Does Curry General Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Curry General Hospital. In a medical emergency, call 911.

Where is Curry General Hospital?

94220 Fourth Street, Gold Beach, OR 97444, in Curry County, Oregon.

What is the phone number of Curry General Hospital?

(541) 247-3000, as listed by Medicare (CMS).

What is the Medicare star rating of Curry General Hospital?

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

Curry General Hospital — Gold Beach, OR

Quick answers

Does Curry General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Curry General Hospital. In a medical emergency, call 911.
Where is Curry General Hospital?: 94220 Fourth Street, Gold Beach, OR 97444, in Curry County, Oregon.
What is the phone number of Curry General Hospital?: (541) 247-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Curry General Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Anesthesia
Cardiopulmonary services
Emergency medicine
Gynecology
Hospital medicine (hospitalists)
Laboratory services
Nutrition services
Orthopedics
Radiology / diagnostic imaging
Surgical services
Urology
Physical therapy
Occupational therapy
Speech therapy

Treatments^[4]

Pulmonary rehab
Cardiac rehab
Respiratory care
Anticoagulation clinic
Swing bed care

Programs and centers^[4]

Case management and discharge planning
Swing Bed program

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV

Visiting and practical information

Patient portal	MyChart (visits after 9/13/24); MyCareCorner (earlier visits)

Recognition^[4]

Critical Access Hospital
DNV-GL accredited (critical access)
Level IV Trauma Center

Doctors and clinicians (340)

340 doctors and other clinicians list Curry General 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

And 316 more: the button below opens the full list.

Other emergency rooms nearby

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

Sutter Coast Hospital46 mi · Crescent City, CA · Acute Care Hospital
Southern Coos Hospital & Health Center48 mi · Bandon, OR · Critical Access Hospital
Coquille Valley Hospital54 mi · Coquille, OR · Critical Access Hospital
Asante Three Rivers Medical Center55 mi · Grants Pass, OR · Acute Care Hospital
Bay Area Hospital68 mi · Coos Bay, OR · Acute Care Hospital

Other hospitals nearby

VA Roseburg Healthcare System78 mi · Roseburg, OR · Federal/VA Acute Care 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.

Hospice providers

Coastal Home Health & Hospice24 mi · Brookings, OR · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Coastal Home Health & Hospice24 mi · Brookings, OR

All home health agencies 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

Central Curry School District-Gold Beach High School0.3 mi · Gold Beach, OR · Community health center
Tichenor Wellness Center24 mi · Port Orford, OR · Community health center

Clinics and urgent care

Curry Medical North5.0 mi · Gold Beach, OR · Rural health clinic
Oak Street Health Care Center24 mi · Brookings, OR · Rural health clinic
Curry Family Medical25 mi · Port Orford, OR · Rural health clinic

Pharmacies

Gold Beach Pharmacy LLC5.0 mi · Gold Beach, OR · Community/retail pharmacy
Mahant LLC5.0 mi · Gold Beach, OR · Community/retail pharmacy

Assisted living nearby

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

Shore Pines Senior Living5.0 mi · Gold Beach, OR

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 Curry General 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	84%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	73%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	92%National average: 74%
Area around the room “always” quiet at night	70%National average: 60%
Completed surveys	81Response rate: 24%

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	Too few cases to report
Deaths within 30 days: heart failure patients	12.7%
Deaths within 30 days: pneumonia patients	19%
Deaths within 30 days: COPD patients	9.8%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	20.5%
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; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	113 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	89%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Oregon Best hospitals in Oregon

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Curry General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

