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Critical Access Hospital

Doctors Memorial Hospital

Bonifay, Florida · Holmes County · Emergency services listed

  • 2600 Hospital Dr, Bonifay, FL 32425 · Directions
  • (850) 547‑1120
  • Emergency room: yes · per the hospital’s website · Median ER time 1 h 57 min (CMS)
  • Medicare overall rating: 2 of 5 stars
  • Hospital type: Critical Access Hospital · Ownership: Government - Hospital District or Authority

Doctors Memorial Hospital is a critical access hospital at 2600 Hospital Dr, Bonifay, FL 32425. Phone: (850) 547-1120. Its official website lists an emergency room. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

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

Summary

Doctors Memorial Hospital is a critical access hospital in Bonifay, Florida. Its official website lists an emergency room (Medicare data does not list emergency services). CMS overall star rating: 2 of 5 stars. Its official website lists 15 services, specialties and programs. Medicare lists 84 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
15Services listed

Quick answers

Does Doctors Memorial Hospital have an emergency room?
Yes. The hospital’s official website lists an emergency room at Doctors Memorial Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Doctors Memorial Hospital?
2600 Hospital Dr, Bonifay, FL 32425, in Holmes County, Florida.
What is the phone number of Doctors Memorial Hospital?
(850) 547-1120, as listed by Medicare (CMS).
What is the Medicare star rating of Doctors Memorial Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[4]

Treatments[4]

  • Infusion Therapy
  • Medical Weight Loss Program
  • Outpatient Physical Therapy
  • Outpatient Pulmonary Rehabilitation

Programs and centers[4]

  • Medical Weight Loss Program
  • Mobile Health Clinic

Emergency care (hospital website)[4]

Emergency roomYes

Doctors and clinicians (84)

84 doctors and other clinicians list Doctors Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (84)

And 60 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Bonifay

Hospitals in Holmes County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Doctors Memorial 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.

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: pneumonia patients20.5%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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)15.7%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD20.2%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: heart failure

