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Acute Care Hospital

Crouse Hospital

Syracuse, New York · Onondaga County · Emergency services listed

Crouse Hospital is an acute care hospital at 736 Irving Avenue, Syracuse, NY 13210. Phone: (315) 470-7449. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Crouse Hospital is an acute care hospital in Syracuse, New York. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 19 services, specialties and programs. Medicare lists 708 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(315) 470‑7449 Directions Website Medicare profile
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Exterior of Crouse Hospital
Photo: DASonnenfeld, CC BY-SA 4.0, via Wikimedia Commons · source · license

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)
708Doctors and clinicians
19Services listed

Quick answers

Does Crouse Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Crouse Hospital. In a medical emergency, call 911.
Where is Crouse Hospital?
736 Irving Avenue, Syracuse, NY 13210, in Onondaga County, New York.
What is the phone number of Crouse Hospital?
(315) 470-7449, as listed by Medicare (CMS).
What is the Medicare star rating of Crouse Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Crouse Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Crouse Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.0646; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5]

Procedures[4][5]

Programs and centers[4][5]

  • Neonatal Intensive Care Unit (NICU)
  • Kienzle Family Maternity Center
  • Neuroscience Institute

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

Patient portalMyChart

Doctors and clinicians (708)

708 doctors and other clinicians list Crouse 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 (708)

And 684 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Syracuse

All hospitals in Syracuse · Hospitals in Onondaga County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Crouse 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) 2 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1065%National average: 72%
Would definitely recommend the hospital66%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted53%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean59%National average: 73%
Completed surveys636Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.287Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.321Better than the national benchmark
Surgical site infections after colon surgery0.917No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.35No different from the national benchmark
MRSA bloodstream infections0.625No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.463Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients11.1%
Deaths within 30 days: heart failure patients12.3%
Deaths within 30 days: pneumonia patients19.5%
Deaths within 30 days: COPD patients8%
Deaths within 30 days: stroke patients12.5%
Serious complications (patient safety indicator PSI-90)1.33No different from the national rate
Complications after hip or knee replacement6.1%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)17.7%
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure21.9%
Readmitted within 30 days: pneumonia18.6%
Readmitted within 30 days: COPD21.9%
Readmitted within 30 days: hip or knee replacement5.6%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)216 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)32%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Crouse Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.0646Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0350More readmissions than expected
Heart failure1.0084More readmissions than expected
Pneumonia1.1096More readmissions than expected
COPD (chronic lung disease)1.0847More readmissions than expected
Hip or knee replacement1.0284More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score24.33 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)18.00 out of 100
Person and community engagement (patient survey)21.00 out of 100
Safety (infections and sepsis care)38.33 out of 100
Efficiency and cost reduction (Medicare spending)20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.97Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 SyracuseBest hospitals in Syracuse

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Crouse 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 →

Show the prices of 72 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20 min Not listed in the file Not listed in the file $154.11 – $177.45
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Aetna — COMMERICAL: 65% (a percentage in the contract, not a dollar amount)
  • CDPHP — COMMERICAL: 80% (a percentage in the contract, not a dollar amount)
  • HUMANA INC. — COMMERICAL: 90% (a percentage in the contract, not a dollar amount)
  • MVP — Cigna: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — COMMERICAL: 69.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 3 $142 $142 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 3_01 $142 $142 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30 min Not listed in the file Not listed in the file $163.24 – $177.45
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Aetna — COMMERICAL: 65% (a percentage in the contract, not a dollar amount)
  • CDPHP — COMMERICAL: 80% (a percentage in the contract, not a dollar amount)
  • HUMANA INC. — COMMERICAL: 90% (a percentage in the contract, not a dollar amount)
  • MVP — Cigna: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — COMMERICAL: 69.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 2 $148 $148 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 2_01 $148 $148 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $164.09 – $172.06
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Aetna — COMMERICAL: 65% (a percentage in the contract, not a dollar amount)
  • CDPHP — COMMERICAL: 80% (a percentage in the contract, not a dollar amount)
  • HUMANA INC. — COMMERICAL: 90% (a percentage in the contract, not a dollar amount)
  • MVP — Cigna: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — COMMERICAL: 69.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: CH 99385 PREV VISIT NEW AGE 18-39 $141 $141 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · modifier 25 In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $173.21 – $174.91
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Aetna — COMMERICAL: 65% (a percentage in the contract, not a dollar amount)
  • CDPHP — COMMERICAL: 80% (a percentage in the contract, not a dollar amount)
  • HUMANA INC. — COMMERICAL: 90% (a percentage in the contract, not a dollar amount)
  • MVP — Cigna: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — COMMERICAL: 69.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: CH 99386 PREV VISIT NEW AGE 40-64 $141 $141 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier 25 In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $160.08 – $173.21
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • Aetna — COMMERICAL: 65% (a percentage in the contract, not a dollar amount)
  • CDPHP — COMMERICAL: 80% (a percentage in the contract, not a dollar amount)
  • HUMANA INC. — COMMERICAL: 90% (a percentage in the contract, not a dollar amount)
  • MVP — Cigna: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — COMMERICAL: 69.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $297.58 – $1,484.60
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — Medicare: $340.75
  • Aetna — Raymour Furniture Company: $2,300
  • Brighton Healthplan — Medicare Advantage: $340.75
  • CDPHP — Medicare Advantage: $340.75
  • Emblem Health — COMMERICAL: $766.70
  • EmblemHealth — Medicare Advantage: $340.75
  • Excellus — BCBS: $611.96
  • Excellus — Hospital Blue: $611.96
  • Excellus — Medicare Advantage: $297.58
  • Fidelis — Exchange EPP: $500.91
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY $821 $821 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $297.58 – $1,494
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — Medicare: $340.75
  • Aetna — Raymour Furniture Company: $2,300
  • Brighton Healthplan — Medicare Advantage: $340.75
  • CDPHP — Medicare Advantage: $340.75
  • Emblem Health — COMMERICAL: $766.70
  • EmblemHealth — Medicare Advantage: $340.75
  • Excellus — BCBS: $611.96
  • Excellus — Hospital Blue: $611.96
  • Excellus — Medicare Advantage: $297.58
  • Fidelis — Exchange EPP: $500.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $454.87 – $1,284.84
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — Medicare: $520.86
  • Aetna — Raymour Furniture Company: $2,300
  • Brighton Healthplan — Medicare Advantage: $520.86
  • CDPHP — Medicare Advantage: $520.86
  • Emblem Health — COMMERICAL: $1,171.94
  • EmblemHealth — Medicare Advantage: $520.86
  • Excellus — BCBS: $935.42
  • Excellus — Hospital Blue: $935.42
  • Excellus — Medicare Advantage: $454.87
  • Fidelis — Exchange EPP: $765.67
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVER $1,151 $1,151 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $454.87 – $1,494
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — Medicare: $520.86
  • Aetna — Raymour Furniture Company: $2,300
  • Brighton Healthplan — Medicare Advantage: $520.86
  • CDPHP — Medicare Advantage: $520.86
  • Emblem Health — COMMERICAL: $1,171.94
  • EmblemHealth — Medicare Advantage: $520.86
  • Excellus — BCBS: $935.42
  • Excellus — Hospital Blue: $935.42
  • Excellus — Medicare Advantage: $454.87
  • Fidelis — Exchange EPP: $765.67
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $649.20 – $1,672.63
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — Medicare: $743.39
  • Aetna — Raymour Furniture Company: $2,300
  • Brighton Healthplan — Medicare Advantage: $743.39
  • CDPHP — Medicare Advantage: $743.39
  • Emblem Health — COMMERICAL: $1,672.63
  • EmblemHealth — Medicare Advantage: $743.39
  • Excellus — BCBS: $1,335.06
  • Excellus — Hospital Blue: $1,335.06
  • Excellus — Medicare Advantage: $649.20
  • Fidelis — Exchange EPP: $1,092.79
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FU $1,657 $1,657 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $649.20 – $1,672.63
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — Medicare: $743.39
  • Aetna — Raymour Furniture Company: $2,300
  • Brighton Healthplan — Medicare Advantage: $743.39
  • CDPHP — Medicare Advantage: $743.39
  • Emblem Health — COMMERICAL: $1,672.63
  • EmblemHealth — Medicare Advantage: $743.39
  • Excellus — BCBS: $1,335.06
  • Excellus — Hospital Blue: $1,335.06
  • Excellus — Medicare Advantage: $649.20
  • Fidelis — Exchange EPP: $1,092.79

