Does Cobleskill Regional Hospital have an emergency room?

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

Where is Cobleskill Regional Hospital?

178 Grandview Drive, Cobleskill, NY 12043, in Schoharie County, New York.

What is the phone number of Cobleskill Regional Hospital?

(518) 254-3456, as listed by Medicare (CMS).

What is the Medicare star rating of Cobleskill Regional Hospital?

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

Cobleskill Regional Hospital — Phone & Address

Quick answers

Does Cobleskill Regional Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cobleskill Regional Hospital. In a medical emergency, call 911.
Where is Cobleskill Regional Hospital?: 178 Grandview Drive, Cobleskill, NY 12043, in Schoharie County, New York.
What is the phone number of Cobleskill Regional Hospital?: (518) 254-3456, as listed by Medicare (CMS).
What is the Medicare star rating of Cobleskill Regional Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^[4]

Audiology & Hearing Aid Services
Cardiology
Dermatology
Digestive Disease (GI)
Endocrinology (Diabetes Care)
General Surgery
Hematology/Oncology
Nephrology
Neurology
Neurosurgery
Ophthalmology
Orthopedics
Otolaryngology (ENT)
Physiatry/Pain Management
Plastic Surgery
Podiatry
Pulmonology
Urology
Vascular
OB-GYN & Women's Health

Treatments^[5]

Outpatient dialysis

Procedures^[4][5]

Ambulatory/outpatient surgery
Sleep lab studies
CT imaging (low-dose 64-slice scanner)
Outpatient laboratory

Programs and centers^[4][5]

Short-Stay Rehabilitation Program
Birthing Center
Inpatient Psychiatry
Sleep Disorder Center
Inpatient short-term rehabilitation unit

Emergency care (hospital website)^[4][5][7]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General inpatient visiting noon-8 p.m. daily; ICU/SCU 11 a.m.-6 p.m.; other units vary^[5]
Parking	Free parking in the Lower-Level or Upper-Level (ED) lot near entrances^[5]
Patient portal	MyBassett

Recognition^[4][7]

Accredited by The Joint Commission
ACEP Bronze Level Geriatric Emergency Department Accreditation

Doctors and clinicians (251)

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

Main specialties

And 227 more: the button below opens the full list.

Other emergency rooms nearby

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

Bassett Healthcare22 mi · Cooperstown, NY · Acute Care Hospital
St Mary's Healthcare23 mi · Amsterdam, NY · Acute Care Hospital
Nathan Littauer Hospital27 mi · Gloversville, NY · Acute Care Hospital
Ellis Hospital30 mi · Schenectady, NY · Acute Care Hospital
Little Falls Hospital31 mi · Little Falls, NY · Critical Access Hospital

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

Other hospitals near Cobleskill

Sunnyview Hospital and Rehabilitation Center30 mi · Schenectady, NY · Acute Care Hospital

Hospitals in Schoharie County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Palatine Nursing Home17 mi · Palatine Bridge, NY · 2 of 5 stars
Robinson Terrace Rehabilitation and Nursing Center20 mi · Stamford, NY · 3 of 5 stars
River Ridge Living Center22 mi · Amsterdam, NY · 1 of 5 stars

All nursing homes in the state →

Dialysis facilities

Mary Imogene Bassett Hospital21 mi · Cooperstown, NY · 1 of 5 stars
Fms-Amsterdam Dialysis Center23 mi · Amsterdam, NY · 3 of 5 stars
Mohawk Valley Dialysis Center, Inc.23 mi · Amsterdam, NY · 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.

Mohawk Valley Eye Surgery Center23 mi · Amsterdam, NY

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

Hometown Health Centers at Amsterdam23 mi · Amsterdam, NY · Community health center

Clinics and urgent care

Town of Cherry Valley15 mi · Cherry Valley, NY · Rural health clinic

Pharmacies

Wal-Mart Stores East LP2.5 mi · Cobleskill, NY · Community/retail pharmacy
Walgreen Co2.5 mi · Cobleskill, NY · Pharmacy

Assisted living nearby

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

Marchand at Sharon Springs8.1 mi · Sharon Springs, NY

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	5 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	5 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	89%National average: 80%
“Always” got help as soon as they wanted	69%National average: 64%
Staff “always” explained medicines before giving them	68%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	83%National average: 73%
Completed surveys	170Response rate: 36%

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

Complications and deaths

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

Deaths within 30 days: heart failure patients	9.5%
Deaths within 30 days: pneumonia patients	15.1%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	15.4%
Readmitted within 30 days: heart failure	20.8%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	19.7%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	52%National average: 66%

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New York Best hospitals in New York

