Does Duke Health Lake Norman Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Duke Health Lake Norman Hospital. In a medical emergency, call 911.

Where is Duke Health Lake Norman Hospital?

171 Fairview Road, Mooresville, NC 28117, in Iredell County, North Carolina.

What is the phone number of Duke Health Lake Norman Hospital?

(704) 660-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Duke Health Lake Norman Hospital?

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

Duke Health Lake Norman Hospital

Quick answers

Does Duke Health Lake Norman Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Duke Health Lake Norman Hospital. In a medical emergency, call 911.
Where is Duke Health Lake Norman Hospital?: 171 Fairview Road, Mooresville, NC 28117, in Iredell County, North Carolina.
What is the phone number of Duke Health Lake Norman Hospital?: (704) 660-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Duke Health Lake Norman Hospital?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][9]

Bariatric Surgery
Cardiology
Emergency Services
Maternity Care
Neurology
Orthopaedics
Primary Care
Rehabilitation
Stroke Care
Surgery
Women's Health
Wound Care
Bariatric weight loss
Critical care medicine
Diagnostic imaging
Gastroenterology
Wellness services

Treatments^[8]

Epidural anesthesia for labor
Nitrous oxide for labor pain

Procedures^[8]

Cesarean birth

Programs and centers^[8]

The Stork's Landing Maternity Center

Emergency care (hospital website)^[4][5][6][7]

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

Visiting and practical information

Visiting	Visitation hours are 8:00 am to 9:00 pm daily^[10]
Parking	Free, convenient parking is available^[7]
Interpreters and languages	Free interpreter services available for patients who prefer a language other than English^[7]

Recognition^[5]

The Joint Commission's Gold Seal of Approval
American College of Cardiology Accredited Chest Pain Center

Doctors and clinicians (256)

256 doctors and other clinicians list Duke Health Lake Norman 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 (256)

Aaron T. Wild, MDRadiation Oncology
Abel H. Gimisso, MDHospitalist
Ahmed Elnaggar, MDPulmonary Disease
Aileen Deng, MDInternal Medicine
Ajay A. Madhavan, MDDiagnostic Radiology
Alex M. Schaeffer, DPMPodiatry
Alexander P. Treide, CNACertified Registered Nurse Anesthetist (CRNA)
Alexander W. Chasnis, MDInterventional Pain Management
Allin Vesa, MDEmergency Medicine
Amanda H. Bailey, DOFamily Practice
Amanda N. Fletcher, MDOrthopedic Surgery
Amanda R. GalluppiPhysician Assistant
Amber Hicks-Thibodeau, MDFamily Practice
Amber J. Callison, CNACertified Registered Nurse Anesthetist (CRNA)
Amber T. Regalado, NPNurse Practitioner
Ami M. Caban, PAPhysician Assistant
Amy A. BushNurse Practitioner
Amy Giesey, CNACertified Registered Nurse Anesthetist (CRNA)
An-Kwok I. Wong, MDPulmonary Disease
Anand S. Lagoo, MDPathology
Andrea G. Volk, PAPhysician Assistant
Andrea U. Putnam, NPNurse Practitioner
Andrew F. Gross, MDNeurosurgery
Anna L. Claugus, MDFamily Practice

And 232 more: the button below opens the full list.

Other emergency rooms nearby

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

Novant Health Huntersville Medical Center12 mi · Huntersville, NC · Acute Care Hospital
Iredell Davis Behavioral Health Hospital16 mi · Statesville, NC · Psychiatric Hospital
Iredell Memorial Hospital Inc16 mi · Statesville, NC · Acute Care Hospital
Atrium Health Lincoln18 mi · Lincolnton, NC · Acute Care Hospital
Carolinas Medical Center-Northeast19 mi · Concord, NC · Acute Care Hospital

Other hospitals nearby

Atrium Health University City20 mi · Charlotte, NC · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Glenwood Health & Rehabilitation4.9 mi · Mooresville, NC · 1 of 5 stars
Crestview Health & Rehabilitation5.4 mi · Mooresville, NC · 2 of 5 stars
Autumn Care of Cornelius7.4 mi · Cornelius, NC · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice and Palliative Care of Cabarrus County14 mi · Kannapolis, NC · 5 of 5 stars
Carolina Caring20 mi · Newton, NC · 4 of 5 stars
Bayada Home Health Care, Inc20 mi · Salisbury, NC

All hospice providers in the state →

Home health agencies

Lake Norman Home Health0.0 mi · Mooresville, NC · 3 of 5 stars
Bayada Home Health Care Inc17 mi · Concord, NC
Centerwell Home Health17 mi · Charlotte, NC

All home health agencies in the state →

Dialysis facilities

Lake Norman Dialysis Center0.0 mi · Mooresville, NC · 4 of 5 stars
DaVita Huntersville Dialysis12 mi · Huntersville, NC · 5 of 5 stars
DaVita Dialysis Care of Kannapolis14 mi · Kannapolis, NC · 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.