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: HC PR 99203 New Pt Visit - Level 3	$152	$152	$66.88 – $152
New patient office visit (about 30–44 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $152 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $144.40 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $152 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $77.52 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $144.40 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $152 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $148.96 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $148.96
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99203 Office Outpatient New Rhc	$383	$383	$168.52 – $383
New patient office visit (about 30–44 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $383 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $363.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $383 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $195.33 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $363.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $383 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $375.34 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $375.34
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR New Pt Visit /or Gen Emplymnt Phys - Level 4	$248	$248	$109.12 – $248
New patient office visit (about 45–59 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $248 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $235.60 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $248 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $126.48 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $235.60 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $248 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $243.04 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $243.04
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99204 Office Outpatient New Rhc	$505	$505	$222.20 – $505
New patient office visit (about 45–59 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $505 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $479.75 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $505 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $257.55 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $479.75 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $505 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $494.90 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $494.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Visit - Level 5	$330	$330	$145.20 – $330
New patient office visit (about 60–74 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $330 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $313.50 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $330 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $168.30 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $313.50 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $330 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $323.40 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $323.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99205 Office Outpatient New Rhc	$689	$689	$303.16 – $689
New patient office visit (about 60–74 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $689 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $654.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $689 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $351.39 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $654.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $689 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $675.22 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $675.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Estab Pt Visit - Level 3	$123	$123	$54.12 – $123
Established patient office visit (about 20–29 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $123 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $116.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $123 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $62.73 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $116.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $123 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $120.54 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $120.54
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99213 Office Outpatient Visit Rhc	$249	$249	$109.56 – $249
Established patient office visit (about 20–29 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $249 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $236.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $249 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $126.99 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $236.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $249 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $244.02 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $244.02
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99214 Estab Pt Visit - Level 4	$181	$181	$79.64 – $181
Established patient office visit (about 30–39 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $181 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $171.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $181 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $92.31 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $171.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $181 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $177.38 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $177.38
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99214 Office Outpatient Visit Rhc	$383	$383	$168.52 – $383
Established patient office visit (about 30–39 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $383 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $363.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $383 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $195.33 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $363.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $383 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $375.34 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $375.34
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes Cdm	$605	$605	$266.20 – $605
Office consultation with a specialist (moderate): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $276.18 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $308.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $605 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $592.90 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $592.90 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $605 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $592.90 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $592.90
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes Cdm	$617	$617	$271.48 – $617
Office consultation with a specialist (moderate to high): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $439.35 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $314.67 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $617 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $604.66 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $604.66 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $617 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $604.66 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $604.66
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99385 Prev Visit New Age 18-39	$527	$527	$231.88 – $527
Preventive checkup, new patient, age 18–39: 10 of 35 insurance plan rates ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $268.77 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $527 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $516.46 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $516.46 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $527 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $516.46 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $516.46 COORDINATED CARE COMMERCIAL [1649] — HB CC OCU PACIFICSOURCE COORDINATED CARE COMM: $247.23
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99385 Initial Preventive Medicine New Pt Age 18-39yrs Rhc	$527	$527	$231.88 – $527
Preventive checkup, new patient, age 18–39: 10 of 35 insurance plan rates ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $268.77 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $527 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $516.46 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $516.46 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $527 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $516.46 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $516.46 COORDINATED CARE COMMERCIAL [1649] — HB CC OCU PACIFICSOURCE COORDINATED CARE COMM: $247.23
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99386 Preventive Visit New 40-64 Rhc	$645	$645	$283.80 – $645
Preventive checkup, new patient, age 40–64: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $645 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $612.75 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $645 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $328.95 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $612.75 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $645 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $632.10 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $632.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 99386 Prev Visit New Age 40-64	$645	$645	$283.80 – $645
Preventive checkup, new patient, age 40–64: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $645 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $612.75 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $645 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $328.95 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $612.75 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $645 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $632.10 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $632.10
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR ED 99283 Visit Low Mdm Cdm	$562	$562	$247.28 – $562
Emergency room visit (moderate): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $174.71 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $286.62 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $562 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $550.76 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $550.76 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $562 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $550.76 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $550.76
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit level 3	$962	$962	$423.28 – $962
Emergency room visit (moderate): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $174.71 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $490.62 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $962 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $942.76 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $942.76 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $962 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $942.76 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $942.76
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR ED 99284 Visit Moderate Mdm Cdm	$831	$831	$365.64 – $831
Emergency room visit (moderately high): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $327.62 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $423.81 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $831 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $814.38 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $814.38 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $831 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $814.38 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $814.38
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit level 4	$1,461	$1,461	$642.84 – $1,461
Emergency room visit (moderately high): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $327.62 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $745.11 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,461 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,431.78 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,431.78 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,461 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $1,431.78 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $1,431.78
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR ED 99285 Visit High Mdm Cdm	$1,510	$1,510	$664.40 – $1,510
Emergency room visit (high): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $486.67 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $770.10 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,510 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,479.80 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,479.80 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,510 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $1,479.80 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $1,479.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit level 5	$2,449	$2,449	$1,077.56 – $2,449
Emergency room visit (high): 10 of 44 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $486.67 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $1,248.99 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,449 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $2,400.02 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $2,400.02 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,449 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $2,400.02 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $2,400.02

