Does Community Hospital have an emergency room?

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

Where is Community Hospital?

901 Macarthur Blvd, Munster, IN 46321, in Lake County, Indiana.

What is the phone number of Community Hospital?

(219) 836-1600, as listed by Medicare (CMS).

What is the Medicare star rating of Community Hospital?

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

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

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0384; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Community Hospital — Phone, Address, ER & Ratings

Quick answers

Does Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Community Hospital. In a medical emergency, call 911.
Where is Community Hospital?: 901 Macarthur Blvd, Munster, IN 46321, in Lake County, Indiana.
What is the phone number of Community Hospital?: (219) 836-1600, as listed by Medicare (CMS).
What is the Medicare star rating of Community Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Community Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0384; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Audiology
Bariatric Medicine & Weight Management
Cancer Care
Diabetes & Endocrinology
Digestive Health (Gastroenterology)
Ear, Nose & Throat (Otolaryngology)
Emergency Care
Heart & Vascular (Cardiology)
Home Health
Imaging & Radiology
Interventional Radiology
Laboratory Testing
Lung Care (Pulmonology)
Maternal & Neonatal Care
Neuroscience
Nuclear Medicine
Nutritional Counseling
Occupational Therapy
Orthopedic Care
Pain Management
Pharmacy
Physical Therapy
Radiation Oncology
Sleep Medicine
Speech Therapy
Stroke Care
Surgery
Urology
Women's Care
Wound & Ostomy Care
Pediatrics
Neurosurgery
Acute Rehabilitation

Conditions treated^[4]

Treatments^[4]

Procedures^[4]

Robotic-assisted surgery
Electrophysiology
Echocardiogram
Stress echocardiogram
EKG
CT
MRI (including 3T)
PET
Nuclear medicine imaging
Ultrasound
X-ray
Complex heart, valve and vascular surgery
Neuroendovascular surgery

Programs and centers^[4]

Cancer research program (Carle Cancer Research and Cancer Experience Registry affiliate)
Neonatal intensive care
OB Emergency Department
Women's diagnostic center
Acute rehabilitation center
Same-day outpatient surgery center
Maternal fetal care
Medically-based fitness center

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Comprehensive Stroke Center (Joint Commission accredited)

Visiting and practical information

Visiting	General and intermediate care units: 2 visitors at a time, 8 am-8 pm; ICU and cardiovascular unit have open visitation (ages 12+). After 8:45 pm, enter via the ED^[4]
Parking	Free valet parking and wheelchair escorts Mon-Fri 6 am-5 pm at the Main, Outpatient and North entrances^[4]
Patient portal	MyChart

Recognition^[4]

Joint Commission Accreditation with Commendation
Joint Commission Comprehensive Stroke Center

Doctors and clinicians (1,080)

1,080 doctors and other clinicians list Community Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,056 more: the button below opens the full list.

Other emergency rooms nearby

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

Franciscan Health Munster0.9 mi · Munster, IN · Acute Care Hospital
Franciscan Health Dyer4.0 mi · Dyer, IN · Acute Care Hospital
St Catherine Hospital Inc7.5 mi · East Chicago, IN · Acute Care Hospital
Methodist Hospitals Inc8.5 mi · Gary, IN · Acute Care Hospital
Ingalls Memorial Hospital8.8 mi · Harvey, IL · Acute Care Hospital

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

Other hospitals near Munster

Regency Hospital of Northwest Indiana7.5 mi · East Chicago, IN · Long-Term Acute Care Hospital

All hospitals in Munster · Hospitals in Lake 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

Rehabilitation Center at Hartsfield Village0.6 mi · Munster, IN · 3 of 5 stars
Munster Med-Inn1.3 mi · Munster, IN
Dyer Nursing and Rehabilitation Center2.1 mi · Dyer, IN · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of the Calumet Area Inc0.3 mi · Munster, IN · 5 of 5 stars
Hospice of the Calumet Area Inc2.5 mi · Lansing, IL
Midwest Hospice LLC5.2 mi · Chicago Heights, IL

All hospice providers in the state →

Home health agencies

All America Homehealthcare Inc0.3 mi · Munster, IN · 2.5 of 5 stars
American Choice Home Health Care0.3 mi · Munster, IN · 2 of 5 stars
Community Home Health Services0.3 mi · Munster, IN · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Comprehensive Renal Care - Munster0.3 mi · Munster, IN · 3 of 5 stars
FMC - Neomedica - Munster0.3 mi · Munster, IN · 4 of 5 stars
Munster Dialysis Center0.3 mi · Munster, IN · 3 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.

Great Lakes Surgical Suites, LLC0.3 mi · Munster, IN
Interventional Pain Management LLC0.3 mi · Munster, IN
Munster Specialty Surgery Center, LLC0.3 mi · Munster, IN

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

219 Health Network Inc0.0 mi · Munster, IN · Community health center
219 Health Network, Inc.0.1 mi · Munster, IN · Community health center
219 Health Network, Inc.0.2 mi · Munster, IN · Community health center

Clinics and urgent care

Nwi Urgent Care, LLC0.3 mi · Munster, IN · Urgent care center
Midwest Express Care 4 LLC4.1 mi · Hammond, IN · Urgent care center
Midwest Express Care 4, LLC4.1 mi · Hammond, IN · Urgent care center

Pharmacies

American Partners LP0.3 mi · Munster, IN · Community/retail pharmacy
Franciscan Health Michigan City0.3 mi · Munster, IN · Pharmacy
Franciscan Health Munster0.3 mi · Munster, IN · Community/retail pharmacy

Assisted living nearby

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

Assisted Living at Hartsfield Village0.3 mi · Munster, IN
Silver Birch of Hammond4.1 mi · Hammond, IN
Residences at Deer Creek4.9 mi · Schererville, IN
Storypoint Schererville4.9 mi · Schererville, IN

