146.64 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $146.64 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $146.64 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $121.28
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Hchg Visit Level 3 New	$325	$195	$42.11 – $350.81
New patient office visit (about 30–44 minutes): 10 of 83 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $119.07 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $81.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $195 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $195 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $42.11 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $195
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Hchg Preventive Medicine Visit Age 18-39	$325	$195	$42.11 – $392.18
New patient office visit (about 30–44 minutes): 10 of 83 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $130.98 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $154.28 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $154.28 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $81.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $195 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $154.28 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $130.98 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $195 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $42.11 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $195
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$321	$192.60	$59.84 – $321
New patient office visit (about 45–59 minutes): 10 of 179 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $164.56 AETNA [2000] — AETNA HMO/PPO [200018]: $158.29 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $166.16 AETNA [2000] — AETNA MEDICARE SUPPLEMENT [200023]: $166.16 AETNA [2000] — AETNA NETWORK/TPA [200021]: $158.19 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $164.56 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $164.56 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $179.46 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $158.19 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $166.16
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Hchg Visit Level 4 New	$387	$232.20	$42.11 – $387
New patient office visit (about 45–59 minutes): 10 of 83 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $119.07 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $96.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $232.20 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $232.20 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $42.11 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $232.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$270.20	$162.12	$30 – $257.95
New patient office visit (about 45–59 minutes): 10 of 70 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $166.16 AETNA [2000] — AETNA NETWORK/TPA [200021]: $166.16 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $166.16 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $179.46 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $129.59 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $166.16 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $158.29 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $166.16 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $164.56 ANTHEM [2024] — OON ANTHEM [202438]: $164.56
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$508	$304.80	$83.14 – $508
New patient office visit (about 60–74 minutes): 10 of 120 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $208.91 AETNA [2000] — AETNA HMO/PPO [200018]: $208.72 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $204.51 AETNA [2000] — AETNA NETWORK/TPA [200021]: $204.51 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $208.91 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $208.91 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $248.66 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $204.51 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $204.51 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $208.21
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Hchg Visit Level 5 New	$451	$270.60	$42.11 – $495.43
New patient office visit (about 60–74 minutes): 10 of 83 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $119.07 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $112.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $270.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $270.60 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $42.11 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $270.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$476	$285.60	$78.84 – $457.50
New patient office visit (about 60–74 minutes): 10 of 83 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $204.51 AETNA [2000] — AETNA NETWORK/TPA [200021]: $208.21 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $170.79 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $208.21 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $204.51 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $204.51 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $208.91 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $204.51 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $208.21 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $170.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$110	$66	$24.22 – $110
Established patient office visit (about 20–29 minutes): 10 of 188 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $73 AETNA [2000] — AETNA HMO/PPO [200018]: $76.02 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $88.81 AETNA [2000] — AETNA MEDICARE SUPPLEMENT [200023]: $76.02 AETNA [2000] — AETNA NETWORK/TPA [200021]: $82.69 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $83.37 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $76.02 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $76.02 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $82.69 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIORISE BH [218302]: $83.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$102	$61.20	$33.40 – $145
Established patient office visit (about 20–29 minutes): 10 of 104 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $83.37 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $76.02 AETNA [2000] — AETNA NETWORK/TPA [200021]: $76.02 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $83.47 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $83.47 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $73 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $73 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $73 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $61.55 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $83.69
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hchg Visit Level 3 Established	$292	$175.20	$42.11 – $350.81
Established patient office visit (about 20–29 minutes): 10 of 83 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $119.07 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $73 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $175.20 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $175.20 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $42.11 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $175.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$211	$126.60	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $204.27
Established patient office visit (about 30–39 minutes): 10 of 191 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $114.24 AETNA [2000] — AETNA HMO/PPO [200018]: $111.25 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $115.76 AETNA [2000] — AETNA MEDICARE SUPPLEMENT [200023]: $114.24 AETNA [2000] — AETNA NETWORK/TPA [200021]: $103.40 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $115.76 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $97.06 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $115.76 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $115.76 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIORISE BH [218302]: $114.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$242.55	$145.53	$45.48 – $184.01
Established patient office visit (about 30–39 minutes): 10 of 110 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $114.24 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $111.25 AETNA [2000] — AETNA NETWORK/TPA [200021]: $114.24 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $114.24 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $115.76 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $111.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $114.24 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $111.25 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $114.24 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $114.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hchg Visit Level 4 Established	$351	$210.60	$42.11 – $351
Established patient office visit (about 30–39 minutes): 10 of 83 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $119.07 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $87.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $210.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $119.07 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $119.07 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $210.60 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $42.11 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $210.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$242	$145.20	$45.37 – $242
Office consultation with a specialist (moderate): 10 of 53 insurance plan rates ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $109.48 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $85.95 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $105.73 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $105.73 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $109.48 BUCKEYE AMBETTER [3094] — MHS AMBETTER [309402]: $109.48 BUCKEYE AMBETTER [3094] — WELLCARE AMBETTER KY [309403]: $109.48 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $105.73 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $109.48 CHAMPVA [2034] — CHAMPVA [203401]: $109.48
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$145	$87	$45.38 – $182
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $109.48 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $109.48 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $105.73 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $109.48 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $105.73 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $109.48 FIRST HEALTH [2041] — MEDISHARE [204106]: $109.48 HUMANA HEALTH CARE [2014] — HUMANA HMO/POS [201403]: $105.73 HUMANA MEDICAID KY [3088] — HUMANA MEDICAID KY [308801]: $109.48 HUMANA MEDICAID OH [3102] — HUMANA MEDICAID OH [310201]: $109.48
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$273	$163.80	$76.31 – $273
Office consultation with a specialist (moderate to high): 10 of 61 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $136.18 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $150.11 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $136.18 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $136.18 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $95.08 ALLIED BENEFITS [2163] — EPISCOPAL RETIREMENT SVCS - ALLIED [216303]: $95.03 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $136.18 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $95.03 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $150.11 BUCKEYE AMBETTER [3094] — MHS AMBETTER [309402]: $95.08
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$310	$186	$68.68 – $308.88
Office consultation with a specialist (moderate to high): 10 of 24 insurance plan rates AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $95.08 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $95.08 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $95.08 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $95.08 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $95.08 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $95.08 FIRST HEALTH [2041] — MEDISHARE [204106]: $95.08 HUMANA MEDICAID KY [3088] — HUMANA MEDICAID KY [308801]: $95.08 HUMANA MEDICAID OH [3102] — HUMANA MEDICAID OH [310201]: $150.11 KENTUCKY PASSPORT/MOLINA [2097] — PASSPORT/MOLINA MEDICAID KY [209701]: $95.08
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$195	$117	$48.97 – $195
Preventive checkup, new patient, age 18–39: 10 of 106 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $173.89 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $177.93 AETNA [2000] — AETNA NETWORK/TPA [200021]: $173.89 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $177.93 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $173.89 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $177.93 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $177.93 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIORISE BH [218302]: $173.89 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $177.93 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $177.93
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$198	$118.80	$48.97 – $260
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $177.93 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $177.93 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $177.93 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $177.93 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $173.89 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $173.89 HUMANA MEDICAID OH [3102] — HUMANA MEDICAID OH [310201]: $177.93 MOLINA MEDICAID [2058] — MOLINA MEDICAID [205801]: $173.89 UHC COMMUNITY MEDICAID [2175] — UHC COMMUNITY OH MEDICAID [217501]: $177.93 UHC MEDICARE [1004] — UHC MEDICARE [100403]: $177.93
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$226	$135.60	$45.20 – $226
