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Acute Care Hospital

Crisp Regional Hospital

Cordele, Georgia · Crisp County · Emergency services listed

Summary

Crisp Regional Hospital is an acute care hospital in Cordele, Georgia. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 84 services, specialties and programs. Medicare lists 132 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

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). 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)
84Services listed

Quick answers

Does Crisp Regional Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Crisp Regional Hospital. In a medical emergency, call 911.
Where is Crisp Regional Hospital?
902 7th Street North, Cordele, GA 31015, in Crisp County, Georgia.
What is the phone number of Crisp Regional Hospital?
(229) 276-3100, as listed by Medicare (CMS).
What is the Medicare star rating of Crisp Regional Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][7][8][9][10][11][12][16][18]

Conditions treated[8][9][10][12][16]

Treatments[4][5][8][10][11][13][15][16][18]

  • Dialysis
  • Rehabilitation
  • Wound care
  • Hospice and palliative care
  • Da Vinci robotic surgery
  • ROSA robotic knee replacement
  • Aquablation therapy
  • UroLift
  • Chemotherapy infusions
  • Bone marrow biopsy
  • Iron injections
  • CPAP therapy
  • Polysomnogram (sleep study)
  • Home sleep apnea testing
  • Blood transfusion
  • Thrombolytic (clot-busting) therapy
  • Physical therapy
  • Occupational therapy

Procedures[4][7][8][9][12][13]

  • Da Vinci robotic surgery
  • Total hip and knee replacement
  • Laparoscopic hysterectomy
  • Cataract surgery
  • Laparoscopic appendectomy
  • Gallbladder removal
  • Hernia repair
  • Thyroid surgery
  • Caesarean section
  • Arthroscopic knee ACL repair
  • Carpal tunnel surgery
  • Carotid stenting
  • Carotid endarterectomy
  • Angioplasty and stenting
  • Laser tonsillectomy
  • Septoplasty
  • Extracorporeal shock wave lithotripsy
  • Colposcopy

Programs and centers[4][5][9][13][14]

  • Sleep Center
  • Level II Neonatal Intensive Care Unit
  • Joint Camp (joint replacement education)
  • Kids Alliance for Better Care (KidsABC) participation

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III

Visiting and practical information

VisitingGeneral visiting hours: 9 a.m. and 6 p.m., daily[17]
ParkingVisitor parking in main lot in front of hospital or side lot; covered drop-off canopies at main and outpatient entrances[17]
Patient portalhttps://crispregional.patientportal.us-1.healtheintent.com

Recognition[6][7][9][18]

  • Gold Seal of Approval (The Joint Commission)
  • Level II Perinatal Care (The Joint Commission)
  • Baby Friendly Designation
  • Accredited by the American College of Radiology (imaging services)
  • Laboratory accredited by The Joint Commission

Doctors and clinicians (132)

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

Main specialties

Doctors with a page on this site (132)

And 108 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 →

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital59%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home80%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys207Response rate: 13%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)0.816No different from the national benchmark
Surgical site infections after colon surgery2.86No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.363No different from 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients9.7%
Deaths within 30 days: pneumonia patients19.9%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients13.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.05No different from the national rate
Complications after hip or knee replacementToo few cases to report

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 attackToo few cases to report
Readmitted within 30 days: heart failure20%
Readmitted within 30 days: pneumonia18.1%
Readmitted within 30 days: COPD18.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)69%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 46 common services exactly as Crisp Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

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: OFFICE O/P NEW LOW 30 MIN $165.77 $157.48 $92.47 – $120.92
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $120.92
  • Ambetter — Commercial: $92.47
  • Health One Alliance — Commercial: $111.67
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN $134.39 $127.67 $150.88 – $197.30
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $197.30
  • Ambetter — Commercial: $150.88
  • Health One Alliance — Commercial: $182.21
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN $266.20 $252.89 $207.01 – $270.71
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $270.71
  • Ambetter — Commercial: $207.01
  • Health One Alliance — Commercial: $250.01
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $146 $138.70 $73.89 – $96.63
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $96.63
  • Ambetter — Commercial: $73.89
  • Health One Alliance — Commercial: $89.24
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CG In the file: OFFICE O/P EST LOW 20 MIN $250.08 $237.58 $73.89 – $96.63
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $96.63
  • Ambetter — Commercial: $73.89
  • Health One Alliance — Commercial: $89.24
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $153 $145.35 $108.82 – $142.31
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $142.31
  • Ambetter — Commercial: $108.82
  • Health One Alliance — Commercial: $131.42
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
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 $110.70 $105.17 Not listed in the file
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
  • United Healthcare — HMO/PPO: 74% (a percentage in the contract, not a dollar amount)
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 $142 $134.90 Not listed in the file
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
  • United Healthcare — HMO/PPO: 74% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM $493.07 $468.42 $331.42 – $433.40
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — QHP: $433.40
  • Ambetter — Commercial: $331.42
  • Health One Alliance — Commercial: $400.26
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM $711.20 $675.64 $506.61 – $662.49
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — QHP: $662.49
  • Ambetter — Commercial: $506.61
  • Health One Alliance — Commercial: $611.83
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $1,172.17 $1,113.56 $723.05 – $945.52
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — QHP: $945.52
  • Ambetter — Commercial: $723.05
  • Health One Alliance — Commercial: $873.22
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)