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)117 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: the patient survey, infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Doctors Memorial 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 51 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PATIENT MODERATE SEV 30 $208 $93.60 $48.92 – $145.60
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna — Default: $145.60
  • Humana — Medicaid Replacement: $117.92
  • Humana — Medicare Advantage: $110.02
  • Medicare A FL JN — Default: $48.92
  • United Healthcare — Medicaid Replacement: $95.10
  • United Healthcare — Medicare Advantage: $115.32
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OV/OP NEW PT LEVEL 3 $258 $116.10 $60.68 – $180.60
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna — Default: $180.60
  • Humana — Medicaid Replacement: $117.92
  • Humana — Medicare Advantage: $65.74
  • Medicare A FL JN — Default: $60.68
  • United Healthcare — Medicaid Replacement: $95.10
  • United Healthcare — Medicare Advantage: $61.92
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: WC EM PROC NEW PT PT LEVEL 2 $774 $348.30 $182.04 – $541.80
New patient office visit (about 30–44 minutes): rates for 4 insurance plans
  • Aetna — Default: $541.80
  • Humana — Medicare Advantage: $197.22
  • Medicare A FL JN — Default: $182.04
  • United Healthcare — Medicare Advantage: $185.76
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PATIENT MOD/HIGH 45 MIN $242 $108.90 $56.92 – $177.89
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Aetna — Default: $169.40
  • Humana — Medicaid Replacement: $177.89
  • Humana — Medicare Advantage: $163.30
  • Medicare A FL JN — Default: $56.92
  • United Healthcare — Medicaid Replacement: $143.46
  • United Healthcare — Medicare Advantage: $174.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: WC EM PROC NEW PT PT LEVEL 4 $1,017 $457.65 $239.20 – $711.90
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Aetna — Default: $711.90
  • Humana — Medicare Advantage: $259.13
  • Medicare A FL JN — Default: $239.20
  • United Healthcare — Medicare Advantage: $244.08
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OV/OP NEW PT LEVEL 4 $287 $129.15 $67.50 – $200.90
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Aetna — Default: $200.90
  • Humana — Medicare Advantage: $73.13
  • Medicare A FL JN — Default: $67.50
  • United Healthcare — Medicare Advantage: $68.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PATIENT HIGH 45 MIN $256 $115.20 $60.21 – $237.52
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Aetna — Default: $179.20
  • Humana — Medicaid Replacement: $237.52
  • Humana — Medicare Advantage: $215.77
  • Medicare A FL JN — Default: $60.21
  • United Healthcare — Medicaid Replacement: $191.55
  • United Healthcare — Medicare Advantage: $233.35
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: WC EM PROC NEW PT LEVEL 5 $1,017 $457.65 $239.20 – $711.90
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Aetna — Default: $711.90
  • Humana — Medicare Advantage: $259.13
  • Medicare A FL JN — Default: $239.20
  • United Healthcare — Medicare Advantage: $244.08
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OV/OP NEW PT LEVEL 5 $315 $141.75 $74.09 – $220.50
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Aetna — Default: $220.50
  • Humana — Medicare Advantage: $80.26
  • Medicare A FL JN — Default: $74.09
  • United Healthcare — Medicare Advantage: $75.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE VISIT EST PATIENT MOD PROB 15 MIN $137 $61.65 $32.22 – $95.90
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Default: $95.90
  • Humana — Medicaid Replacement: $44.22
  • Humana — Medicare Advantage: $87.95
  • Medicare A FL JN — Default: $32.22
  • United Healthcare — Medicaid Replacement: $35.66
  • United Healthcare — Medicare Advantage: $92.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OV/OP EST PT LEVEL 3 $200 $90 $47.04 – $140
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Default: $140
  • Humana — Medicaid Replacement: $44.22
  • Humana — Medicare Advantage: $50.96
  • Medicare A FL JN — Default: $47.04
  • United Healthcare — Medicaid Replacement: $35.66
  • United Healthcare — Medicare Advantage: $48
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: WC EM PROC EST PT LEVEL 3 $828 $372.60 $194.75 – $579.60
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans
  • Aetna — Default: $579.60
  • Humana — Medicare Advantage: $210.97
  • Medicare A FL JN — Default: $194.75
  • United Healthcare — Medicare Advantage: $198.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE VISIT EST PATIENT MOD/HIGH 25 MIN $208 $93.60 $48.92 – $145.60
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Aetna — Default: $145.60
  • Humana — Medicaid Replacement: $68.91
