Does Crossing Rivers Health Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Crossing Rivers Health Medical Center. In a medical emergency, call 911.

Where is Crossing Rivers Health Medical Center?

37868 US Hwy 18, Prairie Du Chien, WI 53821, in Crawford County, Wisconsin.

What is the phone number of Crossing Rivers Health Medical Center?

(608) 357-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Crossing Rivers Health Medical Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Crossing Rivers Health Medical Center

Quick answers

Does Crossing Rivers Health Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Crossing Rivers Health Medical Center. In a medical emergency, call 911.
Where is Crossing Rivers Health Medical Center?: 37868 US Hwy 18, Prairie Du Chien, WI 53821, in Crawford County, Wisconsin.
What is the phone number of Crossing Rivers Health Medical Center?: (608) 357-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Crossing Rivers Health Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Treatments^[4]

Programs and centers^[4]

Cardiac Rehabilitation/Healthy Hearts
Pulmonary Rehab

Emergency care (hospital website)^[7]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Quiet time is observed daily 1:00-2:00 p.m.; visitor restrictions may apply for infection control. Entrances have set weekday hours^[7]
Parking	Free-standing lots near the Main, Emergency, North (rehab) and Clinic entrances; ample parking in front of the building^[7]
Interpreters and languages	Patients have the right to request an interpreter^[6]

Recognition^[8]

Accredited by The Joint Commission

Doctors and clinicians (145)

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

Main specialties

And 121 more: the button below opens the full list.

Other emergency rooms nearby

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

Guttenberg Municipal Hospital18 mi · Guttenberg, IA · Critical Access Hospital
Gundersen Boscobel Area Hospital and Clinics19 mi · Boscobel, WI · Critical Access Hospital
MercyOne Elkader Medical Center22 mi · Elkader, IA · Critical Access Hospital
Grant Regional Health Center23 mi · Lancaster, WI · Critical Access Hospital
Veterans Memorial Hospital26 mi · Waukon, IA · Critical Access Hospital

Other hospitals nearby

Vernon Memorial Hospital36 mi · Viroqua, WI · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Prairie Maison3.9 mi · Prairie Du Chien, WI · 3 of 5 stars
Great River Care Center7.0 mi · Mc Gregor, IA · 4 of 5 stars
Care and Rehab - Boscobel19 mi · Boscobel, WI · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Grant County Hospice22 mi · Lancaster, WI

All hospice providers in the state →

Home health agencies

Grant County Home Nursing Service22 mi · Lancaster, WI · 3 of 5 stars
Homeward Bound Home Health22 mi · Lancaster, WI

All home health agencies in the state →

Dialysis facilities

Gundersen Lutheran Renal Dialysis - Prairie Du Chien0.0 mi · Prairie Du Chien, WI · 3 of 5 stars

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

Bluff View Intermediate School3.5 mi · Prairie Du Chien, WI · Community health center
Prairie du Chien High School4.0 mi · Prairie Du Chien, WI · Community health center
Scenic Bluffs Health Centers, Inc - Prairie du Chien4.4 mi · Prairie Du Chien, WI · Community health center

Clinics and urgent care

Mayo Clinic Health System - Prairie Du Chien0.0 mi · Prairie Du Chien, WI · Rural health clinic
Cornerstone Family Practice13 mi · Garnavillo, IA · Rural health clinic
MercyOne Monona Family Medicine16 mi · Monona, IA · Rural health clinic

Pharmacies

Gundersen Clinic Ltd0.0 mi · Prairie Du Chien, WI · Pharmacy
Hartig Drug Co Corp0.0 mi · Prairie Du Chien, WI · Community/retail pharmacy
Walgreen Co0.0 mi · Prairie Du Chien, WI · Pharmacy

Assisted living nearby

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

Bluff Haven Assisted Living0.0 mi · Prairie Du Chien, WI
Turner Pointe Assisted Living9.4 mi · McGregor, IA
Tower Living Center13 mi · Garnavillo, IA

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	5 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	81%National average: 72%
Would definitely recommend the hospital	78%National average: 71%
Nurses “always” communicated well	89%National average: 80%
Doctors “always” communicated well	84%National average: 80%
Staff “always” explained medicines before giving them	79%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	92%National average: 74%
Area around the room “always” quiet at night	73%National average: 60%
Completed surveys	107Response rate: 29%

