Does Cuba Memorial Hospital, Inc have an emergency room?

Medicare (CMS) data does not list emergency services at Cuba Memorial Hospital, Inc. The closest hospitals that do: Olean General Hospital (11 mi), Jones Memorial Hospital (18 mi) and Bertrand Chaffee Hospital (28 mi). In a medical emergency, call 911.

Where is Cuba Memorial Hospital, Inc?

140 West Main Street, Cuba, NY 14727, in Allegany County, New York.

What is the phone number of Cuba Memorial Hospital, Inc?

(585) 961-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Cuba Memorial Hospital, Inc?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Cuba Memorial Hospital, Inc — Cuba, NY

Quick answers

Does Cuba Memorial Hospital, Inc have an emergency room?: Medicare (CMS) data does not list emergency services at Cuba Memorial Hospital, Inc. The closest hospitals that do: Olean General Hospital (11 mi), Jones Memorial Hospital (18 mi) and Bertrand Chaffee Hospital (28 mi). In a medical emergency, call 911.
Where is Cuba Memorial Hospital, Inc?: 140 West Main Street, Cuba, NY 14727, in Allegany County, New York.
What is the phone number of Cuba Memorial Hospital, Inc?: (585) 961-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Cuba Memorial Hospital, Inc?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Palliative Care
Rehabilitation Services
Radiology & Ultrasound
Long-Term Care & Skilled Nursing

Conditions treated^[9]

Respiratory illnesses
Infections
Minor injuries
Ear and eye conditions

Treatments^{[4][9][10][11]}

Physical, occupational and speech therapy
Physical therapy
Occupational therapy
Mobility and transfer training
X-ray
Ultrasound
Walk-in laboratory blood draws
Diabetic education
Nutritional counseling

Programs and centers^[4][10]

24/7 Urgent Care
Acute Inpatient Care
Outpatient therapy
Short-term rehabilitation
Social work services

Visiting and practical information

Patient portal	YourHEALTH

Recognition^[5]

Critical Access Hospital

Doctors and clinicians (8)

8 doctors and other clinicians list Cuba Memorial Hospital, Inc 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

Nearest emergency rooms

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

Olean General Hospital11 mi · Olean, NY · Acute Care Hospital
Jones Memorial Hospital18 mi · Wellsville, NY · Acute Care Hospital
Bertrand Chaffee Hospital28 mi · Springville, NY · Acute Care Hospital
St James Hospital33 mi · Hornell, NY · Acute Care Hospital
UPMC Cole35 mi · Coudersport, PA · Critical Access Hospital

Other hospitals nearby

Wyoming County36 mi · Warsaw, NY · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Cuba Memorial Hospital Inc SNF0.0 mi · Cuba, NY · 1 of 5 stars
The Pines Healthcare & Rehabilitation Centers Olea13 mi · Olean, NY · 4 of 5 stars
Absolut Center for Nursing and Rehabilitation at A13 mi · Allegany, NY · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Cattaraugus County Department of Health Chha12 mi · Olean, NY

All home health agencies in the state →

Dialysis facilities

Olean General Dialysis12 mi · Olean, NY · 2 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Southern Tier Community Health Center Network, Cuba Site0.1 mi · Cuba, NY · Community health center
Southern Tier Community Health Center Network, Olean site12 mi · Olean, NY · Community health center
Olean - Allergy13 mi · Olean, NY · Community health center

Clinics and urgent care

Ur Medicine Jones Memorial Hospital Bolivar Primary Care12 mi · Bolivar, NY · Rural health clinic
Eldred Health Center18 mi · Eldred, PA · Rural health clinic
Ur Medicine Jones Memorial Hospital Internal Medicine20 mi · Wellsville, NY · Rural health clinic

Pharmacies

Fillmore & Fisher Pharmacy, Inc0.3 mi · Cuba, NY · Community/retail pharmacy
Walgreen Co0.3 mi · Cuba, NY · Pharmacy

Assisted living nearby

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

Willow Creek6.3 mi · Hinsdale, NY
Eden Heights of Olean12 mi · Olean, NY
Field of Dreams Senior Living14 mi · Allegany, NY

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 Cuba Memorial Hospital, Inc 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.