  • Humana — Medicare Advantage: $124.51
  • Medicare A FL JN — Default: $48.92
  • United Healthcare — Medicaid Replacement: $55.57
  • United Healthcare — Medicare Advantage: $132.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WC EM PROC EST PT LEVEL 4 $1,017 $457.65 $239.20 – $711.90
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • Aetna — Default: $711.90
  • Humana — Medicare Advantage: $259.13
  • Medicare A FL JN — Default: $239.20
  • United Healthcare — Medicare Advantage: $244.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: TELEHEALTH EST PATIENT Mod/HI 25 MIN #4 $70 $31.50 $16.46 – $49
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • Aetna — Default: $49
  • Humana — Medicare Advantage: $17.84
  • Medicare A FL JN — Default: $16.46
  • United Healthcare — Medicare Advantage: $16.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: CONSULT ER LEVEL 3 $239 $107.55 $56.21 – $167.30
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Aetna — Default: $167.30
  • Humana — Medicaid Replacement: $112.89
  • Humana — Medicare Advantage: $110.65
  • Medicare A FL JN — Default: $56.21
  • United Healthcare — Medicaid Replacement: $91.04
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: CONSULT OP LEVEL 3 $234 $105.30 $55.04 – $163.80
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Aetna — Default: $163.80
  • Humana — Medicaid Replacement: $112.89
  • Humana — Medicare Advantage: $110.65
  • Medicare A FL JN — Default: $55.04
  • United Healthcare — Medicaid Replacement: $91.04
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: CONSULT ER LEVEL 4 $239 $107.55 $56.21 – $167.30
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Aetna — Default: $167.30
  • Humana — Medicaid Replacement: $161.47
  • Humana — Medicare Advantage: $158.71
  • Medicare A FL JN — Default: $56.21
  • United Healthcare — Medicaid Replacement: $130.22
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: CONSULT OP LEVEL 4 $263 $118.35 $61.86 – $184.10
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Aetna — Default: $184.10
  • Humana — Medicaid Replacement: $161.47
  • Humana — Medicare Advantage: $158.71
  • Medicare A FL JN — Default: $61.86
  • United Healthcare — Medicaid Replacement: $130.22
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREVENTIVE MEDICINE NEW PT AGE 18-39 $245 $110.25 $57.62 – $171.50
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Aetna — Default: $171.50
  • Humana — Medicaid Replacement: $134.95
  • Humana — Medicare Advantage: $125.42
  • Medicare A FL JN — Default: $57.62
  • United Healthcare — Medicaid Replacement: $108.83
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LOW/MOD COMPLEXIT $445 $200.25 $56.19 – $311.50
Emergency room visit (moderate): rates for 6 insurance plans
  • Aetna — Default: $311.50
  • Humana — Medicaid Replacement: $69.68
  • Humana — Medicare Advantage: $72.74
  • Medicare A FL JN — Default: $104.66
  • United Healthcare — Medicaid Replacement: $56.19
  • United Healthcare — Medicare Advantage: $70.97
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: ER FAC LEVEL 3,E/M SERVICE $315 $141.75 $74.09 – $151.52
Emergency room visit (moderate): rates for 4 insurance plans
  • Aetna — Default: $151.52
  • Humana — Medicare Advantage: $80.26
  • Medicare A FL JN — Default: $74.09
  • United Healthcare — Medicare Advantage: $75.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER MODERATE COMPLEXI $857 $385.65 $95.64 – $599.90
Emergency room visit (moderately high): rates for 6 insurance plans
  • Aetna — Default: $599.90
  • Humana — Medicaid Replacement: $118.59
  • Humana — Medicare Advantage: $121.79
  • Medicare A FL JN — Default: $201.57
  • United Healthcare — Medicaid Replacement: $95.64
  • United Healthcare — Medicare Advantage: $120.99
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: ER LEVEL 4,E/M SERVICE $444 $199.80 $104.43 – $213.56
Emergency room visit (moderately high): rates for 4 insurance plans
  • Aetna — Default: $213.56
  • Humana — Medicare Advantage: $113.13
  • Medicare A FL JN — Default: $104.43
  • United Healthcare — Medicare Advantage: $106.56
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER HIGH COMPLEXITY $1,262 $567.90 $138.59 – $883.40
Emergency room visit (high): rates for 6 insurance plans
  • Aetna — Default: $883.40
  • Humana — Medicaid Replacement: $171.85
  • Humana — Medicare Advantage: $177.73
  • Medicare A FL JN — Default: $296.82
  • United Healthcare — Medicaid Replacement: $138.59
  • United Healthcare — Medicare Advantage: $174.89
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: ER FAC LEVEL 5,E/M SERVICE $569 $256.05 $133.83 – $273.69
Emergency room visit (high): rates for 4 insurance plans
  • Aetna — Default: $273.69
  • Humana — Medicare Advantage: $144.98
  • Medicare A FL JN — Default: $133.83
  • United Healthcare — Medicare Advantage: $136.56