Atrium Health Endoscopy Center Langtree0.0 mi · Mooresville, NC
Surgery Center on Bluefield0.0 mi · Mooresville, NC
Iredell Ambulatory Surgery Center11 mi · Statesville, NC

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

Kintegra at Sherrills Ford Elementary6.2 mi · Sherrills Ford, NC · Community health center
Kintegra at Rock Springs Elementary8.0 mi · Denver, NC · Community health center
Kintegra at St James Elementary9.2 mi · Denver, NC · Community health center

Clinics and urgent care

American Family Care Greensboro0.0 mi · Mooresville, NC · Urgent care center
Iredell Physician Network LLC0.0 mi · Mooresville, NC · Urgent care center
Catawba Valley Medical Group Inc6.6 mi · Sherrills Ford, NC · Urgent care center

Pharmacies

Costco Wholesale Corporation0.0 mi · Mooresville, NC · Community/retail pharmacy
Green Hill 124 Inc0.0 mi · Mooresville, NC · Community/retail pharmacy
Harris Teeter LLC0.0 mi · Mooresville, NC · Community/retail pharmacy

Assisted living nearby

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

Cadence Mooresville0.0 mi · Mooresville, NC
Summit Place of Mooresville0.0 mi · Mooresville, NC
Terrabella Lake Norman0.0 mi · Mooresville, NC
Deal Care Inn6.7 mi · Mooresville, NC

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 Duke Health Lake Norman 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	1 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	53%National average: 72%
Would definitely recommend the hospital	51%National average: 71%
Nurses “always” communicated well	66%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	50%National average: 62%
Were given information about recovery at home	81%National average: 86%
Room and bathroom “always” clean	65%National average: 74%
Area around the room “always” quiet at night	50%National average: 60%
Completed surveys	433Response rate: 19%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.147Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	12.4%
Deaths within 30 days: pneumonia patients	17.8%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	18%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.86No different from the national rate
Complications after hip or knee replacement	4.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	22.5%
Readmitted within 30 days: pneumonia	19.4%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	190 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	65%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in North Carolina Best hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 45 common services exactly as Duke Health Lake Norman Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED VISIT LEVEL 3	$997	$269.19	$87.54 – $1,863
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $343.96 BCBS — Commercial/HMO/PPO/Select: $290.13 BCBS — Managed Medicaid: $87.54 BCBS — Value: $236.29 Carolina Complete Health — Managed Medicaid: $87.54 Cigna — Commercial/HMO/PPO: $1,863 Humana — Medicare Advantage: $263.37 United Healthcare — Commercial/EPO/PPO: $1,131 United Healthcare — Medicare Advantage: $263.37 United Healthcare — Options: $1,260
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 3	$997	$269.19	$343.97 – $486.87
Emergency room visit (moderate): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $343.97 BCBS — Commercial/HMO/PPO/Select: $486.87
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 3	$997	$269.19	$290.13 – $343.97
Emergency room visit (moderate): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $343.97 BCBS — Commercial/HMO/PPO/Select: $290.13
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED VISIT LEVEL 4	$1,624	$438.48	$142.59 – $3,885
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $560.28 BCBS — Commercial/HMO/PPO/Select: $472.58 BCBS — Managed Medicaid: $142.59 BCBS — Value: $384.89 Carolina Complete Health — Managed Medicaid: $142.59 Cigna — Commercial/HMO/PPO: $3,885 Humana — Medicare Advantage: $405.02 United Healthcare — Commercial/EPO/PPO: $1,793 United Healthcare — Medicare Advantage: $405.02 United Healthcare — Options: $1,950
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 4	$1,624	$438.48	$560.28 – $778.97
Emergency room visit (moderately high): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $560.28 BCBS — Commercial/HMO/PPO/Select: $778.97
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 4	$1,624	$438.48	$472.58 – $560.28
Emergency room visit (moderately high): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $560.28 BCBS — Commercial/HMO/PPO/Select: $472.58
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED VISIT LEVEL 5	$2,349	$634.23	$206.24 – $3,885
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $810.40 BCBS — Commercial/HMO/PPO/Select: $683.56 BCBS — Managed Medicaid: $206.24 BCBS — Value: $556.71 Carolina Complete Health — Managed Medicaid: $206.24 Cigna — Commercial/HMO/PPO: $3,885 Humana — Medicare Advantage: $583.16 United Healthcare — Commercial/EPO/PPO: $1,793 United Healthcare — Medicare Advantage: $583.16 United Healthcare — Options: $1,950
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 5	$2,349	$634.23	$810.41 – $1,170.66
Emergency room visit (high): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $810.41 BCBS — Commercial/HMO/PPO/Select: $1,170.66
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,349	$634.23	$683.56 – $810.41
Emergency room visit (high): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $810.41 BCBS — Commercial/HMO/PPO/Select: $683.56