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic pnl total ca Not listed in the file Not listed in the file $8.29 – $58.69
Basic metabolic panel (blood test): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $18.09
  • Aetna — Medicare: $10.34
  • Aetna — Raymour Furniture Company: $18.09
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $10.34
  • CDPHP — Medicare Advantage: $10.34
  • Emblem Health — COMMERICAL: $23.26
  • EmblemHealth — Medicare Advantage: $10.34
  • Excellus — BCBS: $18.56
  • Excellus — Govt Programs/ Special Products: $26.08
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: 80048 BASIC METABOLIC PANEL CALCIUM TOTAL_01 $25 $25 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 91 In the file: Basic metabolic pnl total ca Not listed in the file Not listed in the file $9.03 – $58.69
Basic metabolic panel (blood test): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $18.09
  • Aetna — Medicare: $10.34
  • Aetna — Raymour Furniture Company: $18.09
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $10.34
  • CDPHP — Medicare Advantage: $10.34
  • Emblem Health — COMMERICAL: $23.26
  • EmblemHealth — Medicare Advantage: $10.34
  • Excellus — BCBS: $18.56
  • Excellus — Govt Programs/ Special Products: $26.08
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.35 – $58.69
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $22.58
  • Aetna — Medicare: $12.90
  • Aetna — Raymour Furniture Company: $22.58
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $12.90
  • CDPHP — Medicare Advantage: $12.90
  • Emblem Health — COMMERICAL: $29.03
  • EmblemHealth — Medicare Advantage: $12.90
  • Excellus — BCBS: $23.17
  • Excellus — Govt Programs/ Special Products: $26.08
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: 80053 COMPREHENSIVE METABOLIC PANEL_01 $53 $53 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier XU In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $11.27 – $58.69
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $22.58
  • Aetna — Medicare: $12.90
  • Aetna — Raymour Furniture Company: $22.58
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $12.90
  • CDPHP — Medicare Advantage: $12.90
  • Emblem Health — COMMERICAL: $29.03
  • EmblemHealth — Medicare Advantage: $12.90
  • Excellus — BCBS: $23.17
  • Excellus — Govt Programs/ Special Products: $26.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel Not listed in the file Not listed in the file $13.12 – $58.69
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $28.63
  • Aetna — Medicare: $16.36
  • Aetna — Raymour Furniture Company: $28.63
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $16.36
  • CDPHP — Medicare Advantage: $16.36
  • Emblem Health — COMMERICAL: $36.81
  • EmblemHealth — Medicare Advantage: $16.36
  • Excellus — BCBS: $29.38
  • Excellus — Govt Programs/ Special Products: $26.08
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: 80061 LIPID PANEL_01 $67 $67 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier GZ In the file: Lipid panel Not listed in the file Not listed in the file $14.29 – $58.69
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $28.63
  • Aetna — Medicare: $16.36
  • Aetna — Raymour Furniture Company: $28.63
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $16.36
  • CDPHP — Medicare Advantage: $16.36
  • Emblem Health — COMMERICAL: $36.81
  • EmblemHealth — Medicare Advantage: $16.36
  • Excellus — BCBS: $29.38
  • Excellus — Govt Programs/ Special Products: $26.08
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel Not listed in the file Not listed in the file $9.26 – $58.69
Kidney function panel: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $18.56
  • Aetna — Medicare: $10.61
  • Aetna — Raymour Furniture Company: $18.56
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $10.61
  • CDPHP — Medicare Advantage: $10.61
  • Emblem Health — COMMERICAL: $23.86
  • EmblemHealth — Medicare Advantage: $10.61
  • Excellus — BCBS: $19.05
  • Excellus — Govt Programs/ Special Products: $26.08
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: 80069 RENAL FUNCTION PANEL_01 $66 $66 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel Not listed in the file Not listed in the file $8.72 – $58.69
Liver function panel: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $17.47
  • Aetna — Medicare: $9.98
  • Aetna — Raymour Furniture Company: $17.47
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $9.98
  • CDPHP — Medicare Advantage: $9.98
  • Emblem Health — COMMERICAL: $22.46
  • EmblemHealth — Medicare Advantage: $9.98
  • Excellus — BCBS: $17.93
  • Excellus — Govt Programs/ Special Products: $26.08
Liver function panel CPT 80076 · Inpatient or outpatient In the file: 80076 HEPATIC FUNCTION PANEL_01 $41 $41 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier XU In the file: Hepatic function panel Not listed in the file Not listed in the file $8.72 – $58.69
Liver function panel: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $17.47
  • Aetna — Medicare: $9.98
  • Aetna — Raymour Furniture Company: $17.47
  • Brighton Healthplan — Medicaid: $26.08
  • Brighton Healthplan — Medicare Advantage: $9.98
  • CDPHP — Medicare Advantage: $9.98
  • Emblem Health — COMMERICAL: $22.46
  • EmblemHealth — Medicare Advantage: $9.98
  • Excellus — BCBS: $17.93
  • Excellus — Govt Programs/ Special Products: $26.08
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.49 – $23.96
Urine test (automated, with microscope): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $6.78
  • Aetna — Medicare: $3.87
  • Aetna — Raymour Furniture Company: $6.78
  • Brighton Healthplan — Medicaid: $10.65
  • Brighton Healthplan — Medicare Advantage: $3.87
  • CDPHP — Medicare Advantage: $3.87
  • Emblem Health — COMMERICAL: $8.71
  • EmblemHealth — Medicare Advantage: $3.87
  • Excellus — BCBS: $6.96
  • Excellus — Govt Programs/ Special Products: $10.65
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCO $17 $17 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.71 – $614
Urine test (manual, without microscope): 10 of 41 insurance plan rates
  • Aetna — Medicare: $4.25
  • Brighton Healthplan — Medicaid: $10.65
  • Brighton Healthplan — Medicare Advantage: $4.25
  • CDPHP — Medicare Advantage: $4.25
  • Emblem Health — COMMERICAL: $9.57
  • EmblemHealth — Medicare Advantage: $4.25
  • Excellus — BCBS: $7.64
  • Excellus — Govt Programs/ Special Products: $10.65
  • Excellus — Hospital Blue: $7.64
  • Excellus — Medicare Advantage: $3.71
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: CH 81002 URINALYSIS NONAUTO W/O SCOPE $42 $42 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC $42 $42 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.58 – $184.94
Urine test (automated, without microscope): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $4.81
  • Aetna — Medicare: $2.75
  • Aetna — Raymour Furniture Company: $4.81
  • Brighton Healthplan — Medicaid: $10.65
  • Brighton Healthplan — Medicare Advantage: $2.75
  • CDPHP — Medicare Advantage: $2.75
  • Emblem Health — COMMERICAL: $6.19
  • EmblemHealth — Medicare Advantage: $2.75
  • Excellus — BCBS: $4.94
  • Excellus — Govt Programs/ Special Products: $10.65
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSC $17 $17 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 URNLS DIP STICK/TABLET RGNT GLUCOSE, AUTO W/ $17 $17 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total Not listed in the file Not listed in the file $10.86 – $50.56
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $39.32
  • Aetna — Medicare: $22.47
  • Aetna — Raymour Furniture Company: $39.32
  • Brighton Healthplan — Medicaid: $10.86
  • Brighton Healthplan — Medicare Advantage: $22.47
  • CDPHP — Medicare Advantage: $22.47
  • Emblem Health — COMMERICAL: $50.56
  • EmblemHealth — Medicare Advantage: $22.47
  • Excellus — BCBS: $40.35
  • Excellus — Govt Programs/ Special Products: $10.86
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: CH PSA FREE_1 $71 $71 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 PROSTATE CANCER SCREENING; PROSTATE SPECIFIC $71 $71 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $17.93 – $57.34
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $35.92
  • Aetna — Medicare: $20.53
  • Aetna — Raymour Furniture Company: $35.92
  • Brighton Healthplan — Medicaid: $25.48
  • Brighton Healthplan — Medicare Advantage: $20.53
  • CDPHP — Medicare Advantage: $20.53
  • Emblem Health — COMMERICAL: $46.18
  • EmblemHealth — Medicare Advantage: $20.53
  • Excellus — BCBS: $36.86
  • Excellus — Govt Programs/ Special Products: $25.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: CH TSH W/ REFLX FREE T4 $84 $84 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 ASSAY OF THYROID STIMULATING HORMONE TSH_01 $84 $84 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $5.67 – $25.12
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $16.61
  • Aetna — Medicare: $9.49
  • Aetna — Raymour Furniture Company: $16.61
  • Brighton Healthplan — Medicaid: $11.17
  • Brighton Healthplan — Medicare Advantage: $9.49
  • CDPHP — Medicare Advantage: $9.49
  • Emblem Health — COMMERICAL: $21.36
  • EmblemHealth — Medicare Advantage: $9.49
  • Excellus — BCBS: $17.05
  • Excellus — Govt Programs/ Special Products: $11.17
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC_0 $23 $23 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier XU In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $8.29 – $25.12
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $16.61
  • Aetna — Medicare: $9.49
  • Aetna — Raymour Furniture Company: $16.61
  • Brighton Healthplan — Medicaid: $11.17
  • Brighton Healthplan — Medicare Advantage: $9.49
  • CDPHP — Medicare Advantage: $9.49
  • Emblem Health — COMMERICAL: $21.36
  • EmblemHealth — Medicare Advantage: $9.49
  • Excellus — BCBS: $17.05
  • Excellus — Govt Programs/ Special Products: $11.17
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated Not listed in the file Not listed in the file $6.34 – $25.12
Complete blood count (CBC), automated: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $13.83
  • Aetna — Medicare: $7.91
  • Aetna — Raymour Furniture Company: $13.83
  • Brighton Healthplan — Medicaid: $11.17
  • Brighton Healthplan — Medicare Advantage: $7.91
  • CDPHP — Medicare Advantage: $7.91
  • Emblem Health — COMMERICAL: $17.79
  • EmblemHealth — Medicare Advantage: $7.91
  • Excellus — BCBS: $14.20
  • Excellus — Govt Programs/ Special Products: $11.17
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: 85027 BLOOD COUNT COMPLETE AUTOMATED_01 $21 $21 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier XU In the file: Complete cbc automated Not listed in the file Not listed in the file $6.90 – $25.12
Complete blood count (CBC), automated: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $13.83
  • Aetna — Medicare: $7.91
  • Aetna — Raymour Furniture Company: $13.83
  • Brighton Healthplan — Medicaid: $11.17
  • Brighton Healthplan — Medicare Advantage: $7.91
  • CDPHP — Medicare Advantage: $7.91
  • Emblem Health — COMMERICAL: $17.79
  • EmblemHealth — Medicare Advantage: $7.91
  • Excellus — BCBS: $14.20
  • Excellus — Govt Programs/ Special Products: $11.17
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time Not listed in the file Not listed in the file $4.58 – $30.22
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $9.17
  • Aetna — Medicare: $5.24
  • Aetna — Raymour Furniture Company: $9.17
  • Brighton Healthplan — Medicaid: $13.43
  • Brighton Healthplan — Medicare Advantage: $5.24
  • CDPHP — Medicare Advantage: $5.24
  • Emblem Health — COMMERICAL: $11.79
  • EmblemHealth — Medicare Advantage: $5.24
  • Excellus — BCBS: $9.41
  • Excellus — Govt Programs/ Special Products: $13.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 PROTHROMBIN TIME_01 $21 $21 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 PROTHROMBIN TIME_02 $15 $15 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.19 – $30.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $12.85
  • Aetna — Medicare: $7.34
  • Aetna — Raymour Furniture Company: $12.85
  • Brighton Healthplan — Medicaid: $13.43
  • Brighton Healthplan — Medicare Advantage: $7.34
  • CDPHP — Medicare Advantage: $7.34
  • Emblem Health — COMMERICAL: $16.52
  • EmblemHealth — Medicare Advantage: $7.34
  • Excellus — BCBS: $13.19
  • Excellus — Govt Programs/ Special Products: $13.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: CH PTT-LA SCREEN $21 $21 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLO $21 $21 Not listed in the file

