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Acute Care Hospital

Covenant Medical Center

Saginaw, Michigan · Saginaw County · Emergency services listed

Summary

Covenant Medical Center is an acute care hospital in Saginaw, Michigan. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 82 services, specialties and programs. Medicare lists 936 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(989) 583‑6000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
936Doctors and clinicians
82Services listed

Quick answers

Does Covenant Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Covenant Medical Center. In a medical emergency, call 911.
Where is Covenant Medical Center?
1447 N Harrison, Saginaw, MI 48602, in Saginaw County, Michigan.
What is the phone number of Covenant Medical Center?
(989) 583-6000, as listed by Medicare (CMS).
What is the Medicare star rating of Covenant Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][6][7][8][9]

Conditions treated[5][7][9]

Treatments[5][7][9]

Procedures[7]

Programs and centers[5][7][9]

  • Covenant Center for the Heart
  • Structural Heart Disease Program
  • Heart Failure Center
  • Cardiac Rehabilitation and Wellness
  • Covenant Stroke Program
  • Level II Adult and Pediatric Trauma Center
  • Pediatric Emergency Care Center
  • Senior Emergency Care Center
  • Regional Neonatal Intensive Care Unit (RNICU)

Visiting and practical information

VisitingGeneral visiting 8 a.m.-8 p.m.; up to two visitors per inpatient; specialty units may differ. Policy updated June 2025[10]
ParkingFree valet parking at the Emergency Care Center (900 Cooper Ave); the site has a parking map page[5]
Patient portalMyChart

Recognition[5][7][9]

  • Verified Level II Trauma Center, adult and pediatric
  • Accredited Geriatric Emergency Department (ACEP)
  • Primary Stroke Center certification (ACHC)
  • AHA Get With The Guidelines-Stroke Gold Plus
  • AHA Target: Stroke Honor Roll Elite Plus
  • AHA Target: Type 2 Diabetes Honor Roll
  • Corazon Accreditation for Percutaneous Coronary Intervention
  • IAC accreditation: Nuclear Cardiology, Echocardiography, Vascular Testing
  • Member, Children's Hospital Association

Doctors and clinicians (936)

936 doctors and other clinicians list Covenant 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

Doctors with a page on this site (936)

And 912 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Covenant 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.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean63%National average: 74%
Area around the room “always” quiet at night41%National average: 60%
Completed surveys985Response rate: 24%

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)0.998No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.413Better than the national benchmark
Surgical site infections after colon surgery0.854No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.585No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.3Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients13.1%
Deaths within 30 days: heart failure patients10.8%
Deaths within 30 days: pneumonia patients16.1%
Deaths within 30 days: COPD patients11.5%
Deaths within 30 days: stroke patients12.6%
Deaths within 30 days: coronary bypass surgery (CABG)2.7%
Serious complications (patient safety indicator PSI-90)1.28No different from the national rate
Complications after hip or knee replacement4.5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.8%
Readmitted within 30 days: heart failure21.7%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD20.2%
Readmitted within 30 days: coronary bypass surgery8.5%
Readmitted within 30 days: hip or knee replacement6.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)198 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)7%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)83%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

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 SaginawBest hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Covenant 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PT WOUNDCARE LEVEL3 $180 $126 $59.18 – $262.52
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $113.15
  • Aetna/Aetna Select — Commercial: $132.30
  • Blue Care Network — Commercial: $154.73
  • Blue Care Network — Medicare Advantage: $113.15
  • Blue Cross Anthem — Commercial: $115.21
  • Blue Cross Blue Shield Traditional — Commercial: $154.73
  • Blue Cross Trust — Commercial: $115.21
  • Cigna — Commercial: $99
  • Health Advantage McLaren Employee — Commercial: $99
  • Health Alliance Plan of Michigan — HMO: $198.01
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PT NINAN LEVEL3 $180 $126 $59.18 – $262.52
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $113.15
  • Aetna/Aetna Select — Commercial: $132.30
  • Blue Care Network — Commercial: $115.21
  • Blue Care Network — Medicare Advantage: $113.15
  • Blue Cross Anthem — Commercial: $154.73
  • Blue Cross Blue Shield Traditional — Commercial: $154.73
  • Blue Cross Trust — Commercial: $115.21
  • Cigna — Commercial: $99
  • Health Advantage McLaren Employee — Commercial: $99
  • Health Alliance Plan of Michigan — HMO: $198.01
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient New Low Mdm 30 Minutes $150 $105 $67.50 – $135
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $71.06
  • Aetna/Aetna Select — Commercial: $111.23
  • Health Advantage McLaren Employee — Commercial: $67.50
  • Health Alliance Plan of Michigan — HMO: $74.61
  • Health Alliance Plan of Michigan — Medicare Advantage: $71.06
  • Health Alliance Plan of Michigan — PPO: $74.61
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $71.06
  • Healthy Michigan McLaren — Managed Medicaid: $71.06
  • Healthy Michigan Meridian — Managed Medicaid: $71.06
  • Healthy Michigan Molina — Managed Medicaid: $71.06
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PT WOUNDCARE LEVEL4 $353 $247.10 $71.14 – $330.45
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $171.22
  • Aetna/Aetna Select — Commercial: $259.46
  • Blue Care Network — Commercial: $154.12
  • Blue Care Network — Medicare Advantage: $171.22
  • Blue Cross Anthem — Commercial: $154.12
  • Blue Cross Blue Shield Traditional — Commercial: $154.12
  • Blue Cross Trust — Commercial: $154.12
  • Cigna — Commercial: $194.15
  • Health Advantage McLaren Employee — Commercial: $194.15
  • Health Alliance Plan of Michigan — HMO: $299.63
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PT NINAN LEVEL4 $353 $247.10 $71.14 – $330.45
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $171.22
  • Aetna/Aetna Select — Commercial: $259.46
  • Blue Care Network — Commercial: $154.12
  • Blue Care Network — Medicare Advantage: $171.22
  • Blue Cross Anthem — Commercial: $154.73
  • Blue Cross Blue Shield Traditional — Commercial: $154.73
  • Blue Cross Trust — Commercial: $154.73
  • Cigna — Commercial: $194.15
  • Health Advantage McLaren Employee — Commercial: $194.15
  • Health Alliance Plan of Michigan — HMO: $299.63
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient New Moderate Mdm 45 Minutes $227 $158.90 $102.15 – $204.30
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $171.22
  • Aetna/Aetna Select — Commercial: $169.95
  • Health Advantage McLaren Employee — Commercial: $102.15
  • Health Alliance Plan of Michigan — HMO: $179.78
  • Health Alliance Plan of Michigan — Medicare Advantage: $171.22
  • Health Alliance Plan of Michigan — PPO: $179.78
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $171.22
  • Healthy Michigan McLaren — Managed Medicaid: $171.22
  • Healthy Michigan Meridian — Managed Medicaid: $171.22
  • Healthy Michigan Molina — Managed Medicaid: $171.22
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PT NINAN LEVEL5 $260 $182 $71.14 – $441.93
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $228.98
  • Aetna/Aetna Select — Commercial: $191.10
  • Blue Care Network — Commercial: $186.79
  • Blue Care Network — Medicare Advantage: $228.98
  • Blue Cross Anthem — Commercial: $186.79
  • Blue Cross Blue Shield Traditional — Commercial: $154.73
  • Blue Cross Trust — Commercial: $154.73
  • Cigna — Commercial: $143
  • Health Advantage McLaren Employee — Commercial: $143
  • Health Alliance Plan of Michigan — HMO: $400.71
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PT WOUNDCARE LEVEL5 $260 $182 $71.14 – $441.93
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $228.98
  • Aetna/Aetna Select — Commercial: $191.10
  • Blue Care Network — Commercial: $186.79
  • Blue Care Network — Medicare Advantage: $136.02
  • Blue Cross Anthem — Commercial: $186.79
  • Blue Cross Blue Shield Traditional — Commercial: $186.79
  • Blue Cross Trust — Commercial: $186.79
  • Cigna — Commercial: $143
  • Health Advantage McLaren Employee — Commercial: $143
  • Health Alliance Plan of Michigan — HMO: $400.71
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient New High Mdm 60 Minutes $270 $189 $121.50 – $243
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $228.98
  • Aetna/Aetna Select — Commercial: $210.94
  • Health Advantage McLaren Employee — Commercial: $121.50
  • Health Alliance Plan of Michigan — HMO: $240.43
  • Health Alliance Plan of Michigan — Medicare Advantage: $228.98
  • Health Alliance Plan of Michigan — PPO: $240.43
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $228.98
  • Healthy Michigan McLaren — Managed Medicaid: $228.98
  • Healthy Michigan Meridian — Managed Medicaid: $228.98
  • Healthy Michigan Molina — Managed Medicaid: $228.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ESTABLISHED PT NINAN LEVEL 3 $179 $125.30 $47.77 – $262.52
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $91.34
  • Aetna/Aetna Select — Commercial: $131.57
  • Blue Care Network — Commercial: $86.63
  • Blue Care Network — Medicare Advantage: $91.34
  • Blue Cross Anthem — Commercial: $86.63
  • Blue Cross Blue Shield Traditional — Commercial: $86.63
  • Blue Cross Trust — Commercial: $86.63
  • Cigna — Commercial: $98.45
  • Health Advantage McLaren Employee — Commercial: $98.45
  • Health Alliance Plan of Michigan — HMO: $159.84
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG DAC LEVEL III $179 $125.30 $47.77 – $262.52
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $91.34
  • Aetna/Aetna Select — Commercial: $131.57
  • Blue Care Network — Commercial: $86.63
  • Blue Care Network — Medicare Advantage: $136.02
  • Blue Cross Anthem — Commercial: $86.63
  • Blue Cross Blue Shield Traditional — Commercial: $86.63
  • Blue Cross Trust — Commercial: $86.63
  • Cigna — Commercial: $98.45
  • Health Advantage McLaren Employee — Commercial: $98.45
  • Health Alliance Plan of Michigan — HMO: $159.84
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient Established Low Mdm 20 Min $214 $149.80 $43 – $192.60
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $91.34
  • Aetna/Aetna Select — Commercial: $75.37
  • Health Advantage McLaren Employee — Commercial: $96.30
  • Health Alliance Plan of Michigan — HMO: $95.91
  • Health Alliance Plan of Michigan — Medicare Advantage: $91.34
  • Health Alliance Plan of Michigan — PPO: $95.91
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $91.34
  • Healthy Michigan McLaren — Managed Medicaid: $91.34
  • Healthy Michigan Meridian — Managed Medicaid: $91.34
  • Healthy Michigan Molina — Managed Medicaid: $91.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG DAC LEVEL IV $305 $213.50 $68.20 – $274.50
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $130.40
  • Aetna/Aetna Select — Commercial: $224.18
  • Blue Care Network — Commercial: $118.51
  • Blue Care Network — Medicare Advantage: $130.40
  • Blue Cross Anthem — Commercial: $118.51
  • Blue Cross Blue Shield Traditional — Commercial: $118.51
  • Blue Cross Trust — Commercial: $118.51
  • Cigna — Commercial: $167.75
  • Health Advantage McLaren Employee — Commercial: $167.75
  • Health Alliance Plan of Michigan — HMO: $228.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ESTABLISHED PT NINAN LEVEL 4 $305 $213.50 $68.20 – $274.50
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $130.40
  • Aetna/Aetna Select — Commercial: $224.18
  • Blue Care Network — Commercial: $118.51
  • Blue Care Network — Medicare Advantage: $130.40
  • Blue Cross Anthem — Commercial: $118.51
  • Blue Cross Blue Shield Traditional — Commercial: $118.51
  • Blue Cross Trust — Commercial: $118.51
  • Cigna — Commercial: $167.75
  • Health Advantage McLaren Employee — Commercial: $167.75
  • Health Alliance Plan of Michigan — HMO: $228.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient Established Mod Mdm 30 Min $150 $105 $67.50 – $135
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $83.74
  • Aetna/Aetna Select — Commercial: $110.68
  • Health Advantage McLaren Employee — Commercial: $67.50
  • Health Alliance Plan of Michigan — HMO: $87.93
  • Health Alliance Plan of Michigan — Medicare Advantage: $83.74
  • Health Alliance Plan of Michigan — PPO: $87.93
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $83.74
  • Healthy Michigan McLaren — Managed Medicaid: $83.74
  • Healthy Michigan Meridian — Managed Medicaid: $83.74
  • Healthy Michigan Molina — Managed Medicaid: $83.74
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $139 $97.30 $62.55 – $161.61
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Health Advantage McLaren Employee — Commercial: $62.55
  • Health Alliance Plan of Michigan — HMO: $161.61
  • Health Alliance Plan of Michigan — PPO: $161.61
  • Humana — Commercial: $104.25
  • McLaren Health Advantage — Commercial: $62.55
  • Meritain Health — Commercial: $106.34
  • Multiplan — Commercial: $125.10
  • Physicians Health Plan — Commercial: $76.45
  • Priority Health — PPO: $76.45
  • Priority Health E — Commercial: $63.94
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $56.90 – $209.97
Office consultation with a specialist (moderate): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $108.79
  • Blue Care Network — Medicare Advantage: $108.79
  • Health Alliance Plan of Michigan — HMO: $190.39
  • Health Alliance Plan of Michigan — Medicare Advantage: $108.79
  • Health Alliance Plan of Michigan — PPO: $209.97
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $56.90
  • Healthy Michigan McLaren — Managed Medicaid: $56.90
  • Healthy Michigan Meridian — Managed Medicaid: $56.90
  • Healthy Michigan Molina — Managed Medicaid: $56.90
  • Healthy Michigan Priority Health — Managed Medicaid: $56.90
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee · modifier 3 In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $140.07
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Blue Care Network — Commercial: $140.07
  • Blue Care Network — Medicare Advantage: $140.07
  • Blue Cross Anthem — Commercial: $140.07
  • Blue Cross Blue Shield Traditional — Commercial: $140.07
  • Blue Cross Trust — Commercial: $140.07
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $216 $151.20 $97.20 – $237.17
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
  • Health Advantage McLaren Employee — Commercial: $97.20
  • Health Alliance Plan of Michigan — HMO: $237.17
  • Health Alliance Plan of Michigan — PPO: $237.17
  • Humana — Commercial: $162
  • McLaren Health Advantage — Commercial: $97.20
  • Meritain Health — Commercial: $165.24
  • Multiplan — Commercial: $194.40
  • Physicians Health Plan — Commercial: $118.80
  • Priority Health — PPO: $118.80
  • Priority Health E — Commercial: $99.36
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $81.60 – $301.14
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $156.03
  • Blue Care Network — Medicare Advantage: $156.03
  • Health Alliance Plan of Michigan — HMO: $273.05
  • Health Alliance Plan of Michigan — Medicare Advantage: $156.03
  • Health Alliance Plan of Michigan — PPO: $301.14
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $81.60
  • Healthy Michigan McLaren — Managed Medicaid: $81.60
  • Healthy Michigan Meridian — Managed Medicaid: $81.60
  • Healthy Michigan Molina — Managed Medicaid: $81.60
  • Healthy Michigan Priority Health — Managed Medicaid: $81.60
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee · modifier 3 In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $212.51
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Blue Care Network — Commercial: $212.51
  • Blue Care Network — Medicare Advantage: $212.51
  • Blue Cross Anthem — Commercial: $212.51
  • Blue Cross Blue Shield Traditional — Commercial: $212.51
  • Blue Cross Trust — Commercial: $212.51
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: Initial Preventive Medicine New Pt Age 18-39yrs $170 $119 $76.50 – $170.95
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $151.85
  • Health Advantage McLaren Employee — Commercial: $76.50
  • Health Alliance Plan of Michigan — HMO: $170.95
  • Health Alliance Plan of Michigan — PPO: $170.95
  • Humana — Commercial: $127.50
  • McLaren Health Advantage — Commercial: $91
  • Meritain Health — Commercial: $130.05
  • Multiplan — Commercial: $153
  • Physicians Health Plan — Commercial: $93.50
  • Priority Health — PPO: $93.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $67.64 – $249.63
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $129.34
  • Blue Care Network — Commercial: $144.43
  • Blue Care Network — Medicare Advantage: $129.34
  • Blue Cross Anthem — Commercial: $144.43
  • Blue Cross Blue Shield Traditional — Commercial: $144.43
  • Blue Cross Trust — Commercial: $144.43
  • Health Alliance Plan of Michigan — HMO: $226.34
  • Health Alliance Plan of Michigan — Medicare Advantage: $129.34
  • Health Alliance Plan of Michigan — PPO: $249.63
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $67.64
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 1 In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $151.52
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Blue Care Network — Commercial: $151.52
  • Blue Care Network — Medicare Advantage: $151.52
  • Blue Cross Anthem — Commercial: $151.52
  • Blue Cross Blue Shield Traditional — Commercial: $151.52
  • Blue Cross Trust — Commercial: $151.52
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: Initial Preventive Medicine New Patient 40-64yrs $203 $142.10 $91.35 – $198.11
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $176.02
  • Health Advantage McLaren Employee — Commercial: $91.35
  • Health Alliance Plan of Michigan — HMO: $198.11
  • Health Alliance Plan of Michigan — PPO: $198.11
  • Humana — Commercial: $152.25
  • McLaren Health Advantage — Commercial: $112
  • Meritain Health — Commercial: $155.30
  • Multiplan — Commercial: $182.70
  • Physicians Health Plan — Commercial: $111.65
  • Priority Health — PPO: $111.65
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $78.43 – $289.42
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $149.96
  • Blue Care Network — Commercial: $156.93
  • Blue Care Network — Medicare Advantage: $149.96
  • Blue Cross Anthem — Commercial: $156.93
  • Blue Cross Blue Shield Traditional — Commercial: $156.93
  • Blue Cross Trust — Commercial: $156.93
  • Health Alliance Plan of Michigan — HMO: $262.43
  • Health Alliance Plan of Michigan — Medicare Advantage: $149.96
  • Health Alliance Plan of Michigan — PPO: $289.42
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $78.43
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 1 In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $174.44
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • Blue Care Network — Commercial: $174.44
  • Blue Care Network — Medicare Advantage: $174.44
  • Blue Cross Anthem — Commercial: $174.44
  • Blue Cross Blue Shield Traditional — Commercial: $174.44
  • Blue Cross Trust — Commercial: $174.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OB ER LEVEL 3 $581 $406.70 $145.86 – $538.26
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $278.89
  • Aetna/Aetna Select — Commercial: $427.04
  • Blue Care Network — Commercial: $329.43
  • Blue Care Network — Medicare Advantage: $278.89
  • Blue Cross Anthem — Commercial: $329.43
  • Blue Cross Blue Shield Traditional — Commercial: $329.43
  • Blue Cross Trust — Commercial: $329.43
  • Cigna — Commercial: $319.55
  • Health Advantage McLaren Employee — Commercial: $319.55
  • Health Alliance Plan of Michigan — HMO: $488.06
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 3/MODERATE $608 $425.60 $145.86 – $547.20
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $278.89
  • Aetna/Aetna Select — Commercial: $446.88
  • Blue Care Network — Commercial: $329.43
  • Blue Care Network — Medicare Advantage: $278.89
  • Blue Cross Anthem — Commercial: $329.43
  • Blue Cross Blue Shield Traditional — Commercial: $329.43
  • Blue Cross Trust — Commercial: $329.43
  • Cigna — Commercial: $334.40
  • Health Advantage McLaren Employee — Commercial: $334.40
  • Health Alliance Plan of Michigan — HMO: $488.06
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Department Visit Low Mdm $240 $168 $69.52 – $216
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $69.52
  • Aetna/Aetna Select — Commercial: $78.16
  • Health Advantage McLaren Employee — Commercial: $108
  • Health Alliance Plan of Michigan — HMO: $73
  • Health Alliance Plan of Michigan — Medicare Advantage: $69.52
  • Health Alliance Plan of Michigan — PPO: $73
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $69.52
  • Healthy Michigan McLaren — Managed Medicaid: $69.52
  • Healthy Michigan Meridian — Managed Medicaid: $69.52
  • Healthy Michigan Molina — Managed Medicaid: $69.52
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OB ER LEVEL 4 $1,014 $709.80 $222.95 – $912.60
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $426.30
  • Aetna/Aetna Select — Commercial: $745.29
  • Blue Care Network — Commercial: $565.20
  • Blue Care Network — Medicare Advantage: $426.30
  • Blue Cross Anthem — Commercial: $565.20
  • Blue Cross Blue Shield Traditional — Commercial: $565.20
  • Blue Cross Trust — Commercial: $565.20
  • Cigna — Commercial: $557.70
  • Health Advantage McLaren Employee — Commercial: $557.70
  • Health Alliance Plan of Michigan — HMO: $746.03
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 4/INTERMEDIATE $1,017 $711.90 $222.95 – $915.30
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $426.30
  • Aetna/Aetna Select — Commercial: $747.50
  • Blue Care Network — Commercial: $565.20
  • Blue Care Network — Medicare Advantage: $426.30
  • Blue Cross Anthem — Commercial: $565.20
  • Blue Cross Blue Shield Traditional — Commercial: $565.20
  • Blue Cross Trust — Commercial: $565.20
  • Cigna — Commercial: $559.35
  • Health Advantage McLaren Employee — Commercial: $559.35
  • Health Alliance Plan of Michigan — HMO: $746.03
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Department Visit Moderate Mdm $380 $266 $118.44 – $342
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $118.44
  • Aetna/Aetna Select — Commercial: $149.09
  • Health Advantage McLaren Employee — Commercial: $171
  • Health Alliance Plan of Michigan — HMO: $124.36
  • Health Alliance Plan of Michigan — Medicare Advantage: $118.44
  • Health Alliance Plan of Michigan — PPO: $124.36
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $118.44
  • Healthy Michigan McLaren — Managed Medicaid: $118.44
  • Healthy Michigan Meridian — Managed Medicaid: $118.44
  • Healthy Michigan Molina — Managed Medicaid: $118.44
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OB ER LEVEL 5 $1,380 $966 $318.21 – $1,242
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $608.43
  • Aetna/Aetna Select — Commercial: $1,014.30
  • Blue Care Network — Commercial: $815.58
  • Blue Care Network — Medicare Advantage: $608.43
  • Blue Cross Anthem — Commercial: $815.58
  • Blue Cross Blue Shield Traditional — Commercial: $815.58
  • Blue Cross Trust — Commercial: $815.58
  • Cigna — Commercial: $759
  • Health Advantage McLaren Employee — Commercial: $759
  • Health Alliance Plan of Michigan — HMO: $1,064.75
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 5/EXTENDED-SIGNIFICANT $1,380 $966 $318.21 – $1,242
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $608.43
  • Aetna/Aetna Select — Commercial: $1,014.30
  • Blue Care Network — Commercial: $815.58
  • Blue Care Network — Medicare Advantage: $608.43
  • Blue Cross Anthem — Commercial: $815.58
  • Blue Cross Blue Shield Traditional — Commercial: $815.58
  • Blue Cross Trust — Commercial: $815.58
  • Cigna — Commercial: $759
  • Health Advantage McLaren Employee — Commercial: $759
  • Health Alliance Plan of Michigan — HMO: $1,064.75
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Department Visit High Mdm $500 $350 $171.53 – $450
Emergency room visit (high): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $171.53
  • Aetna/Aetna Select — Commercial: $219.12
  • Health Advantage McLaren Employee — Commercial: $225
  • Health Alliance Plan of Michigan — HMO: $180.11
  • Health Alliance Plan of Michigan — Medicare Advantage: $171.53
  • Health Alliance Plan of Michigan — PPO: $180.11
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $171.53
  • Healthy Michigan McLaren — Managed Medicaid: $171.53
  • Healthy Michigan Meridian — Managed Medicaid: $171.53
  • Healthy Michigan Molina — Managed Medicaid: $171.53