Preventive checkup, new patient, age 40–64: 10 of 114 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $193.51 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $191.31 AETNA [2000] — AETNA NETWORK/TPA [200021]: $191.31 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $193.51 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $191.31 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $193.51 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $191.31 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $191.31 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $191.31 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $197.14
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$240	$144	$62.29 – $301
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates AETNA [2000] — AETNA NETWORK/TPA [200021]: $193.51 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $191.31 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $191.31 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $191.31 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $191.31 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $191.31 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $191.31 MEDICAID OHIO [2050] — MEDICAID OHIO [205001]: $191.31 MERITAIN HEALTH [2224] — MERITAIN HEALTH TX [222402]: $191.31 MOLINA MEDICAID [2058] — MOLINA MEDICAID [205801]: $191.31
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hchg Eu-Level 3 Visit	$1,165	$699	$78.23 – $1,166
Emergency room visit (moderate): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $255.84 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $255.84 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $255.84 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $291.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,165 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $255.84 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $255.84 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $176.51 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $679.54 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $849.43
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPARTMENT VISIT LOW MDM	$131	$78.60	$37.68 – $106.71
Emergency room visit (moderate): 10 of 27 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $55.29 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $55.29 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $55.29 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $67.47 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $55.29 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $67.47 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $55.29 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $55.29 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $67.47 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $38.62
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hchg Eu-Level 4 Visit	$1,749	$1,049.40	$78.23 – $1,802
Emergency room visit (moderately high): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $393.45 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $393.45 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $393.45 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $437.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,049.40 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $393.45 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $393.45 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $176.51 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1,045.05 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1,306.31
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM	$180	$108	$59.77 – $115.80
Emergency room visit (moderately high): 10 of 30 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $115.80 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $101.84 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $115.80 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $115.80 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $115.80 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $101.84 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $63.85 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $63.85 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $115.80 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $101.84
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hchg Eu-Level 5 Visit	$3,123	$1,873.80	$78.23 – $3,123
Emergency room visit (high): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $566.49 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $566.49 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $566.49 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $780.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,873.80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $566.49 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $566.49 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,123 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1,504.68 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1,880.85
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM	$436	$261.60	$161.21 – $285.21
Emergency room visit (high): rates for 5 insurance plans BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $230.91 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $210.28 UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $230.91 UNITED HEALTHCARE [2069] — UHC SUREST/BIND [206926]: $210.28 WELLCARE MEDICARE (MERIDIAN) [2075] — WELLCARE MERIDIAN MEDICARE [207503]: $210.28

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Hchg Basic Metabolic Panel Total C	$124	$74.40	$3.47 – $124
Basic metabolic panel (blood test): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $13.54 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $8.46 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $8.46 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $8.46 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $124 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $8.46 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $13.54 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $124 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $3.47 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3.47
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hchg Comprehensive Metabolic Panel	$148	$88.80	$5.99 – $148
Comprehensive metabolic panel (blood test): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $16.90 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $10.56 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $10.56 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $10.56 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $148 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $10.56 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $16.90 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $148 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $9.02 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $5.99
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL	$16	$9.60	$4.37 – $16
Comprehensive metabolic panel (blood test): 10 of 76 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $8.32 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $8.32 AETNA [2000] — AETNA NETWORK/TPA [200021]: $8.32 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $8.32 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $8.32 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $8.32 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $8.32 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $8.32 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $8.32 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $8.32
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hchg Lipid Panel	$191	$114.60	$11.44 – $191
Cholesterol panel (lipid panel): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $21.42 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $13.39 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $13.39 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $13.39 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $191 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $13.39 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $21.42 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $191 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $11.44 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $14.29
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hchg Renal Function Panel	$122	$73.20	$4.11 – $122
Kidney function panel: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $13.88 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $8.68 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $8.68 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $8.68 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $122 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $8.68 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $13.88 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $122 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $7.41 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $9.26
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hchg Hepatic Function Panel	$122	$73.20	$4.04 – $122
Liver function panel: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $13.08 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $8.17 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $8.17 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $8.17 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $122 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $8.17 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $13.08 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $122 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $6.98 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $4.04
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hchg Urinalysis W/ Microscopic	$54	$32.40	$3.17 – $54
Urine test (automated, with microscope): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $5.08 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $3.17 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $3.17 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $3.17 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $54 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $3.17 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $5.08 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $54 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $3.90 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3.38
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$5	$3	$1.64 – $5
Urine test (manual, without microscope): 10 of 129 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $3.23 AETNA [2000] — AETNA HMO/PPO [200018]: $3.23 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $3.41 AETNA [2000] — AETNA NETWORK/TPA [200021]: $3.23 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $3.23 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $3.41 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $3.41 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $3.41 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $3.41 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $3.10
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hchg Urine Dipstick Without Microscopy	$41	$24.60	$3.48 – $41
Urine test (manual, without microscope): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $24.60 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $24.60 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $3.48 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $3.48 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $24.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $24.60 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $24.60 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $24.60 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $24.60 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $24.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hchg POC Urinalysis	$22	$13.20	$1.06 – $22
Urine test (automated, without microscope): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3.60 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2.25 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2.25 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $2.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $49 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2.25 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3.60 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $49 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1.92 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1.06
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hchg Urinalysis	$49	$29.40	$1.06 – $49
Urine test (automated, without microscope): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3.60 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2.25 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2.25 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $2.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $49 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2.25 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3.60 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $49 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1.92 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1.06
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hchg Ph Urine	$26	$15.60	$1.06 – $26
Urine test (automated, without microscope): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3.60 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2.25 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2.25 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $2.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $49 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2.25 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3.60 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $49 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1.92 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hchg Prostatic Specific Antigen	$184	$110.40	$15.71 – $184