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)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	11.4%
Deaths within 30 days: pneumonia patients	15.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too 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 attack	Too few cases to report
Readmitted within 30 days: heart failure	20.9%
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too 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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	162 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Wisconsin Best hospitals in Wisconsin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Crossing Rivers Health Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$63	$63	$26.46 – $61.11
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $74.38 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $26.46 BCBS MCARE — BCBS MCARE: $26.46 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $59.85 BCBS TRAD — BCBS TRAD: $61.11 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $61.11 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $59.85 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $61.11 GEHA - ALL PLANS — GEHA - ALL PLANS: $61.11 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $61.11
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$285	$285	$119.70 – $276.45
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $119.70 BCBS MCARE — BCBS MCARE: $119.70 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $270.75 BCBS TRAD — BCBS TRAD: $276.45 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $276.45 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $270.75 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $276.45 GEHA - ALL PLANS — GEHA - ALL PLANS: $276.45 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $276.45 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $276.45
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$95	$95	$39.90 – $92.15
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $99.86 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $39.90 BCBS MCARE — BCBS MCARE: $39.90 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $90.25 BCBS TRAD — BCBS TRAD: $92.15 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $92.15 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $90.25 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $92.15 GEHA - ALL PLANS — GEHA - ALL PLANS: $92.15 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $92.15
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$327	$327	$137.34 – $317.19
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $137.34 BCBS MCARE — BCBS MCARE: $137.34 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $310.65 BCBS TRAD — BCBS TRAD: $317.19 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $317.19 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $310.65 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $317.19 GEHA - ALL PLANS — GEHA - ALL PLANS: $317.19 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $317.19 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $317.19
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$125	$125	$52.50 – $121.25
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $146.41 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $52.50 BCBS MCARE — BCBS MCARE: $52.50 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $118.75 BCBS TRAD — BCBS TRAD: $121.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $121.25 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $118.75 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $121.25 GEHA - ALL PLANS — GEHA - ALL PLANS: $121.25 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $121.25
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$348	$348	$146.16 – $337.56
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $146.16 BCBS MCARE — BCBS MCARE: $146.16 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $330.60 BCBS TRAD — BCBS TRAD: $337.56 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $337.56 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $330.60 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $337.56 GEHA - ALL PLANS — GEHA - ALL PLANS: $337.56 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $337.56 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $337.56
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$1,390	$1,390	$583.80 – $1,348.30
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $60.42 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $583.80 BCBS MCARE — BCBS MCARE: $583.80 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,320.50 BCBS TRAD — BCBS TRAD: $1,348.30 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,348.30 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,320.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,348.30 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,348.30 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,348.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$1,892	$1,892	$794.64 – $1,835.24
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $85.58 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $794.64 BCBS MCARE — BCBS MCARE: $794.64 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,797.40 BCBS TRAD — BCBS TRAD: $1,835.24 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,835.24 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,797.40 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,835.24 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,835.24 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,835.24
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	$564	$564	$68.78 – $547.08
Office consultation with a specialist (moderate): 10 of 15 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $68.78 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $423 BCBS TRAD — BCBS TRAD: $423 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $547.08 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $535.80 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $547.08 GEHA - ALL PLANS — GEHA - ALL PLANS: $547.08 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $451.20 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $547.08 HEALTH TRAD HP - ALL PLANS — HEALTH TRAD HP - ALL PLANS: $541.44