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC NEONATAL $146 $102.20 $4.42 – $131.40
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Aetna/Aetna Select — Commercial: $107.31
  • Blue Care Network — Commercial: $10.77
  • Blue Care Network — Medicare Advantage: $8.46
  • Blue Cross Anthem — Commercial: $10.77
  • Blue Cross Blue Shield Traditional — Commercial: $10.77
  • Blue Cross Trust — Commercial: $10.77
  • Cigna — Commercial: $80.30
  • Health Advantage McLaren Employee — Commercial: $80.30
  • Health Alliance Plan of Michigan — HMO: $14.81
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC PANEL $126 $88.20 $4.42 – $113.40
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Aetna/Aetna Select — Commercial: $92.61
  • Blue Care Network — Commercial: $10.77
  • Blue Care Network — Medicare Advantage: $8.46
  • Blue Cross Anthem — Commercial: $10.77
  • Blue Cross Blue Shield Traditional — Commercial: $10.77
  • Blue Cross Trust — Commercial: $10.77
  • Cigna — Commercial: $69.30
  • Health Advantage McLaren Employee — Commercial: $69.30
  • Health Alliance Plan of Michigan — HMO: $14.81
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: Basic Metabolic Panel Calcium Total $16 $11.20 $7.20 – $15.20
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $7.90
  • Health Advantage McLaren Employee — Commercial: $7.20
  • Health Alliance Plan of Michigan — HMO: $15.20
  • Health Alliance Plan of Michigan — PPO: $15.20
  • Humana — Commercial: $12
  • McLaren Health Advantage — Commercial: $12.16
  • Meritain Health — Commercial: $12.24
  • Multiplan — Commercial: $14.40
  • Physicians Health Plan — Commercial: $8.80
  • Priority Health — PPO: $8.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANEL $162 $113.40 $5.52 – $145.80
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Aetna/Aetna Select — Commercial: $119.07
  • Blue Care Network — Commercial: $18.84
  • Blue Care Network — Medicare Advantage: $10.56
  • Blue Cross Anthem — Commercial: $18.84
  • Blue Cross Blue Shield Traditional — Commercial: $18.84
  • Blue Cross Trust — Commercial: $18.84
  • Cigna — Commercial: $89.10
  • Health Advantage McLaren Employee — Commercial: $89.10
  • Health Alliance Plan of Michigan — HMO: $18.48
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: Comprehensive Metabolic Panel $28 $19.60 $12.60 – $25.20
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $13.82
  • Health Advantage McLaren Employee — Commercial: $12.60
  • Health Alliance Plan of Michigan — HMO: $18.72
  • Health Alliance Plan of Michigan — PPO: $18.72
  • Humana — Commercial: $21
  • McLaren Health Advantage — Commercial: $21.26
  • Meritain Health — Commercial: $21.42
  • Multiplan — Commercial: $25.20
  • Physicians Health Plan — Commercial: $15.40
  • Priority Health — PPO: $15.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANEL $162 $113.40 $72.90 – $145.80
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $119.07
  • Cigna — Commercial: $89.10
  • Health Advantage McLaren Employee — Commercial: $89.10
  • Humana — Commercial: $121.50
  • McLaren Health Advantage — Commercial: $72.90
  • Meritain Health — Commercial: $123.93
  • Multiplan — Commercial: $145.80
  • Physicians Health Plan — Commercial: $89.10
  • Priority Health — PPO: $89.10
  • Priority Health E — Commercial: $74.52
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COV OB PANEL 80055 $415 $290.50 $25 – $373.50
Obstetric blood test panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Aetna/Aetna Select — Commercial: $305.03
  • Blue Care Network — Commercial: $53.69
  • Blue Care Network — Medicare Advantage: $47.81
  • Blue Cross Anthem — Commercial: $53.69
  • Blue Cross Blue Shield Traditional — Commercial: $53.69
  • Blue Cross Trust — Commercial: $53.69
  • Cigna — Commercial: $228.25
  • Health Advantage McLaren Employee — Commercial: $228.25
  • Health Alliance Plan of Michigan — HMO: $83.67
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PRENATAL PANEL WITH HIV $627 $438.90 $25 – $564.30
Obstetric blood test panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Aetna/Aetna Select — Commercial: $460.85
  • Blue Care Network — Commercial: $53.69
  • Blue Care Network — Medicare Advantage: $47.81
  • Blue Cross Anthem — Commercial: $53.69
  • Blue Cross Blue Shield Traditional — Commercial: $53.69
  • Blue Cross Trust — Commercial: $53.69
  • Cigna — Commercial: $344.85
  • Health Advantage McLaren Employee — Commercial: $344.85
  • Health Alliance Plan of Michigan — HMO: $83.67
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: Obstetric Panel $85 $59.50 $38.25 – $76.50
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $42.05
  • Health Advantage McLaren Employee — Commercial: $38.25
  • Health Alliance Plan of Michigan — HMO: $74.68
  • Health Alliance Plan of Michigan — PPO: $74.68
  • Humana — Commercial: $63.75
  • McLaren Health Advantage — Commercial: $64.71
  • Meritain Health — Commercial: $65.03
  • Multiplan — Commercial: $76.50
  • Physicians Health Plan — Commercial: $46.75
  • Priority Health — PPO: $46.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL $145 $101.50 $7 – $130.50
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Aetna/Aetna Select — Commercial: $106.58
  • Blue Care Network — Commercial: $14.37
  • Blue Care Network — Medicare Advantage: $13.39
  • Blue Cross Anthem — Commercial: $14.37
  • Blue Cross Blue Shield Traditional — Commercial: $14.37
  • Blue Cross Trust — Commercial: $14.37
  • Cigna — Commercial: $79.75
  • Health Advantage McLaren Employee — Commercial: $79.75
  • Health Alliance Plan of Michigan — HMO: $23.43
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NMR LIPOPROFILE LIPID PROFILE $32 $22.40 $7 – $28.80
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Aetna/Aetna Select — Commercial: $23.52
  • Blue Care Network — Commercial: $14.37
  • Blue Care Network — Medicare Advantage: $13.39
  • Blue Cross Anthem — Commercial: $14.37
  • Blue Cross Blue Shield Traditional — Commercial: $14.37
  • Blue Cross Trust — Commercial: $14.37
  • Cigna — Commercial: $17.60
  • Health Advantage McLaren Employee — Commercial: $17.60
  • Health Alliance Plan of Michigan — HMO: $23.43
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL - REFERENCE LAB $25.70 $17.99 $7 – $25.84
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Aetna/Aetna Select — Commercial: $18.89
  • Blue Care Network — Commercial: $14.37
  • Blue Care Network — Medicare Advantage: $13.39
  • Blue Cross Anthem — Commercial: $14.37
  • Blue Cross Blue Shield Traditional — Commercial: $14.37
  • Blue Cross Trust — Commercial: $14.37
  • Cigna — Commercial: $14.14
  • Health Advantage McLaren Employee — Commercial: $14.14
  • Health Alliance Plan of Michigan — HMO: $23.43
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL $113 $79.10 $4.54 – $101.70
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.68
  • Aetna/Aetna Select — Commercial: $83.06
  • Blue Care Network — Commercial: $13.45
  • Blue Care Network — Medicare Advantage: $8.68
  • Blue Cross Anthem — Commercial: $13.45
  • Blue Cross Blue Shield Traditional — Commercial: $13.45
  • Blue Cross Trust — Commercial: $13.45
  • Cigna — Commercial: $62.15
  • Health Advantage McLaren Employee — Commercial: $62.15
  • Health Alliance Plan of Michigan — HMO: $15.19
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: Renal Function Panel $20 $14 $9 – $18
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $9.86
  • Health Advantage McLaren Employee — Commercial: $9
  • Health Alliance Plan of Michigan — HMO: $15.61
  • Health Alliance Plan of Michigan — PPO: $15.61
  • Humana — Commercial: $15
  • McLaren Health Advantage — Commercial: $15.19
  • Meritain Health — Commercial: $15.30
  • Multiplan — Commercial: $18
  • Physicians Health Plan — Commercial: $11
  • Priority Health — PPO: $11
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL $113 $79.10 $50.85 – $101.70
Kidney function panel: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $83.06
  • Cigna — Commercial: $62.15
  • Health Advantage McLaren Employee — Commercial: $62.15
  • Humana — Commercial: $84.75
  • McLaren Health Advantage — Commercial: $50.85
  • Meritain Health — Commercial: $86.45
  • Multiplan — Commercial: $101.70
  • Physicians Health Plan — Commercial: $62.15
  • Priority Health — PPO: $62.15
  • Priority Health E — Commercial: $51.98
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL $98 $68.60 $4.27 – $88.20
Liver function panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Aetna/Aetna Select — Commercial: $72.03
  • Blue Care Network — Commercial: $9.42
  • Blue Care Network — Medicare Advantage: $8.17
  • Blue Cross Anthem — Commercial: $9.42
  • Blue Cross Blue Shield Traditional — Commercial: $9.42
  • Blue Cross Trust — Commercial: $9.42
  • Cigna — Commercial: $53.90
  • Health Advantage McLaren Employee — Commercial: $53.90
  • Health Alliance Plan of Michigan — HMO: $14.30
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: Hepatic Function Panel $14 $9.80 $6.30 – $12.60
Liver function panel: 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $6.91
  • Health Advantage McLaren Employee — Commercial: $6.30
  • Health Alliance Plan of Michigan — HMO: $8.25
  • Health Alliance Plan of Michigan — PPO: $8.25
  • Humana — Commercial: $10.50
  • McLaren Health Advantage — Commercial: $10.63
  • Meritain Health — Commercial: $10.71
  • Multiplan — Commercial: $12.60
  • Physicians Health Plan — Commercial: $7.70
  • Priority Health — PPO: $7.70
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL $98 $68.60 $44.10 – $88.20
Liver function panel: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $72.03
  • Cigna — Commercial: $53.90
  • Health Advantage McLaren Employee — Commercial: $53.90
  • Humana — Commercial: $73.50
  • McLaren Health Advantage — Commercial: $44.10
  • Meritain Health — Commercial: $74.97
  • Multiplan — Commercial: $88.20
  • Physicians Health Plan — Commercial: $53.90
  • Priority Health — PPO: $53.90
  • Priority Health E — Commercial: $45.08
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BILL UA AUTO WITH MICRO $50 $35 $1.66 – $45
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Aetna/Aetna Select — Commercial: $36.75
  • Blue Care Network — Commercial: $2.95
  • Blue Care Network — Medicare Advantage: $3.17
  • Blue Cross Anthem — Commercial: $2.95
  • Blue Cross Blue Shield Traditional — Commercial: $2.95
  • Blue Cross Trust — Commercial: $2.95
  • Cigna — Commercial: $27.50
  • Health Advantage McLaren Employee — Commercial: $27.50
  • Health Alliance Plan of Michigan — HMO: $5.55
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: Urnls Dip Stick/Tablet Reagent Auto Microscopy $10 $7 $3.93 – $9
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $3.93
  • Health Advantage McLaren Employee — Commercial: $4.50
  • Health Alliance Plan of Michigan — HMO: $5.68
  • Health Alliance Plan of Michigan — PPO: $5.68
  • Humana — Commercial: $7.50
  • McLaren Health Advantage — Commercial: $4.34
  • Meritain Health — Commercial: $7.65
  • Multiplan — Commercial: $9
  • Physicians Health Plan — Commercial: $5.50
  • Priority Health — PPO: $5.50
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG BILL UA AUTO WITH MICRO $50 $35 $22.50 – $45
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $36.75
  • Cigna — Commercial: $27.50
  • Health Advantage McLaren Employee — Commercial: $27.50
  • Humana — Commercial: $37.50
  • McLaren Health Advantage — Commercial: $22.50
  • Meritain Health — Commercial: $38.25
  • Multiplan — Commercial: $45
  • Physicians Health Plan — Commercial: $27.50
  • Priority Health — PPO: $27.50
  • Priority Health E — Commercial: $23
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG SPECIFIC GRAVITY, UR $32 $22.40 $1.82 – $28.80
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $3.48
  • Aetna/Aetna Select — Commercial: $23.52
  • Blue Care Network — Commercial: $3.24
  • Blue Care Network — Medicare Advantage: $3.48
  • Blue Cross Anthem — Commercial: $3.24
  • Blue Cross Blue Shield Traditional — Commercial: $3.24
  • Blue Cross Trust — Commercial: $3.24
  • Cigna — Commercial: $17.60
  • Health Advantage McLaren Employee — Commercial: $17.60
  • Health Alliance Plan of Michigan — HMO: $6.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $10 $7 $3.18 – $9
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $3.18
  • Health Advantage McLaren Employee — Commercial: $4.50
  • Health Alliance Plan of Michigan — HMO: $4.59
  • Health Alliance Plan of Michigan — PPO: $4.59
  • Humana — Commercial: $7.50
  • McLaren Health Advantage — Commercial: $3.50
  • Meritain Health — Commercial: $7.65
  • Multiplan — Commercial: $9
  • Physicians Health Plan — Commercial: $5.50
  • Priority Health — PPO: $5.50
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG SPECIFIC GRAVITY, UR $32 $22.40 $14.40 – $28.80
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $23.52
  • Cigna — Commercial: $17.60
  • Health Advantage McLaren Employee — Commercial: $17.60
  • Humana — Commercial: $24
  • McLaren Health Advantage — Commercial: $14.40
  • Meritain Health — Commercial: $24.48
  • Multiplan — Commercial: $28.80
  • Physicians Health Plan — Commercial: $17.60
  • Priority Health — PPO: $17.60
  • Priority Health E — Commercial: $14.72
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PH, URINE $44 $30.80 $1.18 – $39.60
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Aetna/Aetna Select — Commercial: $32.34
  • Blue Care Network — Commercial: $2.10
  • Blue Care Network — Medicare Advantage: $2.25
  • Blue Cross Anthem — Commercial: $2.10
  • Blue Cross Blue Shield Traditional — Commercial: $2.10
  • Blue Cross Trust — Commercial: $2.10
  • Cigna — Commercial: $24.20
  • Health Advantage McLaren Employee — Commercial: $24.20
  • Health Alliance Plan of Michigan — HMO: $3.94
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG UA W/O MICRO AUTOMATED $50 $35 $1.18 – $45
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Aetna/Aetna Select — Commercial: $36.75
  • Blue Care Network — Commercial: $2.10
  • Blue Care Network — Medicare Advantage: $2.25
  • Blue Cross Anthem — Commercial: $2.10
  • Blue Cross Blue Shield Traditional — Commercial: $2.10
  • Blue Cross Trust — Commercial: $2.10
  • Cigna — Commercial: $27.50
  • Health Advantage McLaren Employee — Commercial: $27.50
  • Health Alliance Plan of Michigan — HMO: $3.94
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS, ROUTINE $44 $30.80 $1.18 – $39.60
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Aetna/Aetna Select — Commercial: $32.34
  • Blue Care Network — Commercial: $2.10
  • Blue Care Network — Medicare Advantage: $2.25
  • Blue Cross Anthem — Commercial: $2.10
  • Blue Cross Blue Shield Traditional — Commercial: $2.10
  • Blue Cross Trust — Commercial: $2.10
  • Cigna — Commercial: $24.20
  • Health Advantage McLaren Employee — Commercial: $24.20
  • Health Alliance Plan of Michigan — HMO: $3.94
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA DIAGNOSTIC $78 $54.60 $9.62 – $70.20
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Aetna/Aetna Select — Commercial: $57.33
  • Blue Care Network — Commercial: $17.11
  • Blue Care Network — Medicare Advantage: $18.39
  • Blue Cross Anthem — Commercial: $17.11
  • Blue Cross Blue Shield Traditional — Commercial: $17.11
  • Blue Cross Trust — Commercial: $17.11
  • Cigna — Commercial: $42.90
  • Health Advantage McLaren Employee — Commercial: $42.90
  • Health Alliance Plan of Michigan — HMO: $32.18
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROSTATE SPECIFIC ANTIGEN TOTAL AND FREE SERUM 84153 $15.89 $11.13 $7.15 – $35.49
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Aetna/Aetna Select — Commercial: $11.68
  • Blue Care Network — Commercial: $17.11
  • Blue Care Network — Medicare Advantage: $18.39
  • Blue Cross Anthem — Commercial: $17.11
  • Blue Cross Blue Shield Traditional — Commercial: $17.11
  • Blue Cross Trust — Commercial: $17.11
  • Cigna — Commercial: $8.74
  • Health Advantage McLaren Employee — Commercial: $8.74
  • Health Alliance Plan of Michigan — HMO: $32.18
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA TOTAL $78 $54.60 $9.62 – $70.20
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Aetna/Aetna Select — Commercial: $57.33
  • Blue Care Network — Commercial: $17.11
  • Blue Care Network — Medicare Advantage: $18.39
  • Blue Cross Anthem — Commercial: $17.11
  • Blue Cross Blue Shield Traditional — Commercial: $17.11
  • Blue Cross Trust — Commercial: $17.11
  • Cigna — Commercial: $42.90
  • Health Advantage McLaren Employee — Commercial: $42.90
  • Health Alliance Plan of Michigan — HMO: $32.18
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TSH $97 $67.90 $8.79 – $87.30
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Aetna/Aetna Select — Commercial: $71.30
  • Blue Care Network — Commercial: $15.63
  • Blue Care Network — Medicare Advantage: $16.80
  • Blue Cross Anthem — Commercial: $15.63
  • Blue Cross Blue Shield Traditional — Commercial: $15.63
  • Blue Cross Trust — Commercial: $15.63
  • Cigna — Commercial: $53.35
  • Health Advantage McLaren Employee — Commercial: $53.35
  • Health Alliance Plan of Michigan — HMO: $29.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG THYROID STIMULATING HORMONE (TSH), ICMA $44 $30.80 $8.79 – $39.60
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Aetna/Aetna Select — Commercial: $32.34
  • Blue Care Network — Commercial: $15.63
  • Blue Care Network — Medicare Advantage: $16.80
  • Blue Cross Anthem — Commercial: $15.63
  • Blue Cross Blue Shield Traditional — Commercial: $15.63
  • Blue Cross Trust — Commercial: $15.63
  • Cigna — Commercial: $24.20
  • Health Advantage McLaren Employee — Commercial: $24.20
  • Health Alliance Plan of Michigan — HMO: $29.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG THYROID STIMULATING HORMONE $174 $121.80 $8.79 – $156.60
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Aetna/Aetna Select — Commercial: $127.89
  • Blue Care Network — Commercial: $15.63
  • Blue Care Network — Medicare Advantage: $16.80
  • Blue Cross Anthem — Commercial: $15.63
  • Blue Cross Blue Shield Traditional — Commercial: $15.63
  • Blue Cross Trust — Commercial: $15.63
  • Cigna — Commercial: $95.70
  • Health Advantage McLaren Employee — Commercial: $95.70
  • Health Alliance Plan of Michigan — HMO: $29.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC CORD BLOOD WITH AUTO DIFFENTIAL $72 $50.40 $4.06 – $64.80
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Aetna/Aetna Select — Commercial: $52.92
  • Blue Care Network — Commercial: $7.23
  • Blue Care Network — Medicare Advantage: $7.77
  • Blue Cross Anthem — Commercial: $7.23
  • Blue Cross Blue Shield Traditional — Commercial: $7.23
  • Blue Cross Trust — Commercial: $7.23
  • Cigna — Commercial: $39.60
  • Health Advantage McLaren Employee — Commercial: $39.60
  • Health Alliance Plan of Michigan — HMO: $13.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC WITH PATHOLOGIST REVIEW $83 $58.10 $4.06 – $74.70
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Aetna/Aetna Select — Commercial: $61.01
  • Blue Care Network — Commercial: $7.23
  • Blue Care Network — Medicare Advantage: $7.77
  • Blue Cross Anthem — Commercial: $7.23
  • Blue Cross Blue Shield Traditional — Commercial: $7.23
  • Blue Cross Trust — Commercial: $7.23
  • Cigna — Commercial: $45.65
  • Health Advantage McLaren Employee — Commercial: $45.65
  • Health Alliance Plan of Michigan — HMO: $13.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC WITH AUTO DIFFERENTIAL $72 $50.40 $4.06 – $64.80
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Aetna/Aetna Select — Commercial: $52.92
  • Blue Care Network — Commercial: $7.23
  • Blue Care Network — Medicare Advantage: $7.77
  • Blue Cross Anthem — Commercial: $7.23
  • Blue Cross Blue Shield Traditional — Commercial: $7.23
  • Blue Cross Trust — Commercial: $7.23
  • Cigna — Commercial: $39.60
  • Health Advantage McLaren Employee — Commercial: $39.60
  • Health Alliance Plan of Michigan — HMO: $13.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC CORD BLOOD NO DIFFERENTIAL $54 $37.80 $3.38 – $48.60
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Aetna/Aetna Select — Commercial: $39.69
  • Blue Care Network — Commercial: $6.02
  • Blue Care Network — Medicare Advantage: $6.47
  • Blue Cross Anthem — Commercial: $6.02
  • Blue Cross Blue Shield Traditional — Commercial: $6.02
  • Blue Cross Trust — Commercial: $6.02
  • Cigna — Commercial: $29.70
  • Health Advantage McLaren Employee — Commercial: $29.70
  • Health Alliance Plan of Michigan — HMO: $11.32
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC COUNTS $57 $39.90 $3.38 – $51.30
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Aetna/Aetna Select — Commercial: $41.90
  • Blue Care Network — Commercial: $6.02
  • Blue Care Network — Medicare Advantage: $6.47
  • Blue Cross Anthem — Commercial: $6.02
  • Blue Cross Blue Shield Traditional — Commercial: $6.02
  • Blue Cross Trust — Commercial: $6.02
  • Cigna — Commercial: $31.35
  • Health Advantage McLaren Employee — Commercial: $31.35
  • Health Alliance Plan of Michigan — HMO: $11.32
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPLETE BLOOD COUNT NO DIFF $54 $37.80 $3.38 – $48.60
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Aetna/Aetna Select — Commercial: $39.69
  • Blue Care Network — Commercial: $6.02
  • Blue Care Network — Medicare Advantage: $6.47
  • Blue Cross Anthem — Commercial: $6.02
  • Blue Cross Blue Shield Traditional — Commercial: $6.02
  • Blue Cross Trust — Commercial: $6.02
  • Cigna — Commercial: $29.70
  • Health Advantage McLaren Employee — Commercial: $29.70
  • Health Alliance Plan of Michigan — HMO: $11.32
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTHROMBIN TIME $34.75 $24.33 $2.24 – $31.28
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Aetna/Aetna Select — Commercial: $25.54
  • Blue Care Network — Commercial: $3.99
  • Blue Care Network — Medicare Advantage: $4.29
  • Blue Cross Anthem — Commercial: $3.99
  • Blue Cross Blue Shield Traditional — Commercial: $3.99
  • Blue Cross Trust — Commercial: $3.99
  • Cigna — Commercial: $19.11
  • Health Advantage McLaren Employee — Commercial: $19.11
  • Health Alliance Plan of Michigan — HMO: $7.51
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LUPUS ANTICOAGULANT PT 85610 $16.61 $11.63 $2.24 – $14.95
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Aetna/Aetna Select — Commercial: $12.21
  • Blue Care Network — Commercial: $3.99
  • Blue Care Network — Medicare Advantage: $4.29
  • Blue Cross Anthem — Commercial: $3.99
  • Blue Cross Blue Shield Traditional — Commercial: $3.99
  • Blue Cross Trust — Commercial: $3.99
  • Cigna — Commercial: $9.14
  • Health Advantage McLaren Employee — Commercial: $9.14
  • Health Alliance Plan of Michigan — HMO: $7.51
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTHROMBIN TIME 1 $46 $32.20 $2.24 – $41.40
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Aetna/Aetna Select — Commercial: $33.81
  • Blue Care Network — Commercial: $3.99
  • Blue Care Network — Medicare Advantage: $4.29
  • Blue Cross Anthem — Commercial: $3.99
  • Blue Cross Blue Shield Traditional — Commercial: $3.99
  • Blue Cross Trust — Commercial: $3.99
  • Cigna — Commercial: $25.30
  • Health Advantage McLaren Employee — Commercial: $25.30
  • Health Alliance Plan of Michigan — HMO: $7.51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG APTT (PTT) $59 $41.30 $3.14 – $53.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Aetna/Aetna Select — Commercial: $43.37
  • Blue Care Network — Commercial: $5.60
  • Blue Care Network — Medicare Advantage: $6.01
  • Blue Cross Anthem — Commercial: $5.60
  • Blue Cross Blue Shield Traditional — Commercial: $5.60
  • Blue Cross Trust — Commercial: $5.60
  • Cigna — Commercial: $32.45
  • Health Advantage McLaren Employee — Commercial: $32.45
  • Health Alliance Plan of Michigan — HMO: $10.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG THROMBOPHILIA PROFILE 85730 $35.29 $24.71 $3.14 – $31.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Aetna/Aetna Select — Commercial: $25.94
  • Blue Care Network — Commercial: $5.60
  • Blue Care Network — Medicare Advantage: $6.01
  • Blue Cross Anthem — Commercial: $5.60
  • Blue Cross Blue Shield Traditional — Commercial: $5.60
  • Blue Cross Trust — Commercial: $5.60
  • Cigna — Commercial: $19.41
  • Health Advantage McLaren Employee — Commercial: $19.41
  • Health Alliance Plan of Michigan — HMO: $10.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG THROMBOPLASTIN TIME PART $22.07 $15.45 $3.14 – $19.86
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Aetna/Aetna Select — Commercial: $16.22
  • Blue Care Network — Commercial: $5.60
  • Blue Care Network — Medicare Advantage: $6.01
  • Blue Cross Anthem — Commercial: $5.60
  • Blue Cross Blue Shield Traditional — Commercial: $5.60
  • Blue Cross Trust — Commercial: $5.60
  • Cigna — Commercial: $12.14
  • Health Advantage McLaren Employee — Commercial: $12.14
  • Health Alliance Plan of Michigan — HMO: $10.52