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	48 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)	Not reported to Medicare

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New York Best hospitals in New York

Prices

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

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$132.25 – $247.93
New patient office visit (about 30–44 minutes): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $132.25 Bcbs — Medicare Managed Care Plan: $132.25 Univera — All Commercial Plans: $247.93 Univera — Medicare Managed Care Plan: $154.21
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hbp Office Visit Lvl 3 New	$326	$326	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hbp Office Visit Lvl 3 Est	$326	$326	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$201.79 – $351.54
New patient office visit (about 45–59 minutes): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $201.79 Bcbs — Medicare Managed Care Plan: $201.79 Univera — All Commercial Plans: $351.54 Univera — Medicare Managed Care Plan: $218.65
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New Level 4	$408	$408	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New, Level 4	$408	$408	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$253.82 – $446.04
New patient office visit (about 60–74 minutes): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $253.82 Bcbs — Medicare Managed Care Plan: $253.82 Univera — All Commercial Plans: $446.04 Univera — Medicare Managed Care Plan: $277.46
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New Level 5	$510	$510	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit New, Level 5	$510	$510	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$50.75 – $134.71
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $80.96 Bcbs — Medicare Managed Care Plan: $80.96 Univera — All Commercial Plans: $134.71 Univera — Medicare Managed Care Plan: $83.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Established Patient Level 3	$261	$261	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Postpartum Visit	$261	$261	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$119.27 – $211.51
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $119.27 Bcbs — Medicare Managed Care Plan: $119.27 Univera — All Commercial Plans: $211.51 Univera — Medicare Managed Care Plan: $131.55
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Established Patient Level 4	$326	$326	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Establ Level 4	$326	$326	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$147.52 – $313.56
Office consultation with a specialist (moderate): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $147.52 Bcbs — Medicare Managed Care Plan: $147.52 Univera — All Commercial Plans: $313.56 Univera — Medicare Managed Care Plan: $195.02
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult New/Est Level 3	$103	$103	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$221.14 – $443.02
Office consultation with a specialist (moderate to high): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $221.14 Bcbs — Medicare Managed Care Plan: $221.14 Univera — All Commercial Plans: $443.02 Univera — Medicare Managed Care Plan: $275.56
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult New/Est Level 4	$153	$153	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$162.99 – $304.60
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $162.99 Bcbs — Medicare Managed Care Plan: $162.99 Univera — All Commercial Plans: $304.60 Univera — Medicare Managed Care Plan: $189.46
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Visit New Pt 18-39 Yrs	$321	$321	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$189.32 – $358.53
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $189.32 Bcbs — Medicare Managed Care Plan: $189.32 Univera — All Commercial Plans: $358.53 Univera — Medicare Managed Care Plan: $223.02
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Visit New Pt 40-64 Yrs	$388	$388	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$82.17 – $160.71
Emergency room visit (moderate): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $82.17 Bcbs — Medicare Managed Care Plan: $82.17 Univera — All Commercial Plans: $160.71 Univera — Medicare Managed Care Plan: $99.96
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Dept Visit Low Mdm	$646	$646	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Fee Ucc Level Iii	$181	$181	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$144.52 – $251.02
Emergency room visit (moderately high): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $144.52 Bcbs — Medicare Managed Care Plan: $144.52 Univera — All Commercial Plans: $251.02 Univera — Medicare Managed Care Plan: $156.14
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Er Dept Visit Mod Mdm	$953	$953	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Fee Ucc Level Iv	$343	$343	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$212.74 – $392.90
Emergency room visit (high): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $212.74 Bcbs — Medicare Managed Care Plan: $212.74 Univera — All Commercial Plans: $392.90 Univera — Medicare Managed Care Plan: $244.39
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Er Dept Visit Hi Mdm	$1,465	$1,465	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Fee Ucc Level V	$508	$508	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$5.58 – $28.30
