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Long-Term Acute Care Hospital

Craig Hospital

Englewood, Colorado · Arapahoe County

Summary

Craig Hospital is a long-term acute care hospital in Englewood, Colorado. Its official website lists 9 services, specialties and programs. Source: CMS Long-Term Care Hospital - General Information, data updated 2026-08-12.

What is a long-term acute care hospital?

A hospital for patients who are very ill for a longer time (often weeks), such as people needing a breathing machine or complex wound care. More about hospital types

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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

93Beds (CMS)
9Services listed

Quick answers

Where is Craig Hospital?
3425 S Clarkson St, Englewood, CO 80113, in Arapahoe County, Colorado.
What is the phone number of Craig Hospital?
(303) 789-8000, as listed by Medicare (CMS).

Specialties and care areas[4]

  • Neurorehabilitation
  • Inpatient rehabilitation
  • Outpatient rehabilitation

Conditions treated[4]

Programs and centers[4]

  • Spinal cord injury rehabilitation
  • Brain injury rehabilitation
  • Long-term follow-up services
  • Peer mentorship

Recognition[4]

  • Spinal Cord Injury Model System (1973-present)
  • Traumatic Brain Injury Model System (1998-present)
  • Magnet Recognition (five-time, 2005-2030)
  • The Joint Commission Gold Seal of Approval

Nearest emergency rooms

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.

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Craig Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

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: HC O/P NEW-LOW/MOD $592.25 $225.65 $79 – $533.03
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $381.41
  • Allstate — All Commercial Plans: $503.41
  • Blue Cross Blue Shield — All Plans: $306.79
  • Carisk Outcomes — All Commercial Plans: $355.35
  • Cigna — All Commercial Plans: $300.27
  • CMS Medicare — Medicare: $120.80
  • Corvel Worker's Comp — Workers Comp: $414.58
  • Coventry/First Health — All Commercial Plans: $444.19
  • FCCI Worker's Comp — Workers Comp: $444.19
  • First Choice Health — All Commercial Plans: $461.96
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC O/P NEW-LOW/MOD $592.25 $225.65 $306.79 – $533.03
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $503.41
  • Blue Cross Blue Shield — All Plans: $306.79
  • First Choice Health — All Commercial Plans: $461.96
  • Focus Worker's Comp — Workers Comp: $473.80
  • General Reinsurance — All Commercial Plans: $473.80
  • Liberty Mutual Worker's Comp — Workers Comp: $414.58
  • Midwest Employers Casualty — All Commercial Plans: $438.27
  • National Provider Network — All Commercial Plans: $533.03
  • Provider Network of America — All Commercial Plans: $473.80
  • Three Rivers Provider Network — All Commercial Plans: $473.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC O/P NEW-MOD-HIGH $1,178 $448.82 $79 – $1,060.20
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $758.63
  • Allstate — All Commercial Plans: $1,001.30
  • Blue Cross Blue Shield — All Plans: $610.20
  • Carisk Outcomes — All Commercial Plans: $706.80
  • Cigna — All Commercial Plans: $597.25
  • CMS Medicare — Medicare: $181.93
  • Corvel Worker's Comp — Workers Comp: $824.60
  • Coventry/First Health — All Commercial Plans: $883.50
  • FCCI Worker's Comp — Workers Comp: $883.50
  • First Choice Health — All Commercial Plans: $918.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC O/P NEW-MOD-HIGH $1,178 $448.82 $610.20 – $1,060.20
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $1,001.30
  • Blue Cross Blue Shield — All Plans: $610.20
  • First Choice Health — All Commercial Plans: $918.84
  • Focus Worker's Comp — Workers Comp: $942.40
  • General Reinsurance — All Commercial Plans: $942.40
  • Liberty Mutual Worker's Comp — Workers Comp: $824.60
  • Midwest Employers Casualty — All Commercial Plans: $871.72
  • National Provider Network — All Commercial Plans: $1,060.20
  • Provider Network of America — All Commercial Plans: $942.40
  • Three Rivers Provider Network — All Commercial Plans: $942.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC O/P-NEW-HIGH $1,343.50 $511.88 $79 – $1,209.15
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $865.21
  • Allstate — All Commercial Plans: $1,141.98
  • Blue Cross Blue Shield — All Plans: $695.93
  • Carisk Outcomes — All Commercial Plans: $806.10
  • Cigna — All Commercial Plans: $681.15
  • CMS Medicare — Medicare: $242.49
  • Corvel Worker's Comp — Workers Comp: $940.45
  • Coventry/First Health — All Commercial Plans: $1,007.63
  • FCCI Worker's Comp — Workers Comp: $1,007.63
  • First Choice Health — All Commercial Plans: $1,047.93
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC O/P-NEW-HIGH $1,343.50 $511.88 $695.93 – $1,209.15
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $1,141.98
  • Blue Cross Blue Shield — All Plans: $695.93
  • First Choice Health — All Commercial Plans: $1,047.93
  • Focus Worker's Comp — Workers Comp: $1,074.80
  • General Reinsurance — All Commercial Plans: $1,074.80
  • Liberty Mutual Worker's Comp — Workers Comp: $940.45
  • Midwest Employers Casualty — All Commercial Plans: $994.19
  • National Provider Network — All Commercial Plans: $1,209.15
  • Provider Network of America — All Commercial Plans: $1,074.80
  • Three Rivers Provider Network — All Commercial Plans: $1,074.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT LVL 1 CNS DOCTOR $384 $146.31 $79 – $345.60
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $247.30
  • Allstate — All Commercial Plans: $326.40
  • Blue Cross Blue Shield — All Plans: $198.91
  • Carisk Outcomes — All Commercial Plans: $230.40
  • Cigna — All Commercial Plans: $194.69
  • CMS Medicare — Medicare: $98.18
  • Corvel Worker's Comp — Workers Comp: $268.80
  • Coventry/First Health — All Commercial Plans: $288
  • FCCI Worker's Comp — Workers Comp: $288
  • First Choice Health — All Commercial Plans: $299.52
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT LVL 1 CONSULTANT $384 $146.31 $79 – $345.60
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $247.30
  • Allstate — All Commercial Plans: $326.40
  • Blue Cross Blue Shield — All Plans: $198.91
  • Carisk Outcomes — All Commercial Plans: $230.40
  • Cigna — All Commercial Plans: $194.69
  • CMS Medicare — Medicare: $98.18
  • Corvel Worker's Comp — Workers Comp: $268.80
  • Coventry/First Health — All Commercial Plans: $288
  • FCCI Worker's Comp — Workers Comp: $288
  • First Choice Health — All Commercial Plans: $299.52
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT LVL 1 NP $263.50 $100.40 $79 – $237.15
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $169.69
  • Allstate — All Commercial Plans: $223.98
  • Blue Cross Blue Shield — All Plans: $136.49
  • Carisk Outcomes — All Commercial Plans: $158.10
  • Cigna — All Commercial Plans: $133.59
  • CMS Medicare — Medicare: $98.18
  • Corvel Worker's Comp — Workers Comp: $184.45
  • Coventry/First Health — All Commercial Plans: $197.63
  • FCCI Worker's Comp — Workers Comp: $197.63
  • First Choice Health — All Commercial Plans: $205.53
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CONSULT, UROLOGY $501.75 $191.17 $79 – $451.58
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $323.13
  • Allstate — All Commercial Plans: $426.49
  • Blue Cross Blue Shield — All Plans: $259.91
  • Carisk Outcomes — All Commercial Plans: $301.05
  • Cigna — All Commercial Plans: $254.39
  • CMS Medicare — Medicare: $139.63
  • Corvel Worker's Comp — Workers Comp: $351.23
  • Coventry/First Health — All Commercial Plans: $376.31
  • FCCI Worker's Comp — Workers Comp: $376.31
  • First Choice Health — All Commercial Plans: $391.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CONSULT, GYN $501.75 $191.17 $79 – $451.58
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $323.13
  • Allstate — All Commercial Plans: $426.49
  • Blue Cross Blue Shield — All Plans: $259.91
  • Carisk Outcomes — All Commercial Plans: $301.05
  • Cigna — All Commercial Plans: $254.39
  • CMS Medicare — Medicare: $139.63
  • Corvel Worker's Comp — Workers Comp: $351.23
  • Coventry/First Health — All Commercial Plans: $376.31
  • FCCI Worker's Comp — Workers Comp: $376.31
  • First Choice Health — All Commercial Plans: $391.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT LVL 2 CNS DOCTOR $523 $199.27 $79 – $470.70
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $336.81
  • Allstate — All Commercial Plans: $444.55
  • Blue Cross Blue Shield — All Plans: $270.91
  • Carisk Outcomes — All Commercial Plans: $313.80
  • Cigna — All Commercial Plans: $265.16
  • CMS Medicare — Medicare: $139.63
  • Corvel Worker's Comp — Workers Comp: $366.10
  • Coventry/First Health — All Commercial Plans: $392.25
  • FCCI Worker's Comp — Workers Comp: $392.25
  • First Choice Health — All Commercial Plans: $407.94
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $98.26 – $115.60
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • CMS Medicare — Medicare: $115.60
  • United Healthcare — Medicare Advantage: $115.60
  • Veterans Administration — Medicare Advantage: $98.26
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $140.26 – $165.02
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
  • CMS Medicare — Medicare: $165.02
  • United Healthcare — Medicare Advantage: $165.02
  • Veterans Administration — Medicare Advantage: $140.26
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 $117.94 – $138.75
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans
  • CMS Medicare — Medicare: $138.75
  • United Healthcare — Medicare Advantage: $138.75
  • Veterans Administration — Medicare Advantage: $117.94
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 $136.12 – $160.14
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans
  • CMS Medicare — Medicare: $160.14
  • United Healthcare — Medicare Advantage: $160.14
  • Veterans Administration — Medicare Advantage: $136.12
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $235.36 – $276.90
Emergency room visit (moderate): rates for 3 insurance plans
  • CMS Medicare — Medicare: $276.90
  • United Healthcare — Medicare Advantage: $276.90
  • Veterans Administration — Medicare Advantage: $235.36
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $359.77 – $423.26
Emergency room visit (moderately high): rates for 3 insurance plans
  • CMS Medicare — Medicare: $423.26
  • United Healthcare — Medicare Advantage: $423.26
  • Veterans Administration — Medicare Advantage: $359.77
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $513.47 – $604.09
Emergency room visit (high): rates for 3 insurance plans
  • CMS Medicare — Medicare: $604.09
  • United Healthcare — Medicare Advantage: $604.09
  • Veterans Administration — Medicare Advantage: $513.47