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC META PANEL $134 $60.30 $31.52 – $93.80
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Default: $93.80
  • Humana — Medicare Advantage: $34.14
  • Medicare A FL JN — Default: $31.52
  • United Healthcare — Medicare Advantage: $32.16
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: ISTAT BMP $134 $60.30 $31.52 – $93.80
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Default: $93.80
  • Humana — Medicare Advantage: $34.14
  • Medicare A FL JN — Default: $31.52
  • United Healthcare — Medicare Advantage: $32.16
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP META PANEL $184 $82.80 $43.28 – $128.80
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Default: $128.80
  • Humana — Medicare Advantage: $46.88
  • Medicare A FL JN — Default: $43.28
  • United Healthcare — Medicare Advantage: $44.16
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP META PANEL (CANINE) $184 $82.80 $43.28 – $128.80
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Default: $128.80
  • Humana — Medicare Advantage: $46.88
  • Medicare A FL JN — Default: $43.28
  • United Healthcare — Medicare Advantage: $44.16
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP META PANEL (EQUINE) $184 $82.80 $43.28 – $128.80
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Default: $128.80
  • Humana — Medicare Advantage: $46.88
  • Medicare A FL JN — Default: $43.28
  • United Healthcare — Medicare Advantage: $44.16
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PROFILE $278 $125.10 $65.39 – $194.60
Obstetric blood test panel: rates for 4 insurance plans
  • Aetna — Default: $194.60
  • Humana — Medicare Advantage: $70.83
  • Medicare A FL JN — Default: $65.39
  • United Healthcare — Medicare Advantage: $66.72
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE $98 $44.10 $23.05 – $68.60
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Aetna — Default: $68.60
  • Humana — Medicare Advantage: $24.97
  • Medicare A FL JN — Default: $23.05
  • United Healthcare — Medicare Advantage: $23.52
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $150 $67.50 $35.28 – $105
Kidney function panel: rates for 4 insurance plans
  • Aetna — Default: $105
  • Humana — Medicare Advantage: $38.22
  • Medicare A FL JN — Default: $35.28
  • United Healthcare — Medicare Advantage: $36
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCT PANEL $110 $49.50 $25.87 – $77
Liver function panel: rates for 4 insurance plans
  • Aetna — Default: $77
  • Humana — Medicare Advantage: $28.03
  • Medicare A FL JN — Default: $25.87
  • United Healthcare — Medicare Advantage: $26.40
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINE DIPSTICK $46 $20.70 $10.82 – $32.20
Urine test (automated, with microscope): rates for 4 insurance plans
  • Aetna — Default: $32.20
  • Humana — Medicare Advantage: $11.72
  • Medicare A FL JN — Default: $10.82
  • United Healthcare — Medicare Advantage: $11.04
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS DIP STICK/TABLET REAGENT; NON $22 $9.90 $5.17 – $15.40
Urine test (manual, without microscope): rates for 4 insurance plans
  • Aetna — Default: $15.40
  • Humana — Medicare Advantage: $5.61
  • Medicare A FL JN — Default: $5.17
  • United Healthcare — Medicare Advantage: $5.28
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS $22 $9.90 $5.17 – $15.40
Urine test (automated, without microscope): rates for 4 insurance plans
  • Aetna — Default: $15.40
  • Humana — Medicare Advantage: $5.61
  • Medicare A FL JN — Default: $5.17
  • United Healthcare — Medicare Advantage: $5.28
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA $210 $94.50 $49.39 – $147
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • Aetna — Default: $147
  • Humana — Medicare Advantage: $53.51
  • Medicare A FL JN — Default: $49.39
  • United Healthcare — Medicare Advantage: $50.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH $64 $28.80 $15.05 – $44.80
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Aetna — Default: $44.80
  • Humana — Medicare Advantage: $16.31
  • Medicare A FL JN — Default: $15.05
  • United Healthcare — Medicare Advantage: $15.36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC AUTOMATED & DIFF $114 $51.30 $26.81 – $79.80
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Aetna — Default: $79.80
  • Humana — Medicare Advantage: $29.05
  • Medicare A FL JN — Default: $26.81
  • United Healthcare — Medicare Advantage: $27.36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC ER MDW WITH DIFFERENTIAL (ER ONLY) $184 $82.80 $43.28 – $128.80
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Aetna — Default: $128.80
  • Humana — Medicare Advantage: $46.88
  • Medicare A FL JN — Default: $43.28
  • United Healthcare — Medicare Advantage: $44.16
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC WITHOUT DIFF $56 $25.20 $13.17 – $39.20
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Aetna — Default: $39.20
  • Humana — Medicare Advantage: $14.27
  • Medicare A FL JN — Default: $13.17
  • United Healthcare — Medicare Advantage: $13.44
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC ER MDW PREMITOR (ER ONLY) W/O DIFF $215 $96.75 $50.57 – $150.50
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Aetna — Default: $150.50
  • Humana — Medicare Advantage: $54.78
  • Medicare A FL JN — Default: $50.57
  • United Healthcare — Medicare Advantage: $51.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $92 $41.40 $21.64 – $64.40
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • Aetna — Default: $64.40
  • Humana — Medicare Advantage: $23.44
  • Medicare A FL JN — Default: $21.64
  • United Healthcare — Medicare Advantage: $22.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: ISTAT PROTHROMBIN TIME $92 $41.40 $21.64 – $64.40
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • Aetna — Default: $64.40
  • Humana — Medicare Advantage: $23.44
  • Medicare A FL JN — Default: $21.64
  • United Healthcare — Medicare Advantage: $22.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT $113 $50.85 $26.58 – $79.10
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • Aetna — Default: $79.10
  • Humana — Medicare Advantage: $28.79
  • Medicare A FL JN — Default: $26.58
  • United Healthcare — Medicare Advantage: $27.12