Basic metabolic panel (blood test): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $5.58 Bcbs — Medicare Managed Care Plan: $5.58 Unitedhealthcare — All Commercial Plans: $8.46 Univera — All Commercial Plans: $28.30 Univera — Medicare Managed Care Plan: $17.60
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Chem 7	$58	$58	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$6.96 – $35.38
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $6.96 Bcbs — Medicare Managed Care Plan: $6.96 Unitedhealthcare — All Commercial Plans: $10.56 Univera — All Commercial Plans: $35.38 Univera — Medicare Managed Care Plan: $22.01
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comp. Metabolic Profile	$65	$65	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comp Metabolic Profile	$65	$65	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$31.55 – $70.23
Obstetric blood test panel: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $31.55 Bcbs — Medicare Managed Care Plan: $31.55 Unitedhealthcare — All Commercial Plans: $47.81 Univera — All Commercial Plans: $70.23 Univera — Medicare Managed Care Plan: $43.68
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Obstetric Profile	$292	$292	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$8.83 – $45.52
Cholesterol panel (lipid panel): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $8.83 Bcbs — Medicare Managed Care Plan: $8.83 Unitedhealthcare — All Commercial Plans: $13.39 Univera — All Commercial Plans: $45.52 Univera — Medicare Managed Care Plan: $28.31
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel	$74	$74	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chd Profile I	$74	$74	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$5.72 – $29.31
Kidney function panel: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $5.72 Bcbs — Medicare Managed Care Plan: $5.72 Unitedhealthcare — All Commercial Plans: $8.68 Univera — All Commercial Plans: $29.31 Univera — Medicare Managed Care Plan: $18.24
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Panel	$64	$64	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$5.39 – $27.32
Liver function panel: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $5.39 Bcbs — Medicare Managed Care Plan: $5.39 Unitedhealthcare — All Commercial Plans: $8.17 Univera — All Commercial Plans: $27.32 Univera — Medicare Managed Care Plan: $17.01
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function	$56	$56	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$2.09 – $11.12
Urine test (automated, with microscope): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $2.09 Bcbs — Medicare Managed Care Plan: $2.09 Unitedhealthcare — All Commercial Plans: $3.17 Univera — All Commercial Plans: $11.12 Univera — Medicare Managed Care Plan: $6.91
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: U/A Automated /Microscopy	$20	$20	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.29 – $8.09
Urine test (manual, without microscope): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $2.29 Bcbs — Medicare Managed Care Plan: $2.29 Unitedhealthcare — All Commercial Plans: $3.48 Univera — All Commercial Plans: $8.09 Univera — Medicare Managed Care Plan: $5.03
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto W/O Scope	$17	$17	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Non-Auto. W/O Micro	$17	$17	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.48 – $7.10
Urine test (automated, without microscope): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $1.48 Bcbs — Medicare Managed Care Plan: $1.48 Unitedhealthcare — All Commercial Plans: $2.25 Univera — All Commercial Plans: $7.10 Univera — Medicare Managed Care Plan: $4.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: U/A Automated	$17	$17	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$12.13 – $62.70
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $12.13 Bcbs — Medicare Managed Care Plan: $12.13 Unitedhealthcare — All Commercial Plans: $18.39 Univera — All Commercial Plans: $62.70 Univera — Medicare Managed Care Plan: $38.99
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Psa Total	$75	$75	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$11.08 – $58.66
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $11.08 Bcbs — Medicare Managed Care Plan: $11.08 Unitedhealthcare — All Commercial Plans: $16.80 Univera — All Commercial Plans: $58.66 Univera — Medicare Managed Care Plan: $36.47
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasensitive Tsh	$120	$120	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$5.13 – $26.29
Complete blood count (CBC) with differential: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $5.13 Bcbs — Medicare Managed Care Plan: $5.13 Unitedhealthcare — All Commercial Plans: $7.77 Univera — All Commercial Plans: $26.29 Univera — Medicare Managed Care Plan: $16.36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count	$56	$56	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Cbc/ Automated Diff	$56	$56	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$4.27 – $21.23
Complete blood count (CBC), automated: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $4.27 Bcbs — Medicare Managed Care Plan: $4.27 Unitedhealthcare — All Commercial Plans: $6.47 Univera — All Commercial Plans: $21.23 Univera — Medicare Managed Care Plan: $13.21
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hemogram Cbc	$56	$56	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$2.83 – $13.15