PSA (prostate specific antigen) blood test: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $29.42 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $18.39 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $18.39 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $18.39 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $110.40 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $18.39 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $29.42 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $184 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $15.71 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $19.62
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hchg Psa Screen	$150	$90	$15.71 – $150
PSA (prostate specific antigen) blood test: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $29.42 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $19.31 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $19.31 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $18.39 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $90 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $19.31 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $29.42 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $184 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $15.71 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $19.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hchg Tsh (Thyroid Stimulating Hormone)	$170	$102	$7.95 – $170
Thyroid stimulating hormone (TSH) test: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $26.88 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $16.80 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $16.80 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $16.80 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $170 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $16.80 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $26.88 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $170 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $14.35 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $7.95
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$12	$7.20	$2.77 – $11.66
Complete blood count (CBC) with differential: 10 of 115 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $4.43 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $4.43 AETNA [2000] — AETNA NETWORK/TPA [200021]: $4.43 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $4.43 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $4.43 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $4.43 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $4.43 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $4.43 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $4.43 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $4.43
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hchg Cbc W. Differential - Automated	$80	$48	$3.68 – $80
Complete blood count (CBC) with differential: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $12.44 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $7.77 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $7.77 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $7.77 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $7.77 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $12.44 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $80 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $6.64 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3.68
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hchg POC Monc Complete Cbc W Auto Diff Wbc	$86	$51.60	$3.68 – $86
Complete blood count (CBC) with differential: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $12.44 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $7.77 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $7.77 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $7.77 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $7.77 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $12.44 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $80 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $6.64 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3.68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hchg Cbc W/O Differential	$73	$43.80	$3.06 – $73
Complete blood count (CBC), automated: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $10.36 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $6.47 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $6.47 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $6.47 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $73 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $6.47 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $10.36 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $73 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $3.06 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3.06
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hchg POC Monc Complete Cbc Automated	$70	$42	$3.06 – $70
Complete blood count (CBC), automated: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $10.36 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $6.47 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $6.47 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $6.47 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $73 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $6.47 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $10.36 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $73 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $3.06 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hchg Prothrombin Time	$67	$40.20	$4.29 – $67
Blood clotting time test (prothrombin time, PT): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $6.86 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $4.29 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $4.29 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $4.29 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $67 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $4.29 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $6.86 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $67 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $5.13 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $5.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hchg POC Pt/Inr	$31	$18.60	$4.29 – $31
Blood clotting time test (prothrombin time, PT): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $6.86 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $4.29 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $4.29 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $4.29 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $67 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $4.29 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $6.86 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $67 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $5.13 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $5.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$6	$3.60	$2.01 – $6
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $4.20 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $4.20 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $4.20 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $4.20 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $4.20 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $4.20 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $4.20 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $4.20 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $4.20 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $4.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hchg Partial Thromboplastin Time	$72	$43.20	$2.97 – $72
Blood clotting test (partial thromboplastin time, PTT): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $9.62 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $6.01 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $6.01 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $6.01 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $72 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $6.01 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $9.62 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $72 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2.97 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2.97

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Scan Head/Brain W/O Contrast Matl	$1,153	$691.80	$56.64 – $1,153
CT scan of the head or brain, without contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $98.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $288.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,153 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $1,153 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $260.99 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $326.24
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hchg MRI Brain W/WO Contrast Ltd	$3,521	$2,112.60	$193.88 – $3,521
MRI of the brain, before and after contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $329.98 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $329.98 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $329.98 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $880.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,112.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $329.98 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $329.98 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,167 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $876.48 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1,095.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain Combo	$3,167	$1,900.20	$193.88 – $3,167
MRI of the brain, before and after contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $329.98 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $329.98 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $329.98 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $791.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,900.20 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $329.98 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $329.98 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,167 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $876.48 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1,095.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hchg Rad Exam Chest 2 Views	$266	$159.60	$62.12 – $270.10
Chest X-ray, 2 views: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $81.36 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $81.36 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $81.36 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $66.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $266 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $81.36 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $81.36 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $266 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $216.08 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $270.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: RADIOLOGIC EXAM CHEST 2 VIEWS	$30	$18	$13.72 – $30
Chest X-ray, 2 views: 10 of 36 insurance plan rates AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $20.66 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $20.66 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $20.66 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $20.66 ANTHEM [2024] — OON ANTHEM [202438]: $20.66 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $20.66 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $20.66 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $20.66 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $20.66 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $20.66
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-Ray Lumbar Spine 4 Vw	$356	$213.60	$23.45 – $356
X-ray of the lower spine, at least 4 views: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $98.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $89 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $356 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $60.42 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $260.99 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $326.24
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$114	$68.40	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $114
X-ray of the lower spine, at least 4 views: 10 of 84 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $46.80 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $46.80 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $46.80 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $46.80 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $46.80 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $46.80 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $46.80 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $46.80 ANTHEM [2024] — ANTHEM PATHWAY GROUP HMO [202428]: $46.80 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $46.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Lumbar Spine	$2,068	$1,240.80	$117.33 – $2,068
MRI of the lower back (lumbar spine), without contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $223.34 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $223.34 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $223.34 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $517 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,068 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $223.34 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $223.34 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $271.82 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $593.23 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $741.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hchg MRI Lumbar Spine W/O Contrast Ltd	$2,068	$1,240.80	$117.33 – $2,068