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) In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $113.97 – $1,837
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $165.62
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $165.62
  • Brighton Healthplan — Medicaid: $314.30
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $314.30
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL_01 $1,100 $1,100 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL_02 $880 $880 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $85.63 – $1,306.09
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $522.42
  • Aetna — Medicare: $435.49
  • Aetna — Raymour Furniture Company: $522.42
  • Brighton Healthplan — Medicaid: $580.48
  • Brighton Healthplan — Medicare Advantage: $435.49
  • CDPHP — Medicare Advantage: $435.49
  • Emblem Health — COMMERICAL: $979.86
  • EmblemHealth — Medicare Advantage: $435.49
  • Excellus — BCBS: $782.10
  • Excellus — Govt Programs/ Special Products: $580.48
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: 70553 MRI BRAIN W&WO DYE $1,050 $1,050 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier XU In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $380.32 – $1,306.09
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $522.42
  • Aetna — Medicare: $435.49
  • Aetna — Raymour Furniture Company: $522.42
  • Brighton Healthplan — Medicaid: $580.48
  • Brighton Healthplan — Medicare Advantage: $435.49
  • CDPHP — Medicare Advantage: $435.49
  • Emblem Health — COMMERICAL: $979.86
  • EmblemHealth — Medicare Advantage: $435.49
  • Excellus — BCBS: $782.10
  • Excellus — Govt Programs/ Special Products: $580.48
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $30.64 – $338
Chest X-ray, 2 views: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $56.71
  • Aetna — Medicare: $108.63
  • Aetna — Raymour Furniture Company: $56.71
  • Brighton Healthplan — Medicaid: $30.64
  • Brighton Healthplan — Medicare Advantage: $108.63
  • CDPHP — Medicare Advantage: $108.63
  • Emblem Health — COMMERICAL: $244.42
  • EmblemHealth — Medicare Advantage: $108.63
  • Excellus — BCBS: $195.09
  • Excellus — Govt Programs/ Special Products: $30.64
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS $203 $203 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 CH RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS $244 $244 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $25.17 – $338
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $100.44
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $100.44
  • Brighton Healthplan — Medicaid: $30.64
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $30.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS_01 $276 $276 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: 72110 CH RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS_0 $296 $296 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $35.32 – $865.99
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $303.99
  • Aetna — Medicare: $297.84
  • Aetna — Raymour Furniture Company: $303.99
  • Brighton Healthplan — Medicaid: $384.88
  • Brighton Healthplan — Medicare Advantage: $297.84
  • CDPHP — Medicare Advantage: $297.84
  • Emblem Health — COMMERICAL: $670.15
  • EmblemHealth — Medicare Advantage: $297.84
  • Excellus — BCBS: $534.90
  • Excellus — Govt Programs/ Special Products: $384.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 MRI LUMBAR SPINE WO DYE $900 $900 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 59 In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $260.11 – $865.99
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $303.99
  • Aetna — Medicare: $297.84
  • Aetna — Raymour Furniture Company: $303.99
  • Brighton Healthplan — Medicaid: $384.88
  • Brighton Healthplan — Medicare Advantage: $297.84
  • CDPHP — Medicare Advantage: $297.84
  • Emblem Health — COMMERICAL: $670.15
  • EmblemHealth — Medicare Advantage: $297.84
  • Excellus — BCBS: $534.90
  • Excellus — Govt Programs/ Special Products: $384.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $191.21 – $1,837
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $425.28
  • Aetna — Medicare: $218.95
  • Aetna — Raymour Furniture Company: $425.28
  • Brighton Healthplan — Medicaid: $314.30
  • Brighton Healthplan — Medicare Advantage: $218.95
  • CDPHP — Medicare Advantage: $218.95
  • Emblem Health — COMMERICAL: $492.64
  • EmblemHealth — Medicare Advantage: $218.95
  • Excellus — BCBS: $393.21
  • Excellus — Govt Programs/ Special Products: $314.30
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: 72193 CT PELVIS W/CONTRAST MATERIAL_01 $1,168 $1,168 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $28.13 – $865.99
MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $349.36
  • Aetna — Medicare: $297.84
  • Aetna — Raymour Furniture Company: $349.36
  • Brighton Healthplan — Medicaid: $384.88
  • Brighton Healthplan — Medicare Advantage: $297.84
  • CDPHP — Medicare Advantage: $297.84
  • Emblem Health — COMMERICAL: $670.15
  • EmblemHealth — Medicare Advantage: $297.84
  • Excellus — BCBS: $534.90
  • Excellus — Govt Programs/ Special Products: $384.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 RT MRI JOINT LOWER EXTREM WO DYE $900 $900 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 LT MRI JOINT LOWER EXTREM WO DYE $900 $900 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $95.66 – $1,837
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $534.17
  • Aetna — Medicare: $435.49
  • Aetna — Raymour Furniture Company: $534.17
  • Brighton Healthplan — Medicaid: $314.30
  • Brighton Healthplan — Medicare Advantage: $435.49
  • CDPHP — Medicare Advantage: $435.49
  • Emblem Health — COMMERICAL: $979.86
  • EmblemHealth — Medicare Advantage: $435.49
  • Excellus — BCBS: $782.10
  • Excellus — Govt Programs/ Special Products: $314.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL_02 $1,507 $1,507 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL_01 $1,507 $1,507 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file Not listed in the file $34.98 – $1,269.62
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $189.33
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $189.33
  • Brighton Healthplan — Medicaid: $564.27
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $564.27
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $459 $459 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier PO In the file: Us exam abdom complete Not listed in the file Not listed in the file $113.97 – $1,269.62
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $189.33
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $189.33
  • Brighton Healthplan — Medicaid: $564.27
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $564.27
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $46.67 – $442
Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $219.02
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $219.02
  • Brighton Healthplan — Medicaid: $112.41
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $112.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTA $306 $306 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $113.97 – $442
Transvaginal ultrasound: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $209.95
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $209.95
  • Brighton Healthplan — Medicaid: $130.09
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $130.09
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830 ULTRASOUND TRANSVAGINAL_01 $253 $253 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 97 In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $113.97 – $442
Transvaginal ultrasound: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $209.95
  • Aetna — Medicare: $130.50
  • Aetna — Raymour Furniture Company: $209.95
  • Brighton Healthplan — Medicaid: $130.09
  • Brighton Healthplan — Medicare Advantage: $130.50
  • CDPHP — Medicare Advantage: $130.50
  • Emblem Health — COMMERICAL: $293.63
  • EmblemHealth — Medicare Advantage: $130.50
  • Excellus — BCBS: $234.37
  • Excellus — Govt Programs/ Special Products: $130.09
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $63.84 – $359.01
Diagnostic mammogram, one breast: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $212.63
  • Aetna — Medicare: $77.69
  • Aetna — Raymour Furniture Company: $212.63
  • Brighton Healthplan — Medicaid: $108.08
  • Brighton Healthplan — Medicare Advantage: $77.69
  • CDPHP — Medicare Advantage: $77.69
  • Emblem Health — COMMERICAL: $174.80
  • EmblemHealth — Medicare Advantage: $77.69
  • Excellus — BCBS: $139.52
  • Excellus — Govt Programs/ Special Products: $108.08
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 DIAGNOSTIC MAMMO INCLUDING COMPUTER-AIDED DE $373 $373 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: CH 77065 DIAGNOSTIC LEFT MAMMO W CONTRAST $373 $373 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $60.09 – $389.03
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $272.64
  • Aetna — Medicare: $99.62
  • Aetna — Raymour Furniture Company: $272.64
  • Brighton Healthplan — Medicaid: $108.08
  • Brighton Healthplan — Medicare Advantage: $99.62
  • CDPHP — Medicare Advantage: $99.62
  • Emblem Health — COMMERICAL: $224.15
  • EmblemHealth — Medicare Advantage: $99.62
  • Excellus — BCBS: $178.91
  • Excellus — Govt Programs/ Special Products: $108.08
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 DIAGNOSTIC MAMMO/INCLUDING COMPUTER-AIDED DE $399 $399 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: CH 77066 DIAGNOSTIC BILATERAL MAMMO W CONTRAST $399 $399 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $71.79 – $309.08
Screening mammogram, both breasts: 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $225
  • Aetna — Medicare: $82.21
  • Aetna — Raymour Furniture Company: $225
  • Brighton Healthplan — Medicaid: $108.08
  • Brighton Healthplan — Medicare Advantage: $82.21
  • CDPHP — Medicare Advantage: $82.21
  • Emblem Health — COMMERICAL: $184.97