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: METABOLIC PANEL TOTAL CA $135 $128.25 $11 – $14.38
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — QHP: $14.38
  • Ambetter — Commercial: $11
  • Health One Alliance — Commercial: $13.28
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $430 $408.50 $13.73 – $17.95
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — QHP: $17.95
  • Ambetter — Commercial: $13.73
  • Health One Alliance — Commercial: $16.58
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $119.70 $113.72 $17.41 – $22.76
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — QHP: $22.76
  • Ambetter — Commercial: $17.41
  • Health One Alliance — Commercial: $21.02
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $153.77 $146.08 $11.28 – $14.76
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — QHP: $14.76
  • Ambetter — Commercial: $11.28
  • Health One Alliance — Commercial: $13.63
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $112.50 $106.88 $10.62 – $13.89
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — QHP: $13.89
  • Ambetter — Commercial: $10.62
  • Health One Alliance — Commercial: $12.83
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $58.50 $55.58 $4.12 – $5.39
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — QHP: $5.39
  • Ambetter — Commercial: $4.12
  • Health One Alliance — Commercial: $4.98
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $44.10 $41.90 $2.92 – $3.82
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — QHP: $3.82
  • Ambetter — Commercial: $2.92
  • Health One Alliance — Commercial: $3.53
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $120 $114 $23.91 – $31.26
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — QHP: $31.26
  • Ambetter — Commercial: $23.91
  • Health One Alliance — Commercial: $28.87
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $110.70 $105.17 $21.84 – $28.56
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — QHP: $28.56
  • Ambetter — Commercial: $21.84
  • Health One Alliance — Commercial: $26.38
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $106.20 $100.89 $10.10 – $13.21
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — QHP: $13.21
  • Ambetter — Commercial: $10.10
  • Health One Alliance — Commercial: $12.20
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $85.50 $81.23 $8.41 – $11
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — QHP: $11
  • Ambetter — Commercial: $8.41
  • Health One Alliance — Commercial: $10.16
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $76 $72.20 $5.58 – $7.29
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — QHP: $7.29
  • Ambetter — Commercial: $5.58
  • Health One Alliance — Commercial: $6.74
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $67.50 $64.13 $7.81 – $10.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — QHP: $10.22
  • Ambetter — Commercial: $7.81
  • Health One Alliance — Commercial: $9.44
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 69% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)

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 $1,779.91 $1,690.91 $126.93 – $165.99
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — QHP: $165.99
  • Ambetter — Commercial: $126.93
  • Health One Alliance — Commercial: $153.29
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
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 $4,054.43 $3,851.71 $423.58 – $553.91
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna — QHP: $553.91
  • Ambetter — Commercial: $423.58
  • Health One Alliance — Commercial: $511.55
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $232.32 $220.70 $105.65 – $138.16
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna — QHP: $138.16
  • Ambetter — Commercial: $105.65
  • Health One Alliance — Commercial: $127.59
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
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 $356.69 $338.86 $126.93 – $165.99
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — QHP: $165.99
  • Ambetter — Commercial: $126.93
  • Health One Alliance — Commercial: $153.29
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
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 $2,896.74 $2,751.90 $289.69 – $378.83
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — QHP: $378.83
  • Ambetter — Commercial: $289.69
  • Health One Alliance — Commercial: $349.86
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $2,429.65 $2,308.17 $212.95 – $278.48
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — QHP: $278.48
  • Ambetter — Commercial: $212.95
  • Health One Alliance — Commercial: $257.18
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
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 $2,796.86 $2,657.02 $289.69 – $378.83
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — QHP: $378.83
  • Ambetter — Commercial: $289.69
  • Health One Alliance — Commercial: $349.86
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST $4,568.67 $4,340.24 $423.58 – $553.91
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — QHP: $553.91
  • Ambetter — Commercial: $423.58
  • Health One Alliance — Commercial: $511.55
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $704.22 $669.01 $126.93 – $165.99
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna — QHP: $165.99
  • Ambetter — Commercial: $126.93
  • Health One Alliance — Commercial: $153.29
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $739.37 $702.40 $126.93 – $165.99
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Aetna — QHP: $165.99
  • Ambetter — Commercial: $126.93
  • Health One Alliance — Commercial: $153.29
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $704.22 $669.01 $126.93 – $165.99
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna — QHP: $165.99
  • Ambetter — Commercial: $126.93
  • Health One Alliance — Commercial: $153.29
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $259.66 $246.68 $48.13 – $62.93
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — QHP: $62.93
  • Ambetter — Commercial: $48.13
  • Health One Alliance — Commercial: $58.12
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $419.04 $398.09 $59.22 – $77.43
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — QHP: $77.43
  • Ambetter — Commercial: $59.22
  • Health One Alliance — Commercial: $71.51
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $281.20 $267.14 $44.66 – $58.40
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — QHP: $58.40
  • Ambetter — Commercial: $44.66
  • Health One Alliance — Commercial: $53.93
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $2,987 $2,837.65 $1,042.61 – $1,363.42
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — QHP: $1,363.42
  • Ambetter — Commercial: $1,042.61
  • Health One Alliance — Commercial: $1,259.16
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)