MRI of the lower back (lumbar spine), without contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $223.34 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $223.34 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $223.34 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $517 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,068 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $223.34 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $223.34 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $271.82 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $593.23 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $741.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Scan of Pelvis Contrast	$1,617	$970.20	$123.28 – $1,617
CT scan of the pelvis, with contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $164.49 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $164.49 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $164.49 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $404.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $970.20 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $164.49 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $164.49 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $970.20 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $436.89 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $546.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Lower Extrem Jt W/O Contrast	$2,068	$1,240.80	$129.47 – $2,068
MRI of a leg joint (such as the knee), without contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $223.34 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $223.34 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $223.34 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $517 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,240.80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $223.34 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $223.34 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $1,240.80 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $593.23 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $741.54
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hchg CT Abdomen and Pelvis W Contrast	$4,691	$2,814.60	$162.17 – $4,691
CT scan of the abdomen and pelvis, with contrast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $329.98 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $329.98 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $329.98 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $1,172.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,814.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $329.98 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $329.98 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $4,691 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $876.48 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $1,095.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdom B-Scan &/or Real Time Complete	$575	$345	$70.27 – $575
Ultrasound of the abdomen, complete: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $98.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $143.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $575 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $159.88 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $260.99 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $326.24
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$234	$140.40	$132.82
Ultrasound of the abdomen, complete: rates for 1 insurance plan ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $132.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Preg Uter Fetal & Mat 2-3 Trimest	$575	$345	$67.54 – $575
Pregnancy ultrasound (after the first trimester): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $98.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $143.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $345 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $345 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $260.99 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $326.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$267	$160.20	$38.54 – $267
Pregnancy ultrasound (after the first trimester): 10 of 80 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $149.79 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $149.79 AETNA [2000] — AETNA NETWORK/TPA [200021]: $149.79 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $149.79 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $149.79 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $149.79 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $149.79 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $149.79 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $149.79 ANTHEM [2024] — ANTHEM PATHWAY GROUP HMO [202428]: $149.79
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$95	$57	$38.54 – $267
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $149.79 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $149.79 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $149.79 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $149.79 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $149.79 ANTHEM [2024] — OON ANTHEM [202438]: $149.79 ANTHEM MEDICAID KENTUCKY [2194] — ANTHEM KY MEDICAID [219401]: $149.79 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $149.79 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $149.79 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $149.79
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$233	$139.80	$68.44 – $227.18
Transvaginal ultrasound: 10 of 103 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $140.28 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $140.28 AETNA [2000] — AETNA NETWORK/TPA [200021]: $140.28 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $140.28 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $140.28 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $140.28 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $140.28 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $140.28 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $140.28 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $140.28
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Echography Transvaginal	$575	$345	$64.08 – $575
Transvaginal ultrasound: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $98.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $143.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $575.01 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $98.26 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $98.26 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $575 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $260.99 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $326.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammography; Unilateral 2d Diag	$376	$225.60	$65.56 – $376
Diagnostic mammogram, one breast: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $201.71 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $77.58 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $77.58 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $94 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $225.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $77.58 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $201.71 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $55.16 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $66.25 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $82.78
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hchg Mam Diag Direct 2d Digital Bilat	$520	$312	$83.89 – $520
Diagnostic mammogram, both breasts: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $256.88 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $98.80 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $98.80 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $130 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $520 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $98.80 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $256.88 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $55.16 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $84.38 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $105.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hchg Mam Screening Direct Digital	$257	$154.20	$64.25 – $257
Screening mammogram, both breasts: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $212.32 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $81.66 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $81.66 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $64.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $257 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $81.66 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $212.32 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $55.16 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $69.74 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $87.13

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$41	$24.60	$7.22 – $41
Electrocardiogram (ECG/EKG) with reading: 10 of 151 insurance plan rates AARP [2020] — AARP SUPPLEMENT [202001]: $13.90 AETNA [2000] — AETNA HMO/PPO [200018]: $13.90 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $18.74 AETNA [2000] — AETNA NETWORK/TPA [200021]: $13.90 AETNA [2000] — OON AETNA EXCHANGE PLAN [200026]: $18.74 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $21.07 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $21.07 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $13.90 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIORISE BH [218302]: $13.90 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $13.90
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$41	$24.60	$7.22 – $41
Electrocardiogram (ECG/EKG) with reading: 10 of 20 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $13.90 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $13.90 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $13.90 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $13.90 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $13.90 BUCKEYE MEDICARE [2167] — WELLCARE BY ALWELL FROM BUCKEYE HEALTH [216701]: $13.90 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $13.90 CARESOURCE MEDICARE [3080] — CARESOURCE DUAL ADVANTAGE [308002]: $13.90 CIGNA [2009] — CIGNA NEW BUSINESS C-9 [200906]: $13.90 HUMANA MEDICAID OH [3102] — HUMANA MEDICAID OH [310201]: $18.74
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Lhc Inc Inj Left Ventriclgphy & Imaging	$9,598	$5,758.80	$2,971.90 – $9,598
Left heart catheterization (diagnostic): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,971.90 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2,971.90 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2,971.90 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $5,758.80 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $5,758.80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2,971.90 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,971.90 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $5,758.80 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $5,758.80 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $5,758.80
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$606	$363.60	$72.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $385.01
Left heart catheterization (diagnostic): rates for 10 insurance plans AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $107.44 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $107.44 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $107.44 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $107.44 MEDICAID OHIO [2050] — MEDICAID OHIO [205001]: $107.44 MEDICAL MUTUAL MEDICARE [1006] — MEDICAL MUTUAL MEDICARE [100601]: $107.44 MERITAIN HEALTH [2224] — MERITAIN HEALTH TX [222402]: $107.44 UHC COMMUNITY HEALTH DUAL [2197] — UHC DUAL [219701]: $107.44 UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $107.44 UNITED HEALTHCARE [2069] — UHC GEHA [206931]: $107.44
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comp Ep W/O Arrythmia Induction	$10,809	$6,485.40	$2,702.25 – $23,278.56
Heart rhythm study (electrophysiology evaluation): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $7,011.25 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $7,011.25 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $7,011.25 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $2,702.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $6,485.40 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $7,011.25 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $7,011.25 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $6,485.40 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $18,622.85 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $23,278.56
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hchg Ep Eval Inc Transsept Cath W Ind Arrhyth His W Abl	$41,056	$24,633.60	$10,264 – $75,259.46
Heart rhythm study with ablation for atrial fibrillation: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $22,667.35 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $22,667.35 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $22,667.35 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $10,264 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $24,633.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $22,667.35 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $22,667.35 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $12,897.17 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $60,207.57 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $75,259.46
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$2,883	$1,729.80	$172.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,098.79