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more	$790	$790	$98.31 – $766.30
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $98.31 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $592.50 BCBS TRAD — BCBS TRAD: $592.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $766.30 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $750.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $766.30 GEHA - ALL PLANS — GEHA - ALL PLANS: $766.30 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $632 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $766.30 HEALTH TRAD HP - ALL PLANS — HEALTH TRAD HP - ALL PLANS: $758.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$369	$369	$86.78 – $357.93
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $86.78 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $276.75 BCBS TRAD — BCBS TRAD: $276.75 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $357.93 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $350.55 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $357.93 GEHA - ALL PLANS — GEHA - ALL PLANS: $357.93 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $295.20 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $357.93 HEALTH TRAD HP - ALL PLANS — HEALTH TRAD HP - ALL PLANS: $354.24
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)	$356	$356	$100.03 – $345.32
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $100.03 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $267 BCBS TRAD — BCBS TRAD: $267 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $345.32 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $338.20 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $345.32 GEHA - ALL PLANS — GEHA - ALL PLANS: $345.32 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $284.80 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $345.32 HEALTH TRAD HP - ALL PLANS — HEALTH TRAD HP - ALL PLANS: $341.76
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$809	$809	$339.78 – $784.73
Emergency room visit (moderate): 10 of 23 insurance plan rates AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $339.78 BCBS MCARE — BCBS MCARE: $339.78 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $768.55 BCBS TRAD — BCBS TRAD: $784.73 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $784.73 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $768.55 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $784.73 GEHA - ALL PLANS — GEHA - ALL PLANS: $784.73 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $784.73 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $784.73
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$353	$353	$24.26 – $342.41
Emergency room visit (moderate): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $24.26 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $64.46 BCBS MCARE — BCBS MCARE: $64.46 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $128.92 BCBS TRAD — BCBS TRAD: $128.92 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $342.41 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $335.35 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $342.41 GEHA - ALL PLANS — GEHA - ALL PLANS: $342.41 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $282.40
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$1,280	$1,280	$537.60 – $1,241.60
Emergency room visit (moderately high): 10 of 23 insurance plan rates AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $537.60 BCBS MCARE — BCBS MCARE: $537.60 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,216 BCBS TRAD — BCBS TRAD: $1,241.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,241.60 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,216 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,241.60 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,241.60 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,241.60 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,241.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$600	$600	$41.07 – $582
Emergency room visit (moderately high): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $41.07 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $109.52 BCBS MCARE — BCBS MCARE: $109.52 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $219.04 BCBS TRAD — BCBS TRAD: $219.04 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $582 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $570 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $582 GEHA - ALL PLANS — GEHA - ALL PLANS: $582 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $480
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$1,910	$1,910	$802.20 – $1,852.70
Emergency room visit (high): 10 of 23 insurance plan rates AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $802.20 BCBS MCARE — BCBS MCARE: $802.20 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,814.50 BCBS TRAD — BCBS TRAD: $1,852.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,852.70 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,814.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,852.70 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,852.70 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,852.70 HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,852.70
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$870	$870	$59.56 – $843.90
Emergency room visit (high): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $59.56 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $159.34 BCBS MCARE — BCBS MCARE: $159.34 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $318.68 BCBS TRAD — BCBS TRAD: $318.68 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $843.90 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $826.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $843.90 GEHA - ALL PLANS — GEHA - ALL PLANS: $843.90 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $696