  • EmblemHealth — Medicare Advantage: $82.21
  • Excellus — BCBS: $147.64
  • Excellus — Govt Programs/ Special Products: $108.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 SCREENING MAMMO/CAD BILATERAL (2-VIEW STUDY $317 $317 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 SCREENING MAMMO/CAD BILATERAL (2-VIEW STUD $317 $317 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I_ $5,839 $5,839 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $472.78 – $21,906.44
Heart rhythm study (electrophysiology evaluation): 10 of 41 insurance plan rates
  • Aetna — Medicare: $9,736.19
  • Brighton Healthplan — Medicaid: $472.78
  • Brighton Healthplan — Medicare Advantage: $9,736.19
  • CDPHP — Medicare Advantage: $9,736.19
  • Emblem Health — COMMERICAL: $21,906.44
  • EmblemHealth — Medicare Advantage: $9,736.19
  • Excellus — BCBS: $17,485.23
  • Excellus — Govt Programs/ Special Products: $472.78
  • Excellus — Hospital Blue: $17,485.23
  • Excellus — Medicare Advantage: $8,502.62
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: 93619 COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTI $7,636 $7,636 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $812.78 – $73,411.81
Heart rhythm study with ablation for atrial fibrillation: 10 of 41 insurance plan rates
  • Aetna — Medicare: $32,627.47
  • Brighton Healthplan — Medicaid: $812.78
  • Brighton Healthplan — Medicare Advantage: $32,627.47
  • CDPHP — Medicare Advantage: $32,627.47
  • Emblem Health — COMMERICAL: $73,411.81
  • EmblemHealth — Medicare Advantage: $32,627.47
  • Excellus — BCBS: $58,595.67
  • Excellus — Govt Programs/ Special Products: $812.78
  • Excellus — Hospital Blue: $58,595.67
  • Excellus — Medicare Advantage: $28,493.57
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: 93656 EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM $27,959 $27,959 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · modifier 96 In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $812.78 – $73,411.81
Heart rhythm study with ablation for atrial fibrillation: 10 of 41 insurance plan rates
  • Aetna — Medicare: $32,627.47
  • Brighton Healthplan — Medicaid: $812.78
  • Brighton Healthplan — Medicare Advantage: $32,627.47
  • CDPHP — Medicare Advantage: $32,627.47
  • Emblem Health — COMMERICAL: $73,411.81
  • EmblemHealth — Medicare Advantage: $32,627.47
  • Excellus — BCBS: $58,595.67
  • Excellus — Govt Programs/ Special Products: $812.78
  • Excellus — Hospital Blue: $58,595.67
  • Excellus — Medicare Advantage: $28,493.57
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND_01 $2,316 $2,316 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND_02 $2,316 $2,316 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises Not listed in the file Not listed in the file $23.46 – $235
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $42.41
  • Aetna — Medicare: $26.86
  • Aetna — Raymour Furniture Company: $42.41
  • Brighton Healthplan — Medicaid: $62.83
  • Brighton Healthplan — Medicare Advantage: $26.86
  • CDPHP — Medicare Advantage: $26.86
  • Emblem Health — COMMERICAL: $230
  • EmblemHealth — Medicare Advantage: $26.86
  • Excellus — BCBS: $230
  • Excellus — Govt Programs/ Special Products: $62.83
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 OP-OT THERAPEUTIC EXERCISES 15 MIN $81 $81 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 IP-OT THERAPEUTIC EXERCISES 15 MIN $81 $81 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $79.20 – $248.23
Physical therapy evaluation (low complexity): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $143.19
  • Aetna — Medicare: $90.69
  • Aetna — Raymour Furniture Company: $143.19
  • Brighton Healthplan — Medicaid: $110.32
  • Brighton Healthplan — Medicare Advantage: $90.69
  • CDPHP — Medicare Advantage: $90.69
  • Emblem Health — COMMERICAL: $230
  • EmblemHealth — Medicare Advantage: $90.69
  • Excellus — BCBS: $230
  • Excellus — Govt Programs/ Special Products: $110.32
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 OP-PT PT EVAL LOW COMPLEXITY 20 MIN $82 $82 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 IP-PT EVAL LOW COMPLEXITY 20 MIN $82 $82 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $79.20 – $248.23
Physical therapy evaluation (moderate complexity): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $143.19
  • Aetna — Medicare: $90.69
  • Aetna — Raymour Furniture Company: $143.19
  • Brighton Healthplan — Medicaid: $110.32
  • Brighton Healthplan — Medicare Advantage: $90.69
  • CDPHP — Medicare Advantage: $90.69
  • Emblem Health — COMMERICAL: $230
  • EmblemHealth — Medicare Advantage: $90.69
  • Excellus — BCBS: $230
  • Excellus — Govt Programs/ Special Products: $110.32
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 OP-PT PT EVAL MODERATE COMPLEXITY 30 MIN $107 $107 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 IP-PT EVAL MODERATE COMPLEXITY 30 MIN $107 $107 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 OP-PT PT EVAL HIGH COMPLEXITY 45 MIN $146 $146 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 IP-PT EVAL HIGH COMPLEXITY 45 MIN $146 $146 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $79.20 – $248.23
Physical therapy evaluation (high complexity): 10 of 42 insurance plan rates
  • Aetna — COMMERICAL: $143.19
  • Aetna — Medicare: $90.69
  • Aetna — Raymour Furniture Company: $143.19
  • Brighton Healthplan — Medicaid: $110.32
  • Brighton Healthplan — Medicare Advantage: $90.69
  • CDPHP — Medicare Advantage: $90.69
  • Emblem Health — COMMERICAL: $230
  • EmblemHealth — Medicare Advantage: $90.69
  • Excellus — BCBS: $230
  • Excellus — Govt Programs/ Special Products: $110.32
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $94.85 – $498.52
Psychotherapy, 30 minutes: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $100.29
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $100.29
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832- BRIEF IND TX 30MIN $176 $176 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 95 In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $100.29 – $498.52
Psychotherapy, 30 minutes: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $100.29
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $100.29
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $133.72 – $498.52
Psychotherapy, 45 minutes: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $133.72
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $133.72
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: CH 90834 ALCOHOL/SUBS INTERV >30 MIN $278 $278 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 - NORM IND TX 45MIN $232 $232 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $100.29 – $498.52
Family psychotherapy, without the patient: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $100.29
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $100.29
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: CH T1006-FAMILY PSYTX W/O PT 30MIN $314 $314 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · modifier 95 In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $100.29 – $498.52
Family psychotherapy, without the patient: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $100.29
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $100.29
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $100.29 – $498.52
Family psychotherapy, with the patient: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $100.29
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $100.29
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT (30 M $314 $314 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · modifier PN In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $100.29 – $498.52
Family psychotherapy, with the patient: 10 of 41 insurance plan rates
  • Aetna — Medicare: $221.56
  • Brighton Healthplan — Medicaid: $100.29
  • Brighton Healthplan — Medicare Advantage: $221.56
  • CDPHP — Medicare Advantage: $221.56
  • Emblem Health — COMMERICAL: $498.52
  • EmblemHealth — Medicare Advantage: $221.56
  • Excellus — BCBS: $397.91
  • Excellus — Govt Programs/ Special Products: $100.29
  • Excellus — Hospital Blue: $397.91
  • Excellus — Medicare Advantage: $193.49
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file Not listed in the file $51.83 – $372.07
Group psychotherapy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $126.81
  • Brighton Healthplan — Medicaid: $51.83
  • Brighton Healthplan — Medicare Advantage: $126.81
  • CDPHP — Medicare Advantage: $126.81
  • Emblem Health — COMMERICAL: $285.33
  • EmblemHealth — Medicare Advantage: $126.81
  • Excellus — BCBS: $227.74
  • Excellus — Govt Programs/ Special Products: $51.83
  • Excellus — Hospital Blue: $227.74
  • Excellus — Medicare Advantage: $110.75
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier PN In the file: Group psychotherapy Not listed in the file Not listed in the file $51.83 – $285.33
Group psychotherapy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $126.81
  • Brighton Healthplan — Medicaid: $51.83
  • Brighton Healthplan — Medicare Advantage: $126.81
  • CDPHP — Medicare Advantage: $126.81
  • Emblem Health — COMMERICAL: $285.33
  • EmblemHealth — Medicare Advantage: $126.81
  • Excellus — BCBS: $227.74
  • Excellus — Govt Programs/ Special Products: $51.83
  • Excellus — Hospital Blue: $227.74
  • Excellus — Medicare Advantage: $110.75
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 95 In the file: Group psychotherapy Not listed in the file Not listed in the file $51.83 – $285.33
Group psychotherapy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $126.81
  • Brighton Healthplan — Medicaid: $51.83
  • Brighton Healthplan — Medicare Advantage: $126.81
  • CDPHP — Medicare Advantage: $126.81
  • Emblem Health — COMMERICAL: $285.33
  • EmblemHealth — Medicare Advantage: $126.81
  • Excellus — BCBS: $227.74
  • Excellus — Govt Programs/ Special Products: $51.83
  • Excellus — Hospital Blue: $227.74
  • Excellus — Medicare Advantage: $110.75