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT HEAD W/O CONTRAST $2,075 $1,452.50 $55.86 – $1,867.50
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $106.81
  • Aetna/Aetna Select — Commercial: $1,525.13
  • Blue Care Network — Commercial: $135.45
  • Blue Care Network — Medicare Advantage: $106.81
  • Blue Cross Anthem — Commercial: $135.45
  • Blue Cross Blue Shield Traditional — Commercial: $135.45
  • Blue Cross Trust — Commercial: $135.45
  • Cigna — Commercial: $1,141.25
  • Health Advantage McLaren Employee — Commercial: $1,141.25
  • Health Alliance Plan of Michigan — HMO: $186.92
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Head/Brain W/O Contrast Material $362 $253.40 $100.12 – $325.80
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $100.12
  • Aetna/Aetna Select — Commercial: $157.68
  • Health Advantage McLaren Employee — Commercial: $162.90
  • Health Alliance Plan of Michigan — HMO: $105.13
  • Health Alliance Plan of Michigan — Medicare Advantage: $100.12
  • Health Alliance Plan of Michigan — PPO: $105.13
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $100.12
  • Healthy Michigan McLaren — Managed Medicaid: $100.12
  • Healthy Michigan Meridian — Managed Medicaid: $100.12
  • Healthy Michigan Molina — Managed Medicaid: $100.12
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT HEAD W/O CONTRAST $2,075 $1,452.50 $933.75 – $1,867.50
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $1,525.13
  • Cigna — Commercial: $1,141.25
  • Health Advantage McLaren Employee — Commercial: $1,141.25
  • Humana — Commercial: $1,556.25
  • McLaren Health Advantage — Commercial: $933.75
  • Meritain Health — Commercial: $1,587.38
  • Multiplan — Commercial: $1,867.50
  • Physicians Health Plan — Commercial: $1,141.25
  • Priority Health — PPO: $1,141.25
  • Priority Health E — Commercial: $954.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W/O W/ CONTRAST $3,836 $2,685.20 $186.41 – $3,452.40
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $356.43
  • Aetna/Aetna Select — Commercial: $2,819.46
  • Blue Care Network — Commercial: $427.50
  • Blue Care Network — Medicare Advantage: $356.43
  • Blue Cross Anthem — Commercial: $427.50
  • Blue Cross Blue Shield Traditional — Commercial: $427.50
  • Blue Cross Trust — Commercial: $427.50
  • Cigna — Commercial: $2,109.80
  • Health Advantage McLaren Employee — Commercial: $2,109.80
  • Health Alliance Plan of Michigan — HMO: $623.75
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI Brain Brain Stem W/O W/Contrast Material $1,731 $1,211.70 $297.03 – $1,557.90
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $297.03
  • Aetna/Aetna Select — Commercial: $501.03
  • Health Advantage McLaren Employee — Commercial: $778.95
  • Health Alliance Plan of Michigan — HMO: $311.88
  • Health Alliance Plan of Michigan — Medicare Advantage: $297.03
  • Health Alliance Plan of Michigan — PPO: $311.88
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $297.03
  • Healthy Michigan McLaren — Managed Medicaid: $297.03
  • Healthy Michigan Meridian — Managed Medicaid: $297.03
  • Healthy Michigan Molina — Managed Medicaid: $297.03
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W/O W/ CONTRAST $3,836 $2,685.20 $1,726.20 – $3,452.40
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $2,819.46
  • Cigna — Commercial: $2,109.80
  • Health Advantage McLaren Employee — Commercial: $2,109.80
  • Humana — Commercial: $2,877
  • McLaren Health Advantage — Commercial: $1,726.20
  • Meritain Health — Commercial: $2,934.54
  • Multiplan — Commercial: $3,452.40
  • Physicians Health Plan — Commercial: $2,109.80
  • Priority Health — PPO: $2,109.80
  • Priority Health E — Commercial: $1,764.56
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CHEST 2 VIEWS $211 $147.70 $46.25 – $189.90
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $88.91
  • Aetna/Aetna Select — Commercial: $155.09
  • Blue Care Network — Commercial: $46.25
  • Blue Care Network — Medicare Advantage: $88.91
  • Blue Cross Anthem — Commercial: $46.25
  • Blue Cross Blue Shield Traditional — Commercial: $46.25
  • Blue Cross Trust — Commercial: $46.25
  • Cigna — Commercial: $116.05
  • Health Advantage McLaren Employee — Commercial: $116.05
  • Health Alliance Plan of Michigan — HMO: $155.59
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: Radiologic Exam Chest 2 Views $56 $39.20 $25.20 – $50.40
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $30.94
  • Health Advantage McLaren Employee — Commercial: $25.20
  • Health Alliance Plan of Michigan — HMO: $32.49
  • Health Alliance Plan of Michigan — Medicare Advantage: $30.94
  • Health Alliance Plan of Michigan — PPO: $32.49
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $30.94
  • Healthy Michigan McLaren — Managed Medicaid: $30.94
  • Healthy Michigan Meridian — Managed Medicaid: $30.94
  • Healthy Michigan Molina — Managed Medicaid: $30.94
  • Healthy Michigan Priority Health — Managed Medicaid: $30.94
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CHEST 2 VIEWS $211 $147.70 $94.95 – $189.90
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $155.09
  • Cigna — Commercial: $116.05
  • Health Advantage McLaren Employee — Commercial: $116.05
  • Humana — Commercial: $158.25
  • McLaren Health Advantage — Commercial: $94.95
  • Meritain Health — Commercial: $161.42
  • Multiplan — Commercial: $189.90
  • Physicians Health Plan — Commercial: $116.05
  • Priority Health — PPO: $116.05
  • Priority Health E — Commercial: $97.06
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG SPINE LUMBAR 4 VIEW $537 $375.90 $55.86 – $483.30
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $106.81
  • Aetna/Aetna Select — Commercial: $394.70
  • Blue Care Network — Commercial: $77.97
  • Blue Care Network — Medicare Advantage: $106.81
  • Blue Cross Anthem — Commercial: $77.97
  • Blue Cross Blue Shield Traditional — Commercial: $77.97
  • Blue Cross Trust — Commercial: $77.97
  • Cigna — Commercial: $295.35
  • Health Advantage McLaren Employee — Commercial: $295.35
  • Health Alliance Plan of Michigan — HMO: $186.92
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: Radex Spine Lumbosacral Minimum 4 Views $83 $58.10 $37.35 – $74.70
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $49.73
  • Aetna/Aetna Select — Commercial: $63.71
  • Health Advantage McLaren Employee — Commercial: $37.35
  • Health Alliance Plan of Michigan — HMO: $52.22
  • Health Alliance Plan of Michigan — Medicare Advantage: $49.73
  • Health Alliance Plan of Michigan — PPO: $52.22
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $49.73
  • Healthy Michigan McLaren — Managed Medicaid: $49.73
  • Healthy Michigan Meridian — Managed Medicaid: $49.73
  • Healthy Michigan Molina — Managed Medicaid: $49.73
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG SPINE LUMBAR 4 VIEW $537 $375.90 $241.65 – $483.30
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $394.70
  • Cigna — Commercial: $295.35
  • Health Advantage McLaren Employee — Commercial: $295.35
  • Humana — Commercial: $402.75
  • McLaren Health Advantage — Commercial: $241.65
  • Meritain Health — Commercial: $410.81
  • Multiplan — Commercial: $483.30
  • Physicians Health Plan — Commercial: $295.35
  • Priority Health — PPO: $295.35
  • Priority Health E — Commercial: $247.02
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI SPINE LUMBAR/SACRUM WO CONT $2,676 $1,873.20 $127.49 – $2,408.40
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $243.77
  • Aetna/Aetna Select — Commercial: $1,966.86
  • Blue Care Network — Commercial: $246.46
  • Blue Care Network — Medicare Advantage: $243.77
  • Blue Cross Anthem — Commercial: $246.46
  • Blue Cross Blue Shield Traditional — Commercial: $246.46
  • Blue Cross Trust — Commercial: $246.46
  • Cigna — Commercial: $1,471.80
  • Health Advantage McLaren Employee — Commercial: $1,471.80
  • Health Alliance Plan of Michigan — HMO: $426.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI Spinal Canal Lumbar W/O Contrast Material $889 $622.30 $179.95 – $800.10
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $179.95
  • Aetna/Aetna Select — Commercial: $310.38
  • Health Advantage McLaren Employee — Commercial: $400.05
  • Health Alliance Plan of Michigan — HMO: $188.95
  • Health Alliance Plan of Michigan — Medicare Advantage: $179.95
  • Health Alliance Plan of Michigan — PPO: $188.95
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $179.95
  • Healthy Michigan McLaren — Managed Medicaid: $179.95
  • Healthy Michigan Meridian — Managed Medicaid: $179.95
  • Healthy Michigan Molina — Managed Medicaid: $179.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI SPINE LUMBAR/SACRUM WO CONT $2,676 $1,873.20 $1,204.20 – $2,408.40
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $1,966.86
  • Cigna — Commercial: $1,471.80
  • Health Advantage McLaren Employee — Commercial: $1,471.80
  • Humana — Commercial: $2,007
  • McLaren Health Advantage — Commercial: $1,204.20
  • Meritain Health — Commercial: $2,047.14
  • Multiplan — Commercial: $2,408.40
  • Physicians Health Plan — Commercial: $1,471.80
  • Priority Health — PPO: $1,471.80
  • Priority Health E — Commercial: $1,230.96
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W/ CONTRAST $2,108 $1,475.60 $93.72 – $1,897.20
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $179.20
  • Aetna/Aetna Select — Commercial: $1,549.38
  • Blue Care Network — Commercial: $348.21
  • Blue Care Network — Medicare Advantage: $179.20
  • Blue Cross Anthem — Commercial: $348.21
  • Blue Cross Blue Shield Traditional — Commercial: $348.21
  • Blue Cross Trust — Commercial: $348.21
  • Cigna — Commercial: $1,159.40
  • Health Advantage McLaren Employee — Commercial: $1,159.40
  • Health Alliance Plan of Michigan — HMO: $313.60
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Pelvis W/Contrast Material $475 $332.50 $210.08 – $427.50
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $210.08
  • Aetna/Aetna Select — Commercial: $299.99
  • Health Advantage McLaren Employee — Commercial: $213.75
  • Health Alliance Plan of Michigan — HMO: $220.58
  • Health Alliance Plan of Michigan — Medicare Advantage: $210.08
  • Health Alliance Plan of Michigan — PPO: $220.58
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $210.08
  • Healthy Michigan McLaren — Managed Medicaid: $210.08
  • Healthy Michigan Meridian — Managed Medicaid: $210.08
  • Healthy Michigan Molina — Managed Medicaid: $210.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W/ CONTRAST $2,108 $1,475.60 $948.60 – $1,897.20
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $1,549.38
  • Cigna — Commercial: $1,159.40
  • Health Advantage McLaren Employee — Commercial: $1,159.40
  • Humana — Commercial: $1,581
  • McLaren Health Advantage — Commercial: $948.60
  • Meritain Health — Commercial: $1,612.62
  • Multiplan — Commercial: $1,897.20
  • Physicians Health Plan — Commercial: $1,159.40
  • Priority Health — PPO: $1,159.40
  • Priority Health E — Commercial: $969.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI EXTRE LOW JNT ONLY W/O CONT RT $2,669 $1,868.30 $127.49 – $2,402.10
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $243.77
  • Aetna/Aetna Select — Commercial: $1,961.72
  • Blue Care Network — Commercial: $282.79
  • Blue Care Network — Medicare Advantage: $243.77
  • Blue Cross Anthem — Commercial: $282.79
  • Blue Cross Blue Shield Traditional — Commercial: $282.79
  • Blue Cross Trust — Commercial: $282.79
  • Cigna — Commercial: $1,467.95
  • Health Advantage McLaren Employee — Commercial: $1,467.95
  • Health Alliance Plan of Michigan — HMO: $426.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI EXTRE LOW JNT ONLY W/O CONT BIL $3,794 $2,655.80 $127.49 – $3,414.60
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $243.77
  • Aetna/Aetna Select — Commercial: $2,788.59
  • Blue Care Network — Commercial: $282.79
  • Blue Care Network — Medicare Advantage: $243.77
  • Blue Cross Anthem — Commercial: $282.79
  • Blue Cross Blue Shield Traditional — Commercial: $282.79
  • Blue Cross Trust — Commercial: $282.79
  • Cigna — Commercial: $2,086.70
  • Health Advantage McLaren Employee — Commercial: $2,086.70
  • Health Alliance Plan of Michigan — HMO: $426.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI EXTRE LOW JNT ONLY W/O CONT LT $2,669 $1,868.30 $127.49 – $2,402.10
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $243.77
  • Aetna/Aetna Select — Commercial: $1,961.72
  • Blue Care Network — Commercial: $282.79
  • Blue Care Network — Medicare Advantage: $243.77
  • Blue Cross Anthem — Commercial: $282.79
  • Blue Cross Blue Shield Traditional — Commercial: $282.79
  • Blue Cross Trust — Commercial: $282.79
  • Cigna — Commercial: $1,467.95
  • Health Advantage McLaren Employee — Commercial: $1,467.95
  • Health Alliance Plan of Michigan — HMO: $426.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT ABD/PELVIS W/CONTRAST $4,821 $3,374.70 $186.41 – $4,338.90
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $356.43
  • Aetna/Aetna Select — Commercial: $3,543.44
  • Blue Care Network — Commercial: $436.75
  • Blue Care Network — Medicare Advantage: $356.43
  • Blue Cross Anthem — Commercial: $436.75
  • Blue Cross Blue Shield Traditional — Commercial: $436.75
  • Blue Cross Trust — Commercial: $436.75
  • Cigna — Commercial: $2,651.55
  • Health Advantage McLaren Employee — Commercial: $2,651.55
  • Health Alliance Plan of Michigan — HMO: $623.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Abdomen & Pelvis W/Contrast Material $372 $260.40 $167.40 – $412.94
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $280.54
  • Aetna/Aetna Select — Commercial: $412.94
  • Health Advantage McLaren Employee — Commercial: $167.40
  • Health Alliance Plan of Michigan — HMO: $294.57
  • Health Alliance Plan of Michigan — Medicare Advantage: $280.54
  • Health Alliance Plan of Michigan — PPO: $294.57
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $280.54
  • Healthy Michigan McLaren — Managed Medicaid: $280.54
  • Healthy Michigan Meridian — Managed Medicaid: $280.54
  • Healthy Michigan Molina — Managed Medicaid: $280.54
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT ABD/PELVIS W/CONTRAST $4,821 $3,374.70 $2,169.45 – $4,338.90
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $3,543.44
  • Cigna — Commercial: $2,651.55
  • Health Advantage McLaren Employee — Commercial: $2,651.55
  • Humana — Commercial: $3,615.75
  • McLaren Health Advantage — Commercial: $2,169.45
  • Meritain Health — Commercial: $3,688.07
  • Multiplan — Commercial: $4,338.90
  • Physicians Health Plan — Commercial: $2,651.55
  • Priority Health — PPO: $2,651.55
  • Priority Health E — Commercial: $2,217.66
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE $1,067 $746.90 $55.86 – $960.30
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $106.81
  • Aetna/Aetna Select — Commercial: $784.25
  • Blue Care Network — Commercial: $153.29
  • Blue Care Network — Medicare Advantage: $106.81
  • Blue Cross Anthem — Commercial: $153.29
  • Blue Cross Blue Shield Traditional — Commercial: $153.29
  • Blue Cross Trust — Commercial: $153.29
  • Cigna — Commercial: $586.85
  • Health Advantage McLaren Employee — Commercial: $586.85
  • Health Alliance Plan of Michigan — HMO: $186.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US Abdominal Real Time W/Image Documentation $205 $143.50 $92.25 – $184.50
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $107.02
  • Aetna/Aetna Select — Commercial: $180.26
  • Health Advantage McLaren Employee — Commercial: $92.25
  • Health Alliance Plan of Michigan — HMO: $112.37
  • Health Alliance Plan of Michigan — Medicare Advantage: $107.02
  • Health Alliance Plan of Michigan — PPO: $112.37
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $107.02
  • Healthy Michigan McLaren — Managed Medicaid: $107.02
  • Healthy Michigan Meridian — Managed Medicaid: $107.02
  • Healthy Michigan Molina — Managed Medicaid: $107.02
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE $1,067 $746.90 $480.15 – $960.30
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $784.25
  • Cigna — Commercial: $586.85
  • Health Advantage McLaren Employee — Commercial: $586.85
  • Humana — Commercial: $800.25
  • McLaren Health Advantage — Commercial: $480.15
  • Meritain Health — Commercial: $816.26
  • Multiplan — Commercial: $960.30
  • Physicians Health Plan — Commercial: $586.85
  • Priority Health — PPO: $586.85
  • Priority Health E — Commercial: $490.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US OB PREG >14 WEEKS SINGLE GEST $1,042 $729.40 $55.86 – $937.80
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $106.81
  • Aetna/Aetna Select — Commercial: $765.87
  • Blue Care Network — Commercial: $172.46
  • Blue Care Network — Medicare Advantage: $106.81
  • Blue Cross Anthem — Commercial: $172.46
  • Blue Cross Blue Shield Traditional — Commercial: $172.46
  • Blue Cross Trust — Commercial: $172.46
  • Cigna — Commercial: $573.10
  • Health Advantage McLaren Employee — Commercial: $573.10
  • Health Alliance Plan of Michigan — HMO: $186.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US INI COMPLETE >14WEEKS $1,013 $709.10 $55.86 – $911.70
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $106.81
  • Aetna/Aetna Select — Commercial: $744.56
  • Blue Care Network — Commercial: $172.46
  • Blue Care Network — Medicare Advantage: $106.81
  • Blue Cross Anthem — Commercial: $172.46
  • Blue Cross Blue Shield Traditional — Commercial: $172.46
  • Blue Cross Trust — Commercial: $172.46
  • Cigna — Commercial: $557.15
  • Health Advantage McLaren Employee — Commercial: $557.15
  • Health Alliance Plan of Michigan — HMO: $186.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: US Preg Uterus After 1st Trimest 1/1st Gestation $217 $151.90 $97.65 – $195.30
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $127.13
  • Aetna/Aetna Select — Commercial: $186.59
  • Health Advantage McLaren Employee — Commercial: $97.65
  • Health Alliance Plan of Michigan — HMO: $133.49
  • Health Alliance Plan of Michigan — Medicare Advantage: $127.13
  • Health Alliance Plan of Michigan — PPO: $133.49
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $127.13
  • Healthy Michigan McLaren — Managed Medicaid: $127.13
  • Healthy Michigan Meridian — Managed Medicaid: $127.13
  • Healthy Michigan Molina — Managed Medicaid: $127.13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ENDO/TRANS VAGINAL $1,180 $826 $55.86 – $1,062
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $106.81
  • Aetna/Aetna Select — Commercial: $867.30
  • Blue Care Network — Commercial: $168.49
  • Blue Care Network — Medicare Advantage: $106.81
  • Blue Cross Anthem — Commercial: $168.49
  • Blue Cross Blue Shield Traditional — Commercial: $168.49
  • Blue Cross Trust — Commercial: $168.49
  • Cigna — Commercial: $649
  • Health Advantage McLaren Employee — Commercial: $649
  • Health Alliance Plan of Michigan — HMO: $186.92
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: US Transvaginal $180 $126 $81 – $162
Transvaginal ultrasound: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $109.72
  • Aetna/Aetna Select — Commercial: $161.29
  • Health Advantage McLaren Employee — Commercial: $81
  • Health Alliance Plan of Michigan — HMO: $115.21
  • Health Alliance Plan of Michigan — Medicare Advantage: $109.72
  • Health Alliance Plan of Michigan — PPO: $115.21
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $109.72
  • Healthy Michigan McLaren — Managed Medicaid: $109.72
  • Healthy Michigan Meridian — Managed Medicaid: $109.72
  • Healthy Michigan Molina — Managed Medicaid: $109.72
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ENDO/TRANS VAGINAL $1,180 $826 $531 – $1,062
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $867.30
  • Cigna — Commercial: $649
  • Health Advantage McLaren Employee — Commercial: $649
  • Humana — Commercial: $885
  • McLaren Health Advantage — Commercial: $531
  • Meritain Health — Commercial: $902.70
  • Multiplan — Commercial: $1,062
  • Physicians Health Plan — Commercial: $649
  • Priority Health — PPO: $649
  • Priority Health E — Commercial: $542.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MG BREAST DIAGNOSTIC UNILAT RT $444 $310.80 $60.60 – $399.60
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $115.87
  • Aetna/Aetna Select — Commercial: $326.34
  • Blue Care Network — Commercial: $173.77
  • Blue Care Network — Medicare Advantage: $115.87
  • Blue Cross Anthem — Commercial: $173.77
  • Blue Cross Blue Shield Traditional — Commercial: $173.77
  • Blue Cross Trust — Commercial: $173.77
  • Cigna — Commercial: $244.20
  • Health Advantage McLaren Employee — Commercial: $244.20
  • Health Alliance Plan of Michigan — HMO: $202.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MG BREAST DIAGNOSTIC UNILAT LT $444 $310.80 $60.60 – $399.60
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $115.87
  • Aetna/Aetna Select — Commercial: $326.34
  • Blue Care Network — Commercial: $173.77
  • Blue Care Network — Medicare Advantage: $115.87
  • Blue Cross Anthem — Commercial: $173.77
  • Blue Cross Blue Shield Traditional — Commercial: $173.77
  • Blue Cross Trust — Commercial: $173.77
  • Cigna — Commercial: $244.20
  • Health Advantage McLaren Employee — Commercial: $244.20
  • Health Alliance Plan of Michigan — HMO: $202.76
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MG BREAST DIAGNOSTIC UNILAT RT $444 $310.80 $199.80 – $399.60
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $326.34
  • Cigna — Commercial: $244.20
  • Health Advantage McLaren Employee — Commercial: $244.20
  • Humana — Commercial: $333
  • McLaren Health Advantage — Commercial: $199.80
  • Meritain Health — Commercial: $339.66
  • Multiplan — Commercial: $399.60
  • Physicians Health Plan — Commercial: $244.20
  • Priority Health — PPO: $244.20
  • Priority Health E — Commercial: $204.24
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MG BREAST DIAGNOSTIC BILATERAL $537 $375.90 $76.75 – $483.30
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $146.75
  • Aetna/Aetna Select — Commercial: $394.70
  • Blue Care Network — Commercial: $221.35
  • Blue Care Network — Medicare Advantage: $146.75
  • Blue Cross Anthem — Commercial: $221.35
  • Blue Cross Blue Shield Traditional — Commercial: $221.35
  • Blue Cross Trust — Commercial: $221.35
  • Cigna — Commercial: $295.35
  • Health Advantage McLaren Employee — Commercial: $295.35
  • Health Alliance Plan of Michigan — HMO: $256.82
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MG BREAST DIAGNOSTIC BILATERAL $537 $375.90 $241.65 – $483.30
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $394.70
  • Cigna — Commercial: $295.35
  • Health Advantage McLaren Employee — Commercial: $295.35
  • Humana — Commercial: $402.75
  • McLaren Health Advantage — Commercial: $241.65
  • Meritain Health — Commercial: $410.81
  • Multiplan — Commercial: $483.30
  • Physicians Health Plan — Commercial: $295.35
  • Priority Health — PPO: $295.35
  • Priority Health E — Commercial: $247.02
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $96 – $154.09
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $146.75
  • Health Alliance Plan of Michigan — HMO: $154.09
  • Health Alliance Plan of Michigan — Medicare Advantage: $146.75
  • Health Alliance Plan of Michigan — PPO: $154.09
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $146.75
  • Healthy Michigan McLaren — Managed Medicaid: $146.75
  • Healthy Michigan Meridian — Managed Medicaid: $146.75
  • Healthy Michigan Molina — Managed Medicaid: $146.75
  • Healthy Michigan Priority Health — Managed Medicaid: $146.75
  • Humana — PPO Medicare Advantage: $146.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MG BREAST SCREEN BILATERAL $545 $381.50 $61.60 – $490.50
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $117.78
  • Aetna/Aetna Select — Commercial: $400.58
  • Blue Care Network — Commercial: $183.03
  • Blue Care Network — Medicare Advantage: $117.78
  • Blue Cross Anthem — Commercial: $183.03
  • Blue Cross Blue Shield Traditional — Commercial: $183.03
  • Blue Cross Trust — Commercial: $183.03
  • Cigna — Commercial: $299.75
  • Health Advantage McLaren Employee — Commercial: $299.75
  • Health Alliance Plan of Michigan — HMO: $206.12
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MG BREAST SCREEN BILATERAL $545 $381.50 $245.25 – $490.50
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $400.58
  • Cigna — Commercial: $299.75
  • Health Advantage McLaren Employee — Commercial: $299.75
  • Humana — Commercial: $408.75
  • McLaren Health Advantage — Commercial: $245.25
  • Meritain Health — Commercial: $416.93
  • Multiplan — Commercial: $490.50
  • Physicians Health Plan — Commercial: $299.75
  • Priority Health — PPO: $299.75
  • Priority Health E — Commercial: $250.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $94.34 – $123.67
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $117.78
  • Health Alliance Plan of Michigan — HMO: $123.67
  • Health Alliance Plan of Michigan — Medicare Advantage: $117.78
  • Health Alliance Plan of Michigan — PPO: $123.67
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $117.78
  • Healthy Michigan McLaren — Managed Medicaid: $117.78
  • Healthy Michigan Meridian — Managed Medicaid: $117.78
  • Healthy Michigan Molina — Managed Medicaid: $117.78
  • Healthy Michigan Priority Health — Managed Medicaid: $117.78
  • Humana — PPO Medicare Advantage: $117.78

