Does Cincinnati Children's Hospital Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Cincinnati Children's Hospital Medical Center. In a medical emergency, call 911.

Where is Cincinnati Children's Hospital Medical Center?

3333 Burnet Avenue, Cincinnati, OH 45229, in Hamilton County, Ohio.

What is the phone number of Cincinnati Children's Hospital Medical Center?

(513) 636-3333, as listed by Medicare (CMS).

What is the Medicare star rating of Cincinnati Children's Hospital Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Cincinnati Children's Hospital Medical Center

Quick answers

Does Cincinnati Children's Hospital Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cincinnati Children's Hospital Medical Center. In a medical emergency, call 911.
Where is Cincinnati Children's Hospital Medical Center?: 3333 Burnet Avenue, Cincinnati, OH 45229, in Hamilton County, Ohio.
What is the phone number of Cincinnati Children's Hospital Medical Center?: (513) 636-3333, as listed by Medicare (CMS).
What is the Medicare star rating of Cincinnati Children's Hospital Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Adolescent and Young Adult Medicine
Allergy and Immunology
Anesthesia
Audiology
Behavioral Medicine and Clinical Psychology
Cancer
Cardiology
Child and Adolescent Psychiatry
Dentistry and Orthodontics
Dermatology
Diabetes
Emergency Services
Endocrinology
Gastroenterology, Hepatology and Nutrition
General and Community Pediatrics
General and Thoracic Surgery
Gynecology
Hematology
Hospital Medicine
Human Genetics
Infectious Diseases
Nephrology and Hypertension
Neurology
Nutrition Therapy
Occupational Therapy and Physical Therapy
Ophthalmology
Orthopaedics
Otolaryngology (ENT)
Pain Management
Pediatric Primary Care
Plastic Surgery
Pulmonology
Radiology and Medical Imaging
Rehabilitation Medicine
Rheumatology
Sleep Center
Speech-Language Pathology
Surgical Oncology
Urology

Conditions treated^[5]

Asthma
Brain and spine tumors
Bronchopulmonary dysplasia
Celiac disease
Cerebral palsy
Cystic fibrosis
Diabetes
Eating disorders
Epilepsy
Hemophilia and bleeding disorders
Hereditary hemorrhagic telangiectasia
Inflammatory bowel disease
Kidney tumors
Leukemia and lymphoma
Liver tumors
Lupus
Neuroblastoma
Neurofibromatosis
Retinoblastoma
Sarcoma
Tourette syndrome and tic disorders
Cardiomyopathy
Arrhythmia
Hemangioma and vascular malformations
Posterior urethral valves

Treatments^[5]

Proton therapy
Dialysis
Nutrition therapy
Occupational and physical therapy
Speech-language pathology
Pain management
Brain injury recovery
Intestinal rehabilitation

Procedures^[5]

Kidney transplant
Lung transplant
Cochlear implants
Limb lengthening and reconstruction

Programs and centers^[4][5]

Asthma Center
Cancer and Blood Diseases Institute
Cancer Survivorship Center
Chest Wall Center
Colorectal Center
Complex Care Center
Crawford Spine Center
Cystic Fibrosis Center
End-stage Lung Failure Program
Hip Preservation Program
Transgender Health Center
Young Adult Cancer Center
Urgent care (Burnet Campus)

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I (pediatric)

Visiting and practical information

Visiting	Inpatient visiting 8:30 am-8:30 pm; two primary support people have 24/7 access; named visitors only, screened at badging^[8]
Parking	Free visitor parking for the main campus, medical office building and emergency department; low-cost weekday valet at the main entrance^[4]
Interpreters and languages	Qualified medical interpreters provided at no cost during appointments; direct interpreter phone lines listed for many languages^[9]
Patient portal	MyChart

Recognition^[4][6]

Level I pediatric trauma center (region's only)
Magnet Recognition (ANCC), fourth consecutive designation in 2023
HIMSS Stage 7 certification (EHR), revalidated

Doctors and clinicians (233)

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

Main specialties

And 209 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, LLC0.4 mi · Cincinnati, OH · Acute Care Hospital
Good Samaritan Hospital1.1 mi · Cincinnati, OH · Acute Care Hospital
Cincinnati VA Medical Center1.1 mi · Cincinnati, OH · Federal/VA Acute Care Hospital
Christ Hospital1.5 mi · Cincinnati, OH · Acute Care Hospital
St Elizabeth Ft Thomas4.7 mi · Fort Thomas, KY · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital-Cincinnati, Inc1.5 mi · Cincinnati, OH · Long-Term Acute Care Hospital
TriHealth Rehabilitation Hospital LLC2.2 mi · Cincinnati, OH · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Garden Park Health Care Center0.5 mi · Cincinnati, OH · 2 of 5 stars
Astoria Place of Cincinnati0.6 mi · Cincinnati, OH · 1 of 5 stars
Lincoln Crawford Care Center1.3 mi · Cincinnati, OH · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Constellation Hospice1.3 mi · Cincinnati, OH
Starshine Hospice of Childrens Hospital1.3 mi · Cincinnati, OH
Mahogany Home Health and Hospice LLC2.4 mi · Cincinnati, OH

All hospice providers in the state →

Home health agencies

Ohio First Home Healthcare, Inc1.1 mi · Cincinnati, OH
Children's Hospital Home Health1.3 mi · Cincinnati, OH
American Mercy Home Care, LLC4.0 mi · Cincinnati, OH

All home health agencies in the state →

Dialysis facilities

Cincinnati Childrens Hospital Med Ctr1.1 mi · Cincinnati, OH
USRC Norwood Dialysis1.1 mi · Cincinnati, OH · 1 of 5 stars
DCI - Cincinnati1.3 mi · Cincinnati, OH · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Skin Cancer Center, Ltd1.2 mi · Cincinnati, OH
Tri-State Endoscopy Center1.2 mi · Cincinnati, OH
Best Centers of America-Ohio, LLC2.4 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

Ambrose H. Clement0.4 mi · Cincinnati, OH · Community health center
YWCA Cincinnati0.5 mi · Cincinnati, OH · Community health center
Ambrose H. Clement Health Center (Avondale)0.7 mi · Cincinnati, OH · Community health center

Clinics and urgent care

Children's Hospital Medical Center1.1 mi · Cincinnati, OH · Urgent care center
Mt. Auburn Urgent Care, LLC1.2 mi · Cincinnati, OH · Urgent care center
Premise Health of Ohio Medical PA2.4 mi · Cincinnati, OH · Urgent care center

Pharmacies

TriHealth G LLC1.1 mi · Cincinnati, OH · Pharmacy
Altev Community Pharmacy LLC1.1 mi · Cincinnati, OH · Pharmacy
Children's Hospital Medical Center1.1 mi · Cincinnati, OH · Community/retail pharmacy

Assisted living nearby

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

Scarlet Oaks Care Center1.1 mi · Cincinnati, OH
Center for Respite Care, Inc2.4 mi · Cincinnati, OH
The Terrace at Westside2.6 mi · Cincinnati, OH
The Terrace II2.6 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 Cincinnati Children's Hospital Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

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

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in 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 71 common services exactly as Cincinnati Children's Hospital Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

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: Pf-New Low Mdm 30-44 Min	$393	$200.43	$53.04 – $393
New patient office visit (about 30–44 minutes): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $98.25 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $126.62 Aetna_Insurance — All_Commercial_Plans: $373.35 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $53.04 Anthem_Insurance — Non_Traditional_Plans: $373.35 Anthem_Insurance — Traditional_Plans: $386.32 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $385.14 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: Pr Office/Outpatient New Low Mdm 30 Minutes\|By Specialist	$393	$200.43	$191 – $393
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $348.86 Anthem_Insurance — Non_Traditional_Plans: $393 Anthem_Insurance — Traditional_Plans: $393 Beechstreet_Insurance — All_Commercial_Plans: $373.35 CareSource_OH_Insurance — All_Exchange_Plans: $196.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $191 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $373.35 Evolutions_Health_Care_Systems — All_Commercial_Plans: $353.70 First_Health_Group_Insurance — All_Commercial_Plans: $373.35 Galaxy_Health_Insurance — All_Commercial_Plans: $393
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Pr Office/Outpatient New Low Mdm 30 Minutes\|By Specialist	$393	$200.43	$191 – $393
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $348.86 Anthem_Insurance — Non_Traditional_Plans: $393 Anthem_Insurance — Traditional_Plans: $393 Beechstreet_Insurance — All_Commercial_Plans: $373.35 CareSource_OH_Insurance — All_Exchange_Plans: $196.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $191 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $373.35 Evolutions_Health_Care_Systems — All_Commercial_Plans: $353.70 First_Health_Group_Insurance — All_Commercial_Plans: $373.35 Galaxy_Health_Insurance — All_Commercial_Plans: $393
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Pf-New Moderate Mdm 45-59 Min	$640	$326.40	$53.04 – $640
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $160 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $194.17 Aetna_Insurance — All_Commercial_Plans: $608 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $53.04 Anthem_Insurance — Non_Traditional_Plans: $608 Anthem_Insurance — Traditional_Plans: $629.12 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $627.20 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: Pr Office/Outpatient New Moderate Mdm 45 Minutes\|By Specialist	$640	$326.40	$272 – $640
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $517.01 Anthem_Insurance — Non_Traditional_Plans: $575.12 Anthem_Insurance — Traditional_Plans: $575.12 Beechstreet_Insurance — All_Commercial_Plans: $608 CareSource_OH_Insurance — All_Exchange_Plans: $320 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $272 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $608 Evolutions_Health_Care_Systems — All_Commercial_Plans: $576 First_Health_Group_Insurance — All_Commercial_Plans: $608 Galaxy_Health_Insurance — All_Commercial_Plans: $640
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Pr Office/Outpatient New Moderate Mdm 45 Minutes\|By Specialist	$640	$326.40	$272 – $640
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $517.01 Anthem_Insurance — Non_Traditional_Plans: $575.12 Anthem_Insurance — Traditional_Plans: $575.12 Beechstreet_Insurance — All_Commercial_Plans: $608 CareSource_OH_Insurance — All_Exchange_Plans: $320 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $272 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $608 Evolutions_Health_Care_Systems — All_Commercial_Plans: $576 First_Health_Group_Insurance — All_Commercial_Plans: $608 Galaxy_Health_Insurance — All_Commercial_Plans: $640
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Pf-New High Mdm 60-74 Min	$869	$443.19	$53.04 – $869
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $217.25 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $244.03 Aetna_Insurance — All_Commercial_Plans: $825.55 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $53.04 Anthem_Insurance — Non_Traditional_Plans: $825.55 Anthem_Insurance — Traditional_Plans: $854.23 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $851.62 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: Pr Office/Outpatient New High Mdm 60 Minutes\|By Specialist	$869	$443.19	$346 – $869
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $688.74 Anthem_Insurance — Non_Traditional_Plans: $732.09 Anthem_Insurance — Traditional_Plans: $732.09 Beechstreet_Insurance — All_Commercial_Plans: $825.55 CareSource_OH_Insurance — All_Exchange_Plans: $434.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $346 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $825.55 Evolutions_Health_Care_Systems — All_Commercial_Plans: $782.10 First_Health_Group_Insurance — All_Commercial_Plans: $825.55 Galaxy_Health_Insurance — All_Commercial_Plans: $869
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Pr Office/Outpatient New High Mdm 60 Minutes\|By Specialist	$869	$443.19	$346 – $869
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $688.74 Anthem_Insurance — Non_Traditional_Plans: $732.09 Anthem_Insurance — Traditional_Plans: $732.09 Beechstreet_Insurance — All_Commercial_Plans: $825.55 CareSource_OH_Insurance — All_Exchange_Plans: $434.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $346 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $825.55 Evolutions_Health_Care_Systems — All_Commercial_Plans: $782.10 First_Health_Group_Insurance — All_Commercial_Plans: $825.55 Galaxy_Health_Insurance — All_Commercial_Plans: $869
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: Pr Office/Outpatient Established Low Mdm 20 Min\|By Specialist	$297	$151.47	$35.43 – $297
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $40.36 Aetna_Insurance — All_Commercial_Plans: $282.15 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $36.44 Anthem_IN — Managed_Care_Medicaid_Plan: $75.85 Anthem_Insurance — Non_Traditional_Plans: $282.15 Anthem_Insurance — Traditional_Plans: $291.95 Anthem_OH — Managed_Care_Medicaid_Plan: $35.43 Beechstreet_Insurance — All_Commercial_Plans: $291.06 Buckeye_OH — Managed_Care_Medicaid_Plan: $38.80 CareSource_IN — Managed_Care_Medicaid_Plan: $79.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Pr Office/Outpatient Established Low Mdm 20 Min\|By Specialist	$297	$151.47	$35.43 – $297
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $40.36 Aetna_Insurance — All_Commercial_Plans: $282.15 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $36.44 Anthem_IN — Managed_Care_Medicaid_Plan: $75.85 Anthem_Insurance — Non_Traditional_Plans: $282.15 Anthem_Insurance — Traditional_Plans: $291.95 Anthem_OH — Managed_Care_Medicaid_Plan: $35.43 Beechstreet_Insurance — All_Commercial_Plans: $291.06 Buckeye_OH — Managed_Care_Medicaid_Plan: $38.80 CareSource_IN — Managed_Care_Medicaid_Plan: $79.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hb Est Low Mdm 20-29 Min	$153	$78.03	$38.25 – $153