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$223	$223	$15.28 – $216.31
Basic metabolic panel (blood test): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $15.28 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $93.66 BCBS MCARE — BCBS MCARE: $93.66 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $211.85 BCBS TRAD — BCBS TRAD: $216.31 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $216.31 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $211.85 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $216.31 GEHA - ALL PLANS — GEHA - ALL PLANS: $216.31 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $216.31
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$309	$309	$15.28 – $299.73
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $15.28 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $129.78 BCBS MCARE — BCBS MCARE: $129.78 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $293.55 BCBS TRAD — BCBS TRAD: $299.73 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $299.73 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $293.55 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $299.73 GEHA - ALL PLANS — GEHA - ALL PLANS: $299.73 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $299.73
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel	$318	$318	$15.28 – $308.46
Obstetric blood test panel: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $15.28 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $133.56 BCBS MCARE — BCBS MCARE: $133.56 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $302.10 BCBS TRAD — BCBS TRAD: $308.46 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $308.46 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $302.10 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $308.46 GEHA - ALL PLANS — GEHA - ALL PLANS: $308.46 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $308.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$217	$217	$15.28 – $210.49
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $15.28 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $91.14 BCBS MCARE — BCBS MCARE: $91.14 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $206.15 BCBS TRAD — BCBS TRAD: $210.49 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $210.49 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $206.15 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $210.49 GEHA - ALL PLANS — GEHA - ALL PLANS: $210.49 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $210.49
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$272	$272	$15.28 – $263.84
Kidney function panel: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $15.28 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $114.24 BCBS MCARE — BCBS MCARE: $114.24 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $258.40 BCBS TRAD — BCBS TRAD: $263.84 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $263.84 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $258.40 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $263.84 GEHA - ALL PLANS — GEHA - ALL PLANS: $263.84 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $263.84
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$260	$260	$15.28 – $252.20
Liver function panel: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $15.28 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $109.20 BCBS MCARE — BCBS MCARE: $109.20 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $247 BCBS TRAD — BCBS TRAD: $252.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $252.20 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $247 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $252.20 GEHA - ALL PLANS — GEHA - ALL PLANS: $252.20 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $252.20
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$101	$101	$5.07 – $97.97
Urine test (automated, with microscope): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $5.07 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $42.42 BCBS MCARE — BCBS MCARE: $42.42 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $95.95 BCBS TRAD — BCBS TRAD: $97.97 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $97.97 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $95.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $97.97 GEHA - ALL PLANS — GEHA - ALL PLANS: $97.97 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $97.97
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$30	$30	$5.07 – $29.10
Urine test (manual, without microscope): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $5.07 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $12.60 BCBS MCARE — BCBS MCARE: $12.60 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $28.50 BCBS TRAD — BCBS TRAD: $29.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $29.10 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $28.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $29.10 GEHA - ALL PLANS — GEHA - ALL PLANS: $29.10 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $29.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$49	$49	$5.07 – $47.53
Urine test (automated, without microscope): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $5.07 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $20.58 BCBS MCARE — BCBS MCARE: $20.58 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $46.55 BCBS TRAD — BCBS TRAD: $47.53 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $47.53 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $46.55 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $47.53 GEHA - ALL PLANS — GEHA - ALL PLANS: $47.53 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $47.53
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$247	$247	$20.54 – $239.59
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $20.54 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $103.74 BCBS MCARE — BCBS MCARE: $103.74 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $234.65 BCBS TRAD — BCBS TRAD: $239.59 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $239.59 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $234.65 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $239.59 GEHA - ALL PLANS — GEHA - ALL PLANS: $239.59 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $239.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$246	$246	$22.50 – $238.62
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $22.50 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $103.32 BCBS MCARE — BCBS MCARE: $103.32 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $233.70 BCBS TRAD — BCBS TRAD: $238.62 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $238.62 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $233.70 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $238.62 GEHA - ALL PLANS — GEHA - ALL PLANS: $238.62 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $238.62
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$167	$167	$10.09 – $161.99
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $10.09 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $70.14 BCBS MCARE — BCBS MCARE: $70.14 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $158.65 BCBS TRAD — BCBS TRAD: $161.99 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $161.99 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $158.65 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $161.99 GEHA - ALL PLANS — GEHA - ALL PLANS: $161.99 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $161.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$119	$119	$10.09 – $115.43
Complete blood count (CBC), automated: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $10.09 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $49.98 BCBS MCARE — BCBS MCARE: $49.98 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $113.05 BCBS TRAD — BCBS TRAD: $115.43 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $115.43 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $113.05 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $115.43 GEHA - ALL PLANS — GEHA - ALL PLANS: $115.43 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $115.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$92	$92	$7.52 – $89.24
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $7.52 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $38.64 BCBS MCARE — BCBS MCARE: $38.64 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $87.40 BCBS TRAD — BCBS TRAD: $89.24 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $89.24 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $87.40 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $89.24 GEHA - ALL PLANS — GEHA - ALL PLANS: $89.24 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $89.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$120	$120	$7.52 – $116.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $7.52 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $50.40 BCBS MCARE — BCBS MCARE: $50.40 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $114 BCBS TRAD — BCBS TRAD: $116.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $116.40 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $114 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $116.40 GEHA - ALL PLANS — GEHA - ALL PLANS: $116.40 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $116.40