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: Blood test, basic group of blood chemicals	$105	$105	$46.20 – $105
Basic metabolic panel (blood test): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $105 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $99.75 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $105 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $9.73 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $99.75 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $105 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $102.90 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $102.90
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals	$129	$129	$56.76 – $129
Comprehensive metabolic panel (blood test): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $129 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $122.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $129 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $12.14 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $122.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $129 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $126.42 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $126.42
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, lipids (cholesterol and triglycerides)	$140	$140	$61.60 – $140
Cholesterol panel (lipid panel): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $140 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $133 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $140 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $15.40 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $133 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $140 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $137.20 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $137.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Kidney function blood test panel	$120	$120	$52.80 – $120
Kidney function panel: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $120 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $114 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $120 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $9.98 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $114 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $120 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $117.60 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $117.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver function blood test panel	$120	$120	$52.80 – $120
Liver function panel: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $120 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $114 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $120 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $9.40 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $114 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $120 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $117.60 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $117.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Manual urinalysis test w/exam using microscope, automated	$70	$70	$30.80 – $70
Urine test (automated, with microscope): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $70 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $66.50 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $70 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $3.65 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $66.50 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $70 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $68.60 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $68.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Manual urinalysis test w/exam using microscope automated	$70	$70	$30.80 – $70
Urine test (automated, with microscope): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $70 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $66.50 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $70 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $3.65 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $66.50 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $70 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $68.60 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $68.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Automated urinalysis test	$49	$49	$21.56 – $49
Urine test (automated, without microscope): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $49 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $46.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $49 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $2.59 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $46.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $49 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $48.02 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $48.02
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (prostate specific antigen) measurement, total	$162	$162	$71.28 – $162
PSA (prostate specific antigen) blood test: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $162 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $153.90 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $162 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $21.15 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $153.90 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $162 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $158.76 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $158.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (prostate specific antigen) measurement total	$162	$162	$71.28 – $162
PSA (prostate specific antigen) blood test: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $162 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $153.90 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $162 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $21.15 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $153.90 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $162 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $158.76 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $158.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH)	$141	$141	$62.04 – $141
Thyroid stimulating hormone (TSH) test: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $141 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $133.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $141 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $19.32 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $133.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $141 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $138.18 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $138.18
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC, automated test and differential WBC count	$86	$86	$37.84 – $86
Complete blood count (CBC) with differential: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $86 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $81.70 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $86 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $8.94 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $81.70 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $86 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $84.28 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $84.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count, automated test	$72	$72	$31.68 – $72
Complete blood count (CBC), automated: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $72 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $68.40 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $72 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $7.44 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $68.40 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $72 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $70.56 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $70.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, clotting time	$88	$88	$38.72 – $88
Blood clotting time test (prothrombin time, PT): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $88 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $83.60 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $88 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $4.93 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $83.60 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $88 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $86.24 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $86.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test clotting time	$88	$88	$38.72 – $88
Blood clotting time test (prothrombin time, PT): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $88 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $83.60 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $88 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $4.93 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $83.60 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $88 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $86.24 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $86.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Coagulation assessment blood test, plasma or whole blood	$110	$110	$48.40 – $110
Blood clotting test (partial thromboplastin time, PTT): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $110 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $104.50 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $110 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $6.91 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $104.50 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $110 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $107.80 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $107.80