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: HC BASIC METABOLIC PANEL TOTAL CA	$714	$192.78	$45 – $464.10
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $246.33 BCBS — Commercial/HMO/PPO/Select: $207.77 BCBS — Managed Medicaid: $62.69 BCBS — Value: $169.22 Carolina Complete Health — Managed Medicaid: $62.69 Cigna — Commercial/HMO/PPO: $274.89 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $62.69 Wellcare — Managed Medicaid: $63.94
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel Total Ca	$714	$192.78	$207.77 – $246.33
Basic metabolic panel (blood test): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $246.33 BCBS — Commercial/HMO/PPO/Select: $207.77
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel Total Ca	$714	$192.78	$207.77 – $246.33
Basic metabolic panel (blood test): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $246.33 BCBS — Commercial/HMO/PPO/Select: $207.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$844	$227.88	$45 – $548.60
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $291.18 BCBS — Commercial/HMO/PPO/Select: $245.60 BCBS — Managed Medicaid: $74.10 BCBS — Value: $200.03 Carolina Complete Health — Managed Medicaid: $74.10 Cigna — Commercial/HMO/PPO: $324.94 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $74.10 Wellcare — Managed Medicaid: $75.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$844	$227.88	$245.60 – $291.18
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $291.18 BCBS — Commercial/HMO/PPO/Select: $245.60
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$844	$227.88	$291.18
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Aetna — Commercial/HMO/PPO/POS: $291.18
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$362	$97.74	$24.77 – $235.30
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $124.89 BCBS — Commercial/HMO/PPO/Select: $105.34 BCBS — Managed Medicaid: $31.78 BCBS — Value: $85.79 Carolina Complete Health — Managed Medicaid: $31.78 Cigna — Commercial/HMO/PPO: $139.37 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $31.78 Wellcare — Managed Medicaid: $32.42
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel	$362	$97.74	$105.34 – $124.89
Cholesterol panel (lipid panel): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $124.89 BCBS — Commercial/HMO/PPO/Select: $105.34
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel	$362	$97.74	$105.34 – $124.89
Cholesterol panel (lipid panel): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $124.89 BCBS — Commercial/HMO/PPO/Select: $105.34
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$638	$172.26	$45 – $414.70
Kidney function panel: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $220.11 BCBS — Commercial/HMO/PPO/Select: $185.66 BCBS — Managed Medicaid: $56.02 BCBS — Value: $151.21 Carolina Complete Health — Managed Medicaid: $56.02 Cigna — Commercial/HMO/PPO: $245.63 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $56.02 Wellcare — Managed Medicaid: $57.14
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel	$638	$172.26	$185.66 – $220.11
Kidney function panel: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $220.11 BCBS — Commercial/HMO/PPO/Select: $185.66
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel	$638	$172.26	$185.66 – $220.11
Kidney function panel: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $220.11 BCBS — Commercial/HMO/PPO/Select: $185.66
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$934	$252.18	$82.01 – $607.10
Liver function panel: rates for 8 insurance plans Aetna — Commercial/HMO/PPO/POS: $322.23 BCBS — Commercial/HMO/PPO/Select: $271.79 BCBS — Managed Medicaid: $82.01 BCBS — Value: $221.36 Carolina Complete Health — Managed Medicaid: $82.01 Cigna — Commercial/HMO/PPO: $359.59 Vaya — Managed Medicaid: $82.01 Wellcare — Managed Medicaid: $83.65
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel	$934	$252.18	$271.79 – $322.23
Liver function panel: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $322.23 BCBS — Commercial/HMO/PPO/Select: $271.79
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$934	$252.18	$271.79 – $322.23
Liver function panel: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $322.23 BCBS — Commercial/HMO/PPO/Select: $271.79
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto W Micro	$301	$81.27	$87.59 – $103.85
Urine test (automated, with microscope): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $103.85 BCBS — Commercial/HMO/PPO/Select: $87.59
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto W Micro	$301	$81.27	$87.59 – $103.85
Urine test (automated, with microscope): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $103.85 BCBS — Commercial/HMO/PPO/Select: $87.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W Micro	$301	$81.27	$170.57
Urine test (automated, with microscope): rates for 1 insurance plan Aetna — Commercial/HMO/PPO/POS: $170.57
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO WO MICRO	$301	$81.27	$26.43 – $195.65
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $103.84 BCBS — Commercial/HMO/PPO/Select: $87.59 BCBS — Managed Medicaid: $26.43 BCBS — Value: $71.34 Carolina Complete Health — Managed Medicaid: $26.43 Cigna — Commercial/HMO/PPO: $115.89 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $26.43 Wellcare — Managed Medicaid: $26.96
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto WO Micro	$301	$81.27	$87.59 – $103.85
Urine test (automated, without microscope): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $103.85 BCBS — Commercial/HMO/PPO/Select: $87.59
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto WO Micro	$301	$81.27	$103.85
Urine test (automated, without microscope): rates for 1 insurance plan Aetna — Commercial/HMO/PPO/POS: $103.85
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL	$340	$91.80	$18.39 – $221
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $117.30 BCBS — Commercial/HMO/PPO/Select: $98.94 BCBS — Managed Medicaid: $29.85 BCBS — Value: $80.58 Carolina Complete Health — Managed Medicaid: $29.85 Cigna — Commercial/HMO/PPO: $130.90 Humana — Medicare Advantage: $18.39 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Medicare Advantage: $18.39 United Healthcare — Options: $45
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Psa Total	$340	$91.80	$38.37 – $117.30
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $117.30 BCBS — Commercial/HMO/PPO/Select: $38.37
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psa Total	$340	$91.80	$98.94 – $117.30
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $117.30 BCBS — Commercial/HMO/PPO/Select: $98.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$640	$172.80	$45 – $416
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $220.80 BCBS — Commercial/HMO/PPO/Select: $186.24 BCBS — Managed Medicaid: $56.19 BCBS — Value: $151.68 Carolina Complete Health — Managed Medicaid: $56.19 Cigna — Commercial/HMO/PPO: $246.40 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $56.19 Wellcare — Managed Medicaid: $57.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH	$640	$172.80	$186.24 – $220.80
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $220.80 BCBS — Commercial/HMO/PPO/Select: $186.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$640	$172.80	$186.24 – $220.80
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $220.80 BCBS — Commercial/HMO/PPO/Select: $186.24
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF	$424	$114.48	$37.23 – $275.60
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $146.28 BCBS — Commercial/HMO/PPO/Select: $123.38 BCBS — Managed Medicaid: $37.23 BCBS — Value: $100.49 Carolina Complete Health — Managed Medicaid: $37.23 Cigna — Commercial/HMO/PPO: $163.24 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $37.23 Wellcare — Managed Medicaid: $37.97
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Cbc W Auto Diff	$424	$114.48	$123.38 – $146.28
Complete blood count (CBC) with differential: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $146.28 BCBS — Commercial/HMO/PPO/Select: $123.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc W Auto Diff	$424	$114.48	$123.38 – $146.28
Complete blood count (CBC) with differential: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $146.28 BCBS — Commercial/HMO/PPO/Select: $123.38
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC AUTO WO DIFF	$228	$61.56	$11.97 – $148.20
Complete blood count (CBC), automated: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $78.66 BCBS — Commercial/HMO/PPO/Select: $66.35 BCBS — Managed Medicaid: $20.02 BCBS — Value: $54.04 Carolina Complete Health — Managed Medicaid: $20.02 Cigna — Commercial/HMO/PPO: $87.78 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $20.02 Wellcare — Managed Medicaid: $20.42
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Cbc Auto WO Diff	$228	$61.56	$66.35 – $78.66
Complete blood count (CBC), automated: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $78.66 BCBS — Commercial/HMO/PPO/Select: $66.35
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc Auto WO Diff	$228	$61.56	$66.35 – $78.66
Complete blood count (CBC), automated: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $78.66 BCBS — Commercial/HMO/PPO/Select: $66.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$338	$91.26	$29.68 – $219.70
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $116.61 BCBS — Commercial/HMO/PPO/Select: $98.36 BCBS — Managed Medicaid: $29.68 BCBS — Value: $80.11 Carolina Complete Health — Managed Medicaid: $29.68 Cigna — Commercial/HMO/PPO: $130.13 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $29.68 Wellcare — Managed Medicaid: $30.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time	$338	$91.26	$98.36 – $116.61
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $116.61 BCBS — Commercial/HMO/PPO/Select: $98.36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time	$338	$91.26	$98.36 – $116.61
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $116.61 BCBS — Commercial/HMO/PPO/Select: $98.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME (APTT)	$332	$89.64	$29.15 – $215.80
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $114.54 BCBS — Commercial/HMO/PPO/Select: $96.61 BCBS — Managed Medicaid: $29.15 BCBS — Value: $78.68 Carolina Complete Health — Managed Medicaid: $29.15 Cigna — Commercial/HMO/PPO: $127.82 United Healthcare — Commercial/EPO/PPO: $45 United Healthcare — Options: $45 Vaya — Managed Medicaid: $29.15 Wellcare — Managed Medicaid: $29.73
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Thromboplastin Time (Aptt)	$332	$89.64	$96.61 – $114.54
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $114.54 BCBS — Commercial/HMO/PPO/Select: $96.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thromboplastin Time (Aptt)	$332	$89.64	$96.61 – $114.54
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $114.54 BCBS — Commercial/HMO/PPO/Select: $96.61