Prices

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

What the prices mean

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

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

Show the prices of 78 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Office/Outpatient New Low Mdm 30-44 Minutes	$180	$48.60	$66.60 – $103.30
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $61.63 BCBS — ANTHEM EXCHANGE: $144 BCBS — ANTHEM MEDICARE ADVANTAGE: $57.60 BCBS — EMPIRE EXCHANGE: $144 BCBS — EMPIRE MANAGED MEDICAID: $144 BCBS — EXCELLUS: $135 BCBS — EXCELLUS BLUE: $126.27 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $57.60 BCBS — EXCELLUS EXCHANGE: $144 BCBS — EXCELLUS HEALTHNOW: $144
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Office/Outpatient New Moderate Mdm 45-59 Minutes	$272	$73.44	$99.88 – $100.64
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $93.13 BCBS — ANTHEM EXCHANGE: $217.60 BCBS — ANTHEM MEDICARE ADVANTAGE: $87.04 BCBS — EMPIRE EXCHANGE: $217.60 BCBS — EMPIRE MANAGED MEDICAID: $217.60 BCBS — EXCELLUS: $204 BCBS — EXCELLUS BLUE: $190.81 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $87.04 BCBS — EXCELLUS EXCHANGE: $217.60 BCBS — EXCELLUS HEALTHNOW: $217.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Office/Outpatient New High Mdm 60-74 Minutes	$342	$92.34	$98.63 – $100.55
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $117.10 BCBS — ANTHEM EXCHANGE: $273.60 BCBS — ANTHEM MEDICARE ADVANTAGE: $109.44 BCBS — EMPIRE EXCHANGE: $273.60 BCBS — EMPIRE MANAGED MEDICAID: $273.60 BCBS — EXCELLUS: $256.50 BCBS — EXCELLUS BLUE: $239.91 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $109.44 BCBS — EXCELLUS EXCHANGE: $273.60 BCBS — EXCELLUS HEALTHNOW: $273.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Office/Outpatient Established Low Mdm 20-29 Min	$140	$37.80	$98.21 – $105
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $47.94 BCBS — ANTHEM EXCHANGE: $112 BCBS — ANTHEM MEDICARE ADVANTAGE: $44.80 BCBS — EMPIRE EXCHANGE: $112 BCBS — EMPIRE MANAGED MEDICAID: $112 BCBS — EXCELLUS: $105 BCBS — EXCELLUS BLUE: $98.21 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $44.80 BCBS — EXCELLUS EXCHANGE: $112 BCBS — EXCELLUS HEALTHNOW: $112
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office O/P Est Visit Low 20min	$94.02	$25.39	$99.05 – $102.35
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $32.19 BCBS — ANTHEM EXCHANGE: $75.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $30.09 BCBS — EMPIRE EXCHANGE: $75.22 BCBS — EMPIRE MANAGED MEDICAID: $75.22 BCBS — EXCELLUS: $70.52 BCBS — EXCELLUS BLUE: $65.96 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $30.09 BCBS — EXCELLUS EXCHANGE: $75.22 BCBS — EXCELLUS HEALTHNOW: $75.22
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Office/Outpatient Established Mod Mdm 30-39 Min	$200	$54	$74 – $114.78
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $68.48 BCBS — ANTHEM EXCHANGE: $160 BCBS — ANTHEM MEDICARE ADVANTAGE: $64 BCBS — EMPIRE EXCHANGE: $160 BCBS — EMPIRE MANAGED MEDICAID: $160 BCBS — EXCELLUS: $150 BCBS — EXCELLUS BLUE: $140.30 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $64 BCBS — EXCELLUS EXCHANGE: $160 BCBS — EXCELLUS HEALTHNOW: $160
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office O/P Est Visit Mod 30min	$121.03	$32.68	$99.74 – $100.84
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $41.44 BCBS — ANTHEM EXCHANGE: $96.82 BCBS — ANTHEM MEDICARE ADVANTAGE: $38.73 BCBS — EMPIRE EXCHANGE: $96.82 BCBS — EMPIRE MANAGED MEDICAID: $96.82 BCBS — EXCELLUS: $90.77 BCBS — EXCELLUS BLUE: $84.90 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $38.73 BCBS — EXCELLUS EXCHANGE: $96.82 BCBS — EXCELLUS HEALTHNOW: $96.82
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Preventive Visit,New,18-39	$86	$23.22	$24.08 – $86
Preventive checkup, new patient, age 18–39: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $29.45 BCBS — ANTHEM EXCHANGE: $68.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $27.52 BCBS — EMPIRE EXCHANGE: $68.80 BCBS — EMPIRE MANAGED MEDICAID: $68.80 BCBS — EXCELLUS: $64.50 BCBS — EXCELLUS BLUE: $60.33 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $27.52 BCBS — EXCELLUS EXCHANGE: $68.80 BCBS — EXCELLUS HEALTHNOW: $68.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Clinic Use Fee New 18-39	$139.69	$37.72	$97.99 – $100.85
Preventive checkup, new patient, age 18–39: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $47.83 BCBS — ANTHEM EXCHANGE: $111.75 BCBS — ANTHEM MEDICARE ADVANTAGE: $44.70 BCBS — EMPIRE EXCHANGE: $111.75 BCBS — EMPIRE MANAGED MEDICAID: $111.75 BCBS — EXCELLUS: $104.77 BCBS — EXCELLUS BLUE: $97.99 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $44.70 BCBS — EXCELLUS EXCHANGE: $111.75 BCBS — EXCELLUS HEALTHNOW: $111.75
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Preventive Visit,New,40-64	$111	$29.97	$99.90 – $111
Preventive checkup, new patient, age 40–64: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $38.01 BCBS — ANTHEM EXCHANGE: $88.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $35.52 BCBS — EMPIRE EXCHANGE: $88.80 BCBS — EMPIRE MANAGED MEDICAID: $88.80 BCBS — EXCELLUS: $83.25 BCBS — EXCELLUS BLUE: $77.87 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $35.52 BCBS — EXCELLUS EXCHANGE: $88.80 BCBS — EXCELLUS HEALTHNOW: $88.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Clinic Use Fee New 40-64	$139.69	$37.72	$98.36 – $100.85
Preventive checkup, new patient, age 40–64: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $47.83 BCBS — ANTHEM EXCHANGE: $111.75 BCBS — ANTHEM MEDICARE ADVANTAGE: $44.70 BCBS — EMPIRE EXCHANGE: $111.75 BCBS — EMPIRE MANAGED MEDICAID: $111.75 BCBS — EXCELLUS: $104.77 BCBS — EXCELLUS BLUE: $97.99 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $44.70 BCBS — EXCELLUS EXCHANGE: $111.75 BCBS — EXCELLUS HEALTHNOW: $111.75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Emergency Department Visit Moderate Severity	$130	$35.10	$98.18 – $102.14
Emergency room visit (moderate): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $44.51 BCBS — ANTHEM EXCHANGE: $104 BCBS — ANTHEM MEDICARE ADVANTAGE: $41.60 BCBS — EMPIRE EXCHANGE: $104 BCBS — EMPIRE MANAGED MEDICAID: $104 BCBS — EXCELLUS: $97.50 BCBS — EXCELLUS BLUE: $91.20 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $41.60 BCBS — EXCELLUS EXCHANGE: $104 BCBS — EXCELLUS HEALTHNOW: $104
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Visit Low Level	$704.11	$190.11	$925.06 – $1,126.19
Emergency room visit (moderate): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $241.09 BCBS — ANTHEM EXCHANGE: $1,739 BCBS — ANTHEM MEDICARE ADVANTAGE: $225.32 BCBS — EMPIRE EXCHANGE: $1,831 BCBS — EMPIRE MANAGED MEDICAID: $1,831 BCBS — EXCELLUS: $528.08 BCBS — EXCELLUS BLUE: $493.93 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $225.32 BCBS — EXCELLUS EXCHANGE: $1,739 BCBS — EXCELLUS HEALTHNOW: $1,752
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Emergency Department Visit High/Urgent Severity	$215.84	$58.28	$79.26 – $123.87
Emergency room visit (moderately high): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $73.90 BCBS — ANTHEM EXCHANGE: $172.67 BCBS — ANTHEM MEDICARE ADVANTAGE: $69.07 BCBS — EMPIRE EXCHANGE: $172.67 BCBS — EMPIRE MANAGED MEDICAID: $172.67 BCBS — EXCELLUS: $161.88 BCBS — EXCELLUS BLUE: $151.41 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $69.07 BCBS — EXCELLUS EXCHANGE: $172.67 BCBS — EXCELLUS HEALTHNOW: $172.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Visit Moderate Level	$1,014.96	$274.04	$925.06 – $1,014.90
Emergency room visit (moderately high): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $347.52 BCBS — ANTHEM EXCHANGE: $1,739 BCBS — ANTHEM MEDICARE ADVANTAGE: $324.79 BCBS — EMPIRE EXCHANGE: $1,831 BCBS — EMPIRE MANAGED MEDICAID: $1,831 BCBS — EXCELLUS: $761.22 BCBS — EXCELLUS BLUE: $711.99 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $324.79 BCBS — EXCELLUS EXCHANGE: $1,739 BCBS — EXCELLUS HEALTHNOW: $1,752
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Emergency Dept Visit High Severity&Threat Funcj	$327.24	$88.35	$98.96 – $101.44
Emergency room visit (high): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $112.05 BCBS — ANTHEM EXCHANGE: $261.79 BCBS — ANTHEM MEDICARE ADVANTAGE: $104.72 BCBS — EMPIRE EXCHANGE: $261.79 BCBS — EMPIRE MANAGED MEDICAID: $261.79 BCBS — EXCELLUS: $245.43 BCBS — EXCELLUS BLUE: $229.56 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $104.72 BCBS — EXCELLUS EXCHANGE: $261.79 BCBS — EXCELLUS HEALTHNOW: $261.79
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Visit High Level	$1,487.61	$401.65	$925.06 – $1,011.13
Emergency room visit (high): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $509.36 BCBS — ANTHEM EXCHANGE: $1,739 BCBS — ANTHEM MEDICARE ADVANTAGE: $476.04 BCBS — EMPIRE EXCHANGE: $1,831 BCBS — EMPIRE MANAGED MEDICAID: $1,831 BCBS — EXCELLUS: $1,115.71 BCBS — EXCELLUS BLUE: $1,043.56 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $476.04 BCBS — EXCELLUS EXCHANGE: $1,739 BCBS — EXCELLUS HEALTHNOW: $1,752