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $2.83 Bcbs — Medicare Managed Care Plan: $2.83 Unitedhealthcare — All Commercial Plans: $4.29 Univera — All Commercial Plans: $13.15 Univera — Medicare Managed Care Plan: $8.16
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Protime	$29	$29	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$3.97 – $20.26
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $3.97 Bcbs — Medicare Managed Care Plan: $3.97 Unitedhealthcare — All Commercial Plans: $6.01 Univera — All Commercial Plans: $20.26 Univera — Medicare Managed Care Plan: $12.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Aptt	$44	$44	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$62.51 – $461.01
CT scan of the head or brain, without contrast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $78.14 Bcbs — Medicare Managed Care Plan: $78.14 Unitedhealthcare — All Commercial Plans: $112.73 Univera — All Commercial Plans: $461.01 Univera — Medicare Managed Care Plan: $286.76
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct/Head, W-O	$906	$906	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$234.94 – $2,429.53
MRI of the brain, before and after contrast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $293.68 Bcbs — Medicare Managed Care Plan: $293.68 Unitedhealthcare — All Commercial Plans: $426.52 Univera — All Commercial Plans: $2,429.53 Univera — Medicare Managed Care Plan: $1,511.17
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri-Brain With/Without	$2,382	$2,382	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier 59 In the file: Mri Iac W/Wo	$2,382	$2,382	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$16.63 – $62.11
Chest X-ray, 2 views: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $20.79 Bcbs — Medicare Managed Care Plan: $20.79 Unitedhealthcare — All Commercial Plans: $62.11 Univera — All Commercial Plans: $28.13 Univera — Medicare Managed Care Plan: $20.50
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chest 2 Views	$186	$186	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier FY In the file: Chest 2 Views Cr	$186	$186	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$28.17 – $112.73
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $35.21 Bcbs — Medicare Managed Care Plan: $35.21 Unitedhealthcare — All Commercial Plans: $112.73 Univera — All Commercial Plans: $89.68 Univera — Medicare Managed Care Plan: $55.77
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbar Complete	$400	$400	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier FY In the file: Lumbar Complete Cr	$400	$400	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$134.14 – $1,213.74
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $167.67 Bcbs — Medicare Managed Care Plan: $167.67 Unitedhealthcare — All Commercial Plans: $225.91 Univera — All Commercial Plans: $1,213.74 Univera — Medicare Managed Care Plan: $754.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Lumbar Spine Without	$1,599	$1,599	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$144.02 – $667.94
CT scan of the pelvis, with contrast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $180.02 Bcbs — Medicare Managed Care Plan: $180.02 Unitedhealthcare — All Commercial Plans: $265.02 Univera — All Commercial Plans: $667.94 Univera — Medicare Managed Care Plan: $415.44
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Pelvis W	$862	$862	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$151 – $1,080.02
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $188.75 Bcbs — Medicare Managed Care Plan: $188.75 Unitedhealthcare — All Commercial Plans: $225.91 Univera — All Commercial Plans: $1,080.02 Univera — Medicare Managed Care Plan: $671.77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: Mri Any Joint Lower Ext, Lt	$1,599	$1,599	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Mri Any Joint Lower Ext, Rt	$1,599	$1,599	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$201.08 – $466.80
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $251.35 Bcbs — Medicare Managed Care Plan: $251.35 Unitedhealthcare — All Commercial Plans: $265.02 Univera — All Commercial Plans: $466.80 Univera — Medicare Managed Care Plan: $283.68
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Scan Abd & Pelvis W/Con	$2,043	$2,043	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$70.73 – $192.82
Ultrasound of the abdomen, complete: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $88.41 Bcbs — Medicare Managed Care Plan: $88.41 Unitedhealthcare — All Commercial Plans: $112.73 Univera — All Commercial Plans: $192.82 Univera — Medicare Managed Care Plan: $119.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Exam, Addom, Complete	$770	$770	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Exam, Abdom Complete	$770	$770	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$78.97 – $205.69
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $98.71 Bcbs — Medicare Managed Care Plan: $98.71 Unitedhealthcare — All Commercial Plans: $112.73 Univera — All Commercial Plans: $205.69 Univera — Medicare Managed Care Plan: $127.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Pregnancy Comp > 14Wks	$437	$437	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Port Preg Comp	$437	$437	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$75.58 – $149.78