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: HC CT HEAD/BRAIN WO CNTRST	$4,096	$1,105.92	$359.63 – $2,662.40
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Commercial/HMO/PPO/POS: $552 BCBS — Commercial/HMO/PPO/Select: $1,191.94 BCBS — Managed Medicaid: $359.63 BCBS — Value: $970.75 Carolina Complete Health — Managed Medicaid: $359.63 Cigna — Commercial/HMO/PPO: $1,172 Vaya — Managed Medicaid: $359.63 Wellcare — Managed Medicaid: $366.82
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head/Brain WO Cntrst	$4,096	$1,105.92	$552.04 – $901.79
CT scan of the head or brain, without contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $552.04 BCBS — Commercial/HMO/PPO/Select: $901.79
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head/Brain WO Cntrst	$4,096	$1,105.92	$1,191.94 – $1,413.12
CT scan of the head or brain, without contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,413.12 BCBS — Commercial/HMO/PPO/Select: $1,191.94
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN WOW CNTRST	$5,098	$1,376.46	$339.69 – $3,313.70
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $1,010 BCBS — Commercial/HMO/PPO/Select: $1,483.52 BCBS — Managed Medicaid: $447.60 BCBS — Value: $1,208.23 Carolina Complete Health — Managed Medicaid: $447.60 Cigna — Commercial/HMO/PPO: $2,660 Humana — Medicare Advantage: $339.69 United Healthcare — Commercial/EPO/PPO: $1,323 United Healthcare — Medicare Advantage: $339.69 United Healthcare — Options: $1,559
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain Wow Cntrst	$5,098	$1,376.46	$1,010.20 – $2,428.24
MRI of the brain, before and after contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,010.20 BCBS — Commercial/HMO/PPO/Select: $2,428.24
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain Wow Cntrst	$5,098	$1,376.46	$1,483.52 – $1,758.81
MRI of the brain, before and after contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,758.81 BCBS — Commercial/HMO/PPO/Select: $1,483.52
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEW	$866	$233.82	$76.03 – $5,498.68
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $298.77 BCBS — Commercial/HMO/PPO/Select: $252.01 BCBS — Managed Medicaid: $76.03 BCBS — Value: $205.24 Carolina Complete Health — Managed Medicaid: $76.03 Cigna — Commercial/HMO/PPO: $358.52 Humana — Medicare Advantage: $83.75 United Healthcare — Commercial/EPO/PPO: $5,498.68 United Healthcare — Medicare Advantage: $83.75 United Healthcare — Options: $281.45
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Xr Chest 2 View	$866	$233.82	$252.01 – $298.77
Chest X-ray, 2 views: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $298.77 BCBS — Commercial/HMO/PPO/Select: $252.01
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Xr Chest 2 View	$866	$233.82	$252.01 – $298.77
Chest X-ray, 2 views: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $298.77 BCBS — Commercial/HMO/PPO/Select: $252.01
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR SPINE LUMBOSACRAL MIN 4V	$1,907	$514.89	$101.15 – $1,724.60
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $657.91 BCBS — Commercial/HMO/PPO/Select: $554.94 BCBS — Managed Medicaid: $167.43 BCBS — Value: $451.96 Carolina Complete Health — Managed Medicaid: $167.43 Cigna — Commercial/HMO/PPO: $789.50 Humana — Medicare Advantage: $101.15 United Healthcare — Commercial/EPO/PPO: $1,724.60 United Healthcare — Medicare Advantage: $101.15 United Healthcare — Options: $619.77
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Xr Spine Lumbosacral Min 4v	$1,907	$514.89	$554.94 – $657.92
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $657.92 BCBS — Commercial/HMO/PPO/Select: $554.94
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Xr Spine Lumbosacral Min 4v	$1,907	$514.89	$554.94 – $657.92
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $657.92 BCBS — Commercial/HMO/PPO/Select: $554.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMB SPINE WO CNTRST	$4,709	$1,271.43	$413.45 – $3,060.85
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,010 BCBS — Commercial/HMO/PPO/Select: $1,370.32 BCBS — Managed Medicaid: $413.45 BCBS — Value: $1,116.03 Carolina Complete Health — Managed Medicaid: $413.45 Cigna — Commercial/HMO/PPO: $2,660 United Healthcare — Commercial/EPO/PPO: $1,323 United Healthcare — Options: $1,559 Vaya — Managed Medicaid: $413.45 Wellcare — Managed Medicaid: $421.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Lumb Spine WO Cntrst	$4,709	$1,271.43	$1,010.20 – $1,495.86
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,010.20 BCBS — Commercial/HMO/PPO/Select: $1,495.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lumb Spine WO Cntrst	$4,709	$1,271.43	$1,370.32 – $1,624.61
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,624.61 BCBS — Commercial/HMO/PPO/Select: $1,370.32
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CNTRST	$4,845	$1,308.15	$313.25 – $3,149.25
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $552 BCBS — Commercial/HMO/PPO/Select: $1,409.89 BCBS — Managed Medicaid: $425.39 BCBS — Value: $1,148.27 Carolina Complete Health — Managed Medicaid: $425.39 Cigna — Commercial/HMO/PPO: $1,172 United Healthcare — Commercial/EPO/PPO: $1,091 United Healthcare — Options: $1,323 Vaya — Managed Medicaid: $425.39 Wellcare — Managed Medicaid: $433.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis W Cntrst	$4,845	$1,308.15	$552.04 – $1,543.78
CT scan of the pelvis, with contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $552.04 BCBS — Commercial/HMO/PPO/Select: $1,543.78
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W Cntrst	$4,845	$1,308.15	$1,409.90 – $1,671.53
CT scan of the pelvis, with contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,671.53 BCBS — Commercial/HMO/PPO/Select: $1,409.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LWR EXT JOINT WO CNTRST	$4,713	$1,272.51	$413.80 – $3,063.45
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,010 BCBS — Commercial/HMO/PPO/Select: $1,371.48 BCBS — Managed Medicaid: $413.80 BCBS — Value: $1,116.98 Carolina Complete Health — Managed Medicaid: $413.80 Cigna — Commercial/HMO/PPO: $2,660 United Healthcare — Commercial/EPO/PPO: $1,323 United Healthcare — Options: $1,559 Vaya — Managed Medicaid: $413.80 Wellcare — Managed Medicaid: $422.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Lwr Ext Joint WO Cntrst	$4,713	$1,272.51	$1,010.20 – $1,495.86
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,010.20 BCBS — Commercial/HMO/PPO/Select: $1,495.86
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lwr Ext Joint WO Cntrst	$4,713	$1,272.51	$1,371.48 – $1,625.99