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 scan head or brain without contrast	$1,841	$1,841	$810.04 – $1,841
CT scan of the head or brain, without contrast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,841 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,748.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,841 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $75.06 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,748.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,841 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,804.18 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,804.18
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of brain before and after contrast	$7,683	$7,683	$3,380.52 – $7,683
MRI of the brain, before and after contrast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $7,683 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $7,298.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $7,683 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $236.92 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $7,298.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $7,683 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $7,529.34 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $7,529.34
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray of chest, 2 views	$404	$404	$177.76 – $404
Chest X-ray, 2 views: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $404 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $383.80 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $404 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $25.55 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $383.80 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $404 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $395.92 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $395.92
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray of lower and sacral spine, minimum of 4 views	$708	$708	$311.52 – $708
X-ray of the lower spine, at least 4 views: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $708 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $672.60 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $708 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $43.15 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $672.60 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $708 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $693.84 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $693.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of lower spinal canal without contrast	$3,551	$3,551	$1,562.44 – $3,551
MRI of the lower back (lumbar spine), without contrast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $3,551 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $3,373.45 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $3,551 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $136.55 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $3,373.45 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $3,551 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $3,479.98 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $3,479.98
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of pelvis with contrast	$2,515	$2,515	$1,106.60 – $2,515
CT scan of the pelvis, with contrast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $2,515 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,389.25 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $2,515 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $193.04 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,389.25 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,515 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $2,464.70 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $2,464.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of leg joint without contrast	$2,823	$2,823	$1,242.12 – $2,823
MRI of a leg joint (such as the knee), without contrast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $2,823 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,681.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $2,823 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $156.60 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,681.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,823 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $2,766.54 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $2,766.54
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast	$5,106	$5,106	$2,246.64 – $5,106
CT scan of the abdomen and pelvis, with contrast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $5,106 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,850.70 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $5,106 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $242.18 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,850.70 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $5,106 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $5,003.88 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $5,003.88
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete ultrasound scan of abdomen	$992	$992	$436.48 – $992
Ultrasound of the abdomen, complete: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $992 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $942.40 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $992 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $84.84 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $942.40 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $992 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $972.16 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $972.16
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound OB after 14 wks single fetus	$1,049	$1,049	$461.56 – $1,049
Pregnancy ultrasound (after the first trimester): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,049 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $996.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,049 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $95.47 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $996.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,049 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,028.02 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,028.02
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound uterus, ovaries, tubes, cervix and pelvic area	$696	$696	$306.24 – $696
Transvaginal ultrasound: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $696 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $661.20 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $696 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $93.27 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $661.20 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $696 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $682.08 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $682.08
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography of 1 breast	$423	$423	$186.12 – $423
Diagnostic mammogram, one breast: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $423 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $401.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $423 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $96.21 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $401.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $423 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $414.54 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $414.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography of both breasts	$720	$720	$316.80 – $720
Diagnostic mammogram, both breasts: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $720 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $684 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $720 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $122.62 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $684 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $720 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $705.60 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $705.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography	$501	$501	$220.44 – $501
Screening mammogram, both breasts: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $501 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $1,500 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $475.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $501 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $101.47 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $475.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $501 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $490.98 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $490.98

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 95810 Polysomnography 4 or More	$231	$231	$101.64 – $231
Sleep study (overnight, in a sleep lab): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $231 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $219.45 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $231 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $117.81 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $219.45 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $231 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $226.38 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $226.38
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sleep study in sleep lab (6 years or older)	$4,234	$4,234	$1,862.96 – $4,234
Sleep study (overnight, in a sleep lab): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $4,234 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,022.30 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $4,234 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $2,159.34 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,022.30 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $4,234 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $4,149.32 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $4,149.32

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	$158	$158	$69.52 – $158
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $158 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $150.10 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $158 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $80.58 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $150.10 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $158 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $154.84 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $154.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Evaluation for physical therapy - low complexity	$392	$392	$172.48 – $392
Physical therapy evaluation (low complexity): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $392 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $372.40 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $392 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $199.92 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $372.40 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $392 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $384.16 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $384.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Evaluation for physical therapy - mod complexity	$453	$453	$199.32 – $453
Physical therapy evaluation (moderate complexity): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $453 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $430.35 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $453 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $231.03 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $430.35 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $453 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $443.94 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $443.94
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Evaluation for physical therapy - high complexity	$401	$401	$176.44 – $401
Physical therapy evaluation (high complexity): 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $401 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $380.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $401 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $204.51 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $380.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $401 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $392.98 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $392.98
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90832 Psychotherapy W/Patient 30 Minutes	$289	$289	$127.16 – $289
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $147.39 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $49 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $283.22 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $283.22 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $49 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $283.22 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $283.22 COORDINATED CARE COMMERCIAL [1649] — HB CC OCU PACIFICSOURCE COORDINATED CARE COMM: $119.93
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90834 Psychotherapy W/Patient 45 Minutes	$444	$444	$195.36 – $444
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $226.44 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $65 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $435.12 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $435.12 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $65 CIGNA MANAGED CARE ALT [1884] — HB CC OCU CIGNA HEALTHCARE: $435.12 CIGNA MEDICARE [1856] — HB CC OCU CIGNA HEALTHCARE: $435.12 COORDINATED CARE COMMERCIAL [1649] — HB CC OCU PACIFICSOURCE COORDINATED CARE COMM: $159.46
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90837 Psychotherapy W/Patient 60 Minutes	$803	$803	$353.32 – $803
Psychotherapy, 60 minutes: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $803 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $762.85 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $803 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $409.53 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $762.85 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $98 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $786.94 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $786.94
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx Family WO Pt 50 Min Iop	$601	$601	$264.44 – $601
Family psychotherapy, without the patient: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $601 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $570.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $601 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $306.51 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $570.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $76 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $588.98 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $588.98
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90846 Family Psychotherapy W/O Patient Present 50 Mins	$601	$601	$264.44 – $601
Family psychotherapy, without the patient: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $601 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $570.95 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $601 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $306.51 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $570.95 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $76 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $588.98 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $588.98
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	$111	$111	$48.84 – $111
Group psychotherapy: 10 of 50 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $111 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $300 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $300 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $105.45 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $111 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $56.61 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $105.45 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $19 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $108.78 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $108.78