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: HC BASIC METABOLIC PANEL $1,318.25 $502.26 $7.19 – $1,186.43
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $848.95
  • Allstate — All Commercial Plans: $1,120.51
  • Blue Cross Blue Shield — All Plans: $682.85
  • Carisk Outcomes — All Commercial Plans: $790.95
  • Cigna — All Commercial Plans: $668.35
  • CMS Medicare — Medicare: $8.46
  • Corvel Worker's Comp — Workers Comp: $922.78
  • Coventry/First Health — All Commercial Plans: $988.69
  • FCCI Worker's Comp — Workers Comp: $988.69
  • First Choice Health — All Commercial Plans: $1,028.24
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $1,318.25 $502.26 $682.85 – $1,186.43
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $1,120.51
  • Blue Cross Blue Shield — All Plans: $682.85
  • Carisk Outcomes — All Commercial Plans: $790.95
  • First Choice Health — All Commercial Plans: $1,028.24
  • Focus Worker's Comp — Workers Comp: $1,054.60
  • General Reinsurance — All Commercial Plans: $1,054.60
  • Kaiser — All Commercial Plans: $747.05
  • Liberty Mutual Worker's Comp — Workers Comp: $922.78
  • Midwest Employers Casualty — All Commercial Plans: $975.51
  • Multiplan/PHCS — All Commercial Plans: $988.69
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $1,610.50 $613.61 $8.98 – $1,449.45
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $1,037.16
  • Allstate — All Commercial Plans: $1,368.93
  • Blue Cross Blue Shield — All Plans: $834.24
  • Carisk Outcomes — All Commercial Plans: $966.30
  • Cigna — All Commercial Plans: $816.52
  • CMS Medicare — Medicare: $10.56
  • Corvel Worker's Comp — Workers Comp: $1,127.35
  • Coventry/First Health — All Commercial Plans: $1,207.88
  • FCCI Worker's Comp — Workers Comp: $1,207.88
  • First Choice Health — All Commercial Plans: $1,256.19
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $1,610.50 $613.61 $834.24 – $1,449.45
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $1,368.93
  • Blue Cross Blue Shield — All Plans: $834.24
  • Carisk Outcomes — All Commercial Plans: $966.30
  • First Choice Health — All Commercial Plans: $1,256.19
  • Focus Worker's Comp — Workers Comp: $1,288.40
  • General Reinsurance — All Commercial Plans: $1,288.40
  • Kaiser — All Commercial Plans: $912.67
  • Liberty Mutual Worker's Comp — Workers Comp: $1,127.35
  • Midwest Employers Casualty — All Commercial Plans: $1,191.77
  • Multiplan/PHCS — All Commercial Plans: $1,207.88
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $40.64 – $47.81
Obstetric blood test panel: rates for 3 insurance plans
  • CMS Medicare — Medicare: $47.81
  • United Healthcare — Medicare Advantage: $47.81
  • Veterans Administration — Medicare Advantage: $40.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $826.50 $314.90 $11.38 – $743.85
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $532.27
  • Allstate — All Commercial Plans: $702.53
  • Blue Cross Blue Shield — All Plans: $428.13
  • Carisk Outcomes — All Commercial Plans: $495.90
  • Cigna — All Commercial Plans: $419.04
  • CMS Medicare — Medicare: $13.39
  • Corvel Worker's Comp — Workers Comp: $578.55
  • Coventry/First Health — All Commercial Plans: $619.88
  • FCCI Worker's Comp — Workers Comp: $619.88
  • First Choice Health — All Commercial Plans: $644.67
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL $826.50 $314.90 $428.13 – $743.85
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $702.53
  • Blue Cross Blue Shield — All Plans: $428.13
  • Carisk Outcomes — All Commercial Plans: $495.90
  • First Choice Health — All Commercial Plans: $644.67
  • Focus Worker's Comp — Workers Comp: $661.20
  • General Reinsurance — All Commercial Plans: $661.20
  • Kaiser — All Commercial Plans: $468.38
  • Liberty Mutual Worker's Comp — Workers Comp: $578.55
  • Midwest Employers Casualty — All Commercial Plans: $611.61
  • Multiplan/PHCS — All Commercial Plans: $619.88
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $2,389.50 $910.40 $7.38 – $2,150.55
Kidney function panel: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $1,538.84
  • Allstate — All Commercial Plans: $2,031.08
  • Blue Cross Blue Shield — All Plans: $1,237.76
  • Carisk Outcomes — All Commercial Plans: $1,433.70
  • Cigna — All Commercial Plans: $1,211.48
  • CMS Medicare — Medicare: $8.68
  • Corvel Worker's Comp — Workers Comp: $1,672.65
  • Coventry/First Health — All Commercial Plans: $1,792.13
  • FCCI Worker's Comp — Workers Comp: $1,792.13
  • First Choice Health — All Commercial Plans: $1,863.81
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $2,389.50 $910.40 $1,237.76 – $2,150.55
Kidney function panel: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $2,031.08
  • Blue Cross Blue Shield — All Plans: $1,237.76
  • Carisk Outcomes — All Commercial Plans: $1,433.70
  • First Choice Health — All Commercial Plans: $1,863.81
  • Focus Worker's Comp — Workers Comp: $1,911.60
  • General Reinsurance — All Commercial Plans: $1,911.60
  • Kaiser — All Commercial Plans: $1,354.13
  • Liberty Mutual Worker's Comp — Workers Comp: $1,672.65
  • Midwest Employers Casualty — All Commercial Plans: $1,768.23
  • Multiplan/PHCS — All Commercial Plans: $1,792.13
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $952 $362.72 $6.94 – $856.80
Liver function panel: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $613.09
  • Allstate — All Commercial Plans: $809.20
  • Blue Cross Blue Shield — All Plans: $493.14
  • Carisk Outcomes — All Commercial Plans: $571.20
  • Cigna — All Commercial Plans: $482.66
  • CMS Medicare — Medicare: $8.17
  • Corvel Worker's Comp — Workers Comp: $666.40
  • Coventry/First Health — All Commercial Plans: $714
  • FCCI Worker's Comp — Workers Comp: $714
  • First Choice Health — All Commercial Plans: $742.56
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $952 $362.72 $493.14 – $856.80
Liver function panel: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $809.20
  • Blue Cross Blue Shield — All Plans: $493.14
  • Carisk Outcomes — All Commercial Plans: $571.20
  • First Choice Health — All Commercial Plans: $742.56
  • Focus Worker's Comp — Workers Comp: $761.60
  • General Reinsurance — All Commercial Plans: $761.60
  • Kaiser — All Commercial Plans: $539.50
  • Liberty Mutual Worker's Comp — Workers Comp: $666.40
  • Midwest Employers Casualty — All Commercial Plans: $704.48
  • Multiplan/PHCS — All Commercial Plans: $714
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W SCOPE $725 $276.23 $2.69 – $652.50
Urine test (automated, with microscope): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $466.90
  • Allstate — All Commercial Plans: $616.25
  • Blue Cross Blue Shield — All Plans: $375.55
  • Carisk Outcomes — All Commercial Plans: $435
  • Cigna — All Commercial Plans: $367.58
  • CMS Medicare — Medicare: $3.17
  • Corvel Worker's Comp — Workers Comp: $507.50
  • Coventry/First Health — All Commercial Plans: $543.75
  • FCCI Worker's Comp — Workers Comp: $543.75
  • First Choice Health — All Commercial Plans: $565.50
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W SCOPE $725 $276.23 $375.55 – $652.50
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $616.25
  • Blue Cross Blue Shield — All Plans: $375.55
  • Carisk Outcomes — All Commercial Plans: $435
  • First Choice Health — All Commercial Plans: $565.50
  • Focus Worker's Comp — Workers Comp: $580
  • General Reinsurance — All Commercial Plans: $580
  • Kaiser — All Commercial Plans: $410.86
  • Liberty Mutual Worker's Comp — Workers Comp: $507.50
  • Midwest Employers Casualty — All Commercial Plans: $536.50
  • Multiplan/PHCS — All Commercial Plans: $543.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $2.96 – $3.48
Urine test (manual, without microscope): rates for 3 insurance plans
  • CMS Medicare — Medicare: $3.48
  • United Healthcare — Medicare Advantage: $3.48
  • Veterans Administration — Medicare Advantage: $2.96
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $464.25 $176.88 $1.91 – $417.83
Urine test (automated, without microscope): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $298.98
  • Allstate — All Commercial Plans: $394.61
  • Blue Cross Blue Shield — All Plans: $240.48
  • Carisk Outcomes — All Commercial Plans: $278.55
  • Cigna — All Commercial Plans: $235.37
  • CMS Medicare — Medicare: $2.25
  • Corvel Worker's Comp — Workers Comp: $324.98
  • Coventry/First Health — All Commercial Plans: $348.19
  • FCCI Worker's Comp — Workers Comp: $348.19