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast	$2,264	$2,264	$697.76 – $2,196.08
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $697.76 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $950.88 BCBS MCARE — BCBS MCARE: $950.88 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,150.80 BCBS TRAD — BCBS TRAD: $2,196.08 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,196.08 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,150.80 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,196.08 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,196.08 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,196.08
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$5,897	$5,897	$858.72 – $5,720.09
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $858.72 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $2,476.74 BCBS MCARE — BCBS MCARE: $2,476.74 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $5,602.15 BCBS TRAD — BCBS TRAD: $5,720.09 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,720.09 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $5,602.15 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $5,720.09 GEHA - ALL PLANS — GEHA - ALL PLANS: $5,720.09 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $5,720.09
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$388	$388	$120 – $376.36
Chest X-ray, 2 views: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $120 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $162.96 BCBS MCARE — BCBS MCARE: $162.96 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $368.60 BCBS TRAD — BCBS TRAD: $376.36 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $376.36 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $368.60 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $376.36 GEHA - ALL PLANS — GEHA - ALL PLANS: $376.36 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $376.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$769	$769	$120 – $745.93
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $120 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $322.98 BCBS MCARE — BCBS MCARE: $322.98 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $730.55 BCBS TRAD — BCBS TRAD: $745.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $745.93 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $730.55 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $745.93 GEHA - ALL PLANS — GEHA - ALL PLANS: $745.93 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $745.93
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$3,945	$3,945	$516.44 – $3,826.65
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $516.44 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,656.90 BCBS MCARE — BCBS MCARE: $1,656.90 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $3,747.75 BCBS TRAD — BCBS TRAD: $3,826.65 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,826.65 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $3,747.75 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $3,826.65 GEHA - ALL PLANS — GEHA - ALL PLANS: $3,826.65 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $3,826.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$2,896	$2,896	$697.76 – $2,809.12
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $697.76 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,216.32 BCBS MCARE — BCBS MCARE: $1,216.32 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,751.20 BCBS TRAD — BCBS TRAD: $2,809.12 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,809.12 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,751.20 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,809.12 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,809.12 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,809.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$3,651	$3,651	$516.44 – $3,541.47
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $516.44 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,533.42 BCBS MCARE — BCBS MCARE: $1,533.42 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $3,468.45 BCBS TRAD — BCBS TRAD: $3,541.47 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,541.47 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $3,468.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $3,541.47 GEHA - ALL PLANS — GEHA - ALL PLANS: $3,541.47 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $3,541.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$5,130	$5,130	$697.76 – $4,976.10
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $697.76 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $2,154.60 BCBS MCARE — BCBS MCARE: $2,154.60 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $4,873.50 BCBS TRAD — BCBS TRAD: $4,976.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,976.10 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $4,873.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $4,976.10 GEHA - ALL PLANS — GEHA - ALL PLANS: $4,976.10 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $4,976.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$1,238	$1,238	$355.12 – $1,200.86
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $355.12 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $519.96 BCBS MCARE — BCBS MCARE: $519.96 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,176.10 BCBS TRAD — BCBS TRAD: $1,200.86 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,200.86 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,176.10 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,200.86 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,200.86 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,200.86
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$963	$963	$211.94 – $934.11
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $211.94 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $404.46 BCBS MCARE — BCBS MCARE: $404.46 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $914.85 BCBS TRAD — BCBS TRAD: $934.11 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $934.11 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $914.85 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $934.11 GEHA - ALL PLANS — GEHA - ALL PLANS: $934.11 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $934.11
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$915	$915	$235.48 – $887.55
Transvaginal ultrasound: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $235.48 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $384.30 BCBS MCARE — BCBS MCARE: $384.30 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $869.25 BCBS TRAD — BCBS TRAD: $887.55 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $887.55 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $869.25 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $887.55 GEHA - ALL PLANS — GEHA - ALL PLANS: $887.55 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $887.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$419	$419	$98.97 – $406.43
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $98.97 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $175.98 BCBS MCARE — BCBS MCARE: $175.98 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $398.05 BCBS TRAD — BCBS TRAD: $406.43 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $406.43 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $398.05 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $406.43 GEHA - ALL PLANS — GEHA - ALL PLANS: $406.43 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $406.43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$601	$601	$98.97 – $582.97
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $98.97 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $252.42 BCBS MCARE — BCBS MCARE: $252.42 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $570.95 BCBS TRAD — BCBS TRAD: $582.97 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $582.97 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $570.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $582.97 GEHA - ALL PLANS — GEHA - ALL PLANS: $582.97 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $582.97
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$468	$468	$98.97 – $453.96
Screening mammogram, both breasts: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $98.97 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $196.56 BCBS MCARE — BCBS MCARE: $196.56 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $444.60 BCBS TRAD — BCBS TRAD: $453.96 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $453.96 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $444.60 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $453.96 GEHA - ALL PLANS — GEHA - ALL PLANS: $453.96 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $453.96