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel	$229.89	$62.07	$9.89 – $131.93
Basic metabolic panel (blood test): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $78.71 BCBS — ANTHEM EXCHANGE: $183.91 BCBS — ANTHEM MEDICARE ADVANTAGE: $73.56 BCBS — EMPIRE EXCHANGE: $183.91 BCBS — EMPIRE MANAGED MEDICAID: $183.91 BCBS — EXCELLUS: $172.42 BCBS — EXCELLUS BLUE: $161.27 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $73.56 BCBS — EXCELLUS EXCHANGE: $183.91 BCBS — EXCELLUS HEALTHNOW: $183.91
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$359.42	$97.04	$9.19 – $10.10
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $123.07 BCBS — ANTHEM EXCHANGE: $287.54 BCBS — ANTHEM MEDICARE ADVANTAGE: $115.01 BCBS — EMPIRE EXCHANGE: $287.54 BCBS — EMPIRE MANAGED MEDICAID: $287.54 BCBS — EXCELLUS: $269.57 BCBS — EXCELLUS BLUE: $252.13 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $115.01 BCBS — EXCELLUS EXCHANGE: $287.54 BCBS — EXCELLUS HEALTHNOW: $287.54
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel(Cvp)	$334.02	$90.19	$98.20 – $100.07
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $114.37 BCBS — ANTHEM EXCHANGE: $267.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $106.89 BCBS — EMPIRE EXCHANGE: $267.22 BCBS — EMPIRE MANAGED MEDICAID: $267.22 BCBS — EXCELLUS: $250.52 BCBS — EXCELLUS BLUE: $234.32 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $106.89 BCBS — EXCELLUS EXCHANGE: $267.22 BCBS — EXCELLUS HEALTHNOW: $267.22
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid REF	$334.02	$90.19	$98.20 – $100.07
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $114.37 BCBS — ANTHEM EXCHANGE: $267.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $106.89 BCBS — EMPIRE EXCHANGE: $267.22 BCBS — EMPIRE MANAGED MEDICAID: $267.22 BCBS — EXCELLUS: $250.52 BCBS — EXCELLUS BLUE: $234.32 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $106.89 BCBS — EXCELLUS EXCHANGE: $267.22 BCBS — EXCELLUS HEALTHNOW: $267.22
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel	$275.25	$74.32	$10.42 – $99.09
Kidney function panel: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $94.25 BCBS — ANTHEM EXCHANGE: $220.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $88.08 BCBS — EMPIRE EXCHANGE: $220.20 BCBS — EMPIRE MANAGED MEDICAID: $220.20 BCBS — EXCELLUS: $206.44 BCBS — EXCELLUS BLUE: $193.09 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $88.08 BCBS — EXCELLUS EXCHANGE: $220.20 BCBS — EXCELLUS HEALTHNOW: $220.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel	$204.12	$55.11	$9.89 – $117.14
Liver function panel: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $69.89 BCBS — ANTHEM EXCHANGE: $163.30 BCBS — ANTHEM MEDICARE ADVANTAGE: $65.32 BCBS — EMPIRE EXCHANGE: $163.30 BCBS — EMPIRE MANAGED MEDICAID: $163.30 BCBS — EXCELLUS: $153.09 BCBS — EXCELLUS BLUE: $143.19 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $65.32 BCBS — EXCELLUS EXCHANGE: $163.30 BCBS — EXCELLUS HEALTHNOW: $163.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Auto With Micro	$100	$27	$93 – $100
Urine test (automated, with microscope): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $34.24 BCBS — ANTHEM EXCHANGE: $80 BCBS — ANTHEM MEDICARE ADVANTAGE: $32 BCBS — EMPIRE EXCHANGE: $80 BCBS — EMPIRE MANAGED MEDICAID: $80 BCBS — EXCELLUS: $75 BCBS — EXCELLUS BLUE: $70.15 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $32 BCBS — EXCELLUS EXCHANGE: $80 BCBS — EXCELLUS HEALTHNOW: $80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Non Auto W/O Micro	$26.02	$7.03	$1.50 – $9.87
Urine test (manual, without microscope): 10 of 26 insurance plan rates AETNA — MEDICARE ADVANTAGE: $8.91 BCBS — ANTHEM EXCHANGE: $20.82 BCBS — ANTHEM MEDICARE ADVANTAGE: $8.33 BCBS — EMPIRE EXCHANGE: $20.82 BCBS — EMPIRE MANAGED MEDICAID: $20.82 BCBS — EXCELLUS: $19.52 BCBS — EXCELLUS BLUE: $18.25 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $8.33 BCBS — EXCELLUS EXCHANGE: $20.82 BCBS — EXCELLUS HEALTHNOW: $20.82
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Auto W/O Micro	$68.05	$18.37	$1.32 – $68.05
Urine test (automated, without microscope): 10 of 26 insurance plan rates AETNA — MEDICARE ADVANTAGE: $23.30 BCBS — ANTHEM EXCHANGE: $54.44 BCBS — ANTHEM MEDICARE ADVANTAGE: $21.78 BCBS — EMPIRE EXCHANGE: $54.44 BCBS — EMPIRE MANAGED MEDICAID: $54.44 BCBS — EXCELLUS: $51.04 BCBS — EXCELLUS BLUE: $47.74 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $21.78 BCBS — EXCELLUS EXCHANGE: $54.44 BCBS — EXCELLUS HEALTHNOW: $54.44
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POCT Perform Urine Dipstick	$68.05	$18.37	$1.32 – $68.05
Urine test (automated, without microscope): 10 of 26 insurance plan rates AETNA — MEDICARE ADVANTAGE: $23.30 BCBS — ANTHEM EXCHANGE: $54.44 BCBS — ANTHEM MEDICARE ADVANTAGE: $21.78 BCBS — EMPIRE EXCHANGE: $54.44 BCBS — EMPIRE MANAGED MEDICAID: $54.44 BCBS — EXCELLUS: $51.04 BCBS — EXCELLUS BLUE: $47.74 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $21.78 BCBS — EXCELLUS EXCHANGE: $54.44 BCBS — EXCELLUS HEALTHNOW: $54.44
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Urinalysis Auto W/O Micro	$31.85	$8.60	$9.87 – $10.19
Urine test (automated, without microscope): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $10.91 BCBS — ANTHEM EXCHANGE: $25.48 BCBS — ANTHEM MEDICARE ADVANTAGE: $10.19 BCBS — EMPIRE EXCHANGE: $25.48 BCBS — EMPIRE MANAGED MEDICAID: $25.48 BCBS — EXCELLUS: $23.89 BCBS — EXCELLUS BLUE: $22.34 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $10.19 BCBS — EXCELLUS EXCHANGE: $25.48 BCBS — EXCELLUS HEALTHNOW: $25.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostate Specific Ag; Total,Screen	$184.02	$49.69	$10.79 – $68.09
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $63.01 BCBS — ANTHEM EXCHANGE: $147.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $58.89 BCBS — EMPIRE EXCHANGE: $147.22 BCBS — EMPIRE MANAGED MEDICAID: $147.22 BCBS — EXCELLUS: $138.02 BCBS — EXCELLUS BLUE: $129.09 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $58.89 BCBS — EXCELLUS EXCHANGE: $147.22 BCBS — EXCELLUS HEALTHNOW: $147.22
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psa, Total Ref	$184.02	$49.69	$10.79 – $68.09
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $63.01 BCBS — ANTHEM EXCHANGE: $147.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $58.89 BCBS — EMPIRE EXCHANGE: $147.22 BCBS — EMPIRE MANAGED MEDICAID: $147.22 BCBS — EXCELLUS: $138.02 BCBS — EXCELLUS BLUE: $129.09 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $58.89 BCBS — EXCELLUS EXCHANGE: $147.22 BCBS — EXCELLUS HEALTHNOW: $147.22
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostate Specific Ag; Total,Monitoring	$184.02	$49.69	$10.79 – $68.09
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $63.01 BCBS — ANTHEM EXCHANGE: $147.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $58.89 BCBS — EMPIRE EXCHANGE: $147.22 BCBS — EMPIRE MANAGED MEDICAID: $147.22 BCBS — EXCELLUS: $138.02 BCBS — EXCELLUS BLUE: $129.09 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $58.89 BCBS — EXCELLUS EXCHANGE: $147.22 BCBS — EXCELLUS HEALTHNOW: $147.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$271.13	$73.21	$10.91 – $99.56
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $92.83 BCBS — ANTHEM EXCHANGE: $216.90 BCBS — ANTHEM MEDICARE ADVANTAGE: $86.76 BCBS — EMPIRE EXCHANGE: $216.90 BCBS — EMPIRE MANAGED MEDICAID: $216.90 BCBS — EXCELLUS: $203.35 BCBS — EXCELLUS BLUE: $190.20 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $86.76 BCBS — EXCELLUS EXCHANGE: $216.90 BCBS — EXCELLUS HEALTHNOW: $216.90
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Blood Count Auto W/Auto Diff	$153.61	$41.47	$88.42 – $100.09
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $52.60 BCBS — ANTHEM EXCHANGE: $122.89 BCBS — ANTHEM MEDICARE ADVANTAGE: $49.16 BCBS — EMPIRE EXCHANGE: $122.89 BCBS — EMPIRE MANAGED MEDICAID: $122.89 BCBS — EXCELLUS: $115.21 BCBS — EXCELLUS BLUE: $107.76 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $49.16 BCBS — EXCELLUS EXCHANGE: $122.89 BCBS — EXCELLUS HEALTHNOW: $122.89
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Blood Count Automated	$105.15	$28.39	$97.79 – $105.15
Complete blood count (CBC), automated: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $36 BCBS — ANTHEM EXCHANGE: $84.12 BCBS — ANTHEM MEDICARE ADVANTAGE: $33.65 BCBS — EMPIRE EXCHANGE: $84.12 BCBS — EMPIRE MANAGED MEDICAID: $84.12 BCBS — EXCELLUS: $78.86 BCBS — EXCELLUS BLUE: $73.76 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $33.65 BCBS — EXCELLUS EXCHANGE: $84.12 BCBS — EXCELLUS HEALTHNOW: $84.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	$89.69	$24.22	$2.31 – $89.69
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $30.71 BCBS — ANTHEM EXCHANGE: $71.75 BCBS — ANTHEM MEDICARE ADVANTAGE: $28.70 BCBS — EMPIRE EXCHANGE: $71.75 BCBS — EMPIRE MANAGED MEDICAID: $71.75 BCBS — EXCELLUS: $67.27 BCBS — EXCELLUS BLUE: $62.92 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $28.70 BCBS — EXCELLUS EXCHANGE: $71.75 BCBS — EXCELLUS HEALTHNOW: $71.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POCT Pt/Inr Coagucheck	$89.69	$24.22	$2.31 – $89.69
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $30.71 BCBS — ANTHEM EXCHANGE: $71.75 BCBS — ANTHEM MEDICARE ADVANTAGE: $28.70 BCBS — EMPIRE EXCHANGE: $71.75 BCBS — EMPIRE MANAGED MEDICAID: $71.75 BCBS — EXCELLUS: $67.27 BCBS — EXCELLUS BLUE: $62.92 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $28.70 BCBS — EXCELLUS EXCHANGE: $71.75 BCBS — EXCELLUS HEALTHNOW: $71.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time - Ref	$89.69	$24.22	$2.31 – $89.69
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $30.71 BCBS — ANTHEM EXCHANGE: $71.75 BCBS — ANTHEM MEDICARE ADVANTAGE: $28.70 BCBS — EMPIRE EXCHANGE: $71.75 BCBS — EMPIRE MANAGED MEDICAID: $71.75 BCBS — EXCELLUS: $67.27 BCBS — EXCELLUS BLUE: $62.92 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $28.70 BCBS — EXCELLUS EXCHANGE: $71.75 BCBS — EXCELLUS HEALTHNOW: $71.75
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thromboplastin Time Partial	$110.31	$29.78	$99.28 – $102.59
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $37.77 BCBS — ANTHEM EXCHANGE: $88.25 BCBS — ANTHEM MEDICARE ADVANTAGE: $35.30 BCBS — EMPIRE EXCHANGE: $88.25 BCBS — EMPIRE MANAGED MEDICAID: $88.25 BCBS — EXCELLUS: $82.73 BCBS — EXCELLUS BLUE: $77.38 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $35.30 BCBS — EXCELLUS EXCHANGE: $88.25 BCBS — EXCELLUS HEALTHNOW: $88.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lupus Anticoagulant Profile	$110.31	$29.78	$99.28 – $102.59
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $37.77 BCBS — ANTHEM EXCHANGE: $88.25 BCBS — ANTHEM MEDICARE ADVANTAGE: $35.30 BCBS — EMPIRE EXCHANGE: $88.25 BCBS — EMPIRE MANAGED MEDICAID: $88.25 BCBS — EXCELLUS: $82.73 BCBS — EXCELLUS BLUE: $77.38 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $35.30 BCBS — EXCELLUS EXCHANGE: $88.25 BCBS — EXCELLUS HEALTHNOW: $88.25