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion Not listed in the file Not listed in the file $1,385.25 – $10,997.04
Removal of breast growth (open surgery): 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,887.57
  • Brighton Healthplan — Medicaid: $1,385.25
  • Brighton Healthplan — Medicare Advantage: $4,887.57
  • CDPHP — Medicare Advantage: $4,887.57
  • Emblem Health — COMMERICAL: $10,997.04
  • EmblemHealth — Medicare Advantage: $4,887.57
  • Excellus — BCBS: $8,777.59
  • Excellus — Govt Programs/ Special Products: $1,385.25
  • Excellus — Hospital Blue: $8,777.59
  • Excellus — Medicare Advantage: $4,268.32
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: Removal of breast lesion Not listed in the file Not listed in the file $2,077.88 – $16,495.56
Removal of breast growth (open surgery): 10 of 41 insurance plan rates
  • Aetna — Medicare: $7,331.36
  • Brighton Healthplan — Medicaid: $2,077.88
  • Brighton Healthplan — Medicare Advantage: $7,331.36
  • CDPHP — Medicare Advantage: $7,331.36
  • Emblem Health — COMMERICAL: $16,495.56
  • EmblemHealth — Medicare Advantage: $7,331.36
  • Excellus — BCBS: $13,166.39
  • Excellus — Govt Programs/ Special Products: $2,077.88
  • Excellus — Hospital Blue: $13,166.39
  • Excellus — Medicare Advantage: $6,402.48
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier PO In the file: Removal of breast lesion Not listed in the file Not listed in the file $1,385.25 – $10,997.04
Removal of breast growth (open surgery): 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,887.57
  • Brighton Healthplan — Medicaid: $1,385.25
  • Brighton Healthplan — Medicare Advantage: $4,887.57
  • CDPHP — Medicare Advantage: $4,887.57
  • Emblem Health — COMMERICAL: $10,997.04
  • EmblemHealth — Medicare Advantage: $4,887.57
  • Excellus — BCBS: $8,777.59
  • Excellus — Govt Programs/ Special Products: $1,385.25
  • Excellus — Hospital Blue: $8,777.59
  • Excellus — Medicare Advantage: $4,268.32
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty Not listed in the file Not listed in the file $3,080.90 – $36,059.22
Total hip replacement: 10 of 41 insurance plan rates
  • Aetna — Medicare: $16,026.32
  • Brighton Healthplan — Medicaid: $3,080.90
  • Brighton Healthplan — Medicare Advantage: $16,026.32
  • CDPHP — Medicare Advantage: $16,026.32
  • Emblem Health — COMMERICAL: $36,059.22
  • EmblemHealth — Medicare Advantage: $16,026.32
  • Excellus — BCBS: $28,781.67
  • Excellus — Govt Programs/ Special Products: $3,080.90
  • Excellus — Hospital Blue: $28,781.67
  • Excellus — Medicare Advantage: $13,995.78
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 50 In the file: Total hip arthroplasty Not listed in the file Not listed in the file $4,621.36 – $54,088.83
Total hip replacement: 10 of 41 insurance plan rates
  • Aetna — Medicare: $24,039.48
  • Brighton Healthplan — Medicaid: $4,621.36
  • Brighton Healthplan — Medicare Advantage: $24,039.48
  • CDPHP — Medicare Advantage: $24,039.48
  • Emblem Health — COMMERICAL: $54,088.83
  • EmblemHealth — Medicare Advantage: $24,039.48
  • Excellus — BCBS: $43,172.50
  • Excellus — Govt Programs/ Special Products: $4,621.36
  • Excellus — Hospital Blue: $43,172.50
  • Excellus — Medicare Advantage: $20,993.68
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty Not listed in the file Not listed in the file $3,080.90 – $36,059.22
Total knee replacement: 10 of 41 insurance plan rates
  • Aetna — Medicare: $16,026.32
  • Brighton Healthplan — Medicaid: $3,080.90
  • Brighton Healthplan — Medicare Advantage: $16,026.32
  • CDPHP — Medicare Advantage: $16,026.32
  • Emblem Health — COMMERICAL: $36,059.22
  • EmblemHealth — Medicare Advantage: $16,026.32
  • Excellus — BCBS: $28,781.67
  • Excellus — Govt Programs/ Special Products: $3,080.90
  • Excellus — Hospital Blue: $28,781.67
  • Excellus — Medicare Advantage: $13,995.78
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 96 In the file: Total knee arthroplasty Not listed in the file Not listed in the file $3,080.90 – $36,059.22
Total knee replacement: 10 of 41 insurance plan rates
  • Aetna — Medicare: $16,026.32
  • Brighton Healthplan — Medicaid: $3,080.90
  • Brighton Healthplan — Medicare Advantage: $16,026.32
  • CDPHP — Medicare Advantage: $16,026.32
  • Emblem Health — COMMERICAL: $36,059.22
  • EmblemHealth — Medicare Advantage: $16,026.32
  • Excellus — BCBS: $28,781.67
  • Excellus — Govt Programs/ Special Products: $3,080.90
  • Excellus — Hospital Blue: $28,781.67
  • Excellus — Medicare Advantage: $13,995.78
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 97 In the file: Total knee arthroplasty Not listed in the file Not listed in the file $3,080.90 – $36,059.22
Total knee replacement: 10 of 41 insurance plan rates
  • Aetna — Medicare: $16,026.32
  • Brighton Healthplan — Medicaid: $3,080.90
  • Brighton Healthplan — Medicare Advantage: $16,026.32
  • CDPHP — Medicare Advantage: $16,026.32
  • Emblem Health — COMMERICAL: $36,059.22
  • EmblemHealth — Medicare Advantage: $16,026.32
  • Excellus — BCBS: $28,781.67
  • Excellus — Govt Programs/ Special Products: $3,080.90
  • Excellus — Hospital Blue: $28,781.67
  • Excellus — Medicare Advantage: $13,995.78
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $552.14 – $3,618.15
Shoulder arthroscopy: shaving of shoulder bone: 10 of 20 insurance plan rates
  • Brighton Healthplan — Medicaid: $1,608.07
  • Excellus — Govt Programs/ Special Products: $1,608.07
  • Fidelis — Essential Plans 1 -4: $3,618.15
  • Fidelis — Medicaid HMO: $1,608.07
  • Healthfirst Health plan — Essential Plan 1 & 2 and Qualified Health Plans: $1,768.87
  • Healthfirst Health plan — Medicaid, Essential Plan 3&4, Medicaid Harp, and Child Healt: $1,608.07
  • Healthfirst Health plan — Medicare Advantage and Medicaid Advantage plus: $1,608.07
  • MOLINA — Essential: $3,618.15
  • MOLINA — Medicaid HMO: $1,608.07
  • MVP — Essential Plans 1-6: $3,618.15
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier XU In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $1,608.07 – $3,618.15
Shoulder arthroscopy: shaving of shoulder bone: 10 of 20 insurance plan rates
  • Brighton Healthplan — Medicaid: $1,608.07
  • Excellus — Govt Programs/ Special Products: $1,608.07
  • Fidelis — Essential Plans 1 -4: $3,618.15
  • Fidelis — Medicaid HMO: $1,608.07
  • Healthfirst Health plan — Essential Plan 1 & 2 and Qualified Health Plans: $1,768.87
  • Healthfirst Health plan — Medicaid, Essential Plan 3&4, Medicaid Harp, and Child Healt: $1,608.07
  • Healthfirst Health plan — Medicare Advantage and Medicaid Advantage plus: $1,608.07
  • MOLINA — Essential: $3,618.15
  • MOLINA — Medicaid HMO: $1,608.07
  • MVP — Essential Plans 1-6: $3,618.15
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $1,608.07 – $9,189.87
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,084.39
  • Brighton Healthplan — Medicaid: $1,608.07
  • Brighton Healthplan — Medicare Advantage: $4,084.39
  • CDPHP — Medicare Advantage: $4,084.39
  • Emblem Health — COMMERICAL: $9,189.87
  • EmblemHealth — Medicare Advantage: $4,084.39
  • Excellus — BCBS: $7,335.15
  • Excellus — Govt Programs/ Special Products: $1,608.07
  • Excellus — Hospital Blue: $7,335.15
  • Excellus — Medicare Advantage: $3,566.89
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier XS In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $1,608.07 – $9,189.87
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,084.39
  • Brighton Healthplan — Medicaid: $1,608.07
  • Brighton Healthplan — Medicare Advantage: $4,084.39
  • CDPHP — Medicare Advantage: $4,084.39
  • Emblem Health — COMMERICAL: $9,189.87
  • EmblemHealth — Medicare Advantage: $4,084.39
  • Excellus — BCBS: $7,335.15
  • Excellus — Govt Programs/ Special Products: $1,608.07
  • Excellus — Hospital Blue: $7,335.15
  • Excellus — Medicare Advantage: $3,566.89
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 97 In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $1,608.07 – $9,189.87
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,084.39
  • Brighton Healthplan — Medicaid: $1,608.07
  • Brighton Healthplan — Medicare Advantage: $4,084.39
  • CDPHP — Medicare Advantage: $4,084.39
  • Emblem Health — COMMERICAL: $9,189.87
  • EmblemHealth — Medicare Advantage: $4,084.39
  • Excellus — BCBS: $7,335.15
  • Excellus — Govt Programs/ Special Products: $1,608.07
  • Excellus — Hospital Blue: $7,335.15
  • Excellus — Medicare Advantage: $3,566.89
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $1,272.03 – $16,626.66
Removal of tonsils and adenoids (under age 12): 10 of 41 insurance plan rates
  • Aetna — Medicare: $7,389.63
  • Brighton Healthplan — Medicaid: $1,272.03
  • Brighton Healthplan — Medicare Advantage: $7,389.63
  • CDPHP — Medicare Advantage: $7,389.63
  • Emblem Health — COMMERICAL: $16,626.66
  • EmblemHealth — Medicare Advantage: $7,389.63
  • Excellus — BCBS: $13,271.03
  • Excellus — Govt Programs/ Special Products: $1,272.03
  • Excellus — Hospital Blue: $13,271.03
  • Excellus — Medicare Advantage: $6,453.36
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $606.27 – $2,547.39
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,132.18
  • Brighton Healthplan — Medicaid: $710.31
  • Brighton Healthplan — Medicare Advantage: $1,132.18
  • CDPHP — Medicare Advantage: $1,132.18
  • Emblem Health — COMMERICAL: $2,547.39
  • EmblemHealth — Medicare Advantage: $1,132.18
  • Excellus — BCBS: $2,033.27
  • Excellus — Govt Programs/ Special Products: $710.31
  • Excellus — Hospital Blue: $2,033.27
  • Excellus — Medicare Advantage: $988.73
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $355.16 – $1,273.70
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates
  • Aetna — Medicare: $566.09
  • Brighton Healthplan — Medicaid: $355.16
  • Brighton Healthplan — Medicare Advantage: $566.09
  • CDPHP — Medicare Advantage: $566.09