Heart rhythm study with ablation for atrial fibrillation: 10 of 56 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $887.67 AETNA [2000] — AETNA NETWORK/TPA [200021]: $887.67 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $887.67 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $887.67 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $887.67 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $887.67 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $887.67 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $887.67 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $887.67 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $887.67
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · modifier 53 In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$2,883	$1,729.80	$172.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,098.79
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans AETNA [2000] — AETNA NETWORK/TPA [200021]: $887.67 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $887.67 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $887.67 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $887.67
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$183	$109.80	$72.05 – $477.36
Sleep study (overnight, in a sleep lab): 10 of 100 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $118.27 AETNA [2000] — AETNA NETWORK/TPA [200021]: $118.27 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $118.27 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $118.27 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $118.27 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $118.27 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $118.27 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $118.27 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $118.27 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $118.27
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Hchg Polysomnography 4 or More Addl Parameters Sleep Att	$3,562	$2,137.20	$890.50 – $3,562
Sleep study (overnight, in a sleep lab): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $940.05 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $940.05 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $940.05 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $890.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,562 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $940.05 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $940.05 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,562 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,496.90 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3,121.12
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Hchg Partial Sleep Study	$2,961	$1,776.60	$740.25 – $3,121.12
Sleep study (overnight, in a sleep lab): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $940.05 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $940.05 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $940.05 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $740.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,562 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $940.05 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $940.05 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,562 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,496.90 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3,121.12

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Ot Therapeutic Exercise Ea 15 Min	$144	$86.40	$34.46 – $170
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $34.46 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $36 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $86.40 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $34.46 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $86.40 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $49.34 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $86.40 BCCP [3079] — BCCP [307901]: $144 BUCKEYE COMMUNITY HEALTH [2028] — HB XR BUCKEYE MGD MEDICAID OH 106%: $86.40 CARESOURCE [2031] — HB XR CARESOURCE MGD MEDICAID OHIO 103%: $86.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Pt Therapeutic Exercise Ea 15 Min	$144	$86.40	$34.46 – $170
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $34.46 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $36 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $86.40 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $34.46 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $86.40 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $49.34 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $86.40 BCCP [3079] — BCCP [307901]: $144 BUCKEYE COMMUNITY HEALTH [2028] — HB XR BUCKEYE MGD MEDICAID OH 106%: $86.40 CARESOURCE [2031] — HB XR CARESOURCE MGD MEDICAID OHIO 103%: $86.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hchg Pt Eval Low Complex	$288	$172.80	$49.34 – $288
Physical therapy evaluation (low complexity): 10 of 53 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $115.66 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $72 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $172.80 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $115.66 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $172.80 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $49.34 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $172.80 BCCP [3079] — BCCP [307901]: $288 BUCKEYE AMBETTER [3095] — HB XR BUCKEYE AMBETTER EXCHANGE: $114.53 BUCKEYE COMMUNITY HEALTH [2028] — HB XR BUCKEYE MGD MEDICAID OH 106%: $172.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hchg Pt Eval Mod Complex	$298	$178.80	$49.34 – $298
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $115.66 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $74.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $178.80 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $115.66 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $178.80 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $49.34 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $178.80 BCCP [3079] — BCCP [307901]: $298 BUCKEYE AMBETTER [3095] — HB XR BUCKEYE AMBETTER EXCHANGE: $114.53 BUCKEYE COMMUNITY HEALTH [2028] — HB XR BUCKEYE MGD MEDICAID OH 106%: $178.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hchg Pt Eval High Complex	$308	$184.80	$49.34 – $308
Physical therapy evaluation (high complexity): 10 of 53 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $115.66 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $77 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $184.80 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $115.66 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $184.80 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $49.34 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $184.80 BCCP [3079] — BCCP [307901]: $308 BUCKEYE AMBETTER [3095] — HB XR BUCKEYE AMBETTER EXCHANGE: $114.53 BUCKEYE COMMUNITY HEALTH [2028] — HB XR BUCKEYE MGD MEDICAID OH 106%: $184.80
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES	$104	$62.40	$40.93 – $103.17
Psychotherapy, 30 minutes: 10 of 70 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $56.93 AETNA [2000] — AETNA NETWORK/TPA [200021]: $56.93 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $56.93 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $59.10 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $56.93 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $56.93 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $56.93 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $56.93 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $56.93 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $56.93
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Hchg Individual Psychotherapy 45 Min	$251	$150.60	$42.11 – $492.91
Psychotherapy, 45 minutes: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $148.46 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $148.46 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $148.46 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $62.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $150.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $148.46 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $148.46 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $150.60 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $394.33 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $492.91
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES	$139	$83.40	$59.41 – $139
Psychotherapy, 45 minutes: 10 of 61 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $74.01 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $74.01 AETNA [2000] — AETNA NETWORK/TPA [200021]: $74.01 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $74.01 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $88.91 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $74.01 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $74.01 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $74.01 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $74.01 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $88.91
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES	$126	$75.60	$59.41 – $139
Psychotherapy, 45 minutes: rates for 2 insurance plans UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $74.01 UNITED HEALTHCARE [2069] — UHC SUREST/BIND [206926]: $74.01
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Hchg Individual Psychotherapy 60 Min	$290	$174	$42.11 – $492.91
Psychotherapy, 60 minutes: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $148.46 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $148.46 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $148.46 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $72.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $174 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $148.46 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $148.46 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $174 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $394.33 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $492.91
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES	$207	$124.20	$61.18 – $207
Psychotherapy, 60 minutes: 10 of 62 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $132.72 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $110.30 AETNA [2000] — AETNA NETWORK/TPA [200021]: $110.30 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $110.30 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $132.72 AETNA BETTER HEALTH OHIO MEDICAID [2183] — AETNA BETTER HEALTH OHIO MEDICAID [218301]: $110.30 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $132.72 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $110.30 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $110.30 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $132.72
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES	$188	$112.80	$75 – $207
Psychotherapy, 60 minutes: rates for 2 insurance plans ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $110.30 UNITED HEALTHCARE [2069] — UHC SUREST/BIND [206926]: $110.30
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$153	$91.80	$88.21 – $140.60
Family psychotherapy, without the patient: rates for 3 insurance plans CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $92.26 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $92.26 UHC MEDICARE [1004] — UHC MEDICARE [100403]: $92.26
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$158	$94.80	$65.22 – $156.77
Family psychotherapy, with the patient: rates for 7 insurance plans ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $69.42 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $69.42 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $69.42 KENTUCKY PASSPORT/MOLINA [2097] — PASSPORT/MOLINA MEDICAID KY [209701]: $84.06 MEDBEN [2222] — MEDBEN [222201]: $69.42 TCH EMPLOYEE ANTHEM [3006] — TCH EMPLOYEE ANTHEM [300601]: $84.06 UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $69.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hchg Intensive Outpatient Prog Chemical Dependency	$650	$390	$85.47 – $650
Group psychotherapy: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $268.66 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $85.47 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $85.47 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $162.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $390 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $85.47 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $268.66 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $390 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $109.85 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $137.15
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hchg Intensive Outpatient Program Mental Health	$650	$390	$21.05 – $825.82
Group psychotherapy: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $126.56 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $117 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $85.47 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $162.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $390 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $85.47 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $85.47 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $390 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $660.66 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $825.82

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$14,512.26	$8,977.46	$97.28 – $11,747.36
Removal of breast growth (open surgery): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3,538.18 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $3,538.18 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $3,538.18 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $8,977.46 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $3,538.18 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3,538.18 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $8,977.46 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $9,397.89 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $11,747.36 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $4,522.44