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) · Hospital (facility) fee In the file: HC CT Head/Brain WO Contrast	$2,400	$648	$106.34 – $958.21
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $770.40 BCBS — ANTHEM EXCHANGE: $1,920 BCBS — ANTHEM MEDICARE ADVANTAGE: $768 BCBS — EMPIRE EXCHANGE: $1,920 BCBS — EMPIRE MANAGED MEDICAID: $1,920 BCBS — EXCELLUS: $1,800 BCBS — EXCELLUS BLUE: $1,683.60 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $768 BCBS — EXCELLUS EXCHANGE: $1,920 BCBS — EXCELLUS HEALTHNOW: $1,920
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR CT Scan,Head/Brain,W/O Contrast Matl	$183.55	$49.56	$67.91 – $105.34
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $62.85 BCBS — ANTHEM EXCHANGE: $146.84 BCBS — ANTHEM MEDICARE ADVANTAGE: $58.74 BCBS — EMPIRE EXCHANGE: $146.84 BCBS — EMPIRE MANAGED MEDICAID: $146.84 BCBS — EXCELLUS: $137.66 BCBS — EXCELLUS BLUE: $128.76 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $58.74 BCBS — EXCELLUS EXCHANGE: $146.84 BCBS — EXCELLUS HEALTHNOW: $146.84
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain W/O Follwed by W/Contrast	$4,500.78	$1,215.21	$681.75 – $1,010
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,444.75 BCBS — ANTHEM EXCHANGE: $3,600.62 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,440.25 BCBS — EMPIRE EXCHANGE: $3,600.62 BCBS — EMPIRE MANAGED MEDICAID: $3,600.62 BCBS — EXCELLUS: $3,375.59 BCBS — EXCELLUS BLUE: $3,157.30 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,440.25 BCBS — EXCELLUS EXCHANGE: $3,600.62 BCBS — EXCELLUS HEALTHNOW: $3,600.62
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR MRI Brain Combo	$525.37	$141.85	$147.10 – $525.37
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $179.89 BCBS — ANTHEM EXCHANGE: $420.30 BCBS — ANTHEM MEDICARE ADVANTAGE: $168.12 BCBS — EMPIRE EXCHANGE: $420.30 BCBS — EMPIRE MANAGED MEDICAID: $420.30 BCBS — EXCELLUS: $394.03 BCBS — EXCELLUS BLUE: $368.55 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $168.12 BCBS — EXCELLUS EXCHANGE: $420.30 BCBS — EXCELLUS HEALTHNOW: $420.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-Ray Exam Chest 2 Views	$424	$114.48	$9.41 – $111.59
Chest X-ray, 2 views: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $145.18 BCBS — ANTHEM EXCHANGE: $339.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $135.68 BCBS — EMPIRE EXCHANGE: $339.20 BCBS — EMPIRE MANAGED MEDICAID: $339.20 BCBS — EXCELLUS: $318 BCBS — EXCELLUS BLUE: $297.44 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $135.68 BCBS — EXCELLUS EXCHANGE: $339.20 BCBS — EXCELLUS HEALTHNOW: $339.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Chg Radiologic Exam Chest 2 Views	$53.20	$14.36	$14.90 – $53.20
Chest X-ray, 2 views: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $18.22 BCBS — ANTHEM EXCHANGE: $42.56 BCBS — ANTHEM MEDICARE ADVANTAGE: $17.02 BCBS — EMPIRE EXCHANGE: $42.56 BCBS — EMPIRE MANAGED MEDICAID: $42.56 BCBS — EXCELLUS: $39.90 BCBS — EXCELLUS BLUE: $37.32 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $17.02 BCBS — EXCELLUS EXCHANGE: $42.56 BCBS — EXCELLUS HEALTHNOW: $42.56
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Spine Lumbosacral 4+ Views	$861.47	$232.60	$106.34 – $933
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $294.97 BCBS — ANTHEM EXCHANGE: $689.18 BCBS — ANTHEM MEDICARE ADVANTAGE: $275.67 BCBS — EMPIRE EXCHANGE: $689.18 BCBS — EMPIRE MANAGED MEDICAID: $689.18 BCBS — EXCELLUS: $646.10 BCBS — EXCELLUS BLUE: $604.32 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $275.67 BCBS — EXCELLUS EXCHANGE: $689.18 BCBS — EXCELLUS HEALTHNOW: $689.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Chg X-Ray Lumbar Spine 4 Vw	$81.04	$21.88	$22.69 – $81.04
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $27.75 BCBS — ANTHEM EXCHANGE: $64.83 BCBS — ANTHEM MEDICARE ADVANTAGE: $25.93 BCBS — EMPIRE EXCHANGE: $64.83 BCBS — EMPIRE MANAGED MEDICAID: $64.83 BCBS — EXCELLUS: $60.78 BCBS — EXCELLUS BLUE: $56.85 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $25.93 BCBS — EXCELLUS EXCHANGE: $64.83 BCBS — EXCELLUS HEALTHNOW: $64.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$3,405.11	$919.38	$982.03 – $1,001.10
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,093.04 BCBS — ANTHEM EXCHANGE: $2,724.09 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,089.64 BCBS — EMPIRE EXCHANGE: $2,724.09 BCBS — EMPIRE MANAGED MEDICAID: $2,724.09 BCBS — EXCELLUS: $2,553.83 BCBS — EXCELLUS BLUE: $2,388.68 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,089.64 BCBS — EXCELLUS EXCHANGE: $2,724.09 BCBS — EXCELLUS HEALTHNOW: $2,724.09
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR MRI, Lumbar Spine	$336	$90.72	$98.78 – $100.67
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $115.05 BCBS — ANTHEM EXCHANGE: $268.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $107.52 BCBS — EMPIRE EXCHANGE: $268.80 BCBS — EMPIRE MANAGED MEDICAID: $268.80 BCBS — EXCELLUS: $252 BCBS — EXCELLUS BLUE: $235.70 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $107.52 BCBS — EXCELLUS EXCHANGE: $268.80 BCBS — EXCELLUS HEALTHNOW: $268.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Pelvis W Contrast	$2,750	$742.50	$981.75 – $1,000.45
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $882.75 BCBS — ANTHEM EXCHANGE: $2,200 BCBS — ANTHEM MEDICARE ADVANTAGE: $880 BCBS — EMPIRE EXCHANGE: $2,200 BCBS — EMPIRE MANAGED MEDICAID: $2,200 BCBS — EXCELLUS: $2,062.50 BCBS — EXCELLUS BLUE: $1,929.13 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $880 BCBS — EXCELLUS EXCHANGE: $2,200 BCBS — EXCELLUS HEALTHNOW: $2,200
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR CT Scan of Pelvis Contrast	$386.83	$104.44	$108.31 – $386.83
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $132.45 BCBS — ANTHEM EXCHANGE: $309.46 BCBS — ANTHEM MEDICARE ADVANTAGE: $123.79 BCBS — EMPIRE EXCHANGE: $309.46 BCBS — EMPIRE MANAGED MEDICAID: $309.46 BCBS — EXCELLUS: $290.12 BCBS — EXCELLUS BLUE: $271.36 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $123.79 BCBS — EXCELLUS EXCHANGE: $309.46 BCBS — EXCELLUS HEALTHNOW: $309.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Low Extrem Jnt WO Con	$3,685	$994.95	$972.16 – $1,001.32
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,182.89 BCBS — ANTHEM EXCHANGE: $2,948 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,179.20 BCBS — EMPIRE EXCHANGE: $2,948 BCBS — EMPIRE MANAGED MEDICAID: $2,948 BCBS — EXCELLUS: $2,763.75 BCBS — EXCELLUS BLUE: $2,585.03 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,179.20 BCBS — EXCELLUS EXCHANGE: $2,948 BCBS — EXCELLUS HEALTHNOW: $2,948
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR MRI Lower Extrem Jt, W/O Contrast	$332.70	$89.83	$99.68 – $100.61
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $113.92 BCBS — ANTHEM EXCHANGE: $266.16 BCBS — ANTHEM MEDICARE ADVANTAGE: $106.46 BCBS — EMPIRE EXCHANGE: $266.16 BCBS — EMPIRE MANAGED MEDICAID: $266.16 BCBS — EXCELLUS: $249.53 BCBS — EXCELLUS BLUE: $233.39 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $106.46 BCBS — EXCELLUS EXCHANGE: $266.16 BCBS — EXCELLUS HEALTHNOW: $266.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$5,300	$1,431	$109.01 – $6,823
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,701.30 BCBS — ANTHEM EXCHANGE: $4,240 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,696 BCBS — EMPIRE EXCHANGE: $4,240 BCBS — EMPIRE MANAGED MEDICAID: $4,240 BCBS — EXCELLUS: $3,975 BCBS — EXCELLUS BLUE: $3,717.95 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,696 BCBS — EXCELLUS EXCHANGE: $4,240 BCBS — EXCELLUS HEALTHNOW: $4,240
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Chg CT Scan,Abdoment and Pelvis,W Contrast	$529.63	$143	$148.30 – $529.63
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $181.35 BCBS — ANTHEM EXCHANGE: $423.70 BCBS — ANTHEM MEDICARE ADVANTAGE: $169.48 BCBS — EMPIRE EXCHANGE: $423.70 BCBS — EMPIRE MANAGED MEDICAID: $423.70 BCBS — EXCELLUS: $397.22 BCBS — EXCELLUS BLUE: $371.54 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $169.48 BCBS — EXCELLUS EXCHANGE: $423.70 BCBS — EXCELLUS HEALTHNOW: $423.70
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, Abdom,B-Scan &/or Real Time,Complete	$1,574.20	$425.03	$98.30 – $106.34
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $539.01 BCBS — ANTHEM EXCHANGE: $1,259.36 BCBS — ANTHEM MEDICARE ADVANTAGE: $503.74 BCBS — EMPIRE EXCHANGE: $1,259.36 BCBS — EMPIRE MANAGED MEDICAID: $1,259.36 BCBS — EXCELLUS: $1,180.65 BCBS — EXCELLUS BLUE: $1,104.30 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $503.74 BCBS — EXCELLUS EXCHANGE: $1,259.36 BCBS — EXCELLUS HEALTHNOW: $1,259.36
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH US, Abdom,B-Scan &/or Real Time,Complete	$185.23	$50.01	$68.54 – $106.30
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $63.42 BCBS — ANTHEM EXCHANGE: $148.18 BCBS — ANTHEM MEDICARE ADVANTAGE: $59.27 BCBS — EMPIRE EXCHANGE: $148.18 BCBS — EMPIRE MANAGED MEDICAID: $148.18 BCBS — EXCELLUS: $138.92 BCBS — EXCELLUS BLUE: $129.94 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $59.27 BCBS — EXCELLUS EXCHANGE: $148.18 BCBS — EXCELLUS HEALTHNOW: $148.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Preg=>14wk Sng 1st Ges	$825	$222.75	$98.30 – $1,012.79
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $282.48 BCBS — ANTHEM EXCHANGE: $660 BCBS — ANTHEM MEDICARE ADVANTAGE: $264 BCBS — EMPIRE EXCHANGE: $660 BCBS — EMPIRE MANAGED MEDICAID: $660 BCBS — EXCELLUS: $618.75 BCBS — EXCELLUS BLUE: $578.74 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $264 BCBS — EXCELLUS EXCHANGE: $660 BCBS — EXCELLUS HEALTHNOW: $660
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH US, OB >/= 14 Wks, Sngl Fetus	$215.42	$58.16	$79.71 – $123.63
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $73.76 BCBS — ANTHEM EXCHANGE: $172.34 BCBS — ANTHEM MEDICARE ADVANTAGE: $68.93 BCBS — EMPIRE EXCHANGE: $172.34 BCBS — EMPIRE MANAGED MEDICAID: $172.34 BCBS — EXCELLUS: $161.57 BCBS — EXCELLUS BLUE: $151.12 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $68.93 BCBS — EXCELLUS EXCHANGE: $172.34 BCBS — EXCELLUS HEALTHNOW: $172.34
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ultrasound Pelvis,Transvaginal	$992.77	$268.05	$992.77 – $1,005.75
Transvaginal ultrasound: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $339.92 BCBS — ANTHEM EXCHANGE: $794.22 BCBS — ANTHEM MEDICARE ADVANTAGE: $317.69 BCBS — EMPIRE EXCHANGE: $794.22 BCBS — EMPIRE MANAGED MEDICAID: $794.22 BCBS — EXCELLUS: $744.58 BCBS — EXCELLUS BLUE: $696.43 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $317.69 BCBS — EXCELLUS EXCHANGE: $794.22 BCBS — EXCELLUS HEALTHNOW: $794.22
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Echography,Transvaginal	$190.15	$51.34	$70.36 – $109.13
Transvaginal ultrasound: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $65.11 BCBS — ANTHEM EXCHANGE: $152.12 BCBS — ANTHEM MEDICARE ADVANTAGE: $60.85 BCBS — EMPIRE EXCHANGE: $152.12 BCBS — EMPIRE MANAGED MEDICAID: $152.12 BCBS — EXCELLUS: $142.61 BCBS — EXCELLUS BLUE: $133.39 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $60.85 BCBS — EXCELLUS EXCHANGE: $152.12 BCBS — EXCELLUS HEALTHNOW: $152.12
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Diagnositc W Cad Uni	$549.48	$148.36	$97.97 – $101.40
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $188.14 BCBS — ANTHEM EXCHANGE: $439.58 BCBS — ANTHEM MEDICARE ADVANTAGE: $175.83 BCBS — EMPIRE EXCHANGE: $439.58 BCBS — EMPIRE MANAGED MEDICAID: $439.58 BCBS — EXCELLUS: $412.11 BCBS — EXCELLUS BLUE: $385.46 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $175.83 BCBS — EXCELLUS EXCHANGE: $439.58 BCBS — EXCELLUS HEALTHNOW: $439.58
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Chg Diagnostic Mammography Computer-Aided Detcj Uni	$198.31	$53.54	$73.37 – $113.81
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $67.90 BCBS — ANTHEM EXCHANGE: $158.65 BCBS — ANTHEM MEDICARE ADVANTAGE: $63.46 BCBS — EMPIRE EXCHANGE: $158.65 BCBS — EMPIRE MANAGED MEDICAID: $158.65 BCBS — EXCELLUS: $148.73 BCBS — EXCELLUS BLUE: $139.11 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $63.46 BCBS — EXCELLUS EXCHANGE: $158.65 BCBS — EXCELLUS HEALTHNOW: $158.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Diagnositc W Cad Bil	$691.74	$186.77	$97.97 – $101.40
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $236.85 BCBS — ANTHEM EXCHANGE: $553.39 BCBS — ANTHEM MEDICARE ADVANTAGE: $221.36 BCBS — EMPIRE EXCHANGE: $553.39 BCBS — EMPIRE MANAGED MEDICAID: $553.39 BCBS — EXCELLUS: $518.81 BCBS — EXCELLUS BLUE: $485.26 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $221.36 BCBS — EXCELLUS EXCHANGE: $553.39 BCBS — EXCELLUS HEALTHNOW: $553.39
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Chg Diagnostic Mammography Computer-Aided Detcj Bi	$250.10	$67.53	$92.54 – $143.53
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $85.63 BCBS — ANTHEM EXCHANGE: $200.08 BCBS — ANTHEM MEDICARE ADVANTAGE: $80.03 BCBS — EMPIRE EXCHANGE: $200.08 BCBS — EMPIRE MANAGED MEDICAID: $200.08 BCBS — EXCELLUS: $187.58 BCBS — EXCELLUS BLUE: $175.45 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $80.03 BCBS — EXCELLUS EXCHANGE: $200.08 BCBS — EXCELLUS HEALTHNOW: $200.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Scr Mammo Bi Incl Cad	$613.23	$165.57	$97.97 – $101.40
Screening mammogram, both breasts: 10 of 28 insurance plan rates AETNA — MEDICARE ADVANTAGE: $209.97 BCBS — ANTHEM EXCHANGE: $490.58 BCBS — ANTHEM MEDICARE ADVANTAGE: $94.37 BCBS — EMPIRE EXCHANGE: $490.58 BCBS — EMPIRE MANAGED MEDICAID: $490.58 BCBS — EXCELLUS: $459.92 BCBS — EXCELLUS BLUE: $430.18 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $196.23 BCBS — EXCELLUS EXCHANGE: $490.58 BCBS — EXCELLUS HEALTHNOW: $490.58
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Chg Screening Mammography Bi 2-View Breast Inc Cad	$202.88	$54.78	$94.37 – $106.52
Screening mammogram, both breasts: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $69.47 BCBS — ANTHEM EXCHANGE: $162.30 BCBS — ANTHEM MEDICARE ADVANTAGE: $94.37 BCBS — EMPIRE EXCHANGE: $162.30 BCBS — EMPIRE MANAGED MEDICAID: $162.30 BCBS — EXCELLUS: $152.16 BCBS — EXCELLUS BLUE: $142.32 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $64.92 BCBS — EXCELLUS EXCHANGE: $162.30 BCBS — EXCELLUS HEALTHNOW: $162.30