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: Ecg Routine Ecg W/Least 12 Lds W/I&R $42 $29.40 $14.67 – $37.80
Electrocardiogram (ECG/EKG) with reading: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $14.67
  • Aetna/Aetna Select — Commercial: $23.52
  • Health Advantage McLaren Employee — Commercial: $18.90
  • Health Alliance Plan of Michigan — HMO: $15.40
  • Health Alliance Plan of Michigan — Medicare Advantage: $14.67
  • Health Alliance Plan of Michigan — PPO: $15.40
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $14.67
  • Healthy Michigan McLaren — Managed Medicaid: $14.67
  • Healthy Michigan Meridian — Managed Medicaid: $14.67
  • Healthy Michigan Molina — Managed Medicaid: $14.67
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $7.67 – $28.31
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $14.67
  • Blue Care Network — Commercial: $20.26
  • Blue Care Network — Medicare Advantage: $14.67
  • Blue Cross Anthem — Commercial: $20.26
  • Blue Cross Blue Shield Traditional — Commercial: $20.26
  • Blue Cross Trust — Commercial: $20.26
  • Health Alliance Plan of Michigan — HMO: $25.67
  • Health Alliance Plan of Michigan — Medicare Advantage: $14.67
  • Health Alliance Plan of Michigan — PPO: $28.31
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $7.67
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee · modifier 9 In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $18.06
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans
  • Blue Care Network — Commercial: $18.06
  • Blue Care Network — Medicare Advantage: $18.06
  • Blue Cross Anthem — Commercial: $18.06
  • Blue Cross Blue Shield Traditional — Commercial: $18.06
  • Blue Cross Trust — Commercial: $18.06
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LEFT HEART CATH $5,702 $3,991.40 $1,732.25 – $6,392.45
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $3,312.15
  • Aetna/Aetna Select — Commercial: $4,190.97
  • Blue Care Network — Commercial: $2,008.98
  • Blue Care Network — Medicare Advantage: $3,312.15
  • Blue Cross Anthem — Commercial: $2,008.98
  • Blue Cross Blue Shield Traditional — Commercial: $2,008.98
  • Blue Cross Trust — Commercial: $2,008.98
  • Cigna — Commercial: $3,136.10
  • Health Advantage McLaren Employee — Commercial: $3,136.10
  • Health Alliance Plan of Michigan — HMO: $5,796.26
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: L Hrt Cath W/Njx L Ventriculography Img S&I $391 $273.70 $175.95 – $1,118.18
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $819.74
  • Aetna/Aetna Select — Commercial: $1,118.18
  • Health Advantage McLaren Employee — Commercial: $175.95
  • Health Alliance Plan of Michigan — HMO: $860.73
  • Health Alliance Plan of Michigan — Medicare Advantage: $819.74
  • Health Alliance Plan of Michigan — PPO: $860.73
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $819.74
  • Healthy Michigan McLaren — Managed Medicaid: $819.74
  • Healthy Michigan Meridian — Managed Medicaid: $819.74
  • Healthy Michigan Molina — Managed Medicaid: $819.74
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG LEFT HEART CATH $5,702 $3,991.40 $2,565.90 – $5,131.80
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $4,190.97
  • Cigna — Commercial: $3,136.10
  • Health Advantage McLaren Employee — Commercial: $3,136.10
  • Humana — Commercial: $4,276.50
  • McLaren Health Advantage — Commercial: $2,565.90
  • Meritain Health — Commercial: $4,362.03
  • Multiplan — Commercial: $5,131.80
  • Physicians Health Plan — Commercial: $3,136.10
  • Priority Health — PPO: $3,136.10
  • Priority Health E — Commercial: $2,622.92
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ELECTROPHYSIOLOGIC EVALUATION $15,049 $10,534.30 $4,167.58 – $15,379.40
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $7,968.60
  • Aetna/Aetna Select — Commercial: $11,061.02
  • Blue Care Network — Commercial: $15,249.05
  • Blue Care Network — Medicare Advantage: $7,968.60
  • Blue Cross Anthem — Commercial: $15,249.05
  • Blue Cross Blue Shield Traditional — Commercial: $15,249.05
  • Blue Cross Trust — Commercial: $15,249.05
  • Cigna — Commercial: $8,276.95
  • Health Advantage McLaren Employee — Commercial: $8,276.95
  • Health Alliance Plan of Michigan — HMO: $13,945.05
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: Compre Electrophysiologic W/O Arrhyt Induction $1,138 $796.60 $512.10 – $1,024.20
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $790.07
  • Aetna/Aetna Select — Commercial: $927.52
  • Health Advantage McLaren Employee — Commercial: $512.10
  • Health Alliance Plan of Michigan — HMO: $829.57
  • Health Alliance Plan of Michigan — Medicare Advantage: $790.07
  • Health Alliance Plan of Michigan — PPO: $829.57
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $790.07
  • Healthy Michigan McLaren — Managed Medicaid: $790.07
  • Healthy Michigan Meridian — Managed Medicaid: $790.07
  • Healthy Michigan Molina — Managed Medicaid: $790.07
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ELECTROPHYSIOLOGIC EVALUATION $15,049 $10,534.30 $6,772.05 – $13,544.10
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $11,061.02
  • Cigna — Commercial: $8,276.95
  • Health Advantage McLaren Employee — Commercial: $8,276.95
  • Humana — Commercial: $11,286.75
  • McLaren Health Advantage — Commercial: $6,772.05
  • Meritain Health — Commercial: $11,512.49
  • Multiplan — Commercial: $13,544.10
  • Physicians Health Plan — Commercial: $8,276.95
  • Priority Health — PPO: $8,276.95
  • Priority Health E — Commercial: $6,922.54
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PULMONARY VEIN ISOLATION $38,777 $27,143.90 $739.59 – $51,538.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $26,703.99
  • Aetna/Aetna Select — Commercial: $28,501.10
  • Blue Care Network — Commercial: $739.59
  • Blue Care Network — Medicare Advantage: $26,703.99
  • Blue Cross Anthem — Commercial: $739.59
  • Blue Cross Blue Shield Traditional — Commercial: $739.59
  • Blue Cross Trust — Commercial: $739.59
  • Cigna — Commercial: $21,327.35
  • Health Advantage McLaren Employee — Commercial: $21,327.35
  • Health Alliance Plan of Michigan — HMO: $46,731.98
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation $2,769 $1,938.30 $812.84 – $2,492.10
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $812.84
  • Aetna/Aetna Select — Commercial: $1,454.75
  • Health Advantage McLaren Employee — Commercial: $1,246.05
  • Health Alliance Plan of Michigan — HMO: $853.48
  • Health Alliance Plan of Michigan — Medicare Advantage: $812.84
  • Health Alliance Plan of Michigan — PPO: $853.48
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $812.84
  • Healthy Michigan McLaren — Managed Medicaid: $812.84
  • Healthy Michigan Meridian — Managed Medicaid: $812.84
  • Healthy Michigan Molina — Managed Medicaid: $812.84
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PULMONARY VEIN ISOLATION $38,777 $27,143.90 $17,449.65 – $34,899.30
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $28,501.10
  • Cigna — Commercial: $21,327.35
  • Health Advantage McLaren Employee — Commercial: $21,327.35
  • Humana — Commercial: $29,082.75
  • McLaren Health Advantage — Commercial: $17,449.65
  • Meritain Health — Commercial: $29,664.41
  • Multiplan — Commercial: $34,899.30
  • Physicians Health Plan — Commercial: $21,327.35
  • Priority Health — PPO: $21,327.35
  • Priority Health E — Commercial: $17,837.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POLYSOMNOGRAM-NOCTURNAL(SAS) $4,296 $3,007.20 $458.85 – $3,866.40
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $877.34
  • Aetna/Aetna Select — Commercial: $3,157.56
  • Blue Care Network — Commercial: $1,294.75
  • Blue Care Network — Medicare Advantage: $877.34
  • Blue Cross Anthem — Commercial: $1,294.75
  • Blue Cross Blue Shield Traditional — Commercial: $1,294.75
  • Blue Cross Trust — Commercial: $1,294.75
  • Cigna — Commercial: $2,362.80
  • Health Advantage McLaren Employee — Commercial: $2,362.80
  • Health Alliance Plan of Michigan — HMO: $1,535.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG SLEEP STUDY 6 HOURS OR LESS $2,158 $1,510.60 $458.85 – $1,942.20
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $877.34
  • Aetna/Aetna Select — Commercial: $1,586.13
  • Blue Care Network — Commercial: $1,294.75
  • Blue Care Network — Medicare Advantage: $877.34
  • Blue Cross Anthem — Commercial: $1,294.75
  • Blue Cross Blue Shield Traditional — Commercial: $1,294.75
  • Blue Cross Trust — Commercial: $1,294.75
  • Cigna — Commercial: $1,186.90
  • Health Advantage McLaren Employee — Commercial: $1,186.90
  • Health Alliance Plan of Michigan — HMO: $1,535.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $1,157 $809.90 $520.65 – $1,041.30
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $624.66
  • Aetna/Aetna Select — Commercial: $594.37
  • Health Advantage McLaren Employee — Commercial: $520.65
  • Health Alliance Plan of Michigan — HMO: $655.89
  • Health Alliance Plan of Michigan — Medicare Advantage: $624.66
  • Health Alliance Plan of Michigan — PPO: $655.89
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $624.66
  • Healthy Michigan McLaren — Managed Medicaid: $624.66
  • Healthy Michigan Meridian — Managed Medicaid: $624.66
  • Healthy Michigan Molina — Managed Medicaid: $624.66