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O $1,675 $753.75 $393.96 – $475
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Aetna — Default: $475
  • Humana — Medicare Advantage: $426.79
  • Medicare A FL JN — Default: $393.96
  • United Healthcare — Medicare Advantage: $402
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: PROFEE CT HEAD WITHOUT CONTRAST,PROFESSIONAL SERVICE $153 $68.85 $31.88 – $107.10
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Aetna — Default: $107.10
  • Humana — Medicaid Replacement: $39.53
  • Humana — Medicare Advantage: $39.84
  • Medicare A FL JN — Default: $35.99
  • United Healthcare — Medicaid Replacement: $31.88
  • United Healthcare — Medicare Advantage: $39.01
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN/STEM W/WO $2,673 $1,202.85 $500 – $681.08
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • Aetna — Default: $500
  • Humana — Medicare Advantage: $681.08
  • Medicare A FL JN — Default: $628.69
  • United Healthcare — Medicare Advantage: $641.52
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2V $209 $94.05 $49.16 – $146.30
Chest X-ray, 2 views: rates for 4 insurance plans
  • Aetna — Default: $146.30
  • Humana — Medicare Advantage: $53.25
  • Medicare A FL JN — Default: $49.16
  • United Healthcare — Medicare Advantage: $50.16
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: PROFEE XR CHEST 2V,PROFESSIONAL SERVICE $93 $41.85 $6.97 – $65.10
Chest X-ray, 2 views: rates for 6 insurance plans
  • Aetna — Default: $65.10
  • Humana — Medicaid Replacement: $8.64
  • Humana — Medicare Advantage: $10.29
  • Medicare A FL JN — Default: $21.87
  • United Healthcare — Medicaid Replacement: $6.97
  • United Healthcare — Medicare Advantage: $9.87
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR SPINE LUMBAR 5V $366 $164.70 $86.08 – $256.20
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • Aetna — Default: $256.20
  • Humana — Medicare Advantage: $93.26
  • Medicare A FL JN — Default: $86.08
  • United Healthcare — Medicare Advantage: $87.84
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: PROFEE XR SPINE LUMBAR 5V,PROFESSIONAL SERVICE $93 $41.85 $8.67 – $65.10
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Aetna — Default: $65.10
  • Humana — Medicaid Replacement: $10.75
  • Humana — Medicare Advantage: $12.24
  • Medicare A FL JN — Default: $21.87
  • United Healthcare — Medicaid Replacement: $8.67
  • United Healthcare — Medicare Advantage: $12.61
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINE LUMBAR WO $2,172 $977.40 $500 – $553.43
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • Aetna — Default: $500
  • Humana — Medicare Advantage: $553.43
  • Medicare A FL JN — Default: $510.85
  • United Healthcare — Medicare Advantage: $521.28
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH $2,062 $927.90 $475 – $525.40
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • Aetna — Default: $475
  • Humana — Medicare Advantage: $525.40
  • Medicare A FL JN — Default: $484.98
  • United Healthcare — Medicare Advantage: $494.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: PROFEE CT PELVIS WITH CONTRAST,PROFESSIONAL SERVICE $153 $68.85 $35.99 – $107.10
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Aetna — Default: $107.10
  • Humana — Medicaid Replacement: $49.59
  • Humana — Medicare Advantage: $54.53
  • Medicare A FL JN — Default: $35.99
  • United Healthcare — Medicaid Replacement: $39.99
  • United Healthcare — Medicare Advantage: $52.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI LOWER EXTREMITY JOINT RT,RIGHT $2,172 $977.40 $500 – $553.43
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Aetna — Default: $500
  • Humana — Medicare Advantage: $553.43
  • Medicare A FL JN — Default: $510.85
  • United Healthcare — Medicare Advantage: $521.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI LOWER EXTREMITY JOINT BIL,BILATERAL $4,343 $1,954.35 $500 – $1,106.60
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Aetna — Default: $500
  • Humana — Medicare Advantage: $1,106.60
  • Medicare A FL JN — Default: $1,021.47
  • United Healthcare — Medicare Advantage: $1,042.32
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI LOWER EXTREMITY JOINT LT,LEFT $2,172 $977.40 $500 – $553.43
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Aetna — Default: $500
  • Humana — Medicare Advantage: $553.43
  • Medicare A FL JN — Default: $510.85
  • United Healthcare — Medicare Advantage: $521.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN PELVIS WITH $4,163 $1,873.35 $475 – $1,060.73