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Hchg Removal of Breast Lesion	$3,883	$2,329.80	$970.75 – $10,424.25
Removal of breast growth (open surgery): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3,538.18 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $3,538.18 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $3,538.18 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $970.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,329.80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $3,538.18 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3,538.18 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $2,329.80 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,329.80 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $7,476.51
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$839	$503.40	$134.45 – $886.14
Removal of breast growth (open surgery): 10 of 29 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $444.52 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $444.52 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $444.52 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $444.52 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $444.52 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $444.52 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $444.52 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $444.52 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $444.52 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $444.52
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$40,997.95	$25,214.69	$21.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $39,472.44
Total hip replacement: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $11,888.68 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $11,888.68 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $11,888.68 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $25,214.69 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $11,888.68 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $11,888.68 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $25,214.69 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $31,577.96 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $39,472.44 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $15,195.92
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$3,430	$2,058	$40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,309.38
Total hip replacement: 10 of 59 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $1,154.31 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $1,154.31 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $1,154.31 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $1,154.31 ANTHEM [2024] — ANTHEM PATHWAY GROUP HMO [202428]: $1,154.31 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $1,154.31 ANTHEM [2024] — IN ANTHEM EXCHANGE [202432]: $1,154.31 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $1,154.31 ANTHEM MEDICAID INDIANA [2212] — ANTHEM INDIANA MEDICAID/HHHW/HCC [221201]: $1,154.31 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $1,154.31
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$3,430	$2,058	$40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,309.38
Total hip replacement: rates for 1 insurance plan UHC MEDICARE [1004] — UHC MEDICARE [100403]: $1,154.31
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments	$39,526.56	$24,577.18	$8.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $39,472.44
Total knee replacement: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $11,888.68 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $11,888.68 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $11,888.68 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $24,577.18 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $11,888.68 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $11,888.68 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $24,577.18 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $31,577.96 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $39,472.44 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $15,195.92
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$3,426	$2,055.60	$122.30 – $3,058.67
Total knee replacement: 10 of 59 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $640.17 AETNA [2000] — AETNA NETWORK/TPA [200021]: $640.17 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $640.17 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $640.17 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $640.17 ALLIED BENEFITS [2163] — EPISCOPAL RETIREMENT SVCS - ALLIED [216303]: $640.17 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $640.17 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $640.17 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $640.17 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $640.17
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments\|BILATERAL PROCEDURE	$91,297.44	$56,108.65	$8.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $39,472.44
Total knee replacement: 10 of 75 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $11,888.68 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $11,888.68 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $11,888.68 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $11,888.68 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $11,888.68 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $6,907.38 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $11,888.68 BUCKEYE AMBETTER [3095] — HB XR BUCKEYE AMBETTER EXCHANGE: $11,888.68 BUCKEYE MEDICARE [2167] — HB XR MEDICARE ADVANTAGE AT 100PCT: $11,888.68 BUCKEYE MYCARE DUAL [2171] — HB XR MEDICARE ADVANTAGE AT 100PCT: $11,888.68
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$31,020.92	$19,045.55	$504.20 – $19,446.99
Shoulder arthroscopy: shaving of shoulder bone: 10 of 84 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $6,600.66 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $6,600.66 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $6,600.66 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $19,045.55 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $6,600.66 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $6,600.66 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $19,045.55 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $504.20 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $19,045.55 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $6,600.66
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$445	$267	$18.59 – $445
Shoulder arthroscopy: shaving of shoulder bone: 10 of 48 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $161.17 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $161.17 AETNA [2000] — AETNA NETWORK/TPA [200021]: $161.17 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $161.17 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $161.17 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $161.17 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $161.17 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $161.17 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $161.17 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $161.17
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · modifier AS In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$445	$267	$18.59 – $445
Shoulder arthroscopy: shaving of shoulder bone: 10 of 33 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $161.17 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $161.17 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $161.17 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $161.17 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $161.17 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $161.17 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $161.17 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $161.17 BUCKEYE AMBETTER [3094] — MHS AMBETTER [309402]: $161.17 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $161.17
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$13,534.63	$8,331.49	$601.64 – $9,953.72
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,997.95 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2,997.95 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2,997.95 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $8,331.49 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2,997.95 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,997.95 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $8,331.49 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $7,962.97 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $9,953.72 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $3,831.94
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,353	$811.80	$258.96 – $1,161.08
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $529.60 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $529.60 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $529.60 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $529.60 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $529.60 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $529.60 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $529.60 BUCKEYE AMBETTER [3094] — WELLCARE AMBETTER KY [309403]: $529.60 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $529.60 CARESOURCE MEDICARE [3080] — CARESOURCE DUAL ADVANTAGE [308002]: $529.60
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$574	$344.40	$144.60 – $419.36
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $329.63 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $329.63 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $329.63 CARESOURCE [2031] — CARESOURCE OH MEDICAID [203102]: $329.63 CIGNA [2009] — CIGNA NEW BUSINESS C-9 [200906]: $329.63 CIGNA [2009] — CIGNA PPO [200904]: $329.63 CUSTOM DESIGN BENEFITS - TRUE COST [3004] — CUSTOM DESIGN BENEFITS [300401]: $329.63 HUMANA MEDICAID KY [3088] — HUMANA MEDICAID KY [308801]: $329.63 HUMANA MEDICAID OH [3102] — HUMANA MEDICAID OH [310201]: $329.63 MERITAIN HEALTH [2224] — MERITAIN HEALTH TX [222402]: $329.63
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · modifier 51 In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$574	$344.40	$144.60 – $419.36
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $329.63
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hchg Egd Diagnostic Brush Wash	$2,684	$1,610.40	$671 – $2,684
Upper GI endoscopy (diagnostic): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $866.29 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $866.29 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $866.29 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $671 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $1,610.40 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $866.29 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $866.29 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $830.16 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1,610.40 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,876.21
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$4,418.54	$2,743.34	$601.64 – $4,982
Upper GI endoscopy (diagnostic): 10 of 85 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $866.29 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $866.29 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $866.29 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,743.34 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $866.29 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $866.29 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $2,510.26 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,300.97 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,876.21 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $1,107.27
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$310	$186	$107.85 – $310
Upper GI endoscopy (diagnostic): rates for 5 insurance plans AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $114.98 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $134.72 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $134.72 TCH EMPLOYEE ANTHEM [3006] — TCH EMPLOYEE ANTHEM [300601]: $134.72 UHC MEDICARE [1004] — UHC MEDICARE [100403]: $134.72
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple	$5,845.59	$3,607.99	$73.25 – $4,982
Upper GI endoscopy with biopsy: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $866.29 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $866.29 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $866.29 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $4,588.59 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $866.29 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $866.29 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $4,632.66 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,300.97 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,876.21 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $1,107.27
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$4,461.72	$2,760.52	$8.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,982
Colonoscopy (diagnostic): 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $842.40 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $842.40 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $842.40 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,760.52 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $842.40 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $842.40 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $4,951.51 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,237.53 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,796.91 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $1,076.74