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG KINETIC ACT/EX $181 $126.70 $14.60 – $162.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $27.91
  • Aetna/Aetna Select — Commercial: $133.04
  • Blue Care Network — Commercial: $38.15
  • Blue Care Network — Medicare Advantage: $27.91
  • Blue Cross Anthem — Commercial: $38.15
  • Blue Cross Blue Shield Traditional — Commercial: $38.15
  • Blue Cross Trust — Commercial: $38.15
  • Cigna — Commercial: $99.55
  • Health Advantage McLaren Employee — Commercial: $99.55
  • Health Alliance Plan of Michigan — HMO: $48.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OT THERAPEUTIC EXERCISE $183 $128.10 $14.60 – $164.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $27.91
  • Aetna/Aetna Select — Commercial: $134.51
  • Blue Care Network — Commercial: $38.15
  • Blue Care Network — Medicare Advantage: $27.91
  • Blue Cross Anthem — Commercial: $38.15
  • Blue Cross Blue Shield Traditional — Commercial: $38.15
  • Blue Cross Trust — Commercial: $38.15
  • Cigna — Commercial: $100.65
  • Health Advantage McLaren Employee — Commercial: $100.65
  • Health Alliance Plan of Michigan — HMO: $48.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT THERAPEUTIC EXERCISE $183 $128.10 $14.60 – $164.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $27.91
  • Aetna/Aetna Select — Commercial: $134.51
  • Blue Care Network — Commercial: $38.15
  • Blue Care Network — Medicare Advantage: $27.91
  • Blue Cross Anthem — Commercial: $38.15
  • Blue Cross Blue Shield Traditional — Commercial: $38.15
  • Blue Cross Trust — Commercial: $38.15
  • Cigna — Commercial: $100.65
  • Health Advantage McLaren Employee — Commercial: $100.65
  • Health Alliance Plan of Michigan — HMO: $48.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL ASSESSMENT LOW $281 $196.70 $49.11 – $252.90
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $93.90
  • Aetna/Aetna Select — Commercial: $206.54
  • Blue Care Network — Commercial: $112.70
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross Anthem — Commercial: $112.70
  • Blue Cross Blue Shield Traditional — Commercial: $112.70
  • Blue Cross Trust — Commercial: $112.70
  • Cigna — Commercial: $154.55
  • Health Advantage McLaren Employee — Commercial: $154.55
  • Health Alliance Plan of Michigan — HMO: $164.32
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL ASSESSMENT LOW $281 $196.70 $126.45 – $252.90
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $206.54
  • Cigna — Commercial: $154.55
  • Health Advantage McLaren Employee — Commercial: $154.55
  • Humana — Commercial: $210.75
  • McLaren Health Advantage — Commercial: $126.45
  • Meritain Health — Commercial: $214.97
  • Multiplan — Commercial: $252.90
  • Physicians Health Plan — Commercial: $154.55
  • Priority Health — PPO: $154.55
  • Priority Health E — Commercial: $129.26
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $82.91 – $98.91
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $94.20
  • Health Alliance Plan of Michigan — HMO: $98.91
  • Health Alliance Plan of Michigan — Medicare Advantage: $94.20
  • Health Alliance Plan of Michigan — PPO: $98.91
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.20
  • Healthy Michigan McLaren — Managed Medicaid: $94.20
  • Healthy Michigan Meridian — Managed Medicaid: $94.20
  • Healthy Michigan Molina — Managed Medicaid: $94.20
  • Healthy Michigan Priority Health — Managed Medicaid: $94.20
  • Humana — PPO Medicare Advantage: $94.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL ASSESSMENT MODERATE $320 $224 $49.11 – $288
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $93.90
  • Aetna/Aetna Select — Commercial: $235.20
  • Blue Care Network — Commercial: $112.70
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross Anthem — Commercial: $112.70
  • Blue Cross Blue Shield Traditional — Commercial: $112.70
  • Blue Cross Trust — Commercial: $112.70
  • Cigna — Commercial: $176
  • Health Advantage McLaren Employee — Commercial: $176
  • Health Alliance Plan of Michigan — HMO: $164.32
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL ASSESSMENT MODERATE $396 $277.20 $178.20 – $356.40
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $291.06
  • Cigna — Commercial: $217.80
  • Health Advantage McLaren Employee — Commercial: $217.80
  • Humana — Commercial: $297
  • McLaren Health Advantage — Commercial: $178.20
  • Meritain Health — Commercial: $302.94
  • Multiplan — Commercial: $356.40
  • Physicians Health Plan — Commercial: $217.80
  • Priority Health — PPO: $217.80
  • Priority Health E — Commercial: $182.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $82.91 – $98.91
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $94.20
  • Health Alliance Plan of Michigan — HMO: $98.91
  • Health Alliance Plan of Michigan — Medicare Advantage: $94.20
  • Health Alliance Plan of Michigan — PPO: $98.91
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.20
  • Healthy Michigan McLaren — Managed Medicaid: $94.20
  • Healthy Michigan Meridian — Managed Medicaid: $94.20
  • Healthy Michigan Molina — Managed Medicaid: $94.20
  • Healthy Michigan Priority Health — Managed Medicaid: $94.20
  • Humana — PPO Medicare Advantage: $94.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL ASSESSMENT HIGH $437 $305.90 $49.11 – $393.30
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $93.90
  • Aetna/Aetna Select — Commercial: $321.20
  • Blue Care Network — Commercial: $112.70
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross Anthem — Commercial: $112.70
  • Blue Cross Blue Shield Traditional — Commercial: $112.70
  • Blue Cross Trust — Commercial: $112.70
  • Cigna — Commercial: $240.35
  • Health Advantage McLaren Employee — Commercial: $240.35
  • Health Alliance Plan of Michigan — HMO: $164.32
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL ASSESSMENT HIGH $528 $369.60 $237.60 – $475.20
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $388.08
  • Cigna — Commercial: $290.40
  • Health Advantage McLaren Employee — Commercial: $290.40
  • Humana — Commercial: $396
  • McLaren Health Advantage — Commercial: $237.60
  • Meritain Health — Commercial: $403.92
  • Multiplan — Commercial: $475.20
  • Physicians Health Plan — Commercial: $290.40
  • Priority Health — PPO: $290.40
  • Priority Health E — Commercial: $242.88
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $82.91 – $98.91
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $94.20
  • Health Alliance Plan of Michigan — HMO: $98.91
  • Health Alliance Plan of Michigan — Medicare Advantage: $94.20
  • Health Alliance Plan of Michigan — PPO: $98.91
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.20
  • Healthy Michigan McLaren — Managed Medicaid: $94.20
  • Healthy Michigan Meridian — Managed Medicaid: $94.20
  • Healthy Michigan Molina — Managed Medicaid: $94.20
  • Healthy Michigan Priority Health — Managed Medicaid: $94.20
  • Humana — PPO Medicare Advantage: $94.20
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy W/Patient 30 Minutes $86 $60.20 $38.70 – $88.28
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $84.08
  • Aetna/Aetna Select — Commercial: $66.24
  • Health Advantage McLaren Employee — Commercial: $38.70
  • Health Alliance Plan of Michigan — HMO: $88.28
  • Health Alliance Plan of Michigan — Medicare Advantage: $84.08
  • Health Alliance Plan of Michigan — PPO: $88.28
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $84.08
  • Healthy Michigan McLaren — Managed Medicaid: $84.08
  • Healthy Michigan Meridian — Managed Medicaid: $84.08
  • Healthy Michigan Molina — Managed Medicaid: $84.08
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $94.84 – $349.99
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $181.34
  • Blue Care Network — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — HMO: $317.35
  • Health Alliance Plan of Michigan — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — PPO: $349.99
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.84
  • Healthy Michigan McLaren — Managed Medicaid: $94.84
  • Healthy Michigan Meridian — Managed Medicaid: $94.84
  • Healthy Michigan Molina — Managed Medicaid: $94.84
  • Healthy Michigan Priority Health — Managed Medicaid: $94.84
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee · modifier 1 In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $89.46
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • Blue Care Network — Commercial: $89.46
  • Blue Care Network — Medicare Advantage: $89.46
  • Blue Cross Anthem — Commercial: $89.46
  • Blue Cross Blue Shield Traditional — Commercial: $89.46
  • Blue Cross Trust — Commercial: $89.46
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy W/Patient 45 Minutes $115 $80.50 $51.75 – $103.50
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $91.44
  • Aetna/Aetna Select — Commercial: $90.06
  • Health Advantage McLaren Employee — Commercial: $51.75
  • Health Alliance Plan of Michigan — HMO: $96.01
  • Health Alliance Plan of Michigan — Medicare Advantage: $91.44
  • Health Alliance Plan of Michigan — PPO: $96.01
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $91.44
  • Healthy Michigan McLaren — Managed Medicaid: $91.44
  • Healthy Michigan Meridian — Managed Medicaid: $91.44
  • Healthy Michigan Molina — Managed Medicaid: $91.44
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $94.84 – $349.99
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $181.34
  • Blue Care Network — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — HMO: $317.35
  • Health Alliance Plan of Michigan — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — PPO: $349.99
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.84
  • Healthy Michigan McLaren — Managed Medicaid: $94.84
  • Healthy Michigan Meridian — Managed Medicaid: $94.84
  • Healthy Michigan Molina — Managed Medicaid: $94.84
  • Healthy Michigan Priority Health — Managed Medicaid: $94.84
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee · modifier 1 In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $118.02
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • Blue Care Network — Commercial: $118.02
  • Blue Care Network — Medicare Advantage: $118.02
  • Blue Cross Anthem — Commercial: $118.02
  • Blue Cross Blue Shield Traditional — Commercial: $118.02
  • Blue Cross Trust — Commercial: $118.02
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy W/Patient 60 Minutes $173 $121.10 $77.85 – $171.78
Psychotherapy, 60 minutes: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $163.60
  • Aetna/Aetna Select — Commercial: $124.92
  • Health Advantage McLaren Employee — Commercial: $77.85
  • Health Alliance Plan of Michigan — HMO: $171.78
  • Health Alliance Plan of Michigan — Medicare Advantage: $163.60
  • Health Alliance Plan of Michigan — PPO: $171.78
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $163.60
  • Healthy Michigan McLaren — Managed Medicaid: $163.60
  • Healthy Michigan Meridian — Managed Medicaid: $163.60
  • Healthy Michigan Molina — Managed Medicaid: $163.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $94.84 – $349.99
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $181.34
  • Blue Care Network — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — HMO: $317.35
  • Health Alliance Plan of Michigan — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — PPO: $349.99
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.84
  • Healthy Michigan McLaren — Managed Medicaid: $94.84
  • Healthy Michigan Meridian — Managed Medicaid: $94.84
  • Healthy Michigan Molina — Managed Medicaid: $94.84
  • Healthy Michigan Priority Health — Managed Medicaid: $94.84
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee · modifier 1 In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $174.72
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • Blue Care Network — Commercial: $174.72
  • Blue Care Network — Medicare Advantage: $174.72
  • Blue Cross Anthem — Commercial: $174.72
  • Blue Cross Blue Shield Traditional — Commercial: $174.72
  • Blue Cross Trust — Commercial: $174.72
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: Family Psychotherapy W/O Patient Present 50 Mins $145 $101.50 $65.25 – $130.50
Family psychotherapy, without the patient: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $104.85
  • Aetna/Aetna Select — Commercial: $84.35
  • Health Advantage McLaren Employee — Commercial: $65.25
  • Health Alliance Plan of Michigan — HMO: $110.09
  • Health Alliance Plan of Michigan — Medicare Advantage: $104.85
  • Health Alliance Plan of Michigan — PPO: $110.09
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $104.85
  • Healthy Michigan McLaren — Managed Medicaid: $104.85
  • Healthy Michigan Meridian — Managed Medicaid: $104.85
  • Healthy Michigan Molina — Managed Medicaid: $104.85
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $38.52 – $349.99
Family psychotherapy, without the patient: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $181.34
  • Blue Care Network — Commercial: $38.52
  • Blue Care Network — Medicare Advantage: $181.34
  • Blue Cross Anthem — Commercial: $38.52
  • Blue Cross Blue Shield Traditional — Commercial: $38.52
  • Blue Cross Trust — Commercial: $38.52
  • Health Alliance Plan of Michigan — HMO: $317.35
  • Health Alliance Plan of Michigan — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — PPO: $349.99
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.84
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Family Psychotherapy W/O Patient Present 50 Mins $70 $49 $31.50 – $110.09
Family psychotherapy, without the patient: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $104.85
  • Aetna/Aetna Select — Commercial: $84.35
  • Health Advantage McLaren Employee — Commercial: $31.50
  • Health Alliance Plan of Michigan — HMO: $110.09
  • Health Alliance Plan of Michigan — Medicare Advantage: $104.85
  • Health Alliance Plan of Michigan — PPO: $110.09
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $104.85
  • Healthy Michigan McLaren — Managed Medicaid: $104.85
  • Healthy Michigan Meridian — Managed Medicaid: $104.85
  • Healthy Michigan Molina — Managed Medicaid: $104.85
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: Family Psychotherapy W/Patient Present 50 Mins $173 $121.10 $77.85 – $155.70
Family psychotherapy, with the patient: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $108.48
  • Aetna/Aetna Select — Commercial: $105
  • Health Advantage McLaren Employee — Commercial: $77.85
  • Health Alliance Plan of Michigan — HMO: $113.90
  • Health Alliance Plan of Michigan — Medicare Advantage: $108.48
  • Health Alliance Plan of Michigan — PPO: $113.90
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $108.48
  • Healthy Michigan McLaren — Managed Medicaid: $108.48
  • Healthy Michigan Meridian — Managed Medicaid: $108.48
  • Healthy Michigan Molina — Managed Medicaid: $108.48
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $32.07 – $349.99
Family psychotherapy, with the patient: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $181.34
  • Blue Care Network — Commercial: $32.07
  • Blue Care Network — Medicare Advantage: $181.34
  • Blue Cross Anthem — Commercial: $32.07
  • Blue Cross Blue Shield Traditional — Commercial: $32.07
  • Blue Cross Trust — Commercial: $32.07
  • Health Alliance Plan of Michigan — HMO: $317.35
  • Health Alliance Plan of Michigan — Medicare Advantage: $181.34
  • Health Alliance Plan of Michigan — PPO: $349.99
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $94.84
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Family Psychotherapy W/Patient Present 50 Mins $79 $55.30 $35.55 – $119.42
Family psychotherapy, with the patient: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $108.48
  • Aetna/Aetna Select — Commercial: $105
  • Health Advantage McLaren Employee — Commercial: $35.55
  • Health Alliance Plan of Michigan — HMO: $113.90
  • Health Alliance Plan of Michigan — Medicare Advantage: $108.48
  • Health Alliance Plan of Michigan — PPO: $113.90
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $108.48
  • Healthy Michigan McLaren — Managed Medicaid: $108.48
  • Healthy Michigan Meridian — Managed Medicaid: $108.48
  • Healthy Michigan Molina — Managed Medicaid: $108.48
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: Group Psychotherapy $48 $33.60 $21.60 – $43.20
Group psychotherapy: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $29.77
  • Aetna/Aetna Select — Commercial: $32.20
  • Health Advantage McLaren Employee — Commercial: $21.60
  • Health Alliance Plan of Michigan — HMO: $31.26
  • Health Alliance Plan of Michigan — Medicare Advantage: $29.77
  • Health Alliance Plan of Michigan — PPO: $31.26
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $29.77
  • Healthy Michigan McLaren — Managed Medicaid: $29.77
  • Healthy Michigan Meridian — Managed Medicaid: $29.77
  • Healthy Michigan Molina — Managed Medicaid: $29.77
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $16.88 – $200.31
Group psychotherapy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $103.79
  • Blue Care Network — Commercial: $16.88
  • Blue Care Network — Medicare Advantage: $103.79
  • Blue Cross Anthem — Commercial: $16.88
  • Blue Cross Blue Shield Traditional — Commercial: $16.88
  • Blue Cross Trust — Commercial: $16.88
  • Health Alliance Plan of Michigan — HMO: $181.63
  • Health Alliance Plan of Michigan — Medicare Advantage: $103.79
  • Health Alliance Plan of Michigan — PPO: $200.31
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $54.28
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Group Psychotherapy $31 $21.70 $13.95 – $33.78
Group psychotherapy: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $29.77
  • Aetna/Aetna Select — Commercial: $32.20
  • Health Advantage McLaren Employee — Commercial: $13.95
  • Health Alliance Plan of Michigan — HMO: $31.26
  • Health Alliance Plan of Michigan — Medicare Advantage: $29.77
  • Health Alliance Plan of Michigan — PPO: $31.26
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $29.77
  • Healthy Michigan McLaren — Managed Medicaid: $29.77
  • Healthy Michigan Meridian — Managed Medicaid: $29.77
  • Healthy Michigan Molina — Managed Medicaid: $29.77