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • Aetna — Default: $475
  • Humana — Medicare Advantage: $1,060.73
  • Medicare A FL JN — Default: $979.14
  • United Healthcare — Medicare Advantage: $999.12
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: PROFEE CT ABDOMEN PELVIS WITH,PROFESSIONAL SERVICE $153 $68.85 $35.99 – $107.10
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Aetna — Default: $107.10
  • Humana — Medicaid Replacement: $80.60
  • Humana — Medicare Advantage: $85.87
  • Medicare A FL JN — Default: $35.99
  • United Healthcare — Medicaid Replacement: $65
  • United Healthcare — Medicare Advantage: $83.06
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE $657 $295.65 $154.53 – $459.90
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • Aetna — Default: $459.90
  • Humana — Medicare Advantage: $167.40
  • Medicare A FL JN — Default: $154.53
  • United Healthcare — Medicare Advantage: $157.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB US >= 14 WEEKS $577 $259.65 $135.71 – $403.90
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Aetna — Default: $403.90
  • Humana — Medicare Advantage: $147.02
  • Medicare A FL JN — Default: $135.71
  • United Healthcare — Medicare Advantage: $138.48
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB COMPLETE $524 $235.80 $123.24 – $366.80
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Aetna — Default: $366.80
  • Humana — Medicare Advantage: $133.52
  • Medicare A FL JN — Default: $123.24
  • United Healthcare — Medicare Advantage: $125.76
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL NON-OB $707 $318.15 $166.29 – $494.90
Transvaginal ultrasound: rates for 4 insurance plans
  • Aetna — Default: $494.90
  • Humana — Medicare Advantage: $180.14
  • Medicare A FL JN — Default: $166.29
  • United Healthcare — Medicare Advantage: $169.68
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MAMMOGRAM DIAGNOSTIC RT W/CAD 2D,RIGHT $276 $124.20 $64.92 – $193.20
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Aetna — Default: $193.20
  • Humana — Medicare Advantage: $70.32
  • Medicare A FL JN — Default: $64.92
  • United Healthcare — Medicare Advantage: $66.24
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: 3D MAMMOGRAM DIAGNOSTIC LT W/CAD,LEFT $484 $217.80 $113.84 – $338.80
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Aetna — Default: $338.80
  • Humana — Medicare Advantage: $123.32
  • Medicare A FL JN — Default: $113.84
  • United Healthcare — Medicare Advantage: $116.16
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: 3D MAMMOGRAM DIAGNOSTIC RT W/CAD,RIGHT $484 $217.80 $113.84 – $338.80
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Aetna — Default: $338.80
  • Humana — Medicare Advantage: $123.32
  • Medicare A FL JN — Default: $113.84
  • United Healthcare — Medicare Advantage: $116.16
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMOGRAM DIAGNOSTIC B/L W/CAD 2D $484 $217.80 $113.84 – $338.80
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Default: $338.80
  • Humana — Medicare Advantage: $123.32
  • Medicare A FL JN — Default: $113.84
  • United Healthcare — Medicare Advantage: $116.16
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 50 In the file: MAMMOGRAM DIAGNOSTIC B/L W/CAD/CONTRAST,BILATERAL $484 $217.80 $113.84 – $338.80
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Default: $338.80
  • Humana — Medicare Advantage: $123.32
  • Medicare A FL JN — Default: $113.84
  • United Healthcare — Medicare Advantage: $116.16
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAM SCREENING B/L W/CAD $484 $217.80 $85.61 – $338.80
Screening mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Default: $338.80
  • Humana — Medicare Advantage: $85.61
  • Medicare A FL JN — Default: $85.61
  • United Healthcare — Medicare Advantage: $116.16
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO SCRN TOMOSYNTHESIS UNILATERAL 3D $413 $185.85 $85.61 – $289.10
Screening mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Default: $289.10
  • Humana — Medicare Advantage: $85.61
  • Medicare A FL JN — Default: $85.61
  • United Healthcare — Medicare Advantage: $99.12
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: MAMMOGRAM SCREENING UNILA W/CAD 2D,REDUCED $484 $217.80 $85.61 – $338.80
Screening mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Default: $338.80
  • Humana — Medicare Advantage: $85.61
  • Medicare A FL JN — Default: $85.61
  • United Healthcare — Medicare Advantage: $116.16

