Does Connecticut Childrens Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Connecticut Childrens Medical Center. In a medical emergency, call 911.

Where is Connecticut Childrens Medical Center?

282 Washington Street, Hartford, CT 06106, in Hartford County, Connecticut.

What is the phone number of Connecticut Childrens Medical Center?

(860) 545-9000, as listed by Medicare (CMS).

What is the Medicare star rating of Connecticut Childrens Medical Center?

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

Connecticut Childrens Medical Center

Quick answers

Does Connecticut Childrens Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Connecticut Childrens Medical Center. In a medical emergency, call 911.
Where is Connecticut Childrens Medical Center?: 282 Washington Street, Hartford, CT 06106, in Hartford County, Connecticut.
What is the phone number of Connecticut Childrens Medical Center?: (860) 545-9000, as listed by Medicare (CMS).
What is the Medicare star rating of Connecticut Childrens Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Audiology
Cardiac surgery
Cardiology
Craniofacial Center
Critical care
Ear, nose and throat
Emergency medicine
Fetal Care Center
Gastroenterology
Hematology/oncology
Hospital medicine
Neonatology
Nephrology
Neurology
Neurosurgery
Nutrition
Pediatric surgery
Plastic surgery
Radiology
Sleep Center
Urology
Vascular anomalies

Conditions treated^{[8][11][13][16][17]}

Aortic valve stenosis
Atrial septal defect
Hypoplastic left heart syndrome
Tetralogy of Fallot
Postural orthostatic tachycardia syndrome
Ventricular septal defect
Pediatric brain tumors
Spina bifida
Craniosynostosis
Chiari malformation
Hydrocephalus
Epilepsy
Pediatric injuries (trauma)
Pediatric burn injuries

Treatments^[8][11][18]

Cardiac catheterization
Electrophysiology
Transcatheter closure of ventricular septal defects
Transcatheter repair of partial anomalous pulmonary venous return
Transcatheter pulmonary valve replacement
Catheter ablation for cardiac arrhythmias
Burn care
Extracorporeal membrane oxygenation (ECMO)

Procedures^[13][18][20]

Minimally invasive surgery
Foker process for long-gap esophageal atresia
Esophageal dilation
Shunt placement for hydrocephalus

Programs and centers^{[5][8][9][11][12][13][14][15][17][18][19][20][21]}

Adult Congenital Heart Disease
Cardiovascular Intensive Care Unit
Electrophysiology Program
Cardio-Oncology
Trauma Program
Emergency Mental Health Services
Suspected Child Abuse and Neglect (SCAN) Program
Neuro-Oncology Program
Spine Program
Epilepsy Center
Fetal Surgery
Esophageal Atresia Program
Center for Chest Wall Deformities
Center of Excellence in Bariatric Surgery
Pediatric Thyroid Center
Vascular Anomalies
Hemangioma Program

Emergency care (hospital website)^[5][11]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level 1 Pediatric Trauma Center

Visiting and practical information

Parking	Use the 289 Washington St garage (Lincoln St entrance, sky bridge from level 3); the ER uses the Hartford Hospital garage at 256 Washington St^[6]
Patient portal	MyChart

Recognition^[9]

ACHD Accredited Comprehensive Care Center (Adult Congenital Heart Association)

Doctors and clinicians (25)

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

Main specialties

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

Other emergency rooms nearby

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

Hartford Hospital0.1 mi · Hartford, CT · Acute Care Hospital
St Francis Hospital & Medical Center1.7 mi · Hartford, CT · Acute Care Hospital
The Hospital of Central Connecticut8.3 mi · New Britain, CT · Acute Care Hospital
Manchester Memorial Hospital8.4 mi · Manchester, CT · Acute Care Hospital
John Dempsey Hospital of the University of Connect…9.1 mi · Farmington, CT · Acute Care Hospital