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $38.25 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $85.34 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $53.04 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $149.94 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96 CareSource_IN — Managed_Care_Medicaid_Plan: $55.69 CareSource_OH — Managed_Care_Medicaid_Plan: $102.57 CareSource_OH_Insurance — All_Exchange_Plans: $73.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: Pr Office/Outpatient Established Mod Mdm 30 Min\|By Specialist	$464	$236.64	$51.96 – $464
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $61.98 Aetna_Insurance — All_Commercial_Plans: $440.80 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $53.45 Anthem_IN — Managed_Care_Medicaid_Plan: $107.43 Anthem_Insurance — Non_Traditional_Plans: $440.80 Anthem_Insurance — Traditional_Plans: $456.11 Anthem_OH — Managed_Care_Medicaid_Plan: $51.96 Beechstreet_Insurance — All_Commercial_Plans: $454.72 Buckeye_OH — Managed_Care_Medicaid_Plan: $56.91 CareSource_IN — Managed_Care_Medicaid_Plan: $112.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Pr Office/Outpatient Established Mod Mdm 30 Min\|By Specialist	$464	$236.64	$51.96 – $464
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $61.98 Aetna_Insurance — All_Commercial_Plans: $440.80 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $53.45 Anthem_IN — Managed_Care_Medicaid_Plan: $107.43 Anthem_Insurance — Non_Traditional_Plans: $440.80 Anthem_Insurance — Traditional_Plans: $456.11 Anthem_OH — Managed_Care_Medicaid_Plan: $51.96 Beechstreet_Insurance — All_Commercial_Plans: $454.72 Buckeye_OH — Managed_Care_Medicaid_Plan: $56.91 CareSource_IN — Managed_Care_Medicaid_Plan: $112.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hb Est Mod Mdm 30-39 Min	$189	$96.39	$47.25 – $189
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $47.25 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $125.94 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $53.04 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $185.22 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96 CareSource_IN — Managed_Care_Medicaid_Plan: $55.69 CareSource_OH — Managed_Care_Medicaid_Plan: $102.57 CareSource_OH_Insurance — All_Exchange_Plans: $90.72
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes\|By Specialist	$446	$227.46	$50.15 – $446
Office consultation with a specialist (moderate): 10 of 36 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $76.53 Aetna_Insurance — All_Commercial_Plans: $446 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $51.58 Anthem_Insurance — Non_Traditional_Plans: $446 Anthem_Insurance — Traditional_Plans: $446 Anthem_OH — Managed_Care_Medicaid_Plan: $50.15 Beechstreet_Insurance — All_Commercial_Plans: $423.70 Buckeye_OH — Managed_Care_Medicaid_Plan: $54.92 CareSource_OH — Managed_Care_Medicaid_Plan: $50.15 CareSource_OH_Insurance — All_Exchange_Plans: $223
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes\|By Specialist	$446	$227.46	$50.15 – $446
Office consultation with a specialist (moderate): 10 of 36 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $76.53 Aetna_Insurance — All_Commercial_Plans: $446 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $51.58 Anthem_Insurance — Non_Traditional_Plans: $446 Anthem_Insurance — Traditional_Plans: $446 Anthem_OH — Managed_Care_Medicaid_Plan: $50.15 Beechstreet_Insurance — All_Commercial_Plans: $423.70 Buckeye_OH — Managed_Care_Medicaid_Plan: $54.92 CareSource_OH — Managed_Care_Medicaid_Plan: $50.15 CareSource_OH_Insurance — All_Exchange_Plans: $223
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes\|By Midlevel	$446	$227.46	$42.63 – $384.93
Office consultation with a specialist (moderate): 10 of 23 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $57.39 Aetna_Insurance — All_Commercial_Plans: $384.93 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $43.84 Anthem_Insurance — Non_Traditional_Plans: $379.10 Anthem_Insurance — Traditional_Plans: $379.10 Anthem_OH — Managed_Care_Medicaid_Plan: $42.63 Beechstreet_Insurance — All_Commercial_Plans: $360.14 Buckeye_OH — Managed_Care_Medicaid_Plan: $46.68 CareSource_OH — Managed_Care_Medicaid_Plan: $42.63 Cigna_Health_Care_Insurance — All_Commericial_Plans: $303.28
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes\|By Specialist	$680	$346.80	$80.13 – $680
Office consultation with a specialist (moderate to high): 10 of 36 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $121.37 Aetna_Insurance — All_Commercial_Plans: $668.57 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $82.41 Anthem_Insurance — Non_Traditional_Plans: $680 Anthem_Insurance — Traditional_Plans: $680 Anthem_OH — Managed_Care_Medicaid_Plan: $80.13 Beechstreet_Insurance — All_Commercial_Plans: $646 Buckeye_OH — Managed_Care_Medicaid_Plan: $87.76 CareSource_OH — Managed_Care_Medicaid_Plan: $80.13 CareSource_OH_Insurance — All_Exchange_Plans: $340
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes\|By Specialist	$680	$346.80	$80.13 – $680
Office consultation with a specialist (moderate to high): 10 of 36 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $121.37 Aetna_Insurance — All_Commercial_Plans: $668.57 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $82.41 Anthem_Insurance — Non_Traditional_Plans: $680 Anthem_Insurance — Traditional_Plans: $680 Anthem_OH — Managed_Care_Medicaid_Plan: $80.13 Beechstreet_Insurance — All_Commercial_Plans: $646 Buckeye_OH — Managed_Care_Medicaid_Plan: $87.76 CareSource_OH — Managed_Care_Medicaid_Plan: $80.13 CareSource_OH_Insurance — All_Exchange_Plans: $340
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes\|By Midlevel	$680	$346.80	$68.11 – $578
Office consultation with a specialist (moderate to high): 10 of 23 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $91.03 Aetna_Insurance — All_Commercial_Plans: $568.28 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $70.05 Anthem_Insurance — Non_Traditional_Plans: $578 Anthem_Insurance — Traditional_Plans: $578 Anthem_OH — Managed_Care_Medicaid_Plan: $68.11 Beechstreet_Insurance — All_Commercial_Plans: $549.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $74.60 CareSource_OH — Managed_Care_Medicaid_Plan: $68.11 Cigna_Health_Care_Insurance — All_Commericial_Plans: $462.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: Pr Initial Preventive Medicine New Pt Age 18-39Yrs\|By Specialist	$480	$244.80	$51.42 – $480
Preventive checkup, new patient, age 18–39: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $77.60 Aetna_Insurance — All_Commercial_Plans: $397.84 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $52.89 Anthem_IN — Managed_Care_Medicaid_Plan: $108.31 Anthem_Insurance — Non_Traditional_Plans: $480 Anthem_Insurance — Traditional_Plans: $480 Anthem_OH — Managed_Care_Medicaid_Plan: $51.42 Beechstreet_Insurance — All_Commercial_Plans: $456 Buckeye_OH — Managed_Care_Medicaid_Plan: $56.32 CareSource_IN — Managed_Care_Medicaid_Plan: $113.73
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Pr Initial Preventive Medicine New Pt Age 18-39Yrs\|By Specialist	$480	$244.80	$51.42 – $480
Preventive checkup, new patient, age 18–39: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $77.60 Aetna_Insurance — All_Commercial_Plans: $397.84 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $52.89 Anthem_IN — Managed_Care_Medicaid_Plan: $108.31 Anthem_Insurance — Non_Traditional_Plans: $480 Anthem_Insurance — Traditional_Plans: $480 Anthem_OH — Managed_Care_Medicaid_Plan: $51.42 Beechstreet_Insurance — All_Commercial_Plans: $456 Buckeye_OH — Managed_Care_Medicaid_Plan: $56.32 CareSource_IN — Managed_Care_Medicaid_Plan: $113.73
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: Pr Initial Preventive Medicine New Pt Age 18-39Yrs\|By Midlevel	$480	$244.80	$43.71 – $408
Preventive checkup, new patient, age 18–39: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $58.20 Aetna_Insurance — All_Commercial_Plans: $338.16 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $44.96 Anthem_IN — Managed_Care_Medicaid_Plan: $81.23 Anthem_Insurance — Non_Traditional_Plans: $408 Anthem_Insurance — Traditional_Plans: $408 Anthem_OH — Managed_Care_Medicaid_Plan: $43.71 Beechstreet_Insurance — All_Commercial_Plans: $387.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $47.87 CareSource_IN — Managed_Care_Medicaid_Plan: $85.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hb Emergency Department Visit Moderate Severity	$986	$502.86	$98.54 – $986
Emergency room visit (moderate): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $246.50 Aetna_Insurance — All_Commercial_Plans: $936.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $98.54 Anthem_Insurance — Non_Traditional_Plans: $936.70 Anthem_Insurance — Traditional_Plans: $969.24 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $966.28 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96 CareSource_IN — Managed_Care_Medicaid_Plan: $103.47
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: Pr Emergency Department Visit Low Mdm\|By Specialist	$434	$221.34	$39.56 – $434
Emergency room visit (moderate): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $47.40 Aetna_Insurance — All_Commercial_Plans: $412.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $40.69 Anthem_IN — Managed_Care_Medicaid_Plan: $64.70 Anthem_Insurance — Non_Traditional_Plans: $412.30 Anthem_Insurance — Traditional_Plans: $426.62 Anthem_OH — Managed_Care_Medicaid_Plan: $39.56 Beechstreet_Insurance — All_Commercial_Plans: $425.32 Buckeye_OH — Managed_Care_Medicaid_Plan: $43.33 CareSource_IN — Managed_Care_Medicaid_Plan: $67.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Pr Emergency Department Visit Low Mdm\|By Specialist	$434	$221.34	$39.56 – $434
Emergency room visit (moderate): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $47.40 Aetna_Insurance — All_Commercial_Plans: $412.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $40.69 Anthem_IN — Managed_Care_Medicaid_Plan: $64.70 Anthem_Insurance — Non_Traditional_Plans: $412.30 Anthem_Insurance — Traditional_Plans: $426.62 Anthem_OH — Managed_Care_Medicaid_Plan: $39.56 Beechstreet_Insurance — All_Commercial_Plans: $425.32 Buckeye_OH — Managed_Care_Medicaid_Plan: $43.33 CareSource_IN — Managed_Care_Medicaid_Plan: $67.94
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hb Emergency Department Visit High/Urgent Severity	$1,725	$879.75	$98.54 – $1,725
Emergency room visit (moderately high): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $431.25 Aetna_Insurance — All_Commercial_Plans: $1,638.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $98.54 Anthem_Insurance — Non_Traditional_Plans: $1,638.75 Anthem_Insurance — Traditional_Plans: $1,695.68 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $1,690.50 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96 CareSource_IN — Managed_Care_Medicaid_Plan: $103.47
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: Pr Emergency Department Visit Moderate Mdm\|By Specialist	$670	$341.70	$66.06 – $670
Emergency room visit (moderately high): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $74.05 Aetna_Insurance — All_Commercial_Plans: $636.50 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $67.94 Anthem_IN — Managed_Care_Medicaid_Plan: $110.18 Anthem_Insurance — Non_Traditional_Plans: $636.50 Anthem_Insurance — Traditional_Plans: $658.61 Anthem_OH — Managed_Care_Medicaid_Plan: $66.06 Beechstreet_Insurance — All_Commercial_Plans: $656.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $72.35 CareSource_IN — Managed_Care_Medicaid_Plan: $115.69
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Pr Emergency Department Visit Moderate Mdm\|By Specialist	$670	$341.70	$66.06 – $670
Emergency room visit (moderately high): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $74.05 Aetna_Insurance — All_Commercial_Plans: $636.50 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $67.94 Anthem_IN — Managed_Care_Medicaid_Plan: $110.18 Anthem_Insurance — Non_Traditional_Plans: $636.50 Anthem_Insurance — Traditional_Plans: $658.61 Anthem_OH — Managed_Care_Medicaid_Plan: $66.06 Beechstreet_Insurance — All_Commercial_Plans: $656.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $72.35 CareSource_IN — Managed_Care_Medicaid_Plan: $115.69
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hb Emergency Dept Visit High Severity&Threat Funcj	$2,880	$1,468.80	$98.54 – $2,880
Emergency room visit (high): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $720 Aetna_Insurance — All_Commercial_Plans: $2,736 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $110.78 Anthem_IN — Managed_Care_Medicaid_Plan: $98.54 Anthem_Insurance — Non_Traditional_Plans: $2,736 Anthem_Insurance — Traditional_Plans: $2,831.04 Anthem_OH — Managed_Care_Medicaid_Plan: $107.70 Beechstreet_Insurance — All_Commercial_Plans: $2,822.40 Buckeye_OH — Managed_Care_Medicaid_Plan: $117.96 CareSource_IN — Managed_Care_Medicaid_Plan: $103.47
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: Pr Emergency Department Visit High Mdm\|By Specialist	$1,098	$559.98	$98.94 – $1,098
Emergency room visit (high): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $116.04 Aetna_Insurance — All_Commercial_Plans: $1,043.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $101.77 Anthem_IN — Managed_Care_Medicaid_Plan: $159.69 Anthem_Insurance — Non_Traditional_Plans: $1,043.10 Anthem_Insurance — Traditional_Plans: $1,079.33 Anthem_OH — Managed_Care_Medicaid_Plan: $98.94 Beechstreet_Insurance — All_Commercial_Plans: $1,076.04 Buckeye_OH — Managed_Care_Medicaid_Plan: $108.36 CareSource_IN — Managed_Care_Medicaid_Plan: $167.67
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Pr Emergency Department Visit High Mdm\|By Specialist	$1,098	$559.98	$98.94 – $1,098
Emergency room visit (high): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $116.04 Aetna_Insurance — All_Commercial_Plans: $1,043.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $101.77 Anthem_IN — Managed_Care_Medicaid_Plan: $159.69 Anthem_Insurance — Non_Traditional_Plans: $1,043.10 Anthem_Insurance — Traditional_Plans: $1,079.33 Anthem_OH — Managed_Care_Medicaid_Plan: $98.94 Beechstreet_Insurance — All_Commercial_Plans: $1,076.04 Buckeye_OH — Managed_Care_Medicaid_Plan: $108.36 CareSource_IN — Managed_Care_Medicaid_Plan: $167.67

