Does Day Kimball Hospital have an emergency room?

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

Where is Day Kimball Hospital?

320 Pomfret Street, Putnam, CT 06260, in Windham County, Connecticut.

What is the phone number of Day Kimball Hospital?

(860) 928-6541, as listed by Medicare (CMS).

What is the Medicare star rating of Day Kimball Hospital?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Day Kimball Hospital for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Day Kimball Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.8686; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Day Kimball Hospital — Phone, Address, ER & Ratings

Quick answers

Does Day Kimball Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Day Kimball Hospital. In a medical emergency, call 911.
Where is Day Kimball Hospital?: 320 Pomfret Street, Putnam, CT 06260, in Windham County, Connecticut.
What is the phone number of Day Kimball Hospital?: (860) 928-6541, as listed by Medicare (CMS).
What is the Medicare star rating of Day Kimball Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Day Kimball Hospital for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Day Kimball Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.8686; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[4][6][7][9][10][12][13][15]}

Conditions treated^[6][7][14]

Heart attack
Stroke
Diabetes
Cancer
Cardiopulmonary disease
Pediatric respiratory problems
Pediatric gastrointestinal problems

Treatments^{[6][8][13][14][15][17]}

Telestroke consultation with UMass Memorial neurologists
Sleep studies
Cataract surgery
Endoscopic procedures such as colonoscopy
Crisis intervention (inpatient behavioral health)

Procedures^[7][12][13]

Surgery in four operating rooms
Appendectomy
Repair of limb fractures
CT scan
MRI/MRA
PET scan
Nuclear medicine
Mammography
Stereotactic core breast biopsy
DEXA bone density
Ultrasound
X-ray (radiology)

Programs and centers^{[4][5][7][9][11][16]}

Behavioral Health Inpatient Unit
Primary Stroke Center program
Birthing Center
Interpreter services (24/7)
Cardiopulmonary rehabilitation
Intensive Care Unit (ICU)
Hospice room
Hospital pharmacy (around the clock)

Emergency care (hospital website)^[4][6][14]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Visiting hours vary by unit; Med/Surg and ICU preferred 8 a.m.-8 p.m.; ED has open visiting hours. Call system at some entrances^[11]
Parking	Free, secure parking for patients and visitors, adjacent to main, emergency and professional building entrances; well-lit overnight^[11]
Interpreters and languages	Round-the-clock interpreting for non-English speakers and sign language; request through your nurse^[5]
Patient portal	My Health Portal

Recognition^[6][14][15]

The Joint Commission Gold Seal of Approval for Primary Stroke Centers
AHA/American Stroke Association Heart-Check mark, Advanced Certification for Primary Stroke Centers
Designated Primary Stroke Center by CT Dept. of Health
Sleep Disorder Center accredited by the American Academy of Sleep Medicine

Doctors and clinicians (373)

373 doctors and other clinicians list Day Kimball 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 349 more: the button below opens the full list.

Other emergency rooms nearby

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

UMass Memorial Health - Harrington Hospital13 mi · Southbridge, MA · Acute Care Hospital
Windham Community Memorial Hospital21 mi · Willimantic, CT · Acute Care Hospital
Landmark Medical Center23 mi · Woonsocket, RI · Acute Care Hospital
Our Lady of Fatima Hospital24 mi · North Providence, RI · Acute Care Hospital
Johnson Memorial Hospital25 mi · Stafford Springs, CT · Acute Care Hospital

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

Other hospitals near Putnam

Natchaug Hospital17 mi · Mansfield Center, CT · Psychiatric Hospital
Vibra Hospital of Western Mass - Central Campus20 mi · Rochdale, MA · Long-Term Acute Care Hospital
Encompass Health Rehab Hospital of Johnston20 mi · Johnston, RI · Inpatient Rehabilitation Hospital
Rehabilitation Hospital of Rhode Island21 mi · North Smithfield, RI · Inpatient Rehabilitation Hospital

Hospitals in Windham County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Westview Health Care Center2.7 mi · Dayville, CT · 3 of 5 stars
Matulaitis Rehabilitation & Skilled Care3.3 mi · Putnam, CT · 5 of 5 stars
Davis Place7.1 mi · Danielson, CT · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Day Kimball Homecare5.8 mi · North Grosvenordale, CT
Overlook Hospice Services16 mi · Charlton, MA · 4 of 5 stars
Compassus - Greater Western Massachusetts20 mi · Auburn, MA

All hospice providers in the state →

Home health agencies

Day Kimball Homecare5.8 mi · North Grosvenordale, CT · 2.5 of 5 stars
Lifestream Healthcare Alliance, LLC12 mi · Southbridge, MA
RMG Home Care Inc12 mi · Southbridge, MA · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC South County Dialysis Center10 mi · Webster, MA · 5 of 5 stars
DaVita Windham Dialysis Center17 mi · North Windham, CT · 3 of 5 stars
Fresenius Kidney Care-Oxford18 mi · Sutton, MA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

The Endoscopy Center20 mi · Auburn, MA
Surgihealth Rhode Island21 mi · Johnston, RI
Brown Urology, Inc DBA Collyer Street Operatory25 mi · Providence, RI

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Generations Family Health Center, Inc. - Putnam0.3 mi · Putnam, CT · Community health center
Generations Family Health Center - School Based Health Center at Putnam High School1.1 mi · Putnam, CT · Community health center
Generations Family Health Center - School Based Health Center at Putnam Public Schools1.3 mi · Putnam, CT · Community health center

Clinics and urgent care

Harrington Physician Services, Inc.12 mi · Southbridge, MA · Urgent care center
UMass Memorial Medical Group, Inc.12 mi · Southbridge, MA · Urgent care center
Antero Urgent Care LLC13 mi · Ashford, CT · Urgent care center

Pharmacies

The Stop & Shop Supermarket Company LLC2.3 mi · Putnam, CT · Community/retail pharmacy
Wal-Mart Stores East, LP2.3 mi · Putnam, CT · Community/retail pharmacy
Walgreen Co2.3 mi · Putnam, CT · Pharmacy

Assisted living nearby

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

Westview Assisted Living Services Agency5.1 mi · Dayville, CT
Assisted Living Services Agency at Creamery Brook8.1 mi · Brooklyn, CT

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	2 of 5 stars
Symptoms After Stay	2 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	59%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	73%National average: 80%
“Always” got help as soon as they wanted	62%National average: 64%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	73%National average: 73%
Completed surveys	403Response rate: 22%

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

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections	0.612No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	17.8%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	13.1%
Serious complications (patient safety indicator PSI-90)	1.16No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	17%
Readmitted within 30 days: heart failure	22.7%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	21.7%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	210 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)	72%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.8686Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure	1.1082More readmissions than expected
Pneumonia	1.0793More readmissions than expected
COPD (chronic lung disease)	1.0322More readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	19.42 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	13.33 out of 100
Person and community engagement (patient survey)	31.00 out of 100
Safety (infections and sepsis care)	33.33 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.07Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in Connecticut

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Day Kimball Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 86 common services