Other hospitals nearby

Mount Sinai Rehabilitation Hospital Inc3.2 mi · Hartford, CT · Inpatient Rehabilitation Hospital
Hebrew Home and Hospital4.1 mi · West Hartford, CT · Psychiatric Hospital
Hospital for Special Care7.6 mi · New Britain, CT · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Trinity Hill Care Center0.9 mi · Hartford, CT · 4 of 5 stars
Parkville Care Center1.4 mi · Hartford, CT · 3 of 5 stars
Chelsea Place Care Center LLC1.5 mi · Hartford, CT · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Trinity Health of New England at Home2.8 mi · Hartford, CT · 3 of 5 stars
Beacon Hospice, An Amedisys Company3.5 mi · East Hartford, CT · 4 of 5 stars
Hartford Healthcare at Home3.5 mi · East Hartford, CT · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Avery Heights Home Health Agency0.8 mi · Hartford, CT · 2 of 5 stars
Advanced Home Health Care Agency, Inc2.4 mi · West Hartford, CT · 3 of 5 stars
Harriott Home Health Services LLC2.8 mi · Hartford, CT

All home health agencies in the state →

Dialysis facilities

Connecticut Children's Medical Center0.8 mi · Hartford, CT
DaVita Hartford Dialysis2.8 mi · Hartford, CT · 3 of 5 stars
FMC East Hartford Dialysis Center3.5 mi · East Hartford, CT · 2 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.

HHC Hartford Surgery Center0.8 mi · Hartford, CT
Lighthouse Surgery Center, LLC1.7 mi · Hartford, CT
Orthopedic Associates Surgery Center, LLC6.8 mi · Rocky Hill, CT

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

Immaculate Conception Shelter0.3 mi · Hartford, CT · Community health center
Hartford Youth Scholars0.4 mi · Hartford, CT · Community health center
South Park Inn0.4 mi · Hartford, CT · Community health center

Clinics and urgent care

AFC Physicians of Connecticut, PC2.4 mi · West Hartford, CT · Urgent care center
PM Pediatrics of Connecticut3.0 mi · West Hartford, CT · Urgent care center
1271972 LLC3.6 mi · Wethersfield, CT · Urgent care center

Pharmacies

Community Care Pharmacy Inc0.8 mi · Hartford, CT · Community/retail pharmacy
Connecticut CVS Pharmacy LLC0.8 mi · Hartford, CT · Pharmacy
Hartford Hospital0.8 mi · Hartford, CT · Community/retail pharmacy

Assisted living nearby

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

Avery Heights Assisted Living Services Agency0.8 mi · Hartford, CT
Aviva West Hartford2.4 mi · West Hartford, CT
Brookdale Chatfield3.0 mi · West Hartford, CT
Brookdale West Hartford4.8 mi · West Hartford, CT

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

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

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

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

Return visits to the hospital (readmissions)

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

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

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

Emergency room times and sepsis care

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

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Hartford

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 42 common services exactly as Connecticut Childrens Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER Level 3	$1,394	$836.40	$949 – $2,466
Emergency room visit (moderate): 10 of 25 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,172.35 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,055.26 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,172.35 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,184.90 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $1,157.58 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,185.60 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,250.98 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,250.98 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,250.98 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,184.90
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER Level 3	$1,394	$836.40	$949 – $2,466
Emergency room visit (moderate): rates for 10 insurance plans BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,110.60 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,110.60 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 UNICARE [100148] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,110.60 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 WELLPOINT [100150] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,110.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER Level 3	$1,394	$836.40	$949 – $2,466
Emergency room visit (moderate): rates for 10 insurance plans BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,305 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,305 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,466 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,466 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,466 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,466 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,466 UNICARE [100148] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,305 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,466 WELLPOINT [100150] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,305
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER Level 4	$1,808	$1,084.80	$949 – $4,389
Emergency room visit (moderately high): 10 of 29 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,520.53 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,368.66 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,520.53 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,440.43 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,440.43 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,536.80 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $1,501.36 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,537.70 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,622.50 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,622.50
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER Level 4	$1,808	$1,084.80	$949 – $4,389
Emergency room visit (moderately high): rates for 6 insurance plans GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER Level 4	$1,808	$1,084.80	$949 – $4,389
Emergency room visit (moderately high): rates for 6 insurance plans GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $4,389 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $4,389 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $4,389 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $4,389 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $4,389 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $4,389
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER Level 5	$2,888	$1,732.80	$949 – $6,751
Emergency room visit (high): 10 of 29 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $2,428.81 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $2,186.22 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $2,428.81 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $2,300.87 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $2,300.87 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,454.80 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $2,398.20 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $2,456.24 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,591.69 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,591.69
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER Level 5	$2,888	$1,732.80	$949 – $6,751
Emergency room visit (high): rates for 6 insurance plans GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $949
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER Level 5	$2,888	$1,732.80	$949 – $6,751
Emergency room visit (high): rates for 6 insurance plans GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $6,751 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $6,751 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $6,751 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $6,751 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $6,751 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $6,751