  • First Choice Health — All Commercial Plans: $362.12
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $464.25 $176.88 $240.48 – $417.83
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $394.61
  • Blue Cross Blue Shield — All Plans: $240.48
  • Carisk Outcomes — All Commercial Plans: $278.55
  • First Choice Health — All Commercial Plans: $362.12
  • Focus Worker's Comp — Workers Comp: $371.40
  • General Reinsurance — All Commercial Plans: $371.40
  • Kaiser — All Commercial Plans: $263.09
  • Liberty Mutual Worker's Comp — Workers Comp: $324.98
  • Midwest Employers Casualty — All Commercial Plans: $343.55
  • Multiplan/PHCS — All Commercial Plans: $348.19
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN(PSA) $836.75 $318.81 $15.63 – $753.08
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $538.87
  • Allstate — All Commercial Plans: $711.24
  • Blue Cross Blue Shield — All Plans: $433.44
  • Carisk Outcomes — All Commercial Plans: $502.05
  • Cigna — All Commercial Plans: $424.23
  • CMS Medicare — Medicare: $18.39
  • Corvel Worker's Comp — Workers Comp: $585.73
  • Coventry/First Health — All Commercial Plans: $627.56
  • FCCI Worker's Comp — Workers Comp: $627.56
  • First Choice Health — All Commercial Plans: $652.67
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN(PSA) $836.75 $318.81 $433.44 – $753.08
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $711.24
  • Blue Cross Blue Shield — All Plans: $433.44
  • Carisk Outcomes — All Commercial Plans: $502.05
  • First Choice Health — All Commercial Plans: $652.67
  • Focus Worker's Comp — Workers Comp: $669.40
  • General Reinsurance — All Commercial Plans: $669.40
  • Kaiser — All Commercial Plans: $474.19
  • Liberty Mutual Worker's Comp — Workers Comp: $585.73
  • Midwest Employers Casualty — All Commercial Plans: $619.20
  • Multiplan/PHCS — All Commercial Plans: $627.56
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $1,396 $531.88 $14.28 – $1,256.40
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $899.02
  • Allstate — All Commercial Plans: $1,186.60
  • Blue Cross Blue Shield — All Plans: $723.13
  • Carisk Outcomes — All Commercial Plans: $837.60
  • Cigna — All Commercial Plans: $707.77
  • CMS Medicare — Medicare: $16.80
  • Corvel Worker's Comp — Workers Comp: $977.20
  • Coventry/First Health — All Commercial Plans: $1,047
  • FCCI Worker's Comp — Workers Comp: $1,047
  • First Choice Health — All Commercial Plans: $1,088.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH (CDH) $1,396 $531.88 $14.28 – $1,256.40
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $899.02
  • Allstate — All Commercial Plans: $1,186.60
  • Blue Cross Blue Shield — All Plans: $723.13
  • Carisk Outcomes — All Commercial Plans: $837.60
  • Cigna — All Commercial Plans: $707.77
  • CMS Medicare — Medicare: $16.80
  • Corvel Worker's Comp — Workers Comp: $977.20
  • Coventry/First Health — All Commercial Plans: $1,047
  • FCCI Worker's Comp — Workers Comp: $1,047
  • First Choice Health — All Commercial Plans: $1,088.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $1,396 $531.88 $723.13 – $1,256.40
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $1,186.60
  • Blue Cross Blue Shield — All Plans: $723.13
  • Carisk Outcomes — All Commercial Plans: $837.60
  • First Choice Health — All Commercial Plans: $1,088.88
  • Focus Worker's Comp — Workers Comp: $1,116.80
  • General Reinsurance — All Commercial Plans: $1,116.80
  • Kaiser — All Commercial Plans: $791.11
  • Liberty Mutual Worker's Comp — Workers Comp: $977.20
  • Midwest Employers Casualty — All Commercial Plans: $1,033.04
  • Multiplan/PHCS — All Commercial Plans: $1,047
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF $524.50 $199.84 $6.60 – $472.05
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $337.78
  • Allstate — All Commercial Plans: $445.83
  • Blue Cross Blue Shield — All Plans: $271.69
  • Carisk Outcomes — All Commercial Plans: $314.70
  • Cigna — All Commercial Plans: $265.92
  • CMS Medicare — Medicare: $7.77
  • Corvel Worker's Comp — Workers Comp: $367.15
  • Coventry/First Health — All Commercial Plans: $393.38
  • FCCI Worker's Comp — Workers Comp: $393.38
  • First Choice Health — All Commercial Plans: $409.11
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF $524.50 $199.84 $271.69 – $472.05
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $445.83
  • Blue Cross Blue Shield — All Plans: $271.69
  • Carisk Outcomes — All Commercial Plans: $314.70
  • First Choice Health — All Commercial Plans: $409.11
  • Focus Worker's Comp — Workers Comp: $419.60
  • General Reinsurance — All Commercial Plans: $419.60
  • Kaiser — All Commercial Plans: $297.23
  • Liberty Mutual Worker's Comp — Workers Comp: $367.15
  • Midwest Employers Casualty — All Commercial Plans: $388.13
  • Multiplan/PHCS — All Commercial Plans: $393.38
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC PLT AUTO NO DIFF $524.50 $199.84 $5.50 – $472.05
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $337.78
  • Allstate — All Commercial Plans: $445.83
  • Blue Cross Blue Shield — All Plans: $271.69
  • Carisk Outcomes — All Commercial Plans: $314.70
  • Cigna — All Commercial Plans: $265.92
  • CMS Medicare — Medicare: $6.47
  • Corvel Worker's Comp — Workers Comp: $367.15
  • Coventry/First Health — All Commercial Plans: $393.38
  • FCCI Worker's Comp — Workers Comp: $393.38
  • First Choice Health — All Commercial Plans: $409.11
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC PLT AUTO NO DIFF $524.50 $199.84 $271.69 – $472.05
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $445.83
  • Blue Cross Blue Shield — All Plans: $271.69
  • Carisk Outcomes — All Commercial Plans: $314.70
  • First Choice Health — All Commercial Plans: $409.11
  • Focus Worker's Comp — Workers Comp: $419.60
  • General Reinsurance — All Commercial Plans: $419.60
  • Kaiser — All Commercial Plans: $297.23
  • Liberty Mutual Worker's Comp — Workers Comp: $367.15
  • Midwest Employers Casualty — All Commercial Plans: $388.13
  • Multiplan/PHCS — All Commercial Plans: $393.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $554.50 $211.27 $3.65 – $499.05
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $357.10
  • Allstate — All Commercial Plans: $471.33
  • Blue Cross Blue Shield — All Plans: $287.23
  • Carisk Outcomes — All Commercial Plans: $332.70
  • Cigna — All Commercial Plans: $281.13
  • CMS Medicare — Medicare: $4.29
  • Corvel Worker's Comp — Workers Comp: $388.15
  • Coventry/First Health — All Commercial Plans: $415.88
  • FCCI Worker's Comp — Workers Comp: $415.88
  • First Choice Health — All Commercial Plans: $432.51
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $554.50 $211.27 $287.23 – $499.05
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $471.33
  • Blue Cross Blue Shield — All Plans: $287.23
  • Carisk Outcomes — All Commercial Plans: $332.70
  • First Choice Health — All Commercial Plans: $432.51
  • Focus Worker's Comp — Workers Comp: $443.60
  • General Reinsurance — All Commercial Plans: $443.60
  • Kaiser — All Commercial Plans: $314.24
  • Liberty Mutual Worker's Comp — Workers Comp: $388.15
  • Midwest Employers Casualty — All Commercial Plans: $410.33
  • Multiplan/PHCS — All Commercial Plans: $415.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME APTT $632.25 $240.89 $5.11 – $569.03
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $407.17
  • Allstate — All Commercial Plans: $537.41
  • Blue Cross Blue Shield — All Plans: $327.51
  • Carisk Outcomes — All Commercial Plans: $379.35
  • Cigna — All Commercial Plans: $320.55
  • CMS Medicare — Medicare: $6.01
  • Corvel Worker's Comp — Workers Comp: $442.58
  • Coventry/First Health — All Commercial Plans: $474.19
  • FCCI Worker's Comp — Workers Comp: $474.19
  • First Choice Health — All Commercial Plans: $493.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME APTT $632.25 $240.89 $327.51 – $569.03
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $537.41
  • Blue Cross Blue Shield — All Plans: $327.51
  • Carisk Outcomes — All Commercial Plans: $379.35
  • First Choice Health — All Commercial Plans: $493.16
  • Focus Worker's Comp — Workers Comp: $505.80
  • General Reinsurance — All Commercial Plans: $505.80
  • Kaiser — All Commercial Plans: $358.30
  • Liberty Mutual Worker's Comp — Workers Comp: $442.58
  • Midwest Employers Casualty — All Commercial Plans: $467.87
  • Multiplan/PHCS — All Commercial Plans: $474.19