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: HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Cdm Cdm	$1,332	$1,332	$586.08 – $1,332
Removal of breast growth (open surgery): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,332 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,265.40 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,332 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $679.32 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,265.40 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,332 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,305.36 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,305.36
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 19120 Removal of Breast Lesion 1 or More Lesions	$1,915	$1,915	$842.60 – $1,915
Removal of breast growth (open surgery): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,915 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,819.25 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,915 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $976.65 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,819.25 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,915 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,876.70 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,876.70
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$4,656	$4,656	$2,048.64 – $4,656
Total hip replacement: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $4,656 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,423.20 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $4,656 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $2,374.56 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,423.20 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $4,656 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $4,562.88 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $4,562.88
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$4,656	$4,656	$2,048.64 – $4,656
Total knee replacement: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $4,656 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,423.20 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $4,656 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $2,374.56 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $4,423.20 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $4,656 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $4,562.88 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $4,562.88
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 29826 Arthroscopy Shoulder W/Coracoacrm Ligmnt Release	$2,317	$2,317	$1,019.48 – $2,317
Shoulder arthroscopy: shaving of shoulder bone: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $2,317 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,201.15 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $2,317 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $1,181.67 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,201.15 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,317 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $2,270.66 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $2,270.66
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$1,908	$1,908	$839.52 – $1,908
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,908 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,812.60 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,908 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $973.08 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,812.60 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,908 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,869.84 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,869.84
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 43235 Egd Diagnostic Brush Wash	$489	$489	$215.16 – $489
Upper GI endoscopy (diagnostic): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $489 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $464.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $489 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $249.39 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $464.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $489 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $479.22 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $479.22
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 43239 Egd Biopsy Single/Multiple	$612	$612	$269.28 – $612
Upper GI endoscopy with biopsy: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $612 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $581.40 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $612 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $312.12 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $581.40 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $612 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $599.76 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $599.76
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 45378 Dx Colonoscopy Flexible W/Colltn Spec When Pfrmd Cdm	$784	$784	$344.96 – $784
Colonoscopy (diagnostic): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $784 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $744.80 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $784 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $399.84 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $744.80 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $784 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $768.32 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $768.32
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 45380 Colonoscopy Flexible W/Biopsy Single/Multiple Cdm	$1,136	$1,136	$499.84 – $1,136
Colonoscopy with biopsy: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,136 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,079.20 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,136 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $579.36 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,079.20 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,136 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,113.28 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,113.28
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq Cdm	$1,139	$1,139	$501.16 – $1,139
Colonoscopy with removal of polyps (snare): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,139 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,082.05 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,139 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $580.89 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,082.05 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,139 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,116.22 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,116.22
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR G0121 Colorectal Scrn Not Hi Risk Ind	$765	$765	$336.60 – $765
Screening colonoscopy (not high risk): 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $765 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $726.75 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $765 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $390.15 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $726.75 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $765 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $749.70 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $749.70
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 47562 Laparoscopic Cholecystectomy	$2,489	$2,489	$1,095.16 – $2,489
Gallbladder removal by laparoscope: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $2,489 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,364.55 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $2,489 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $1,269.39 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $2,364.55 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,489 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $2,439.22 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $2,439.22
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible	$1,775	$1,775	$781 – $1,775