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Metabolic Panel Total Ca	$35.12	$21.07	$10.15 – $30.34
Basic metabolic panel (blood test): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $29.54 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $26.59 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $29.54 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $26.53 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $26.53 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $30.34 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $18.66 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $18.66 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $18.66 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $18.66
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic Panel Total Ca	$35.12	$21.07	$10.15 – $30.34
Basic metabolic panel (blood test): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $11.46 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $10.37 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $11.46 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $15.83 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $11.41 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $28.04 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $11.15 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $11.15 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $11.15 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $11.15
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Metabolic Panel Total Ca	$35.12	$21.07	$10.15 – $30.34
Basic metabolic panel (blood test): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $29.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $29.85 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $25.62 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $25.62 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $29.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $25.62 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $29.85
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: Comprehensive Metabolic Panel	$43.39	$26.03	$12.67 – $37.49
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $36.49 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $32.85 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $36.49 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $32.78 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $32.78 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $37.49 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $23.05 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $23.05 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $23.05 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $23.05
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel	$43.39	$26.03	$12.67 – $37.49
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $14.30 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $12.94 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $14.30 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $19.78 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $14.25 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $34.96 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $13.91 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.91 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.91 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.91
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$43.39	$26.03	$12.67 – $37.49
Comprehensive metabolic panel (blood test): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $36.88 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $36.88 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $31.65 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $31.65 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $36.88 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $31.65 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $36.88
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Renal Function Panel	$36.15	$21.69	$10.42 – $31.23
Kidney function panel: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $30.40 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $27.37 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $30.40 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $27.31 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $27.31 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $31.23 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $19.20 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $19.20 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $19.20 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $19.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel	$36.15	$21.69	$10.42 – $31.23
Kidney function panel: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $11.76 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $10.64 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $11.76 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $16.25 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $11.70 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $28.73 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $11.44 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $11.44 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $11.44 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $11.44
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$36.15	$21.69	$10.42 – $31.23
Kidney function panel: rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $30.73 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $30.73 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $26.37 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $26.37 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $30.73 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $26.37 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $30.73
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Hepatic Function Panel	$34.09	$20.45	$9.80 – $29.45
Liver function panel: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $28.67 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $25.81 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $28.67 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $25.75 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $25.75 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $29.45 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $18.11 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $18.11 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $18.11 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $18.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel	$34.09	$20.45	$9.80 – $29.45
Liver function panel: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $11.07 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $10.01 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $11.07 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $15.29 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $11.02 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $27.07 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $10.76 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $10.76 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $10.76 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $10.76
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$34.09	$20.45	$9.80 – $29.45
Liver function panel: rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $28.98 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $28.98 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $24.87 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $24.87 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $28.98 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $24.87 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $28.98
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Urinal-Diagnostic	$13.15	$7.89	$3.80 – $11.36
Urine test (automated, with microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $11.06 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $9.95 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $11.06 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $9.93 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $9.93 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $11.36 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $6.99 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.99 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.99 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.99
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinal-Diagnostic	$13.15	$7.89	$3.80 – $11.36
Urine test (automated, with microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $4.29 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $3.88 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $4.29 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $5.92 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $4.27 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $10.50 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $4.18 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.18 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.18 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.18
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinal-Diagnostic	$13.15	$7.89	$3.80 – $11.36
Urine test (automated, with microscope): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $11.18 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $11.18 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $9.59 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $9.59 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $11.18 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $9.59 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $11.18
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: Reducing Subsranc	$11.68	$7.01	$3.45 – $11.53
Urine test (manual, without microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $9.82 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $8.84 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $9.82 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $8.82 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $8.82 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $10.09 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $6.20 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.20 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.20 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Reducing Subsranc	$11.68	$7.01	$3.45 – $11.53
Urine test (manual, without microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $4.71 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $4.26 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $4.71 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $4.79 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $3.45 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $11.53 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $4.59 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.59 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.59 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.59
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: N-Autom Urinalysis WO Micro	$11.68	$7.01	$3.45 – $11.53
Urine test (manual, without microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $9.82 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $8.84 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $9.82 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $8.82 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $8.82 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $10.09 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $6.20 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.20 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.20 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $6.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Autom Urinalysis WO Micro	$9.30	$5.58	$2.70 – $8.04
Urine test (automated, without microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $7.82 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7.04 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $7.82 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $7.03 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $7.03 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $8.04 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $4.94 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.94 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.94 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.94
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Autom Urinalysis WO Micro	$9.30	$5.58	$2.70 – $8.04
Urine test (automated, without microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $3.05 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $2.76 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $3.05 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $4.21 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $3.04 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $7.46 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $2.96 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $2.96 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $2.96 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $2.96
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Urine Screen	$9.30	$5.58	$2.70 – $8.04
Urine test (automated, without microscope): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $7.82 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7.04 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $7.82 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $7.03 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $7.03 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $8.04 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $4.94 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.94 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.94 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $4.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH	$70	$42	$20.16 – $60.48
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $58.87 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $52.99 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $58.87 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $52.88 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $52.88 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $60.48 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $37.18 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $37.18 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $37.18 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $37.18
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$70	$42	$20.16 – $60.48
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $22.76 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $20.59 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $22.76 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $31.44 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $22.64 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $55.64 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $22.14 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $22.14 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $22.14 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $22.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$70	$42	$20.16 – $60.48
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $59.50 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $59.50 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $51.07 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $51.07 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $59.50 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $51.07 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $59.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Cbc Autodiff POCT	$32.02	$19.21	$9.32 – $27.67
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $26.93 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $24.24 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $26.93 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $24.19 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $24.19 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $27.67 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $17.01 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $17.01 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $17.01 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $17.01
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Cbc Autodiff POCT	$32.02	$19.21	$9.32 – $27.67
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $10.52 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $9.52 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $10.52 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $14.55 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $10.48 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $25.75 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $10.24 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $10.24 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $10.24 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $10.24
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Cbc With Autodiff	$32.02	$19.21	$9.32 – $27.67
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $26.93 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $24.24 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $26.93 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $24.19 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $24.19 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $27.67 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $17.01 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $17.01 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $17.01 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $17.01
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC	$26.88	$16.13	$7.76 – $23.22
Complete blood count (CBC), automated: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $22.61 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $20.35 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $22.61 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $20.31 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $20.31 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $23.22 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $14.28 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $14.28 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $14.28 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $14.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC	$26.88	$16.13	$7.76 – $23.22
Complete blood count (CBC), automated: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $8.76 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7.93 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $8.76 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $12.10 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $8.72 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $21.44 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $8.52 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $8.52 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $8.52 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $8.52
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC	$26.88	$16.13	$7.76 – $23.22
Complete blood count (CBC), automated: rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $22.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $22.85 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $19.61 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $19.61 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $22.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $19.61 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $22.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: I-Stat Inr	$43.39	$26.03	$5.15 – $37.49
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $36.49 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $32.85 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $36.49 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $32.78 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $32.78 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $37.49 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $23.05 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $23.05 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $23.05 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $23.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: I-Stat Inr	$43.39	$26.03	$5.15 – $37.49
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $5.81 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $5.26 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $5.81 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $7.35 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $5.30 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $14.22 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $5.65 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $5.65 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $5.65 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $5.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PT	$16.27	$9.76	$5.15 – $37.49
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $13.68 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $12.32 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $13.68 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $12.29 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $12.29 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $14.06 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $8.64 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $8.64 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $8.64 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $8.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: Ppt - La	$24.92	$14.95	$7.21 – $224.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $20.96 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $18.86 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $20.96 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $18.82 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $18.82 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $21.53 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $13.24 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.24 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.24 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Ppt - La	$24.92	$14.95	$7.21 – $224.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $8.14 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7.37 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $8.14 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $11.23 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $8.09 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $19.92 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $7.92 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $7.92 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $7.92 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $7.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT	$24.92	$14.95	$7.21 – $224.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $20.96 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $18.86 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $20.96 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $18.82 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $18.82 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $21.53 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $13.24 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.24 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.24 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $13.24