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: HEM ONC PRO FEE CLINIC NEW PT LVL 3	$288.60	$109.96	$188.83 – $278.50
New patient office visit (about 30–44 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $253.25 AETNA — MEDICARE ADVANTAGE: $66.50 AETNA — WORKERS COMP: $273.19 ANTHEM — ALL PRODUCTS: $230.45 CIGNA — ALL PRODUCTS: $189.09 CORVEL — WORKERS COMP: $274.17 OXFORD — ALL PRODUCTS: $220.14
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC NEW PT LVL 3	$288.60	$109.96	$188.83 – $278.50
New patient office visit (about 30–44 minutes): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $188.83 CORVEL — WORKERS COMP: $278.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM ONC TELEHLTH NEW PT LVL 3	$288.60	$109.96	$72.15 – $278.50
New patient office visit (about 30–44 minutes): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $188.83 CORVEL — WORKERS COMP: $278.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC NEW PT LVL 4	$432.95	$164.95	$283.28 – $417.80
New patient office visit (about 45–59 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $379.91 AETNA — MEDICARE ADVANTAGE: $113.38 AETNA — WORKERS COMP: $409.83 ANTHEM — ALL PRODUCTS: $345.71 CIGNA — ALL PRODUCTS: $283.67 CORVEL — WORKERS COMP: $411.30 OXFORD — ALL PRODUCTS: $330.25
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC NEW PT LVL 4	$432.95	$164.95	$283.28 – $417.80
New patient office visit (about 45–59 minutes): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $283.28 CORVEL — WORKERS COMP: $417.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM ONC TELEHLTH NEW PT LVL 4	$432.95	$164.95	$108.24 – $417.80
New patient office visit (about 45–59 minutes): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $283.28 CORVEL — WORKERS COMP: $417.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC NEW PT LVL 5	$577.25	$219.93	$377.69 – $557.05
New patient office visit (about 60–74 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $506.54 AETNA — MEDICARE ADVANTAGE: $145.42 AETNA — WORKERS COMP: $546.42 ANTHEM — ALL PRODUCTS: $460.93 CIGNA — ALL PRODUCTS: $378.21 CORVEL — WORKERS COMP: $548.39 OXFORD — ALL PRODUCTS: $440.33
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC NEW PT LVL 5	$577.25	$219.93	$377.69 – $557.05
New patient office visit (about 60–74 minutes): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $377.69 CORVEL — WORKERS COMP: $557.05
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM ONC TELEHLTH NEW PT LVL 5	$577.25	$219.93	$144.31 – $557.05
New patient office visit (about 60–74 minutes): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $377.69 CORVEL — WORKERS COMP: $557.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONCOLOGY E&M LEVEL 3	$286.30	$109.08	$187.33 – $276.28
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans AETNA — ALL PRODUCTS: $251.23 AETNA — MEDICARE ADVANTAGE: $43.79 AETNA — WORKERS COMP: $271.01 ANTHEM — ALL PRODUCTS: $228.61 CIGNA — ALL PRODUCTS: $187.58 CONNECTICARE — ALL PRODUCTS: $94.54 CORVEL — WORKERS COMP: $271.99 OXFORD — ALL PRODUCTS: $218.39
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E & M LEVEL 3	$286.25	$109.06	$187.29 – $276.23
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $251.18 AETNA — MEDICARE ADVANTAGE: $43.79 AETNA — WORKERS COMP: $270.96 ANTHEM — ALL PRODUCTS: $228.57 CIGNA — ALL PRODUCTS: $187.55 CORVEL — WORKERS COMP: $271.94 OXFORD — ALL PRODUCTS: $218.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC EST PT LVL 3	$144.40	$55.02	$94.48 – $139.35
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $126.71 AETNA — MEDICARE ADVANTAGE: $43.79 AETNA — WORKERS COMP: $136.69 ANTHEM — ALL PRODUCTS: $115.30 CIGNA — ALL PRODUCTS: $94.61 CORVEL — WORKERS COMP: $137.18 OXFORD — ALL PRODUCTS: $110.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E & M LEVEL 4	$401.90	$153.12	$67.42
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $352.67 AETNA — MEDICARE ADVANTAGE: $67.42 AETNA — WORKERS COMP: $380.44 ANTHEM — ALL PRODUCTS: $320.92 CIGNA — ALL PRODUCTS: $263.32 CORVEL — WORKERS COMP: $381.81 OXFORD — ALL PRODUCTS: $306.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEM ONC PRO FEE CLINIC EST PT LVL 4	$240.55	$91.65	$157.39 – $232.13
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $211.08 AETNA — MEDICARE ADVANTAGE: $67.42 AETNA — WORKERS COMP: $227.70 ANTHEM — ALL PRODUCTS: $192.08 CIGNA — ALL PRODUCTS: $157.61 CORVEL — WORKERS COMP: $228.52 OXFORD — ALL PRODUCTS: $183.49
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MCH LEVEL IV VISIT	$403.95	$153.90	$264.30 – $389.81
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans AETNA — ALL PRODUCTS: $354.47 AETNA — MEDICARE ADVANTAGE: $67.42 AETNA — WORKERS COMP: $382.38 ANTHEM — ALL PRODUCTS: $322.55 CIGNA — ALL PRODUCTS: $264.67 CORVEL — WORKERS COMP: $383.75 OXFORD — ALL PRODUCTS: $308.13
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$89.02
Office consultation with a specialist (moderate): rates for 1 insurance plan CIGNA — BEHAVIORAL HEALTH: $89.02
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$93.95
Office consultation with a specialist (moderate): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $93.95
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$147.99
Office consultation with a specialist (moderate to high): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $147.99
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$75.37
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $75.37
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$91.05
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $91.05
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY FEE-LIMITED	$1,129.90	$430.49	$282.48 – $1,090.35
Emergency room visit (moderate): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $739.29 CORVEL — WORKERS COMP: $1,090.35
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY FEE-LIMITED SEPARATE SVC	$1,129.90	$430.49	$282.48 – $1,090.35
Emergency room visit (moderate): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $739.29 CORVEL — WORKERS COMP: $1,090.35
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$243.44 – $327.25
Emergency room visit (moderate): rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $327.25 ANTHEM — MEDICARE ADVANTAGE: $236.35 ANTHEM — PATHWAYS: $349.99 WELLCARE — MEDICARE ADVANTAGE: $243.44
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY FEE-INTERME	$1,817.65	$692.52	$454.41 – $1,754.03
Emergency room visit (moderately high): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,189.29 CORVEL — WORKERS COMP: $1,754.03
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY FEE INTERMED SEPARATE SVC	$1,817.65	$692.52	$454.41 – $1,754.03
Emergency room visit (moderately high): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,189.29 CORVEL — WORKERS COMP: $1,754.03
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$382.67 – $500.22
Emergency room visit (moderately high): rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $500.22 ANTHEM — MEDICARE ADVANTAGE: $371.52 ANTHEM — PATHWAYS: $550.15 WELLCARE — MEDICARE ADVANTAGE: $382.67
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY FEE-EXTEND	$2,382.55	$907.75	$595.64 – $2,299.16
Emergency room visit (high): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,558.90 CORVEL — WORKERS COMP: $2,299.16
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY FEE EXTEND SEPARATE SVC	$2,382.55	$907.75	$595.64 – $2,299.16
Emergency room visit (high): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,558.90 CORVEL — WORKERS COMP: $2,299.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$549.27 – $713.93
Emergency room visit (high): rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $713.93 ANTHEM — MEDICARE ADVANTAGE: $533.27 ANTHEM — PATHWAYS: $789.67 WELLCARE — MEDICARE ADVANTAGE: $549.27