Transvaginal ultrasound: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $94.48 Bcbs — Medicare Managed Care Plan: $94.48 Unitedhealthcare — All Commercial Plans: $112.73 Univera — All Commercial Plans: $149.78 Univera — Medicare Managed Care Plan: $93.18
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound Echo Transvaginal	$364	$364	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$85.14 – $124.10
Diagnostic mammogram, one breast: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $106.42 Bcbs — Medicare Managed Care Plan: $106.42 Unitedhealthcare — All Commercial Plans: $95.11 Univera — All Commercial Plans: $124.10 Univera — Medicare Managed Care Plan: $99.03
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: Diag Mammo Unilat W/Cad Lt	$274	$274	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Diag Mammo Unilat W/Cad Rt	$274	$274	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$108.98 – $158.79
Diagnostic mammogram, both breasts: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $136.22 Bcbs — Medicare Managed Care Plan: $136.22 Unitedhealthcare — All Commercial Plans: $121.66 Univera — All Commercial Plans: $158.79 Univera — Medicare Managed Care Plan: $126.71
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Diag Mammo Bilat W/Cad	$358	$358	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Diag Mammo Bilat Bmh 4 Exp	$358	$358	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$90.03 – $131.14
Screening mammogram, both breasts: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $112.54 Bcbs — Medicare Managed Care Plan: $112.54 Unitedhealthcare — All Commercial Plans: $100.49 Univera — All Commercial Plans: $131.14 Univera — Medicare Managed Care Plan: $104.66
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Screening Mammo Bilat W/Cad	$290	$290	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Screening Mammo Bilat Bmh 4 Ex	$290	$290	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$19.19 – $67.21
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $19.19 Bcbs — Medicare Managed Care Plan: $19.19 Univera — All Commercial Plans: $67.21 Univera — Medicare Managed Care Plan: $41.80
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: Electrocardiogram, Complete	$78	$78	Not listed in the file
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee · modifier PO In the file: Ekg 12 Leads With Interp & Rep	$78	$78	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$707.29 – $2,567
Left heart catheterization (diagnostic): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $884.11 Bcbs — Medicare Managed Care Plan: $884.11 Unitedhealthcare — All Commercial Plans: $2,567 Univera — All Commercial Plans: $1,600.46 Univera — Medicare Managed Care Plan: $993.72
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Left Hrt Cath W Ventrclgrphy	$7,442	$7,442	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$336.01 – $2,854
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $420.01 Bcbs — Medicare Managed Care Plan: $420.01 Unitedhealthcare — All Commercial Plans: $2,854 Univera — All Commercial Plans: $756.36 Univera — Medicare Managed Care Plan: $470.44
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$1,415.21 – $3,137
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $1,415.21 Bcbs — Medicare Managed Care Plan: $1,415.21 Unitedhealthcare — All Commercial Plans: $3,137 Univera — All Commercial Plans: $2,546.10 Univera — Medicare Managed Care Plan: $1,662.52
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$427.71 – $1,562.63
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $534.64 Bcbs — Medicare Managed Care Plan: $534.64 Univera — All Commercial Plans: $1,562.63 Univera — Medicare Managed Care Plan: $971.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Staging 4 Or More Param.	$2,688	$2,688	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$20 – $72.27
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $48.21 Bcbs — Medicare Managed Care Plan: $48.21 Magnacare — All Commercial Plans: $20 Univera — All Commercial Plans: $72.27 Univera — Medicare Managed Care Plan: $44.93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Kinetic Activities	$96	$96	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: Therapeutic Exercise	$96	$96	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$85.37 – $115.51
Physical therapy evaluation (low complexity): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $85.37 Bcbs — Medicare Managed Care Plan: $85.37 Univera — All Commercial Plans: $115.51 Univera — Medicare Managed Care Plan: $90.02
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: Pt Eval Low Complex 20 Min	$236	$236	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: A/V Pt Eval Low Complex 20 Min	$236	$236	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$85.37 – $115.51
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $85.37 Bcbs — Medicare Managed Care Plan: $85.37 Univera — All Commercial Plans: $115.51 Univera — Medicare Managed Care Plan: $90.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: Pt Eval Mod Complex 30 Min	$261	$261	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: A/V Pt Eval Mod Complex 30 Min	$261	$261	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$85.37 – $115.51
Physical therapy evaluation (high complexity): rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $85.37 Bcbs — Medicare Managed Care Plan: $85.37 Univera — All Commercial Plans: $115.51 Univera — Medicare Managed Care Plan: $90.02