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report	$116	$116	$48.72 – $112.52
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $56.85 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $48.72 BCBS MCARE — BCBS MCARE: $48.72 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $110.20 BCBS TRAD — BCBS TRAD: $112.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $112.52 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $110.20 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $112.52 GEHA - ALL PLANS — GEHA - ALL PLANS: $112.52 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $112.52
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$5,121	$5,121	$1,611.26 – $4,967.37
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $1,611.26 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $2,150.82 BCBS MCARE — BCBS MCARE: $2,150.82 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $4,864.95 BCBS TRAD — BCBS TRAD: $4,967.37 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,967.37 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $4,864.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $4,967.37 GEHA - ALL PLANS — GEHA - ALL PLANS: $4,967.37 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $4,967.37

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$188	$188	$74.40 – $182.36
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $74.40 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $78.96 BCBS MCARE — BCBS MCARE: $78.96 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $178.60 BCBS TRAD — BCBS TRAD: $182.36 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $182.36 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $178.60 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $182.36 GEHA - ALL PLANS — GEHA - ALL PLANS: $182.36 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $182.36
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$375	$375	$157.50 – $528.91
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $528.91 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $157.50 BCBS MCARE — BCBS MCARE: $157.50 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $356.25 BCBS TRAD — BCBS TRAD: $363.75 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $363.75 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $356.25 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $363.75 GEHA - ALL PLANS — GEHA - ALL PLANS: $363.75 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $363.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$397	$397	$166.74 – $528.91
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $528.91 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $166.74 BCBS MCARE — BCBS MCARE: $166.74 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $377.15 BCBS TRAD — BCBS TRAD: $385.09 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $385.09 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $377.15 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $385.09 GEHA - ALL PLANS — GEHA - ALL PLANS: $385.09 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $385.09
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$455	$455	$191.10 – $528.91
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $528.91 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $191.10 BCBS MCARE — BCBS MCARE: $191.10 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $432.25 BCBS TRAD — BCBS TRAD: $441.35 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $441.35 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $432.25 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $441.35 GEHA - ALL PLANS — GEHA - ALL PLANS: $441.35 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $441.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$46	$46	$19.32 – $263.23
Psychotherapy, 30 minutes: 10 of 24 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $263.23 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $19.32 BCBS MCARE — BCBS MCARE: $19.32 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $43.70 BCBS TRAD — BCBS TRAD: $44.62 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $44.62 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $43.70 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $44.62 GEHA - ALL PLANS — GEHA - ALL PLANS: $44.62 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $44.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$61	$61	$25.62 – $291.84
Psychotherapy, 45 minutes: 10 of 24 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $291.84 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $25.62 BCBS MCARE — BCBS MCARE: $25.62 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $57.95 BCBS TRAD — BCBS TRAD: $59.17 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $59.17 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $57.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $59.17 GEHA - ALL PLANS — GEHA - ALL PLANS: $59.17 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $59.17
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$91	$91	$38.22 – $291.84
Psychotherapy, 60 minutes: 10 of 24 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $291.84 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $38.22 BCBS MCARE — BCBS MCARE: $38.22 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $86.45 BCBS TRAD — BCBS TRAD: $88.27 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $88.27 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $86.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $88.27 GEHA - ALL PLANS — GEHA - ALL PLANS: $88.27 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $88.27
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$58	$58	$24.36 – $347.35
Family psychotherapy, without the patient: 10 of 24 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $347.35 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $24.36 BCBS MCARE — BCBS MCARE: $24.36 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $55.10 BCBS TRAD — BCBS TRAD: $56.26 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $56.26 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $55.10 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $56.26 GEHA - ALL PLANS — GEHA - ALL PLANS: $56.26 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $56.26
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$61	$61	$25.62 – $347.35
Family psychotherapy, with the patient: 10 of 24 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $347.35 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $25.62 BCBS MCARE — BCBS MCARE: $25.62 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $57.95 BCBS TRAD — BCBS TRAD: $59.17 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $59.17 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $57.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $59.17 GEHA - ALL PLANS — GEHA - ALL PLANS: $59.17 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $59.17
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$16	$16	$6.72 – $515.53
Group psychotherapy: 10 of 24 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $515.53 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $6.72 BCBS MCARE — BCBS MCARE: $6.72 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $15.20 BCBS TRAD — BCBS TRAD: $15.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $15.52 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $15.20 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $15.52 GEHA - ALL PLANS — GEHA - ALL PLANS: $15.52 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $15.52