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: BASIC METABOL.PNL NF	$69.65	$26.54	$36.91 – $67.21
Basic metabolic panel (blood test): rates for 9 insurance plans AETNA — ALL PRODUCTS: $61.12 AETNA — MEDICARE ADVANTAGE: $7.51 AETNA — WORKERS COMP: $65.93 ANTHEM — ALL PRODUCTS: $17.59 CIGNA — ALL PRODUCTS: $45.63 CONNECTICARE — ALL PRODUCTS: $27.38 CORVEL — WORKERS COMP: $66.17 OXFORD — ALL PRODUCTS: $53.13 UHC — ALL PRODUCTS: $36.91
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOL FSTING	$69.65	$26.54	$36.91 – $67.21
Basic metabolic panel (blood test): rates for 9 insurance plans AETNA — ALL PRODUCTS: $61.12 AETNA — MEDICARE ADVANTAGE: $7.51 AETNA — WORKERS COMP: $65.93 ANTHEM — ALL PRODUCTS: $17.59 CIGNA — ALL PRODUCTS: $45.63 CONNECTICARE — ALL PRODUCTS: $27.38 CORVEL — WORKERS COMP: $66.17 OXFORD — ALL PRODUCTS: $53.13 UHC — ALL PRODUCTS: $36.91
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOL.PNL NF	$69.65	$26.54	$36.91 – $67.21
Basic metabolic panel (blood test): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $45.57 CORVEL — WORKERS COMP: $67.21
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP.METABOL.PNL NF	$77.50	$29.53	$41.08 – $74.79
Comprehensive metabolic panel (blood test): rates for 9 insurance plans AETNA — ALL PRODUCTS: $68.01 AETNA — MEDICARE ADVANTAGE: $10.81 AETNA — WORKERS COMP: $73.36 ANTHEM — ALL PRODUCTS: $21.97 CIGNA — ALL PRODUCTS: $50.78 CONNECTICARE — ALL PRODUCTS: $34.20 CORVEL — WORKERS COMP: $73.63 OXFORD — ALL PRODUCTS: $59.12 UHC — ALL PRODUCTS: $41.08
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP.METABOL.PNL FST	$77.50	$29.53	$41.08 – $74.79
Comprehensive metabolic panel (blood test): rates for 9 insurance plans AETNA — ALL PRODUCTS: $68.01 AETNA — MEDICARE ADVANTAGE: $10.81 AETNA — WORKERS COMP: $73.36 ANTHEM — ALL PRODUCTS: $21.97 CIGNA — ALL PRODUCTS: $50.78 CONNECTICARE — ALL PRODUCTS: $34.20 CORVEL — WORKERS COMP: $73.63 OXFORD — ALL PRODUCTS: $59.12 UHC — ALL PRODUCTS: $41.08
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP.METABOL.PNL NF	$77.50	$29.53	$41.08 – $74.79
Comprehensive metabolic panel (blood test): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $50.71 CORVEL — WORKERS COMP: $74.79
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$220.30	$83.93	$116.76 – $212.59
Obstetric blood test panel: rates for 9 insurance plans AETNA — ALL PRODUCTS: $193.31 AETNA — MEDICARE ADVANTAGE: $43.15 AETNA — WORKERS COMP: $208.54 ANTHEM — ALL PRODUCTS: $70.47 CIGNA — ALL PRODUCTS: $144.34 CONNECTICARE — ALL PRODUCTS: $154.77 CORVEL — WORKERS COMP: $209.29 OXFORD — ALL PRODUCTS: $168.04 UHC — ALL PRODUCTS: $116.76
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$220.30	$83.93	$116.76 – $212.59
Obstetric blood test panel: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $144.14 CORVEL — WORKERS COMP: $212.59
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$43.15
Obstetric blood test panel: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $43.15
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HDL PANEL	$99.85	$38.04	$52.92 – $96.36
Cholesterol panel (lipid panel): rates for 9 insurance plans AETNA — ALL PRODUCTS: $87.62 AETNA — MEDICARE ADVANTAGE: $13.01 AETNA — WORKERS COMP: $94.52 ANTHEM — ALL PRODUCTS: $27.84 CIGNA — ALL PRODUCTS: $65.42 CONNECTICARE — ALL PRODUCTS: $43.35 CORVEL — WORKERS COMP: $94.86 OXFORD — ALL PRODUCTS: $76.17 UHC — ALL PRODUCTS: $52.92
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NMR LIPOPROFILE	$97.90	$37.30	$51.89 – $94.47
Cholesterol panel (lipid panel): rates for 9 insurance plans AETNA — ALL PRODUCTS: $85.91 AETNA — MEDICARE ADVANTAGE: $13.01 AETNA — WORKERS COMP: $92.67 ANTHEM — ALL PRODUCTS: $27.84 CIGNA — ALL PRODUCTS: $64.14 CONNECTICARE — ALL PRODUCTS: $43.35 CORVEL — WORKERS COMP: $93.01 OXFORD — ALL PRODUCTS: $74.68 UHC — ALL PRODUCTS: $51.89
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID W/TRIG/HDL-C	$21.37	$8.14	$11.33 – $20.62
Cholesterol panel (lipid panel): rates for 9 insurance plans AETNA — ALL PRODUCTS: $18.75 AETNA — MEDICARE ADVANTAGE: $13.01 AETNA — WORKERS COMP: $20.23 ANTHEM — ALL PRODUCTS: $27.84 CIGNA — ALL PRODUCTS: $14 CONNECTICARE — ALL PRODUCTS: $43.35 CORVEL — WORKERS COMP: $20.30 OXFORD — ALL PRODUCTS: $16.30 UHC — ALL PRODUCTS: $11.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$91.65	$34.92	$48.57 – $88.44
Kidney function panel: rates for 9 insurance plans AETNA — ALL PRODUCTS: $80.42 AETNA — MEDICARE ADVANTAGE: $8.89 AETNA — WORKERS COMP: $86.76 ANTHEM — ALL PRODUCTS: $18.04 CIGNA — ALL PRODUCTS: $60.05 CONNECTICARE — ALL PRODUCTS: $28.11 CORVEL — WORKERS COMP: $87.07 OXFORD — ALL PRODUCTS: $69.91 UHC — ALL PRODUCTS: $48.57
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$91.65	$34.92	$48.57 – $88.44
Kidney function panel: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $59.97 CORVEL — WORKERS COMP: $88.44
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.89
Kidney function panel: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $8.89
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PNL	$74.35	$28.33	$39.41 – $71.75
Liver function panel: rates for 9 insurance plans AETNA — ALL PRODUCTS: $65.24 AETNA — MEDICARE ADVANTAGE: $6.47 AETNA — WORKERS COMP: $70.38 ANTHEM — ALL PRODUCTS: $16.99 CIGNA — ALL PRODUCTS: $48.71 CONNECTICARE — ALL PRODUCTS: $26.46 CORVEL — WORKERS COMP: $70.63 OXFORD — ALL PRODUCTS: $56.71 UHC — ALL PRODUCTS: $39.41
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PNL	$74.35	$28.33	$39.41 – $71.75
Liver function panel: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $48.65 CORVEL — WORKERS COMP: $71.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$6.47
Liver function panel: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $6.47
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS	$35.65	$13.58	$3.24 – $10.27
Urine test (automated, with microscope): rates for 9 insurance plans AETNA — ALL PRODUCTS: $31.28 AETNA — MEDICARE ADVANTAGE: $3.24 AETNA — WORKERS COMP: $33.75 ANTHEM — ALL PRODUCTS: $6.58 CIGNA — ALL PRODUCTS: $23.36 CONNECTICARE — ALL PRODUCTS: $10.27 CORVEL — WORKERS COMP: $33.87 OXFORD — ALL PRODUCTS: $27.19 UHC — ALL PRODUCTS: $18.89
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS/CIC	$35.65	$13.58	$3.24 – $10.27
Urine test (automated, with microscope): rates for 9 insurance plans AETNA — ALL PRODUCTS: $31.28 AETNA — MEDICARE ADVANTAGE: $3.24 AETNA — WORKERS COMP: $33.75 ANTHEM — ALL PRODUCTS: $6.58 CIGNA — ALL PRODUCTS: $23.36 CONNECTICARE — ALL PRODUCTS: $10.27 CORVEL — WORKERS COMP: $33.87 OXFORD — ALL PRODUCTS: $27.19 UHC — ALL PRODUCTS: $18.89
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS	$35.65	$13.58	$18.89 – $34.40
Urine test (automated, with microscope): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $23.33 CORVEL — WORKERS COMP: $34.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48
Urine test (manual, without microscope): rates for 3 insurance plans AETNA — MEDICARE ADVANTAGE: $3.48 ANTHEM — ALL PRODUCTS: $5.31 CONNECTICARE — ALL PRODUCTS: $8.26
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.42
Urine test (manual, without microscope): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $2.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHALLENGE URINE	$15.85	$6.04	$2.30 – $7.27
Urine test (automated, without microscope): rates for 9 insurance plans AETNA — ALL PRODUCTS: $13.91 AETNA — MEDICARE ADVANTAGE: $2.30 AETNA — WORKERS COMP: $15 ANTHEM — ALL PRODUCTS: $4.68 CIGNA — ALL PRODUCTS: $10.38 CONNECTICARE — ALL PRODUCTS: $7.27 CORVEL — WORKERS COMP: $15.06 OXFORD — ALL PRODUCTS: $12.09 UHC — ALL PRODUCTS: $8.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BILIRUBIN, URINE	$16.35	$6.23	$2.30 – $7.27
Urine test (automated, without microscope): rates for 9 insurance plans AETNA — ALL PRODUCTS: $14.35 AETNA — MEDICARE ADVANTAGE: $2.30 AETNA — WORKERS COMP: $15.48 ANTHEM — ALL PRODUCTS: $4.68 CIGNA — ALL PRODUCTS: $10.71 CONNECTICARE — ALL PRODUCTS: $7.27 CORVEL — WORKERS COMP: $15.53 OXFORD — ALL PRODUCTS: $12.47 UHC — ALL PRODUCTS: $8.67
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PH URINE	$15.85	$6.04	$2.30 – $7.27
Urine test (automated, without microscope): rates for 9 insurance plans AETNA — ALL PRODUCTS: $13.91 AETNA — MEDICARE ADVANTAGE: $2.30 AETNA — WORKERS COMP: $15 ANTHEM — ALL PRODUCTS: $4.68 CIGNA — ALL PRODUCTS: $10.38 CONNECTICARE — ALL PRODUCTS: $7.27 CORVEL — WORKERS COMP: $15.06 OXFORD — ALL PRODUCTS: $12.09 UHC — ALL PRODUCTS: $8.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC	$100.45	$38.27	$53.24 – $96.93
PSA (prostate specific antigen) blood test: rates for 9 insurance plans AETNA — ALL PRODUCTS: $88.14 AETNA — MEDICARE ADVANTAGE: $18.82 AETNA — WORKERS COMP: $95.09 ANTHEM — ALL PRODUCTS: $38.23 CIGNA — ALL PRODUCTS: $65.81 CONNECTICARE — ALL PRODUCTS: $59.54 CORVEL — WORKERS COMP: $95.43 OXFORD — ALL PRODUCTS: $76.62 UHC — ALL PRODUCTS: $53.24
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL	$134.50	$51.24	$71.29 – $129.79
PSA (prostate specific antigen) blood test: rates for 9 insurance plans AETNA — ALL PRODUCTS: $118.02 AETNA — MEDICARE ADVANTAGE: $18.82 AETNA — WORKERS COMP: $127.32 ANTHEM — ALL PRODUCTS: $38.23 CIGNA — ALL PRODUCTS: $88.12 CONNECTICARE — ALL PRODUCTS: $59.54 CORVEL — WORKERS COMP: $127.78 OXFORD — ALL PRODUCTS: $102.60 UHC — ALL PRODUCTS: $71.29
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, ULTRASENSITIVE, W/O SERIAL	$134.50	$51.24	$71.29 – $129.79
PSA (prostate specific antigen) blood test: rates for 9 insurance plans AETNA — ALL PRODUCTS: $118.02 AETNA — MEDICARE ADVANTAGE: $18.82 AETNA — WORKERS COMP: $127.32 ANTHEM — ALL PRODUCTS: $38.23 CIGNA — ALL PRODUCTS: $88.12 CONNECTICARE — ALL PRODUCTS: $59.54 CORVEL — WORKERS COMP: $127.78 OXFORD — ALL PRODUCTS: $102.60 UHC — ALL PRODUCTS: $71.29
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$95.85	$36.52	$50.80 – $92.50
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans AETNA — ALL PRODUCTS: $84.11 AETNA — MEDICARE ADVANTAGE: $17.20 AETNA — WORKERS COMP: $90.73 ANTHEM — ALL PRODUCTS: $34.90 CIGNA — ALL PRODUCTS: $62.80 CONNECTICARE — ALL PRODUCTS: $54.40 CORVEL — WORKERS COMP: $91.06 OXFORD — ALL PRODUCTS: $73.11 UHC — ALL PRODUCTS: $50.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (3RD GENERATION)	$106.50	$40.58	$56.45 – $102.77
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans AETNA — ALL PRODUCTS: $93.45 AETNA — MEDICARE ADVANTAGE: $17.20 AETNA — WORKERS COMP: $100.81 ANTHEM — ALL PRODUCTS: $34.90 CIGNA — ALL PRODUCTS: $69.78 CONNECTICARE — ALL PRODUCTS: $54.40 CORVEL — WORKERS COMP: $101.18 OXFORD — ALL PRODUCTS: $81.24 UHC — ALL PRODUCTS: $56.45
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$95.85	$36.52	$50.80 – $92.50
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $62.71 CORVEL — WORKERS COMP: $92.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC/AUTO DIFF	$56.85	$21.66	$30.13 – $54.86
Complete blood count (CBC) with differential: rates for 9 insurance plans AETNA — ALL PRODUCTS: $49.89 AETNA — MEDICARE ADVANTAGE: $7.96 AETNA — WORKERS COMP: $53.81 ANTHEM — ALL PRODUCTS: $16.16 CIGNA — ALL PRODUCTS: $37.25 CONNECTICARE — ALL PRODUCTS: $25.16 CORVEL — WORKERS COMP: $54.01 OXFORD — ALL PRODUCTS: $43.37 UHC — ALL PRODUCTS: $30.13
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC-ONCOLOGY	$56.85	$21.66	$30.13 – $54.86
Complete blood count (CBC) with differential: rates for 9 insurance plans AETNA — ALL PRODUCTS: $49.89 AETNA — MEDICARE ADVANTAGE: $7.96 AETNA — WORKERS COMP: $53.81 ANTHEM — ALL PRODUCTS: $16.16 CIGNA — ALL PRODUCTS: $37.25 CONNECTICARE — ALL PRODUCTS: $25.16 CORVEL — WORKERS COMP: $54.01 OXFORD — ALL PRODUCTS: $43.37 UHC — ALL PRODUCTS: $30.13
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC/AUTO DIFF	$56.85	$21.66	$30.13 – $54.86
Complete blood count (CBC) with differential: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $37.20 CORVEL — WORKERS COMP: $54.86
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM	$47.35	$18.04	$25.10 – $45.69
Complete blood count (CBC), automated: rates for 9 insurance plans AETNA — ALL PRODUCTS: $41.55 AETNA — MEDICARE ADVANTAGE: $6.62 AETNA — WORKERS COMP: $44.82 ANTHEM — ALL PRODUCTS: $13.44 CIGNA — ALL PRODUCTS: $31.02 CONNECTICARE — ALL PRODUCTS: $20.93 CORVEL — WORKERS COMP: $44.98 OXFORD — ALL PRODUCTS: $36.12 UHC — ALL PRODUCTS: $25.10
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC/MANUAL DIFF	$84.25	$32.10	$44.65 – $81.30
Complete blood count (CBC), automated: rates for 9 insurance plans AETNA — ALL PRODUCTS: $73.93 AETNA — MEDICARE ADVANTAGE: $6.62 AETNA — WORKERS COMP: $79.75 ANTHEM — ALL PRODUCTS: $13.44 CIGNA — ALL PRODUCTS: $55.20 CONNECTICARE — ALL PRODUCTS: $20.93 CORVEL — WORKERS COMP: $80.04 OXFORD — ALL PRODUCTS: $64.27 UHC — ALL PRODUCTS: $44.65
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM	$47.35	$18.04	$25.10 – $45.69
Complete blood count (CBC), automated: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $30.98 CORVEL — WORKERS COMP: $45.69
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$23.45	$8.93	$12.43 – $22.63
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans AETNA — ALL PRODUCTS: $20.58 AETNA — MEDICARE ADVANTAGE: $4.03 AETNA — WORKERS COMP: $22.20 ANTHEM — ALL PRODUCTS: $8.17 CIGNA — ALL PRODUCTS: $15.36 CONNECTICARE — ALL PRODUCTS: $12.72 CORVEL — WORKERS COMP: $22.28 OXFORD — ALL PRODUCTS: $17.89 UHC — ALL PRODUCTS: $12.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-LABCORP	$43.90	$16.73	$23.27 – $42.36
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans AETNA — ALL PRODUCTS: $38.52 AETNA — MEDICARE ADVANTAGE: $4.03 AETNA — WORKERS COMP: $41.56 ANTHEM — ALL PRODUCTS: $8.17 CIGNA — ALL PRODUCTS: $28.76 CONNECTICARE — ALL PRODUCTS: $12.72 CORVEL — WORKERS COMP: $41.71 OXFORD — ALL PRODUCTS: $33.49 UHC — ALL PRODUCTS: $23.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-QUEST	$71.17	$27.12	$37.72 – $68.68
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans AETNA — ALL PRODUCTS: $62.45 AETNA — MEDICARE ADVANTAGE: $4.03 AETNA — WORKERS COMP: $67.37 ANTHEM — ALL PRODUCTS: $8.17 CIGNA — ALL PRODUCTS: $46.63 CONNECTICARE — ALL PRODUCTS: $12.72 CORVEL — WORKERS COMP: $67.61 OXFORD — ALL PRODUCTS: $54.29 UHC — ALL PRODUCTS: $37.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$32.90	$12.53	$17.44 – $31.75
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans AETNA — ALL PRODUCTS: $28.87 AETNA — MEDICARE ADVANTAGE: $6.14 AETNA — WORKERS COMP: $31.14 ANTHEM — ALL PRODUCTS: $12.47 CIGNA — ALL PRODUCTS: $21.56 CONNECTICARE — ALL PRODUCTS: $19.45 CORVEL — WORKERS COMP: $31.26 OXFORD — ALL PRODUCTS: $25.10 UHC — ALL PRODUCTS: $17.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT LA W/REFLEX TO HEXAGONAL PHASE	$13.65	$5.20	$7.23 – $13.17
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans AETNA — ALL PRODUCTS: $11.98 AETNA — MEDICARE ADVANTAGE: $6.14 AETNA — WORKERS COMP: $12.92 ANTHEM — ALL PRODUCTS: $12.47 CIGNA — ALL PRODUCTS: $8.94 CONNECTICARE — ALL PRODUCTS: $19.45 CORVEL — WORKERS COMP: $12.97 OXFORD — ALL PRODUCTS: $10.41 UHC — ALL PRODUCTS: $7.23
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT LA W/RFLX TO HEXAGONAL PHASE	$30.71	$11.70	$6.14 – $19.45
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans AETNA — ALL PRODUCTS: $26.95 AETNA — MEDICARE ADVANTAGE: $6.14 AETNA — WORKERS COMP: $29.07 ANTHEM — ALL PRODUCTS: $12.47 CIGNA — ALL PRODUCTS: $20.12 CONNECTICARE — ALL PRODUCTS: $19.45 CORVEL — WORKERS COMP: $29.17 OXFORD — ALL PRODUCTS: $23.43 UHC — ALL PRODUCTS: $16.28