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple	$5,475.54	$3,377.54	$73.25 – $4,982
Colonoscopy with biopsy: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,089.45 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $1,089.45 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $1,089.45 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,377.54 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $1,089.45 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,089.45 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,377.54 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,893.72 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3,617.15 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $1,392.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$5,448.02	$3,430.82	$73.25 – $4,982
Colonoscopy with removal of polyps (snare): 10 of 85 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,089.45 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $1,089.45 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $1,089.45 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,430.82 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $1,089.45 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,089.45 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $5,579.75 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,893.72 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $3,617.15 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $1,392.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon Ca Scrn Not Hi Rsk Ind	$4,453.54	$2,764.34	$842.40 – $5,896.81
Screening colonoscopy (not high risk): 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $842.40 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $842.40 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $842.40 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,764.34 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $842.40 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $842.40 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $2,764.34 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,237.53 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,796.91 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $1,076.74
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy	$24,786.55	$15,223.92	$11.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $17,898.49
Gallbladder removal by laparoscope: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $5,390.83 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $5,390.83 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $5,390.83 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $28,844.35 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $5,390.83 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $5,390.83 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $11,385.13 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $14,318.79 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $17,898.49 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $6,890.48
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,350	$810	$99.61 – $1,075.52
Gallbladder removal by laparoscope: 10 of 53 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $770.40 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $770.40 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $770.40 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $770.40 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $770.40 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $770.40 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $770.40 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $770.40 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $770.40 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $770.40
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · modifier 80 In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,350	$810	$99.61 – $1,075.52
Gallbladder removal by laparoscope: rates for 3 insurance plans ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $770.40 BUCKEYE MEDICARE [2167] — WELLCARE BY ALWELL FROM BUCKEYE HEALTH [216701]: $770.40 UHC MEDICARE [1004] — UHC OPTUM MEDICARE [100410]: $770.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$20,573.44	$12,645.86	$16.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $16,205.01
Groin (inguinal) hernia repair, age 5 or older: 10 of 86 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3,260.78 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $3,260.78 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $12,645.86 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $3,260.78 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $12,645.86 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $8,661.07 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $10,826.34 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $4,167.87 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $601.64 ANTHEM MEDICAID OHIO [2192] — HB XR ANTHEM OH MEDICAID 103%: $12,645.86
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,064	$638.40	$90.46 – $1,528.42
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $533.88 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $533.88 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $533.88 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $533.88 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $533.88 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $533.88 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $533.88 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $533.88 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $533.88 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $533.88
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|BILATERAL PROCEDURE	$27,046.66	$16,582.68	$16.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $16,205.01
Groin (inguinal) hernia repair, age 5 or older: 10 of 75 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $5,500.28 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $5,500.28 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $5,500.28 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $5,500.28 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $5,500.28 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $601.64 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $5,500.28 BUCKEYE AMBETTER [3095] — HB XR BUCKEYE AMBETTER EXCHANGE: $5,500.28 BUCKEYE MEDICARE [2167] — HB XR MEDICARE ADVANTAGE AT 100PCT: $5,500.28 BUCKEYE MYCARE DUAL [2171] — HB XR MEDICARE ADVANTAGE AT 100PCT: $5,500.28
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Hchg Bx Prostate	$13,395.94	$8,138.74	$73.25 – $6,284.35
Prostate biopsy: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,892.78 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $1,892.78 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $1,892.78 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $1,518.25 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,643.80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $1,892.78 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,892.78 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $8,138.74 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $5,027.48 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $6,284.35
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: PROSTATE NEEDLE BIOPSY ANY APPROACH	$266	$159.60	$65.41 – $204.23
Prostate biopsy: 10 of 46 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $121.20 AETNA [2000] — AETNA NETWORK/TPA [200021]: $121.20 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $121.20 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $121.20 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $121.20 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $121.20 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $121.20 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $121.20 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $121.20 BUCKEYE COMMUNITY HEALTH [2028] — BUCKEYE MEDICAID [202801]: $121.20
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · modifier 51 In the file: PROSTATE NEEDLE BIOPSY ANY APPROACH	$266	$159.60	$65.41 – $204.23
Prostate biopsy: rates for 1 insurance plan UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $121.20
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot	$54,176.81	$33,424.07	$120.43 – $31,939.23
Prostate removal by laparoscope (radical prostatectomy): 10 of 80 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $9,619.76 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $9,619.76 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $9,619.76 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $9,619.76 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $9,619.76 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $25,551.39 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $31,939.23 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $12,295.82 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $6,907.38 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $9,619.76
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) In the file: LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	$2,932	$1,759.20	$555.33 – $2,546.09
Prostate removal by laparoscope (radical prostatectomy): 10 of 33 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $1,559.40 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $1,559.40 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $1,559.40 ALLIED BENEFITS [2163] — ALLIED NO CONTRACT [216302]: $1,559.40 ALLIED BENEFITS [2163] — EPISCOPAL RETIREMENT SVCS - ALLIED [216303]: $1,559.40 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $1,559.40 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $1,559.40 ANTHEM [2024] — IN ANTHEM EXCHANGE [202432]: $1,559.40 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $1,559.40 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $1,559.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · modifier 51 In the file: LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	$2,932	$1,759.20	$555.33 – $2,546.09
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $1,559.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$15,997.95	$9,767.11	$73.25 – $9,754.05
Hysteroscopy with biopsy of the uterus lining: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,937.82 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2,937.82 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2,937.82 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $9,767.11 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2,937.82 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,937.82 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $9,767.11 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $7,803.24 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $9,754.05 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $3,755.07
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hchg Hysteroscopy Surg With Bx Endomet and/or Polypectomy	$5,872	$3,523.20	$1,468 – $8,655.45
Hysteroscopy with biopsy of the uterus lining: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,937.82 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $2,937.82 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $2,937.82 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $1,468 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,523.20 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $2,937.82 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $2,937.82 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,523.20 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $3,523.20 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $9,754.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$474	$284.40	$98.05 – $1,935.49
Hysteroscopy with biopsy of the uterus lining: 10 of 56 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $315.51 AETNA [2000] — AETNA NETWORK/TPA [200021]: $315.51 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $315.51 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $315.51 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $315.51 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $315.51 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $315.51 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $315.51 ANTHEM [2024] — KY ANTHEM EXCHANGE [202430]: $315.51 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $315.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Hchg Inj Interlamnr Lmbr/Sac W CT	$5,623	$3,373.80	$522.41 – $5,623
Spinal injection, lower back (epidural), with imaging guidance: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $639.87 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $639.87 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $639.87 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $1,405.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $3,373.80 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $639.87 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $639.87 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,395 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1,699.60 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,124.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Hchg Njx Interlaminar Lmbr/Sac W Fluor	$3,395	$2,037	$522.41 – $3,395
Spinal injection, lower back (epidural), with imaging guidance: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $639.87 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $639.87 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $639.87 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $848.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,037 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $639.87 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $639.87 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $3,395 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $1,699.60 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,124.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$247	$148.20	$78.75 – $247