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 · modifier GO In the file: THERAPEUTIC EXERCISES $104.06 $98.86 $35.93 – $46.99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $46.99
  • Ambetter — Commercial: $35.93
  • Health One Alliance — Commercial: $43.39
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES $104.06 $98.86 $35.93 – $46.99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — QHP: $46.99
  • Ambetter — Commercial: $35.93
  • Health One Alliance — Commercial: $43.39
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $227.48 $216.11 $120.83 – $158.01
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — QHP: $158.01
  • Ambetter — Commercial: $120.83
  • Health One Alliance — Commercial: $145.93
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $174.60 $165.87 $120.84 – $158.01
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — QHP: $158.01
  • Ambetter — Commercial: $120.84
  • Health One Alliance — Commercial: $145.93
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $244.42 $232.20 $120.83 – $158.01
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — QHP: $158.01
  • Ambetter — Commercial: $120.83
  • Health One Alliance — Commercial: $145.93
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
  • Humana — HMO/PPO: 70% (a percentage in the contract, not a dollar amount)

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 $73,064.25 – $140,606.88
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates
  • Aetna — QHP: $140,606.88
  • Ambetter — Commercial: $92,437.07
  • Health One Alliance — Commercial: $111,635.54
  • United Healthcare — HMO/PPO: $73,064.25
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
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 $14,339.25 – $27,469.85
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
  • Aetna — QHP: $27,469.85
  • Ambetter — Commercial: $21,966.70
  • Health One Alliance — Commercial: $26,529.01
  • United Healthcare — HMO/PPO: $14,339.25
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
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 $19,013.25 – $34,490.65
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates
  • Aetna — QHP: $34,490.65
  • Ambetter — Commercial: $26,564.29
  • Health One Alliance — Commercial: $32,081.49
  • United Healthcare — HMO/PPO: $19,013.25
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)
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 $8,779.50 – $19,071.54
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates
  • Aetna — QHP: $17,463.86
  • Ambetter — Commercial: $15,791.72
  • Health One Alliance — Commercial: $19,071.54
  • United Healthcare — HMO/PPO: $8,779.50
  • Aetna — HMO/PPO: 88% (a percentage in the contract, not a dollar amount)
  • BCBS — HMO/PPO: 87% (a percentage in the contract, not a dollar amount)
  • BCBS — Open Access: 87% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO/PPO: 93% (a percentage in the contract, not a dollar amount)
  • Cigna — Open Access: 93% (a percentage in the contract, not a dollar amount)
  • Coventry — PPO: 88% (a percentage in the contract, not a dollar amount)

Source: Crisp Regional Hospital’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 9, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address902 7th Street North, Cordele, GA 31015
CountyCrisp County
StateGeorgia
Phone(229) 276‑3100
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number110104
Name in Medicare recordsCRISP REGIONAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitecrispregional.org
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 2026-10-30.

  1. Crisp Regional Health Services — crispregional.org
  2. Emergency Medicine — crispregional.org
  3. Accreditations, Awards, and Recognition - Crisp Regional — crispregional.org
  4. Medical Imaging / Radiology | Services | Crisp Regional — crispregional.org
  5. Surgery Center - Crisp Regional — crispregional.org
  6. Women's Center | Services | Crisp Regional Hospital — crispregional.org
  7. Cancer / Oncology | Services | Crisp Regional Hospital — crispregional.org
  8. Da Vinci Robotic Surgery System | Services | Crisp Regional — crispregional.org
  9. General Surgery | Services | Crisp Regional Hospital — crispregional.org
  10. Orthopedics | Services | Crisp Regional Hospital | Cordele, GA — crispregional.org
  11. Pediatrics | Services | Crisp Regional Hospital | Cordele, GA — crispregional.org
  12. Rehabilitation | Services | Crisp Regional Hospital | Cordele, GA — crispregional.org
  13. Sleep Center | Services | Crisp Regional Hospital | Cordele, GA — crispregional.org
  14. Visitors | Crisp Regional Hospital — crispregional.org
  15. Laboratory Services + Pathology | Services | Crisp Regional — crispregional.org