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	75%National average: 80%
“Always” got help as soon as they wanted	62%National average: 64%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	64%National average: 73%
Completed surveys	524Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.844No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.267No different from the national benchmark
Surgical site infections after colon surgery	0.615No different from the national benchmark
Surgical site infections after abdominal hysterectomy	2.247No different from the national benchmark
MRSA bloodstream infections	0.576No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.885No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.3%
Deaths within 30 days: heart failure patients	10.4%
Deaths within 30 days: pneumonia patients	13.1%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	10%
Deaths within 30 days: coronary bypass surgery (CABG)	2.5%
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	6.4%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.3%
Readmitted within 30 days: heart attack	13.7%
Readmitted within 30 days: heart failure	23.2%
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	18.1%
Readmitted within 30 days: coronary bypass surgery	11.8%
Readmitted within 30 days: hip or knee replacement	6.1%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	138 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	66%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.0384Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	0.9963Fewer readmissions than expected
Heart failure	1.1138More readmissions than expected
Pneumonia	1.0668More readmissions than expected
COPD (chronic lung disease)	1.0648More readmissions than expected
Hip or knee replacement	1.1492More readmissions than expected
Coronary bypass surgery (CABG)	0.9004Fewer readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	20.17 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	10.00 out of 100
Person and community engagement (patient survey)	34.00 out of 100
Safety (infections and sepsis care)	36.67 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.10Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in Munster Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 53 common services exactly as Community 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 53 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC L&D Outpt 3 Hrs	$1,447	$868.20	$110.20 – $1,273.36
Established patient office visit (about 20–29 minutes): 10 of 62 insurance plan rates AETNA [360] — Aetna: $1,075.12 AETNA [360] — Aetna NBD: $1,060.65 AETNA X [854] — Aetna: $1,075.12 AMBETTER MHS [852] — Ambetter: $110.20 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $996.84 Anthem Essentials [855] — Anthem Essentials: $110.20 ANTHEM X [801] — Anthem Blue Cross: $996.84 BLUE CROSS [300] — Anthem Blue Cross: $996.84 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,222.14 BX ILL HMO MCNP [315] — BX IL HMO: $720.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC Treatment Room Chg	$1,702	$1,021.20	$110.20 – $1,497.76
Established patient office visit (about 20–29 minutes): 10 of 62 insurance plan rates AETNA [360] — Aetna: $1,264.59 AETNA [360] — Aetna NBD: $1,247.57 AETNA X [854] — Aetna: $1,264.59 AMBETTER MHS [852] — Ambetter: $110.20 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,172.51 Anthem Essentials [855] — Anthem Essentials: $110.20 ANTHEM X [801] — Anthem Blue Cross: $1,172.51 BLUE CROSS [300] — Anthem Blue Cross: $1,172.51 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,437.51 BX ILL HMO MCNP [315] — BX IL HMO: $847.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC ER Clinic Visit Lvl 3	$349	$209.40	$126.73 – $307.12
Established patient office visit (about 20–29 minutes): 10 of 49 insurance plan rates AETNA [360] — Aetna: $259.31 AETNA [360] — Aetna NBD: $255.82 AETNA X [854] — Aetna: $259.31 BX ILL HMO MCNP [315] — BX IL HMO: $173.80 CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $159.12 CARETAKER HIP [232] — Indiana Medicaid: $159.12 CHAMPVA [130] — Medicare: $140.86 CHOICECARE [395] — Humana PPO: $262.10 CIGNA [365] — Cigna One Health HMO: $184.27 COMMERCIAL [600] — Multiplan: $307.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC L&D Outpt 4 Hrs	$1,576	$945.60	$140.86 – $1,386.88
Established patient office visit (about 30–39 minutes): 10 of 62 insurance plan rates AETNA [360] — Aetna: $1,170.97 AETNA [360] — Aetna NBD: $1,155.21 AETNA X [854] — Aetna: $1,170.97 AMBETTER MHS [852] — Ambetter: $161.90 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,085.71 Anthem Essentials [855] — Anthem Essentials: $161.90 ANTHEM X [801] — Anthem Blue Cross: $1,085.71 BLUE CROSS [300] — Anthem Blue Cross: $1,085.71 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,331.09 BX ILL HMO MCNP [315] — BX IL HMO: $784.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC L&D Outpt 5 Hrs	$1,708	$1,024.80	$140.86 – $1,503.04
Established patient office visit (about 30–39 minutes): 10 of 62 insurance plan rates AETNA [360] — Aetna: $1,269.04 AETNA [360] — Aetna NBD: $1,251.96 AETNA X [854] — Aetna: $1,269.04 AMBETTER MHS [852] — Ambetter: $161.90 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,176.64 Anthem Essentials [855] — Anthem Essentials: $161.90 ANTHEM X [801] — Anthem Blue Cross: $1,176.64 BLUE CROSS [300] — Anthem Blue Cross: $1,176.64 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,442.58 BX ILL HMO MCNP [315] — BX IL HMO: $850.58
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC ER Clinic Visit Lvl 4	$419	$251.40	$140.86 – $368.72
Established patient office visit (about 30–39 minutes): 10 of 49 insurance plan rates AETNA [360] — Aetna: $311.32 AETNA [360] — Aetna NBD: $307.13 AETNA X [854] — Aetna: $311.32 BX ILL HMO MCNP [315] — BX IL HMO: $208.66 CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $159.12 CARETAKER HIP [232] — Indiana Medicaid: $159.12 CHAMPVA [130] — Medicare: $140.86 CHOICECARE [395] — Humana PPO: $314.67 CIGNA [365] — Cigna One Health HMO: $221.23 COMMERCIAL [600] — Multiplan: $368.72
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER Visit Level 3	$1,867	$1,120.20	$78.64 – $2,303
Emergency room visit (moderate): 10 of 59 insurance plan rates AETNA [360] — Aetna: $1,071 AETNA [360] — Aetna NBD: $1,039 AETNA X [854] — Aetna: $1,071 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $929.77 BX ILL HMO MCNP [315] — Powers Health Partners: $78.64 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,675
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER Visit Level 3 Mod 25	$1,867	$1,120.20	$78.64 – $2,303
Emergency room visit (moderate): 10 of 59 insurance plan rates AETNA [360] — Aetna: $1,071 AETNA [360] — Aetna NBD: $1,039 AETNA X [854] — Aetna: $1,071 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $929.77 BX ILL HMO MCNP [315] — Powers Health Partners: $78.64 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,675
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Visit Level 4	$2,467	$1,480.20	$145.53 – $5,020
Emergency room visit (moderately high): 10 of 59 insurance plan rates AETNA [360] — Aetna: $1,660 AETNA [360] — Aetna NBD: $1,610 AETNA X [854] — Aetna: $1,660 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $1,228.57 BX ILL HMO MCNP [315] — Powers Health Partners: $145.53 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,675
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Visit Level 4 Mod 25	$2,467	$1,480.20	$145.53 – $5,020
Emergency room visit (moderately high): 10 of 59 insurance plan rates AETNA [360] — Aetna: $1,660 AETNA [360] — Aetna NBD: $1,610 AETNA X [854] — Aetna: $1,660 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $1,228.57 BX ILL HMO MCNP [315] — Powers Health Partners: $145.53 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,675
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Visit Level 5	$3,577	$2,146.20	$211.64 – $5,020
Emergency room visit (high): 10 of 64 insurance plan rates AETNA [360] — Aetna: $2,196 AETNA [360] — Aetna NBD: $2,130 AETNA X [854] — Aetna: $2,196 AMBETTER MHS [852] — Ambetter: $630.08 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 Anthem Essentials [855] — Anthem Essentials: $630.08 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $1,781.35
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Visit Level 5 Mod 25	$3,577	$2,146.20	$211.64 – $5,020
Emergency room visit (high): 10 of 64 insurance plan rates AETNA [360] — Aetna: $2,196 AETNA [360] — Aetna NBD: $2,130 AETNA X [854] — Aetna: $2,196 AMBETTER MHS [852] — Ambetter: $630.08 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 Anthem Essentials [855] — Anthem Essentials: $630.08 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $1,781.35