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST	$1,200.25	$457.30	$618.13 – $1,158.24
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,053.22 AETNA — MEDICARE ADVANTAGE: $117.43 AETNA — WORKERS COMP: $1,136.16 ANTHEM — ALL PRODUCTS: $958.40 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $414.12 CONNECTICARE — ALL PRODUCTS: $618.13 CORVEL — WORKERS COMP: $1,140.24 OXFORD — ALL PRODUCTS: $915.55
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD STROKE W/O CONTRAST	$1,200.25	$457.30	$618.13 – $1,158.24
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,053.22 AETNA — MEDICARE ADVANTAGE: $117.43 AETNA — WORKERS COMP: $1,136.16 ANTHEM — ALL PRODUCTS: $958.40 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $414.12 CONNECTICARE — ALL PRODUCTS: $618.13 CORVEL — WORKERS COMP: $1,140.24 OXFORD — ALL PRODUCTS: $915.55
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST	$1,200.25	$457.30	$618.13 – $1,158.24
CT scan of the head or brain, without contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $785.32 CORVEL — WORKERS COMP: $1,158.24
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HEAD W/WO CONTRA	$6,328.80	$2,411.27	$3,259.33 – $6,107.29
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $5,553.52 AETNA — MEDICARE ADVANTAGE: $258.96 AETNA — WORKERS COMP: $5,990.84 ANTHEM — ALL PRODUCTS: $5,053.55 ANTHEM — MEDICARE ADVANTAGE: $376.09 ANTHEM — PATHWAYS: $556.91 CIGNA — ALL PRODUCTS: $820.80 CONNECTICARE — ALL PRODUCTS: $3,259.33 CORVEL — WORKERS COMP: $6,012.36 OXFORD — ALL PRODUCTS: $4,827.61
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI IAC'S W/WO CONTRAST	$6,328.80	$2,411.27	$3,259.33 – $6,107.29
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $5,553.52 AETNA — MEDICARE ADVANTAGE: $258.96 AETNA — WORKERS COMP: $5,990.84 ANTHEM — ALL PRODUCTS: $5,053.55 ANTHEM — MEDICARE ADVANTAGE: $376.09 ANTHEM — PATHWAYS: $556.91 CIGNA — ALL PRODUCTS: $820.80 CONNECTICARE — ALL PRODUCTS: $3,259.33 CORVEL — WORKERS COMP: $6,012.36 OXFORD — ALL PRODUCTS: $4,827.61
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI PIT/SELLA W/WO CO	$6,328.80	$2,411.27	$3,259.33 – $6,107.29
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $5,553.52 AETNA — MEDICARE ADVANTAGE: $258.96 AETNA — WORKERS COMP: $5,990.84 ANTHEM — ALL PRODUCTS: $5,053.55 ANTHEM — MEDICARE ADVANTAGE: $376.09 ANTHEM — PATHWAYS: $556.91 CIGNA — ALL PRODUCTS: $820.80 CONNECTICARE — ALL PRODUCTS: $3,259.33 CORVEL — WORKERS COMP: $6,012.36 OXFORD — ALL PRODUCTS: $4,827.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST PA & LAT (2 VIEWS)	$189.45	$72.18	$97.57 – $182.82
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $166.24 AETNA — MEDICARE ADVANTAGE: $17.28 AETNA — WORKERS COMP: $179.33 ANTHEM — ALL PRODUCTS: $151.28 ANTHEM — MEDICARE ADVANTAGE: $82.61 ANTHEM — PATHWAYS: $122.33 CIGNA — ALL PRODUCTS: $124.13 CONNECTICARE — ALL PRODUCTS: $97.57 CORVEL — WORKERS COMP: $179.98 OXFORD — ALL PRODUCTS: $144.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST DECUB ONLY (2 VIEWS)	$189.45	$72.18	$97.57 – $182.82
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $166.24 AETNA — MEDICARE ADVANTAGE: $17.28 AETNA — WORKERS COMP: $179.33 ANTHEM — ALL PRODUCTS: $151.28 ANTHEM — MEDICARE ADVANTAGE: $82.61 ANTHEM — PATHWAYS: $122.33 CIGNA — ALL PRODUCTS: $124.13 CONNECTICARE — ALL PRODUCTS: $97.57 CORVEL — WORKERS COMP: $179.98 OXFORD — ALL PRODUCTS: $144.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST P.A.T. (2 VIEWS)	$189.45	$72.18	$97.57 – $182.82
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $166.24 AETNA — MEDICARE ADVANTAGE: $17.28 AETNA — WORKERS COMP: $179.33 ANTHEM — ALL PRODUCTS: $151.28 ANTHEM — MEDICARE ADVANTAGE: $82.61 ANTHEM — PATHWAYS: $122.33 CIGNA — ALL PRODUCTS: $124.13 CONNECTICARE — ALL PRODUCTS: $97.57 CORVEL — WORKERS COMP: $179.98 OXFORD — ALL PRODUCTS: $144.51
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LS SPINE W UPRIGHT MIN 4 VIEWS	$294.30	$112.13	$151.56 – $284
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $258.25 AETNA — MEDICARE ADVANTAGE: $29.91 AETNA — WORKERS COMP: $278.58 ANTHEM — ALL PRODUCTS: $235 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $84.50 CONNECTICARE — ALL PRODUCTS: $151.56 CORVEL — WORKERS COMP: $279.59 OXFORD — ALL PRODUCTS: $224.49
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LS SPINE W OBLIQUES MIN 4 VIEW	$294.30	$112.13	$151.56 – $284
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $258.25 AETNA — MEDICARE ADVANTAGE: $29.91 AETNA — WORKERS COMP: $278.58 ANTHEM — ALL PRODUCTS: $235 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $84.50 CONNECTICARE — ALL PRODUCTS: $151.56 CORVEL — WORKERS COMP: $279.59 OXFORD — ALL PRODUCTS: $224.49
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LS SPINE W OBLIQUES MIN 4 VIEWS	$294.30	$112.13	$29.91 – $164.65
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $258.25 AETNA — MEDICARE ADVANTAGE: $29.91 AETNA — WORKERS COMP: $278.58 ANTHEM — ALL PRODUCTS: $235 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $84.50 CONNECTICARE — ALL PRODUCTS: $151.56 CORVEL — WORKERS COMP: $279.59 OXFORD — ALL PRODUCTS: $224.49
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LS SPINE W/O CON	$3,160.60	$1,204.19	$1,627.71 – $3,049.98
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2,773.43 AETNA — MEDICARE ADVANTAGE: $156.79 AETNA — WORKERS COMP: $2,991.82 ANTHEM — ALL PRODUCTS: $2,523.74 ANTHEM — MEDICARE ADVANTAGE: $235 ANTHEM — PATHWAYS: $347.99 CIGNA — ALL PRODUCTS: $674.37 CONNECTICARE — ALL PRODUCTS: $1,627.71 CORVEL — WORKERS COMP: $3,002.57 OXFORD — ALL PRODUCTS: $2,410.91
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-LS SPINE W/O CON PLF	$3,160.60	$1,204.19	$1,627.71 – $3,049.98
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2,773.43 AETNA — MEDICARE ADVANTAGE: $156.79 AETNA — WORKERS COMP: $2,991.82 ANTHEM — ALL PRODUCTS: $2,523.74 ANTHEM — MEDICARE ADVANTAGE: $235 ANTHEM — PATHWAYS: $347.99 CIGNA — ALL PRODUCTS: $674.37 CONNECTICARE — ALL PRODUCTS: $1,627.71 CORVEL — WORKERS COMP: $3,002.57 OXFORD — ALL PRODUCTS: $2,410.91
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LS SPINE W/O CON	$3,160.60	$1,204.19	$1,627.71 – $3,049.98
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $2,067.98 CORVEL — WORKERS COMP: $3,049.98
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST	$1,740.15	$663	$896.18 – $1,679.24
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,526.98 AETNA — MEDICARE ADVANTAGE: $205.74 AETNA — WORKERS COMP: $1,647.23 ANTHEM — ALL PRODUCTS: $1,389.51 ANTHEM — MEDICARE ADVANTAGE: $182.43 ANTHEM — PATHWAYS: $270.14 CIGNA — ALL PRODUCTS: $456.28 CONNECTICARE — ALL PRODUCTS: $896.18 CORVEL — WORKERS COMP: $1,653.14 OXFORD — ALL PRODUCTS: $1,327.39
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SAC/COCC W/CONTRA	$1,740.15	$663	$896.18 – $1,679.24
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $1,526.98 AETNA — MEDICARE ADVANTAGE: $205.74 AETNA — WORKERS COMP: $1,647.23 ANTHEM — ALL PRODUCTS: $1,389.51 ANTHEM — MEDICARE ADVANTAGE: $182.43 ANTHEM — PATHWAYS: $270.14 CIGNA — ALL PRODUCTS: $456.28 CONNECTICARE — ALL PRODUCTS: $896.18 CORVEL — WORKERS COMP: $1,653.14 OXFORD — ALL PRODUCTS: $1,327.39
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST	$1,740.15	$663	$896.18 – $1,679.24
CT scan of the pelvis, with contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,138.58 CORVEL — WORKERS COMP: $1,679.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI HIP WO CONTR-LT	$2,804.80	$1,068.63	$701.20 – $2,706.63
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,835.18 CORVEL — WORKERS COMP: $2,706.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI HIP WO CONTR-RT	$2,804.80	$1,068.63	$701.20 – $2,706.63
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,835.18 CORVEL — WORKERS COMP: $2,706.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI KNEE WO CON LT	$2,804.80	$1,068.63	$701.20 – $2,706.63
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,835.18 CORVEL — WORKERS COMP: $2,706.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST	$2,305.95	$878.57	$242.96 – $556.91
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $2,023.47 AETNA — MEDICARE ADVANTAGE: $242.96 AETNA — WORKERS COMP: $2,182.81 ANTHEM — ALL PRODUCTS: $1,841.30 ANTHEM — MEDICARE ADVANTAGE: $376.09 ANTHEM — PATHWAYS: $556.91 CIGNA — ALL PRODUCTS: $397.23 CONNECTICARE — ALL PRODUCTS: $1,187.56 CORVEL — WORKERS COMP: $2,190.65 OXFORD — ALL PRODUCTS: $1,758.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST	$2,305.95	$878.57	$1,187.56 – $2,225.24
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,508.78 CORVEL — WORKERS COMP: $2,225.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$242.96
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $242.96
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABDOMINAL ULTRASOUND	$501.55	$191.09	$258.30 – $484
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $440.11 AETNA — MEDICARE ADVANTAGE: $89.27 AETNA — WORKERS COMP: $474.77 ANTHEM — ALL PRODUCTS: $400.49 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $213.60 CONNECTICARE — ALL PRODUCTS: $258.30 CORVEL — WORKERS COMP: $476.47 OXFORD — ALL PRODUCTS: $382.58
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABDOMINAL ULTRASOUND	$501.55	$191.09	$258.30 – $484
Ultrasound of the abdomen, complete: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $328.16 CORVEL — WORKERS COMP: $484
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$89.27
Ultrasound of the abdomen, complete: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $89.27
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-2ND TRI 1 FETUS	$534.85	$203.78	$275.45 – $516.13
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $469.33 AETNA — MEDICARE ADVANTAGE: $85.82 AETNA — WORKERS COMP: $506.29 ANTHEM — ALL PRODUCTS: $427.08 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $213.60 CONNECTICARE — ALL PRODUCTS: $275.45 CORVEL — WORKERS COMP: $508.11 OXFORD — ALL PRODUCTS: $407.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB-3RD TRI 1 FETUS	$534.85	$203.78	$275.45 – $516.13
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $469.33 AETNA — MEDICARE ADVANTAGE: $85.82 AETNA — WORKERS COMP: $506.29 ANTHEM — ALL PRODUCTS: $427.08 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $213.60 CONNECTICARE — ALL PRODUCTS: $275.45 CORVEL — WORKERS COMP: $508.11 OXFORD — ALL PRODUCTS: $407.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB-2ND TRI 1 FETUS	$534.85	$203.78	$275.45 – $516.13
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $349.95 CORVEL — WORKERS COMP: $516.13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PELVIC-NON OB TRANSV	$417.75	$159.16	$215.14 – $403.13
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $366.58 AETNA — MEDICARE ADVANTAGE: $81.42 AETNA — WORKERS COMP: $395.44 ANTHEM — ALL PRODUCTS: $333.57 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $191.81 CONNECTICARE — ALL PRODUCTS: $215.14 CORVEL — WORKERS COMP: $396.86 OXFORD — ALL PRODUCTS: $318.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PELVIC NON OB TRANSVAGINAL	$417.75	$159.16	$215.14 – $403.13
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $366.58 AETNA — MEDICARE ADVANTAGE: $81.42 AETNA — WORKERS COMP: $395.44 ANTHEM — ALL PRODUCTS: $333.57 ANTHEM — MEDICARE ADVANTAGE: $111.19 ANTHEM — PATHWAYS: $164.65 CIGNA — ALL PRODUCTS: $191.81 CONNECTICARE — ALL PRODUCTS: $215.14 CORVEL — WORKERS COMP: $396.86 OXFORD — ALL PRODUCTS: $318.66
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PELVIC-NON OB TRANSV	$417.75	$159.16	$215.14 – $403.13
Transvaginal ultrasound: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $273.33 CORVEL — WORKERS COMP: $403.13
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DKH MAMMO DIAGNOSTIC RIGHT	$397.10	$151.30	$99.28 – $383.20
Diagnostic mammogram, one breast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $259.82 CORVEL — WORKERS COMP: $383.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DKH MAMMO DIAGNOSTIC LEFT	$397.10	$151.30	$99.28 – $383.20
Diagnostic mammogram, one breast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $259.82 CORVEL — WORKERS COMP: $383.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DKH MAMMO EXTRA VIEWS LEFT	$397.10	$151.30	$99.28 – $383.20
Diagnostic mammogram, one breast: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $259.82 CORVEL — WORKERS COMP: $383.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH MAMMO DIAG BILATERAL	$833.10	$317.41	$429.05 – $803.94
Diagnostic mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $731.05 AETNA — MEDICARE ADVANTAGE: $106.13 AETNA — WORKERS COMP: $788.61 ANTHEM — ALL PRODUCTS: $665.23 CIGNA — ALL PRODUCTS: $545.85 CONNECTICARE — ALL PRODUCTS: $429.05 CORVEL — WORKERS COMP: $791.45 OXFORD — ALL PRODUCTS: $635.49 UHC — ALL PRODUCTS: $441.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH MAMMO EXTRA VIEW BILATERAL	$833.10	$317.41	$429.05 – $803.94
Diagnostic mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $731.05 AETNA — MEDICARE ADVANTAGE: $106.13 AETNA — WORKERS COMP: $788.61 ANTHEM — ALL PRODUCTS: $665.23 CIGNA — ALL PRODUCTS: $545.85 CONNECTICARE — ALL PRODUCTS: $429.05 CORVEL — WORKERS COMP: $791.45 OXFORD — ALL PRODUCTS: $635.49 UHC — ALL PRODUCTS: $441.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO NEEDLE LOC ADD'L BILAT	$833.10	$317.41	$429.05 – $803.94
Diagnostic mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $731.05 AETNA — MEDICARE ADVANTAGE: $106.13 AETNA — WORKERS COMP: $788.61 ANTHEM — ALL PRODUCTS: $665.23 CIGNA — ALL PRODUCTS: $545.85 CONNECTICARE — ALL PRODUCTS: $429.05 CORVEL — WORKERS COMP: $791.45 OXFORD — ALL PRODUCTS: $635.49 UHC — ALL PRODUCTS: $441.54
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH MAMMO SCREENING IMPLANTS	$534.40	$203.61	$275.22 – $515.70
Screening mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $468.94 AETNA — MEDICARE ADVANTAGE: $87.66 AETNA — WORKERS COMP: $505.86 ANTHEM — ALL PRODUCTS: $426.72 CIGNA — ALL PRODUCTS: $350.14 CONNECTICARE — ALL PRODUCTS: $275.22 CORVEL — WORKERS COMP: $507.68 OXFORD — ALL PRODUCTS: $407.64 UHC — ALL PRODUCTS: $283.23
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DNLSN MAMMO SCREEN BILATERAL	$534.40	$203.61	$275.22 – $515.70
Screening mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $468.94 AETNA — MEDICARE ADVANTAGE: $87.66 AETNA — WORKERS COMP: $505.86 ANTHEM — ALL PRODUCTS: $426.72 CIGNA — ALL PRODUCTS: $350.14 CONNECTICARE — ALL PRODUCTS: $275.22 CORVEL — WORKERS COMP: $507.68 OXFORD — ALL PRODUCTS: $407.64 UHC — ALL PRODUCTS: $283.23
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DNLSN MAMMO SCREEN IMPLANTS	$534.40	$203.61	$275.22 – $515.70
Screening mammogram, both breasts: rates for 9 insurance plans AETNA — ALL PRODUCTS: $468.94 AETNA — MEDICARE ADVANTAGE: $87.66 AETNA — WORKERS COMP: $505.86 ANTHEM — ALL PRODUCTS: $426.72 CIGNA — ALL PRODUCTS: $350.14 CONNECTICARE — ALL PRODUCTS: $275.22 CORVEL — WORKERS COMP: $507.68 OXFORD — ALL PRODUCTS: $407.64 UHC — ALL PRODUCTS: $283.23