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 (hospital stay) In the file: CT Brain No Contr	$596	$357.60	$167.60 – $506.60
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $501.24 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $451.17 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $501.24 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $450.22 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $450.22 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $321.54 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $321.54 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $321.54 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $321.54 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $500.64
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Brain No Contr	$596	$357.60	$167.60 – $506.60
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $264.67 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $239.47 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $264.67 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $311.26 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $311.26 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $427.80 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $427.80 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $427.80 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $427.80 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $167.60
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Brain No Contr	$596	$357.60	$167.60 – $506.60
CT scan of the head or brain, without contrast: rates for 4 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $506.60 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $506.60 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $506.60 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $506.60
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI Brain W & WO Contrast	$2,830	$1,698	$586.27 – $2,405.50
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $2,380.03 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $2,142.31 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $2,380.03 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $2,137.78 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $2,137.78 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,377.20 GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] — CCMC HB AETNA REIMB CONTRACT: $2,380.03 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $2,064.49 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,377.20 HUMANA [100116] — CCMC HB AETNA REIMB CONTRACT: $2,380.03
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain W & WO Contrast	$2,830	$1,698	$586.27 – $2,405.50
MRI of the brain, before and after contrast: rates for 10 insurance plans BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,116.63 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,116.63 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 UNICARE [100148] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,116.63 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 WELLPOINT [100150] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,116.63
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain W & WO Contrast	$2,830	$1,698	$586.27 – $2,405.50
MRI of the brain, before and after contrast: rates for 4 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,405.50 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,405.50 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,405.50 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,405.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC Xr Chest 2 Views	$325	$195	$63.12 – $280.80
Chest X-ray, 2 views: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $273.33 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $246.03 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $273.33 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $245.51 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $245.51 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $280.80 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $175.34 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $175.34 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $175.34 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $175.34
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC Xr Chest 2 Views	$325	$195	$63.12 – $280.80
Chest X-ray, 2 views: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $88.62 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $80.18 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $88.62 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $63.12 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $63.12 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $78.13 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $98.89 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $98.89 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $98.89 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $98.89
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xr Chest 2 Views	$325	$195	$63.12 – $280.80
Chest X-ray, 2 views: rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $276.25 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $276.25 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $237.09 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $237.09 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $276.25 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $237.09 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $276.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: Xr Lumbar Spine 4v Min	$421	$252.60	$127.19 – $363.74
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $354.06 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $318.70 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $354.06 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $318.02 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $318.02 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $363.74 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $227.13 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Lumbar Spine 4v Min	$421	$252.60	$127.19 – $363.74
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $148.14 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $134.03 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $148.14 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $127.19 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $127.19 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $131.47 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $168.62 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $168.62 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $168.62 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $168.62
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Xr Lumbar Spine 4v Min	$421	$252.60	$127.19 – $363.74
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $307.12 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $307.12 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $307.12 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI Spine Lumbar WO Contr	$2,196	$1,317.60	$373.55 – $1,866.60
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,846.84 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,662.37 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,846.84 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,658.86 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,658.86 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $1,844.64 GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] — CCMC HB AETNA REIMB CONTRACT: $1,846.84 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $1,601.98 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $1,844.64 HUMANA [100116] — CCMC HB AETNA REIMB CONTRACT: $1,846.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumbar WO Contr	$2,196	$1,317.60	$373.55 – $1,866.60
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $633.09 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $633.09 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 UNICARE [100148] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $633.09 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 WELLPOINT [100150] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $633.09
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar WO Contr	$2,196	$1,317.60	$373.55 – $1,866.60
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,866.60 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,866.60 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,866.60 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,866.60
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT Pelvis W/ Cont	$2,046	$1,227.60	$280.10 – $1,739.10
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,720.69 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,548.82 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,720.69 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,545.55 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,545.55 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,103.82 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,103.82 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,103.82 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,103.82 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $1,718.64
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W/ Cont	$2,046	$1,227.60	$280.10 – $1,739.10
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $673.72 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $609.56 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $673.72 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $713.17 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $713.17 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,028.38 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,028.38 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,028.38 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,028.38 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $280.10
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis W/ Cont	$2,046	$1,227.60	$280.10 – $1,739.10
CT scan of the pelvis, with contrast: rates for 4 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,739.10 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,739.10 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,739.10 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,739.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI Lower Extremity Joint WO Cont	$1,303	$781.80	$373.55 – $1,107.55
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,095.82 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $986.37 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,095.82 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $984.29 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $984.29 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $1,094.52 GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] — CCMC HB AETNA REIMB CONTRACT: $1,095.82 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $950.54 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $1,094.52 HUMANA [100116] — CCMC HB AETNA REIMB CONTRACT: $1,095.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Lower Extremity Joint WO Cont	$1,303	$781.80	$373.55 – $1,107.55
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $717.71 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $717.71 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 UNICARE [100148] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $717.71 UNITED HEALTH CARE [100104] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $373.55 WELLPOINT [100150] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $717.71
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Lower Extremity Joint WO Cont	$1,303	$781.80	$373.55 – $1,107.55
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,107.55 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,107.55 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,107.55 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,107.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: Enterography	$4,029	$2,417.40	$585.36 – $3,424.65
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $3,388.39 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $3,049.95 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $3,388.39 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $3,043.51 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $3,043.51 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $2,173.65 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,173.65 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,173.65 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,173.65 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $3,384.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT Abd & Pelv W/Contrast	$1,085	$651	$585.36 – $3,424.65
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $912.49 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $821.35 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $912.49 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $819.61 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $819.61 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $585.36 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $585.36 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $585.36 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $585.36 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $911.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Enterography	$4,029	$2,417.40	$585.36 – $3,424.65
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $935.30 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $935.30 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,332.85 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,332.85 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,332.85 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,332.85 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,332.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $586.27
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US Abdomen Complete	$421	$252.60	$167.60 – $388
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $354.06 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $318.70 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $354.06 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $318.02 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $318.02 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $363.74 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $227.13 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Complete	$421	$252.60	$167.60 – $388
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $300.11 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $271.53 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $300.11 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $260.90 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $260.90 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $271.06 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $388 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $388 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $388 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $388
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete	$421	$252.60	$167.60 – $388
Ultrasound of the abdomen, complete: rates for 4 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $357.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 Wks Sngl Fetus	$430	$258	$167.60 – $432.22
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $338.10 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $305.90 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $338.10 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $278.22 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $278.22 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $365.50 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $300.57 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $432.22 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $432.22 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $432.22
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HH US Transvaginl	$421	$252.60	$167.60 – $416.94
Transvaginal ultrasound: 10 of 31 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $354.06 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $318.70 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $354.06 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $318.02 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $318.02 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $363.74 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $227.13 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $227.13
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US Endo Vaginal	$377	$226.20	$167.60 – $416.94
Transvaginal ultrasound: 10 of 31 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $317.06 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $285.39 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $317.06 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $284.79 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $284.79 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $325.73 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $203.39 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $203.39 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $203.39 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $203.39
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HH US Transvaginl	$421	$252.60	$167.60 – $416.94
Transvaginal ultrasound: 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $331.79 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $300.19 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $331.79 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $202.33 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $202.33 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $298.29 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $416.94 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $416.94 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $416.94 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $416.94