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR L Hrt Cath W/Njx L Ventriculography Img S&I	$1,415	$382.05	$992.62 – $1,061.25
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $484.50 BCBS — ANTHEM EXCHANGE: $1,132 BCBS — ANTHEM MEDICARE ADVANTAGE: $452.80 BCBS — EMPIRE EXCHANGE: $1,132 BCBS — EMPIRE MANAGED MEDICAID: $1,132 BCBS — EXCELLUS: $1,061.25 BCBS — EXCELLUS BLUE: $992.62 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $452.80 BCBS — EXCELLUS EXCHANGE: $1,132 BCBS — EXCELLUS HEALTHNOW: $1,132
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Compre Electrophysiologic W/O Arrhyt Induction	$1,035	$279.45	$931.50 – $1,035
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $354.38 BCBS — ANTHEM EXCHANGE: $828 BCBS — ANTHEM MEDICARE ADVANTAGE: $331.20 BCBS — EMPIRE EXCHANGE: $828 BCBS — EMPIRE MANAGED MEDICAID: $828 BCBS — EXCELLUS: $776.25 BCBS — EXCELLUS BLUE: $726.05 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $331.20 BCBS — EXCELLUS EXCHANGE: $828 BCBS — EXCELLUS HEALTHNOW: $828
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$3,290	$888.30	$994.90 – $1,019.90
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,126.50 BCBS — ANTHEM EXCHANGE: $2,632 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,052.80 BCBS — EMPIRE EXCHANGE: $2,632 BCBS — EMPIRE MANAGED MEDICAID: $2,632 BCBS — EXCELLUS: $2,467.50 BCBS — EXCELLUS BLUE: $2,307.94 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,052.80 BCBS — EXCELLUS EXCHANGE: $2,632 BCBS — EXCELLUS HEALTHNOW: $2,632
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$953.56	$257.46	$267 – $953.56
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $326.50 BCBS — ANTHEM EXCHANGE: $762.85 BCBS — ANTHEM MEDICARE ADVANTAGE: $305.14 BCBS — EMPIRE EXCHANGE: $762.85 BCBS — EMPIRE MANAGED MEDICAID: $762.85 BCBS — EXCELLUS: $715.17 BCBS — EXCELLUS BLUE: $668.92 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $305.14 BCBS — EXCELLUS EXCHANGE: $762.85 BCBS — EXCELLUS HEALTHNOW: $762.85
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysom >6yr W 4/> Param	$2,713.36	$732.61	$937.74 – $1,003.94
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $929.05 BCBS — ANTHEM EXCHANGE: $2,170.69 BCBS — ANTHEM MEDICARE ADVANTAGE: $868.28 BCBS — EMPIRE EXCHANGE: $2,170.69 BCBS — EMPIRE MANAGED MEDICAID: $2,170.69 BCBS — EXCELLUS: $2,035.02 BCBS — EXCELLUS BLUE: $1,903.42 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $868.28 BCBS — EXCELLUS EXCHANGE: $2,170.69 BCBS — EXCELLUS HEALTHNOW: $2,170.69