  • Emblem Health — COMMERICAL: $1,273.70
  • EmblemHealth — Medicare Advantage: $566.09
  • Excellus — BCBS: $1,016.64
  • Excellus — Govt Programs/ Special Products: $355.16
  • Excellus — Hospital Blue: $1,016.64
  • Excellus — Medicare Advantage: $494.36
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 52 In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $355.16 – $1,273.70
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates
  • Aetna — Medicare: $566.09
  • Brighton Healthplan — Medicaid: $355.16
  • Brighton Healthplan — Medicare Advantage: $566.09
  • CDPHP — Medicare Advantage: $566.09
  • Emblem Health — COMMERICAL: $1,273.70
  • EmblemHealth — Medicare Advantage: $566.09
  • Excellus — BCBS: $1,016.64
  • Excellus — Govt Programs/ Special Products: $355.16
  • Excellus — Hospital Blue: $1,016.64
  • Excellus — Medicare Advantage: $494.36
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $353.01 – $3,654.11
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,132.18
  • Brighton Healthplan — Medicaid: $710.31
  • Brighton Healthplan — Medicare Advantage: $1,132.18
  • CDPHP — Medicare Advantage: $1,132.18
  • Emblem Health — COMMERICAL: $2,547.39
  • EmblemHealth — Medicare Advantage: $1,132.18
  • Excellus — BCBS: $2,033.27
  • Excellus — Govt Programs/ Special Products: $710.31
  • Excellus — Hospital Blue: $2,033.27
  • Excellus — Medicare Advantage: $988.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 52 In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $355.16 – $1,273.70
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $566.09
  • Brighton Healthplan — Medicaid: $355.16
  • Brighton Healthplan — Medicare Advantage: $566.09
  • CDPHP — Medicare Advantage: $566.09
  • Emblem Health — COMMERICAL: $1,273.70
  • EmblemHealth — Medicare Advantage: $566.09
  • Excellus — BCBS: $1,016.64
  • Excellus — Govt Programs/ Special Products: $355.16
  • Excellus — Hospital Blue: $1,016.64
  • Excellus — Medicare Advantage: $494.36
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier PO In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $710.31 – $2,547.39
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,132.18
  • Brighton Healthplan — Medicaid: $710.31
  • Brighton Healthplan — Medicare Advantage: $1,132.18
  • CDPHP — Medicare Advantage: $1,132.18
  • Emblem Health — COMMERICAL: $2,547.39
  • EmblemHealth — Medicare Advantage: $1,132.18
  • Excellus — BCBS: $2,033.27
  • Excellus — Govt Programs/ Special Products: $710.31
  • Excellus — Hospital Blue: $2,033.27
  • Excellus — Medicare Advantage: $988.73
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $528.66 – $2,871.80
Colonoscopy (diagnostic): 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,160.85
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,160.85
  • CDPHP — Medicare Advantage: $1,160.85
  • Emblem Health — COMMERICAL: $2,611.92
  • EmblemHealth — Medicare Advantage: $1,160.85
  • Excellus — BCBS: $2,084.77
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,084.77
  • Excellus — Medicare Advantage: $1,013.77
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier PO In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $682.34 – $2,611.92
Colonoscopy (diagnostic): 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,160.85
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,160.85
  • CDPHP — Medicare Advantage: $1,160.85
  • Emblem Health — COMMERICAL: $2,611.92
  • EmblemHealth — Medicare Advantage: $1,160.85
  • Excellus — BCBS: $2,084.77
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,084.77
  • Excellus — Medicare Advantage: $1,013.77
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 52 In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $341.17 – $1,305.96
Colonoscopy (diagnostic): 10 of 41 insurance plan rates
  • Aetna — Medicare: $580.43
  • Brighton Healthplan — Medicaid: $341.17
  • Brighton Healthplan — Medicare Advantage: $580.43
  • CDPHP — Medicare Advantage: $580.43
  • Emblem Health — COMMERICAL: $1,305.96
  • EmblemHealth — Medicare Advantage: $580.43
  • Excellus — BCBS: $1,042.39
  • Excellus — Govt Programs/ Special Products: $341.17
  • Excellus — Hospital Blue: $1,042.39
  • Excellus — Medicare Advantage: $506.89
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $682.34 – $3,360.93
Colonoscopy with biopsy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,493.75
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,493.75
  • CDPHP — Medicare Advantage: $1,493.75
  • Emblem Health — COMMERICAL: $3,360.93
  • EmblemHealth — Medicare Advantage: $1,493.75
  • Excellus — BCBS: $2,682.62
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,682.62
  • Excellus — Medicare Advantage: $1,304.49
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier XU In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $682.34 – $3,360.93
Colonoscopy with biopsy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,493.75
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,493.75
  • CDPHP — Medicare Advantage: $1,493.75
  • Emblem Health — COMMERICAL: $3,360.93
  • EmblemHealth — Medicare Advantage: $1,493.75
  • Excellus — BCBS: $2,682.62
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,682.62
  • Excellus — Medicare Advantage: $1,304.49
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PO In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $682.34 – $3,360.93
Colonoscopy with biopsy: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,493.75
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,493.75
  • CDPHP — Medicare Advantage: $1,493.75
  • Emblem Health — COMMERICAL: $3,360.93
  • EmblemHealth — Medicare Advantage: $1,493.75
  • Excellus — BCBS: $2,682.62
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,682.62
  • Excellus — Medicare Advantage: $1,304.49
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $635.84 – $3,360.93
Colonoscopy with removal of polyps (snare): 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,493.75
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,493.75
  • CDPHP — Medicare Advantage: $1,493.75
  • Emblem Health — COMMERICAL: $3,360.93
  • EmblemHealth — Medicare Advantage: $1,493.75
  • Excellus — BCBS: $2,682.62
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,682.62
  • Excellus — Medicare Advantage: $1,304.49
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PO In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $682.34 – $3,360.93
Colonoscopy with removal of polyps (snare): 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,493.75
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,493.75
  • CDPHP — Medicare Advantage: $1,493.75
  • Emblem Health — COMMERICAL: $3,360.93
  • EmblemHealth — Medicare Advantage: $1,493.75
  • Excellus — BCBS: $2,682.62
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,682.62
  • Excellus — Medicare Advantage: $1,304.49
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier XU In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $682.34 – $3,360.93
Colonoscopy with removal of polyps (snare): 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,493.75
  • Brighton Healthplan — Medicaid: $682.34
  • Brighton Healthplan — Medicare Advantage: $1,493.75
  • CDPHP — Medicare Advantage: $1,493.75
  • Emblem Health — COMMERICAL: $3,360.93
  • EmblemHealth — Medicare Advantage: $1,493.75
  • Excellus — BCBS: $2,682.62
  • Excellus — Govt Programs/ Special Products: $682.34
  • Excellus — Hospital Blue: $2,682.62
  • Excellus — Medicare Advantage: $1,304.49
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $2,377.15 – $16,979.70
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • Aetna — Medicare: $7,546.53
  • Brighton Healthplan — Medicaid: $2,377.15
  • Brighton Healthplan — Medicare Advantage: $7,546.53
  • CDPHP — Medicare Advantage: $7,546.53
  • Emblem Health — COMMERICAL: $16,979.70
  • EmblemHealth — Medicare Advantage: $7,546.53
  • Excellus — BCBS: $13,552.82
  • Excellus — Govt Programs/ Special Products: $2,377.15
  • Excellus — Hospital Blue: $13,552.82
  • Excellus — Medicare Advantage: $6,590.39
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 96 In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $2,377.15 – $16,979.70
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • Aetna — Medicare: $7,546.53
  • Brighton Healthplan — Medicaid: $2,377.15
  • Brighton Healthplan — Medicare Advantage: $7,546.53
  • CDPHP — Medicare Advantage: $7,546.53
  • Emblem Health — COMMERICAL: $16,979.70
  • EmblemHealth — Medicare Advantage: $7,546.53
  • Excellus — BCBS: $13,552.82
  • Excellus — Govt Programs/ Special Products: $2,377.15
  • Excellus — Hospital Blue: $13,552.82
  • Excellus — Medicare Advantage: $6,590.39
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 97 In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $2,377.15 – $16,979.70
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • Aetna — Medicare: $7,546.53
  • Brighton Healthplan — Medicaid: $2,377.15
  • Brighton Healthplan — Medicare Advantage: $7,546.53
  • CDPHP — Medicare Advantage: $7,546.53
  • Emblem Health — COMMERICAL: $16,979.70
  • EmblemHealth — Medicare Advantage: $7,546.53
  • Excellus — BCBS: $13,552.82
  • Excellus — Govt Programs/ Special Products: $2,377.15
  • Excellus — Hospital Blue: $13,552.82
  • Excellus — Medicare Advantage: $6,590.39
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $1,837.49 – $10,056.05
Groin (inguinal) hernia repair, age 5 or older: 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,469.36
  • Brighton Healthplan — Medicaid: $1,837.49
  • Brighton Healthplan — Medicare Advantage: $4,469.36
  • CDPHP — Medicare Advantage: $4,469.36
  • Emblem Health — COMMERICAL: $10,056.05
  • EmblemHealth — Medicare Advantage: $4,469.36
  • Excellus — BCBS: $8,026.52
  • Excellus — Govt Programs/ Special Products: $1,837.49
  • Excellus — Hospital Blue: $8,026.52