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: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $90.14 – $106.05
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $106.05
  • United Healthcare — Medicare Advantage: $106.05
  • Veterans Administration — Medicare Advantage: $90.14
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $300.80 – $353.89
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $353.89
  • United Healthcare — Medicare Advantage: $353.89
  • Veterans Administration — Medicare Advantage: $300.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $75.03 – $88.28
Chest X-ray, 2 views: rates for 3 insurance plans
  • CMS Medicare — Medicare: $88.28
  • United Healthcare — Medicare Advantage: $88.28
  • Veterans Administration — Medicare Advantage: $75.03
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $90.14 – $106.05
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • CMS Medicare — Medicare: $106.05
  • United Healthcare — Medicare Advantage: $106.05
  • Veterans Administration — Medicare Advantage: $90.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $205.73 – $242.03
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $242.03
  • United Healthcare — Medicare Advantage: $242.03
  • Veterans Administration — Medicare Advantage: $205.73
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $151.23 – $177.92
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $177.92
  • United Healthcare — Medicare Advantage: $177.92
  • Veterans Administration — Medicare Advantage: $151.23
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $205.73 – $242.03
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $242.03
  • United Healthcare — Medicare Advantage: $242.03
  • Veterans Administration — Medicare Advantage: $205.73
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file $300.80 – $353.89
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $353.89
  • United Healthcare — Medicare Advantage: $353.89
  • Veterans Administration — Medicare Advantage: $300.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $90.14 – $106.05
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • CMS Medicare — Medicare: $106.05
  • United Healthcare — Medicare Advantage: $106.05
  • Veterans Administration — Medicare Advantage: $90.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $90.14 – $106.05
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • CMS Medicare — Medicare: $106.05
  • United Healthcare — Medicare Advantage: $106.05
  • Veterans Administration — Medicare Advantage: $90.14
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $90.14 – $106.05
Transvaginal ultrasound: rates for 3 insurance plans
  • CMS Medicare — Medicare: $106.05
  • United Healthcare — Medicare Advantage: $106.05
  • Veterans Administration — Medicare Advantage: $90.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $110.42 – $129.91
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • CMS Medicare — Medicare: $129.91
  • United Healthcare — Medicare Advantage: $129.91
  • Veterans Administration — Medicare Advantage: $110.42
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $139.89 – $164.57
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • CMS Medicare — Medicare: $164.57
  • United Healthcare — Medicare Advantage: $164.57
  • Veterans Administration — Medicare Advantage: $139.89
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $112.69 – $132.58
Screening mammogram, both breasts: rates for 3 insurance plans
  • CMS Medicare — Medicare: $132.58
  • United Healthcare — Medicare Advantage: $132.58
  • Veterans Administration — Medicare Advantage: $112.69