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: Pt Eval High Complex 45 Min	$286	$286	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier 97 In the file: A/V Pt Eval High Complex 45 Mi	$286	$286	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$54.52 – $90.68
Psychotherapy, 30 minutes: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $78.30 Bcbs — Medicare Managed Care Plan: $78.30 Univera — All Commercial Plans: $90.68 Univera — Medicare Managed Care Plan: $54.52
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Iop Individ Psychother 30Min	$277	$277	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Op Ind/Famil Psychother 30 Min	$277	$277	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$83.44 – $138.76
Psychotherapy, 45 minutes: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $104.08 Bcbs — Medicare Managed Care Plan: $104.08 Univera — All Commercial Plans: $138.76 Univera — Medicare Managed Care Plan: $83.44
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Iop Ind/Famil Psychother 45Min	$367	$367	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Op Ind/Famil Psychother 45 Min	$367	$367	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$126.33 – $210.08
Psychotherapy, 60 minutes: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $156.49 Bcbs — Medicare Managed Care Plan: $156.49 Univera — All Commercial Plans: $210.08 Univera — Medicare Managed Care Plan: $126.33
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Op Ind/Fam Psychotherapy 60Min	$367	$367	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Thav Psychotherapy 75-80 Min	$367	$367	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$106 – $249.60
Family psychotherapy, without the patient: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $106 Bcbs — Medicare Managed Care Plan: $106 Univera — All Commercial Plans: $249.60 Univera — Medicare Managed Care Plan: $155.27
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Therapy W/O Patient	$156	$156	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$109.77 – $304.01
Family psychotherapy, with the patient: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $109.77 Bcbs — Medicare Managed Care Plan: $109.77 Univera — All Commercial Plans: $304.01 Univera — Medicare Managed Care Plan: $189.10
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Therapy With Patient	$181	$181	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$29.39 – $84.52
Group psychotherapy: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $29.39 Bcbs — Medicare Managed Care Plan: $29.39 Univera — All Commercial Plans: $84.52 Univera — Medicare Managed Care Plan: $52.58
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Iop Group Therapy	$37	$37	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee · modifier 95 In the file: Thav Iop Group Therapy	$37	$37	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$481.43 – $1,711
Removal of breast growth (open surgery): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $481.43 Bcbs — Medicare Managed Care Plan: $481.43 Unitedhealthcare — All Commercial Plans: $1,711 Univera — All Commercial Plans: $1,037.46 Univera — Medicare Managed Care Plan: $645.33
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Excis Of Breast Lesion 1 Or >	$4,293	$4,293	Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Excision Of Cyst, One Or More	$4,293	$4,293	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,755.25 – $3,518.54
Total hip replacement: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $1,755.25 Bcbs — Medicare Managed Care Plan: $1,755.25 Unitedhealthcare — All Commercial Plans: $3,278 Univera — All Commercial Plans: $3,518.54 Univera — Medicare Managed Care Plan: $2,188.54
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,754.48 – $3,798.21
Total knee replacement: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $1,754.48 Bcbs — Medicare Managed Care Plan: $1,754.48 Unitedhealthcare — All Commercial Plans: $3,278 Univera — All Commercial Plans: $3,798.21 Univera — Medicare Managed Care Plan: $2,362.47
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$243.37 – $1,721.69
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $243.37 Bcbs — Medicare Managed Care Plan: $243.37 Unitedhealthcare — All Commercial Plans: $857 Univera — All Commercial Plans: $1,721.69 Univera — Medicare Managed Care Plan: $1,070.88
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$749.44 – $2,138
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $749.44 Bcbs — Medicare Managed Care Plan: $749.44 Unitedhealthcare — All Commercial Plans: $2,138 Univera — All Commercial Plans: $1,529.31 Univera — Medicare Managed Care Plan: $951.22
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$340.99 – $1,711
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $340.99 Bcbs — Medicare Managed Care Plan: $340.99 Unitedhealthcare — All Commercial Plans: $1,711 Univera — All Commercial Plans: $725.02 Univera — Medicare Managed Care Plan: $450.98
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$169.96 – $1,568
Upper GI endoscopy (diagnostic): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $169.96 Bcbs — Medicare Managed Care Plan: $169.96 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $740.89 Univera — Medicare Managed Care Plan: $460.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$191.69 – $1,568
Upper GI endoscopy with biopsy: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $191.69 Bcbs — Medicare Managed Care Plan: $191.69 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $842.32 Univera — Medicare Managed Care Plan: $523.92