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $714 $499.80 $321.30 – $642.60
Removal of breast growth (open surgery): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $550.52
  • Aetna/Aetna Select — Commercial: $527.69
  • Health Advantage McLaren Employee — Commercial: $321.30
  • Health Alliance Plan of Michigan — HMO: $578.05
  • Health Alliance Plan of Michigan — Medicare Advantage: $550.52
  • Health Alliance Plan of Michigan — PPO: $578.05
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $550.52
  • Healthy Michigan McLaren — Managed Medicaid: $550.52
  • Healthy Michigan Meridian — Managed Medicaid: $550.52
  • Healthy Michigan Molina — Managed Medicaid: $550.52
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $2,092.13 – $7,720.46
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $4,000.24
  • Blue Care Network — Commercial: $3,264.14
  • Blue Care Network — Medicare Advantage: $4,000.24
  • Blue Cross Anthem — Commercial: $3,264.14
  • Blue Cross Blue Shield Traditional — Commercial: $3,264.14
  • Blue Cross Trust — Commercial: $3,264.14
  • Health Alliance Plan of Michigan — HMO: $7,000.42
  • Health Alliance Plan of Michigan — Medicare Advantage: $4,000.24
  • Health Alliance Plan of Michigan — PPO: $7,720.46
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $2,092.13
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $869 $608.30 $391.05 – $782.10
Removal of breast growth (open surgery): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $550.52
  • Aetna/Aetna Select — Commercial: $527.69
  • Health Advantage McLaren Employee — Commercial: $391.05
  • Health Alliance Plan of Michigan — HMO: $578.05
  • Health Alliance Plan of Michigan — Medicare Advantage: $550.52
  • Health Alliance Plan of Michigan — PPO: $578.05
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $550.52
  • Healthy Michigan McLaren — Managed Medicaid: $550.52
  • Healthy Michigan Meridian — Managed Medicaid: $550.52
  • Healthy Michigan Molina — Managed Medicaid: $550.52
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $2,420 $1,694 $1,089 – $2,178
Total hip replacement: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,145.30
  • Aetna/Aetna Select — Commercial: $1,871.36
  • Health Advantage McLaren Employee — Commercial: $1,089
  • Health Alliance Plan of Michigan — HMO: $1,202.57
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,145.30
  • Health Alliance Plan of Michigan — PPO: $1,202.57
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,145.30
  • Healthy Michigan McLaren — Managed Medicaid: $1,145.30
  • Healthy Michigan Meridian — Managed Medicaid: $1,145.30
  • Healthy Michigan Molina — Managed Medicaid: $1,145.30
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $6,860.07 – $25,315.35
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $13,116.76
  • Blue Care Network — Commercial: $21,144.13
  • Blue Care Network — Medicare Advantage: $13,116.76
  • Blue Cross Anthem — Commercial: $21,144.13
  • Blue Cross Blue Shield Traditional — Commercial: $21,144.13
  • Blue Cross Trust — Commercial: $21,144.13
  • Health Alliance Plan of Michigan — HMO: $22,954.33
  • Health Alliance Plan of Michigan — Medicare Advantage: $13,116.76
  • Health Alliance Plan of Michigan — PPO: $25,315.35
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $6,860.07
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $3,630 $2,541 $1,145.30 – $3,267
Total hip replacement: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,145.30
  • Aetna/Aetna Select — Commercial: $1,871.36
  • Health Advantage McLaren Employee — Commercial: $1,633.50
  • Health Alliance Plan of Michigan — HMO: $1,202.57
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,145.30
  • Health Alliance Plan of Michigan — PPO: $1,202.57
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,145.30
  • Healthy Michigan McLaren — Managed Medicaid: $1,145.30
  • Healthy Michigan Meridian — Managed Medicaid: $1,145.30
  • Healthy Michigan Molina — Managed Medicaid: $1,145.30
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,604 $1,822.80 $1,143.32 – $2,343.60
Total knee replacement: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,143.32
  • Aetna/Aetna Select — Commercial: $1,870.40
  • Health Advantage McLaren Employee — Commercial: $1,171.80
  • Health Alliance Plan of Michigan — HMO: $1,200.49
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,143.32
  • Health Alliance Plan of Michigan — PPO: $1,200.49
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,143.32
  • Healthy Michigan McLaren — Managed Medicaid: $1,143.32
  • Healthy Michigan Meridian — Managed Medicaid: $1,143.32
  • Healthy Michigan Molina — Managed Medicaid: $1,143.32
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $6,860.07 – $25,315.35
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $13,116.76
  • Blue Care Network — Commercial: $20,618.81
  • Blue Care Network — Medicare Advantage: $13,116.76
  • Blue Cross Anthem — Commercial: $20,618.81
  • Blue Cross Blue Shield Traditional — Commercial: $20,618.81
  • Blue Cross Trust — Commercial: $20,618.81
  • Health Alliance Plan of Michigan — HMO: $22,954.33
  • Health Alliance Plan of Michigan — Medicare Advantage: $13,116.76
  • Health Alliance Plan of Michigan — PPO: $25,315.35
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $6,860.07
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments $3,906 $2,734.20 $1,143.32 – $3,515.40
Total knee replacement: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,143.32
  • Aetna/Aetna Select — Commercial: $1,870.40
  • Health Advantage McLaren Employee — Commercial: $1,757.70
  • Health Alliance Plan of Michigan — HMO: $1,200.49
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,143.32
  • Health Alliance Plan of Michigan — PPO: $1,200.49
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,143.32
  • Healthy Michigan McLaren — Managed Medicaid: $1,143.32
  • Healthy Michigan Meridian — Managed Medicaid: $1,143.32
  • Healthy Michigan Molina — Managed Medicaid: $1,143.32
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $1,132 $792.40 $147.49 – $1,018.80
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $147.49
  • Aetna/Aetna Select — Commercial: $243.65
  • Health Advantage McLaren Employee — Commercial: $509.40
  • Health Alliance Plan of Michigan — HMO: $154.86
  • Health Alliance Plan of Michigan — Medicare Advantage: $147.49
  • Health Alliance Plan of Michigan — PPO: $154.86
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $147.49
  • Healthy Michigan McLaren — Managed Medicaid: $147.49
  • Healthy Michigan Meridian — Managed Medicaid: $147.49
  • Healthy Michigan Molina — Managed Medicaid: $147.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $77.14 – $3,740.13
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $147.49
  • Blue Care Network — Commercial: $3,740.13
  • Blue Care Network — Medicare Advantage: $147.49
  • Blue Cross Anthem — Commercial: $3,740.13
  • Blue Cross Blue Shield Traditional — Commercial: $3,740.13
  • Blue Cross Trust — Commercial: $3,740.13
  • Health Alliance Plan of Michigan — HMO: $258.10
  • Health Alliance Plan of Michigan — Medicare Advantage: $147.49
  • Health Alliance Plan of Michigan — PPO: $284.65
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $77.14
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $1,698 $1,188.60 $147.49 – $1,528.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $147.49
  • Aetna/Aetna Select — Commercial: $243.65
  • Health Advantage McLaren Employee — Commercial: $764.10
  • Health Alliance Plan of Michigan — HMO: $154.86
  • Health Alliance Plan of Michigan — Medicare Advantage: $147.49
  • Health Alliance Plan of Michigan — PPO: $154.86
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $147.49
  • Healthy Michigan McLaren — Managed Medicaid: $147.49
  • Healthy Michigan Meridian — Managed Medicaid: $147.49
  • Healthy Michigan Molina — Managed Medicaid: $147.49
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $1,096 $767.20 $493.20 – $986.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $501.15
  • Aetna/Aetna Select — Commercial: $743.45
  • Health Advantage McLaren Employee — Commercial: $493.20
  • Health Alliance Plan of Michigan — HMO: $526.21
  • Health Alliance Plan of Michigan — Medicare Advantage: $501.15
  • Health Alliance Plan of Michigan — PPO: $526.21
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $501.15
  • Healthy Michigan McLaren — Managed Medicaid: $501.15
  • Healthy Michigan Meridian — Managed Medicaid: $501.15
  • Healthy Michigan Molina — Managed Medicaid: $501.15
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,748.32 – $6,451.74
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,342.87
  • Blue Care Network — Commercial: $3,746.95
  • Blue Care Network — Medicare Advantage: $3,342.87
  • Blue Cross Anthem — Commercial: $3,746.95
  • Blue Cross Blue Shield Traditional — Commercial: $3,746.95
  • Blue Cross Trust — Commercial: $3,746.95
  • Health Alliance Plan of Michigan — HMO: $5,850.02
  • Health Alliance Plan of Michigan — Medicare Advantage: $3,342.87
  • Health Alliance Plan of Michigan — PPO: $6,451.74
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,748.32
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $1,590 $1,113 $501.15 – $1,431
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $501.15
  • Aetna/Aetna Select — Commercial: $743.45
  • Health Advantage McLaren Employee — Commercial: $715.50
  • Health Alliance Plan of Michigan — HMO: $526.21
  • Health Alliance Plan of Michigan — Medicare Advantage: $501.15
  • Health Alliance Plan of Michigan — PPO: $526.21
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $501.15
  • Healthy Michigan McLaren — Managed Medicaid: $501.15
  • Healthy Michigan Meridian — Managed Medicaid: $501.15
  • Healthy Michigan Molina — Managed Medicaid: $501.15
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: Tonsillectomy & Adenoidectomy <Age 12 $442 $309.40 $198.90 – $397.80
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $254.37
  • Aetna/Aetna Select — Commercial: $379.95
  • Health Advantage McLaren Employee — Commercial: $198.90
  • Health Alliance Plan of Michigan — HMO: $267.09
  • Health Alliance Plan of Michigan — Medicare Advantage: $254.37
  • Health Alliance Plan of Michigan — PPO: $267.09
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $254.37
  • Healthy Michigan McLaren — Managed Medicaid: $254.37
  • Healthy Michigan Meridian — Managed Medicaid: $254.37
  • Healthy Michigan Molina — Managed Medicaid: $254.37
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $3,163.13 – $11,672.74
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $6,048.05
  • Blue Care Network — Commercial: $3,285.68
  • Blue Care Network — Medicare Advantage: $6,048.05
  • Blue Cross Anthem — Commercial: $3,285.68
  • Blue Cross Blue Shield Traditional — Commercial: $3,285.68
  • Blue Cross Trust — Commercial: $3,285.68
  • Health Alliance Plan of Michigan — HMO: $10,584.09
  • Health Alliance Plan of Michigan — Medicare Advantage: $6,048.05
  • Health Alliance Plan of Michigan — PPO: $11,672.74
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $3,163.13
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $473.48
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans
  • Blue Care Network — Commercial: $473.48
  • Blue Care Network — Medicare Advantage: $473.48
  • Blue Cross Anthem — Commercial: $473.48
  • Blue Cross Blue Shield Traditional — Commercial: $473.48
  • Blue Cross Trust — Commercial: $473.48
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic $297 $207.90 $133.65 – $317.68
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $302.55
  • Aetna/Aetna Select — Commercial: $171.68
  • Health Advantage McLaren Employee — Commercial: $133.65
  • Health Alliance Plan of Michigan — HMO: $317.68
  • Health Alliance Plan of Michigan — Medicare Advantage: $302.55
  • Health Alliance Plan of Michigan — PPO: $317.68
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $302.55
  • Healthy Michigan McLaren — Managed Medicaid: $302.55
  • Healthy Michigan Meridian — Managed Medicaid: $302.55
  • Healthy Michigan Molina — Managed Medicaid: $302.55
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $484.63 – $1,788.40
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $926.63
  • Blue Care Network — Commercial: $811.62
  • Blue Care Network — Medicare Advantage: $926.63
  • Blue Cross Anthem — Commercial: $811.62
  • Blue Cross Blue Shield Traditional — Commercial: $811.62
  • Blue Cross Trust — Commercial: $811.62
  • Health Alliance Plan of Michigan — HMO: $1,621.60
  • Health Alliance Plan of Michigan — Medicare Advantage: $926.63
  • Health Alliance Plan of Michigan — PPO: $1,788.40
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $484.63
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $194.40
Upper GI endoscopy (diagnostic): rates for 5 insurance plans
  • Blue Care Network — Commercial: $194.40
  • Blue Care Network — Medicare Advantage: $194.40
  • Blue Cross Anthem — Commercial: $194.40
  • Blue Cross Blue Shield Traditional — Commercial: $194.40
  • Blue Cross Trust — Commercial: $194.40
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: Egd Transoral Biopsy Single/Multiple $353 $247.10 $158.85 – $410.69
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $391.13
  • Aetna/Aetna Select — Commercial: $192.01
  • Health Advantage McLaren Employee — Commercial: $158.85
  • Health Alliance Plan of Michigan — HMO: $410.69
  • Health Alliance Plan of Michigan — Medicare Advantage: $391.13
  • Health Alliance Plan of Michigan — PPO: $410.69
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $391.13
  • Healthy Michigan McLaren — Managed Medicaid: $391.13
  • Healthy Michigan Meridian — Managed Medicaid: $391.13
  • Healthy Michigan Molina — Managed Medicaid: $391.13
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $484.63 – $1,788.40
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $926.63
  • Blue Care Network — Commercial: $984.98
  • Blue Care Network — Medicare Advantage: $926.63
  • Blue Cross Anthem — Commercial: $984.98
  • Blue Cross Blue Shield Traditional — Commercial: $984.98
  • Blue Cross Trust — Commercial: $984.98
  • Health Alliance Plan of Michigan — HMO: $1,621.60
  • Health Alliance Plan of Michigan — Medicare Advantage: $926.63
  • Health Alliance Plan of Michigan — PPO: $1,788.40
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $484.63
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $218.37
Upper GI endoscopy with biopsy: rates for 5 insurance plans
  • Blue Care Network — Commercial: $218.37
  • Blue Care Network — Medicare Advantage: $218.37
  • Blue Cross Anthem — Commercial: $218.37
  • Blue Cross Blue Shield Traditional — Commercial: $218.37
  • Blue Cross Trust — Commercial: $218.37
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $448 $313.60 $201.60 – $403.20
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $357.40
  • Aetna/Aetna Select — Commercial: $279.66
  • Health Advantage McLaren Employee — Commercial: $201.60
  • Health Alliance Plan of Michigan — HMO: $375.27
  • Health Alliance Plan of Michigan — Medicare Advantage: $357.40
  • Health Alliance Plan of Michigan — PPO: $375.27
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $357.40
  • Healthy Michigan McLaren — Managed Medicaid: $357.40
  • Healthy Michigan Meridian — Managed Medicaid: $357.40
  • Healthy Michigan Molina — Managed Medicaid: $357.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $496.90 – $1,833.69
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $950.10
  • Blue Care Network — Commercial: $919.31
  • Blue Care Network — Medicare Advantage: $950.10
  • Blue Cross Anthem — Commercial: $919.31
  • Blue Cross Blue Shield Traditional — Commercial: $919.31
  • Blue Cross Trust — Commercial: $919.31
  • Health Alliance Plan of Michigan — HMO: $1,662.68
  • Health Alliance Plan of Michigan — Medicare Advantage: $950.10
  • Health Alliance Plan of Michigan — PPO: $1,833.69
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $496.90
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $93 $65.10 $41.85 – $349.72
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $81.46
  • Aetna/Aetna Select — Commercial: $58.30
  • Health Advantage McLaren Employee — Commercial: $41.85
  • Health Alliance Plan of Michigan — HMO: $85.53
  • Health Alliance Plan of Michigan — Medicare Advantage: $81.46
  • Health Alliance Plan of Michigan — PPO: $85.53
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $81.46
  • Healthy Michigan McLaren — Managed Medicaid: $81.46
  • Healthy Michigan Meridian — Managed Medicaid: $81.46
  • Healthy Michigan Molina — Managed Medicaid: $81.46
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy W/Biopsy Single/Multiple $487 $340.90 $219.15 – $474.21
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $451.63
  • Aetna/Aetna Select — Commercial: $333.87
  • Health Advantage McLaren Employee — Commercial: $219.15
  • Health Alliance Plan of Michigan — HMO: $474.21
  • Health Alliance Plan of Michigan — Medicare Advantage: $451.63
  • Health Alliance Plan of Michigan — PPO: $474.21
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $451.63
  • Healthy Michigan McLaren — Managed Medicaid: $451.63
  • Healthy Michigan Meridian — Managed Medicaid: $451.63
  • Healthy Michigan Molina — Managed Medicaid: $451.63
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $639.40 – $2,359.54
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,222.56
  • Blue Care Network — Commercial: $1,008.61
  • Blue Care Network — Medicare Advantage: $1,222.56
  • Blue Cross Anthem — Commercial: $1,008.61
  • Blue Cross Blue Shield Traditional — Commercial: $1,008.61
  • Blue Cross Trust — Commercial: $1,008.61
  • Health Alliance Plan of Michigan — HMO: $2,139.48
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,222.56
  • Health Alliance Plan of Michigan — PPO: $2,359.54
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $639.40
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $317.43
Colonoscopy with biopsy: rates for 5 insurance plans
  • Blue Care Network — Commercial: $317.43
  • Blue Care Network — Medicare Advantage: $317.43
  • Blue Cross Anthem — Commercial: $317.43
  • Blue Cross Blue Shield Traditional — Commercial: $317.43
  • Blue Cross Trust — Commercial: $317.43
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $636 $445.20 $286.20 – $572.40
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $473.46
  • Aetna/Aetna Select — Commercial: $396.67
  • Health Advantage McLaren Employee — Commercial: $286.20
  • Health Alliance Plan of Michigan — HMO: $497.13
  • Health Alliance Plan of Michigan — Medicare Advantage: $473.46
  • Health Alliance Plan of Michigan — PPO: $497.13
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $473.46
  • Healthy Michigan McLaren — Managed Medicaid: $473.46
  • Healthy Michigan Meridian — Managed Medicaid: $473.46
  • Healthy Michigan Molina — Managed Medicaid: $473.46
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $639.40 – $2,359.54
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,222.56
  • Blue Care Network — Commercial: $1,008.61
  • Blue Care Network — Medicare Advantage: $1,222.56
  • Blue Cross Anthem — Commercial: $1,008.61
  • Blue Cross Blue Shield Traditional — Commercial: $1,008.61
  • Blue Cross Trust — Commercial: $1,008.61
  • Health Alliance Plan of Michigan — HMO: $2,139.48
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,222.56
  • Health Alliance Plan of Michigan — PPO: $2,359.54
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $639.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $399.98
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans
  • Blue Care Network — Commercial: $399.98
  • Blue Care Network — Medicare Advantage: $399.98
  • Blue Cross Anthem — Commercial: $399.98
  • Blue Cross Blue Shield Traditional — Commercial: $399.98
  • Blue Cross Trust — Commercial: $399.98
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $452 $316.40 $203.40 – $406.80
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $222.82
  • Aetna/Aetna Select — Commercial: $379.95
  • Health Advantage McLaren Employee — Commercial: $203.40
  • Health Alliance Plan of Michigan — HMO: $233.96
  • Health Alliance Plan of Michigan — Medicare Advantage: $222.82
  • Health Alliance Plan of Michigan — PPO: $233.96
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $222.82
  • Healthy Michigan McLaren — Managed Medicaid: $222.82
  • Healthy Michigan Meridian — Managed Medicaid: $222.82
  • Healthy Michigan Molina — Managed Medicaid: $222.82
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $639.40 – $2,359.54
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,222.56
  • Blue Care Network — Commercial: $1,009.03
  • Blue Care Network — Medicare Advantage: $1,222.56
  • Blue Cross Anthem — Commercial: $1,009.03
  • Blue Cross Blue Shield Traditional — Commercial: $1,009.03
  • Blue Cross Trust — Commercial: $1,009.03
  • Health Alliance Plan of Michigan — HMO: $2,139.48
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,222.56
  • Health Alliance Plan of Michigan — PPO: $2,359.54
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $639.40
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $405.31
Ultrasound of the lower bowel by endoscope: rates for 5 insurance plans
  • Blue Care Network — Commercial: $405.31
  • Blue Care Network — Medicare Advantage: $405.31
  • Blue Cross Anthem — Commercial: $405.31
  • Blue Cross Blue Shield Traditional — Commercial: $405.31
  • Blue Cross Trust — Commercial: $405.31
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind $495 $346.50 $222.75 – $445.50
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $357.78
  • Aetna/Aetna Select — Commercial: $279.66
  • Health Advantage McLaren Employee — Commercial: $222.75
  • Health Alliance Plan of Michigan — HMO: $375.67
  • Health Alliance Plan of Michigan — Medicare Advantage: $357.78
  • Health Alliance Plan of Michigan — PPO: $375.67
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $357.78
  • Healthy Michigan McLaren — Managed Medicaid: $357.78
  • Healthy Michigan Meridian — Managed Medicaid: $357.78
  • Healthy Michigan Molina — Managed Medicaid: $357.78
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $496.90 – $1,833.69
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $950.10
  • Blue Care Network — Commercial: $840.49
  • Blue Care Network — Medicare Advantage: $950.10
  • Blue Cross Anthem — Commercial: $840.49
  • Blue Cross Blue Shield Traditional — Commercial: $840.49
  • Blue Cross Trust — Commercial: $840.49
  • Health Alliance Plan of Michigan — HMO: $1,662.68
  • Health Alliance Plan of Michigan — Medicare Advantage: $950.10
  • Health Alliance Plan of Michigan — PPO: $1,833.69
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $496.90
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind $147 $102.90 $62.32 – $349.72
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $81.46
  • Aetna/Aetna Select — Commercial: $62.32
  • Health Advantage McLaren Employee — Commercial: $66.15
  • Health Alliance Plan of Michigan — HMO: $85.53
  • Health Alliance Plan of Michigan — Medicare Advantage: $81.46
  • Health Alliance Plan of Michigan — PPO: $85.53
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $81.46
  • Healthy Michigan McLaren — Managed Medicaid: $81.46
  • Healthy Michigan Meridian — Managed Medicaid: $81.46
  • Healthy Michigan Molina — Managed Medicaid: $81.46
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: Laparoscopy Surg Cholecystectomy $1,653 $1,157.10 $625.52 – $1,487.70
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $625.52
  • Aetna/Aetna Select — Commercial: $844.39
  • Health Advantage McLaren Employee — Commercial: $743.85
  • Health Alliance Plan of Michigan — HMO: $656.80
  • Health Alliance Plan of Michigan — Medicare Advantage: $625.52
  • Health Alliance Plan of Michigan — PPO: $656.80
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $625.52
  • Healthy Michigan McLaren — Managed Medicaid: $625.52
  • Healthy Michigan Meridian — Managed Medicaid: $625.52
  • Healthy Michigan Molina — Managed Medicaid: $625.52
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $3,230.29 – $11,920.59
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $6,176.47
  • Blue Care Network — Commercial: $5,908.97
  • Blue Care Network — Medicare Advantage: $6,176.47
  • Blue Cross Anthem — Commercial: $5,908.97
  • Blue Cross Blue Shield Traditional — Commercial: $5,908.97
  • Blue Cross Trust — Commercial: $5,908.97
  • Health Alliance Plan of Michigan — HMO: $10,808.82
  • Health Alliance Plan of Michigan — Medicare Advantage: $6,176.47
  • Health Alliance Plan of Michigan — PPO: $11,920.59
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $3,230.29
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,068.40
Gallbladder removal by laparoscope: rates for 5 insurance plans
  • Blue Care Network — Commercial: $1,068.40
  • Blue Care Network — Medicare Advantage: $1,068.40
  • Blue Cross Anthem — Commercial: $1,068.40
  • Blue Cross Blue Shield Traditional — Commercial: $1,068.40
  • Blue Cross Trust — Commercial: $1,068.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $941 $658.70 $423.45 – $846.90
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $500.79
  • Aetna/Aetna Select — Commercial: $667.29
  • Health Advantage McLaren Employee — Commercial: $423.45
  • Health Alliance Plan of Michigan — HMO: $525.83
  • Health Alliance Plan of Michigan — Medicare Advantage: $500.79
  • Health Alliance Plan of Michigan — PPO: $525.83
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $500.79
  • Healthy Michigan McLaren — Managed Medicaid: $500.79
  • Healthy Michigan Meridian — Managed Medicaid: $500.79
  • Healthy Michigan Molina — Managed Medicaid: $500.79
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,913.11 – $7,059.84
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,657.95
  • Blue Care Network — Commercial: $4,468.31
  • Blue Care Network — Medicare Advantage: $3,657.95
  • Blue Cross Anthem — Commercial: $4,468.31
  • Blue Cross Blue Shield Traditional — Commercial: $4,468.31
  • Blue Cross Trust — Commercial: $4,468.31
  • Health Alliance Plan of Michigan — HMO: $6,401.41
  • Health Alliance Plan of Michigan — Medicare Advantage: $3,657.95
  • Health Alliance Plan of Michigan — PPO: $7,059.84
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,913.11
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $1,116 $781.20 $500.79 – $1,004.40
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $500.79
  • Aetna/Aetna Select — Commercial: $667.29
  • Health Advantage McLaren Employee — Commercial: $502.20
  • Health Alliance Plan of Michigan — HMO: $525.83
  • Health Alliance Plan of Michigan — Medicare Advantage: $500.79
  • Health Alliance Plan of Michigan — PPO: $525.83
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $500.79
  • Healthy Michigan McLaren — Managed Medicaid: $500.79
  • Healthy Michigan Meridian — Managed Medicaid: $500.79
  • Healthy Michigan Molina — Managed Medicaid: $500.79
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG SC>BIOPSY PROSTATE $2,770 $1,939 $1,246.50 – $2,493
Prostate biopsy: 10 of 14 insurance plan rates
  • Aetna/Aetna Select — Commercial: $2,035.95
  • Blue Care Network — Commercial: $1,818.25
  • Blue Cross Anthem — Commercial: $1,818.25
  • Blue Cross Blue Shield Traditional — Commercial: $1,818.25
  • Blue Cross Trust — Commercial: $1,818.25
  • Cigna — Commercial: $1,523.50
  • Health Advantage McLaren Employee — Commercial: $1,523.50
  • Humana — Commercial: $2,077.50
  • McLaren Health Advantage — Commercial: $1,246.50
  • Meritain Health — Commercial: $2,119.05
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: Prostate Needle Biopsy Any Approach $218 $152.60 $98.10 – $299.97
Prostate biopsy: 10 of 11 insurance plan rates
  • Aetna/Aetna Select — Commercial: $179.36
  • Health Advantage McLaren Employee — Commercial: $98.10
  • Health Alliance Plan of Michigan — HMO: $299.97
  • Health Alliance Plan of Michigan — PPO: $299.97
  • Humana — Commercial: $163.50
  • McLaren Health Advantage — Commercial: $151
  • Meritain Health — Commercial: $166.77
  • Multiplan — Commercial: $196.20
  • Physicians Health Plan — Commercial: $119.90
  • Priority Health — PPO: $119.90
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG SC>BIOPSY PROSTATE $2,770 $1,939 $1,246.50 – $2,493
Prostate biopsy: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $2,035.95
  • Cigna — Commercial: $1,523.50
  • Health Advantage McLaren Employee — Commercial: $1,523.50
  • Humana — Commercial: $2,077.50
  • McLaren Health Advantage — Commercial: $1,246.50
  • Meritain Health — Commercial: $2,119.05
  • Multiplan — Commercial: $2,493
  • Physicians Health Plan — Commercial: $1,523.50
  • Priority Health — PPO: $1,523.50
  • Priority Health E — Commercial: $1,274.20
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot $3,560 $2,492 $1,071.41 – $3,204
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $1,071.41
  • Aetna/Aetna Select — Commercial: $2,226.41
  • Health Advantage McLaren Employee — Commercial: $1,602
  • Health Alliance Plan of Michigan — HMO: $1,124.98
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,071.41
  • Health Alliance Plan of Michigan — PPO: $1,124.98
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,071.41
  • Healthy Michigan McLaren — Managed Medicaid: $1,071.41
  • Healthy Michigan Meridian — Managed Medicaid: $1,071.41
  • Healthy Michigan Molina — Managed Medicaid: $1,071.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $5,679.82 – $20,959.94
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $10,860.07
  • Blue Care Network — Commercial: $16,416.25
  • Blue Care Network — Medicare Advantage: $10,860.07
  • Blue Cross Anthem — Commercial: $16,416.25
  • Blue Cross Blue Shield Traditional — Commercial: $16,416.25
  • Blue Cross Trust — Commercial: $16,416.25
  • Health Alliance Plan of Michigan — HMO: $19,005.12
  • Health Alliance Plan of Michigan — Medicare Advantage: $10,860.07
  • Health Alliance Plan of Michigan — PPO: $20,959.94
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $5,679.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $1,904.58
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans
  • Blue Care Network — Commercial: $1,904.58
  • Blue Care Network — Medicare Advantage: $1,904.58
  • Blue Cross Anthem — Commercial: $1,904.58
  • Blue Cross Blue Shield Traditional — Commercial: $1,904.58
  • Blue Cross Trust — Commercial: $1,904.58
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $459 $321.30 $203.65 – $413.10
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $203.65
  • Aetna/Aetna Select — Commercial: $350.14
  • Health Advantage McLaren Employee — Commercial: $206.55
  • Health Alliance Plan of Michigan — HMO: $213.83
  • Health Alliance Plan of Michigan — Medicare Advantage: $203.65
  • Health Alliance Plan of Michigan — PPO: $213.83
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $203.65
  • Healthy Michigan McLaren — Managed Medicaid: $203.65
  • Healthy Michigan Meridian — Managed Medicaid: $203.65
  • Healthy Michigan Molina — Managed Medicaid: $203.65
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,729.69 – $6,382.97
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,307.24
  • Blue Care Network — Commercial: $3,780.07
  • Blue Care Network — Medicare Advantage: $3,307.24
  • Blue Cross Anthem — Commercial: $3,780.07
  • Blue Cross Blue Shield Traditional — Commercial: $3,780.07
  • Blue Cross Trust — Commercial: $3,780.07
  • Health Alliance Plan of Michigan — HMO: $5,787.67
  • Health Alliance Plan of Michigan — Medicare Advantage: $3,307.24
  • Health Alliance Plan of Michigan — PPO: $6,382.97
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,729.69
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee · modifier 2 In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $369.62
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans
  • Blue Care Network — Commercial: $369.62
  • Blue Care Network — Medicare Advantage: $369.62
  • Blue Cross Anthem — Commercial: $369.62
  • Blue Cross Blue Shield Traditional — Commercial: $369.62
  • Blue Cross Trust — Commercial: $369.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG IR CISTERNOGRAM-FLUORO/INJ $2,220 $1,554 $377.17 – $1,998
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $721.17
  • Aetna/Aetna Select — Commercial: $1,631.70
  • Blue Care Network — Commercial: $691.96
  • Blue Care Network — Medicare Advantage: $721.17
  • Blue Cross Anthem — Commercial: $691.96
  • Blue Cross Blue Shield Traditional — Commercial: $691.96
  • Blue Cross Trust — Commercial: $691.96
  • Cigna — Commercial: $1,221
  • Health Advantage McLaren Employee — Commercial: $1,221
  • Health Alliance Plan of Michigan — HMO: $1,262.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR CISTERNOGRAM-FLUORO/INJ $2,220 $1,554 $377.17 – $1,998
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $721.17
  • Aetna/Aetna Select — Commercial: $1,631.70
  • Blue Care Network — Commercial: $691.96
  • Blue Care Network — Medicare Advantage: $721.17
  • Blue Cross Anthem — Commercial: $691.96
  • Blue Cross Blue Shield Traditional — Commercial: $691.96
  • Blue Cross Trust — Commercial: $691.96
  • Cigna — Commercial: $1,221
  • Health Advantage McLaren Employee — Commercial: $1,221
  • Health Alliance Plan of Michigan — HMO: $1,262.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $251 $175.70 $87.76 – $225.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $87.76
  • Health Advantage McLaren Employee — Commercial: $112.95
  • Health Alliance Plan of Michigan — HMO: $92.15
  • Health Alliance Plan of Michigan — Medicare Advantage: $87.76
  • Health Alliance Plan of Michigan — PPO: $92.15
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $87.76
  • Healthy Michigan McLaren — Managed Medicaid: $87.76
  • Healthy Michigan Meridian — Managed Medicaid: $87.76
  • Healthy Michigan Molina — Managed Medicaid: $87.76
  • Healthy Michigan Priority Health — Managed Medicaid: $87.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG IR NERVE ROOT BLOCK L/S 1 LEVEL $1,054 $737.80 $472.60 – $1,744.01
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $903.63
  • Aetna/Aetna Select — Commercial: $774.69
  • Blue Care Network — Commercial: $976.78
  • Blue Care Network — Medicare Advantage: $903.63
  • Blue Cross Anthem — Commercial: $976.78
  • Blue Cross Blue Shield Traditional — Commercial: $976.78
  • Blue Cross Trust — Commercial: $976.78
  • Cigna — Commercial: $579.70
  • Health Advantage McLaren Employee — Commercial: $579.70
  • Health Alliance Plan of Michigan — HMO: $1,581.35
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $350 $245 $115.09 – $315
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $248.43
  • Aetna/Aetna Select — Commercial: $146.84
  • Health Advantage McLaren Employee — Commercial: $157.50
  • Health Alliance Plan of Michigan — HMO: $260.85
  • Health Alliance Plan of Michigan — Medicare Advantage: $248.43
  • Health Alliance Plan of Michigan — PPO: $260.85
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $248.43
  • Healthy Michigan McLaren — Managed Medicaid: $248.43
  • Healthy Michigan Meridian — Managed Medicaid: $248.43
  • Healthy Michigan Molina — Managed Medicaid: $248.43
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG IR NERVE ROOT BLOCK L/S 1 LEVEL $1,054 $737.80 $474.30 – $948.60
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna/Aetna Select — Commercial: $774.69
  • Cigna — Commercial: $579.70
  • Health Advantage McLaren Employee — Commercial: $579.70
  • Humana — Commercial: $790.50
  • McLaren Health Advantage — Commercial: $474.30
  • Meritain Health — Commercial: $806.31
  • Multiplan — Commercial: $948.60
  • Physicians Health Plan — Commercial: $579.70
  • Priority Health — PPO: $579.70
  • Priority Health E — Commercial: $484.84
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne $817 $571.90 $367.65 – $735.30
Carpal tunnel release: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $461.89
  • Aetna/Aetna Select — Commercial: $546.21
  • Health Advantage McLaren Employee — Commercial: $367.65
  • Health Alliance Plan of Michigan — HMO: $484.98
  • Health Alliance Plan of Michigan — Medicare Advantage: $461.89
  • Health Alliance Plan of Michigan — PPO: $484.98
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $461.89
  • Healthy Michigan McLaren — Managed Medicaid: $461.89
  • Healthy Michigan Meridian — Managed Medicaid: $461.89
  • Healthy Michigan Molina — Managed Medicaid: $461.89
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,043.40 – $3,850.39
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,995.02
  • Blue Care Network — Commercial: $2,341.32
  • Blue Care Network — Medicare Advantage: $1,995.02
  • Blue Cross Anthem — Commercial: $2,341.32
  • Blue Cross Blue Shield Traditional — Commercial: $2,341.32
  • Blue Cross Trust — Commercial: $2,341.32
  • Health Alliance Plan of Michigan — HMO: $3,491.29
  • Health Alliance Plan of Michigan — Medicare Advantage: $1,995.02
  • Health Alliance Plan of Michigan — PPO: $3,850.39
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,043.40
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne $1,018 $712.60 $458.10 – $916.20
Carpal tunnel release: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $461.89
  • Aetna/Aetna Select — Commercial: $546.21
  • Health Advantage McLaren Employee — Commercial: $458.10
  • Health Alliance Plan of Michigan — HMO: $484.98
  • Health Alliance Plan of Michigan — Medicare Advantage: $461.89
  • Health Alliance Plan of Michigan — PPO: $484.98
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $461.89
  • Healthy Michigan McLaren — Managed Medicaid: $461.89
  • Healthy Michigan Meridian — Managed Medicaid: $461.89
  • Healthy Michigan Molina — Managed Medicaid: $461.89
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: Post-Cataract Laser Surgery $416 $291.20 $187.20 – $409.33
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $317.65
  • Aetna/Aetna Select — Commercial: $409.33
  • Health Advantage McLaren Employee — Commercial: $187.20
  • Health Alliance Plan of Michigan — HMO: $333.53
  • Health Alliance Plan of Michigan — Medicare Advantage: $317.65
  • Health Alliance Plan of Michigan — PPO: $333.53
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $317.65
  • Healthy Michigan McLaren — Managed Medicaid: $317.65
  • Healthy Michigan Meridian — Managed Medicaid: $317.65
  • Healthy Michigan Molina — Managed Medicaid: $317.65
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $293.88 – $1,084.49
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $561.91
  • Blue Care Network — Commercial: $598.13
  • Blue Care Network — Medicare Advantage: $561.91
  • Blue Cross Anthem — Commercial: $598.13
  • Blue Cross Blue Shield Traditional — Commercial: $598.13
  • Blue Cross Trust — Commercial: $598.13
  • Health Alliance Plan of Michigan — HMO: $983.34
  • Health Alliance Plan of Michigan — Medicare Advantage: $561.91
  • Health Alliance Plan of Michigan — PPO: $1,084.49
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $293.88
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Post-Cataract Laser Surgery $634 $443.80 $285.30 – $570.60
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $317.65
  • Aetna/Aetna Select — Commercial: $409.33
  • Health Advantage McLaren Employee — Commercial: $285.30
  • Health Alliance Plan of Michigan — HMO: $333.53
  • Health Alliance Plan of Michigan — Medicare Advantage: $317.65
  • Health Alliance Plan of Michigan — PPO: $333.53
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $317.65
  • Healthy Michigan McLaren — Managed Medicaid: $317.65
  • Healthy Michigan Meridian — Managed Medicaid: $317.65
  • Healthy Michigan Molina — Managed Medicaid: $317.65
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $1,072 $750.40 $447.39 – $964.80
Cataract removal with lens implant: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $447.39
  • Aetna/Aetna Select — Commercial: $848.91
  • Health Advantage McLaren Employee — Commercial: $482.40
  • Health Alliance Plan of Michigan — HMO: $469.76
  • Health Alliance Plan of Michigan — Medicare Advantage: $447.39
  • Health Alliance Plan of Michigan — PPO: $469.76
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $447.39
  • Healthy Michigan McLaren — Managed Medicaid: $447.39
  • Healthy Michigan Meridian — Managed Medicaid: $447.39
  • Healthy Michigan Molina — Managed Medicaid: $447.39
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,233.13 – $4,550.57
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,357.81
  • Blue Care Network — Commercial: $3,802.48
  • Blue Care Network — Medicare Advantage: $2,357.81
  • Blue Cross Anthem — Commercial: $3,802.48
  • Blue Cross Blue Shield Traditional — Commercial: $3,802.48
  • Blue Cross Trust — Commercial: $3,802.48
  • Health Alliance Plan of Michigan — HMO: $4,126.17
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,357.81
  • Health Alliance Plan of Michigan — PPO: $4,550.57
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,233.13
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $1,609 $1,126.30 $447.39 – $1,448.10
Cataract removal with lens implant: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $447.39
  • Aetna/Aetna Select — Commercial: $848.91
  • Health Advantage McLaren Employee — Commercial: $724.05
  • Health Alliance Plan of Michigan — HMO: $469.76
  • Health Alliance Plan of Michigan — Medicare Advantage: $447.39
  • Health Alliance Plan of Michigan — PPO: $469.76
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $447.39
  • Healthy Michigan McLaren — Managed Medicaid: $447.39
  • Healthy Michigan Meridian — Managed Medicaid: $447.39
  • Healthy Michigan Molina — Managed Medicaid: $447.39