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple	$5,521	$5,521	$275.33 – $5,355.37
Removal of breast growth (open surgery): 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $275.33 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $367.31 BCBS MCARE — BCBS MCARE: $367.31 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $918.28 BCBS TRAD — BCBS TRAD: $918.28 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,355.37 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $5,244.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $5,355.37 GEHA - ALL PLANS — GEHA - ALL PLANS: $5,355.37 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $4,416.80
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$6,167	$6,167	$249.81 – $5,981.99
Total hip replacement: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $249.81 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,052.09 BCBS MCARE — BCBS MCARE: $1,052.09 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,630.23 BCBS TRAD — BCBS TRAD: $2,630.23 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,981.99 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $5,858.65 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $5,981.99 GEHA - ALL PLANS — GEHA - ALL PLANS: $5,981.99 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $4,933.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$6,159	$6,159	$267.36 – $5,974.23
Total knee replacement: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $267.36 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,050.18 BCBS MCARE — BCBS MCARE: $1,050.18 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,625.45 BCBS TRAD — BCBS TRAD: $2,625.45 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,974.23 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $5,851.05 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $5,974.23 GEHA - ALL PLANS — GEHA - ALL PLANS: $5,974.23 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $4,927.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$812	$812	$132.95 – $787.64
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $460.15 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $132.95 BCBS MCARE — BCBS MCARE: $132.95 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $332.38 BCBS TRAD — BCBS TRAD: $332.38 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $787.64 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $771.40 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $787.64 GEHA - ALL PLANS — GEHA - ALL PLANS: $787.64 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $649.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$2,659	$2,659	$473.26 – $2,579.23
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $489.38 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $473.26 BCBS MCARE — BCBS MCARE: $473.26 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,183.15 BCBS TRAD — BCBS TRAD: $1,183.15 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,579.23 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,526.05 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,579.23 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,579.23 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,127.20
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$1,445	$1,445	$242.86 – $1,401.65
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $254.95 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $242.86 BCBS MCARE — BCBS MCARE: $242.86 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $607.15 BCBS TRAD — BCBS TRAD: $607.15 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,401.65 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,372.75 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,401.65 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,401.65 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,156
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$594	$594	$103.56 – $576.18
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $234.36 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $103.56 BCBS MCARE — BCBS MCARE: $103.56 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $258.90 BCBS TRAD — BCBS TRAD: $258.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $576.18 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $564.30 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $576.18 GEHA - ALL PLANS — GEHA - ALL PLANS: $576.18 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $475.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$671	$671	$115.80 – $650.87
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $438.05 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $115.80 BCBS MCARE — BCBS MCARE: $115.80 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $289.50 BCBS TRAD — BCBS TRAD: $289.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $650.87 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $637.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $650.87 GEHA - ALL PLANS — GEHA - ALL PLANS: $650.87 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $536.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$890	$890	$153.31 – $863.30
Colonoscopy (diagnostic): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $310.31 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $153.31 BCBS MCARE — BCBS MCARE: $153.31 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $383.28 BCBS TRAD — BCBS TRAD: $383.28 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $863.30 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $845.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $863.30 GEHA - ALL PLANS — GEHA - ALL PLANS: $863.30 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $712
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$969	$969	$165.98 – $939.93
Colonoscopy with biopsy: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $532.33 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $165.98 BCBS MCARE — BCBS MCARE: $165.98 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $414.95 BCBS TRAD — BCBS TRAD: $414.95 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $939.93 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $920.55 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $939.93 GEHA - ALL PLANS — GEHA - ALL PLANS: $939.93 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $775.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$1,226	$1,226	$209.25 – $1,189.22
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $467.41 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $209.25 BCBS MCARE — BCBS MCARE: $209.25 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $523.13 BCBS TRAD — BCBS TRAD: $523.13 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,189.22 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,164.70 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,189.22 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,189.22 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $980.80
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$3,121	$3,121	$123.54 – $3,027.37
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $123.54 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $561.76 BCBS MCARE — BCBS MCARE: $561.76 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,404.40 BCBS TRAD — BCBS TRAD: $1,404.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,027.37 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,964.95 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $3,027.37 GEHA - ALL PLANS — GEHA - ALL PLANS: $3,027.37 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,496.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$2,486	$2,486	$85.99 – $2,411.42
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $85.99 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $453.07 BCBS MCARE — BCBS MCARE: $453.07 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,132.68 BCBS TRAD — BCBS TRAD: $1,132.68 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,411.42 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,361.70 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,411.42 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,411.42 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,988.80
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$5,811	$5,811	$297.64 – $5,636.67
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $297.64 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,005.70 BCBS MCARE — BCBS MCARE: $1,005.70 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,514.25 BCBS TRAD — BCBS TRAD: $2,514.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,636.67 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $5,520.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $5,636.67 GEHA - ALL PLANS — GEHA - ALL PLANS: $5,636.67 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $4,648.80
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$1,111	$1,111	$177.75 – $1,077.67
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $177.75 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $185.91 BCBS MCARE — BCBS MCARE: $185.91 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $464.78 BCBS TRAD — BCBS TRAD: $464.78 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,077.67 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $1,055.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,077.67 GEHA - ALL PLANS — GEHA - ALL PLANS: $1,077.67 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $888.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$2,311	$2,311	$970.62 – $2,241.67
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $1,629.66 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $970.62 BCBS MCARE — BCBS MCARE: $970.62 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,195.45 BCBS TRAD — BCBS TRAD: $2,241.67 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,241.67 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,195.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,241.67 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,241.67 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,241.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$2,551	$2,551	$1,071.42 – $2,474.47
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $1,629.66 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,071.42 BCBS MCARE — BCBS MCARE: $1,071.42 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $2,423.45 BCBS TRAD — BCBS TRAD: $2,474.47 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,474.47 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,423.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,474.47 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,474.47 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,474.47
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$2,163	$2,163	$390.73 – $2,098.11
Carpal tunnel release: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $743.33 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $390.73 BCBS MCARE — BCBS MCARE: $390.73 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $976.83 BCBS TRAD — BCBS TRAD: $976.83 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,098.11 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,054.85 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,098.11 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,098.11 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $1,730.40
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens	$2,694	$2,694	$422.44 – $2,613.18
Cataract removal with lens implant: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $422.44 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $441.51 BCBS MCARE — BCBS MCARE: $441.51 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $1,103.78 BCBS TRAD — BCBS TRAD: $1,103.78 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,613.18 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $2,559.30 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,613.18 GEHA - ALL PLANS — GEHA - ALL PLANS: $2,613.18 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $2,155.20