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6/>Yrs 4/> Param	$3,316	$1,989.60	$1,432.19 – $8,172
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $2,788.76 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $2,510.21 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $2,788.76 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $2,504.91 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $2,504.91 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,818.60 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,818.60 GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] — CCMC HB AETNA REIMB CONTRACT: $2,788.76 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $2,419.02 HUMANA [100116] — CCMC HB AETNA REIMB CONTRACT: $2,788.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: Polysom 6/>Yrs 4/> Param	$3,316	$1,989.60	$1,432.19 – $8,172
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $2,865.02 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $2,820.26 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,975.78 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,975.78 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,975.78 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,785.44 GREAT WEST HEALTHCARE [100107] — CCMC HB CIGNA REIMB CONTRACT: $2,865.02 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $2,785.44 HEALTH PARTNERS [110229] — CCMC HB CIGNA REIMB CONTRACT: $2,865.02 MVP HEALTH PLAN [100144] — CCMC HB CIGNA REIMB CONTRACT: $2,865.02
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/>Yrs 4/> Param	$3,316	$1,989.60	$1,432.19 – $8,172
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $1,432.19 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $8,172 GREAT WEST HEALTHCARE [100107] — CCMC HB CIGNA REIMB CONTRACT: $1,432.19 HARVARD PILGRIM [1001134] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $8,172 HEALTH PARTNERS [110229] — CCMC HB CIGNA REIMB CONTRACT: $1,432.19 MVP HEALTH PLAN [100144] — CCMC HB CIGNA REIMB CONTRACT: $1,432.19 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $8,172 OXFORD [100103] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $8,172 TUFTS HEALTH PLAN [100114] — CCMC HB CIGNA REIMB CONTRACT: $1,432.19 UMR [100130] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $8,172