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OB Care Antepartum Vag Dlvr & Postpartum $2,831 $1,981.70 $1,273.95 – $2,656.07
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2,205
  • Aetna/Aetna Select — Commercial: $2,656.07
  • Health Advantage McLaren Employee — Commercial: $1,273.95
  • Health Alliance Plan of Michigan — HMO: $2,315.25
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,205
  • Health Alliance Plan of Michigan — PPO: $2,315.25
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $2,205
  • Healthy Michigan McLaren — Managed Medicaid: $2,205
  • Healthy Michigan Meridian — Managed Medicaid: $2,205
  • Healthy Michigan Molina — Managed Medicaid: $2,205
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,153.41 – $8,917.96
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,205.38
  • Blue Care Network — Commercial: $8,917.96
  • Blue Care Network — Medicare Advantage: $2,205.38
  • Blue Cross Anthem — Commercial: $8,917.96
  • Blue Cross Blue Shield Traditional — Commercial: $8,917.96
  • Blue Cross Trust — Commercial: $8,917.96
  • Health Alliance Plan of Michigan — HMO: $3,859.41
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,205.38
  • Health Alliance Plan of Michigan — PPO: $4,256.38
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,153.41
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee · modifier E In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $3,504.67
Vaginal delivery, with care before and after: rates for 5 insurance plans
  • Blue Care Network — Commercial: $3,504.67
  • Blue Care Network — Medicare Advantage: $3,504.67
  • Blue Cross Anthem — Commercial: $3,504.67
  • Blue Cross Blue Shield Traditional — Commercial: $3,504.67
  • Blue Cross Trust — Commercial: $3,504.67
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: OB Antepartum Care Cesarean Dlvr & Postpartum $3,210 $2,247 $1,444.50 – $2,937.11
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2,471.54
  • Aetna/Aetna Select — Commercial: $2,937.11
  • Health Advantage McLaren Employee — Commercial: $1,444.50
  • Health Alliance Plan of Michigan — HMO: $2,595.12
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,471.54
  • Health Alliance Plan of Michigan — PPO: $2,595.12
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $2,471.54
  • Healthy Michigan McLaren — Managed Medicaid: $2,471.54
  • Healthy Michigan Meridian — Managed Medicaid: $2,471.54
  • Healthy Michigan Molina — Managed Medicaid: $2,471.54
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,292.45 – $9,898.81
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,471.23
  • Blue Care Network — Commercial: $9,898.81
  • Blue Care Network — Medicare Advantage: $2,471.23
  • Blue Cross Anthem — Commercial: $9,898.81
  • Blue Cross Blue Shield Traditional — Commercial: $9,898.81
  • Blue Cross Trust — Commercial: $9,898.81
  • Health Alliance Plan of Michigan — HMO: $4,324.66
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,471.23
  • Health Alliance Plan of Michigan — PPO: $4,769.48
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,292.45
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier E In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $3,504.67
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans
  • Blue Care Network — Commercial: $3,504.67
  • Blue Care Network — Medicare Advantage: $3,504.67
  • Blue Cross Anthem — Commercial: $3,504.67
  • Blue Cross Blue Shield Traditional — Commercial: $3,504.67
  • Blue Cross Trust — Commercial: $3,504.67
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine OB Care Vag Dlvry & Postpartum Care Vb $2,995 $2,096.50 $1,347.75 – $2,785.04
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates
  • Aetna — Medicare Advantage: $2,330.18
  • Aetna/Aetna Select — Commercial: $2,785.04
  • Health Advantage McLaren Employee — Commercial: $1,347.75
  • Health Alliance Plan of Michigan — HMO: $2,446.69
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,330.18
  • Health Alliance Plan of Michigan — PPO: $2,446.69
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $2,330.18
  • Healthy Michigan McLaren — Managed Medicaid: $2,330.18
  • Healthy Michigan Meridian — Managed Medicaid: $2,330.18
  • Healthy Michigan Molina — Managed Medicaid: $2,330.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,218.68 – $9,386.92
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,330.18
  • Blue Care Network — Commercial: $9,386.92
  • Blue Care Network — Medicare Advantage: $2,330.18
  • Blue Cross Anthem — Commercial: $9,386.92
  • Blue Cross Blue Shield Traditional — Commercial: $9,386.92
  • Blue Cross Trust — Commercial: $9,386.92
  • Health Alliance Plan of Michigan — HMO: $4,077.81
  • Health Alliance Plan of Michigan — Medicare Advantage: $2,330.18
  • Health Alliance Plan of Michigan — PPO: $4,497.24
  • Healthy Michigan Blue Cross Complete — Managed Medicaid: $1,218.68
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee · modifier E In the file: VBAC DELIVERY Not listed in the file Not listed in the file $3,679.92
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
  • Blue Care Network — Commercial: $3,679.92
  • Blue Care Network — Medicare Advantage: $3,679.92
  • Blue Cross Anthem — Commercial: $3,679.92
  • Blue Cross Blue Shield Traditional — Commercial: $3,679.92
  • Blue Cross Trust — Commercial: $3,679.92