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,625.99 BCBS — Commercial/HMO/PPO/Select: $1,371.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD&PELVIS W CNTRST	$10,053	$2,714.31	$552 – $6,534.45
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $552 BCBS — Commercial/HMO/PPO/Select: $2,925.42 BCBS — Managed Medicaid: $882.65 BCBS — Value: $2,382.56 Carolina Complete Health — Managed Medicaid: $882.65 Cigna — Commercial/HMO/PPO: $1,172 United Healthcare — Commercial/EPO/PPO: $1,091 United Healthcare — Options: $1,323 Vaya — Managed Medicaid: $882.65 Wellcare — Managed Medicaid: $900.31
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abd&Pelvis W Cntrst	$10,053	$2,714.31	$552.04 – $2,507.09
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $552.04 BCBS — Commercial/HMO/PPO/Select: $2,507.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abd&Pelvis W Cntrst	$10,053	$2,714.31	$2,925.42 – $3,468.29
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $3,468.29 BCBS — Commercial/HMO/PPO/Select: $2,925.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABD COMPLETE	$2,300	$621	$187.12 – $1,495
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna — Commercial/HMO/PPO/POS: $793.50 BCBS — Commercial/HMO/PPO/Select: $669.30 BCBS — Managed Medicaid: $201.94 BCBS — Value: $545.10 Carolina Complete Health — Managed Medicaid: $201.94 Cigna — Commercial/HMO/PPO: $952.20 United Healthcare — Commercial/EPO/PPO: $1,053.70 United Healthcare — Options: $747.50 Vaya — Managed Medicaid: $201.94 Wellcare — Managed Medicaid: $205.98
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abd Complete	$2,300	$621	$325.68 – $793.50
Ultrasound of the abdomen, complete: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $793.50 BCBS — Commercial/HMO/PPO/Select: $325.68
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abd Complete	$2,300	$621	$669.30 – $793.50
Ultrasound of the abdomen, complete: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $793.50 BCBS — Commercial/HMO/PPO/Select: $669.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB OVER 14WKS SNGL	$425	$114.75	$37.31 – $276.25
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $146.62 BCBS — Commercial/HMO/PPO/Select: $123.67 BCBS — Managed Medicaid: $37.31 BCBS — Value: $100.72 Carolina Complete Health — Managed Medicaid: $37.31 Cigna — Commercial/HMO/PPO: $175.95 Humana — Medicare Advantage: $101.15 United Healthcare — Medicare Advantage: $101.15 United Healthcare — Options: $138.12 Vaya — Managed Medicaid: $37.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB Over 14wks Sngl	$425	$114.75	$146.63 – $325.68
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $146.63 BCBS — Commercial/HMO/PPO/Select: $325.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB Over 14wks Sngl	$425	$114.75	$123.68 – $146.63
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $146.63 BCBS — Commercial/HMO/PPO/Select: $123.68
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$1,693	$457.11	$101.15 – $1,100.45
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $584.09 BCBS — Commercial/HMO/PPO/Select: $492.66 BCBS — Managed Medicaid: $148.65 BCBS — Value: $401.24 Carolina Complete Health — Managed Medicaid: $148.65 Cigna — Commercial/HMO/PPO: $700.90 Humana — Medicare Advantage: $101.15 United Healthcare — Commercial/EPO/PPO: $1,036.06 United Healthcare — Medicare Advantage: $101.15 United Healthcare — Options: $550.23
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal	$1,693	$457.11	$325.68 – $584.09
Transvaginal ultrasound: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $584.09 BCBS — Commercial/HMO/PPO/Select: $325.68
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Transvaginal	$1,693	$457.11	$492.66 – $584.09
Transvaginal ultrasound: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $584.09 BCBS — Commercial/HMO/PPO/Select: $492.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI	$955	$257.85	$83.85 – $620.75
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $329.48 BCBS — Commercial/HMO/PPO/Select: $277.90 BCBS — Managed Medicaid: $83.85 BCBS — Value: $226.34 Carolina Complete Health — Managed Medicaid: $83.85 Cigna — Commercial/HMO/PPO: $395.37 Humana — Medicare Advantage: $114.35 United Healthcare — Commercial/EPO/PPO: $157.58 United Healthcare — Medicare Advantage: $114.35 United Healthcare — Options: $310.38
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Dx Mammo Incl Cad Uni	$955	$257.85	$277.91 – $329.48
Diagnostic mammogram, one breast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $329.48 BCBS — Commercial/HMO/PPO/Select: $277.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Dx Mammo Incl Cad Uni	$955	$257.85	$277.91 – $329.48
Diagnostic mammogram, one breast: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $329.48 BCBS — Commercial/HMO/PPO/Select: $277.91
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI	$1,466	$395.82	$128.71 – $952.90
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $505.77 BCBS — Commercial/HMO/PPO/Select: $426.61 BCBS — Managed Medicaid: $128.71 BCBS — Value: $347.44 Carolina Complete Health — Managed Medicaid: $128.71 Cigna — Commercial/HMO/PPO: $606.92 Humana — Medicare Advantage: $144.16 United Healthcare — Commercial/EPO/PPO: $157.58 United Healthcare — Medicare Advantage: $144.16 United Healthcare — Options: $476.45
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Dx Mammo Incl Cad Bi	$1,466	$395.82	$426.61 – $505.77
Diagnostic mammogram, both breasts: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $505.77 BCBS — Commercial/HMO/PPO/Select: $426.61
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Dx Mammo Incl Cad Bi	$1,466	$395.82	$426.61 – $505.77
Diagnostic mammogram, both breasts: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $505.77 BCBS — Commercial/HMO/PPO/Select: $426.61
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD	$1,087	$293.49	$95.44 – $3,528
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $375.01 BCBS — Commercial/HMO/PPO/Select: $316.32 BCBS — Managed Medicaid: $95.44 BCBS — Value: $257.62 Carolina Complete Health — Managed Medicaid: $95.44 Cigna — Commercial/HMO/PPO: $450.02 Humana — Medicare Advantage: $116.72 United Healthcare — Commercial/EPO/PPO: $3,528 United Healthcare — Medicare Advantage: $116.72 United Healthcare — Options: $353.27
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad	$1,087	$293.49	$316.32 – $375.02
Screening mammogram, both breasts: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $375.02 BCBS — Commercial/HMO/PPO/Select: $316.32
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad	$1,087	$293.49	$316.32 – $375.02
Screening mammogram, both breasts: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $375.02 BCBS — Commercial/HMO/PPO/Select: $316.32