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel	$244	$146.40	$8.46 – $214.72
Basic metabolic panel (blood test): 10 of 65 insurance plan rates AETNA [360] — Aetna: $14.04 AETNA [360] — Aetna NBD: $13.79 AETNA X [854] — Aetna: $14.04 AMBETTER MHS [852] — Ambetter: $16.92 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10 Anthem Essentials [855] — Anthem Essentials: $16.92 ANTHEM X [801] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10 BX ILL HMO MCNP [315] — BX IL HMO: $121.51
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel POC	$243	$145.80	$8.46 – $213.84
Basic metabolic panel (blood test): 10 of 65 insurance plan rates AETNA [360] — Aetna: $14.04 AETNA [360] — Aetna NBD: $13.79 AETNA X [854] — Aetna: $14.04 AMBETTER MHS [852] — Ambetter: $16.92 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10 Anthem Essentials [855] — Anthem Essentials: $16.92 ANTHEM X [801] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10 BX ILL HMO MCNP [315] — BX IL HMO: $121.01
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel	$410	$246	$10.56 – $360.80
Comprehensive metabolic panel (blood test): 10 of 65 insurance plan rates AETNA [360] — Aetna: $17.53 AETNA [360] — Aetna NBD: $17.21 AETNA X [854] — Aetna: $17.53 AMBETTER MHS [852] — Ambetter: $21.12 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $29.50 Anthem Essentials [855] — Anthem Essentials: $21.12 ANTHEM X [801] — Anthem Blue Cross: $29.50 BLUE CROSS [300] — Anthem Blue Cross: $29.50 BLUE CROSS [300] — Anthem Blue Cross Traditional: $29.50 BX ILL HMO MCNP [315] — BX IL HMO: $204.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel POC	$410	$246	$10.56 – $360.80
Comprehensive metabolic panel (blood test): 10 of 65 insurance plan rates AETNA [360] — Aetna: $17.53 AETNA [360] — Aetna NBD: $17.21 AETNA X [854] — Aetna: $17.53 AMBETTER MHS [852] — Ambetter: $21.12 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $29.50 Anthem Essentials [855] — Anthem Essentials: $21.12 ANTHEM X [801] — Anthem Blue Cross: $29.50 BLUE CROSS [300] — Anthem Blue Cross: $29.50 BLUE CROSS [300] — Anthem Blue Cross Traditional: $29.50 BX ILL HMO MCNP [315] — BX IL HMO: $204.18
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Obstetric Panel	$418	$250.80	$47.81 – $367.84
Obstetric blood test panel: 10 of 65 insurance plan rates AETNA [360] — Aetna: $79.36 AETNA [360] — Aetna NBD: $77.93 AETNA X [854] — Aetna: $79.36 AMBETTER MHS [852] — Ambetter: $95.62 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $287.96 Anthem Essentials [855] — Anthem Essentials: $95.62 ANTHEM X [801] — Anthem Blue Cross: $287.96 BLUE CROSS [300] — Anthem Blue Cross: $287.96 BLUE CROSS [300] — Anthem Blue Cross Traditional: $353.04 BX ILL HMO MCNP [315] — BX IL HMO: $208.16
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Profile III	$41	$24.60	$13.39 – $44.81
Cholesterol panel (lipid panel): 10 of 65 insurance plan rates AETNA [360] — Aetna: $22.23 AETNA [360] — Aetna NBD: $21.83 AETNA X [854] — Aetna: $22.23 AMBETTER MHS [852] — Ambetter: $26.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $37.94 Anthem Essentials [855] — Anthem Essentials: $26.78 ANTHEM X [801] — Anthem Blue Cross: $37.94 BLUE CROSS [300] — Anthem Blue Cross: $37.94 BLUE CROSS [300] — Anthem Blue Cross Traditional: $37.94 BX ILL HMO MCNP [315] — BX IL HMO: $20.42
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Profile IV	$541	$324.60	$13.39 – $476.08
Cholesterol panel (lipid panel): 10 of 65 insurance plan rates AETNA [360] — Aetna: $22.23 AETNA [360] — Aetna NBD: $21.83 AETNA X [854] — Aetna: $22.23 AMBETTER MHS [852] — Ambetter: $26.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $37.94 Anthem Essentials [855] — Anthem Essentials: $26.78 ANTHEM X [801] — Anthem Blue Cross: $37.94 BLUE CROSS [300] — Anthem Blue Cross: $37.94 BLUE CROSS [300] — Anthem Blue Cross Traditional: $37.94 BX ILL HMO MCNP [315] — BX IL HMO: $269.42
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel V	$180	$108	$13.39 – $158.40
Cholesterol panel (lipid panel): 10 of 65 insurance plan rates AETNA [360] — Aetna: $22.23 AETNA [360] — Aetna NBD: $21.83 AETNA X [854] — Aetna: $22.23 AMBETTER MHS [852] — Ambetter: $26.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $37.94 Anthem Essentials [855] — Anthem Essentials: $26.78 ANTHEM X [801] — Anthem Blue Cross: $37.94 BLUE CROSS [300] — Anthem Blue Cross: $37.94 BLUE CROSS [300] — Anthem Blue Cross Traditional: $37.94 BX ILL HMO MCNP [315] — BX IL HMO: $89.64
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel	$349	$209.40	$8.68 – $307.12
Kidney function panel: 10 of 65 insurance plan rates AETNA [360] — Aetna: $14.41 AETNA [360] — Aetna NBD: $14.15 AETNA X [854] — Aetna: $14.41 AMBETTER MHS [852] — Ambetter: $17.36 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $24.60 Anthem Essentials [855] — Anthem Essentials: $17.36 ANTHEM X [801] — Anthem Blue Cross: $24.60 BLUE CROSS [300] — Anthem Blue Cross: $24.60 BLUE CROSS [300] — Anthem Blue Cross Traditional: $24.60 BX ILL HMO MCNP [315] — BX IL HMO: $173.80
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel	$410	$246	$8.17 – $360.80
Liver function panel: 10 of 65 insurance plan rates AETNA [360] — Aetna: $13.56 AETNA [360] — Aetna NBD: $13.32 AETNA X [854] — Aetna: $13.56 AMBETTER MHS [852] — Ambetter: $16.34 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10 Anthem Essentials [855] — Anthem Essentials: $16.34 ANTHEM X [801] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10 BX ILL HMO MCNP [315] — BX IL HMO: $204.18
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel POC	$410	$246	$8.17 – $360.80
Liver function panel: 10 of 65 insurance plan rates AETNA [360] — Aetna: $13.56 AETNA [360] — Aetna NBD: $13.32 AETNA X [854] — Aetna: $13.56 AMBETTER MHS [852] — Ambetter: $16.34 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10 Anthem Essentials [855] — Anthem Essentials: $16.34 ANTHEM X [801] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross: $18.10 BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10 BX ILL HMO MCNP [315] — BX IL HMO: $204.18
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W/ Micro	$81	$48.60	$3.17 – $71.28
Urine test (automated, with microscope): 10 of 65 insurance plan rates AETNA [360] — Aetna: $5.26 AETNA [360] — Aetna NBD: $5.17 AETNA X [854] — Aetna: $5.26 AMBETTER MHS [852] — Ambetter: $6.34 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $8.96 Anthem Essentials [855] — Anthem Essentials: $6.34 ANTHEM X [801] — Anthem Blue Cross: $8.96 BLUE CROSS [300] — Anthem Blue Cross: $8.96 BLUE CROSS [300] — Anthem Blue Cross Traditional: $8.96 BX ILL HMO MCNP [315] — BX IL HMO: $40.34
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W/Micro	$81	$48.60	$3.17 – $71.28
Urine test (automated, with microscope): 10 of 65 insurance plan rates AETNA [360] — Aetna: $5.26 AETNA [360] — Aetna NBD: $5.17 AETNA X [854] — Aetna: $5.26 AMBETTER MHS [852] — Ambetter: $6.34 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $8.96 Anthem Essentials [855] — Anthem Essentials: $6.34 ANTHEM X [801] — Anthem Blue Cross: $8.96 BLUE CROSS [300] — Anthem Blue Cross: $8.96 BLUE CROSS [300] — Anthem Blue Cross Traditional: $8.96 BX ILL HMO MCNP [315] — BX IL HMO: $40.34
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Inct Clnc Urinalysis Nonauto W/O Micro	$65	$39	$3.48 – $57.20
Urine test (manual, without microscope): 10 of 59 insurance plan rates AETNA [360] — Aetna: $5.78 AETNA [360] — Aetna NBD: $5.67 AETNA X [854] — Aetna: $5.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $7.24 ANTHEM X [801] — Anthem Blue Cross: $7.24 BLUE CROSS [300] — Anthem Blue Cross: $7.24 BLUE CROSS [300] — Anthem Blue Cross Traditional: $7.24 BX ILL HMO MCNP [315] — BX IL HMO: $32.37 BX ILL HMO MCNP [315] — Powers Health Partners: $3.48 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $7.24
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Non Auto W/O Micro	$65	$39	$3.48 – $57.20
Urine test (manual, without microscope): 10 of 59 insurance plan rates AETNA [360] — Aetna: $5.78 AETNA [360] — Aetna NBD: $5.67 AETNA X [854] — Aetna: $5.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $7.24 ANTHEM X [801] — Anthem Blue Cross: $7.24 BLUE CROSS [300] — Anthem Blue Cross: $7.24 BLUE CROSS [300] — Anthem Blue Cross Traditional: $7.24 BX ILL HMO MCNP [315] — BX IL HMO: $32.37 BX ILL HMO MCNP [315] — Powers Health Partners: $3.48 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $7.24
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Non-Auto W/O Micro POC	$52	$31.20	$3.48 – $45.76
Urine test (manual, without microscope): 10 of 59 insurance plan rates AETNA [360] — Aetna: $5.78 AETNA [360] — Aetna NBD: $5.67 AETNA X [854] — Aetna: $5.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $7.24 ANTHEM X [801] — Anthem Blue Cross: $7.24 BLUE CROSS [300] — Anthem Blue Cross: $7.24 BLUE CROSS [300] — Anthem Blue Cross Traditional: $7.24 BX ILL HMO MCNP [315] — BX IL HMO: $25.90 BX ILL HMO MCNP [315] — Powers Health Partners: $3.48 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $7.24
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC ED Urinalysis Auto W/O Micro	$52	$31.20	$2.25 – $45.76
Urine test (automated, without microscope): 10 of 65 insurance plan rates AETNA [360] — Aetna: $3.74 AETNA [360] — Aetna NBD: $3.67 AETNA X [854] — Aetna: $3.74 AMBETTER MHS [852] — Ambetter: $4.50 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $6.36 Anthem Essentials [855] — Anthem Essentials: $4.50 ANTHEM X [801] — Anthem Blue Cross: $6.36 BLUE CROSS [300] — Anthem Blue Cross: $6.36 BLUE CROSS [300] — Anthem Blue Cross Traditional: $6.36 BX ILL HMO MCNP [315] — BX IL HMO: $25.90
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Ua Auto W/O Microsingle Test	$14	$8.40	$2.25 – $12.32
Urine test (automated, without microscope): 10 of 65 insurance plan rates AETNA [360] — Aetna: $3.74 AETNA [360] — Aetna NBD: $3.67 AETNA X [854] — Aetna: $3.74 AMBETTER MHS [852] — Ambetter: $4.50 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $6.36 Anthem Essentials [855] — Anthem Essentials: $4.50 ANTHEM X [801] — Anthem Blue Cross: $6.36 BLUE CROSS [300] — Anthem Blue Cross: $6.36 BLUE CROSS [300] — Anthem Blue Cross Traditional: $6.36 BX ILL HMO MCNP [315] — BX IL HMO: $6.97
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto W/O Micro	$52	$31.20	$2.25 – $45.76
Urine test (automated, without microscope): 10 of 65 insurance plan rates AETNA [360] — Aetna: $3.74 AETNA [360] — Aetna NBD: $3.67 AETNA X [854] — Aetna: $3.74 AMBETTER MHS [852] — Ambetter: $4.50 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $6.36 Anthem Essentials [855] — Anthem Essentials: $4.50 ANTHEM X [801] — Anthem Blue Cross: $6.36 BLUE CROSS [300] — Anthem Blue Cross: $6.36 BLUE CROSS [300] — Anthem Blue Cross Traditional: $6.36 BX ILL HMO MCNP [315] — BX IL HMO: $25.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Diagnostic-Total	$226	$135.60	$18.39 – $198.88
PSA (prostate specific antigen) blood test: 10 of 65 insurance plan rates AETNA [360] — Aetna: $30.53 AETNA [360] — Aetna NBD: $29.98 AETNA X [854] — Aetna: $30.53 AMBETTER MHS [852] — Ambetter: $36.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $52.12 Anthem Essentials [855] — Anthem Essentials: $36.78 ANTHEM X [801] — Anthem Blue Cross: $52.12 BLUE CROSS [300] — Anthem Blue Cross: $52.12 BLUE CROSS [300] — Anthem Blue Cross Traditional: $52.12 BX ILL HMO MCNP [315] — BX IL HMO: $112.55
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Screening	$226	$135.60	$18.39 – $198.88
PSA (prostate specific antigen) blood test: 10 of 65 insurance plan rates AETNA [360] — Aetna: $30.53 AETNA [360] — Aetna NBD: $29.98 AETNA X [854] — Aetna: $30.53 AMBETTER MHS [852] — Ambetter: $36.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $52.12 Anthem Essentials [855] — Anthem Essentials: $36.78 ANTHEM X [801] — Anthem Blue Cross: $52.12 BLUE CROSS [300] — Anthem Blue Cross: $52.12 BLUE CROSS [300] — Anthem Blue Cross Traditional: $52.12 BX ILL HMO MCNP [315] — BX IL HMO: $112.55
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Total (Psatf)II	$190	$114	$18.39 – $167.20
PSA (prostate specific antigen) blood test: 10 of 65 insurance plan rates AETNA [360] — Aetna: $30.53 AETNA [360] — Aetna NBD: $29.98 AETNA X [854] — Aetna: $30.53 AMBETTER MHS [852] — Ambetter: $36.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $52.12 Anthem Essentials [855] — Anthem Essentials: $36.78 ANTHEM X [801] — Anthem Blue Cross: $52.12 BLUE CROSS [300] — Anthem Blue Cross: $52.12 BLUE CROSS [300] — Anthem Blue Cross Traditional: $52.12 BX ILL HMO MCNP [315] — BX IL HMO: $94.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh	$262	$157.20	$16.80 – $230.56
Thyroid stimulating hormone (TSH) test: 10 of 65 insurance plan rates AETNA [360] — Aetna: $27.89 AETNA [360] — Aetna NBD: $27.38 AETNA X [854] — Aetna: $27.89 AMBETTER MHS [852] — Ambetter: $33.60 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $47.60 Anthem Essentials [855] — Anthem Essentials: $33.60 ANTHEM X [801] — Anthem Blue Cross: $47.60 BLUE CROSS [300] — Anthem Blue Cross: $47.60 BLUE CROSS [300] — Anthem Blue Cross Traditional: $47.60 BX ILL HMO MCNP [315] — BX IL HMO: $130.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh II	$242	$145.20	$16.80 – $212.96
Thyroid stimulating hormone (TSH) test: 10 of 65 insurance plan rates AETNA [360] — Aetna: $27.89 AETNA [360] — Aetna NBD: $27.38 AETNA X [854] — Aetna: $27.89 AMBETTER MHS [852] — Ambetter: $33.60 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $47.60 Anthem Essentials [855] — Anthem Essentials: $33.60 ANTHEM X [801] — Anthem Blue Cross: $47.60 BLUE CROSS [300] — Anthem Blue Cross: $47.60 BLUE CROSS [300] — Anthem Blue Cross Traditional: $47.60 BX ILL HMO MCNP [315] — BX IL HMO: $120.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh Newborn	$28	$16.80	$13.94 – $56.28
Thyroid stimulating hormone (TSH) test: 10 of 65 insurance plan rates AETNA [360] — Aetna: $27.89 AETNA [360] — Aetna NBD: $27.38 AETNA X [854] — Aetna: $27.89 AMBETTER MHS [852] — Ambetter: $33.60 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $47.60 Anthem Essentials [855] — Anthem Essentials: $33.60 ANTHEM X [801] — Anthem Blue Cross: $47.60 BLUE CROSS [300] — Anthem Blue Cross: $47.60 BLUE CROSS [300] — Anthem Blue Cross Traditional: $47.60 BX ILL HMO MCNP [315] — BX IL HMO: $13.94
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc W/Auto Wbc Diff	$122	$73.20	$7.77 – $107.36
Complete blood count (CBC) with differential: 10 of 65 insurance plan rates AETNA [360] — Aetna: $12.90 AETNA [360] — Aetna NBD: $12.67 AETNA X [854] — Aetna: $12.90 AMBETTER MHS [852] — Ambetter: $15.54 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $22.04 Anthem Essentials [855] — Anthem Essentials: $15.54 ANTHEM X [801] — Anthem Blue Cross: $22.04 BLUE CROSS [300] — Anthem Blue Cross: $22.04 BLUE CROSS [300] — Anthem Blue Cross Traditional: $22.04 BX ILL HMO MCNP [315] — BX IL HMO: $60.76
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc W/Auto Wbc Diff POC	$122	$73.20	$7.77 – $107.36
Complete blood count (CBC) with differential: 10 of 65 insurance plan rates AETNA [360] — Aetna: $12.90 AETNA [360] — Aetna NBD: $12.67 AETNA X [854] — Aetna: $12.90 AMBETTER MHS [852] — Ambetter: $15.54 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $22.04 Anthem Essentials [855] — Anthem Essentials: $15.54 ANTHEM X [801] — Anthem Blue Cross: $22.04 BLUE CROSS [300] — Anthem Blue Cross: $22.04 BLUE CROSS [300] — Anthem Blue Cross Traditional: $22.04 BX ILL HMO MCNP [315] — BX IL HMO: $60.76
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc W/O Differential	$109	$65.40	$6.47 – $95.92
Complete blood count (CBC), automated: 10 of 65 insurance plan rates AETNA [360] — Aetna: $10.74 AETNA [360] — Aetna NBD: $10.55 AETNA X [854] — Aetna: $10.74 AMBETTER MHS [852] — Ambetter: $12.94 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.34 Anthem Essentials [855] — Anthem Essentials: $12.94 ANTHEM X [801] — Anthem Blue Cross: $18.34 BLUE CROSS [300] — Anthem Blue Cross: $18.34 BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.34 BX ILL HMO MCNP [315] — BX IL HMO: $54.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time (Pt) OP Csc	$81	$48.60	$4.29 – $71.28
Blood clotting time test (prothrombin time, PT): 10 of 65 insurance plan rates AETNA [360] — Aetna: $7.12 AETNA [360] — Aetna NBD: $6.99 AETNA X [854] — Aetna: $7.12 AMBETTER MHS [852] — Ambetter: $8.58 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $11.12 Anthem Essentials [855] — Anthem Essentials: $8.58 ANTHEM X [801] — Anthem Blue Cross: $11.12 BLUE CROSS [300] — Anthem Blue Cross: $11.12 BLUE CROSS [300] — Anthem Blue Cross Traditional: $11.12 BX ILL HMO MCNP [315] — BX IL HMO: $40.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time (Pt) Ch Sau	$81	$48.60	$4.29 – $71.28
Blood clotting time test (prothrombin time, PT): 10 of 65 insurance plan rates AETNA [360] — Aetna: $7.12 AETNA [360] — Aetna NBD: $6.99 AETNA X [854] — Aetna: $7.12 AMBETTER MHS [852] — Ambetter: $8.58 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $11.12 Anthem Essentials [855] — Anthem Essentials: $8.58 ANTHEM X [801] — Anthem Blue Cross: $11.12 BLUE CROSS [300] — Anthem Blue Cross: $11.12 BLUE CROSS [300] — Anthem Blue Cross Traditional: $11.12 BX ILL HMO MCNP [315] — BX IL HMO: $40.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time (Pt) Ac Clnc Hob	$81	$48.60	$4.29 – $71.28
Blood clotting time test (prothrombin time, PT): 10 of 65 insurance plan rates AETNA [360] — Aetna: $7.12 AETNA [360] — Aetna NBD: $6.99 AETNA X [854] — Aetna: $7.12 AMBETTER MHS [852] — Ambetter: $8.58 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $11.12 Anthem Essentials [855] — Anthem Essentials: $8.58 ANTHEM X [801] — Anthem Blue Cross: $11.12 BLUE CROSS [300] — Anthem Blue Cross: $11.12 BLUE CROSS [300] — Anthem Blue Cross Traditional: $11.12 BX ILL HMO MCNP [315] — BX IL HMO: $40.34
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Partial Thrombo Time (Ptt) III	$13	$7.80	$6.01 – $20.11
Blood clotting test (partial thromboplastin time, PTT): 10 of 65 insurance plan rates AETNA [360] — Aetna: $9.98 AETNA [360] — Aetna NBD: $9.80 AETNA X [854] — Aetna: $9.98 AMBETTER MHS [852] — Ambetter: $12.02 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $17 Anthem Essentials [855] — Anthem Essentials: $12.02 ANTHEM X [801] — Anthem Blue Cross: $17 BLUE CROSS [300] — Anthem Blue Cross: $17 BLUE CROSS [300] — Anthem Blue Cross Traditional: $17 BX ILL HMO MCNP [315] — BX IL HMO: $6.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Partial Thrombo Time (Ptt)	$70	$42	$6.01 – $61.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 65 insurance plan rates AETNA [360] — Aetna: $9.98 AETNA [360] — Aetna NBD: $9.80 AETNA X [854] — Aetna: $9.98 AMBETTER MHS [852] — Ambetter: $12.02 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $17 Anthem Essentials [855] — Anthem Essentials: $12.02 ANTHEM X [801] — Anthem Blue Cross: $17 BLUE CROSS [300] — Anthem Blue Cross: $17 BLUE CROSS [300] — Anthem Blue Cross Traditional: $17 BX ILL HMO MCNP [315] — BX IL HMO: $34.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Silica Clotting Time Screen	$79	$47.40	$6.01 – $69.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 65 insurance plan rates AETNA [360] — Aetna: $9.98 AETNA [360] — Aetna NBD: $9.80 AETNA X [854] — Aetna: $9.98 AMBETTER MHS [852] — Ambetter: $12.02 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $17 Anthem Essentials [855] — Anthem Essentials: $12.02 ANTHEM X [801] — Anthem Blue Cross: $17 BLUE CROSS [300] — Anthem Blue Cross: $17 BLUE CROSS [300] — Anthem Blue Cross Traditional: $17 BX ILL HMO MCNP [315] — BX IL HMO: $39.34