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: Hb Basic Metabolic Panel	$111	$56.61	$6.53 – $111
Basic metabolic panel (blood test): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.46 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $6.53 Aetna_Insurance — All_Commercial_Plans: $105.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $11 Anthem_Insurance — Non_Traditional_Plans: $105.45 Anthem_Insurance — Traditional_Plans: $109.11 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $108.78 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Hb Hi Basic Metabolic Panel	$111	$56.61	$6.53 – $111
Basic metabolic panel (blood test): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.46 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $6.53 Aetna_Insurance — All_Commercial_Plans: $105.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $11 Anthem_Insurance — Non_Traditional_Plans: $105.45 Anthem_Insurance — Traditional_Plans: $109.11 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $108.78 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Hb Basic Metabolic Panel	$111	$56.61	$53.28 – $111
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $105.45 Anthem_Insurance — Non_Traditional_Plans: $105.45 Anthem_Insurance — Traditional_Plans: $109.11 Beechstreet_Insurance — All_Commercial_Plans: $108.78 CareSource_OH_Insurance — All_Exchange_Plans: $53.28 Cigna_Health_Care_Insurance — All_Commericial_Plans: $53.28 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $105.45 Evolutions_Health_Care_Systems — All_Commercial_Plans: $111 First_Health_Group_Insurance — All_Commercial_Plans: $108.78 Galaxy_Health_Insurance — All_Commercial_Plans: $111
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hb Comprehensive Metabolic Panel	$139	$70.89	$10.56 – $139
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $10.56 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $11.20 Aetna_Insurance — All_Commercial_Plans: $132.05 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $13.73 Anthem_Insurance — Non_Traditional_Plans: $132.05 Anthem_Insurance — Traditional_Plans: $136.64 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $136.22 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: Hb Comprehensive Metabolic Panel	$139	$70.89	$66.72 – $139
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $132.05 Anthem_Insurance — Non_Traditional_Plans: $132.05 Anthem_Insurance — Traditional_Plans: $136.64 Beechstreet_Insurance — All_Commercial_Plans: $136.22 CareSource_OH_Insurance — All_Exchange_Plans: $66.72 Cigna_Health_Care_Insurance — All_Commericial_Plans: $66.72 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $132.05 Evolutions_Health_Care_Systems — All_Commercial_Plans: $139 First_Health_Group_Insurance — All_Commercial_Plans: $136.22 Galaxy_Health_Insurance — All_Commercial_Plans: $139
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hb Lipid Profile	$134	$68.34	$13.39 – $134
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $13.39 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $13.48 Aetna_Insurance — All_Commercial_Plans: $127.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $17.41 Anthem_Insurance — Non_Traditional_Plans: $127.30 Anthem_Insurance — Traditional_Plans: $131.72 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $131.32 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hb Hi Lipid Profile	$134	$68.34	$13.39 – $134
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $13.39 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $13.48 Aetna_Insurance — All_Commercial_Plans: $127.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $17.41 Anthem_Insurance — Non_Traditional_Plans: $127.30 Anthem_Insurance — Traditional_Plans: $131.72 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $131.32 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Hb Lipid Profile	$134	$68.34	$64.32 – $134
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $127.30 Anthem_Insurance — Non_Traditional_Plans: $127.30 Anthem_Insurance — Traditional_Plans: $131.72 Beechstreet_Insurance — All_Commercial_Plans: $131.32 CareSource_OH_Insurance — All_Exchange_Plans: $64.32 Cigna_Health_Care_Insurance — All_Commericial_Plans: $64.32 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $127.30 Evolutions_Health_Care_Systems — All_Commercial_Plans: $134 First_Health_Group_Insurance — All_Commercial_Plans: $131.32 Galaxy_Health_Insurance — All_Commercial_Plans: $134
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hb Renal Panel	$141	$71.91	$8.68 – $141
Kidney function panel: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.68 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $9.20 Aetna_Insurance — All_Commercial_Plans: $133.95 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $11.28 Anthem_Insurance — Non_Traditional_Plans: $133.95 Anthem_Insurance — Traditional_Plans: $138.60 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $138.18 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Hb Renal Panel	$141	$71.91	$67.68 – $141
Kidney function panel: 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $133.95 Anthem_Insurance — Non_Traditional_Plans: $133.95 Anthem_Insurance — Traditional_Plans: $138.60 Beechstreet_Insurance — All_Commercial_Plans: $138.18 CareSource_OH_Insurance — All_Exchange_Plans: $67.68 Cigna_Health_Care_Insurance — All_Commericial_Plans: $67.68 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $133.95 Evolutions_Health_Care_Systems — All_Commercial_Plans: $141 First_Health_Group_Insurance — All_Commercial_Plans: $138.18 Galaxy_Health_Insurance — All_Commercial_Plans: $141
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hb Hepatic Function Panel	$108	$55.08	$6.70 – $108
Liver function panel: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.17 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $6.70 Aetna_Insurance — All_Commercial_Plans: $102.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $10.62 Anthem_Insurance — Non_Traditional_Plans: $102.60 Anthem_Insurance — Traditional_Plans: $106.16 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $105.84 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hb Hi Hepatic Function Panel	$108	$55.08	$6.70 – $108
Liver function panel: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.17 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $6.70 Aetna_Insurance — All_Commercial_Plans: $102.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $31.71 Anthem_IN — Managed_Care_Medicaid_Plan: $10.62 Anthem_Insurance — Non_Traditional_Plans: $102.60 Anthem_Insurance — Traditional_Plans: $106.16 Anthem_OH — Managed_Care_Medicaid_Plan: $30.83 Beechstreet_Insurance — All_Commercial_Plans: $105.84 Buckeye_OH — Managed_Care_Medicaid_Plan: $33.76
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Hb Hepatic Function Panel	$108	$55.08	$51.84 – $108
Liver function panel: 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $102.60 Anthem_Insurance — Non_Traditional_Plans: $102.60 Anthem_Insurance — Traditional_Plans: $106.16 Beechstreet_Insurance — All_Commercial_Plans: $105.84 CareSource_OH_Insurance — All_Exchange_Plans: $51.84 Cigna_Health_Care_Insurance — All_Commericial_Plans: $51.84 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $102.60 Evolutions_Health_Care_Systems — All_Commercial_Plans: $108 First_Health_Group_Insurance — All_Commercial_Plans: $105.84 Galaxy_Health_Insurance — All_Commercial_Plans: $108
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hb Urinalysis W/ Microscopic	$78	$39.78	$4.12 – $78
Urine test (automated, with microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $19.50 Aetna_Insurance — All_Commercial_Plans: $74.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $4.12 Anthem_Insurance — Non_Traditional_Plans: $74.10 Anthem_Insurance — Traditional_Plans: $76.67 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $76.44 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $4.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hb Urinalysis Automated With Microscopy	$78	$39.78	$3.17 – $78
Urine test (automated, with microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $3.17 Aetna_Insurance — All_Commercial_Plans: $74.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $4.12 Anthem_Insurance — Non_Traditional_Plans: $74.10 Anthem_Insurance — Traditional_Plans: $76.67 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $76.44 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $4.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hb Ua-Neph Microscopic	$78	$39.78	$4.12 – $78
Urine test (automated, with microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $19.50 Aetna_Insurance — All_Commercial_Plans: $74.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $4.12 Anthem_Insurance — Non_Traditional_Plans: $74.10 Anthem_Insurance — Traditional_Plans: $76.67 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $76.44 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $4.33
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hb Urine-Reducing Substances	$44	$22.44	$4.52 – $44
Urine test (manual, without microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $11 Aetna_Insurance — All_Commercial_Plans: $41.80 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $4.52 Anthem_Insurance — Non_Traditional_Plans: $41.80 Anthem_Insurance — Traditional_Plans: $43.25 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $43.12 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $4.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hb Chem Specific Gravity	$44	$22.44	$3.48 – $44
Urine test (manual, without microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $3.48 Aetna_Insurance — All_Commercial_Plans: $41.80 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $4.52 Anthem_Insurance — Non_Traditional_Plans: $41.80 Anthem_Insurance — Traditional_Plans: $43.25 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $43.12 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $4.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hb Urine Ketones-Ua-Mps	$44	$22.44	$3.48 – $44
Urine test (manual, without microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $3.48 Aetna_Insurance — All_Commercial_Plans: $41.80 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $4.52 Anthem_Insurance — Non_Traditional_Plans: $41.80 Anthem_Insurance — Traditional_Plans: $43.25 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $43.12 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $4.75
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hb Urinalysis W/O Microscope	$45	$22.95	$2.25 – $45
Urine test (automated, without microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $2.25 Aetna_Insurance — All_Commercial_Plans: $42.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $2.93 Anthem_Insurance — Non_Traditional_Plans: $42.75 Anthem_Insurance — Traditional_Plans: $44.24 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $44.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $3.08
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hb Ua With Analyzer	$45	$22.95	$2.25 – $45
Urine test (automated, without microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $2.25 Aetna_Insurance — All_Commercial_Plans: $42.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $2.93 Anthem_Insurance — Non_Traditional_Plans: $42.75 Anthem_Insurance — Traditional_Plans: $44.24 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $44.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $3.08
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hb Ua W/O Microscopy	$45	$22.95	$2.93 – $45
Urine test (automated, without microscope): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $11.25 Aetna_Insurance — All_Commercial_Plans: $42.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $10.28 Anthem_IN — Managed_Care_Medicaid_Plan: $2.93 Anthem_Insurance — Non_Traditional_Plans: $42.75 Anthem_Insurance — Traditional_Plans: $44.24 Anthem_OH — Managed_Care_Medicaid_Plan: $10 Beechstreet_Insurance — All_Commercial_Plans: $44.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $10.95 CareSource_IN — Managed_Care_Medicaid_Plan: $3.08
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hb Psa, Total	$278	$141.78	$16.10 – $278
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $18.39 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $16.10 Aetna_Insurance — All_Commercial_Plans: $264.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $29.26 Anthem_IN — Managed_Care_Medicaid_Plan: $23.91 Anthem_Insurance — Non_Traditional_Plans: $264.10 Anthem_Insurance — Traditional_Plans: $273.27 Anthem_OH — Managed_Care_Medicaid_Plan: $28.44 Beechstreet_Insurance — All_Commercial_Plans: $272.44 Buckeye_OH — Managed_Care_Medicaid_Plan: $31.15
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hb Psa, Ultrasensitive	$78	$39.78	$16.10 – $78
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $18.39 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $16.10 Aetna_Insurance — All_Commercial_Plans: $74.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $29.26 Anthem_IN — Managed_Care_Medicaid_Plan: $23.91 Anthem_Insurance — Non_Traditional_Plans: $74.10 Anthem_Insurance — Traditional_Plans: $76.67 Anthem_OH — Managed_Care_Medicaid_Plan: $28.44 Beechstreet_Insurance — All_Commercial_Plans: $76.44 Buckeye_OH — Managed_Care_Medicaid_Plan: $31.15
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: Hb Psa, Total	$278	$141.78	$133.44 – $278
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $264.10 Anthem_Insurance — Non_Traditional_Plans: $264.10 Anthem_Insurance — Traditional_Plans: $273.27 Beechstreet_Insurance — All_Commercial_Plans: $272.44 CareSource_OH_Insurance — All_Exchange_Plans: $133.44 Cigna_Health_Care_Insurance — All_Commericial_Plans: $133.44 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $264.10 Evolutions_Health_Care_Systems — All_Commercial_Plans: $278 First_Health_Group_Insurance — All_Commercial_Plans: $272.44 Galaxy_Health_Insurance — All_Commercial_Plans: $278
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hb Thyroid Stimulating Hormone (Tsh)	$149	$75.99	$16.80 – $149
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $16.80 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $17.81 Aetna_Insurance — All_Commercial_Plans: $141.55 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $35.47 Anthem_IN — Managed_Care_Medicaid_Plan: $21.84 Anthem_Insurance — Non_Traditional_Plans: $141.55 Anthem_Insurance — Traditional_Plans: $146.47 Anthem_OH — Managed_Care_Medicaid_Plan: $34.48 Beechstreet_Insurance — All_Commercial_Plans: $146.02 Buckeye_OH — Managed_Care_Medicaid_Plan: $37.77
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hb Thyroid Stim Hormone	$28	$14.28	$13.44 – $28
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $16.80 Aetna_Better_Health_OH_OhioRise — Managed_Care_Medicaid_Plan: $17.81 Aetna_Insurance — All_Commercial_Plans: $26.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $28 Anthem_IN — Managed_Care_Medicaid_Plan: $21.84 Anthem_Insurance — Non_Traditional_Plans: $26.60 Anthem_Insurance — Traditional_Plans: $27.52 Anthem_OH — Managed_Care_Medicaid_Plan: $28 Beechstreet_Insurance — All_Commercial_Plans: $27.44 Buckeye_OH — Managed_Care_Medicaid_Plan: $28
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: Hb Thyroid Stimulating Hormone (Tsh)	$149	$75.99	$71.52 – $149
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $141.55 Anthem_Insurance — Non_Traditional_Plans: $141.55 Anthem_Insurance — Traditional_Plans: $146.47 Beechstreet_Insurance — All_Commercial_Plans: $146.02 CareSource_OH_Insurance — All_Exchange_Plans: $71.52 Cigna_Health_Care_Insurance — All_Commericial_Plans: $71.52 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $141.55 Evolutions_Health_Care_Systems — All_Commercial_Plans: $149 First_Health_Group_Insurance — All_Commercial_Plans: $146.02 Galaxy_Health_Insurance — All_Commercial_Plans: $149
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hb Cbc W/Auto Differential	$68	$34.68	$7.77 – $68
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $7.77 Aetna_Insurance — All_Commercial_Plans: $64.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $13.68 Anthem_IN — Managed_Care_Medicaid_Plan: $10.10 Anthem_Insurance — Non_Traditional_Plans: $64.60 Anthem_Insurance — Traditional_Plans: $66.84 Anthem_OH — Managed_Care_Medicaid_Plan: $13.30 Beechstreet_Insurance — All_Commercial_Plans: $66.64 Buckeye_OH — Managed_Care_Medicaid_Plan: $14.57 CareSource_IN — Managed_Care_Medicaid_Plan: $10.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Hb Cbc W/Auto Differential	$68	$34.68	$32.64 – $68
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $64.60 Anthem_Insurance — Non_Traditional_Plans: $64.60 Anthem_Insurance — Traditional_Plans: $66.84 Beechstreet_Insurance — All_Commercial_Plans: $66.64 CareSource_OH_Insurance — All_Exchange_Plans: $32.64 Cigna_Health_Care_Insurance — All_Commericial_Plans: $32.64 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $64.60 Evolutions_Health_Care_Systems — All_Commercial_Plans: $68 First_Health_Group_Insurance — All_Commercial_Plans: $66.64 Galaxy_Health_Insurance — All_Commercial_Plans: $68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hb Complete Blood Count,Only	$51	$26.01	$6.47 – $51
Complete blood count (CBC), automated: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $6.47 Aetna_Insurance — All_Commercial_Plans: $48.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $13.68 Anthem_IN — Managed_Care_Medicaid_Plan: $8.41 Anthem_Insurance — Non_Traditional_Plans: $48.45 Anthem_Insurance — Traditional_Plans: $50.13 Anthem_OH — Managed_Care_Medicaid_Plan: $13.30 Beechstreet_Insurance — All_Commercial_Plans: $49.98 Buckeye_OH — Managed_Care_Medicaid_Plan: $14.57 CareSource_IN — Managed_Care_Medicaid_Plan: $8.83
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: Hb Complete Blood Count,Only	$51	$26.01	$24.48 – $51
Complete blood count (CBC), automated: 10 of 24 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $48.45 Anthem_Insurance — Non_Traditional_Plans: $48.45 Anthem_Insurance — Traditional_Plans: $50.13 Beechstreet_Insurance — All_Commercial_Plans: $49.98 CareSource_OH_Insurance — All_Exchange_Plans: $24.48 Cigna_Health_Care_Insurance — All_Commericial_Plans: $24.48 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $48.45 Evolutions_Health_Care_Systems — All_Commercial_Plans: $51 First_Health_Group_Insurance — All_Commercial_Plans: $49.98 Galaxy_Health_Insurance — All_Commercial_Plans: $51
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hb Protime	$68	$34.68	$5.58 – $68
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $17 Aetna_Insurance — All_Commercial_Plans: $64.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.66 Anthem_IN — Managed_Care_Medicaid_Plan: $5.58 Anthem_Insurance — Non_Traditional_Plans: $64.60 Anthem_Insurance — Traditional_Plans: $66.84 Anthem_OH — Managed_Care_Medicaid_Plan: $15.23 Beechstreet_Insurance — All_Commercial_Plans: $66.64 Buckeye_OH — Managed_Care_Medicaid_Plan: $16.68 CareSource_IN — Managed_Care_Medicaid_Plan: $5.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hb Hi Protime	$68	$34.68	$5.58 – $68
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $17 Aetna_Insurance — All_Commercial_Plans: $64.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.66 Anthem_IN — Managed_Care_Medicaid_Plan: $5.58 Anthem_Insurance — Non_Traditional_Plans: $64.60 Anthem_Insurance — Traditional_Plans: $66.84 Anthem_OH — Managed_Care_Medicaid_Plan: $15.23 Beechstreet_Insurance — All_Commercial_Plans: $66.64 Buckeye_OH — Managed_Care_Medicaid_Plan: $16.68 CareSource_IN — Managed_Care_Medicaid_Plan: $5.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hb Oak Prothrombintime	$31	$15.81	$5.58 – $31
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $7.75 Aetna_Insurance — All_Commercial_Plans: $29.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.66 Anthem_IN — Managed_Care_Medicaid_Plan: $5.58 Anthem_Insurance — Non_Traditional_Plans: $29.45 Anthem_Insurance — Traditional_Plans: $30.47 Anthem_OH — Managed_Care_Medicaid_Plan: $15.23 Beechstreet_Insurance — All_Commercial_Plans: $30.38 Buckeye_OH — Managed_Care_Medicaid_Plan: $16.68 CareSource_IN — Managed_Care_Medicaid_Plan: $5.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hb Activated Par Thromboplas Time	$126	$64.26	$7.81 – $126
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $31.50 Aetna_Insurance — All_Commercial_Plans: $119.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.66 Anthem_IN — Managed_Care_Medicaid_Plan: $7.81 Anthem_Insurance — Non_Traditional_Plans: $119.70 Anthem_Insurance — Traditional_Plans: $123.86 Anthem_OH — Managed_Care_Medicaid_Plan: $15.23 Beechstreet_Insurance — All_Commercial_Plans: $123.48 Buckeye_OH — Managed_Care_Medicaid_Plan: $16.68 CareSource_IN — Managed_Care_Medicaid_Plan: $8.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hb Heparin A Ptt	$126	$64.26	$7.81 – $126
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $31.50 Aetna_Insurance — All_Commercial_Plans: $119.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.66 Anthem_IN — Managed_Care_Medicaid_Plan: $7.81 Anthem_Insurance — Non_Traditional_Plans: $119.70 Anthem_Insurance — Traditional_Plans: $123.86 Anthem_OH — Managed_Care_Medicaid_Plan: $15.23 Beechstreet_Insurance — All_Commercial_Plans: $123.48 Buckeye_OH — Managed_Care_Medicaid_Plan: $16.68 CareSource_IN — Managed_Care_Medicaid_Plan: $8.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hb Oak Partial Thromoplastin Time	$48	$24.48	$6.01 – $48
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $6.01 Aetna_Insurance — All_Commercial_Plans: $45.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.66 Anthem_IN — Managed_Care_Medicaid_Plan: $7.81 Anthem_Insurance — Non_Traditional_Plans: $45.60 Anthem_Insurance — Traditional_Plans: $47.18 Anthem_OH — Managed_Care_Medicaid_Plan: $15.23 Beechstreet_Insurance — All_Commercial_Plans: $47.04 Buckeye_OH — Managed_Care_Medicaid_Plan: $16.68 CareSource_IN — Managed_Care_Medicaid_Plan: $8.20