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) · Hospital (facility) fee In the file: HC Therapeutic Exercises Each 15 Min	$111	$29.97	$10.49 – $99.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $38.01 BCBS — ANTHEM EXCHANGE: $88.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $35.52 BCBS — EMPIRE EXCHANGE: $88.80 BCBS — EMPIRE MANAGED MEDICAID: $88.80 BCBS — EXCELLUS: $83.25 BCBS — EXCELLUS BLUE: $77.87 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $35.52 BCBS — EXCELLUS EXCHANGE: $88.80 BCBS — EXCELLUS HEALTHNOW: $88.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Physical Therapy Eval Low Complexity	$273.19	$73.76	$99.56 – $100.32
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $93.54 BCBS — ANTHEM EXCHANGE: $218.55 BCBS — ANTHEM MEDICARE ADVANTAGE: $87.42 BCBS — EMPIRE EXCHANGE: $218.55 BCBS — EMPIRE MANAGED MEDICAID: $218.55 BCBS — EXCELLUS: $204.89 BCBS — EXCELLUS BLUE: $191.64 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $87.42 BCBS — EXCELLUS EXCHANGE: $218.55 BCBS — EXCELLUS HEALTHNOW: $218.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Physical Therapy Eval Mod Complexity	$281.64	$76.04	$99.56 – $100.55
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $96.43 BCBS — ANTHEM EXCHANGE: $225.31 BCBS — ANTHEM MEDICARE ADVANTAGE: $90.12 BCBS — EMPIRE EXCHANGE: $225.31 BCBS — EMPIRE MANAGED MEDICAID: $225.31 BCBS — EXCELLUS: $211.23 BCBS — EXCELLUS BLUE: $197.57 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $90.12 BCBS — EXCELLUS EXCHANGE: $225.31 BCBS — EXCELLUS HEALTHNOW: $225.31
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Physical Therapy Eval High Complexity	$296.50	$80.06	$99.62 – $101.46
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $101.52 BCBS — ANTHEM EXCHANGE: $237.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $94.88 BCBS — EMPIRE EXCHANGE: $237.20 BCBS — EMPIRE MANAGED MEDICAID: $237.20 BCBS — EXCELLUS: $222.38 BCBS — EXCELLUS BLUE: $207.99 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $94.88 BCBS — EXCELLUS EXCHANGE: $237.20 BCBS — EXCELLUS HEALTHNOW: $237.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Psychotherapy W/Patient 30 Minutes	$104	$28.08	$93.60 – $104
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $35.61 BCBS — ANTHEM EXCHANGE: $83.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $33.28 BCBS — EMPIRE EXCHANGE: $83.20 BCBS — EMPIRE MANAGED MEDICAID: $83.20 BCBS — EXCELLUS: $78 BCBS — EXCELLUS BLUE: $72.96 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $33.28 BCBS — EXCELLUS EXCHANGE: $83.20 BCBS — EXCELLUS HEALTHNOW: $83.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Psychotherapy W/Patient 45 Minutes	$152	$41.04	$87.49 – $103.31
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $52.04 BCBS — ANTHEM EXCHANGE: $121.60 BCBS — ANTHEM MEDICARE ADVANTAGE: $48.64 BCBS — EMPIRE EXCHANGE: $121.60 BCBS — EMPIRE MANAGED MEDICAID: $121.60 BCBS — EXCELLUS: $114 BCBS — EXCELLUS BLUE: $106.63 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $48.64 BCBS — EXCELLUS EXCHANGE: $121.60 BCBS — EXCELLUS HEALTHNOW: $121.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Psychotherapy W/Patient 60 Minutes	$225	$60.75	$82.62 – $129.13
Psychotherapy, 60 minutes: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $77.04 BCBS — ANTHEM EXCHANGE: $180 BCBS — ANTHEM MEDICARE ADVANTAGE: $72 BCBS — EMPIRE EXCHANGE: $180 BCBS — EMPIRE MANAGED MEDICAID: $180 BCBS — EXCELLUS: $168.75 BCBS — EXCELLUS BLUE: $157.84 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $72 BCBS — EXCELLUS EXCHANGE: $180 BCBS — EXCELLUS HEALTHNOW: $180
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Family Psychotherapy W/O Patient Present 50 Mins	$153.08	$41.33	$88.11 – $104.05
Family psychotherapy, without the patient: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $52.41 BCBS — ANTHEM EXCHANGE: $122.46 BCBS — ANTHEM MEDICARE ADVANTAGE: $48.99 BCBS — EMPIRE EXCHANGE: $122.46 BCBS — EMPIRE MANAGED MEDICAID: $122.46 BCBS — EXCELLUS: $114.81 BCBS — EXCELLUS BLUE: $107.39 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $48.99 BCBS — EXCELLUS EXCHANGE: $122.46 BCBS — EXCELLUS HEALTHNOW: $122.46
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Family Psychotherapy W/Patient Present 50 Mins	$180	$48.60	$66.10 – $103.30
Family psychotherapy, with the patient: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $61.63 BCBS — ANTHEM EXCHANGE: $144 BCBS — ANTHEM MEDICARE ADVANTAGE: $57.60 BCBS — EMPIRE EXCHANGE: $144 BCBS — EMPIRE MANAGED MEDICAID: $144 BCBS — EXCELLUS: $135 BCBS — EXCELLUS BLUE: $126.27 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $57.60 BCBS — EXCELLUS EXCHANGE: $144 BCBS — EXCELLUS HEALTHNOW: $144
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Group Psychotherapy	$60	$16.20	$16.80 – $60
Group psychotherapy: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $20.54 BCBS — ANTHEM EXCHANGE: $48 BCBS — ANTHEM MEDICARE ADVANTAGE: $19.20 BCBS — EMPIRE EXCHANGE: $48 BCBS — EMPIRE MANAGED MEDICAID: $48 BCBS — EXCELLUS: $45 BCBS — EXCELLUS BLUE: $42.09 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $19.20 BCBS — EXCELLUS EXCHANGE: $48 BCBS — EXCELLUS HEALTHNOW: $48