Groin (inguinal) hernia repair, age 5 or older: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,775 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,686.25 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,775 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $905.25 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,686.25 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,775 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,739.50 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,739.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 55700 Prostate Needle Biopsy Any Approach Cdm	$584	$584	$256.96 – $584
Prostate biopsy: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $584 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $554.80 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $584 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $297.84 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $554.80 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $584 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $572.32 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $572.32
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 55700 Biopsy of Prostate	$1,331	$1,331	$585.64 – $1,331
Prostate biopsy: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,331 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,264.45 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,331 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $678.81 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,264.45 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,331 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,304.38 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,304.38
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 58558 Hysteroscopy Biopsy	$1,218	$1,218	$535.92 – $1,218
Hysteroscopy with biopsy of the uterus lining: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,218 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,157.10 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,218 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $621.18 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,157.10 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,218 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,193.64 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,193.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inject substance into lower spine canal	$407	$407	$179.08 – $407
Spinal injection, lower back (epidural), with imaging guidance: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $407 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $386.65 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $407 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $207.57 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $386.65 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $407 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $398.86 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $398.86
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn Cdm	$533	$533	$234.52 – $533
Spinal injection, lower back (epidural), with imaging guidance: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $533 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $506.35 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $533 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $271.83 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $506.35 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $533 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $522.34 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $522.34
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl	$390	$390	$171.60 – $390
Nerve root injection, lower back, with imaging guidance: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $390 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $370.50 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $390 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $198.90 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $370.50 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $390 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $382.20 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $382.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl Cdm	$1,419	$1,419	$624.36 – $1,419
Nerve root injection, lower back, with imaging guidance: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,419 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,348.05 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,419 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $723.69 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,348.05 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,419 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,390.62 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,390.62
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 64721 Carpal Tunnel Surgery, Separate Proc	$1,120	$1,120	$492.80 – $1,120
Carpal tunnel release: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,120 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,064 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,120 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $571.20 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,064 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,120 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,097.60 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,097.60
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove recurring cataract in lens capsule laser	$127	$127	$55.88 – $127
Laser treatment of clouding after cataract surgery: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $127 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $120.65 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $127 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $64.77 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $120.65 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $127 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $124.46 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $124.46
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 66821 Post-Cataract Laser Surgery Cdm	$1,265	$1,265	$556.60 – $1,265
Laser treatment of clouding after cataract surgery: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $1,265 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,201.75 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $1,265 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $645.15 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,201.75 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $1,265 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,239.70 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,239.70
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of cataract by inserting prosthetic lens	$202	$202	$88.88 – $202
Cataract removal with lens implant: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $202 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $191.90 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $202 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $103.02 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $191.90 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $202 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $197.96 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $197.96
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp Cdm	$2,024	$2,024	$890.56 – $2,024
Cataract removal with lens implant: 10 of 49 insurance plan rates AETNA [511] — HB CC OCU AETNA HOSP SVC AGREEMENT COMM: $2,024 ALLCARE [1695] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ALLCARE ALT [2598] — HB CC OCU ALLCARE HEALTH PLAN: $2,000 ASURIS [1258] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,922.80 BCBS [1263] — HB CC OCU REGENCE BCBS PAYMENT PLAN COMM: $2,024 BCBS MEDICARE [1018] — HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC): $1,032.24 BCBS OR [1267] — HB CC OCU REGENCE BCBS PREFERRED PROVIDER COMM: $1,922.80 CIGNA [533] — HB CC OCU CIGNA BEHAVIORAL HEALTH: $2,024 CIGNA [533] — HB CC OCU CIGNA HEALTHCARE: $1,983.52 CIGNA MANAGED CARE [1557] — HB CC OCU CIGNA HEALTHCARE: $1,983.52

Source: Curry General Hospital’s standard charges file (curryhealthnetwork.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	94220 Fourth Street, Gold Beach, OR 97444
County	Curry County
State	Oregon
Phone	(541) 247‑3000
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	2 of 5 stars
CMS Certification Number	381322
Name in Medicare records	CURRY GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	curryhealthnetwork.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 2026-11-02.

Curry General Hospital — curryhealthnetwork.com

Curry General Hospital

Summary

Profile from official sources

At a glance