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: Hb Ct Head Wo Contrast	$2,086	$1,063.86	$73.63 – $2,086
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $521.50 Aetna_Insurance — All_Commercial_Plans: $1,981.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $634.62 Anthem_IN — Managed_Care_Medicaid_Plan: $73.63 Anthem_Insurance — Non_Traditional_Plans: $1,981.70 Anthem_Insurance — Traditional_Plans: $2,050.54 Anthem_OH — Managed_Care_Medicaid_Plan: $616.99 Beechstreet_Insurance — All_Commercial_Plans: $2,044.28 Buckeye_OH — Managed_Care_Medicaid_Plan: $675.75 CareSource_IN — Managed_Care_Medicaid_Plan: $77.31
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Hb Ir Head Ct W/O Contrast	$2,086	$1,063.86	$73.63 – $2,086
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $521.50 Aetna_Insurance — All_Commercial_Plans: $1,981.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $634.62 Anthem_IN — Managed_Care_Medicaid_Plan: $73.63 Anthem_Insurance — Non_Traditional_Plans: $1,981.70 Anthem_Insurance — Traditional_Plans: $2,050.54 Anthem_OH — Managed_Care_Medicaid_Plan: $616.99 Beechstreet_Insurance — All_Commercial_Plans: $2,044.28 Buckeye_OH — Managed_Care_Medicaid_Plan: $675.75 CareSource_IN — Managed_Care_Medicaid_Plan: $77.31
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: Chg Ct Head/Brain W/O Contrast Material\|By Specialist	$206	$105.06	$35.52 – $206
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $36.59 Aetna_Insurance — All_Commercial_Plans: $195.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $65.43 Anthem_IN — Managed_Care_Medicaid_Plan: $35.52 Anthem_Insurance — Non_Traditional_Plans: $195.70 Anthem_Insurance — Traditional_Plans: $202.50 Anthem_OH — Managed_Care_Medicaid_Plan: $63.61 Beechstreet_Insurance — All_Commercial_Plans: $201.88 Buckeye_OH — Managed_Care_Medicaid_Plan: $69.67 CareSource_IN — Managed_Care_Medicaid_Plan: $37.30
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hb Mri Brain W/Wo Contrast	$5,538	$2,824.38	$252.04 – $5,538
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,384.50 Aetna_Insurance — All_Commercial_Plans: $5,261.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $622.26 Anthem_IN — Managed_Care_Medicaid_Plan: $252.04 Anthem_Insurance — Non_Traditional_Plans: $5,261.10 Anthem_Insurance — Traditional_Plans: $5,443.85 Anthem_OH — Managed_Care_Medicaid_Plan: $604.98 Beechstreet_Insurance — All_Commercial_Plans: $5,427.24 Buckeye_OH — Managed_Care_Medicaid_Plan: $662.60 CareSource_IN — Managed_Care_Medicaid_Plan: $264.64
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: Chg Mri Brain Brain Stem W/O W/Contrast Material\|By Specialist	$554	$282.54	$95.69 – $554
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $101.84 Aetna_Insurance — All_Commercial_Plans: $526.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $207.19 Anthem_IN — Managed_Care_Medicaid_Plan: $95.69 Anthem_Insurance — Non_Traditional_Plans: $526.30 Anthem_Insurance — Traditional_Plans: $544.58 Anthem_OH — Managed_Care_Medicaid_Plan: $201.44 Beechstreet_Insurance — All_Commercial_Plans: $542.92 Buckeye_OH — Managed_Care_Medicaid_Plan: $220.62 CareSource_IN — Managed_Care_Medicaid_Plan: $100.47
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Chg Mri Brain Brain Stem W/O W/Contrast Material\|By Specialist	$554	$282.54	$95.69 – $554
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $101.84 Aetna_Insurance — All_Commercial_Plans: $526.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $207.19 Anthem_IN — Managed_Care_Medicaid_Plan: $95.69 Anthem_Insurance — Non_Traditional_Plans: $526.30 Anthem_Insurance — Traditional_Plans: $544.58 Anthem_OH — Managed_Care_Medicaid_Plan: $201.44 Beechstreet_Insurance — All_Commercial_Plans: $542.92 Buckeye_OH — Managed_Care_Medicaid_Plan: $220.62 CareSource_IN — Managed_Care_Medicaid_Plan: $100.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hb Chest - 2 Views	$284	$144.84	$71 – $284
Chest X-ray, 2 views: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $71 Aetna_Insurance — All_Commercial_Plans: $269.80 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $91.52 Anthem_IN — Managed_Care_Medicaid_Plan: $80.76 Anthem_Insurance — Non_Traditional_Plans: $269.80 Anthem_Insurance — Traditional_Plans: $279.17 Anthem_OH — Managed_Care_Medicaid_Plan: $88.98 Beechstreet_Insurance — All_Commercial_Plans: $278.32 Buckeye_OH — Managed_Care_Medicaid_Plan: $97.45 CareSource_IN — Managed_Care_Medicaid_Plan: $84.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: Chg Radiologic Exam Chest 2 Views\|By Specialist	$56	$28.56	$8.69 – $56
Chest X-ray, 2 views: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.69 Aetna_Insurance — All_Commercial_Plans: $53.20 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $14.81 Anthem_IN — Managed_Care_Medicaid_Plan: $9.18 Anthem_Insurance — Non_Traditional_Plans: $53.20 Anthem_Insurance — Traditional_Plans: $55.05 Anthem_OH — Managed_Care_Medicaid_Plan: $14.40 Beechstreet_Insurance — All_Commercial_Plans: $54.88 Buckeye_OH — Managed_Care_Medicaid_Plan: $15.77 CareSource_IN — Managed_Care_Medicaid_Plan: $9.64
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Chg Radiologic Exam Chest 2 Views\|By Specialist	$56	$28.56	$8.69 – $56
Chest X-ray, 2 views: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $8.69 Aetna_Insurance — All_Commercial_Plans: $53.20 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $14.81 Anthem_IN — Managed_Care_Medicaid_Plan: $9.18 Anthem_Insurance — Non_Traditional_Plans: $53.20 Anthem_Insurance — Traditional_Plans: $55.05 Anthem_OH — Managed_Care_Medicaid_Plan: $14.40 Beechstreet_Insurance — All_Commercial_Plans: $54.88 Buckeye_OH — Managed_Care_Medicaid_Plan: $15.77 CareSource_IN — Managed_Care_Medicaid_Plan: $9.64
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hb Spine-Lumbar,W/Obliques Min 4V	$455	$232.05	$30.49 – $455
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $113.75 Aetna_Insurance — All_Commercial_Plans: $432.25 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $91.52 Anthem_IN — Managed_Care_Medicaid_Plan: $30.49 Anthem_Insurance — Non_Traditional_Plans: $432.25 Anthem_Insurance — Traditional_Plans: $447.27 Anthem_OH — Managed_Care_Medicaid_Plan: $88.98 Beechstreet_Insurance — All_Commercial_Plans: $445.90 Buckeye_OH — Managed_Care_Medicaid_Plan: $97.45 CareSource_IN — Managed_Care_Medicaid_Plan: $32.01
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: Chg Radex Spine Lumbosacral Minimum 4 Views\|By Specialist	$69	$35.19	$11.19 – $69
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $13.34 Aetna_Insurance — All_Commercial_Plans: $65.55 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $24.24 Anthem_IN — Managed_Care_Medicaid_Plan: $11.19 Anthem_Insurance — Non_Traditional_Plans: $65.55 Anthem_Insurance — Traditional_Plans: $67.83 Anthem_OH — Managed_Care_Medicaid_Plan: $23.57 Beechstreet_Insurance — All_Commercial_Plans: $67.62 Buckeye_OH — Managed_Care_Medicaid_Plan: $25.81 CareSource_IN — Managed_Care_Medicaid_Plan: $11.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Chg Radex Spine Lumbosacral Minimum 4 Views\|By Specialist	$69	$35.19	$11.19 – $69
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $13.34 Aetna_Insurance — All_Commercial_Plans: $65.55 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $24.24 Anthem_IN — Managed_Care_Medicaid_Plan: $11.19 Anthem_Insurance — Non_Traditional_Plans: $65.55 Anthem_Insurance — Traditional_Plans: $67.83 Anthem_OH — Managed_Care_Medicaid_Plan: $23.57 Beechstreet_Insurance — All_Commercial_Plans: $67.62 Buckeye_OH — Managed_Care_Medicaid_Plan: $25.81 CareSource_IN — Managed_Care_Medicaid_Plan: $11.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hb Mri Lumbar Spine Wo Contrast	$4,212	$2,148.12	$152.53 – $4,212
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,053 Aetna_Insurance — All_Commercial_Plans: $4,001.40 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $411.77 Anthem_IN — Managed_Care_Medicaid_Plan: $152.53 Anthem_Insurance — Non_Traditional_Plans: $4,001.40 Anthem_Insurance — Traditional_Plans: $4,140.40 Anthem_OH — Managed_Care_Medicaid_Plan: $400.33 Beechstreet_Insurance — All_Commercial_Plans: $4,127.76 Buckeye_OH — Managed_Care_Medicaid_Plan: $438.46 CareSource_IN — Managed_Care_Medicaid_Plan: $160.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: Chg Mri Spinal Canal Lumbar W/O Contrast Material\|By Specialist	$361	$184.11	$61.86 – $361
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $63.56 Aetna_Insurance — All_Commercial_Plans: $342.95 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $122.06 Anthem_IN — Managed_Care_Medicaid_Plan: $61.86 Anthem_Insurance — Non_Traditional_Plans: $342.95 Anthem_Insurance — Traditional_Plans: $354.86 Anthem_OH — Managed_Care_Medicaid_Plan: $118.67 Beechstreet_Insurance — All_Commercial_Plans: $353.78 Buckeye_OH — Managed_Care_Medicaid_Plan: $129.97 CareSource_IN — Managed_Care_Medicaid_Plan: $64.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Chg Mri Spinal Canal Lumbar W/O Contrast Material\|By Specialist	$361	$184.11	$61.86 – $361
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $63.56 Aetna_Insurance — All_Commercial_Plans: $342.95 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $122.06 Anthem_IN — Managed_Care_Medicaid_Plan: $61.86 Anthem_Insurance — Non_Traditional_Plans: $342.95 Anthem_Insurance — Traditional_Plans: $354.86 Anthem_OH — Managed_Care_Medicaid_Plan: $118.67 Beechstreet_Insurance — All_Commercial_Plans: $353.78 Buckeye_OH — Managed_Care_Medicaid_Plan: $129.97 CareSource_IN — Managed_Care_Medicaid_Plan: $64.95
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hb Ct Pelvis W/ Contrast	$2,397	$1,222.47	$160.26 – $2,397
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $599.25 Aetna_Insurance — All_Commercial_Plans: $2,277.15 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $634.62 Anthem_IN — Managed_Care_Medicaid_Plan: $160.26 Anthem_Insurance — Non_Traditional_Plans: $2,277.15 Anthem_Insurance — Traditional_Plans: $2,356.25 Anthem_OH — Managed_Care_Medicaid_Plan: $616.99 Beechstreet_Insurance — All_Commercial_Plans: $2,349.06 Buckeye_OH — Managed_Care_Medicaid_Plan: $675.75 CareSource_IN — Managed_Care_Medicaid_Plan: $168.27
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: Chg Ct Pelvis W/Contrast Material\|By Specialist	$308	$157.08	$48.33 – $308
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $49.66 Aetna_Insurance — All_Commercial_Plans: $292.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $123.72 Anthem_IN — Managed_Care_Medicaid_Plan: $48.33 Anthem_Insurance — Non_Traditional_Plans: $292.60 Anthem_Insurance — Traditional_Plans: $302.76 Anthem_OH — Managed_Care_Medicaid_Plan: $120.28 Beechstreet_Insurance — All_Commercial_Plans: $301.84 Buckeye_OH — Managed_Care_Medicaid_Plan: $131.74 CareSource_IN — Managed_Care_Medicaid_Plan: $50.75
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Chg Ct Pelvis W/Contrast Material\|By Specialist	$308	$157.08	$48.33 – $308
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $49.66 Aetna_Insurance — All_Commercial_Plans: $292.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $123.72 Anthem_IN — Managed_Care_Medicaid_Plan: $48.33 Anthem_Insurance — Non_Traditional_Plans: $292.60 Anthem_Insurance — Traditional_Plans: $302.76 Anthem_OH — Managed_Care_Medicaid_Plan: $120.28 Beechstreet_Insurance — All_Commercial_Plans: $301.84 Buckeye_OH — Managed_Care_Medicaid_Plan: $131.74 CareSource_IN — Managed_Care_Medicaid_Plan: $50.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hb Mri Lower Ex Joint Wo Cont	$4,126	$2,104.26	$168.31 – $4,126
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,031.50 Aetna_Insurance — All_Commercial_Plans: $3,919.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $411.77 Anthem_IN — Managed_Care_Medicaid_Plan: $168.31 Anthem_Insurance — Non_Traditional_Plans: $3,919.70 Anthem_Insurance — Traditional_Plans: $4,055.86 Anthem_OH — Managed_Care_Medicaid_Plan: $400.33 Beechstreet_Insurance — All_Commercial_Plans: $4,043.48 Buckeye_OH — Managed_Care_Medicaid_Plan: $438.46 CareSource_IN — Managed_Care_Medicaid_Plan: $176.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hb Mri Lower Ext (Spica Hips)	$4,126	$2,104.26	$168.31 – $4,126
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,031.50 Aetna_Insurance — All_Commercial_Plans: $3,919.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $411.77 Anthem_IN — Managed_Care_Medicaid_Plan: $168.31 Anthem_Insurance — Non_Traditional_Plans: $3,919.70 Anthem_Insurance — Traditional_Plans: $4,055.86 Anthem_OH — Managed_Care_Medicaid_Plan: $400.33 Beechstreet_Insurance — All_Commercial_Plans: $4,043.48 Buckeye_OH — Managed_Care_Medicaid_Plan: $438.46 CareSource_IN — Managed_Care_Medicaid_Plan: $176.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: Chg Mri Any Jt Lower Extrem W/O Contrast Matrl\|By Specialist	$330	$168.30	$52.41 – $330
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $52.41 Aetna_Insurance — All_Commercial_Plans: $313.50 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $128.94 Anthem_IN — Managed_Care_Medicaid_Plan: $56.54 Anthem_Insurance — Non_Traditional_Plans: $313.50 Anthem_Insurance — Traditional_Plans: $324.39 Anthem_OH — Managed_Care_Medicaid_Plan: $125.35 Beechstreet_Insurance — All_Commercial_Plans: $323.40 Buckeye_OH — Managed_Care_Medicaid_Plan: $137.29 CareSource_IN — Managed_Care_Medicaid_Plan: $59.37
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hb Ct Abdomen/Pelvis W Contr	$4,033	$2,056.83	$210.82 – $4,033
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,008.25 Aetna_Insurance — All_Commercial_Plans: $3,831.35 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $634.62 Anthem_IN — Managed_Care_Medicaid_Plan: $210.82 Anthem_Insurance — Non_Traditional_Plans: $3,831.35 Anthem_Insurance — Traditional_Plans: $3,964.44 Anthem_OH — Managed_Care_Medicaid_Plan: $616.99 Beechstreet_Insurance — All_Commercial_Plans: $3,952.34 Buckeye_OH — Managed_Care_Medicaid_Plan: $675.75 CareSource_IN — Managed_Care_Medicaid_Plan: $221.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hb Nm Ct Abdomen Pelvis W/ Contrast	$4,033	$2,056.83	$210.82 – $4,033
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,008.25 Aetna_Insurance — All_Commercial_Plans: $3,831.35 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $634.62 Anthem_IN — Managed_Care_Medicaid_Plan: $210.82 Anthem_Insurance — Non_Traditional_Plans: $3,831.35 Anthem_Insurance — Traditional_Plans: $3,964.44 Anthem_OH — Managed_Care_Medicaid_Plan: $616.99 Beechstreet_Insurance — All_Commercial_Plans: $3,952.34 Buckeye_OH — Managed_Care_Medicaid_Plan: $675.75 CareSource_IN — Managed_Care_Medicaid_Plan: $221.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: Chg Ct Abdomen & Pelvis W/Contrast Material\|By Specialist	$440	$224.40	$76.19 – $440
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $77.44 Aetna_Insurance — All_Commercial_Plans: $418 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $119.95 Anthem_IN — Managed_Care_Medicaid_Plan: $76.19 Anthem_Insurance — Non_Traditional_Plans: $418 Anthem_Insurance — Traditional_Plans: $432.52 Anthem_OH — Managed_Care_Medicaid_Plan: $116.62 Beechstreet_Insurance — All_Commercial_Plans: $431.20 Buckeye_OH — Managed_Care_Medicaid_Plan: $127.73 CareSource_IN — Managed_Care_Medicaid_Plan: $80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hb Ult Abdomen Routine	$910	$464.10	$91.35 – $910
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $227.50 Aetna_Insurance — All_Commercial_Plans: $864.50 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $242.20 Anthem_IN — Managed_Care_Medicaid_Plan: $91.35 Anthem_Insurance — Non_Traditional_Plans: $864.50 Anthem_Insurance — Traditional_Plans: $894.53 Anthem_OH — Managed_Care_Medicaid_Plan: $235.47 Beechstreet_Insurance — All_Commercial_Plans: $891.80 Buckeye_OH — Managed_Care_Medicaid_Plan: $257.90 CareSource_IN — Managed_Care_Medicaid_Plan: $95.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: Chg Us Abdominal Real Time W/Image Documentation\|By Specialist	$195	$99.45	$33.75 – $195
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $34.91 Aetna_Insurance — All_Commercial_Plans: $185.25 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $57.34 Anthem_IN — Managed_Care_Medicaid_Plan: $33.75 Anthem_Insurance — Non_Traditional_Plans: $185.25 Anthem_Insurance — Traditional_Plans: $191.69 Anthem_OH — Managed_Care_Medicaid_Plan: $55.75 Beechstreet_Insurance — All_Commercial_Plans: $191.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $61.06 CareSource_IN — Managed_Care_Medicaid_Plan: $35.44
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Chg Us Abdominal Real Time W/Image Documentation\|By Specialist	$195	$99.45	$33.75 – $195
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $34.91 Aetna_Insurance — All_Commercial_Plans: $185.25 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $57.34 Anthem_IN — Managed_Care_Medicaid_Plan: $33.75 Anthem_Insurance — Non_Traditional_Plans: $185.25 Anthem_Insurance — Traditional_Plans: $191.69 Anthem_OH — Managed_Care_Medicaid_Plan: $55.75 Beechstreet_Insurance — All_Commercial_Plans: $191.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $61.06 CareSource_IN — Managed_Care_Medicaid_Plan: $35.44
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hb Ult Fetus >14 Wks 0 Days Tas	$362	$184.62	$87.80 – $362
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $90.50 Aetna_Insurance — All_Commercial_Plans: $343.90 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $188.41 Anthem_IN — Managed_Care_Medicaid_Plan: $87.80 Anthem_Insurance — Non_Traditional_Plans: $343.90 Anthem_Insurance — Traditional_Plans: $355.85 Anthem_OH — Managed_Care_Medicaid_Plan: $183.17 Beechstreet_Insurance — All_Commercial_Plans: $354.76 Buckeye_OH — Managed_Care_Medicaid_Plan: $200.62 CareSource_IN — Managed_Care_Medicaid_Plan: $92.19
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: Chg Us Preg Uterus After 1St Trimest 1/1St Gestation\|By Specialist	$242	$123.42	$41.72 – $242
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $42.82 Aetna_Insurance — All_Commercial_Plans: $229.90 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $64.55 Anthem_IN — Managed_Care_Medicaid_Plan: $41.72 Anthem_Insurance — Non_Traditional_Plans: $229.90 Anthem_Insurance — Traditional_Plans: $237.89 Anthem_OH — Managed_Care_Medicaid_Plan: $62.76 Beechstreet_Insurance — All_Commercial_Plans: $237.16 Buckeye_OH — Managed_Care_Medicaid_Plan: $68.74 CareSource_IN — Managed_Care_Medicaid_Plan: $43.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Chg Us Preg Uterus After 1St Trimest 1/1St Gestation\|By Specialist	$242	$123.42	$41.72 – $242
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $42.82 Aetna_Insurance — All_Commercial_Plans: $229.90 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $64.55 Anthem_IN — Managed_Care_Medicaid_Plan: $41.72 Anthem_Insurance — Non_Traditional_Plans: $229.90 Anthem_Insurance — Traditional_Plans: $237.89 Anthem_OH — Managed_Care_Medicaid_Plan: $62.76 Beechstreet_Insurance — All_Commercial_Plans: $237.16 Buckeye_OH — Managed_Care_Medicaid_Plan: $68.74 CareSource_IN — Managed_Care_Medicaid_Plan: $43.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hb Ult-Transvaginal	$847	$431.97	$83.30 – $847
Transvaginal ultrasound: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $211.75 Aetna_Insurance — All_Commercial_Plans: $804.65 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $157.49 Anthem_IN — Managed_Care_Medicaid_Plan: $83.30 Anthem_Insurance — Non_Traditional_Plans: $804.65 Anthem_Insurance — Traditional_Plans: $832.60 Anthem_OH — Managed_Care_Medicaid_Plan: $153.11 Beechstreet_Insurance — All_Commercial_Plans: $830.06 Buckeye_OH — Managed_Care_Medicaid_Plan: $167.69 CareSource_IN — Managed_Care_Medicaid_Plan: $87.47
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: Chg Us Transvaginal\|By Specialist	$168	$85.68	$29 – $168
Transvaginal ultrasound: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $30.05 Aetna_Insurance — All_Commercial_Plans: $159.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $46.33 Anthem_IN — Managed_Care_Medicaid_Plan: $29 Anthem_Insurance — Non_Traditional_Plans: $159.60 Anthem_Insurance — Traditional_Plans: $165.14 Anthem_OH — Managed_Care_Medicaid_Plan: $45.05 Beechstreet_Insurance — All_Commercial_Plans: $164.64 Buckeye_OH — Managed_Care_Medicaid_Plan: $49.34 CareSource_IN — Managed_Care_Medicaid_Plan: $30.45
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Chg Us Transvaginal\|By Specialist	$168	$85.68	$29 – $168
Transvaginal ultrasound: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $30.05 Aetna_Insurance — All_Commercial_Plans: $159.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $46.33 Anthem_IN — Managed_Care_Medicaid_Plan: $29 Anthem_Insurance — Non_Traditional_Plans: $159.60 Anthem_Insurance — Traditional_Plans: $165.14 Anthem_OH — Managed_Care_Medicaid_Plan: $45.05 Beechstreet_Insurance — All_Commercial_Plans: $164.64 Buckeye_OH — Managed_Care_Medicaid_Plan: $49.34 CareSource_IN — Managed_Care_Medicaid_Plan: $30.45