Spinal injection, lower back (epidural), with imaging guidance: 10 of 72 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $93.91 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $93.91 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — AETNA BETTER HEALTH KY MEDICAID [220901]: $93.91 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $93.91 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $93.91 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $93.91 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $93.91 ANTHEM [2024] — ANTHEM PATHWAY GROUP HMO [202428]: $93.91 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $93.91 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $93.91
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Hchg Nerve Block Lumbar/Sacral Single	$2,398	$1,438.80	$599.50 – $4,796
Nerve root injection, lower back, with imaging guidance: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $822.61 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $822.61 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $822.61 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $599.50 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,398 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $822.61 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $822.61 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $1,438.80 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $2,184.96 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $2,731.21
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$280	$168	$56.41 – $374.78
Nerve root injection, lower back, with imaging guidance: 10 of 52 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $117.50 AETNA [2000] — AETNA NETWORK/TPA [200021]: $117.50 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $117.50 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $117.50 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $117.50 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $117.50 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $117.50 ANTHEM [2024] — OON ANTHEM [202438]: $117.50 ANTHEM MEDICAID INDIANA [2212] — ANTHEM INDIANA MEDICAID/HIP [221202]: $117.50 ANTHEM MEDICAID KENTUCKY [2194] — ANTHEM KY MEDICAID [219401]: $117.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Hchg Nerve Block Lumbar/Sacral Single Bilat\|BILATERAL PROCEDURE	$4,796	$2,877.60	$1,199 – $4,796
Nerve root injection, lower back, with imaging guidance: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,233.92 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $1,233.92 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $1,233.92 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $1,199 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $2,877.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $1,233.92 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,233.92 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $2,877.60 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $3,277.45 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $4,096.81
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$6,657.04	$4,090.64	$457.46 – $6,148
Carpal tunnel release: 10 of 88 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,804.32 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $1,804.32 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $1,804.32 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $4,090.64 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $1,804.32 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,804.32 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $4,090.64 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $4,792.53 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $5,990.66 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $2,306.26
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,067	$640.20	$197.28 – $960.30
Carpal tunnel release: 10 of 42 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $415.78 AETNA BETTER HEALTH DUAL [2182] — AETNA BETTER HEALTH DUAL (MYCARE) [218201]: $415.78 AETNA MEDICARE [1001] — AETNA MEDICARE [100101]: $415.78 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $415.78 AMERIHEALTH CARITAS [2230] — AMERIHEALTH CARITAS [223001]: $415.78 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $415.78 ANTHEM [2024] — ANTHEM SUPPLEMENT [202436]: $415.78 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $415.78 ANTHEM MEDICAID OHIO [2192] — ANTHEM MEDICAID OHIO [219201]: $415.78 ANTHEM MEDICARE [1002] — ANTHEM MEDIBLUE MEDICARE [100205]: $415.78
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|BILATERAL PROCEDURE	$10,153.71	$6,247.84	$457.46 – $6,148
Carpal tunnel release: 10 of 79 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,804.32 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $1,804.32 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $1,804.32 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $1,804.32 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $1,804.32 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $4,792.53 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $5,990.66 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $2,306.26 ANTHEM MEDICAID INDIANA [2212] — HB XR INDIANA MEDICAID: $457.46 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $1,804.32
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Hchg Discission-2nd Membranous Cataract W/Las	$1,231	$738.60	$307.75 – $1,493.43
Laser treatment of clouding after cataract surgery: 10 of 87 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $506.90 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $506.90 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $506.90 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $307.75 AETNA BETTER HEALTH OHIO MEDICAID [2183] — HB XR AETNA BETTER HLTH MGD MEDICAID OH 108%: $738.60 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $506.90 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $506.90 AMERIHEALTH CARITAS [2230] — HB XR AMERIHEALTH CARITAS OH 103%: $738.60 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $738.60 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $738.60

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$3,240	$1,944	$657.99 – $3,070.28
Vaginal delivery, with care before and after: 10 of 47 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $2,902.90 AETNA [2000] — AETNA LIMITED BENEFIT/FIRST HEALTH [200025]: $2,902.90 AETNA [2000] — AETNA NETWORK/TPA [200021]: $2,902.90 ALLIED BENEFITS [2163] — ALLIED BENEFITS [216301]: $2,902.90 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $2,902.90 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $2,902.90 ANTHEM [2024] — OON ANTHEM [202438]: $2,902.90 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $2,243.15 CIGNA [2009] — CIGNA HMO/PPO [200902]: $2,902.90 CIGNA [2009] — CIGNA NETWORK TPA [200907]: $2,243.15
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,320	$2,592	$1,462.65 – $3,827.77
Vaginal delivery, with care before and after: rates for 4 insurance plans BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $2,902.90 TCH EMPLOYEE ANTHEM [3006] — TCH EMPLOYEE ANTHEM [300601]: $2,902.90 TRICARE [2018] — TRICARE EAST REGION [201802]: $2,902.90 UNITED HEALTHCARE [2069] — UHC CHOICE/CHOICE PLUS [206911]: $2,243.15
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$4,798	$2,878.80	$2,306.74 – $4,487.63
Cesarean delivery (C-section), with care before and after: 10 of 37 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $2,902.90 AETNA [2000] — AETNA NETWORK/TPA [200021]: $2,902.90 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $2,902.90 ANTHEM [2024] — OH ANTHEM EXCHANGE [202434]: $2,902.90 ANTHEM [2024] — OON ANTHEM [202438]: $2,902.90 BUCKEYE AMBETTER [3094] — BUCKEYE AMBETTER [309401]: $2,902.90 CHAMPVA [2034] — CHAMPVA [203401]: $2,902.90 CIGNA [2009] — CIGNA HMO/PPO [200902]: $2,902.90 CIGNA [2009] — CIGNA NETWORK TPA [200907]: $2,902.90 CIGNA [2009] — CIGNA NEW BUSINESS C-9 [200906]: $2,902.90
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$4,798	$2,878.80	$2,306.74 – $4,487.63
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan MERITAIN HEALTH [2224] — MERITAIN HEALTH MN [222401]: $2,902.90
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$4,554	$2,732.40	$2,544.42 – $4,009.64
Vaginal delivery after a previous C-section, with care before and after: 10 of 14 insurance plan rates AETNA [2000] — AETNA HMO/PPO [200018]: $3,236.12 ANTHEM [2024] — ANTHEM HMO/PPO [202416]: $3,236.12 CIGNA [2009] — CIGNA NETWORK TPA [200907]: $3,236.12 CIGNA [2009] — CIGNA NEW BUSINESS C-9 [200906]: $3,236.12 FIRST HEALTH [2041] — MEDISHARE [204106]: $3,236.12 HUMANA HEALTH CARE [2014] — HUMANA HMO/POS [201403]: $2,204.80 MEDICAL MUTUAL [2054] — MEDICAL MUTUAL HMO/PPO [205402]: $3,236.12 MERITAIN HEALTH [2224] — MERITAIN HEALTH TX [222402]: $3,236.12 TCH EMPLOYEE ANTHEM [3006] — TCH EMPLOYEE ANTHEM [300601]: $3,236.12 TCH EMPLOYEE UMR [3007] — TCH EMPLOYEE UMR [300701]: $3,236.12

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC	$255,770.52	$157,974.65	$51,582.64 – $167,422.84
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 62 insurance plan rates AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $64,040.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $64,040.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $51,582.64 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $64,040.26 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $133,936.31 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $167,422.84 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $91,743.10 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $64,040.26 BUCKEYE MEDICARE [2167] — HB XR MEDICARE ADVANTAGE AT 100PCT: $64,040.26 BUCKEYE MYCARE DUAL [2171] — HB XR MEDICARE ADVANTAGE AT 100PCT: $64,040.26
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC	$53,629.03	$33,497.45	$3,643.61 – $36,292.10
Hip or knee replacement (major joint of the leg), without major complications: 10 of 71 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $28,350 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $11,295.39 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $11,295.39 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $10,078.24 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $11,295.39 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $28,350 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $29,032.93 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $36,292.10 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $21,174.17 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $11,295.39
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical Spinal Fusion Without Cc/McC	$60,824.48	$37,292.63	$12,652.99 – $53,972.26
Neck (cervical) spinal fusion, without complications: 10 of 70 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $37,107.76 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $15,981.26 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $15,981.26 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $12,652.99 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $15,981.26 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $37,107.76 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $43,176.83 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $53,972.26 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $31,089.96 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $15,981.26
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC	$36,853.94	$23,437.94	$6,406.67 – $20,944.26
Uterus and ovary surgery (not for cancer), without complications: 10 of 71 insurance plan rates AETNA [2000] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $16,065 AETNA [2000] — HB XR AETNA MEDICARE ADVANTAGE: $8,121.88 AETNA BETTER HEALTH DUAL [2182] — HB XR AETNA BETTER HEALTH DUAL (MYCARE): $8,121.88 AETNA BETTER HEALTH OF KENTUCKY MEDICAID [2209] — HB XR AETNA BETTER HEALTH KY MEDICAID 100%: $6,406.67 AETNA MEDICARE [1001] — HB XR AETNA MEDICARE ADVANTAGE: $8,121.88 ALLIED BENEFITS [2163] — HB XR AETNA GATEKEEPER AND NON-GATEKEEPER: $16,065 ANTHEM [2024] — HB XR ANTHEM EXCHANGE KY: $15,447.96 ANTHEM [2024] — HB XR ANTHEM NON-MEDICARE: $19,309.01 ANTHEM [2024] — HB XR ANTHEM PATHWAY X & PATHWAY HMO: $11,635.28 ANTHEM MEDICARE [1002] — HB XR ANTHEM MEDICARE ADVANTAGE: $8,121.88

Source: Christ Hospital’s standard charges file (thechristhospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 19, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	2139 Auburn Avenue, Cincinnati, OH 45219
County	Hamilton County
State	Ohio
Phone	(513) 585‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	360163
Name in Medicare records	CHRIST HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	The Christ Hospital (Mt. Auburn main campus)
Official website	thechristhospital.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Directions to our main campus in Mt. Auburn — thechristhospital.com
Emergency & Urgent Care - The Christ Hospital — thechristhospital.com
Heart & Vascular - The Christ Hospital — thechristhospital.com
Parking - The Christ Hospital — thechristhospital.com
Driving Directions | The Christ Hospital Health Network — thechristhospital.com
Patients and Visitors | The Christ Hospital Health Network — thechristhospital.com
Phone Directory | The Christ Hospital Health Network — thechristhospital.com
Patient Rights & Responsibilities | The Christ Hospital Health Network — thechristhospital.com
Parking | The Christ Hospital Health Network — thechristhospital.com
The Christ Hospital Emergency Department | The Christ Hospital — thechristhospital.com
MyChart | The Christ Hospital Health Network — thechristhospital.com
Awards and Recognition | The Christ Hospital — thechristhospital.com

Christ Hospital

Summary

Profile from official sources

At a glance