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 · Inpatient or outpatient In the file: HC CT Head/Brain WO Cont	$1,716	$1,029.60	$84.48 – $1,510.08
CT scan of the head or brain, without contrast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $653 AETNA [360] — Aetna NBD: $634 AETNA X [854] — Aetna: $653 AMBETTER MHS [852] — Ambetter: $110.61 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $257.87 Anthem Essentials [855] — Anthem Essentials: $110.61 ANTHEM X [801] — Anthem Blue Cross: $257.87 BLUE CROSS [300] — Anthem Blue Cross: $257.87 BLUE CROSS [300] — Anthem Blue Cross Traditional: $257.87 BX ILL HMO MCNP [315] — BX IL HMO: $854.57
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain W & WO Cont	$6,184	$3,710.40	$290.24 – $5,441.92
MRI of the brain, before and after contrast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $884 AETNA [360] — Aetna NBD: $857 AETNA X [854] — Aetna: $884 AMBETTER MHS [852] — Ambetter: $369.11 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $692.65 Anthem Essentials [855] — Anthem Essentials: $369.11 ANTHEM X [801] — Anthem Blue Cross: $692.65 BLUE CROSS [300] — Anthem Blue Cross: $692.65 BLUE CROSS [300] — Anthem Blue Cross Traditional: $692.65 BX ILL HMO MCNP [315] — BX IL HMO: $3,079.63
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xr Chest 2v	$483	$289.80	$25.50 – $516
Chest X-ray, 2 views: 10 of 65 insurance plan rates AETNA [360] — Aetna: $73.63 AETNA [360] — Aetna NBD: $71.51 AETNA X [854] — Aetna: $73.63 AMBETTER MHS [852] — Ambetter: $92.07 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $332.74 Anthem Essentials [855] — Anthem Essentials: $92.07 ANTHEM X [801] — Anthem Blue Cross: $332.74 BLUE CROSS [300] — Anthem Blue Cross: $332.74 BLUE CROSS [300] — Anthem Blue Cross Traditional: $407.94 BX ILL HMO MCNP [315] — BX IL HMO: $240.53
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Xr Spine Lumbar Min 4v	$765	$459	$41.17 – $673.20
X-ray of the lower spine, at least 4 views: 10 of 65 insurance plan rates AETNA [360] — Aetna: $130.58 AETNA [360] — Aetna NBD: $126.81 AETNA X [854] — Aetna: $130.58 AMBETTER MHS [852] — Ambetter: $110.61 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $51.94 Anthem Essentials [855] — Anthem Essentials: $110.61 ANTHEM X [801] — Anthem Blue Cross: $51.94 BLUE CROSS [300] — Anthem Blue Cross: $51.94 BLUE CROSS [300] — Anthem Blue Cross Traditional: $51.94 BX ILL HMO MCNP [315] — BX IL HMO: $380.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spine WO Cont	$3,948	$2,368.80	$165.74 – $3,474.24
MRI of the lower back (lumbar spine), without contrast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $884 AETNA [360] — Aetna NBD: $857 AETNA X [854] — Aetna: $884 AMBETTER MHS [852] — Ambetter: $252.44 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $485.46 Anthem Essentials [855] — Anthem Essentials: $252.44 ANTHEM X [801] — Anthem Blue Cross: $485.46 BLUE CROSS [300] — Anthem Blue Cross: $485.46 BLUE CROSS [300] — Anthem Blue Cross Traditional: $485.46 BX ILL HMO MCNP [315] — BX IL HMO: $1,966.10
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W Cont	$2,168	$1,300.80	$185.58 – $1,907.84
CT scan of the pelvis, with contrast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $653 AETNA [360] — Aetna NBD: $634 AETNA X [854] — Aetna: $653 AMBETTER MHS [852] — Ambetter: $185.58 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $349.35 Anthem Essentials [855] — Anthem Essentials: $185.58 ANTHEM X [801] — Anthem Blue Cross: $349.35 BLUE CROSS [300] — Anthem Blue Cross: $349.35 BLUE CROSS [300] — Anthem Blue Cross Traditional: $349.35 BX ILL HMO MCNP [315] — BX IL HMO: $1,079.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Jt WO Con	$3,939	$2,363.40	$187.12 – $3,466.32
MRI of a leg joint (such as the knee), without contrast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $884 AETNA [360] — Aetna NBD: $857 AETNA X [854] — Aetna: $884 AMBETTER MHS [852] — Ambetter: $252.44 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $490.03 Anthem Essentials [855] — Anthem Essentials: $252.44 ANTHEM X [801] — Anthem Blue Cross: $490.03 BLUE CROSS [300] — Anthem Blue Cross: $490.03 BLUE CROSS [300] — Anthem Blue Cross Traditional: $490.03 BX ILL HMO MCNP [315] — BX IL HMO: $1,961.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abdomen & Pelvis W Contrast	$4,677	$2,806.20	$273.74 – $4,115.76
CT scan of the abdomen and pelvis, with contrast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $653 AETNA [360] — Aetna NBD: $634 AETNA X [854] — Aetna: $653 AMBETTER MHS [852] — Ambetter: $369.11 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $698.99 Anthem Essentials [855] — Anthem Essentials: $369.11 ANTHEM X [801] — Anthem Blue Cross: $698.99 BLUE CROSS [300] — Anthem Blue Cross: $698.99 BLUE CROSS [300] — Anthem Blue Cross Traditional: $698.99 BX ILL HMO MCNP [315] — BX IL HMO: $2,329.15
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete	$1,040	$624	$95.62 – $915.20
Ultrasound of the abdomen, complete: 10 of 65 insurance plan rates AETNA [360] — Aetna: $246.09 AETNA [360] — Aetna NBD: $239 AETNA X [854] — Aetna: $246.09 AMBETTER MHS [852] — Ambetter: $110.61 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $118.25 Anthem Essentials [855] — Anthem Essentials: $110.61 ANTHEM X [801] — Anthem Blue Cross: $118.25 BLUE CROSS [300] — Anthem Blue Cross: $118.25 BLUE CROSS [300] — Anthem Blue Cross Traditional: $118.25 BX ILL HMO MCNP [315] — BX IL HMO: $517.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB > 14 Wks Single	$993	$595.80	$105.11 – $873.84
Pregnancy ultrasound (after the first trimester): 10 of 65 insurance plan rates AETNA [360] — Aetna: $284.78 AETNA [360] — Aetna NBD: $276.58 AETNA X [854] — Aetna: $284.78 AMBETTER MHS [852] — Ambetter: $110.61 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $123.94 Anthem Essentials [855] — Anthem Essentials: $110.61 ANTHEM X [801] — Anthem Blue Cross: $123.94 BLUE CROSS [300] — Anthem Blue Cross: $123.94 BLUE CROSS [300] — Anthem Blue Cross Traditional: $123.94 BX ILL HMO MCNP [315] — BX IL HMO: $494.51
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal (Non-OB)	$933	$559.80	$103.05 – $821.04
Transvaginal ultrasound: 10 of 65 insurance plan rates AETNA [360] — Aetna: $272.95 AETNA [360] — Aetna NBD: $265.08 AETNA X [854] — Aetna: $272.95 AMBETTER MHS [852] — Ambetter: $110.61 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $113.10 Anthem Essentials [855] — Anthem Essentials: $110.61 ANTHEM X [801] — Anthem Blue Cross: $113.10 BLUE CROSS [300] — Anthem Blue Cross: $113.10 BLUE CROSS [300] — Anthem Blue Cross Traditional: $113.10 BX ILL HMO MCNP [315] — BX IL HMO: $464.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Mammo Digtl Diag Unil	$377	$226.20	$79.74 – $415.98
Diagnostic mammogram, one breast: 10 of 65 insurance plan rates AETNA [360] — Aetna: $276.70 AETNA [360] — Aetna NBD: $268.72 AETNA X [854] — Aetna: $276.70 AMBETTER MHS [852] — Ambetter: $159.48 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $259.72 Anthem Essentials [855] — Anthem Essentials: $159.48 ANTHEM X [801] — Anthem Blue Cross: $259.72 BLUE CROSS [300] — Anthem Blue Cross: $259.72 BLUE CROSS [300] — Anthem Blue Cross Traditional: $318.41 BX ILL HMO MCNP [315] — BX IL HMO: $187.75
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Mammo Digtl Diag Bil	$512	$307.20	$102.19 – $530.90
Diagnostic mammogram, both breasts: 10 of 65 insurance plan rates AETNA [360] — Aetna: $354.60 AETNA [360] — Aetna NBD: $344.38 AETNA X [854] — Aetna: $354.60 AMBETTER MHS [852] — Ambetter: $204.38 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $352.72 Anthem Essentials [855] — Anthem Essentials: $204.38 ANTHEM X [801] — Anthem Blue Cross: $352.72 BLUE CROSS [300] — Anthem Blue Cross: $352.72 BLUE CROSS [300] — Anthem Blue Cross Traditional: $432.44 BX ILL HMO MCNP [315] — BX IL HMO: $254.98
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Mammo Digtl Scrn Bil	$428	$256.80	$84.38 – $439.28
Screening mammogram, both breasts: 10 of 65 insurance plan rates AETNA [360] — Aetna: $292.80 AETNA [360] — Aetna NBD: $284.36 AETNA X [854] — Aetna: $292.80 AMBETTER MHS [852] — Ambetter: $168.76 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $294.85 Anthem Essentials [855] — Anthem Essentials: $168.76 ANTHEM X [801] — Anthem Blue Cross: $294.85 BLUE CROSS [300] — Anthem Blue Cross: $294.85 BLUE CROSS [300] — Anthem Blue Cross Traditional: $361.49 BX ILL HMO MCNP [315] — BX IL HMO: $213.14
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Mammo Digtl Scrn Unil	$317	$190.20	$84.38 – $439.28
Screening mammogram, both breasts: 10 of 65 insurance plan rates AETNA [360] — Aetna: $292.80 AETNA [360] — Aetna NBD: $284.36 AETNA X [854] — Aetna: $292.80 AMBETTER MHS [852] — Ambetter: $168.76 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $218.38 Anthem Essentials [855] — Anthem Essentials: $168.76 ANTHEM X [801] — Anthem Blue Cross: $218.38 BLUE CROSS [300] — Anthem Blue Cross: $218.38 BLUE CROSS [300] — Anthem Blue Cross Traditional: $267.74 BX ILL HMO MCNP [315] — BX IL HMO: $157.87
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC Mammo Digtl Scrn Bil\|REDUCED SERVICES	$428	$256.80	$84.38 – $439.28
Screening mammogram, both breasts: rates for 3 insurance plans AMBETTER MHS [852] — Ambetter: $84.38 Anthem Essentials [855] — Anthem Essentials: $84.38 MARKETPLACE OUT OF NETWORK [853] — Ambetter: $84.38