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$16.15
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $16.15
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,050.37 – $3,886.48
Left heart catheterization (diagnostic): rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $3,886.48 ANTHEM — MEDICARE ADVANTAGE: $2,961.52 ANTHEM — PATHWAYS: $4,385.42 WELLCARE — MEDICARE ADVANTAGE: $3,050.37
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$573.88
Left heart catheterization (diagnostic): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $573.88
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$573.88
Left heart catheterization (diagnostic): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $573.88
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$6,394.08 – $9,350.36
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $9,350.36 ANTHEM — MEDICARE ADVANTAGE: $6,207.84 ANTHEM — PATHWAYS: $9,192.57 WELLCARE — MEDICARE ADVANTAGE: $6,394.08
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$295.02
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $295.02
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$295.02
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $295.02
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$22,573.05 – $31,334.46
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $31,334.46 ANTHEM — MEDICARE ADVANTAGE: $21,915.58 ANTHEM — PATHWAYS: $32,452.59 WELLCARE — MEDICARE ADVANTAGE: $22,573.05
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$1,148.88
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $1,148.88
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FULL NIGHT POLYSOMNOGRAM > AGE 6	$3,494.95	$1,331.58	$488.77 – $1,391.37
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates AETNA — ALL PRODUCTS: $3,066.82 AETNA — MEDICARE ADVANTAGE: $488.77 AETNA — WORKERS COMP: $3,308.32 ANTHEM — ALL PRODUCTS: $1,971 ANTHEM — MEDICARE ADVANTAGE: $939.61 ANTHEM — PATHWAYS: $1,391.37 CIGNA — ALL PRODUCTS: $2,289.89 CONNECTICARE — ALL PRODUCTS: $1,950 CORVEL — WORKERS COMP: $3,320.20 OXFORD — ALL PRODUCTS: $2,665.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FULL NIGHT POLYSOMNOGRAM > AGE 6	$3,494.95	$1,331.58	$1,852.32 – $3,372.63
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $2,286.75 CORVEL — WORKERS COMP: $3,372.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAM < 6 HRS > AGE 6	$2,621.20	$998.68	$655.30 – $2,529.46
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $1,715.05 CORVEL — WORKERS COMP: $2,529.46