  • Excellus — Medicare Advantage: $3,903.09
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier PO In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $1,837.49 – $10,056.05
Groin (inguinal) hernia repair, age 5 or older: 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,469.36
  • Brighton Healthplan — Medicaid: $1,837.49
  • Brighton Healthplan — Medicare Advantage: $4,469.36
  • CDPHP — Medicare Advantage: $4,469.36
  • Emblem Health — COMMERICAL: $10,056.05
  • EmblemHealth — Medicare Advantage: $4,469.36
  • Excellus — BCBS: $8,026.52
  • Excellus — Govt Programs/ Special Products: $1,837.49
  • Excellus — Hospital Blue: $8,026.52
  • Excellus — Medicare Advantage: $3,903.09
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH_01 $2,518 $2,518 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $2,375.37 – $29,855.36
Prostate removal by laparoscope (radical prostatectomy): 10 of 41 insurance plan rates
  • Aetna — Medicare: $13,269.05
  • Brighton Healthplan — Medicaid: $2,375.37
  • Brighton Healthplan — Medicare Advantage: $13,269.05
  • CDPHP — Medicare Advantage: $13,269.05
  • Emblem Health — COMMERICAL: $29,855.36
  • EmblemHealth — Medicare Advantage: $13,269.05
  • Excellus — BCBS: $23,829.89
  • Excellus — Govt Programs/ Special Products: $2,375.37
  • Excellus — Hospital Blue: $23,829.89
  • Excellus — Medicare Advantage: $11,587.86
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 97 In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $2,375.37 – $29,855.36
Prostate removal by laparoscope (radical prostatectomy): 10 of 41 insurance plan rates
  • Aetna — Medicare: $13,269.05
  • Brighton Healthplan — Medicaid: $2,375.37
  • Brighton Healthplan — Medicare Advantage: $13,269.05
  • CDPHP — Medicare Advantage: $13,269.05
  • Emblem Health — COMMERICAL: $29,855.36
  • EmblemHealth — Medicare Advantage: $13,269.05
  • Excellus — BCBS: $23,829.89
  • Excellus — Govt Programs/ Special Products: $2,375.37
  • Excellus — Hospital Blue: $23,829.89
  • Excellus — Medicare Advantage: $11,587.86
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $1,231.65 – $9,091.92
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,040.85
  • Brighton Healthplan — Medicaid: $1,231.65
  • Brighton Healthplan — Medicare Advantage: $4,040.85
  • CDPHP — Medicare Advantage: $4,040.85
  • Emblem Health — COMMERICAL: $9,091.92
  • EmblemHealth — Medicare Advantage: $4,040.85
  • Excellus — BCBS: $7,256.97
  • Excellus — Govt Programs/ Special Products: $1,231.65
  • Excellus — Hospital Blue: $7,256.97
  • Excellus — Medicare Advantage: $3,528.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier PO In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $1,231.65 – $9,091.92
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,040.85
  • Brighton Healthplan — Medicaid: $1,231.65
  • Brighton Healthplan — Medicare Advantage: $4,040.85
  • CDPHP — Medicare Advantage: $4,040.85
  • Emblem Health — COMMERICAL: $9,091.92
  • EmblemHealth — Medicare Advantage: $4,040.85
  • Excellus — BCBS: $7,256.97
  • Excellus — Govt Programs/ Special Products: $1,231.65
  • Excellus — Hospital Blue: $7,256.97
  • Excellus — Medicare Advantage: $3,528.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 74 In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $615.83 – $4,545.96
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
  • Aetna — Medicare: $2,020.43
  • Brighton Healthplan — Medicaid: $615.83
  • Brighton Healthplan — Medicare Advantage: $2,020.43
  • CDPHP — Medicare Advantage: $2,020.43
  • Emblem Health — COMMERICAL: $4,545.96
  • EmblemHealth — Medicare Advantage: $2,020.43
  • Excellus — BCBS: $3,628.48
  • Excellus — Govt Programs/ Special Products: $615.83
  • Excellus — Hospital Blue: $3,628.48
  • Excellus — Medicare Advantage: $1,764.44
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $488.73 – $1,982.56
Spinal injection, lower back (epidural), with imaging guidance: 10 of 41 insurance plan rates
  • Aetna — Medicare: $881.14
  • Brighton Healthplan — Medicaid: $488.73
  • Brighton Healthplan — Medicare Advantage: $881.14
  • CDPHP — Medicare Advantage: $881.14
  • Emblem Health — COMMERICAL: $1,982.56
  • EmblemHealth — Medicare Advantage: $881.14
  • Excellus — BCBS: $1,582.44
  • Excellus — Govt Programs/ Special Products: $488.73
  • Excellus — Hospital Blue: $1,582.44
  • Excellus — Medicare Advantage: $769.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC S $1,518 $1,518 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier PO In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $488.73 – $1,982.56
Spinal injection, lower back (epidural), with imaging guidance: 10 of 41 insurance plan rates
  • Aetna — Medicare: $881.14
  • Brighton Healthplan — Medicaid: $488.73
  • Brighton Healthplan — Medicare Advantage: $881.14
  • CDPHP — Medicare Advantage: $881.14
  • Emblem Health — COMMERICAL: $1,982.56
  • EmblemHealth — Medicare Advantage: $881.14
  • Excellus — BCBS: $1,582.44
  • Excellus — Govt Programs/ Special Products: $488.73
  • Excellus — Hospital Blue: $1,582.44
  • Excellus — Medicare Advantage: $769.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $479.81 – $2,484.16
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,104.07
  • Brighton Healthplan — Medicaid: $488.73
  • Brighton Healthplan — Medicare Advantage: $1,104.07
  • CDPHP — Medicare Advantage: $1,104.07
  • Emblem Health — COMMERICAL: $2,484.16
  • EmblemHealth — Medicare Advantage: $1,104.07
  • Excellus — BCBS: $1,982.81
  • Excellus — Govt Programs/ Special Products: $488.73
  • Excellus — Hospital Blue: $1,982.81
  • Excellus — Medicare Advantage: $964.19
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 LUMBAR TRANSFORAMINAL EPIDURAL $1,545 $1,545 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $733.09 – $3,726.25
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
  • Aetna — Medicare: $1,656.11
  • Brighton Healthplan — Medicaid: $733.09
  • Brighton Healthplan — Medicare Advantage: $1,656.11
  • CDPHP — Medicare Advantage: $1,656.11
  • Emblem Health — COMMERICAL: $3,726.25
  • EmblemHealth — Medicare Advantage: $1,656.11
  • Excellus — BCBS: $2,974.21
  • Excellus — Govt Programs/ Special Products: $733.09
  • Excellus — Hospital Blue: $2,974.21
  • Excellus — Medicare Advantage: $1,446.28
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,170.24 – $5,484.50
Carpal tunnel release: 10 of 41 insurance plan rates
  • Aetna — Medicare: $2,437.56
  • Brighton Healthplan — Medicaid: $1,170.24
  • Brighton Healthplan — Medicare Advantage: $2,437.56
  • CDPHP — Medicare Advantage: $2,437.56
  • Emblem Health — COMMERICAL: $5,484.50
  • EmblemHealth — Medicare Advantage: $2,437.56
  • Excellus — BCBS: $4,377.61
  • Excellus — Govt Programs/ Special Products: $1,170.24
  • Excellus — Hospital Blue: $4,377.61
  • Excellus — Medicare Advantage: $2,128.72
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier PO In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,170.24 – $5,484.50
Carpal tunnel release: 10 of 41 insurance plan rates
  • Aetna — Medicare: $2,437.56
  • Brighton Healthplan — Medicaid: $1,170.24
  • Brighton Healthplan — Medicare Advantage: $2,437.56
  • CDPHP — Medicare Advantage: $2,437.56
  • Emblem Health — COMMERICAL: $5,484.50
  • EmblemHealth — Medicare Advantage: $2,437.56
  • Excellus — BCBS: $4,377.61
  • Excellus — Govt Programs/ Special Products: $1,170.24
  • Excellus — Hospital Blue: $4,377.61
  • Excellus — Medicare Advantage: $2,128.72
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier XU In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,170.24 – $5,484.50
Carpal tunnel release: 10 of 41 insurance plan rates
  • Aetna — Medicare: $2,437.56
  • Brighton Healthplan — Medicaid: $1,170.24
  • Brighton Healthplan — Medicare Advantage: $2,437.56
  • CDPHP — Medicare Advantage: $2,437.56
  • Emblem Health — COMMERICAL: $5,484.50
  • EmblemHealth — Medicare Advantage: $2,437.56
  • Excellus — BCBS: $4,377.61
  • Excellus — Govt Programs/ Special Products: $1,170.24
  • Excellus — Hospital Blue: $4,377.61
  • Excellus — Medicare Advantage: $2,128.72
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $1,797.27 – $6,481.84
Cataract removal with lens implant: 10 of 41 insurance plan rates
  • Aetna — Medicare: $2,880.82
  • Brighton Healthplan — Medicaid: $1,797.27
  • Brighton Healthplan — Medicare Advantage: $2,880.82
  • CDPHP — Medicare Advantage: $2,880.82
  • Emblem Health — COMMERICAL: $6,481.84
  • EmblemHealth — Medicare Advantage: $2,880.82
  • Excellus — BCBS: $5,173.66
  • Excellus — Govt Programs/ Special Products: $1,797.27
  • Excellus — Hospital Blue: $5,173.66
  • Excellus — Medicare Advantage: $2,515.82
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier PO In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $502.18 – $6,481.84
Cataract removal with lens implant: 10 of 41 insurance plan rates
  • Aetna — Medicare: $2,880.82
  • Brighton Healthplan — Medicaid: $1,797.27
  • Brighton Healthplan — Medicare Advantage: $2,880.82
  • CDPHP — Medicare Advantage: $2,880.82
  • Emblem Health — COMMERICAL: $6,481.84
  • EmblemHealth — Medicare Advantage: $2,880.82
  • Excellus — BCBS: $5,173.66
  • Excellus — Govt Programs/ Special Products: $1,797.27
  • Excellus — Hospital Blue: $5,173.66
  • Excellus — Medicare Advantage: $2,515.82
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $2,297.05 – $9,722.77
Cataract removal with lens implant: 10 of 41 insurance plan rates
  • Aetna — Medicare: $4,321.23
  • Brighton Healthplan — Medicaid: $2,695.90
  • Brighton Healthplan — Medicare Advantage: $4,321.23
  • CDPHP — Medicare Advantage: $4,321.23
  • Emblem Health — COMMERICAL: $9,722.77
  • EmblemHealth — Medicare Advantage: $4,321.23
  • Excellus — BCBS: $7,760.50
  • Excellus — Govt Programs/ Special Products: $2,695.90
  • Excellus — Hospital Blue: $7,760.50
  • Excellus — Medicare Advantage: $3,773.73