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC Left Heart Cath W Lvgram	$25,227	$15,136.20	$787.86 – $22,199.76
Left heart catheterization (diagnostic): 10 of 65 insurance plan rates AETNA [360] — Aetna: $18,743.66 AETNA [360] — Aetna NBD: $18,491.39 AETNA X [854] — Aetna: $18,743.66 AMBETTER MHS [852] — Ambetter: $3,430 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $20,521 Anthem Essentials [855] — Anthem Essentials: $3,430 ANTHEM X [801] — Anthem Blue Cross: $20,521 BLUE CROSS [300] — Anthem Blue Cross: $20,521 BLUE CROSS [300] — Anthem Blue Cross Traditional: $20,521 BX ILL HMO MCNP [315] — BX IL HMO: $16,422.78
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC Eps WO Induct Attempt	$13,052	$7,831.20	$522.58 – $103,291
Heart rhythm study (electrophysiology evaluation): 10 of 59 insurance plan rates AETNA [360] — Aetna: $9,697.64 AETNA [360] — Aetna NBD: $9,567.12 AETNA X [854] — Aetna: $9,697.64 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $103,291 ANTHEM X [801] — Anthem Blue Cross: $103,291 BLUE CROSS [300] — Anthem Blue Cross: $103,291 BLUE CROSS [300] — Anthem Blue Cross Traditional: $103,291 BX ILL HMO MCNP [315] — BX IL HMO: $6,499.90 BX ILL HMO MCNP [315] — Powers Health Partners: $522.58 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $103,291
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC Afib Ablation	$114,353	$68,611.80	$1,471.28 – $103,291
Heart rhythm study with ablation for atrial fibrillation: 10 of 65 insurance plan rates AETNA [360] — Aetna: $48,205 AETNA [360] — Aetna NBD: $46,759 AETNA X [854] — Aetna: $48,205 AMBETTER MHS [852] — Ambetter: $27,654.12 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $103,291 Anthem Essentials [855] — Anthem Essentials: $27,654.12 ANTHEM X [801] — Anthem Blue Cross: $103,291 BLUE CROSS [300] — Anthem Blue Cross: $103,291 BLUE CROSS [300] — Anthem Blue Cross Traditional: $103,291 BX ILL HMO MCNP [315] — BX IL HMO: $74,443.80
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg Attend =/> 6 Yrs Old	$6,368	$3,820.80	$571.31 – $5,603.84
Sleep study (overnight, in a sleep lab): 10 of 65 insurance plan rates AETNA [360] — Aetna: $2,162 AETNA [360] — Aetna NBD: $2,097 AETNA X [854] — Aetna: $2,162 AMBETTER MHS [852] — Ambetter: $908.56 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $4,386.92 Anthem Essentials [855] — Anthem Essentials: $908.56 ANTHEM X [801] — Anthem Blue Cross: $4,386.92 BLUE CROSS [300] — Anthem Blue Cross: $4,386.92 BLUE CROSS [300] — Anthem Blue Cross Traditional: $5,378.41 BX ILL HMO MCNP [315] — BX IL HMO: $3,171.26
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg Lmtd Attend =/> 6yrs Old	$3,560	$2,136	$571.31 – $3,803
Sleep study (overnight, in a sleep lab): 10 of 65 insurance plan rates AETNA [360] — Aetna: $2,162 AETNA [360] — Aetna NBD: $2,097 AETNA X [854] — Aetna: $2,162 AMBETTER MHS [852] — Ambetter: $908.56 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $2,452.48 Anthem Essentials [855] — Anthem Essentials: $908.56 ANTHEM X [801] — Anthem Blue Cross: $2,452.48 BLUE CROSS [300] — Anthem Blue Cross: $2,452.48 BLUE CROSS [300] — Anthem Blue Cross Traditional: $3,006.78 BX ILL HMO MCNP [315] — BX IL HMO: $1,772.88