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: DKH-THERAPEUTIC EX PER 15 MIN	$96.50	$36.77	$17.91 – $175
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans AETNA — ALL PRODUCTS: $84.68 AETNA — MEDICARE ADVANTAGE: $17.91 AETNA — WORKERS COMP: $91.35 ANTHEM — ALL PRODUCTS: $77.06 CIGNA — ALL PRODUCTS: $63.23 CONNECTICARE — ALL PRODUCTS: $175 CORVEL — WORKERS COMP: $91.68 OXFORD — ALL PRODUCTS: $73.61 UHC — ALL PRODUCTS: $72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH- CPM SET UP	$96.50	$36.77	$17.91 – $175
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans AETNA — ALL PRODUCTS: $84.68 AETNA — MEDICARE ADVANTAGE: $17.91 AETNA — WORKERS COMP: $91.35 ANTHEM — ALL PRODUCTS: $77.06 CIGNA — ALL PRODUCTS: $63.23 CONNECTICARE — ALL PRODUCTS: $175 CORVEL — WORKERS COMP: $91.68 OXFORD — ALL PRODUCTS: $73.61 UHC — ALL PRODUCTS: $72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTA THERAPEUTIC EX EA 15 MIN DKH	$96.50	$36.77	$17.91 – $175
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans AETNA — ALL PRODUCTS: $84.68 AETNA — MEDICARE ADVANTAGE: $17.91 AETNA — WORKERS COMP: $91.35 ANTHEM — ALL PRODUCTS: $77.06 CIGNA — ALL PRODUCTS: $63.23 CONNECTICARE — ALL PRODUCTS: $175 CORVEL — WORKERS COMP: $91.68 OXFORD — ALL PRODUCTS: $73.61 UHC — ALL PRODUCTS: $72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH-PT EVAL LOW CPLX 20 MIN (PROC)	$265.85	$101.29	$45.79 – $175
Physical therapy evaluation (low complexity): rates for 9 insurance plans AETNA — ALL PRODUCTS: $233.28 AETNA — MEDICARE ADVANTAGE: $45.79 AETNA — WORKERS COMP: $251.65 ANTHEM — ALL PRODUCTS: $212.28 CIGNA — ALL PRODUCTS: $174.18 CONNECTICARE — ALL PRODUCTS: $175 CORVEL — WORKERS COMP: $252.56 OXFORD — ALL PRODUCTS: $202.79 UHC — ALL PRODUCTS: $72
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW CPLX 20 MIN (PROC) DLS	$265.85	$101.29	$66.46 – $256.55
Physical therapy evaluation (low complexity): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $173.95 CORVEL — WORKERS COMP: $256.55
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW CPLX 20 MIN (PROC) PLF	$265.85	$101.29	$66.46 – $256.55
Physical therapy evaluation (low complexity): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $173.95 CORVEL — WORKERS COMP: $256.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH-PT EVAL MOD CPLX 30 MIN (PROC)	$265.85	$101.29	$45.79 – $175
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans AETNA — ALL PRODUCTS: $233.28 AETNA — MEDICARE ADVANTAGE: $45.79 AETNA — WORKERS COMP: $251.65 ANTHEM — ALL PRODUCTS: $212.28 CIGNA — ALL PRODUCTS: $174.18 CONNECTICARE — ALL PRODUCTS: $175 CORVEL — WORKERS COMP: $252.56 OXFORD — ALL PRODUCTS: $202.79 UHC — ALL PRODUCTS: $72
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD CPLX 30 MIN (PROC) DLS	$265.85	$101.29	$66.46 – $256.55
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $173.95 CORVEL — WORKERS COMP: $256.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD CPLX 30 MIN (PROC) PLF	$265.85	$101.29	$66.46 – $256.55
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $173.95 CORVEL — WORKERS COMP: $256.55
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DKH-PT EVAL HIGH CPLX 45 MIN (PROC)	$265.85	$101.29	$45.79 – $175
Physical therapy evaluation (high complexity): rates for 9 insurance plans AETNA — ALL PRODUCTS: $233.28 AETNA — MEDICARE ADVANTAGE: $45.79 AETNA — WORKERS COMP: $251.65 ANTHEM — ALL PRODUCTS: $212.28 CIGNA — ALL PRODUCTS: $174.18 CONNECTICARE — ALL PRODUCTS: $175 CORVEL — WORKERS COMP: $252.56 OXFORD — ALL PRODUCTS: $202.79 UHC — ALL PRODUCTS: $72
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH CPLX 45 MIN PROC DLS	$265.85	$101.29	$66.46 – $256.55
Physical therapy evaluation (high complexity): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $173.95 CORVEL — WORKERS COMP: $256.55
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH CPLX 45 MIN (PROC) PLF	$265.85	$101.29	$66.46 – $256.55
Physical therapy evaluation (high complexity): rates for 2 insurance plans CIGNA — ALL PRODUCTS: $173.95 CORVEL — WORKERS COMP: $256.55
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PSYCHOTHERAPY 16-37 MINS	$356.25	$135.73	$47.10 – $202.35
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $312.61 AETNA — MEDICARE ADVANTAGE: $67.44 AETNA — WORKERS COMP: $337.23 ANTHEM — ALL PRODUCTS: $151 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $233.42 CIGNA — BEHAVIORAL HEALTH: $47.10 CORVEL — WORKERS COMP: $338.44 OXFORD — ALL PRODUCTS: $271.75
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 30 MIN	$356.25	$135.73	$233.09 – $343.78
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $312.61 AETNA — MEDICARE ADVANTAGE: $67.44 AETNA — WORKERS COMP: $337.23 ANTHEM — ALL PRODUCTS: $151 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $233.42 CIGNA — BEHAVIORAL HEALTH: $47.10 CORVEL — WORKERS COMP: $338.44 OXFORD — ALL PRODUCTS: $271.75
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED PSYCHOTHERAPY 16-37 MINS	$356.25	$135.73	$233.09 – $343.78
Psychotherapy, 30 minutes: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $233.09 CORVEL — WORKERS COMP: $343.78
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY 45 MIN	$481.25	$183.36	$68 – $274
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $422.30 AETNA — MEDICARE ADVANTAGE: $90 AETNA — WORKERS COMP: $455.55 ANTHEM — ALL PRODUCTS: $274 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $315.32 CIGNA — BEHAVIORAL HEALTH: $68 CORVEL — WORKERS COMP: $457.19 OXFORD — ALL PRODUCTS: $367.10
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PSYCHOTHERAPY 38-52 MINS	$481.25	$183.36	$68 – $274
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $422.30 AETNA — MEDICARE ADVANTAGE: $90 AETNA — WORKERS COMP: $455.55 ANTHEM — ALL PRODUCTS: $274 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $315.32 CIGNA — BEHAVIORAL HEALTH: $68 CORVEL — WORKERS COMP: $457.19 OXFORD — ALL PRODUCTS: $367.10
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIV THERAPY 45 MIN	$481.25	$183.36	$314.88 – $464.41
Psychotherapy, 45 minutes: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $314.88 CORVEL — WORKERS COMP: $464.41
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PSYCHOTHERAPY >53MINS	$575.35	$219.21	$74 – $264
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $504.87 AETNA — MEDICARE ADVANTAGE: $134.90 AETNA — WORKERS COMP: $544.63 ANTHEM — ALL PRODUCTS: $264 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $376.97 CIGNA — BEHAVIORAL HEALTH: $74 CORVEL — WORKERS COMP: $546.58 OXFORD — ALL PRODUCTS: $438.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL PSYCHOTHERAPY 60 MIN	$575.35	$219.21	$376.45 – $555.21
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $504.87 AETNA — MEDICARE ADVANTAGE: $134.90 AETNA — WORKERS COMP: $544.63 ANTHEM — ALL PRODUCTS: $264 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $376.97 CIGNA — BEHAVIORAL HEALTH: $74 CORVEL — WORKERS COMP: $546.58 OXFORD — ALL PRODUCTS: $438.88
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED PSYCHOTHERAPY >53MINS	$575.35	$219.21	$376.45 – $555.21
Psychotherapy, 60 minutes: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $376.45 CORVEL — WORKERS COMP: $555.21
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT	$557.60	$212.45	$60.73 – $202.35
Family psychotherapy, without the patient: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $489.29 AETNA — MEDICARE ADVANTAGE: $108.59 AETNA — WORKERS COMP: $527.82 ANTHEM — ALL PRODUCTS: $445.24 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $365.34 CIGNA — BEHAVIORAL HEALTH: $60.73 CORVEL — WORKERS COMP: $529.72 OXFORD — ALL PRODUCTS: $425.34
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT	$557.60	$212.45	$364.84 – $538.08
Family psychotherapy, without the patient: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $364.84 CORVEL — WORKERS COMP: $538.08
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHLTH FAMILY PSYCHOTHERAPY WO PT	$557.60	$212.45	$139.40 – $538.08
Family psychotherapy, without the patient: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $364.84 CORVEL — WORKERS COMP: $538.08
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY	$564.55	$215.09	$75.76 – $202.35
Family psychotherapy, with the patient: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $495.39 AETNA — MEDICARE ADVANTAGE: $112.86 AETNA — WORKERS COMP: $534.40 ANTHEM — ALL PRODUCTS: $450.79 ANTHEM — MEDICARE ADVANTAGE: $136.65 ANTHEM — PATHWAYS: $202.35 CIGNA — ALL PRODUCTS: $369.89 CIGNA — BEHAVIORAL HEALTH: $75.76 CORVEL — WORKERS COMP: $536.32 OXFORD — ALL PRODUCTS: $430.64
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY THERAPY	$564.55	$215.09	$369.39 – $544.79
Family psychotherapy, with the patient: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $369.39 CORVEL — WORKERS COMP: $544.79
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHLTH FAMILY THERAPY	$564.55	$215.09	$141.14 – $544.79
Family psychotherapy, with the patient: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $369.39 CORVEL — WORKERS COMP: $544.79
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY	$232.95	$88.75	$30 – $123
Group psychotherapy: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $204.41 AETNA — MEDICARE ADVANTAGE: $45 AETNA — WORKERS COMP: $220.51 ANTHEM — ALL PRODUCTS: $123 ANTHEM — MEDICARE ADVANTAGE: $76.42 ANTHEM — PATHWAYS: $113.16 CIGNA — ALL PRODUCTS: $152.63 CIGNA — BEHAVIORAL HEALTH: $30 CORVEL — WORKERS COMP: $221.30 OXFORD — ALL PRODUCTS: $177.69
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY	$232.95	$88.75	$152.42 – $224.80
Group psychotherapy: rates for 2 insurance plans CIGNA — ALL PRODUCTS: $152.42 CORVEL — WORKERS COMP: $224.80
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$45
Group psychotherapy: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $45