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: Hb Opk Electrocardiogram Complete	$455	$232.05	$35.09 – $455
Electrocardiogram (ECG/EKG) with reading: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $113.75 Aetna_Insurance — All_Commercial_Plans: $432.25 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $37.90 Anthem_IN — Managed_Care_Medicaid_Plan: $45.46 Anthem_Insurance — Non_Traditional_Plans: $432.25 Anthem_Insurance — Traditional_Plans: $447.27 Anthem_OH — Managed_Care_Medicaid_Plan: $36.84 Beechstreet_Insurance — All_Commercial_Plans: $445.90 Buckeye_OH — Managed_Care_Medicaid_Plan: $40.35 CareSource_IN — Managed_Care_Medicaid_Plan: $47.73
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: Pr Ecg Routine Ecg W/Least 12 Lds W/I&R\|By Specialist	$79	$40.29	$11.54 – $79
Electrocardiogram (ECG/EKG) with reading: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $21.79 Aetna_Insurance — All_Commercial_Plans: $79 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.01 Anthem_IN — Managed_Care_Medicaid_Plan: $11.54 Anthem_Insurance — Non_Traditional_Plans: $79 Anthem_Insurance — Traditional_Plans: $79 Anthem_OH — Managed_Care_Medicaid_Plan: $14.60 Beechstreet_Insurance — All_Commercial_Plans: $75.05 Buckeye_OH — Managed_Care_Medicaid_Plan: $15.99 CareSource_IN — Managed_Care_Medicaid_Plan: $12.12
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Pr Ecg Routine Ecg W/Least 12 Lds W/I&R\|By Specialist	$79	$40.29	$11.54 – $79
Electrocardiogram (ECG/EKG) with reading: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $21.79 Aetna_Insurance — All_Commercial_Plans: $79 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $15.01 Anthem_IN — Managed_Care_Medicaid_Plan: $11.54 Anthem_Insurance — Non_Traditional_Plans: $79 Anthem_Insurance — Traditional_Plans: $79 Anthem_OH — Managed_Care_Medicaid_Plan: $14.60 Beechstreet_Insurance — All_Commercial_Plans: $75.05 Buckeye_OH — Managed_Care_Medicaid_Plan: $15.99 CareSource_IN — Managed_Care_Medicaid_Plan: $12.12
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Hb Lhc-Inc Inj. For Ventriculography S&I	$17,425	$8,886.75	$2,894.58 – $17,425
Left heart catheterization (diagnostic): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $4,356.25 Aetna_Insurance — All_Commercial_Plans: $16,553.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $3,139.38 Anthem_IN — Managed_Care_Medicaid_Plan: $2,894.58 Anthem_Insurance — Non_Traditional_Plans: $16,553.75 Anthem_Insurance — Traditional_Plans: $17,128.78 Anthem_OH — Managed_Care_Medicaid_Plan: $3,052.17 Beechstreet_Insurance — All_Commercial_Plans: $17,076.50 Buckeye_OH — Managed_Care_Medicaid_Plan: $3,342.85 CareSource_IN — Managed_Care_Medicaid_Plan: $3,039.31
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: Pr L Hrt Cath W/Njx L Ventriculography Img S&I\|By Specialist	$9,803	$4,999.53	$195.82 – $9,803
Left heart catheterization (diagnostic): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $227.27 Aetna_Insurance — All_Commercial_Plans: $9,312.85 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $313.50 Anthem_IN — Managed_Care_Medicaid_Plan: $195.82 Anthem_Insurance — Non_Traditional_Plans: $9,312.85 Anthem_Insurance — Traditional_Plans: $9,636.35 Anthem_OH — Managed_Care_Medicaid_Plan: $304.79 Beechstreet_Insurance — All_Commercial_Plans: $9,606.94 Buckeye_OH — Managed_Care_Medicaid_Plan: $333.82 CareSource_IN — Managed_Care_Medicaid_Plan: $205.61
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Pr L Hrt Cath W/Njx L Ventriculography Img S&I\|By Specialist	$9,803	$4,999.53	$195.82 – $9,803
Left heart catheterization (diagnostic): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $227.27 Aetna_Insurance — All_Commercial_Plans: $9,312.85 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $313.50 Anthem_IN — Managed_Care_Medicaid_Plan: $195.82 Anthem_Insurance — Non_Traditional_Plans: $9,312.85 Anthem_Insurance — Traditional_Plans: $9,636.35 Anthem_OH — Managed_Care_Medicaid_Plan: $304.79 Beechstreet_Insurance — All_Commercial_Plans: $9,606.94 Buckeye_OH — Managed_Care_Medicaid_Plan: $333.82 CareSource_IN — Managed_Care_Medicaid_Plan: $205.61
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Hb Comp Ep Stdy W/O Arryt Indct	$3,258	$1,661.58	$814.50 – $3,258
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $814.50 Aetna_Insurance — All_Commercial_Plans: $3,095.10 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $3,258 Anthem_IN — Managed_Care_Medicaid_Plan: $3,258 Anthem_Insurance — Non_Traditional_Plans: $3,095.10 Anthem_Insurance — Traditional_Plans: $3,202.61 Anthem_OH — Managed_Care_Medicaid_Plan: $3,258 Beechstreet_Insurance — All_Commercial_Plans: $3,192.84 Buckeye_OH — Managed_Care_Medicaid_Plan: $3,258 CareSource_IN — Managed_Care_Medicaid_Plan: $3,258
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: Pr Compre Electrophysiologic W/O Arrhyt Induction\|By Specialist	$6,886	$3,511.86	$316.16 – $6,886
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $487.01 Aetna_Insurance — All_Commercial_Plans: $6,541.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $448.41 Anthem_IN — Managed_Care_Medicaid_Plan: $316.16 Anthem_Insurance — Non_Traditional_Plans: $6,541.70 Anthem_Insurance — Traditional_Plans: $6,768.94 Anthem_OH — Managed_Care_Medicaid_Plan: $435.95 Beechstreet_Insurance — All_Commercial_Plans: $6,748.28 Buckeye_OH — Managed_Care_Medicaid_Plan: $477.47 CareSource_IN — Managed_Care_Medicaid_Plan: $331.97
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Pr Compre Electrophysiologic W/O Arrhyt Induction\|By Specialist	$6,886	$3,511.86	$316.16 – $6,886
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $487.01 Aetna_Insurance — All_Commercial_Plans: $6,541.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $448.41 Anthem_IN — Managed_Care_Medicaid_Plan: $316.16 Anthem_Insurance — Non_Traditional_Plans: $6,541.70 Anthem_Insurance — Traditional_Plans: $6,768.94 Anthem_OH — Managed_Care_Medicaid_Plan: $435.95 Beechstreet_Insurance — All_Commercial_Plans: $6,748.28 Buckeye_OH — Managed_Care_Medicaid_Plan: $477.47 CareSource_IN — Managed_Care_Medicaid_Plan: $331.97
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hb Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$3,027	$1,543.77	$756.75 – $3,027
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $756.75 Aetna_Insurance — All_Commercial_Plans: $2,875.65 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $3,027 Anthem_IN — Managed_Care_Medicaid_Plan: $3,027 Anthem_Insurance — Non_Traditional_Plans: $2,875.65 Anthem_Insurance — Traditional_Plans: $2,975.54 Anthem_OH — Managed_Care_Medicaid_Plan: $3,027 Beechstreet_Insurance — All_Commercial_Plans: $2,966.46 Buckeye_OH — Managed_Care_Medicaid_Plan: $3,027 CareSource_IN — Managed_Care_Medicaid_Plan: $3,027
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: Pr Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation\|By Specialist	$7,654	$3,903.54	$815.74 – $7,500.52
Heart rhythm study with ablation for atrial fibrillation: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $877.43 Aetna_Insurance — All_Commercial_Plans: $7,500.52 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $880.23 Anthem_IN — Managed_Care_Medicaid_Plan: $815.74 Anthem_Insurance — Non_Traditional_Plans: $5,056.67 Anthem_Insurance — Traditional_Plans: $5,056.67 Anthem_OH — Managed_Care_Medicaid_Plan: $855.78 Beechstreet_Insurance — All_Commercial_Plans: $7,271.30 Buckeye_OH — Managed_Care_Medicaid_Plan: $937.28 CareSource_IN — Managed_Care_Medicaid_Plan: $856.53
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Pr Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation\|By Specialist	$7,654	$3,903.54	$815.74 – $7,500.52
Heart rhythm study with ablation for atrial fibrillation: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $877.43 Aetna_Insurance — All_Commercial_Plans: $7,500.52 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $880.23 Anthem_IN — Managed_Care_Medicaid_Plan: $815.74 Anthem_Insurance — Non_Traditional_Plans: $5,056.67 Anthem_Insurance — Traditional_Plans: $5,056.67 Anthem_OH — Managed_Care_Medicaid_Plan: $855.78 Beechstreet_Insurance — All_Commercial_Plans: $7,271.30 Buckeye_OH — Managed_Care_Medicaid_Plan: $937.28 CareSource_IN — Managed_Care_Medicaid_Plan: $856.53
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Hb Polysom >6 4~ Stages	$6,694	$3,413.94	$1,051.53 – $6,694
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,673.50 Aetna_Insurance — All_Commercial_Plans: $6,359.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,135.65 Anthem_IN — Managed_Care_Medicaid_Plan: $1,186.63 Anthem_Insurance — Non_Traditional_Plans: $6,359.30 Anthem_Insurance — Traditional_Plans: $6,580.20 Anthem_OH — Managed_Care_Medicaid_Plan: $1,104.11 Beechstreet_Insurance — All_Commercial_Plans: $6,560.12 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,209.26 CareSource_IN — Managed_Care_Medicaid_Plan: $1,245.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: Pr Polysom 6/>Yrs Sleep 4/> Addl Param Attnd\|By Specialist	$599	$305.49	$103.37 – $599
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $130.12 Aetna_Insurance — All_Commercial_Plans: $569.05 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $233.45 Anthem_IN — Managed_Care_Medicaid_Plan: $103.37 Anthem_Insurance — Non_Traditional_Plans: $569.05 Anthem_Insurance — Traditional_Plans: $588.82 Anthem_OH — Managed_Care_Medicaid_Plan: $226.96 Beechstreet_Insurance — All_Commercial_Plans: $587.02 Buckeye_OH — Managed_Care_Medicaid_Plan: $248.58 CareSource_IN — Managed_Care_Medicaid_Plan: $108.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Pr Polysom 6/>Yrs Sleep 4/> Addl Param Attnd\|By Specialist	$599	$305.49	$103.37 – $599
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $130.12 Aetna_Insurance — All_Commercial_Plans: $569.05 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $233.45 Anthem_IN — Managed_Care_Medicaid_Plan: $103.37 Anthem_Insurance — Non_Traditional_Plans: $569.05 Anthem_Insurance — Traditional_Plans: $588.82 Anthem_OH — Managed_Care_Medicaid_Plan: $226.96 Beechstreet_Insurance — All_Commercial_Plans: $587.02 Buckeye_OH — Managed_Care_Medicaid_Plan: $248.58 CareSource_IN — Managed_Care_Medicaid_Plan: $108.54