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pta Therp Exerc Ea 15 Min	$133	$79.80	$27.89 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 65 insurance plan rates AETNA [360] — Aetna: $72.79 AETNA [360] — Aetna NBD: $70.56 AETNA X [854] — Aetna: $72.79 AMBETTER MHS [852] — Ambetter: $55.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $43.16 Anthem Essentials [855] — Anthem Essentials: $55.78 ANTHEM X [801] — Anthem Blue Cross: $43.16 BLUE CROSS [300] — Anthem Blue Cross: $43.16 BLUE CROSS [300] — Anthem Blue Cross Traditional: $43.16 BX ILL HMO MCNP [315] — BX IL HMO: $66.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ota Therp Exerc Ea 15 Min	$133	$79.80	$27.89 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 65 insurance plan rates AETNA [360] — Aetna: $72.79 AETNA [360] — Aetna NBD: $70.56 AETNA X [854] — Aetna: $72.79 AMBETTER MHS [852] — Ambetter: $55.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $43.16 Anthem Essentials [855] — Anthem Essentials: $55.78 ANTHEM X [801] — Anthem Blue Cross: $43.16 BLUE CROSS [300] — Anthem Blue Cross: $43.16 BLUE CROSS [300] — Anthem Blue Cross Traditional: $43.16 BX ILL HMO MCNP [315] — BX IL HMO: $66.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Therp Exerc Ea 15 Min	$133	$79.80	$27.89 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 65 insurance plan rates AETNA [360] — Aetna: $72.79 AETNA [360] — Aetna NBD: $70.56 AETNA X [854] — Aetna: $72.79 AMBETTER MHS [852] — Ambetter: $55.78 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $43.16 Anthem Essentials [855] — Anthem Essentials: $55.78 ANTHEM X [801] — Anthem Blue Cross: $43.16 BLUE CROSS [300] — Anthem Blue Cross: $43.16 BLUE CROSS [300] — Anthem Blue Cross Traditional: $43.16 BX ILL HMO MCNP [315] — BX IL HMO: $66.23
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Cmplxty	$222	$133.20	$94.33 – $287
Physical therapy evaluation (low complexity): 10 of 65 insurance plan rates AETNA [360] — Aetna: $246.20 AETNA [360] — Aetna NBD: $238.65 AETNA X [854] — Aetna: $246.20 AMBETTER MHS [852] — Ambetter: $188.66 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $152.94 Anthem Essentials [855] — Anthem Essentials: $188.66 ANTHEM X [801] — Anthem Blue Cross: $152.94 BLUE CROSS [300] — Anthem Blue Cross: $152.94 BLUE CROSS [300] — Anthem Blue Cross Traditional: $187.50 BX ILL HMO MCNP [315] — BX IL HMO: $110.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Cmplxty	$303	$181.80	$94.33 – $287
Physical therapy evaluation (moderate complexity): 10 of 65 insurance plan rates AETNA [360] — Aetna: $225.13 AETNA [360] — Aetna NBD: $222.10 AETNA X [854] — Aetna: $225.13 AMBETTER MHS [852] — Ambetter: $188.66 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $208.74 Anthem Essentials [855] — Anthem Essentials: $188.66 ANTHEM X [801] — Anthem Blue Cross: $208.74 BLUE CROSS [300] — Anthem Blue Cross: $208.74 BLUE CROSS [300] — Anthem Blue Cross Traditional: $255.91 BX ILL HMO MCNP [315] — BX IL HMO: $150.89
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Cmplxty	$369	$221.40	$94.33 – $324.72
Physical therapy evaluation (high complexity): 10 of 65 insurance plan rates AETNA [360] — Aetna: $246.20 AETNA [360] — Aetna NBD: $238.65 AETNA X [854] — Aetna: $246.20 AMBETTER MHS [852] — Ambetter: $188.66 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $254.20 Anthem Essentials [855] — Anthem Essentials: $188.66 ANTHEM X [801] — Anthem Blue Cross: $254.20 BLUE CROSS [300] — Anthem Blue Cross: $254.20 BLUE CROSS [300] — Anthem Blue Cross Traditional: $311.66 BX ILL HMO MCNP [315] — BX IL HMO: $183.76
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC Iop Thrpy Indv Pt &/or Fam 30 Min	$304	$182.40	$73.27 – $267.52
Psychotherapy, 30 minutes: 10 of 59 insurance plan rates AETNA [360] — Aetna: $225.87 AETNA [360] — Aetna NBD: $222.83 AETNA X [854] — Aetna: $225.87 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $209.43 ANTHEM X [801] — Anthem Blue Cross: $209.43 BLUE CROSS [300] — Anthem Blue Cross: $209.43 BLUE CROSS [300] — Anthem Blue Cross Traditional: $256.76 BX ILL HMO MCNP [315] — BX IL HMO: $151.39 BX ILL HMO MCNP [315] — Powers Health Partners: $73.27 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $256.76
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC Iop Thrpy Indv Pt &/or Fam 45 Min	$380	$228	$97.69 – $334.40
Psychotherapy, 45 minutes: 10 of 59 insurance plan rates AETNA [360] — Aetna: $282.34 AETNA [360] — Aetna NBD: $278.54 AETNA X [854] — Aetna: $282.34 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $261.78 ANTHEM X [801] — Anthem Blue Cross: $261.78 BLUE CROSS [300] — Anthem Blue Cross: $261.78 BLUE CROSS [300] — Anthem Blue Cross Traditional: $320.95 BX ILL HMO MCNP [315] — BX IL HMO: $189.24 BX ILL HMO MCNP [315] — Powers Health Partners: $97.69 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $320.95
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC Iop Thrpy Indv Pt &/or Fam 60 Min	$473	$283.80	$145.78 – $416.24
Psychotherapy, 60 minutes: 10 of 59 insurance plan rates AETNA [360] — Aetna: $351.44 AETNA [360] — Aetna NBD: $346.71 AETNA X [854] — Aetna: $351.44 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $325.85 ANTHEM X [801] — Anthem Blue Cross: $325.85 BLUE CROSS [300] — Anthem Blue Cross: $325.85 BLUE CROSS [300] — Anthem Blue Cross Traditional: $399.50 BX ILL HMO MCNP [315] — BX IL HMO: $235.55 BX ILL HMO MCNP [315] — Powers Health Partners: $145.78 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $399.50
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC Iop Thrpy Group	$171	$102.60	$28.85 – $150.48
Group psychotherapy: 10 of 59 insurance plan rates AETNA [360] — Aetna: $127.05 AETNA [360] — Aetna NBD: $125.34 AETNA X [854] — Aetna: $127.05 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $117.80 ANTHEM X [801] — Anthem Blue Cross: $117.80 BLUE CROSS [300] — Anthem Blue Cross: $117.80 BLUE CROSS [300] — Anthem Blue Cross Traditional: $144.43 BX ILL HMO MCNP [315] — BX IL HMO: $85.16 BX ILL HMO MCNP [315] — Powers Health Partners: $28.85 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $144.43