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $77,947.53 – $139,257.52
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 14 insurance plan rates
  • Aetna — Medicare Advantage: $77,947.53
  • Blue Care Network — Commercial: $139,257.52
  • Blue Care Network — Medicare Advantage: $77,947.53
  • Blue Cross Anthem — Commercial: $139,257.52
  • Blue Cross Blue Shield Traditional — Commercial: $139,257.52
  • Blue Cross Trust — Commercial: $139,257.52
  • Health Alliance Plan of Michigan — HMO: $109,892.15
  • Health Alliance Plan of Michigan — Medicare Advantage: $77,947.53
  • Health Alliance Plan of Michigan — PPO: $119,447.99
  • Humana — PPO Medicare Advantage: $77,947.53
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $15,797.96 – $25,351.48
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates
  • Aetna — Medicare Advantage: $15,797.96
  • Blue Care Network — Commercial: $25,351.48
  • Blue Care Network — Medicare Advantage: $15,797.96
  • Blue Cross Anthem — Commercial: $25,351.48
  • Blue Cross Blue Shield Traditional — Commercial: $25,351.48
  • Blue Cross Trust — Commercial: $25,351.48
  • Health Alliance Plan of Michigan — HMO: $21,667.72
  • Health Alliance Plan of Michigan — Medicare Advantage: $15,797.96
  • Health Alliance Plan of Michigan — PPO: $23,551.87
  • Humana — PPO Medicare Advantage: $15,797.96
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $19,852.70 – $29,808.27
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates
  • Aetna — Medicare Advantage: $19,852.70
  • Blue Care Network — Commercial: $27,077.33
  • Blue Care Network — Medicare Advantage: $19,852.70
  • Blue Cross Anthem — Commercial: $27,077.33
  • Blue Cross Blue Shield Traditional — Commercial: $27,077.33
  • Blue Cross Trust — Commercial: $27,077.33
  • Health Alliance Plan of Michigan — HMO: $27,423.61
  • Health Alliance Plan of Michigan — Medicare Advantage: $19,852.70
  • Health Alliance Plan of Michigan — PPO: $29,808.27
  • Humana — PPO Medicare Advantage: $19,852.70
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $10,352.10 – $15,972.16
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates
  • Aetna — Medicare Advantage: $10,352.10
  • Blue Care Network — Commercial: $15,972.16
  • Blue Care Network — Medicare Advantage: $10,352.10
  • Blue Cross Anthem — Commercial: $15,972.16
  • Blue Cross Blue Shield Traditional — Commercial: $15,972.16
  • Blue Cross Trust — Commercial: $15,972.16
  • Health Alliance Plan of Michigan — HMO: $13,937.03
  • Health Alliance Plan of Michigan — Medicare Advantage: $10,352.10
  • Health Alliance Plan of Michigan — PPO: $15,148.95
  • Humana — PPO Medicare Advantage: $10,352.10

Source: Covenant Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 15, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1447 N Harrison, Saginaw, MI 48602
CountySaginaw County
StateMichigan
Phone(989) 583‑6000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number230070
Name in Medicare recordsCOVENANT MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteCovenant Medical Center Harrison
Official websitecovenanthealthcare.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Emergency Care Center | Covenant HealthCare — covenanthealthcare.com
  2. Services & Specialties | Specialties & Services | Covenant HealthCare — covenanthealthcare.com
  3. Covenant Center for the Heart | Cardiology | Michigan | Covenant HealthCare — covenanthealthcare.com
  4. About Covenant HealthCare | Covenant HealthCare — covenanthealthcare.com
  5. Covenant Stroke Program: Covenant HealthCare Michigan | Covenant HealthCare — covenanthealthcare.com
  6. Hospital Visitor Policy | Covenant HealthCare — m.covenanthealthcare.com