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: Hb Pt Therapeutic Proc Exercises Ea 15 Min	$85	$43.35	$21.25 – $85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $21.25 Aetna_Insurance — All_Commercial_Plans: $80.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $85 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $80.75 Anthem_Insurance — Traditional_Plans: $83.56 Anthem_OH — Managed_Care_Medicaid_Plan: $85 Beechstreet_Insurance — All_Commercial_Plans: $83.30 Buckeye_OH — Managed_Care_Medicaid_Plan: $85 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hb Ot Therapeutic Proc Exercises Ea 15 Min	$85	$43.35	$21.25 – $85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $21.25 Aetna_Insurance — All_Commercial_Plans: $80.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $85 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $80.75 Anthem_Insurance — Traditional_Plans: $83.56 Anthem_OH — Managed_Care_Medicaid_Plan: $85 Beechstreet_Insurance — All_Commercial_Plans: $83.30 Buckeye_OH — Managed_Care_Medicaid_Plan: $85 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hb Tp> Ot Ind, Ther Exercise, Each 15 Min	$85	$43.35	$21.25 – $85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $21.25 Aetna_Insurance — All_Commercial_Plans: $80.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $85 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $80.75 Anthem_Insurance — Traditional_Plans: $83.56 Anthem_OH — Managed_Care_Medicaid_Plan: $85 Beechstreet_Insurance — All_Commercial_Plans: $83.30 Buckeye_OH — Managed_Care_Medicaid_Plan: $85 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hb Pt Eval Low Complex	$323	$164.73	$62.15 – $323
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $80.75 Aetna_Insurance — All_Commercial_Plans: $306.85 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $306.85 Anthem_Insurance — Traditional_Plans: $317.51 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $316.54 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hb Tp> Pt Eval, Low Complexity	$323	$164.73	$62.15 – $323
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $80.75 Aetna_Insurance — All_Commercial_Plans: $306.85 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $306.85 Anthem_Insurance — Traditional_Plans: $317.51 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $316.54 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hb Tech> Pt Eval, Low Complexity	$323	$164.73	$62.15 – $323
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $80.75 Aetna_Insurance — All_Commercial_Plans: $306.85 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $306.85 Anthem_Insurance — Traditional_Plans: $317.51 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $316.54 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hb Pt Eval Mod Complex	$379	$193.29	$62.15 – $379
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $94.75 Aetna_Insurance — All_Commercial_Plans: $360.05 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $360.05 Anthem_Insurance — Traditional_Plans: $372.56 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $371.42 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hb Tp> Pt Eval, Moderate Complexity	$379	$193.29	$62.15 – $379
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $94.75 Aetna_Insurance — All_Commercial_Plans: $360.05 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $360.05 Anthem_Insurance — Traditional_Plans: $372.56 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $371.42 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hb Tech> Pt Eval, Moderate Complexity	$379	$193.29	$62.15 – $379
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $94.75 Aetna_Insurance — All_Commercial_Plans: $360.05 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $360.05 Anthem_Insurance — Traditional_Plans: $372.56 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $371.42 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hb Pt Eval High Complex	$571	$291.21	$62.15 – $571
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $142.75 Aetna_Insurance — All_Commercial_Plans: $542.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $542.45 Anthem_Insurance — Traditional_Plans: $561.29 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $559.58 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hb Tp> Pt Eval, High Complexity	$571	$291.21	$62.15 – $571
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $142.75 Aetna_Insurance — All_Commercial_Plans: $542.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $542.45 Anthem_Insurance — Traditional_Plans: $561.29 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $559.58 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hb Tech> Pt Eval, High Complexity	$571	$291.21	$62.15 – $571
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $142.75 Aetna_Insurance — All_Commercial_Plans: $542.45 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.20 Anthem_IN — Managed_Care_Medicaid_Plan: $62.15 Anthem_Insurance — Non_Traditional_Plans: $542.45 Anthem_Insurance — Traditional_Plans: $561.29 Anthem_OH — Managed_Care_Medicaid_Plan: $146.02 Beechstreet_Insurance — All_Commercial_Plans: $559.58 Buckeye_OH — Managed_Care_Medicaid_Plan: $159.93 CareSource_IN — Managed_Care_Medicaid_Plan: $65.26
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Pr Psychotherapy W/Patient 30 Minutes\|By Specialist	$314	$160.14	$157 – $314
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $314 Anthem_Insurance — Non_Traditional_Plans: $279.87 Anthem_Insurance — Traditional_Plans: $279.87 Beechstreet_Insurance — All_Commercial_Plans: $298.30 CareSource_OH_Insurance — All_Exchange_Plans: $157 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $158 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $298.30 Evolutions_Health_Care_Systems — All_Commercial_Plans: $282.60 First_Health_Group_Insurance — All_Commercial_Plans: $298.30 Galaxy_Health_Insurance — All_Commercial_Plans: $314
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Pr Psychotherapy W/Patient 30 Minutes\|By Specialist	$314	$160.14	$157 – $314
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $314 Anthem_Insurance — Non_Traditional_Plans: $279.87 Anthem_Insurance — Traditional_Plans: $279.87 Beechstreet_Insurance — All_Commercial_Plans: $298.30 CareSource_OH_Insurance — All_Exchange_Plans: $157 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $158 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $298.30 Evolutions_Health_Care_Systems — All_Commercial_Plans: $282.60 First_Health_Group_Insurance — All_Commercial_Plans: $298.30 Galaxy_Health_Insurance — All_Commercial_Plans: $314
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Pr Psychotherapy W/Patient 30 Minutes\|By Midlevel	$314	$160.14	$128 – $314
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $314 Anthem_Insurance — Non_Traditional_Plans: $237.89 Anthem_Insurance — Traditional_Plans: $237.89 Beechstreet_Insurance — All_Commercial_Plans: $253.56 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $128 Margaret_Mary_Health_Insurance — All_Commercial_Plans: $208.18 Medical_Mutual_of_Ohio_Insurance — All_Commercial_Plans: $242.88 Medical_Mutual_of_Ohio_Insurance — All_Exchange_Plans: $168.15 Parkview_Signature_Care_Insurance — EPO_Plan: $192.43 Parkview_Signature_Care_Insurance — PPO_Plan: $192.43
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Pr Psychotherapy W/Patient 45 Minutes\|By Specialist	$424	$216.24	$212 – $424
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $424 Anthem_Insurance — Non_Traditional_Plans: $363.92 Anthem_Insurance — Traditional_Plans: $363.92 Beechstreet_Insurance — All_Commercial_Plans: $402.80 CareSource_OH_Insurance — All_Exchange_Plans: $212 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $258 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $402.80 Evolutions_Health_Care_Systems — All_Commercial_Plans: $381.60 First_Health_Group_Insurance — All_Commercial_Plans: $402.80 Galaxy_Health_Insurance — All_Commercial_Plans: $424
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Pr Psychotherapy W/Patient 45 Minutes\|By Specialist	$424	$216.24	$212 – $424
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $424 Anthem_Insurance — Non_Traditional_Plans: $363.92 Anthem_Insurance — Traditional_Plans: $363.92 Beechstreet_Insurance — All_Commercial_Plans: $402.80 CareSource_OH_Insurance — All_Exchange_Plans: $212 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $258 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $402.80 Evolutions_Health_Care_Systems — All_Commercial_Plans: $381.60 First_Health_Group_Insurance — All_Commercial_Plans: $402.80 Galaxy_Health_Insurance — All_Commercial_Plans: $424
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Pr Psychotherapy W/Patient 45 Minutes\|By Midlevel	$424	$216.24	$209 – $424
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $424 Anthem_Insurance — Non_Traditional_Plans: $309.33 Anthem_Insurance — Traditional_Plans: $309.33 Beechstreet_Insurance — All_Commercial_Plans: $342.38 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $209 Margaret_Mary_Health_Insurance — All_Commercial_Plans: $281.11 Medical_Mutual_of_Ohio_Insurance — All_Commercial_Plans: $327.96 Medical_Mutual_of_Ohio_Insurance — All_Exchange_Plans: $227.05 Parkview_Signature_Care_Insurance — EPO_Plan: $259.85 Parkview_Signature_Care_Insurance — PPO_Plan: $259.85
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Pr Psychotherapy W/Patient 60 Minutes\|By Specialist	$572	$291.72	$286 – $572
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $572 Anthem_Insurance — Non_Traditional_Plans: $533.85 Anthem_Insurance — Traditional_Plans: $533.85 Beechstreet_Insurance — All_Commercial_Plans: $543.40 CareSource_OH_Insurance — All_Exchange_Plans: $286 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $340 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $543.40 Evolutions_Health_Care_Systems — All_Commercial_Plans: $514.80 First_Health_Group_Insurance — All_Commercial_Plans: $543.40 Galaxy_Health_Insurance — All_Commercial_Plans: $572
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Pr Psychotherapy W/Patient 60 Minutes\|By Specialist	$572	$291.72	$286 – $572
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $572 Anthem_Insurance — Non_Traditional_Plans: $533.85 Anthem_Insurance — Traditional_Plans: $533.85 Beechstreet_Insurance — All_Commercial_Plans: $543.40 CareSource_OH_Insurance — All_Exchange_Plans: $286 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $340 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $543.40 Evolutions_Health_Care_Systems — All_Commercial_Plans: $514.80 First_Health_Group_Insurance — All_Commercial_Plans: $543.40 Galaxy_Health_Insurance — All_Commercial_Plans: $572
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Pr Psychotherapy W/Patient 60 Minutes\|By Midlevel	$572	$291.72	$271 – $572
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $572 Anthem_Insurance — Non_Traditional_Plans: $453.77 Anthem_Insurance — Traditional_Plans: $453.77 Beechstreet_Insurance — All_Commercial_Plans: $461.89 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $271 Margaret_Mary_Health_Insurance — All_Commercial_Plans: $379.24 Medical_Mutual_of_Ohio_Insurance — All_Commercial_Plans: $442.44 Medical_Mutual_of_Ohio_Insurance — All_Exchange_Plans: $306.31 Parkview_Signature_Care_Insurance — EPO_Plan: $350.55 Parkview_Signature_Care_Insurance — PPO_Plan: $350.55
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: Pr Family Psychotherapy W/O Patient Present 50 Mins\|By Specialist	$456	$232.56	$228 – $456
Family psychotherapy, without the patient: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $456 Anthem_Insurance — Non_Traditional_Plans: $416.94 Anthem_Insurance — Traditional_Plans: $416.94 Beechstreet_Insurance — All_Commercial_Plans: $433.20 CareSource_OH_Insurance — All_Exchange_Plans: $228 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $304 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $433.20 Evolutions_Health_Care_Systems — All_Commercial_Plans: $410.40 First_Health_Group_Insurance — All_Commercial_Plans: $433.20 Galaxy_Health_Insurance — All_Commercial_Plans: $456
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Pr Family Psychotherapy W/O Patient Present 50 Mins\|By Specialist	$456	$232.56	$228 – $456
Family psychotherapy, without the patient: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $456 Anthem_Insurance — Non_Traditional_Plans: $416.94 Anthem_Insurance — Traditional_Plans: $416.94 Beechstreet_Insurance — All_Commercial_Plans: $433.20 CareSource_OH_Insurance — All_Exchange_Plans: $228 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $304 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $433.20 Evolutions_Health_Care_Systems — All_Commercial_Plans: $410.40 First_Health_Group_Insurance — All_Commercial_Plans: $433.20 Galaxy_Health_Insurance — All_Commercial_Plans: $456
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: Pr Family Psychotherapy W/O Patient Present 50 Mins\|By Midlevel	$456	$232.56	$232.56 – $456
Family psychotherapy, without the patient: 10 of 11 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $456 Anthem_Insurance — Non_Traditional_Plans: $354.40 Anthem_Insurance — Traditional_Plans: $354.40 Beechstreet_Insurance — All_Commercial_Plans: $368.22 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $243 Margaret_Mary_Health_Insurance — All_Commercial_Plans: $302.33 Medical_Mutual_of_Ohio_Insurance — All_Commercial_Plans: $352.72 Medical_Mutual_of_Ohio_Insurance — All_Exchange_Plans: $244.19 Parkview_Signature_Care_Insurance — EPO_Plan: $279.46 Parkview_Signature_Care_Insurance — PPO_Plan: $279.46
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: Pr Family Psychotherapy W/Patient Present 50 Mins\|By Specialist	$475	$242.25	$237.50 – $475
Family psychotherapy, with the patient: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $475 Anthem_Insurance — Non_Traditional_Plans: $475 Anthem_Insurance — Traditional_Plans: $475 Beechstreet_Insurance — All_Commercial_Plans: $451.25 CareSource_OH_Insurance — All_Exchange_Plans: $237.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $304 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $451.25 Evolutions_Health_Care_Systems — All_Commercial_Plans: $427.50 First_Health_Group_Insurance — All_Commercial_Plans: $451.25 Galaxy_Health_Insurance — All_Commercial_Plans: $475
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Pr Family Psychotherapy W/Patient Present 50 Mins\|By Specialist	$475	$242.25	$237.50 – $475
Family psychotherapy, with the patient: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $475 Anthem_Insurance — Non_Traditional_Plans: $475 Anthem_Insurance — Traditional_Plans: $475 Beechstreet_Insurance — All_Commercial_Plans: $451.25 CareSource_OH_Insurance — All_Exchange_Plans: $237.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $304 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $451.25 Evolutions_Health_Care_Systems — All_Commercial_Plans: $427.50 First_Health_Group_Insurance — All_Commercial_Plans: $451.25 Galaxy_Health_Insurance — All_Commercial_Plans: $475
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: Pr Family Psychotherapy W/Patient Present 50 Mins\|By Midlevel	$475	$242.25	$242.25 – $475
Family psychotherapy, with the patient: 10 of 11 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $475 Anthem_Insurance — Non_Traditional_Plans: $425.38 Anthem_Insurance — Traditional_Plans: $425.38 Beechstreet_Insurance — All_Commercial_Plans: $383.56 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $243 Margaret_Mary_Health_Insurance — All_Commercial_Plans: $314.93 Medical_Mutual_of_Ohio_Insurance — All_Commercial_Plans: $367.41 Medical_Mutual_of_Ohio_Insurance — All_Exchange_Plans: $254.36 Parkview_Signature_Care_Insurance — EPO_Plan: $291.11 Parkview_Signature_Care_Insurance — PPO_Plan: $291.11
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: Pr Group Psychotherapy\|By Specialist	$115	$58.65	$57.50 – $115
Group psychotherapy: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $115 Anthem_Insurance — Non_Traditional_Plans: $115 Anthem_Insurance — Traditional_Plans: $115 Beechstreet_Insurance — All_Commercial_Plans: $109.25 CareSource_OH_Insurance — All_Exchange_Plans: $57.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $115 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $109.25 Evolutions_Health_Care_Systems — All_Commercial_Plans: $103.50 First_Health_Group_Insurance — All_Commercial_Plans: $109.25 Galaxy_Health_Insurance — All_Commercial_Plans: $115
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Pr Group Psychotherapy\|By Specialist	$115	$58.65	$57.50 – $115
Group psychotherapy: 10 of 25 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $115 Anthem_Insurance — Non_Traditional_Plans: $115 Anthem_Insurance — Traditional_Plans: $115 Beechstreet_Insurance — All_Commercial_Plans: $109.25 CareSource_OH_Insurance — All_Exchange_Plans: $57.50 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $115 Custom_Design_Benefits_Insurance — All_Commercial_Plans: $109.25 Evolutions_Health_Care_Systems — All_Commercial_Plans: $103.50 First_Health_Group_Insurance — All_Commercial_Plans: $109.25 Galaxy_Health_Insurance — All_Commercial_Plans: $115
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: Pr Group Psychotherapy\|By Midlevel	$115	$58.65	$58.65 – $115
Group psychotherapy: 10 of 11 insurance plan rates Aetna_Insurance — All_Commercial_Plans: $115 Anthem_Insurance — Non_Traditional_Plans: $115 Anthem_Insurance — Traditional_Plans: $115 Beechstreet_Insurance — All_Commercial_Plans: $92.86 Cigna_Behavioral_Health_Insurance — All_Commercial_Plans: $115 Margaret_Mary_Health_Insurance — All_Commercial_Plans: $76.25 Medical_Mutual_of_Ohio_Insurance — All_Commercial_Plans: $88.95 Medical_Mutual_of_Ohio_Insurance — All_Exchange_Plans: $61.58 Parkview_Signature_Care_Insurance — EPO_Plan: $70.48 Parkview_Signature_Care_Insurance — PPO_Plan: $70.48