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $13.48 – $15.86
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • CMS Medicare — Medicare: $15.86
  • United Healthcare — Medicare Advantage: $15.86
  • Veterans Administration — Medicare Advantage: $13.48
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,795.23 – $3,288.50
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • CMS Medicare — Medicare: $3,288.50
  • United Healthcare — Medicare Advantage: $3,288.50
  • Veterans Administration — Medicare Advantage: $2,795.23
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $6,724.95 – $7,911.70
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • CMS Medicare — Medicare: $7,911.70
  • United Healthcare — Medicare Advantage: $7,911.70
  • Veterans Administration — Medicare Advantage: $6,724.95
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $22,536.32 – $26,513.32
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • CMS Medicare — Medicare: $26,513.32
  • United Healthcare — Medicare Advantage: $26,513.32
  • Veterans Administration — Medicare Advantage: $22,536.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $740.41 – $871.08
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • CMS Medicare — Medicare: $871.08
  • United Healthcare — Medicare Advantage: $871.08
  • Veterans Administration — Medicare Advantage: $740.41

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: HC PT THERAPEUTIC EXERCISES EA 15 MIN $263.50 $100.40 $25.54 – $866
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $169.69
  • Allstate — All Commercial Plans: $223.98
  • Blue Cross Blue Shield — All Plans: $136.49
  • Carisk Outcomes — All Commercial Plans: $158.10
  • Cigna — All Commercial Plans: $161.12
  • CMS Medicare — Medicare: $30.04
  • Corvel Worker's Comp — Workers Comp: $184.45
  • Coventry/First Health — All Commercial Plans: $197.63
  • FCCI Worker's Comp — Workers Comp: $197.63
  • First Choice Health — All Commercial Plans: $205.53
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXERCISE $263.50 $100.40 $25.54 – $866
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $169.69
  • Allstate — All Commercial Plans: $223.98
  • Blue Cross Blue Shield — All Plans: $136.49
  • Carisk Outcomes — All Commercial Plans: $158.10
  • Cigna — All Commercial Plans: $161.12
  • CMS Medicare — Medicare: $30.04
  • Corvel Worker's Comp — Workers Comp: $184.45
  • Coventry/First Health — All Commercial Plans: $197.63
  • FCCI Worker's Comp — Workers Comp: $197.63
  • First Choice Health — All Commercial Plans: $205.53
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE $263.50 $100.40 $25.54 – $866
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $169.69
  • Allstate — All Commercial Plans: $223.98
  • Blue Cross Blue Shield — All Plans: $136.49
  • Carisk Outcomes — All Commercial Plans: $158.10
  • Cigna — All Commercial Plans: $161.12
  • CMS Medicare — Medicare: $30.04
  • Corvel Worker's Comp — Workers Comp: $184.45
  • Coventry/First Health — All Commercial Plans: $197.63
  • FCCI Worker's Comp — Workers Comp: $197.63
  • First Choice Health — All Commercial Plans: $205.53
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $662.25 $252.32 $86.15 – $866
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $426.49
  • Allstate — All Commercial Plans: $562.91
  • Blue Cross Blue Shield — All Plans: $343.05
  • Carisk Outcomes — All Commercial Plans: $397.35
  • Cigna — All Commercial Plans: $161.12
  • CMS Medicare — Medicare: $101.36
  • Corvel Worker's Comp — Workers Comp: $463.58
  • Coventry/First Health — All Commercial Plans: $496.69
  • FCCI Worker's Comp — Workers Comp: $496.69
  • First Choice Health — All Commercial Plans: $516.56
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $662.25 $252.32 $343.05 – $596.03
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $562.91
  • Blue Cross Blue Shield — All Plans: $343.05
  • First Choice Health — All Commercial Plans: $516.56
  • Focus Worker's Comp — Workers Comp: $529.80
  • General Reinsurance — All Commercial Plans: $529.80
  • Liberty Mutual Worker's Comp — Workers Comp: $463.58
  • Midwest Employers Casualty — All Commercial Plans: $490.07
  • National Provider Network — All Commercial Plans: $596.03
  • Provider Network of America — All Commercial Plans: $529.80
  • Three Rivers Provider Network — All Commercial Plans: $529.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $1,314.50 $500.83 $86.15 – $1,183.05
Physical therapy evaluation (moderate complexity): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $846.54
  • Allstate — All Commercial Plans: $1,117.33
  • Blue Cross Blue Shield — All Plans: $680.91
  • Carisk Outcomes — All Commercial Plans: $788.70
  • Cigna — All Commercial Plans: $161.12
  • CMS Medicare — Medicare: $101.36
  • Corvel Worker's Comp — Workers Comp: $920.15
  • Coventry/First Health — All Commercial Plans: $985.88
  • FCCI Worker's Comp — Workers Comp: $985.88
  • First Choice Health — All Commercial Plans: $1,025.31
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $1,314.50 $500.83 $680.91 – $1,183.05
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $1,117.33
  • Blue Cross Blue Shield — All Plans: $680.91
  • First Choice Health — All Commercial Plans: $1,025.31
  • Focus Worker's Comp — Workers Comp: $1,051.60
  • General Reinsurance — All Commercial Plans: $1,051.60
  • Liberty Mutual Worker's Comp — Workers Comp: $920.15
  • Midwest Employers Casualty — All Commercial Plans: $972.73
  • National Provider Network — All Commercial Plans: $1,183.05
  • Provider Network of America — All Commercial Plans: $1,051.60
  • Three Rivers Provider Network — All Commercial Plans: $1,051.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $1,967 $749.43 $86.15 – $1,770.30
Physical therapy evaluation (high complexity): 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $1,266.75
  • Allstate — All Commercial Plans: $1,671.95
  • Blue Cross Blue Shield — All Plans: $1,018.91
  • Carisk Outcomes — All Commercial Plans: $1,180.20
  • Cigna — All Commercial Plans: $161.12
  • CMS Medicare — Medicare: $101.36
  • Corvel Worker's Comp — Workers Comp: $1,376.90
  • Coventry/First Health — All Commercial Plans: $1,475.25
  • FCCI Worker's Comp — Workers Comp: $1,475.25
  • First Choice Health — All Commercial Plans: $1,534.26
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $1,967 $749.43 $1,018.91 – $1,770.30
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $1,671.95
  • Blue Cross Blue Shield — All Plans: $1,018.91
  • First Choice Health — All Commercial Plans: $1,534.26
  • Focus Worker's Comp — Workers Comp: $1,573.60
  • General Reinsurance — All Commercial Plans: $1,573.60
  • Liberty Mutual Worker's Comp — Workers Comp: $1,376.90
  • Midwest Employers Casualty — All Commercial Plans: $1,455.58
  • National Provider Network — All Commercial Plans: $1,770.30
  • Provider Network of America — All Commercial Plans: $1,573.60