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Removal of Breast Lesion	$1,037.44	$280.11	$933.70 – $1,037.44
Removal of breast growth (open surgery): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $355.22 BCBS — ANTHEM EXCHANGE: $829.95 BCBS — ANTHEM MEDICARE ADVANTAGE: $331.98 BCBS — EMPIRE EXCHANGE: $829.95 BCBS — EMPIRE MANAGED MEDICAID: $829.95 BCBS — EXCELLUS: $778.08 BCBS — EXCELLUS BLUE: $727.76 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $331.98 BCBS — EXCELLUS EXCHANGE: $829.95 BCBS — EXCELLUS HEALTHNOW: $829.95
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Total Hip Arthroplasty	$5,500	$1,485	$1,540 – $5,500
Total hip replacement: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,883.20 BCBS — ANTHEM EXCHANGE: $4,400 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,760 BCBS — EMPIRE EXCHANGE: $4,400 BCBS — EMPIRE MANAGED MEDICAID: $4,400 BCBS — EXCELLUS: $4,125 BCBS — EXCELLUS BLUE: $3,858.25 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,760 BCBS — EXCELLUS EXCHANGE: $4,400 BCBS — EXCELLUS HEALTHNOW: $4,400
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Total Knee Arthroplasty	$4,800	$1,296	$1,344 – $4,800
Total knee replacement: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,643.52 BCBS — ANTHEM EXCHANGE: $3,840 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,536 BCBS — EMPIRE EXCHANGE: $3,840 BCBS — EMPIRE MANAGED MEDICAID: $3,840 BCBS — EXCELLUS: $3,600 BCBS — EXCELLUS BLUE: $3,367.20 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,536 BCBS — EXCELLUS EXCHANGE: $3,840 BCBS — EXCELLUS HEALTHNOW: $3,840
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Shoulder Scope Bone Shaving	$2,420	$653.40	$888.62 – $1,388.84
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $828.61 BCBS — ANTHEM EXCHANGE: $1,936 BCBS — ANTHEM MEDICARE ADVANTAGE: $774.40 BCBS — EMPIRE EXCHANGE: $1,936 BCBS — EMPIRE MANAGED MEDICAID: $1,936 BCBS — EXCELLUS: $1,815 BCBS — EXCELLUS BLUE: $1,697.63 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $774.40 BCBS — EXCELLUS EXCHANGE: $1,936 BCBS — EXCELLUS HEALTHNOW: $1,936
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$2,470	$666.90	$906.98 – $1,417.53
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $845.73 BCBS — ANTHEM EXCHANGE: $1,976 BCBS — ANTHEM MEDICARE ADVANTAGE: $790.40 BCBS — EMPIRE EXCHANGE: $1,976 BCBS — EMPIRE MANAGED MEDICAID: $1,976 BCBS — EXCELLUS: $1,852.50 BCBS — EXCELLUS BLUE: $1,732.71 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $790.40 BCBS — EXCELLUS EXCHANGE: $1,976 BCBS — EXCELLUS HEALTHNOW: $1,976
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH Remove Tonsils/Adenoids,<12 Y/O	$715	$193.05	$200.20 – $715
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $244.82 BCBS — ANTHEM EXCHANGE: $572 BCBS — ANTHEM MEDICARE ADVANTAGE: $228.80 BCBS — EMPIRE EXCHANGE: $572 BCBS — EMPIRE MANAGED MEDICAID: $572 BCBS — EXCELLUS: $536.25 BCBS — EXCELLUS BLUE: $501.57 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $228.80 BCBS — EXCELLUS EXCHANGE: $572 BCBS — EXCELLUS HEALTHNOW: $572
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Esophagogastroduodenoscopy Transoral Diagnostic	$627	$169.29	$175.56 – $627
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $214.68 BCBS — ANTHEM EXCHANGE: $501.60 BCBS — ANTHEM MEDICARE ADVANTAGE: $200.64 BCBS — EMPIRE EXCHANGE: $501.60 BCBS — EMPIRE MANAGED MEDICAID: $501.60 BCBS — EXCELLUS: $470.25 BCBS — EXCELLUS BLUE: $439.84 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $200.64 BCBS — EXCELLUS EXCHANGE: $501.60 BCBS — EXCELLUS HEALTHNOW: $501.60
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Egd Transoral Biopsy Single/Multiple	$764	$206.28	$213.92 – $764
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $261.59 BCBS — ANTHEM EXCHANGE: $611.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $244.48 BCBS — EMPIRE EXCHANGE: $611.20 BCBS — EMPIRE MANAGED MEDICAID: $611.20 BCBS — EXCELLUS: $573 BCBS — EXCELLUS BLUE: $535.95 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $244.48 BCBS — EXCELLUS EXCHANGE: $611.20 BCBS — EXCELLUS HEALTHNOW: $611.20
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$829	$223.83	$232.12 – $829
Colonoscopy (diagnostic): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $283.85 BCBS — ANTHEM EXCHANGE: $663.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $265.28 BCBS — EMPIRE EXCHANGE: $663.20 BCBS — EMPIRE MANAGED MEDICAID: $663.20 BCBS — EXCELLUS: $621.75 BCBS — EXCELLUS BLUE: $581.54 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $265.28 BCBS — EXCELLUS EXCHANGE: $663.20 BCBS — EXCELLUS HEALTHNOW: $663.20
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Colonoscopy W/Biopsy Single/Multiple	$931	$251.37	$260.68 – $931
Colonoscopy with biopsy: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $318.77 BCBS — ANTHEM EXCHANGE: $744.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $297.92 BCBS — EMPIRE EXCHANGE: $744.80 BCBS — EMPIRE MANAGED MEDICAID: $744.80 BCBS — EXCELLUS: $698.25 BCBS — EXCELLUS BLUE: $653.10 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $297.92 BCBS — EXCELLUS EXCHANGE: $744.80 BCBS — EXCELLUS HEALTHNOW: $744.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,100	$297	$990 – $1,100
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $376.64 BCBS — ANTHEM EXCHANGE: $880 BCBS — ANTHEM MEDICARE ADVANTAGE: $352 BCBS — EMPIRE EXCHANGE: $880 BCBS — EMPIRE MANAGED MEDICAID: $880 BCBS — EXCELLUS: $825 BCBS — EXCELLUS BLUE: $771.65 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $352 BCBS — EXCELLUS EXCHANGE: $880 BCBS — EXCELLUS HEALTHNOW: $880
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$546	$147.42	$152.88 – $546
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $186.95 BCBS — ANTHEM EXCHANGE: $436.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $174.72 BCBS — EMPIRE EXCHANGE: $436.80 BCBS — EMPIRE MANAGED MEDICAID: $436.80 BCBS — EXCELLUS: $409.50 BCBS — EXCELLUS BLUE: $383.02 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $174.72 BCBS — EXCELLUS EXCHANGE: $436.80 BCBS — EXCELLUS HEALTHNOW: $436.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Colon Ca Scrn Not Hi Rsk Ind	$829	$223.83	$232.12 – $829
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $283.85 BCBS — ANTHEM EXCHANGE: $663.20 BCBS — ANTHEM MEDICARE ADVANTAGE: $265.28 BCBS — EMPIRE EXCHANGE: $663.20 BCBS — EMPIRE MANAGED MEDICAID: $663.20 BCBS — EXCELLUS: $621.75 BCBS — EXCELLUS BLUE: $581.54 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $265.28 BCBS — EXCELLUS EXCHANGE: $663.20 BCBS — EXCELLUS HEALTHNOW: $663.20
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Lap,Cholecystectomy	$1,800	$486	$660.96 – $1,033.02
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $616.32 BCBS — ANTHEM EXCHANGE: $1,440 BCBS — ANTHEM MEDICARE ADVANTAGE: $576 BCBS — EMPIRE EXCHANGE: $1,440 BCBS — EMPIRE MANAGED MEDICAID: $1,440 BCBS — EXCELLUS: $1,350 BCBS — EXCELLUS BLUE: $1,262.70 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $576 BCBS — EXCELLUS EXCHANGE: $1,440 BCBS — EXCELLUS HEALTHNOW: $1,440
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Repair Ing Hernia,5+Y/O,Reducibl	$1,200	$324	$960 – $1,020
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $410.88 BCBS — ANTHEM EXCHANGE: $960 BCBS — ANTHEM MEDICARE ADVANTAGE: $384 BCBS — EMPIRE EXCHANGE: $960 BCBS — EMPIRE MANAGED MEDICAID: $960 BCBS — EXCELLUS: $900 BCBS — EXCELLUS BLUE: $841.80 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $384 BCBS — EXCELLUS EXCHANGE: $960 BCBS — EXCELLUS HEALTHNOW: $960
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Prostate Needle Placmt	$1,140	$307.80	$383.04 – $2,596.24
Prostate biopsy: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $390.34 BCBS — ANTHEM EXCHANGE: $912 BCBS — ANTHEM MEDICARE ADVANTAGE: $364.80 BCBS — EMPIRE EXCHANGE: $912 BCBS — EMPIRE MANAGED MEDICAID: $912 BCBS — EXCELLUS: $855 BCBS — EXCELLUS BLUE: $799.71 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $364.80 BCBS — EXCELLUS EXCHANGE: $912 BCBS — EXCELLUS HEALTHNOW: $912
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Biopsy of Prostate,Needle/Punch	$446	$120.42	$124.88 – $446
Prostate biopsy: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $152.71 BCBS — ANTHEM EXCHANGE: $356.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $142.72 BCBS — EMPIRE EXCHANGE: $356.80 BCBS — EMPIRE MANAGED MEDICAID: $356.80 BCBS — EXCELLUS: $334.50 BCBS — EXCELLUS BLUE: $312.87 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $142.72 BCBS — EXCELLUS EXCHANGE: $356.80 BCBS — EXCELLUS HEALTHNOW: $356.80
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic	$3,440	$928.80	$992.10 – $1,011.36
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,177.86 BCBS — ANTHEM EXCHANGE: $2,752 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,100.80 BCBS — EMPIRE EXCHANGE: $2,752 BCBS — EMPIRE MANAGED MEDICAID: $2,752 BCBS — EXCELLUS: $2,580 BCBS — EXCELLUS BLUE: $2,413.16 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,100.80 BCBS — EXCELLUS EXCHANGE: $2,752 BCBS — EXCELLUS HEALTHNOW: $2,752
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Hysteroscopy,W/Endo Bx	$800	$216	$224 – $800
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $273.92 BCBS — ANTHEM EXCHANGE: $640 BCBS — ANTHEM MEDICARE ADVANTAGE: $256 BCBS — EMPIRE EXCHANGE: $640 BCBS — EMPIRE MANAGED MEDICAID: $640 BCBS — EXCELLUS: $600 BCBS — EXCELLUS BLUE: $561.20 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $256 BCBS — EXCELLUS EXCHANGE: $640 BCBS — EXCELLUS HEALTHNOW: $640
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$580.43	$156.72	$162.52 – $580.43
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $198.74 BCBS — ANTHEM EXCHANGE: $464.34 BCBS — ANTHEM MEDICARE ADVANTAGE: $185.74 BCBS — EMPIRE EXCHANGE: $464.34 BCBS — EMPIRE MANAGED MEDICAID: $464.34 BCBS — EXCELLUS: $435.32 BCBS — EXCELLUS BLUE: $407.17 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $185.74 BCBS — EXCELLUS EXCHANGE: $464.34 BCBS — EXCELLUS HEALTHNOW: $464.34
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Injection of Diagnostic Ortherapeutic Substance W/Imaging Guidance	$3,337.58	$901.15	$1,034.65 – $3,337.58
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,142.79 BCBS — ANTHEM EXCHANGE: $2,670.06 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,068.03 BCBS — EMPIRE EXCHANGE: $2,670.06 BCBS — EMPIRE MANAGED MEDICAID: $2,670.06 BCBS — EXCELLUS: $2,503.19 BCBS — EXCELLUS BLUE: $2,341.31 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,068.03 BCBS — EXCELLUS EXCHANGE: $2,670.06 BCBS — EXCELLUS HEALTHNOW: $2,670.06
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$583	$157.41	$163.24 – $583
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $199.62 BCBS — ANTHEM EXCHANGE: $466.40 BCBS — ANTHEM MEDICARE ADVANTAGE: $186.56 BCBS — EMPIRE EXCHANGE: $466.40 BCBS — EMPIRE MANAGED MEDICAID: $466.40 BCBS — EXCELLUS: $437.25 BCBS — EXCELLUS BLUE: $408.97 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $186.56 BCBS — EXCELLUS EXCHANGE: $466.40 BCBS — EXCELLUS HEALTHNOW: $466.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Injection, Transforaminal Epidural;Lumbar/Sacral,Single Lvl	$2,612.85	$705.47	$903 – $1,832.91
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $894.64 BCBS — ANTHEM EXCHANGE: $2,090.28 BCBS — ANTHEM MEDICARE ADVANTAGE: $836.11 BCBS — EMPIRE EXCHANGE: $2,090.28 BCBS — EMPIRE MANAGED MEDICAID: $2,090.28 BCBS — EXCELLUS: $1,959.64 BCBS — EXCELLUS BLUE: $1,832.91 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $836.11 BCBS — EXCELLUS EXCHANGE: $2,090.28 BCBS — EXCELLUS HEALTHNOW: $2,090.28
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Revise Median N/Carpal Tunnel Surg	$1,200	$324	$960 – $1,020
Carpal tunnel release: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $410.88 BCBS — ANTHEM EXCHANGE: $960 BCBS — ANTHEM MEDICARE ADVANTAGE: $384 BCBS — EMPIRE EXCHANGE: $960 BCBS — EMPIRE MANAGED MEDICAID: $960 BCBS — EXCELLUS: $900 BCBS — EXCELLUS BLUE: $841.80 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $384 BCBS — EXCELLUS EXCHANGE: $960 BCBS — EXCELLUS HEALTHNOW: $960
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Discission,2nd Cataract,Laser	$1,100	$297	$990 – $1,100
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $376.64 BCBS — ANTHEM EXCHANGE: $880 BCBS — ANTHEM MEDICARE ADVANTAGE: $352 BCBS — EMPIRE EXCHANGE: $880 BCBS — EMPIRE MANAGED MEDICAID: $880 BCBS — EXCELLUS: $825 BCBS — EXCELLUS BLUE: $771.65 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $352 BCBS — EXCELLUS EXCHANGE: $880 BCBS — EXCELLUS HEALTHNOW: $880
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$3,000	$810	$988.80 – $1,008
Cataract removal with lens implant: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,027.20 BCBS — ANTHEM EXCHANGE: $2,400 BCBS — ANTHEM MEDICARE ADVANTAGE: $960 BCBS — EMPIRE EXCHANGE: $2,400 BCBS — EMPIRE MANAGED MEDICAID: $2,400 BCBS — EXCELLUS: $2,250 BCBS — EXCELLUS BLUE: $2,104.50 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $960 BCBS — EXCELLUS EXCHANGE: $2,400 BCBS — EXCELLUS HEALTHNOW: $2,400