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$2,958 – $4,693.88
Removal of breast growth (open surgery): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $4,693.88 ANTHEM — MEDICARE ADVANTAGE: $3,225 ANTHEM — PATHWAYS: $4,775.58 CONNECTICARE — ALL PRODUCTS: $2,958 WELLCARE — MEDICARE ADVANTAGE: $3,321.75
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$356.36
Removal of breast growth (open surgery): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $356.36
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,117 – $15,391.21
Total hip replacement: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $15,391.21 ANTHEM — MEDICARE ADVANTAGE: $12,593.29 ANTHEM — PATHWAYS: $18,648.14 CONNECTICARE — ALL PRODUCTS: $10,046 WELLCARE — MEDICARE ADVANTAGE: $12,971.09
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,390.19
Total hip replacement: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $1,390.19
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,117 – $15,391.21
Total knee replacement: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $15,391.21 ANTHEM — MEDICARE ADVANTAGE: $12,593.29 ANTHEM — PATHWAYS: $18,648.14 CONNECTICARE — ALL PRODUCTS: $10,046 WELLCARE — MEDICARE ADVANTAGE: $12,971.09
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,484.03
Total knee replacement: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $1,484.03
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1,000
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan CONNECTICARE — ALL PRODUCTS: $1,000
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$170.33
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $170.33
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$2,979.05 – $5,070
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $3,922.52 ANTHEM — MEDICARE ADVANTAGE: $2,892.28 ANTHEM — PATHWAYS: $4,282.89 CONNECTICARE — ALL PRODUCTS: $5,070 WELLCARE — MEDICARE ADVANTAGE: $2,979.05
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$521.57
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $521.57
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$2,958 – $7,096.78
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $7,096.78 ANTHEM — MEDICARE ADVANTAGE: $5,194.27 ANTHEM — PATHWAYS: $7,691.68 CONNECTICARE — ALL PRODUCTS: $3,928 WELLCARE — MEDICARE ADVANTAGE: $5,350.10
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$269.60
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $269.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$851.18 – $2,434
Upper GI endoscopy (diagnostic): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $1,087.31 ANTHEM — MEDICARE ADVANTAGE: $826.39 ANTHEM — PATHWAYS: $1,223.72 CONNECTICARE — ALL PRODUCTS: $1,272 WELLCARE — MEDICARE ADVANTAGE: $851.18
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$135.31
Upper GI endoscopy (diagnostic): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $135.31
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$851.18 – $2,434
Upper GI endoscopy with biopsy: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $1,087.31 ANTHEM — MEDICARE ADVANTAGE: $826.39 ANTHEM — PATHWAYS: $1,223.72 CONNECTICARE — ALL PRODUCTS: $1,272 WELLCARE — MEDICARE ADVANTAGE: $851.18
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$159.53
Upper GI endoscopy with biopsy: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $159.53
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$834.79 – $2,434
Colonoscopy (diagnostic): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $1,114.85 ANTHEM — MEDICARE ADVANTAGE: $810.48 ANTHEM — PATHWAYS: $1,200.16 CONNECTICARE — ALL PRODUCTS: $2,434 WELLCARE — MEDICARE ADVANTAGE: $834.79
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$202.24
Colonoscopy (diagnostic): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $202.24
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$59.28
Colonoscopy (diagnostic): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $59.28
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,090.83 – $2,434
Colonoscopy with biopsy: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $1,434.55 ANTHEM — MEDICARE ADVANTAGE: $1,059.06 ANTHEM — PATHWAYS: $1,568.26 CONNECTICARE — ALL PRODUCTS: $2,434 WELLCARE — MEDICARE ADVANTAGE: $1,090.83
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$240.98
Colonoscopy with biopsy: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $240.98
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,090.83 – $2,434
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $1,434.55 ANTHEM — MEDICARE ADVANTAGE: $1,059.06 ANTHEM — PATHWAYS: $1,568.26 CONNECTICARE — ALL PRODUCTS: $2,434 WELLCARE — MEDICARE ADVANTAGE: $1,090.83
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$286.03
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $286.03
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,090.83 – $1,434.55
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $1,434.55 ANTHEM — MEDICARE ADVANTAGE: $1,059.06 ANTHEM — PATHWAYS: $1,568.26 WELLCARE — MEDICARE ADVANTAGE: $1,090.83
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$274.42
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $274.42
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$834.79 – $1,114.85
Screening colonoscopy (not high risk): rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $1,114.85 ANTHEM — MEDICARE ADVANTAGE: $810.48 ANTHEM — PATHWAYS: $1,200.16 CONNECTICARE — ALL PRODUCTS: $1,065 WELLCARE — MEDICARE ADVANTAGE: $834.79
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$219.82
Screening colonoscopy (not high risk): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $219.82
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$64.43
Screening colonoscopy (not high risk): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $64.43
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$3,054 – $9,454
Gallbladder removal by laparoscope: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $7,247.47 ANTHEM — MEDICARE ADVANTAGE: $5,167.69 ANTHEM — PATHWAYS: $7,652.32 CONNECTICARE — ALL PRODUCTS: $3,054 WELLCARE — MEDICARE ADVANTAGE: $5,322.72
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$611.10
Gallbladder removal by laparoscope: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $611.10
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,990 – $5,070
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $4,292.24 ANTHEM — MEDICARE ADVANTAGE: $3,249.35 ANTHEM — PATHWAYS: $4,811.64 CONNECTICARE — ALL PRODUCTS: $5,070 WELLCARE — MEDICARE ADVANTAGE: $3,346.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$482.75
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $482.75
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,828.65 – $2,707.86
Prostate biopsy: rates for 4 insurance plans ANTHEM — MEDICARE ADVANTAGE: $1,828.65 ANTHEM — PATHWAYS: $2,707.86 CONNECTICARE — ALL PRODUCTS: $2,434 WELLCARE — MEDICARE ADVANTAGE: $1,883.51
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$136.28
Prostate biopsy: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $136.28
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$9,369.35 – $12,743.21
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $12,743.21 ANTHEM — MEDICARE ADVANTAGE: $9,096.46 ANTHEM — PATHWAYS: $13,470.04 WELLCARE — MEDICARE ADVANTAGE: $9,369.35
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,694.24
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $1,694.24
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$2,759.95 – $3,928
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $3,880.72 ANTHEM — MEDICARE ADVANTAGE: $2,679.56 ANTHEM — PATHWAYS: $3,967.89 CONNECTICARE — ALL PRODUCTS: $2,958 WELLCARE — MEDICARE ADVANTAGE: $2,759.95
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$353.16
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $353.16
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$667.98 – $846.22
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $846.22 ANTHEM — MEDICARE ADVANTAGE: $648.52 ANTHEM — PATHWAYS: $960.33 WELLCARE — MEDICARE ADVANTAGE: $667.98
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$91.99
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $91.99
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$865.95 – $1,060.32
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $1,060.32 ANTHEM — MEDICARE ADVANTAGE: $840.73 ANTHEM — PATHWAYS: $1,244.95 WELLCARE — MEDICARE ADVANTAGE: $865.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$147.34
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $147.34
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,847.11 – $3,928
Carpal tunnel release: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $2,340.96 ANTHEM — MEDICARE ADVANTAGE: $1,793.31 ANTHEM — PATHWAYS: $2,655.53 CONNECTICARE — ALL PRODUCTS: $3,928 WELLCARE — MEDICARE ADVANTAGE: $1,847.11
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$386.38
Carpal tunnel release: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $386.38
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$529.40 – $659.35
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $659.35 ANTHEM — MEDICARE ADVANTAGE: $513.98 ANTHEM — PATHWAYS: $761.10 WELLCARE — MEDICARE ADVANTAGE: $529.40
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$287.25
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $287.25
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,184.49 – $3,928
Cataract removal with lens implant: rates for 5 insurance plans AETNA — MEDICARE ADVANTAGE: $2,766.65 ANTHEM — MEDICARE ADVANTAGE: $2,120.86 ANTHEM — PATHWAYS: $3,140.57 CONNECTICARE — ALL PRODUCTS: $3,928 WELLCARE — MEDICARE ADVANTAGE: $2,184.49
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$595.64
Cataract removal with lens implant: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $595.64