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: Therapeutic Exercises Ea 15 Mins	$135	$81	$83.37 – $573
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $101.98 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $101.98 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic Exercises Ea 15 Mins	$135	$81	$83.37 – $573
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $83.37 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $83.37 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic Exercises Ea 15 Mins	$135	$81	$83.37 – $573
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $114.75 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $114.75 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $98.48 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $98.48 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $114.75 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $98.48 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $114.75
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: Pt Eval Low Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $408.67 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $408.67 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt Eval Low Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $230.86 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $230.86 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pt Eval Low Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (low complexity): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $394.66 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $394.66 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $394.66 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: Pt Eval Mod Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $408.67 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $408.67 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt Eval Mod Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $230.86 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $230.86 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pt Eval Mod Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $394.66 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $394.66 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $394.66 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: Pt Eval High Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $408.67 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $408.67 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt Eval High Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $282.44 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $254.20 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $282.44 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $230.86 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $230.86 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $225 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $278 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $278 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $278
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pt Eval High Complex	$541	$324.60	$225 – $532
Physical therapy evaluation (high complexity): rates for 7 insurance plans CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 HARVARD PILGRIM [1001134] — CCMC HB HARVARD REIMB CONTRACT: $394.66 MULTIPLAN [1001126] — CCMC HB HARVARD REIMB CONTRACT: $394.66 MULTIPLAN [1001126] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85 OPTUM BEHAVIORAL HEALTH [100900] — CCMC HB HARVARD REIMB CONTRACT: $394.66 ULTRABENEFITS/COMM [100181] — CCMC HB MULTIPLAN REIMB CONTRACT: $459.85