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$314.68 – $1,568
Colonoscopy (diagnostic): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $314.68 Bcbs — Medicare Managed Care Plan: $314.68 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $971.12 Univera — Medicare Managed Care Plan: $604.03
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$344.68 – $1,568
Colonoscopy with biopsy: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $344.68 Bcbs — Medicare Managed Care Plan: $344.68 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $1,148.11 Univera — Medicare Managed Care Plan: $714.13
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$435.31 – $1,568
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $435.31 Bcbs — Medicare Managed Care Plan: $435.31 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $1,298.26 Univera — Medicare Managed Care Plan: $807.54
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$428.71 – $1,568
Ultrasound of the lower bowel by endoscope: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $428.71 Bcbs — Medicare Managed Care Plan: $428.71 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $728.79 Univera — Medicare Managed Care Plan: $453.27
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$185.16 – $1,140
Screening colonoscopy (not high risk): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $185.16 Bcbs — Medicare Managed Care Plan: $185.16 Unitedhealthcare — All Commercial Plans: $1,140 Univera — All Commercial Plans: $349.32 Univera — Medicare Managed Care Plan: $187.75
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$768.51 – $2,854
Gallbladder removal by laparoscope: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $768.51 Bcbs — Medicare Managed Care Plan: $768.51 Unitedhealthcare — All Commercial Plans: $2,854 Univera — All Commercial Plans: $1,686.35 Univera — Medicare Managed Care Plan: $1,048.92
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$607.76 – $2,138
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $607.76 Bcbs — Medicare Managed Care Plan: $607.76 Unitedhealthcare — All Commercial Plans: $2,138 Univera — All Commercial Plans: $1,188.43 Univera — Medicare Managed Care Plan: $739.20
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$156.18 – $1,568
Prostate biopsy: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $156.18 Bcbs — Medicare Managed Care Plan: $156.18 Unitedhealthcare — All Commercial Plans: $1,568 Univera — All Commercial Plans: $560.38 Univera — Medicare Managed Care Plan: $348.55
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy Of Prostate	$1,988	$1,988	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Biopsy	$1,988	$1,988	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$1,729.37 – $4,350.99
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $1,729.37 Bcbs — Medicare Managed Care Plan: $1,729.37 Unitedhealthcare — All Commercial Plans: $3,278 Univera — All Commercial Plans: $4,350.99 Univera — Medicare Managed Care Plan: $2,706.33
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$259.04 – $1,711
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $259.04 Bcbs — Medicare Managed Care Plan: $259.04 Unitedhealthcare — All Commercial Plans: $1,711 Univera — All Commercial Plans: $722.41 Univera — Medicare Managed Care Plan: $449.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$125.29 – $1,140
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $139.97 Bcbs — Medicare Managed Care Plan: $139.97 Unitedhealthcare — All Commercial Plans: $1,140 Univera — All Commercial Plans: $208.15 Univera — Medicare Managed Care Plan: $125.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Inj Interlaminar Lmb/Sac W/Img	$1,510	$1,510	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$160.90 – $1,140
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $160.90 Bcbs — Medicare Managed Care Plan: $160.90 Unitedhealthcare — All Commercial Plans: $1,140 Univera — All Commercial Plans: $942.34 Univera — Medicare Managed Care Plan: $586.14
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Aa&/Strd Tfrm Epi L/S 1	$2,714	$2,714	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Njx Aa&/Str Tfrm Epi Ls1 Bilat	$4,071	$4,071	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$613.39 – $1,711
Carpal tunnel release: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $613.47 Bcbs — Medicare Managed Care Plan: $613.47 Unitedhealthcare — All Commercial Plans: $1,711 Univera — All Commercial Plans: $986.19 Univera — Medicare Managed Care Plan: $613.39
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$373.99 – $1,140
Laser treatment of clouding after cataract surgery: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $373.99 Bcbs — Medicare Managed Care Plan: $373.99 Unitedhealthcare — All Commercial Plans: $1,140 Univera — All Commercial Plans: $629.80 Univera — Medicare Managed Care Plan: $391.75
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Yag Laser	$1,255	$1,255	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Laser Eye Surgery, Yag	$1,255	$1,255	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$706.43 – $1,759.02
Cataract removal with lens implant: rates for 5 insurance plans Bcbs — Highmark All Commercial Plans: $706.43 Bcbs — Medicare Managed Care Plan: $706.43 Unitedhealthcare — All Commercial Plans: $1,711 Univera — All Commercial Plans: $1,759.02 Univera — Medicare Managed Care Plan: $1,094.12