  • Three Rivers Provider Network — All Commercial Plans: $1,573.60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTHERP IND 30M WO E/M $133 $50.68 $66.25 – $180.05
Psychotherapy, 30 minutes: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $85.65
  • Allstate — All Commercial Plans: $113.05
  • Blue Cross Blue Shield — All Plans: $68.89
  • Carisk Outcomes — All Commercial Plans: $79.80
  • Cigna — All Commercial Plans: $67.43
  • CMS Medicare — Medicare: $180.05
  • Corvel Worker's Comp — Workers Comp: $93.10
  • Coventry/First Health — All Commercial Plans: $99.75
  • FCCI Worker's Comp — Workers Comp: $99.75
  • First Choice Health — All Commercial Plans: $103.74
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PTHERP IND 30M WO E/M $133 $50.68 $68.89 – $119.70
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $113.05
  • Blue Cross Blue Shield — All Plans: $68.89
  • First Choice Health — All Commercial Plans: $103.74
  • Focus Worker's Comp — Workers Comp: $106.40
  • General Reinsurance — All Commercial Plans: $106.40
  • Liberty Mutual Worker's Comp — Workers Comp: $93.10
  • Midwest Employers Casualty — All Commercial Plans: $98.42
  • National Provider Network — All Commercial Plans: $119.70
  • Provider Network of America — All Commercial Plans: $106.40
  • Three Rivers Provider Network — All Commercial Plans: $106.40
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 $153.04 – $180.05
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • CMS Medicare — Medicare: $180.05
  • United Healthcare — Medicare Advantage: $180.05
  • Veterans Administration — Medicare Advantage: $153.04
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTHERP IND 60M WO E/M $1,139 $433.96 $153.04 – $1,025.10
Psychotherapy, 60 minutes: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $733.52
  • Allstate — All Commercial Plans: $968.15
  • Blue Cross Blue Shield — All Plans: $590
  • Carisk Outcomes — All Commercial Plans: $683.40
  • Cigna — All Commercial Plans: $577.47
  • CMS Medicare — Medicare: $180.05
  • Corvel Worker's Comp — Workers Comp: $797.30
  • Coventry/First Health — All Commercial Plans: $854.25
  • FCCI Worker's Comp — Workers Comp: $854.25
  • First Choice Health — All Commercial Plans: $888.42
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PTHERP IND 60M WO E/M $1,139 $433.96 $590 – $1,025.10
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $968.15
  • Blue Cross Blue Shield — All Plans: $590
  • First Choice Health — All Commercial Plans: $888.42
  • Focus Worker's Comp — Workers Comp: $911.20
  • General Reinsurance — All Commercial Plans: $911.20
  • Liberty Mutual Worker's Comp — Workers Comp: $797.30
  • Midwest Employers Casualty — All Commercial Plans: $842.86
  • National Provider Network — All Commercial Plans: $1,025.10
  • Provider Network of America — All Commercial Plans: $911.20
  • Three Rivers Provider Network — All Commercial Plans: $911.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY FAMILY W/O PT $1,141.50 $434.92 $153.04 – $1,027.35
Family psychotherapy, without the patient: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $735.13
  • Allstate — All Commercial Plans: $970.28
  • Blue Cross Blue Shield — All Plans: $591.30
  • Carisk Outcomes — All Commercial Plans: $684.90
  • Cigna — All Commercial Plans: $578.74
  • CMS Medicare — Medicare: $180.05
  • Corvel Worker's Comp — Workers Comp: $799.05
  • Coventry/First Health — All Commercial Plans: $856.13
  • FCCI Worker's Comp — Workers Comp: $856.13
  • First Choice Health — All Commercial Plans: $890.37
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY FAMILY W/O PT $1,141.50 $434.92 $591.30 – $1,027.35
Family psychotherapy, without the patient: 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $970.28
  • Blue Cross Blue Shield — All Plans: $591.30
  • First Choice Health — All Commercial Plans: $890.37
  • Focus Worker's Comp — Workers Comp: $913.20
  • General Reinsurance — All Commercial Plans: $913.20
  • Liberty Mutual Worker's Comp — Workers Comp: $799.05
  • Midwest Employers Casualty — All Commercial Plans: $844.71
  • National Provider Network — All Commercial Plans: $1,027.35
  • Provider Network of America — All Commercial Plans: $913.20
  • Three Rivers Provider Network — All Commercial Plans: $913.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAP W/PATIENT 50 MINS $1,141.50 $434.92 $153.04 – $1,027.35
Family psychotherapy, with the patient: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $735.13
  • Allstate — All Commercial Plans: $970.28
  • Blue Cross Blue Shield — All Plans: $591.30
  • Carisk Outcomes — All Commercial Plans: $684.90
  • Cigna — All Commercial Plans: $578.74
  • CMS Medicare — Medicare: $180.05
  • Corvel Worker's Comp — Workers Comp: $799.05
  • Coventry/First Health — All Commercial Plans: $856.13
  • FCCI Worker's Comp — Workers Comp: $856.13
  • First Choice Health — All Commercial Plans: $890.37
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAP W/PATIENT 50 MINS $1,141.50 $434.92 $591.30 – $1,027.35
Family psychotherapy, with the patient: 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $970.28
  • Blue Cross Blue Shield — All Plans: $591.30
  • First Choice Health — All Commercial Plans: $890.37
  • Focus Worker's Comp — Workers Comp: $913.20
  • General Reinsurance — All Commercial Plans: $913.20
  • Liberty Mutual Worker's Comp — Workers Comp: $799.05
  • Midwest Employers Casualty — All Commercial Plans: $844.71
  • National Provider Network — All Commercial Plans: $1,027.35
  • Provider Network of America — All Commercial Plans: $913.20
  • Three Rivers Provider Network — All Commercial Plans: $913.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY $744 $283.47 $87.59 – $669.60
Group psychotherapy: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $479.14
  • Allstate — All Commercial Plans: $632.40
  • Blue Cross Blue Shield — All Plans: $385.39
  • Carisk Outcomes — All Commercial Plans: $446.40
  • Cigna — All Commercial Plans: $377.21
  • CMS Medicare — Medicare: $103.05
  • Corvel Worker's Comp — Workers Comp: $520.80
  • Coventry/First Health — All Commercial Plans: $558
  • FCCI Worker's Comp — Workers Comp: $558
  • First Choice Health — All Commercial Plans: $580.32
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP THERAPY $744 $283.47 $385.39 – $669.60
Group psychotherapy: 10 of 14 insurance plan rates
  • Allstate — All Commercial Plans: $632.40
  • Blue Cross Blue Shield — All Plans: $385.39
  • First Choice Health — All Commercial Plans: $580.32
  • Focus Worker's Comp — Workers Comp: $595.20
  • General Reinsurance — All Commercial Plans: $595.20
  • Liberty Mutual Worker's Comp — Workers Comp: $520.80
  • Midwest Employers Casualty — All Commercial Plans: $550.56
  • National Provider Network — All Commercial Plans: $669.60
  • Provider Network of America — All Commercial Plans: $595.20
  • Three Rivers Provider Network — All Commercial Plans: $595.20