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery	$11,371	$11,371	$1,034.39 – $11,029.87
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $1,034.39 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $1,944.55 BCBS MCARE — BCBS MCARE: $1,944.55 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $4,180.78 BCBS TRAD — BCBS TRAD: $4,180.78 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $11,029.87 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $10,802.45 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $11,029.87 GEHA - ALL PLANS — GEHA - ALL PLANS: $11,029.87 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $9,096.80
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery	$12,517	$12,517	$1,356.20 – $12,141.49
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $1,356.20 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $2,144.81 BCBS MCARE — BCBS MCARE: $2,144.81 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $5,362.03 BCBS TRAD — BCBS TRAD: $5,362.03 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $12,141.49 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $11,891.15 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $12,141.49 GEHA - ALL PLANS — GEHA - ALL PLANS: $12,141.49 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $10,013.60
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery	$11,788	$11,788	$1,222.55 – $11,434.36
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $1,222.55 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $2,017.05 BCBS MCARE — BCBS MCARE: $2,017.05 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $4,336.66 BCBS TRAD — BCBS TRAD: $4,336.66 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $11,434.36 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $11,198.60 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $11,434.36 GEHA - ALL PLANS — GEHA - ALL PLANS: $11,434.36 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $9,430.40

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$56,020.53	$56,020.53	$10,378.06 – $54,339.91
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates AMERIGROUP MCAID-ALL OTHER PLANS — AMERIGROUP MCAID-ALL OTHER PLANS: $47,550.23 AMERIGROUP MCR ADV — AMERIGROUP MCR ADV: $10,378.06 BCBS MCARE — BCBS MCARE: $10,378.06 BCBS PPO/HMO/POS - ALL OTHER PLANS — BCBS PPO/HMO/POS - ALL OTHER PLANS: $24,111.25 BCBS TRAD — BCBS TRAD: $54,339.91 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $54,339.91 DEAN HEALTH PLAN - ALL PLANS — DEAN HEALTH PLAN - ALL PLANS: $53,219.50 FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $54,339.91 GEHA - ALL PLANS — GEHA - ALL PLANS: $54,339.91 GROUP HEALTH CO-OP - ALL PLANS — GROUP HEALTH CO-OP - ALL PLANS: $54,339.91

Source: Crossing Rivers Health Medical Center’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 22, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	37868 US Hwy 18, Prairie Du Chien, WI 53821
County	Crawford County
State	Wisconsin
Phone	(608) 357‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	521330
Name in Medicare records	CROSSING RIVERS HEALTH MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	crossingrivers.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

Contact us | Crossing Rivers Health | Prairie du Chien, WI — crossingrivers.org
Rehabilitation Services Expansion | Crossing Rivers Health — crossingrivers.org
Patient rights at Crossing Rivers Health — crossingrivers.org
Visitor resources at Crossing Rivers Health — crossingrivers.org
Licenses and Accreditations at Crossing Rivers Health — crossingrivers.org