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: Pr Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|By Specialist	$2,305	$1,175.55	$225.83 – $2,305
Removal of breast growth (open surgery): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $263.73 Aetna_Insurance — All_Commercial_Plans: $2,305 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $232.29 Anthem_IN — Managed_Care_Medicaid_Plan: $414.92 Anthem_Insurance — Non_Traditional_Plans: $2,305 Anthem_Insurance — Traditional_Plans: $2,305 Anthem_OH — Managed_Care_Medicaid_Plan: $225.83 Beechstreet_Insurance — All_Commercial_Plans: $2,189.75 Buckeye_OH — Managed_Care_Medicaid_Plan: $247.34 CareSource_IN — Managed_Care_Medicaid_Plan: $435.67
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Pr Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|By Specialist	$2,305	$1,175.55	$225.83 – $2,305
Removal of breast growth (open surgery): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $263.73 Aetna_Insurance — All_Commercial_Plans: $2,305 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $232.29 Anthem_IN — Managed_Care_Medicaid_Plan: $414.92 Anthem_Insurance — Non_Traditional_Plans: $2,305 Anthem_Insurance — Traditional_Plans: $2,305 Anthem_OH — Managed_Care_Medicaid_Plan: $225.83 Beechstreet_Insurance — All_Commercial_Plans: $2,189.75 Buckeye_OH — Managed_Care_Medicaid_Plan: $247.34 CareSource_IN — Managed_Care_Medicaid_Plan: $435.67
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: Pr Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|By Midlevel	$2,305	$1,175.55	$191.96 – $2,213.21
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $197.80 Aetna_Insurance — All_Commercial_Plans: $2,213.21 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $197.45 Anthem_IN — Managed_Care_Medicaid_Plan: $311.19 Anthem_Insurance — Non_Traditional_Plans: $1,959.25 Anthem_Insurance — Traditional_Plans: $1,959.25 Anthem_OH — Managed_Care_Medicaid_Plan: $191.96 Beechstreet_Insurance — All_Commercial_Plans: $1,861.29 Buckeye_OH — Managed_Care_Medicaid_Plan: $210.24 CareSource_IN — Managed_Care_Medicaid_Plan: $326.75
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Pr Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|By Specialist	$10,225	$5,214.75	$1,154.08 – $10,225
Total hip replacement: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,300.74 Aetna_Insurance — All_Commercial_Plans: $10,225 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,246.65 Anthem_IN — Managed_Care_Medicaid_Plan: $1,154.08 Anthem_Insurance — Non_Traditional_Plans: $8,645.31 Anthem_Insurance — Traditional_Plans: $8,645.31 Anthem_OH — Managed_Care_Medicaid_Plan: $1,212.03 Beechstreet_Insurance — All_Commercial_Plans: $9,713.75 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,327.46 CareSource_IN — Managed_Care_Medicaid_Plan: $1,211.78
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Pr Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|By Specialist	$10,225	$5,214.75	$1,154.08 – $10,225
Total hip replacement: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,300.74 Aetna_Insurance — All_Commercial_Plans: $10,225 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,246.65 Anthem_IN — Managed_Care_Medicaid_Plan: $1,154.08 Anthem_Insurance — Non_Traditional_Plans: $8,645.31 Anthem_Insurance — Traditional_Plans: $8,645.31 Anthem_OH — Managed_Care_Medicaid_Plan: $1,212.03 Beechstreet_Insurance — All_Commercial_Plans: $9,713.75 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,327.46 CareSource_IN — Managed_Care_Medicaid_Plan: $1,211.78
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Pr Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|By Midlevel	$10,225	$5,214.75	$865.56 – $8,718.37
Total hip replacement: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $975.56 Aetna_Insurance — All_Commercial_Plans: $8,718.37 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,059.65 Anthem_IN — Managed_Care_Medicaid_Plan: $865.56 Anthem_Insurance — Non_Traditional_Plans: $7,348.51 Anthem_Insurance — Traditional_Plans: $7,348.51 Anthem_OH — Managed_Care_Medicaid_Plan: $1,030.23 Beechstreet_Insurance — All_Commercial_Plans: $8,256.69 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,128.34 CareSource_IN — Managed_Care_Medicaid_Plan: $908.84
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Pr Arthrp Kne Condyle&Platu Medial&Lat Compartments\|By Specialist	$10,210	$5,207.10	$1,152.73 – $10,210
Total knee replacement: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,373.97 Aetna_Insurance — All_Commercial_Plans: $10,210 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,326.25 Anthem_IN — Managed_Care_Medicaid_Plan: $1,152.73 Anthem_Insurance — Non_Traditional_Plans: $9,018.91 Anthem_Insurance — Traditional_Plans: $9,018.91 Anthem_OH — Managed_Care_Medicaid_Plan: $1,289.41 Beechstreet_Insurance — All_Commercial_Plans: $9,699.50 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,412.21 CareSource_IN — Managed_Care_Medicaid_Plan: $1,210.37
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Pr Arthrp Kne Condyle&Platu Medial&Lat Compartments\|By Specialist	$10,210	$5,207.10	$1,152.73 – $10,210
Total knee replacement: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,373.97 Aetna_Insurance — All_Commercial_Plans: $10,210 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,326.25 Anthem_IN — Managed_Care_Medicaid_Plan: $1,152.73 Anthem_Insurance — Non_Traditional_Plans: $9,018.91 Anthem_Insurance — Traditional_Plans: $9,018.91 Anthem_OH — Managed_Care_Medicaid_Plan: $1,289.41 Beechstreet_Insurance — All_Commercial_Plans: $9,699.50 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,412.21 CareSource_IN — Managed_Care_Medicaid_Plan: $1,210.37
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Pr Arthrp Kne Condyle&Platu Medial&Lat Compartments\|By Midlevel	$10,210	$5,207.10	$864.55 – $9,410.91
Total knee replacement: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $1,030.48 Aetna_Insurance — All_Commercial_Plans: $9,410.91 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $1,127.31 Anthem_IN — Managed_Care_Medicaid_Plan: $864.55 Anthem_Insurance — Non_Traditional_Plans: $7,666.07 Anthem_Insurance — Traditional_Plans: $7,666.07 Anthem_OH — Managed_Care_Medicaid_Plan: $1,096 Beechstreet_Insurance — All_Commercial_Plans: $8,244.58 Buckeye_OH — Managed_Care_Medicaid_Plan: $1,200.38 CareSource_IN — Managed_Care_Medicaid_Plan: $907.78
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: Pr Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|By Specialist	$4,428	$2,258.28	$152.82 – $4,428
Shoulder arthroscopy: shaving of shoulder bone: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $610.22 Aetna_Insurance — All_Commercial_Plans: $4,428 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $174.06 Anthem_IN — Managed_Care_Medicaid_Plan: $152.82 Anthem_Insurance — Non_Traditional_Plans: $4,428 Anthem_Insurance — Traditional_Plans: $4,428 Anthem_OH — Managed_Care_Medicaid_Plan: $169.23 Beechstreet_Insurance — All_Commercial_Plans: $4,206.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $185.35 CareSource_IN — Managed_Care_Medicaid_Plan: $160.46
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Pr Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|By Specialist	$4,428	$2,258.28	$152.82 – $4,428
Shoulder arthroscopy: shaving of shoulder bone: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $610.22 Aetna_Insurance — All_Commercial_Plans: $4,428 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $174.06 Anthem_IN — Managed_Care_Medicaid_Plan: $152.82 Anthem_Insurance — Non_Traditional_Plans: $4,428 Anthem_Insurance — Traditional_Plans: $4,428 Anthem_OH — Managed_Care_Medicaid_Plan: $169.23 Beechstreet_Insurance — All_Commercial_Plans: $4,206.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $185.35 CareSource_IN — Managed_Care_Medicaid_Plan: $160.46
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: Pr Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|By Midlevel	$4,428	$2,258.28	$114.62 – $4,252.70
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $457.67 Aetna_Insurance — All_Commercial_Plans: $4,252.70 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $147.95 Anthem_IN — Managed_Care_Medicaid_Plan: $114.62 Anthem_Insurance — Non_Traditional_Plans: $3,763.80 Anthem_Insurance — Traditional_Plans: $3,763.80 Anthem_OH — Managed_Care_Medicaid_Plan: $143.85 Beechstreet_Insurance — All_Commercial_Plans: $3,575.61 Buckeye_OH — Managed_Care_Medicaid_Plan: $157.55 CareSource_IN — Managed_Care_Medicaid_Plan: $120.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: Pr Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg\|By Specialist	$3,930	$2,004.30	$476.63 – $3,930
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $519.01 Aetna_Insurance — All_Commercial_Plans: $3,930 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $490.24 Anthem_IN — Managed_Care_Medicaid_Plan: $494.35 Anthem_Insurance — Non_Traditional_Plans: $3,735.40 Anthem_Insurance — Traditional_Plans: $3,735.40 Anthem_OH — Managed_Care_Medicaid_Plan: $476.63 Beechstreet_Insurance — All_Commercial_Plans: $3,733.50 Buckeye_OH — Managed_Care_Medicaid_Plan: $522.02 CareSource_IN — Managed_Care_Medicaid_Plan: $519.07
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Pr Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg\|By Specialist	$3,930	$2,004.30	$476.63 – $3,930
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $519.01 Aetna_Insurance — All_Commercial_Plans: $3,930 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $490.24 Anthem_IN — Managed_Care_Medicaid_Plan: $494.35 Anthem_Insurance — Non_Traditional_Plans: $3,735.40 Anthem_Insurance — Traditional_Plans: $3,735.40 Anthem_OH — Managed_Care_Medicaid_Plan: $476.63 Beechstreet_Insurance — All_Commercial_Plans: $3,733.50 Buckeye_OH — Managed_Care_Medicaid_Plan: $522.02 CareSource_IN — Managed_Care_Medicaid_Plan: $519.07
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: Pr Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg\|By Midlevel	$3,930	$2,004.30	$370.76 – $3,775.74
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $389.26 Aetna_Insurance — All_Commercial_Plans: $3,775.74 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $416.70 Anthem_IN — Managed_Care_Medicaid_Plan: $370.76 Anthem_Insurance — Non_Traditional_Plans: $3,175.09 Anthem_Insurance — Traditional_Plans: $3,175.09 Anthem_OH — Managed_Care_Medicaid_Plan: $405.14 Beechstreet_Insurance — All_Commercial_Plans: $3,173.47 Buckeye_OH — Managed_Care_Medicaid_Plan: $443.72 CareSource_IN — Managed_Care_Medicaid_Plan: $389.30
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: Pr Tonsillectomy & Adenoidectomy <Age 12\|By Specialist	$1,837	$936.87	$204.57 – $1,837
Removal of tonsils and adenoids (under age 12): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $209.24 Aetna_Insurance — All_Commercial_Plans: $1,837 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $210.42 Anthem_IN — Managed_Care_Medicaid_Plan: $267.16 Anthem_Insurance — Non_Traditional_Plans: $1,766.26 Anthem_Insurance — Traditional_Plans: $1,766.26 Anthem_OH — Managed_Care_Medicaid_Plan: $204.57 Beechstreet_Insurance — All_Commercial_Plans: $1,745.15 Buckeye_OH — Managed_Care_Medicaid_Plan: $224.05 CareSource_IN — Managed_Care_Medicaid_Plan: $280.52
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Pr Tonsillectomy & Adenoidectomy <Age 12\|By Specialist	$1,837	$936.87	$204.57 – $1,837
Removal of tonsils and adenoids (under age 12): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $209.24 Aetna_Insurance — All_Commercial_Plans: $1,837 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $210.42 Anthem_IN — Managed_Care_Medicaid_Plan: $267.16 Anthem_Insurance — Non_Traditional_Plans: $1,766.26 Anthem_Insurance — Traditional_Plans: $1,766.26 Anthem_OH — Managed_Care_Medicaid_Plan: $204.57 Beechstreet_Insurance — All_Commercial_Plans: $1,745.15 Buckeye_OH — Managed_Care_Medicaid_Plan: $224.05 CareSource_IN — Managed_Care_Medicaid_Plan: $280.52
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: Pr Tonsillectomy & Adenoidectomy <Age 12\|By Midlevel	$1,837	$936.87	$156.93 – $1,765.75
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $156.93 Aetna_Insurance — All_Commercial_Plans: $1,765.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $178.86 Anthem_IN — Managed_Care_Medicaid_Plan: $200.37 Anthem_Insurance — Non_Traditional_Plans: $1,501.32 Anthem_Insurance — Traditional_Plans: $1,501.32 Anthem_OH — Managed_Care_Medicaid_Plan: $173.88 Beechstreet_Insurance — All_Commercial_Plans: $1,483.38 Buckeye_OH — Managed_Care_Medicaid_Plan: $190.44 CareSource_IN — Managed_Care_Medicaid_Plan: $210.39
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Pr Esophagogastroduodenoscopy Transoral Diagnostic\|By Specialist	$961	$490.11	$130.45 – $961
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $159.52 Aetna_Insurance — All_Commercial_Plans: $961 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $134.18 Anthem_IN — Managed_Care_Medicaid_Plan: $219.37 Anthem_Insurance — Non_Traditional_Plans: $961 Anthem_Insurance — Traditional_Plans: $961 Anthem_OH — Managed_Care_Medicaid_Plan: $130.45 Beechstreet_Insurance — All_Commercial_Plans: $912.95 Buckeye_OH — Managed_Care_Medicaid_Plan: $142.88 CareSource_IN — Managed_Care_Medicaid_Plan: $230.34
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Pr Esophagogastroduodenoscopy Transoral Diagnostic\|By Specialist	$961	$490.11	$130.45 – $961
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $159.52 Aetna_Insurance — All_Commercial_Plans: $961 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $134.18 Anthem_IN — Managed_Care_Medicaid_Plan: $219.37 Anthem_Insurance — Non_Traditional_Plans: $961 Anthem_Insurance — Traditional_Plans: $961 Anthem_OH — Managed_Care_Medicaid_Plan: $130.45 Beechstreet_Insurance — All_Commercial_Plans: $912.95 Buckeye_OH — Managed_Care_Medicaid_Plan: $142.88 CareSource_IN — Managed_Care_Medicaid_Plan: $230.34
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Pr Esophagogastroduodenoscopy Transoral Diagnostic\|By Midlevel	$961	$490.11	$110.88 – $961
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $119.64 Aetna_Insurance — All_Commercial_Plans: $961 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $114.05 Anthem_IN — Managed_Care_Medicaid_Plan: $164.53 Anthem_Insurance — Non_Traditional_Plans: $816.85 Anthem_Insurance — Traditional_Plans: $816.85 Anthem_OH — Managed_Care_Medicaid_Plan: $110.88 Beechstreet_Insurance — All_Commercial_Plans: $776.01 Buckeye_OH — Managed_Care_Medicaid_Plan: $121.45 CareSource_IN — Managed_Care_Medicaid_Plan: $172.76
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Pr Egd Transoral Biopsy Single/Multiple\|By Specialist	$1,086	$553.86	$146.80 – $1,086
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $179.22 Aetna_Insurance — All_Commercial_Plans: $1,086 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.99 Anthem_IN — Managed_Care_Medicaid_Plan: $281.43 Anthem_Insurance — Non_Traditional_Plans: $1,086 Anthem_Insurance — Traditional_Plans: $1,086 Anthem_OH — Managed_Care_Medicaid_Plan: $146.80 Beechstreet_Insurance — All_Commercial_Plans: $1,031.70 Buckeye_OH — Managed_Care_Medicaid_Plan: $160.78 CareSource_IN — Managed_Care_Medicaid_Plan: $295.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Pr Egd Transoral Biopsy Single/Multiple\|By Specialist	$1,086	$553.86	$146.80 – $1,086
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $179.22 Aetna_Insurance — All_Commercial_Plans: $1,086 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $150.99 Anthem_IN — Managed_Care_Medicaid_Plan: $281.43 Anthem_Insurance — Non_Traditional_Plans: $1,086 Anthem_Insurance — Traditional_Plans: $1,086 Anthem_OH — Managed_Care_Medicaid_Plan: $146.80 Beechstreet_Insurance — All_Commercial_Plans: $1,031.70 Buckeye_OH — Managed_Care_Medicaid_Plan: $160.78 CareSource_IN — Managed_Care_Medicaid_Plan: $295.50
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Pr Egd Transoral Biopsy Single/Multiple\|By Midlevel	$1,086	$553.86	$124.78 – $1,086
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $134.42 Aetna_Insurance — All_Commercial_Plans: $1,086 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $128.34 Anthem_IN — Managed_Care_Medicaid_Plan: $211.07 Anthem_Insurance — Non_Traditional_Plans: $923.10 Anthem_Insurance — Traditional_Plans: $923.10 Anthem_OH — Managed_Care_Medicaid_Plan: $124.78 Beechstreet_Insurance — All_Commercial_Plans: $876.95 Buckeye_OH — Managed_Care_Medicaid_Plan: $136.66 CareSource_IN — Managed_Care_Medicaid_Plan: $221.63
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd\|By Specialist	$1,061	$541.11	$98.11 – $1,061
Colonoscopy (diagnostic): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $176.59 Aetna_Insurance — All_Commercial_Plans: $1,061 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $100.92 Anthem_IN — Managed_Care_Medicaid_Plan: $265.93 Anthem_Insurance — Non_Traditional_Plans: $1,061 Anthem_Insurance — Traditional_Plans: $1,061 Anthem_OH — Managed_Care_Medicaid_Plan: $98.11 Beechstreet_Insurance — All_Commercial_Plans: $1,007.95 Buckeye_OH — Managed_Care_Medicaid_Plan: $107.46 CareSource_IN — Managed_Care_Medicaid_Plan: $279.23
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd\|By Specialist	$1,061	$541.11	$98.11 – $1,061
Colonoscopy (diagnostic): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $176.59 Aetna_Insurance — All_Commercial_Plans: $1,061 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $100.92 Anthem_IN — Managed_Care_Medicaid_Plan: $265.93 Anthem_Insurance — Non_Traditional_Plans: $1,061 Anthem_Insurance — Traditional_Plans: $1,061 Anthem_OH — Managed_Care_Medicaid_Plan: $98.11 Beechstreet_Insurance — All_Commercial_Plans: $1,007.95 Buckeye_OH — Managed_Care_Medicaid_Plan: $107.46 CareSource_IN — Managed_Care_Medicaid_Plan: $279.23
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd\|By Midlevel	$1,061	$541.11	$83.39 – $1,061
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $132.44 Aetna_Insurance — All_Commercial_Plans: $1,061 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $85.78 Anthem_IN — Managed_Care_Medicaid_Plan: $199.45 Anthem_Insurance — Non_Traditional_Plans: $901.85 Anthem_Insurance — Traditional_Plans: $901.85 Anthem_OH — Managed_Care_Medicaid_Plan: $83.39 Beechstreet_Insurance — All_Commercial_Plans: $856.76 Buckeye_OH — Managed_Care_Medicaid_Plan: $91.34 CareSource_IN — Managed_Care_Medicaid_Plan: $209.42
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Pr Colonoscopy W/Biopsy Single/Multiple\|By Specialist	$1,491	$760.41	$191.77 – $1,491
Colonoscopy with biopsy: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $191.77 Aetna_Insurance — All_Commercial_Plans: $1,491 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $219.01 Anthem_IN — Managed_Care_Medicaid_Plan: $332.36 Anthem_Insurance — Non_Traditional_Plans: $1,491 Anthem_Insurance — Traditional_Plans: $1,491 Anthem_OH — Managed_Care_Medicaid_Plan: $212.93 Beechstreet_Insurance — All_Commercial_Plans: $1,416.45 Buckeye_OH — Managed_Care_Medicaid_Plan: $233.21 CareSource_IN — Managed_Care_Medicaid_Plan: $348.98
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Pr Colonoscopy W/Biopsy Single/Multiple\|By Specialist	$1,491	$760.41	$191.77 – $1,491
Colonoscopy with biopsy: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $191.77 Aetna_Insurance — All_Commercial_Plans: $1,491 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $219.01 Anthem_IN — Managed_Care_Medicaid_Plan: $332.36 Anthem_Insurance — Non_Traditional_Plans: $1,491 Anthem_Insurance — Traditional_Plans: $1,491 Anthem_OH — Managed_Care_Medicaid_Plan: $212.93 Beechstreet_Insurance — All_Commercial_Plans: $1,416.45 Buckeye_OH — Managed_Care_Medicaid_Plan: $233.21 CareSource_IN — Managed_Care_Medicaid_Plan: $348.98
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Pr Colonoscopy W/Biopsy Single/Multiple\|By Midlevel	$1,491	$760.41	$143.83 – $1,491
Colonoscopy with biopsy: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $143.83 Aetna_Insurance — All_Commercial_Plans: $1,491 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $186.16 Anthem_IN — Managed_Care_Medicaid_Plan: $249.27 Anthem_Insurance — Non_Traditional_Plans: $1,267.35 Anthem_Insurance — Traditional_Plans: $1,267.35 Anthem_OH — Managed_Care_Medicaid_Plan: $180.99 Beechstreet_Insurance — All_Commercial_Plans: $1,203.98 Buckeye_OH — Managed_Care_Medicaid_Plan: $198.23 CareSource_IN — Managed_Care_Medicaid_Plan: $261.74
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq\|By Specialist	$3,073	$1,567.23	$243.98 – $3,073
Colonoscopy with removal of polyps (snare): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $243.98 Aetna_Insurance — All_Commercial_Plans: $2,171.98 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $278.45 Anthem_IN — Managed_Care_Medicaid_Plan: $355.46 Anthem_Insurance — Non_Traditional_Plans: $3,073 Anthem_Insurance — Traditional_Plans: $3,073 Anthem_OH — Managed_Care_Medicaid_Plan: $270.71 Beechstreet_Insurance — All_Commercial_Plans: $2,919.35 Buckeye_OH — Managed_Care_Medicaid_Plan: $296.49 CareSource_IN — Managed_Care_Medicaid_Plan: $373.23