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Esophagogastroduodenoscopy Transoral Dx	$3,855	$2,313	$2,812.22 – $3,459.48
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $3,242.06 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $2,918.24 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $3,242.06 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $3,276.75 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $2,875.44 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $3,278.68 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $3,459.48 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $3,459.48 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $3,459.48 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $3,276.75
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Egd Biopsy Single/Multiple	$2,061	$1,236.60	$1,503.50 – $1,849.54
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,733.30 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,560.18 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,733.30 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,556.88 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,556.88 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,751.85 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $1,537.30 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,752.88 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,849.54 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,849.54
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HH Egd Biopsy Single/Multiple	$2,061	$1,236.60	$1,503.50 – $1,849.54
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $1,733.30 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,560.18 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $1,733.30 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $1,556.88 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $1,556.88 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $1,751.85 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $1,537.30 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $1,752.88 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,849.54 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $1,849.54
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$3,773	$2,263.80	$2,752.40 – $3,385.89
Colonoscopy (diagnostic): 10 of 25 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $3,173.09 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $2,856.16 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $3,173.09 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $3,207.05 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $2,814.28 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $3,208.94 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $3,385.89 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $3,385.89 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $3,385.89 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $3,207.05
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Colonoscopy W/Biopsy Single/Multiple	$4,958	$2,974.80	$3,616.86 – $6,936
Colonoscopy with biopsy: 10 of 25 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $4,169.68 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $3,753.21 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $4,169.68 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $4,214.30 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $3,698.17 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $4,216.78 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $4,449.31 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $4,449.31 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $4,449.31 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $4,214.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple	$4,958	$2,974.80	$3,616.86 – $6,936
Colonoscopy with biopsy: rates for 4 insurance plans BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $6,936 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $6,936 UNICARE [100148] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $6,936 WELLPOINT [100150] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $6,936
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$4,958	$2,974.80	$3,616.86 – $6,936
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $4,169.68 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $3,753.21 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $4,169.68 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $6,936 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $6,936 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $4,214.30 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $3,698.17 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $4,216.78 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $4,449.31 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $4,449.31
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, Prostate, Ndl or Punch, Any	$551	$330.60	$401.95 – $494.47
Prostate biopsy: 10 of 25 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $463.39 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $417.11 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $463.39 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $468.35 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $410.99 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $468.63 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $494.47 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $494.47 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $494.47 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $468.35
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj Dx or Thrp Sub, Intralamiar Lmbr/Sac W Guid	$2,517	$1,510.20	$1,836.15 – $2,258.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $2,116.80 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $1,905.37 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $2,116.80 CDPHP/COMM [100199] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,139.45 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $1,877.43 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $2,140.71 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,258.76 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,258.76 EMBLEM HEALTH MEDICAID [1001103] — CCMC HB CONNECTICARE REIMB CONTRACT: $2,258.76 GENERIC MULTIPLAN [1001130] — CCMC HB MULTIPLAN REIMB CONTRACT: $2,139.45