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $3,375.93 – $3,971.68
Removal of breast growth (open surgery): rates for 3 insurance plans
  • CMS Medicare — Medicare: $3,971.68
  • United Healthcare — Medicare Advantage: $3,971.68
  • Veterans Administration — Medicare Advantage: $3,375.93
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 $11,069.64 – $13,023.11
Total hip replacement: rates for 3 insurance plans
  • CMS Medicare — Medicare: $13,023.11
  • United Healthcare — Medicare Advantage: $13,023.11
  • Veterans Administration — Medicare Advantage: $11,069.64
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 $11,069.64 – $13,023.11
Total knee replacement: rates for 3 insurance plans
  • CMS Medicare — Medicare: $13,023.11
  • United Healthcare — Medicare Advantage: $13,023.11
  • Veterans Administration — Medicare Advantage: $11,069.64
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 $124.53 – $146.51
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • CMS Medicare — Medicare: $146.51
  • United Healthcare — Medicare Advantage: $146.51
  • Veterans Administration — Medicare Advantage: $124.53
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $2,821.15 – $3,319
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans
  • CMS Medicare — Medicare: $3,319
  • United Healthcare — Medicare Advantage: $3,319
  • Veterans Administration — Medicare Advantage: $2,821.15
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 $5,104.14 – $6,004.87
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans
  • CMS Medicare — Medicare: $6,004.87
  • United Healthcare — Medicare Advantage: $6,004.87
  • Veterans Administration — Medicare Advantage: $5,104.14
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 $782.01 – $920.01
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • CMS Medicare — Medicare: $920.01
  • United Healthcare — Medicare Advantage: $920.01
  • Veterans Administration — Medicare Advantage: $782.01
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 $782.01 – $920.01
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • CMS Medicare — Medicare: $920.01
  • United Healthcare — Medicare Advantage: $920.01
  • Veterans Administration — Medicare Advantage: $782.01
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 $801.82 – $943.32
Colonoscopy (diagnostic): rates for 3 insurance plans
  • CMS Medicare — Medicare: $943.32
  • United Healthcare — Medicare Advantage: $943.32
  • Veterans Administration — Medicare Advantage: $801.82
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 $1,031.76 – $1,213.83
Colonoscopy with biopsy: rates for 3 insurance plans
  • CMS Medicare — Medicare: $1,213.83
  • United Healthcare — Medicare Advantage: $1,213.83
  • Veterans Administration — Medicare Advantage: $1,031.76
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 $1,031.76 – $1,213.83
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • CMS Medicare — Medicare: $1,213.83
  • United Healthcare — Medicare Advantage: $1,213.83
  • Veterans Administration — Medicare Advantage: $1,031.76
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 $1,031.76 – $1,213.83
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans
  • CMS Medicare — Medicare: $1,213.83
  • United Healthcare — Medicare Advantage: $1,213.83
  • Veterans Administration — Medicare Advantage: $1,031.76
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 $801.82 – $943.32
Screening colonoscopy (not high risk): rates for 3 insurance plans
  • CMS Medicare — Medicare: $943.32
  • United Healthcare — Medicare Advantage: $943.32
  • Veterans Administration — Medicare Advantage: $801.82
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 $5,212.51 – $6,132.37
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • CMS Medicare — Medicare: $6,132.37
  • United Healthcare — Medicare Advantage: $6,132.37
  • Veterans Administration — Medicare Advantage: $5,212.51
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 $3,087.06 – $3,631.83
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • CMS Medicare — Medicare: $3,631.83
  • United Healthcare — Medicare Advantage: $3,631.83
  • Veterans Administration — Medicare Advantage: $3,087.06
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE NDL PUNCH BX SGL/MLTI $3,360.50 $1,280.36 $1,673.87 – $3,024.45
Prostate biopsy: 10 of 28 insurance plan rates
  • Aetna — All Commercial Plans: $2,164.16
  • Allstate — All Commercial Plans: $2,856.43
  • Blue Cross Blue Shield — All Plans: $1,740.74
  • Carisk Outcomes — All Commercial Plans: $2,016.30
  • Cigna — All Commercial Plans: $1,703.77
  • Corvel Worker's Comp — Workers Comp: $2,352.35
  • Coventry/First Health — All Commercial Plans: $2,520.38
  • FCCI Worker's Comp — Workers Comp: $2,520.38
  • First Choice Health — All Commercial Plans: $2,621.19
  • Focus Worker's Comp — Workers Comp: $2,688.40
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE NDL PUNCH BX SGL/MLTI $3,360.50 $1,280.36 $1,740.74 – $3,024.45
Prostate biopsy: 10 of 18 insurance plan rates
  • Allstate — All Commercial Plans: $2,856.43
  • Blue Cross Blue Shield — All Plans: $1,740.74
  • Carisk Outcomes — All Commercial Plans: $2,016.30
  • First Choice Health — All Commercial Plans: $2,621.19
  • Focus Worker's Comp — Workers Comp: $2,688.40
  • General Reinsurance — All Commercial Plans: $2,688.40
  • Kaiser — All Commercial Plans: $1,904.40
  • Liberty Mutual Worker's Comp — Workers Comp: $2,352.35
  • Midwest Employers Casualty — All Commercial Plans: $2,486.77
  • Multiplan/PHCS — All Commercial Plans: $2,520.38
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $9,165.15 – $10,782.53
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
  • CMS Medicare — Medicare: $10,782.53
  • United Healthcare — Medicare Advantage: $10,782.53
  • Veterans Administration — Medicare Advantage: $9,165.15
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 $2,791.08 – $3,283.63
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans
  • CMS Medicare — Medicare: $3,283.63
  • United Healthcare — Medicare Advantage: $3,283.63
  • Veterans Administration — Medicare Advantage: $2,791.08
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $608.62 – $716.02
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • CMS Medicare — Medicare: $716.02
  • United Healthcare — Medicare Advantage: $716.02
  • Veterans Administration — Medicare Advantage: $608.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $762.60 – $897.18
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • CMS Medicare — Medicare: $897.18
  • United Healthcare — Medicare Advantage: $897.18
  • Veterans Administration — Medicare Advantage: $762.60
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 $1,683.66 – $1,980.78
Carpal tunnel release: rates for 3 insurance plans
  • CMS Medicare — Medicare: $1,980.78
  • United Healthcare — Medicare Advantage: $1,980.78
  • Veterans Administration — Medicare Advantage: $1,683.66
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 $474.21 – $557.90
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
  • CMS Medicare — Medicare: $557.90
  • United Healthcare — Medicare Advantage: $557.90
  • Veterans Administration — Medicare Advantage: $474.21
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 $1,989.83 – $2,340.98
Cataract removal with lens implant: rates for 3 insurance plans
  • CMS Medicare — Medicare: $2,340.98
  • United Healthcare — Medicare Advantage: $2,340.98
  • Veterans Administration — Medicare Advantage: $1,989.83