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$2,390.18 – $4,141.37
Vaginal delivery, with care before and after: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $2,390.18 Bcbs — Medicare Managed Care Plan: $2,390.18 Univera — All Commercial Plans: $4,141.37 Univera — Medicare Managed Care Plan: $2,575.93
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$2,390.18 – $4,693.74
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $2,390.18 Bcbs — Medicare Managed Care Plan: $2,390.18 Univera — All Commercial Plans: $4,693.74 Univera — Medicare Managed Care Plan: $2,919.50
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$2,390.18 – $4,374.24
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans Bcbs — Highmark All Commercial Plans: $2,390.18 Bcbs — Medicare Managed Care Plan: $2,390.18 Univera — All Commercial Plans: $4,374.24 Univera — Medicare Managed Care Plan: $2,720.79

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan Independent Health — Medicare Managed Care Plan: 50% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Independent Health — Medicare Managed Care Plan: 50% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan Independent Health — Medicare Managed Care Plan: 50% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Independent Health — Medicare Managed Care Plan: 50% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Independent Health — Medicare Managed Care Plan: 50% (a percentage in the contract, not a dollar amount)

Source: Cuba Memorial Hospital, Inc’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	140 West Main Street, Cuba, NY 14727
County	Allegany County
State	New York
Phone	(585) 961‑2000
Emergency services	Not listed
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	331301
Name in Medicare records	CUBA MEMORIAL HOSPITAL, INC
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(585) 968‑2000^[4][5]
Name on the hospital’s website	Cuba Memorial Hospital
Official website	cubamemorialhospital.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Services at CMH — cubamemorialhospital.com
About Cuba Memorial Hospital — cubamemorialhospital.com
Cuba Memorial Hospital Urgent Care Center | 24/7 Walk-In Medical Care — cubamemorialhospital.com
Rehabilitation Services – Cuba Memorial Hospital — cubamemorialhospital.com
UAHS Walk-In Lab at Cuba Memorial Hospital | Convenient Same-Day Testing — cubamemorialhospital.com

Cuba Memorial Hospital, Inc

Summary

Profile from official sources

At a glance