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	$326,263.04	$195,757.82	$8,550 – $247,600
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $9,500 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $8,550 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $9,500 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $212,331 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $212,331 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $247,600 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $10,561 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $11,165 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $11,165 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $9,863
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	$149,594.68	$89,756.81	$7,902 – $10,535
Hip or knee replacement (major joint of the leg), without major complications: 10 of 32 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $8,780 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7,902 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $8,780 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $9,119 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $9,119 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $8,345 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $9,588 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $10,535 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $10,535 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $9,776
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$113,514.50	$68,108.70	$7,902 – $70,105
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $8,780 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7,902 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $8,780 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $55,254 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $55,254 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $70,105 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $9,588 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $10,535 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $10,535 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $9,776
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	$44,229.74	$26,537.84	$7,902 – $10,535
Uterus and ovary surgery (not for cancer), without complications: 10 of 32 insurance plan rates 1199 NATIONAL BENEFIT FUND [100134] — CCMC HB AETNA REIMB CONTRACT: $8,780 AETNA [100101] — CCMC HB AETNA MIDDLESEX HOSP CONTRACT: $7,902 AETNA [100101] — CCMC HB AETNA REIMB CONTRACT: $8,780 BLUE CROSS [110001] — CCMC HB BCBS ANTHEM REIMB CONTRACT: $9,119 BLUE CROSS [110001] — CCMC HB BCBS STATE PREF CONTRACT: $9,119 CIGNA [100102] — CCMC HB CIGNA REIMB CONTRACT: $8,345 CONNECTICARE [100105] — CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT: $9,588 CONNECTICARE [100105] — CCMC HB CONNECTICARE REIMB CONTRACT: $10,535 EMBLEM HEALTH COMMERCIAL [1001108] — CCMC HB CONNECTICARE REIMB CONTRACT: $10,535 GOLDEN RULE [100106] — CCMC HB UNITED/OXFORD REIMB CONTRACT: $9,776

Source: Connecticut Childrens Medical Center’s standard charges file (connecticutchildrens.org, 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	Children's Hospital
Address	282 Washington Street, Hartford, CT 06106
County	Hartford County
State	Connecticut
Phone	(860) 545‑9000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	073300
Name in Medicare records	CONNECTICUT CHILDRENS MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Connecticut Children's Medical Center - Hartford
Official website	connecticutchildrens.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Connecticut Children's Medical Center - Hartford — connecticutchildrens.org
Emergency Medicine — connecticutchildrens.org
Parking at the Medical Center — connecticutchildrens.org
Heart Center | Connecticut Children's — connecticutchildrens.org
Adult Congenital Heart Service | Connecticut Children's — connecticutchildrens.org
Level 1 Pediatric Trauma Center | Connecticut Children's — connecticutchildrens.org
Emergency Mental Health Services | Connecticut Children's — connecticutchildrens.org
Neurosurgery | Connecticut Children's — connecticutchildrens.org
Neurosurgery Programs & Services | Connecticut Children's — connecticutchildrens.org
The Center for Cardio-Oncology and Innovation for Cancer Survivors | Connecticut Children's — connecticutchildrens.org
Brain and Spinal Cord Tumors | Neurosurgery | Connecticut Children's — connecticutchildrens.org
Epilepsy Center | Connecticut Children's — connecticutchildrens.org
Pediatric Surgery | Connecticut Children's — connecticutchildrens.org
Pediatric Bariatric Surgery | Connecticut Children's — connecticutchildrens.org
Esophageal Atresia Program | Connecticut Children's — connecticutchildrens.org
Center for Cancer & Blood Disorders | Connecticut Children's — connecticutchildrens.org