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC ER Ugi Endo Diag W or WO Spc	$3,232	$1,939.20	$152.39 – $2,844.16
Upper GI endoscopy (diagnostic): 10 of 56 insurance plan rates ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $1,609.54 BX ILL HMO MCNP [315] — Powers Health Partners: $152.39 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,675 CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $582.98 CARETAKER HIP [232] — Indiana Medicaid: $582.98 CHAMPVA [130] — Medicare: $926.63
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC ER Ugi Endo W Bx Sngl Mlti	$3,232	$1,939.20	$171.28 – $2,844.16
Upper GI endoscopy with biopsy: 10 of 56 insurance plan rates ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,675 ANTHEM X [801] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross: $1,675 BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,675 BX ILL HMO MCNP [315] — BX IL HMO: $1,609.54 BX ILL HMO MCNP [315] — Powers Health Partners: $171.28 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,675 CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $582.98 CARETAKER HIP [232] — Indiana Medicaid: $582.98 CHAMPVA [130] — Medicare: $926.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Diag/Thrp Lumb/Sacrl W Fluro/CT	$2,537	$1,522.20	$121.96 – $8,100
Spinal injection, lower back (epidural), with imaging guidance: 10 of 65 insurance plan rates AETNA [360] — Aetna: $1,884.99 AETNA [360] — Aetna NBD: $1,859.62 AETNA X [854] — Aetna: $1,884.99 AMBETTER MHS [852] — Ambetter: $746.83 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,747.74 Anthem Essentials [855] — Anthem Essentials: $746.83 ANTHEM X [801] — Anthem Blue Cross: $1,747.74 BLUE CROSS [300] — Anthem Blue Cross: $1,747.74 BLUE CROSS [300] — Anthem Blue Cross Traditional: $2,142.75 BX ILL HMO MCNP [315] — BX IL HMO: $1,651.59