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Full Rout Obste Care,Vaginal Deliv	$3,483	$940.41	$975.24 – $1,004.50
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,192.58 BCBS — ANTHEM EXCHANGE: $2,786.40 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,114.56 BCBS — EMPIRE EXCHANGE: $2,786.40 BCBS — EMPIRE MANAGED MEDICAID: $2,786.40 BCBS — EXCELLUS: $2,612.25 BCBS — EXCELLUS BLUE: $2,443.32 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,114.56 BCBS — EXCELLUS EXCHANGE: $2,786.40 BCBS — EXCELLUS HEALTHNOW: $2,786.40
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Full Rout Obste Care,Cesarean Deliv	$3,873	$1,045.71	$1,084.44 – $3,873
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,326.12 BCBS — ANTHEM EXCHANGE: $3,098.40 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,239.36 BCBS — EMPIRE EXCHANGE: $3,098.40 BCBS — EMPIRE MANAGED MEDICAID: $3,098.40 BCBS — EXCELLUS: $2,904.75 BCBS — EXCELLUS BLUE: $2,716.91 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,239.36 BCBS — EXCELLUS EXCHANGE: $3,098.40 BCBS — EXCELLUS HEALTHNOW: $3,098.40
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH PR Rout OB Care,Vag Deliv,Prev C-Sec	$3,661	$988.47	$1,025.08 – $3,661
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,253.53 BCBS — ANTHEM EXCHANGE: $2,928.80 BCBS — ANTHEM MEDICARE ADVANTAGE: $1,171.52 BCBS — EMPIRE EXCHANGE: $2,928.80 BCBS — EMPIRE MANAGED MEDICAID: $2,928.80 BCBS — EXCELLUS: $2,745.75 BCBS — EXCELLUS BLUE: $2,568.19 BCBS — EXCELLUS BLUE MEDICARE ADVANTAGE: $1,171.52 BCBS — EXCELLUS EXCHANGE: $2,928.80 BCBS — EXCELLUS HEALTHNOW: $2,928.80

Source: Cobleskill Regional Hospital’s standard charges file (rca.elevatepfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 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	Critical Access Hospital
Address	178 Grandview Drive, Cobleskill, NY 12043
County	Schoharie County
State	New York
Phone	(518) 254‑3456
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	331320
Name in Medicare records	COBLESKILL REGIONAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	bassett.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

About Cobleskill Regional Hospital — bassett.org
Cobleskill Regional Hospital Patients & Visitors — bassett.org
Cobleskill Regional Hospital Emergency Department | Bassett Healthcare Network — bassett.org

Cobleskill Regional Hospital

Summary

Profile from official sources

At a glance