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq\|By Specialist	$3,073	$1,567.23	$243.98 – $3,073
Colonoscopy with removal of polyps (snare): 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $243.98 Aetna_Insurance — All_Commercial_Plans: $2,171.98 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $278.45 Anthem_IN — Managed_Care_Medicaid_Plan: $355.46 Anthem_Insurance — Non_Traditional_Plans: $3,073 Anthem_Insurance — Traditional_Plans: $3,073 Anthem_OH — Managed_Care_Medicaid_Plan: $270.71 Beechstreet_Insurance — All_Commercial_Plans: $2,919.35 Buckeye_OH — Managed_Care_Medicaid_Plan: $296.49 CareSource_IN — Managed_Care_Medicaid_Plan: $373.23
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq\|By Midlevel	$3,073	$1,567.23	$182.99 – $2,612.05
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $182.99 Aetna_Insurance — All_Commercial_Plans: $1,846.18 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $236.68 Anthem_IN — Managed_Care_Medicaid_Plan: $266.60 Anthem_Insurance — Non_Traditional_Plans: $2,612.05 Anthem_Insurance — Traditional_Plans: $2,612.05 Anthem_OH — Managed_Care_Medicaid_Plan: $230.10 Beechstreet_Insurance — All_Commercial_Plans: $2,481.45 Buckeye_OH — Managed_Care_Medicaid_Plan: $252.02 CareSource_IN — Managed_Care_Medicaid_Plan: $279.92
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux\|By Specialist	$2,009	$1,024.59	$219.36 – $2,009
Ultrasound of the lower bowel by endoscope: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $247.04 Aetna_Insurance — All_Commercial_Plans: $2,009 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $225.62 Anthem_IN — Managed_Care_Medicaid_Plan: $231.03 Anthem_Insurance — Non_Traditional_Plans: $1,755.79 Anthem_Insurance — Traditional_Plans: $1,755.79 Anthem_OH — Managed_Care_Medicaid_Plan: $219.36 Beechstreet_Insurance — All_Commercial_Plans: $1,908.55 Buckeye_OH — Managed_Care_Medicaid_Plan: $240.25 CareSource_IN — Managed_Care_Medicaid_Plan: $242.58
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux\|By Specialist	$2,009	$1,024.59	$219.36 – $2,009
Ultrasound of the lower bowel by endoscope: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $247.04 Aetna_Insurance — All_Commercial_Plans: $2,009 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $225.62 Anthem_IN — Managed_Care_Medicaid_Plan: $231.03 Anthem_Insurance — Non_Traditional_Plans: $1,755.79 Anthem_Insurance — Traditional_Plans: $1,755.79 Anthem_OH — Managed_Care_Medicaid_Plan: $219.36 Beechstreet_Insurance — All_Commercial_Plans: $1,908.55 Buckeye_OH — Managed_Care_Medicaid_Plan: $240.25 CareSource_IN — Managed_Care_Medicaid_Plan: $242.58
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux\|By Midlevel	$2,009	$1,024.59	$173.27 – $1,781.69
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $185.28 Aetna_Insurance — All_Commercial_Plans: $1,781.69 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $191.78 Anthem_IN — Managed_Care_Medicaid_Plan: $173.27 Anthem_Insurance — Non_Traditional_Plans: $1,492.42 Anthem_Insurance — Traditional_Plans: $1,492.42 Anthem_OH — Managed_Care_Medicaid_Plan: $186.46 Beechstreet_Insurance — All_Commercial_Plans: $1,622.27 Buckeye_OH — Managed_Care_Medicaid_Plan: $204.21 CareSource_IN — Managed_Care_Medicaid_Plan: $181.94
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Pr Laparoscopy Surg Cholecystectomy\|By Specialist	$4,329	$2,207.79	$522.64 – $4,329
Gallbladder removal by laparoscope: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $522.64 Aetna_Insurance — All_Commercial_Plans: $4,329 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $556.93 Anthem_IN — Managed_Care_Medicaid_Plan: $587.64 Anthem_Insurance — Non_Traditional_Plans: $3,766.06 Anthem_Insurance — Traditional_Plans: $3,766.06 Anthem_OH — Managed_Care_Medicaid_Plan: $541.46 Beechstreet_Insurance — All_Commercial_Plans: $4,112.55 Buckeye_OH — Managed_Care_Medicaid_Plan: $593.03 CareSource_IN — Managed_Care_Medicaid_Plan: $617.02
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Pr Laparoscopy Surg Cholecystectomy\|By Specialist	$4,329	$2,207.79	$522.64 – $4,329
Gallbladder removal by laparoscope: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $522.64 Aetna_Insurance — All_Commercial_Plans: $4,329 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $556.93 Anthem_IN — Managed_Care_Medicaid_Plan: $587.64 Anthem_Insurance — Non_Traditional_Plans: $3,766.06 Anthem_Insurance — Traditional_Plans: $3,766.06 Anthem_OH — Managed_Care_Medicaid_Plan: $541.46 Beechstreet_Insurance — All_Commercial_Plans: $4,112.55 Buckeye_OH — Managed_Care_Medicaid_Plan: $593.03 CareSource_IN — Managed_Care_Medicaid_Plan: $617.02
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Pr Laparoscopy Surg Cholecystectomy\|By Midlevel	$4,329	$2,207.79	$391.98 – $4,159.02
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $391.98 Aetna_Insurance — All_Commercial_Plans: $4,159.02 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $473.39 Anthem_IN — Managed_Care_Medicaid_Plan: $440.73 Anthem_Insurance — Non_Traditional_Plans: $3,201.15 Anthem_Insurance — Traditional_Plans: $3,201.15 Anthem_OH — Managed_Care_Medicaid_Plan: $460.24 Beechstreet_Insurance — All_Commercial_Plans: $3,495.67 Buckeye_OH — Managed_Care_Medicaid_Plan: $504.08 CareSource_IN — Managed_Care_Medicaid_Plan: $462.77
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Pr Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible\|By Specialist	$3,828	$1,952.28	$329.37 – $3,828
Groin (inguinal) hernia repair, age 5 or older: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $350.04 Aetna_Insurance — All_Commercial_Plans: $3,828 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $338.79 Anthem_IN — Managed_Care_Medicaid_Plan: $467.34 Anthem_Insurance — Non_Traditional_Plans: $2,759.99 Anthem_Insurance — Traditional_Plans: $2,759.99 Anthem_OH — Managed_Care_Medicaid_Plan: $329.37 Beechstreet_Insurance — All_Commercial_Plans: $3,636.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $360.74 CareSource_IN — Managed_Care_Medicaid_Plan: $490.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Pr Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible\|By Specialist	$3,828	$1,952.28	$329.37 – $3,828
Groin (inguinal) hernia repair, age 5 or older: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $350.04 Aetna_Insurance — All_Commercial_Plans: $3,828 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $338.79 Anthem_IN — Managed_Care_Medicaid_Plan: $467.34 Anthem_Insurance — Non_Traditional_Plans: $2,759.99 Anthem_Insurance — Traditional_Plans: $2,759.99 Anthem_OH — Managed_Care_Medicaid_Plan: $329.37 Beechstreet_Insurance — All_Commercial_Plans: $3,636.60 Buckeye_OH — Managed_Care_Medicaid_Plan: $360.74 CareSource_IN — Managed_Care_Medicaid_Plan: $490.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Pr Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible\|By Midlevel	$3,828	$1,952.28	$262.53 – $3,828
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $262.53 Aetna_Insurance — All_Commercial_Plans: $3,828 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $287.97 Anthem_IN — Managed_Care_Medicaid_Plan: $350.51 Anthem_Insurance — Non_Traditional_Plans: $2,345.99 Anthem_Insurance — Traditional_Plans: $2,345.99 Anthem_OH — Managed_Care_Medicaid_Plan: $279.96 Beechstreet_Insurance — All_Commercial_Plans: $3,091.11 Buckeye_OH — Managed_Care_Medicaid_Plan: $306.63 CareSource_IN — Managed_Care_Medicaid_Plan: $368.03
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: Pr Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C\|By Specialist	$1,832	$934.32	$123.54 – $1,832
Hysteroscopy with biopsy of the uterus lining: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $213.26 Aetna_Insurance — All_Commercial_Plans: $1,832 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $127.07 Anthem_IN — Managed_Care_Medicaid_Plan: $920.42 Anthem_Insurance — Non_Traditional_Plans: $1,832 Anthem_Insurance — Traditional_Plans: $1,832 Anthem_OH — Managed_Care_Medicaid_Plan: $123.54 Beechstreet_Insurance — All_Commercial_Plans: $1,740.40 Buckeye_OH — Managed_Care_Medicaid_Plan: $135.31 CareSource_IN — Managed_Care_Medicaid_Plan: $966.44
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Pr Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C\|By Specialist	$1,832	$934.32	$123.54 – $1,832
Hysteroscopy with biopsy of the uterus lining: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $213.26 Aetna_Insurance — All_Commercial_Plans: $1,832 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $127.07 Anthem_IN — Managed_Care_Medicaid_Plan: $920.42 Anthem_Insurance — Non_Traditional_Plans: $1,832 Anthem_Insurance — Traditional_Plans: $1,832 Anthem_OH — Managed_Care_Medicaid_Plan: $123.54 Beechstreet_Insurance — All_Commercial_Plans: $1,740.40 Buckeye_OH — Managed_Care_Medicaid_Plan: $135.31 CareSource_IN — Managed_Care_Medicaid_Plan: $966.44
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: Pr Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C\|By Midlevel	$1,832	$934.32	$105.01 – $1,777.59
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $159.95 Aetna_Insurance — All_Commercial_Plans: $1,777.59 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $108.01 Anthem_IN — Managed_Care_Medicaid_Plan: $690.32 Anthem_Insurance — Non_Traditional_Plans: $1,557.20 Anthem_Insurance — Traditional_Plans: $1,557.20 Anthem_OH — Managed_Care_Medicaid_Plan: $105.01 Beechstreet_Insurance — All_Commercial_Plans: $1,479.34 Buckeye_OH — Managed_Care_Medicaid_Plan: $115.01 CareSource_IN — Managed_Care_Medicaid_Plan: $724.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn\|By Specialist	$784	$399.84	$81.33 – $784
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $81.33 Aetna_Insurance — All_Commercial_Plans: $663.67 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $87.34 Anthem_IN — Managed_Care_Medicaid_Plan: $196 Anthem_Insurance — Non_Traditional_Plans: $784 Anthem_Insurance — Traditional_Plans: $784 Anthem_OH — Managed_Care_Medicaid_Plan: $84.91 Beechstreet_Insurance — All_Commercial_Plans: $744.80 Buckeye_OH — Managed_Care_Medicaid_Plan: $93 CareSource_IN — Managed_Care_Medicaid_Plan: $205.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn\|By Specialist	$784	$399.84	$81.33 – $784
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $81.33 Aetna_Insurance — All_Commercial_Plans: $663.67 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $87.34 Anthem_IN — Managed_Care_Medicaid_Plan: $196 Anthem_Insurance — Non_Traditional_Plans: $784 Anthem_Insurance — Traditional_Plans: $784 Anthem_OH — Managed_Care_Medicaid_Plan: $84.91 Beechstreet_Insurance — All_Commercial_Plans: $744.80 Buckeye_OH — Managed_Care_Medicaid_Plan: $93 CareSource_IN — Managed_Care_Medicaid_Plan: $205.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn\|By Midlevel	$784	$399.84	$61 – $729.52
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $61 Aetna_Insurance — All_Commercial_Plans: $564.12 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $74.24 Anthem_IN — Managed_Care_Medicaid_Plan: $147 Anthem_Insurance — Non_Traditional_Plans: $666.40 Anthem_Insurance — Traditional_Plans: $666.40 Anthem_OH — Managed_Care_Medicaid_Plan: $72.17 Beechstreet_Insurance — All_Commercial_Plans: $633.08 Buckeye_OH — Managed_Care_Medicaid_Plan: $79.05 CareSource_IN — Managed_Care_Medicaid_Plan: $154.35
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level\|By Specialist	$879	$448.29	$59.23 – $879
Nerve root injection, lower back, with imaging guidance: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $149.91 Aetna_Insurance — All_Commercial_Plans: $793.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $60.92 Anthem_IN — Managed_Care_Medicaid_Plan: $189.06 Anthem_Insurance — Non_Traditional_Plans: $879 Anthem_Insurance — Traditional_Plans: $879 Anthem_OH — Managed_Care_Medicaid_Plan: $59.23 Beechstreet_Insurance — All_Commercial_Plans: $835.05 Buckeye_OH — Managed_Care_Medicaid_Plan: $64.87 CareSource_IN — Managed_Care_Medicaid_Plan: $198.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level\|By Specialist	$879	$448.29	$59.23 – $879
Nerve root injection, lower back, with imaging guidance: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $149.91 Aetna_Insurance — All_Commercial_Plans: $793.60 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $60.92 Anthem_IN — Managed_Care_Medicaid_Plan: $189.06 Anthem_Insurance — Non_Traditional_Plans: $879 Anthem_Insurance — Traditional_Plans: $879 Anthem_OH — Managed_Care_Medicaid_Plan: $59.23 Beechstreet_Insurance — All_Commercial_Plans: $835.05 Buckeye_OH — Managed_Care_Medicaid_Plan: $64.87 CareSource_IN — Managed_Care_Medicaid_Plan: $198.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level\|By Midlevel	$879	$448.29	$50.35 – $879
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $112.43 Aetna_Insurance — All_Commercial_Plans: $674.56 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $51.78 Anthem_IN — Managed_Care_Medicaid_Plan: $141.80 Anthem_Insurance — Non_Traditional_Plans: $747.15 Anthem_Insurance — Traditional_Plans: $747.15 Anthem_OH — Managed_Care_Medicaid_Plan: $50.35 Beechstreet_Insurance — All_Commercial_Plans: $709.79 Buckeye_OH — Managed_Care_Medicaid_Plan: $55.14 CareSource_IN — Managed_Care_Medicaid_Plan: $148.88
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: Pr Neuroplasty &/Transpos Median Nrv Carpal Tunne\|By Specialist	$3,291	$1,678.41	$276.19 – $3,126.45
Carpal tunnel release: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $284.77 Aetna_Insurance — All_Commercial_Plans: $2,856.35 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $284.08 Anthem_IN — Managed_Care_Medicaid_Plan: $361.54 Anthem_Insurance — Non_Traditional_Plans: $2,456.70 Anthem_Insurance — Traditional_Plans: $2,456.70 Anthem_OH — Managed_Care_Medicaid_Plan: $276.19 Beechstreet_Insurance — All_Commercial_Plans: $3,126.45 Buckeye_OH — Managed_Care_Medicaid_Plan: $302.50 CareSource_IN — Managed_Care_Medicaid_Plan: $379.62
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Pr Neuroplasty &/Transpos Median Nrv Carpal Tunne\|By Specialist	$3,291	$1,678.41	$276.19 – $3,126.45
Carpal tunnel release: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $284.77 Aetna_Insurance — All_Commercial_Plans: $2,856.35 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $284.08 Anthem_IN — Managed_Care_Medicaid_Plan: $361.54 Anthem_Insurance — Non_Traditional_Plans: $2,456.70 Anthem_Insurance — Traditional_Plans: $2,456.70 Anthem_OH — Managed_Care_Medicaid_Plan: $276.19 Beechstreet_Insurance — All_Commercial_Plans: $3,126.45 Buckeye_OH — Managed_Care_Medicaid_Plan: $302.50 CareSource_IN — Managed_Care_Medicaid_Plan: $379.62
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: Pr Neuroplasty &/Transpos Median Nrv Carpal Tunne\|By Midlevel	$3,291	$1,678.41	$213.58 – $2,657.48
Carpal tunnel release: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $213.58 Aetna_Insurance — All_Commercial_Plans: $2,427.90 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $241.47 Anthem_IN — Managed_Care_Medicaid_Plan: $271.16 Anthem_Insurance — Non_Traditional_Plans: $2,088.20 Anthem_Insurance — Traditional_Plans: $2,088.20 Anthem_OH — Managed_Care_Medicaid_Plan: $234.76 Beechstreet_Insurance — All_Commercial_Plans: $2,657.48 Buckeye_OH — Managed_Care_Medicaid_Plan: $257.13 CareSource_IN — Managed_Care_Medicaid_Plan: $284.72
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: Pr Post-Cataract Laser Surgery\|By Specialist	$2,233	$1,138.83	$164.24 – $2,121.35
Laser treatment of clouding after cataract surgery: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $192.76 Aetna_Insurance — All_Commercial_Plans: $1,667.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $168.93 Anthem_IN — Managed_Care_Medicaid_Plan: $263.03 Anthem_Insurance — Non_Traditional_Plans: $1,357.04 Anthem_Insurance — Traditional_Plans: $1,357.04 Anthem_OH — Managed_Care_Medicaid_Plan: $164.24 Beechstreet_Insurance — All_Commercial_Plans: $2,121.35 Buckeye_OH — Managed_Care_Medicaid_Plan: $179.88 CareSource_IN — Managed_Care_Medicaid_Plan: $276.18
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Pr Post-Cataract Laser Surgery\|By Specialist	$2,233	$1,138.83	$164.24 – $2,121.35
Laser treatment of clouding after cataract surgery: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $192.76 Aetna_Insurance — All_Commercial_Plans: $1,667.30 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $168.93 Anthem_IN — Managed_Care_Medicaid_Plan: $263.03 Anthem_Insurance — Non_Traditional_Plans: $1,357.04 Anthem_Insurance — Traditional_Plans: $1,357.04 Anthem_OH — Managed_Care_Medicaid_Plan: $164.24 Beechstreet_Insurance — All_Commercial_Plans: $2,121.35 Buckeye_OH — Managed_Care_Medicaid_Plan: $179.88 CareSource_IN — Managed_Care_Medicaid_Plan: $276.18
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: Pr Post-Cataract Laser Surgery\|By Midlevel	$2,233	$1,138.83	$139.60 – $1,803.15
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $144.57 Aetna_Insurance — All_Commercial_Plans: $1,417.21 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $143.59 Anthem_IN — Managed_Care_Medicaid_Plan: $197.27 Anthem_Insurance — Non_Traditional_Plans: $1,153.48 Anthem_Insurance — Traditional_Plans: $1,153.48 Anthem_OH — Managed_Care_Medicaid_Plan: $139.60 Beechstreet_Insurance — All_Commercial_Plans: $1,803.15 Buckeye_OH — Managed_Care_Medicaid_Plan: $152.90 CareSource_IN — Managed_Care_Medicaid_Plan: $207.14
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: Pr Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp\|By Specialist	$6,218	$3,171.18	$424.10 – $6,218
Cataract removal with lens implant: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $424.10 Aetna_Insurance — All_Commercial_Plans: $6,218 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $587.03 Anthem_IN — Managed_Care_Medicaid_Plan: $491.82 Anthem_Insurance — Non_Traditional_Plans: $5,031.90 Anthem_Insurance — Traditional_Plans: $5,031.90 Anthem_OH — Managed_Care_Medicaid_Plan: $570.73 Beechstreet_Insurance — All_Commercial_Plans: $5,907.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $625.08 CareSource_IN — Managed_Care_Medicaid_Plan: $516.41
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Pr Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp\|By Specialist	$6,218	$3,171.18	$424.10 – $6,218
Cataract removal with lens implant: 10 of 38 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $424.10 Aetna_Insurance — All_Commercial_Plans: $6,218 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $587.03 Anthem_IN — Managed_Care_Medicaid_Plan: $491.82 Anthem_Insurance — Non_Traditional_Plans: $5,031.90 Anthem_Insurance — Traditional_Plans: $5,031.90 Anthem_OH — Managed_Care_Medicaid_Plan: $570.73 Beechstreet_Insurance — All_Commercial_Plans: $5,907.10 Buckeye_OH — Managed_Care_Medicaid_Plan: $625.08 CareSource_IN — Managed_Care_Medicaid_Plan: $516.41
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: Pr Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp\|By Midlevel	$6,218	$3,171.18	$318.08 – $5,996.75
Cataract removal with lens implant: 10 of 25 insurance plan rates Aetna_Better_Health_KY — Managed_Care_Medicaid_Plan: $318.08 Aetna_Insurance — All_Commercial_Plans: $5,996.75 AmeriHealth_Caritas_OH — Managed_Care_Medicaid_Plan: $498.98 Anthem_IN — Managed_Care_Medicaid_Plan: $368.87 Anthem_Insurance — Non_Traditional_Plans: $4,277.12 Anthem_Insurance — Traditional_Plans: $4,277.12 Anthem_OH — Managed_Care_Medicaid_Plan: $485.12 Beechstreet_Insurance — All_Commercial_Plans: $5,021.03 Buckeye_OH — Managed_Care_Medicaid_Plan: $531.32 CareSource_IN — Managed_Care_Medicaid_Plan: $387.31

Source: Cincinnati Children's Hospital Medical Center’s standard charges file (cincinnatichildrens.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Children's Hospital
Address	3333 Burnet Avenue, Cincinnati, OH 45229
County	Hamilton County
State	Ohio
Phone	(513) 636‑3333
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	363300
Name in Medicare records	CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(513) 636‑4200^[4]
Name on the hospital’s website	Burnet Campus, Cincinnati Children's
Official website	cincinnatichildrens.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Locations and Directions - Burnet Campus — cincinnatichildrens.org
Cincinnati Children's Burnet Campus | Specialty Services — cincinnatichildrens.org
Awards and Recognition | About Cincinnati Children's — cincinnatichildrens.org
Visiting Guidelines | Cincinnati Children's — cincinnatichildrens.org
Languages | Cincinnati Children's Hospital Medical Center — cincinnatichildrens.org