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THRPY EXER PROC DIRCT EA 15MIN	$220	$59.40	$19.32 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $75.90 BCBS — Commercial/HMO/PPO/Select: $64.02 BCBS — Managed Medicaid: $19.32 BCBS — Value: $52.14 Carolina Complete Health — Managed Medicaid: $19.32 Cigna — Commercial/HMO/PPO: $87.78 Humana — Medicare Advantage: $27.65 United Healthcare — Commercial/EPO/PPO: $258 United Healthcare — Medicare Advantage: $27.65 United Healthcare — Options: $287
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Thrpy Exer Proc Dirct Ea 15min	$220	$59.40	$62.64 – $75.90
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $75.90 BCBS — Commercial/HMO/PPO/Select: $62.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thrpy Exer Proc Dirct Ea 15min	$220	$59.40	$64.02 – $75.90
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $75.90 BCBS — Commercial/HMO/PPO/Select: $64.02
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX	$529	$142.83	$46.45 – $343.85
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $182.50 BCBS — Commercial/HMO/PPO/Select: $153.94 BCBS — Managed Medicaid: $46.45 BCBS — Value: $125.37 Carolina Complete Health — Managed Medicaid: $46.45 Cigna — Commercial/HMO/PPO: $211.07 Humana — Medicare Advantage: $94.11 United Healthcare — Commercial/EPO/PPO: $258 United Healthcare — Medicare Advantage: $94.11 United Healthcare — Options: $287
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex	$529	$142.83	$174.83 – $182.51
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $182.51 BCBS — Commercial/HMO/PPO/Select: $174.83
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Eval Low Complex	$529	$142.83	$153.94 – $182.51
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $182.51 BCBS — Commercial/HMO/PPO/Select: $153.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX	$529	$142.83	$46.45 – $343.85
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $182.50 BCBS — Commercial/HMO/PPO/Select: $153.94 BCBS — Managed Medicaid: $46.45 BCBS — Value: $125.37 Carolina Complete Health — Managed Medicaid: $46.45 Cigna — Commercial/HMO/PPO: $211.07 Humana — Medicare Advantage: $94.11 United Healthcare — Commercial/EPO/PPO: $258 United Healthcare — Medicare Advantage: $94.11 United Healthcare — Options: $287
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex	$529	$142.83	$174.83 – $182.51
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $182.51 BCBS — Commercial/HMO/PPO/Select: $174.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Eval Mod Complex	$529	$142.83	$153.94 – $182.51
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $182.51 BCBS — Commercial/HMO/PPO/Select: $153.94
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX	$529	$142.83	$46.45 – $343.85
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $182.50 BCBS — Commercial/HMO/PPO/Select: $153.94 BCBS — Managed Medicaid: $46.45 BCBS — Value: $125.37 Carolina Complete Health — Managed Medicaid: $46.45 Cigna — Commercial/HMO/PPO: $211.07 Humana — Medicare Advantage: $94.11 United Healthcare — Commercial/EPO/PPO: $258 United Healthcare — Medicare Advantage: $94.11 United Healthcare — Options: $287
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex	$529	$142.83	$174.83 – $182.51
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $182.51 BCBS — Commercial/HMO/PPO/Select: $174.83
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Eval High Complex	$529	$142.83	$153.94 – $182.51
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $182.51 BCBS — Commercial/HMO/PPO/Select: $153.94