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT THERAPEUT PROC 15MIN,PHYSICAL THERAPY $134 $60.30 $31.52 – $93.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Aetna — Default: $93.80
  • Humana — Medicare Advantage: $34.14
  • Medicare A FL JN — Default: $31.52
  • United Healthcare — Medicare Advantage: $32.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT - GYM MAINTENANCE,PHYSICAL THERAPY $134 $60.30 $31.52 – $93.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Aetna — Default: $93.80
  • Humana — Medicare Advantage: $34.14
  • Medicare A FL JN — Default: $31.52
  • United Healthcare — Medicare Advantage: $32.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT THERAPEUTIC PROCEDUR,OCCUPATIONAL THERAPY $134 $60.30 $31.52 – $93.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Aetna — Default: $93.80
  • Humana — Medicare Advantage: $34.14
  • Medicare A FL JN — Default: $31.52
  • United Healthcare — Medicare Advantage: $32.16
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION EM LEVEL 1,PHYSICAL THERAPY $381 $171.45 $89.61 – $266.70
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Aetna — Default: $266.70
  • Humana — Medicare Advantage: $97.08
  • Medicare A FL JN — Default: $89.61
  • United Healthcare — Medicare Advantage: $91.44
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION MODERATE COMPLEXITY,PHYSICAL THERAPY $520 $234 $122.30 – $364
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Aetna — Default: $364
  • Humana — Medicare Advantage: $132.50
  • Medicare A FL JN — Default: $122.30
  • United Healthcare — Medicare Advantage: $124.80
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION HIGH COMPLEXITY,PHYSICAL THERAPY $657 $295.65 $154.53 – $459.90
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Aetna — Default: $459.90
  • Humana — Medicare Advantage: $167.40
  • Medicare A FL JN — Default: $154.53
  • United Healthcare — Medicare Advantage: $157.68