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$282,706.52	$169,623.91	$74,773.07 – $188,631.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 29 insurance plan rates AETNA [360] — Aetna: $188,631.95 AETNA [360] — Aetna NBD: $182,967.71 AETNA X [854] — Aetna: $188,631.95 AMBETTER MHS [852] — Ambetter: $74,773.07 Anthem Essentials [855] — Anthem Essentials: $74,773.07 CHAMPVA [130] — Medicare: $74,773.07 CHOICECARE [395] — Humana PPO: $97,828 CIGNA [365] — Cigna: $154,568.24 CIGNA [365] — Cigna One Health HMO: $113,363.09 COMMERCIAL [600] — UHC All Payors: $166,503.26
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$59,561.50	$35,736.90	$14,955.01 – $53,964.84
Hip or knee replacement (major joint of the leg), without major complications: 10 of 38 insurance plan rates AETNA [360] — Aetna: $51,419 AETNA [360] — Aetna NBD: $49,877 AETNA X [854] — Aetna: $51,419 AMBETTER MHS [852] — Ambetter: $14,955.01 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $36,022.21 Anthem Essentials [855] — Anthem Essentials: $14,955.01 ANTHEM X [801] — Anthem Blue Cross: $36,022.21 BLUE CROSS [300] — Anthem Blue Cross: $36,022.21 BLUE CROSS [300] — Anthem Blue Cross Traditional: $53,964.84 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross: $36,022.21
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$87,167.39	$52,300.43	$18,857.63 – $68,300.25
Neck (cervical) spinal fusion, without complications: 10 of 38 insurance plan rates AETNA [360] — Aetna: $47,073.15 AETNA [360] — Aetna NBD: $45,659.63 AETNA X [854] — Aetna: $47,073.15 AMBETTER MHS [852] — Ambetter: $18,857.63 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $45,591.28 Anthem Essentials [855] — Anthem Essentials: $18,857.63 ANTHEM X [801] — Anthem Blue Cross: $45,591.28 BLUE CROSS [300] — Anthem Blue Cross: $45,591.28 BLUE CROSS [300] — Anthem Blue Cross Traditional: $68,300.25 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross: $45,591.28
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$32,147.74	$19,288.64	$9,713.44 – $34,711.06
Uterus and ovary surgery (not for cancer), without complications: 10 of 40 insurance plan rates AETNA [360] — Aetna: $23,923.18 AETNA [360] — Aetna NBD: $23,204.81 AETNA X [854] — Aetna: $23,923.18 AMBETTER MHS [852] — Ambetter: $9,713.44 ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $23,170.07 Anthem Essentials [855] — Anthem Essentials: $9,713.44 ANTHEM X [801] — Anthem Blue Cross: $23,170.07 BLUE CROSS [300] — Anthem Blue Cross: $23,170.07 BLUE CROSS [300] — Anthem Blue Cross Traditional: $34,711.06 BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross: $23,170.07

Source: Community Hospital’s standard charges file (powershealth.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 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	901 Macarthur Blvd, Munster, IN 46321
County	Lake County
State	Indiana
Phone	(219) 836‑1600
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150125
Name in Medicare records	COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	powershealth.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 2026-11-02.

Community Hospital | Powers Health — powershealth.org

Community Hospital

Summary

Profile from official sources

At a glance