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,900
Vaginal delivery, with care before and after: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $1,900
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,900
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $1,900
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 00 In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,060
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan AETNA — MEDICARE ADVANTAGE: $2,060

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$89,334.58 – $92,014.62
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 8 insurance plans AETNA — MEDICARE ADVANTAGE: $89,334.58 ANTHEM — MEDICARE ADVANTAGE: $89,334.58 ANTHEM — PATHWAYS: $89,334.58 WELLCARE — MEDICARE ADVANTAGE: $92,014.62 AETNA — ALL PRODUCTS: 87.75% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 65.43% (a percentage in the contract, not a dollar amount) CORVEL — WORKERS COMP: 96.5% (a percentage in the contract, not a dollar amount) OXFORD — ALL PRODUCTS: 76.28% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$18,045.86 – $18,587.24
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans AETNA — MEDICARE ADVANTAGE: $18,045.86 ANTHEM — MEDICARE ADVANTAGE: $18,045.86 ANTHEM — PATHWAYS: $18,045.86 WELLCARE — MEDICARE ADVANTAGE: $18,587.24
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans AETNA — ALL PRODUCTS: 87.75% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 65.43% (a percentage in the contract, not a dollar amount) CORVEL — WORKERS COMP: 96.5% (a percentage in the contract, not a dollar amount) OXFORD — ALL PRODUCTS: 76.28% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$22,696.84 – $23,377.75
Neck (cervical) spinal fusion, without complications: rates for 8 insurance plans AETNA — MEDICARE ADVANTAGE: $22,696.84 ANTHEM — MEDICARE ADVANTAGE: $22,696.84 ANTHEM — PATHWAYS: $22,696.84 WELLCARE — MEDICARE ADVANTAGE: $23,377.75 AETNA — ALL PRODUCTS: 87.75% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 65.43% (a percentage in the contract, not a dollar amount) CORVEL — WORKERS COMP: 96.5% (a percentage in the contract, not a dollar amount) OXFORD — ALL PRODUCTS: 76.28% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,799.17 – $12,153.15
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans AETNA — MEDICARE ADVANTAGE: $11,799.17 ANTHEM — MEDICARE ADVANTAGE: $11,799.17 ANTHEM — PATHWAYS: $11,799.17 WELLCARE — MEDICARE ADVANTAGE: $12,153.15 AETNA — ALL PRODUCTS: 87.75% (a percentage in the contract, not a dollar amount) CIGNA — ALL PRODUCTS: 65.43% (a percentage in the contract, not a dollar amount) CORVEL — WORKERS COMP: 96.5% (a percentage in the contract, not a dollar amount) OXFORD — ALL PRODUCTS: 76.28% (a percentage in the contract, not a dollar amount)

Source: Day Kimball Hospital’s standard charges file (daykimball.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	320 Pomfret Street, Putnam, CT 06260
County	Windham County
State	Connecticut
Phone	(860) 928‑6541
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	070003
Name in Medicare records	DAY KIMBALL HOSPITAL
Profile level	Medicare data + hospital website
Official website	daykimball.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Day Kimball Hospital — daykimball.org
Interpreter Services — daykimball.org
Emergency Medical Services Near Me | CT Emergency Room — daykimball.org
Inpatient Unit | Medical, Surgical, and Pediatric Inpatient Unit — daykimball.org
Behavioral Health Inpatient Unit | Mental Hospital Near Me | CT — daykimball.org
Hospital Birthing Center | DKH Burdick Family Birthing Center — daykimball.org
Cancer Center | Day Kimball Hematology and Oncology Center — daykimball.org
Visiting Hours & Information | Day Kimball Hospital - Putnam, Connecticut — daykimball.org
Diagnostic Imaging Center | DKH Diagnostic Imaging Services — daykimball.org
Northeast Connecticut Surgical Center | Brousseau Surgical Suite — daykimball.org
Emergency Medicine — daykimball.org
Sleep Disorder Center | Sleep Medicine Doctors Near Me — daykimball.org
Pharmacy — daykimball.org
Ambulatory Care Unit (ACU) | Day Kimball Hospital Putnam CT — daykimball.org

Day Kimball Hospital

Summary

Profile from official sources

At a glance