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) 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 $85,035.33 – $207,189.92
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates
  • Aetna — COMMERICAL: $118,371.88
  • Aetna — Medicare: $97,372.41
  • Aetna — Raymour Furniture Company: $207,189.92
  • Brighton Healthplan — Medicare Advantage: $97,372.41
  • CDPHP — Medicare Advantage: $97,372.41
  • Emblem Health — COMMERICAL: $194,948.12
  • EmblemHealth — Medicare Advantage: $97,372.41
  • Excellus — BCBS: $167,512.52
  • Excellus — Hospital Blue: $167,512.52
  • Excellus — Medicare Advantage: $85,035.33
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 Not listed in the file Not listed in the file $16,766.64 – $40,852.17
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates
  • Aetna — COMMERICAL: $23,339.69
  • Aetna — Medicare: $19,199.17
  • Aetna — Raymour Furniture Company: $40,852.17
  • Brighton Healthplan — Medicare Advantage: $19,199.17
  • CDPHP — Medicare Advantage: $19,199.17
  • Emblem Health — COMMERICAL: $38,438.42
  • EmblemHealth — Medicare Advantage: $19,199.17
  • Excellus — BCBS: $34,747.37
  • Excellus — Hospital Blue: $34,747.37
  • Excellus — Medicare Advantage: $16,766.64
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $21,220.59 – $51,704.29
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates
  • Aetna — COMMERICAL: $29,539.73
  • Aetna — Medicare: $24,299.31
  • Aetna — Raymour Furniture Company: $51,704.29
  • Brighton Healthplan — Medicare Advantage: $24,299.31
  • CDPHP — Medicare Advantage: $24,299.31
  • Emblem Health — COMMERICAL: $48,649.35
  • EmblemHealth — Medicare Advantage: $24,299.31
  • Excellus — BCBS: $43,409.16
  • Excellus — Hospital Blue: $43,409.16
  • Excellus — Medicare Advantage: $21,220.59
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $10,784.57 – $26,276.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates
  • Aetna — COMMERICAL: $15,012.47
  • Aetna — Medicare: $12,349.22
  • Aetna — Raymour Furniture Company: $26,276.79
  • Brighton Healthplan — Medicare Advantage: $12,349.22
  • CDPHP — Medicare Advantage: $12,349.22
  • Emblem Health — COMMERICAL: $24,724.22
  • EmblemHealth — Medicare Advantage: $12,349.22
  • Excellus — BCBS: $23,113.79
  • Excellus — Hospital Blue: $23,113.79
  • Excellus — Medicare Advantage: $10,784.57

Source: Crouse Hospital’s standard charges file (crouse.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 19, 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
Address736 Irving Avenue, Syracuse, NY 13210
CountyOnondaga County
StateNew York
Phone(315) 470‑7449
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330203
Name in Medicare recordsCROUSE HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(315) 470‑7111[6]
Official websitecrouse.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Crouse Health — crouse.org
  2. Services — crouse.org
  3. Important Phone Numbers — crouse.org