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ENDO UGI DX	$5,300	$1,431	$465.34 – $6,388
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30 BCBS — Managed Medicaid: $465.34 BCBS — Value: $1,256.10 Carolina Complete Health — Managed Medicaid: $465.34 Cigna — Commercial/HMO/PPO: $2,788 Humana — Medicare Advantage: $891.77 United Healthcare — Commercial/EPO/PPO: $5,919 United Healthcare — Medicare Advantage: $891.77 United Healthcare — Options: $6,388
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Endo Ugi Dx	$5,300	$1,431	$1,542.30 – $1,828.50
Upper GI endoscopy (diagnostic): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Endo Ugi Dx	$5,300	$1,431	$1,542.30 – $1,828.50
Upper GI endoscopy (diagnostic): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ENDO UGI W BIOPSY	$5,800	$1,566	$509.24 – $6,388
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80 BCBS — Managed Medicaid: $509.24 BCBS — Value: $1,374.60 Carolina Complete Health — Managed Medicaid: $509.24 Cigna — Commercial/HMO/PPO: $4,181 Humana — Medicare Advantage: $891.77 United Healthcare — Commercial/EPO/PPO: $5,919 United Healthcare — Medicare Advantage: $891.77 United Healthcare — Options: $6,388
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Endo Ugi W Biopsy	$5,800	$1,566	$1,687.80 – $2,001
Upper GI endoscopy with biopsy: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Endo Ugi W Biopsy	$5,800	$1,566	$1,687.80 – $2,001
Upper GI endoscopy with biopsy: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY DIAGNOSTIC	$5,300	$1,431	$465.34 – $6,388
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30 BCBS — Managed Medicaid: $465.34 BCBS — Value: $1,256.10 Carolina Complete Health — Managed Medicaid: $465.34 Cigna — Commercial/HMO/PPO: $4,181 Humana — Medicare Advantage: $867.18 United Healthcare — Commercial/EPO/PPO: $5,919 United Healthcare — Medicare Advantage: $867.18 United Healthcare — Options: $6,388
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy Diagnostic	$5,300	$1,431	$1,542.30 – $1,828.50
Colonoscopy (diagnostic): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy Diagnostic	$5,300	$1,431	$1,542.30 – $1,828.50
Colonoscopy (diagnostic): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY	$5,800	$1,566	$509.24 – $6,388
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80 BCBS — Managed Medicaid: $509.24 BCBS — Value: $1,374.60 Carolina Complete Health — Managed Medicaid: $509.24 Cigna — Commercial/HMO/PPO: $4,181 Humana — Medicare Advantage: $1,121.49 United Healthcare — Commercial/EPO/PPO: $5,919 United Healthcare — Medicare Advantage: $1,121.49 United Healthcare — Options: $6,388
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy W Biopsy	$5,800	$1,566	$1,687.80 – $2,001
Colonoscopy with biopsy: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy W Biopsy	$5,800	$1,566	$1,687.80 – $2,001
Colonoscopy with biopsy: rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W RMVL SNARE	$5,800	$1,566	$509.24 – $6,388
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80 BCBS — Managed Medicaid: $509.24 BCBS — Value: $1,374.60 Carolina Complete Health — Managed Medicaid: $509.24 Cigna — Commercial/HMO/PPO: $4,181 Humana — Medicare Advantage: $1,121.49 United Healthcare — Commercial/EPO/PPO: $5,919 United Healthcare — Medicare Advantage: $1,121.49 United Healthcare — Options: $6,388
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy W Rmvl Snare	$5,800	$1,566	$1,687.80 – $2,001
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy W Rmvl Snare	$5,800	$1,566	$1,687.80 – $2,001
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $2,001 BCBS — Commercial/HMO/PPO/Select: $1,687.80
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colorectal Ca Scrn Not High Risk	$5,300	$1,431	$1,542.30 – $1,828.50
Screening colonoscopy (not high risk): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colorectal Ca Scrn Not High Risk	$5,300	$1,431	$1,542.30 – $1,828.50
Screening colonoscopy (not high risk): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal Ca Scrn Not High Risk	$5,300	$1,431	$1,542.30 – $1,828.50
Screening colonoscopy (not high risk): rates for 2 insurance plans Aetna — Commercial/HMO/PPO/POS: $1,828.50 BCBS — Commercial/HMO/PPO/Select: $1,542.30
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BX PROSTATE NDL/PUNCH	$3,704	$1,000.08	$325.21 – $6,388
Prostate biopsy: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $1,277.88 BCBS — Commercial/HMO/PPO/Select: $1,077.86 BCBS — Managed Medicaid: $325.21 BCBS — Value: $877.85 Carolina Complete Health — Managed Medicaid: $325.21 Cigna — Commercial/HMO/PPO: $4,181 Humana — Medicare Advantage: $1,948.46 United Healthcare — Commercial/EPO/PPO: $5,919 United Healthcare — Medicare Advantage: $1,948.46 United Healthcare — Options: $6,388