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $1,863.47 – $2,192.31
Vaginal delivery, with care before and after: rates for 3 insurance plans
  • CMS Medicare — Medicare: $2,192.31
  • United Healthcare — Medicare Advantage: $2,192.31
  • Veterans Administration — Medicare Advantage: $1,863.47
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 $2,071.83 – $2,437.45
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans
  • CMS Medicare — Medicare: $2,437.45
  • United Healthcare — Medicare Advantage: $2,437.45
  • Veterans Administration — Medicare Advantage: $2,071.83
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 $1,950.80 – $2,295.06
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans
  • CMS Medicare — Medicare: $2,295.06
  • United Healthcare — Medicare Advantage: $2,295.06
  • Veterans Administration — Medicare Advantage: $1,950.80

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 $42,159.97 – $49,599.97
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
  • CMS Medicare — Medicare: $49,599.97
  • United Healthcare — Medicare Advantage: $49,599.97
  • Veterans Administration — Medicare Advantage: $42,159.97
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $31,860.33 – $37,482.74
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • CMS Medicare — Medicare: $37,482.74
  • United Healthcare — Medicare Advantage: $37,482.74
  • Veterans Administration — Medicare Advantage: $31,860.33
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 $62,998.59 – $74,115.99
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • CMS Medicare — Medicare: $74,115.99
  • United Healthcare — Medicare Advantage: $74,115.99
  • Veterans Administration — Medicare Advantage: $62,998.59
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 $27,840.27 – $32,753.26
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans
  • CMS Medicare — Medicare: $32,753.26
  • United Healthcare — Medicare Advantage: $32,753.26
  • Veterans Administration — Medicare Advantage: $27,840.27
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 $62,998.59 – $74,115.99
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
  • CMS Medicare — Medicare: $74,115.99
  • United Healthcare — Medicare Advantage: $74,115.99
  • Veterans Administration — Medicare Advantage: $62,998.59

Source: Craig Hospital’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 June 25, 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 typeLong-Term Acute Care Hospital
Address3425 S Clarkson St, Englewood, CO 80113
CountyArapahoe County
StateColorado
Phone(303) 789‑8000
OwnershipNon-profit
CMS Certification Number062011
Name in Medicare recordsCRAIG HOSPITAL
Profile levelMedicare data + hospital website
Official websitecraighospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Long-Term Care Hospital - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare tool to look up and compare this type of 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. Neurorehabilitation Center Colorado | Craig Hospital — craighospital.org