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PRO FEE EGD DIAGNOSTIC BRUSH WASH $159 $71.55 $37.40 – $159
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • Aetna — Default: $111.30
  • Humana — Medicaid Replacement: $159
  • Humana — Medicare Advantage: $155.82
  • Medicare A FL JN — Default: $37.40
  • United Healthcare — Medicaid Replacement: $159
  • United Healthcare — Medicare Advantage: $159
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD; DX W/WO SPECIMEN COLLECTION BRUSHIN $859 $386.55 $202.04 – $601.30
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • Aetna — Default: $601.30
  • Humana — Medicaid Replacement: $309.32
  • Humana — Medicare Advantage: $278.92
  • Medicare A FL JN — Default: $202.04
  • United Healthcare — Medicaid Replacement: $249.45
  • United Healthcare — Medicare Advantage: $309.52
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD SIMPLE $1,391 $625.95 $327.16 – $973.70
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Default: $973.70
  • Humana — Medicare Advantage: $354.43
  • Medicare A FL JN — Default: $327.16
  • United Healthcare — Medicare Advantage: $333.84
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PRO FEE EGD WITH BIOPSY $181 $81.45 $42.57 – $181
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • Aetna — Default: $126.70
  • Humana — Medicaid Replacement: $181
  • Humana — Medicare Advantage: $177.38
  • Medicare A FL JN — Default: $42.57
  • United Healthcare — Medicaid Replacement: $181
  • United Healthcare — Medicare Advantage: $181
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD; W/BX SINGLE/MULTIPLE $974 $438.30 $229.08 – $681.80
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • Aetna — Default: $681.80
  • Humana — Medicaid Replacement: $399.86
  • Humana — Medicare Advantage: $363.69
  • Medicare A FL JN — Default: $229.08
  • United Healthcare — Medicaid Replacement: $322.47
  • United Healthcare — Medicare Advantage: $400.60
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD WITH BIOPSY $1,391 $625.95 $327.16 – $973.70
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Default: $973.70
  • Humana — Medicare Advantage: $354.43
  • Medicare A FL JN — Default: $327.16
  • United Healthcare — Medicare Advantage: $333.84
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY DIAGNOSTIC INPATIENT $242 $108.90 $56.92 – $242
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Aetna — Default: $169.40
  • Humana — Medicaid Replacement: $242
  • Humana — Medicare Advantage: $237.16
  • Medicare A FL JN — Default: $56.92
  • United Healthcare — Medicaid Replacement: $242
  • United Healthcare — Medicare Advantage: $242
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY DIAGNOSTIC $242 $108.90 $56.92 – $242
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Aetna — Default: $169.40
  • Humana — Medicaid Replacement: $242
  • Humana — Medicare Advantage: $237.16
  • Medicare A FL JN — Default: $56.92
  • United Healthcare — Medicaid Replacement: $242
  • United Healthcare — Medicare Advantage: $242
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLEXIBLE DX W/COLLJ SPEC WHE $424 $190.80 $99.72 – $366.89
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Aetna — Default: $296.80
  • Humana — Medicaid Replacement: $366.89
  • Humana — Medicare Advantage: $331.72
  • Medicare A FL JN — Default: $99.72
  • United Healthcare — Medicaid Replacement: $295.88
  • United Healthcare — Medicare Advantage: $366.16
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MUL $460 $207 $108.19 – $460
Colonoscopy with biopsy: rates for 6 insurance plans
  • Aetna — Default: $322
  • Humana — Medicaid Replacement: $460
  • Humana — Medicare Advantage: $421.63
  • Medicare A FL JN — Default: $108.19
  • United Healthcare — Medicaid Replacement: $374.46
  • United Healthcare — Medicare Advantage: $460
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOS WITH BIOPSY $1,451 $652.95 $341.28 – $1,015.70
Colonoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Default: $1,015.70
  • Humana — Medicare Advantage: $369.71
  • Medicare A FL JN — Default: $341.28
  • United Healthcare — Medicare Advantage: $348.24
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY WITH BIOPSY $260 $117 $61.15 – $182
Colonoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Default: $182
  • Humana — Medicare Advantage: $66.25
  • Medicare A FL JN — Default: $61.15
  • United Healthcare — Medicare Advantage: $62.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY WITH POLYPECTOMY $331 $148.95 $77.85 – $331
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • Aetna — Default: $231.70
  • Humana — Medicaid Replacement: $331
  • Humana — Medicare Advantage: $324.38
  • Medicare A FL JN — Default: $77.85
  • United Healthcare — Medicaid Replacement: $331
  • United Healthcare — Medicare Advantage: $331
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY FLEXIBLE W/RMVL OF TUMOR POL $583 $262.35 $137.12 – $487.52
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • Aetna — Default: $408.10
  • Humana — Medicaid Replacement: $487.52
  • Humana — Medicare Advantage: $443.30
  • Medicare A FL JN — Default: $137.12
  • United Healthcare — Medicaid Replacement: $393.16
  • United Healthcare — Medicare Advantage: $484
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY RM POLYP, TUMOR, LESION (S) $1,451 $652.95 $341.28 – $1,015.70
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • Aetna — Default: $1,015.70
  • Humana — Medicare Advantage: $369.71
  • Medicare A FL JN — Default: $341.28
  • United Healthcare — Medicare Advantage: $348.24
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLONOSCOPY SCRN $1,451 $652.95 $341.28 – $1,015.70
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Default: $1,015.70
  • Humana — Medicare Advantage: $369.71
  • Medicare A FL JN — Default: $341.28
  • United Healthcare — Medicare Advantage: $348.24
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY SCREENING $242 $108.90 $56.92 – $242
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Default: $169.40
  • Humana — Medicare Advantage: $237.16
  • Medicare A FL JN — Default: $56.92
  • United Healthcare — Medicare Advantage: $242
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND $425 $191.25 $99.96 – $297.50
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Default: $297.50
  • Humana — Medicare Advantage: $108.29
  • Medicare A FL JN — Default: $99.96
  • United Healthcare — Medicare Advantage: $102
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: PRO FEE LAPAROSCOPY CHOLECYSTECOMY $910 $409.50 $214.03 – $681.15
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Aetna — Default: $637
  • Humana — Medicaid Replacement: $633.83
  • Humana — Medicare Advantage: $681.15
  • Medicare A FL JN — Default: $214.03
  • United Healthcare — Medicaid Replacement: $511.15
  • United Healthcare — Medicare Advantage: $654.57

Source: Doctors Memorial Hospital’s standard charges file (doctorsmemorial.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 11, 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 typeCritical Access Hospital
Address2600 Hospital Dr, Bonifay, FL 32425
CountyHolmes County
StateFlorida
Phone(850) 547‑1120
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
CMS Certification Number101307
Name in Medicare recordsDOCTORS MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(850) 547‑8000[4]
Official websitedoctorsmemorial.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Doctors Memorial Hospital — doctorsmemorial.org