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	$64,630.17	$17,450.14	$64,630.17 – $191,950.97
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $111,700.01 BCBS — Commercial/HMO/PPO/Select: $88,563.69 BCBS — Managed Medicaid: $188,187.22 BCBS — Value: $71,913.36 Carolina Complete Health — Managed Medicaid: $188,187.22 Cigna — Commercial/HMO/PPO: $109,743.45 Humana — Medicare Advantage: $64,630.17 United Healthcare — Commercial/EPO/PPO: $124,994.84 United Healthcare — Medicare Advantage: $64,630.17 United Healthcare — Options: $137,154.86
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	$12,743.30	$3,440.69	$12,743.30 – $32,556.02
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $22,024.18 BCBS — Commercial/HMO/PPO/Select: $17,462.33 BCBS — Managed Medicaid: $31,917.67 BCBS — Value: $14,179.34 Carolina Complete Health — Managed Medicaid: $31,917.67 Cigna — Commercial/HMO/PPO: $21,638.40 Humana — Medicare Advantage: $12,743.30 United Healthcare — Commercial/EPO/PPO: $24,645.56 United Healthcare — Medicare Advantage: $12,743.30 United Healthcare — Options: $27,043.18
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$16,128.47	$4,354.69	$16,128.47 – $34,227.03
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $27,874.76 BCBS — Commercial/HMO/PPO/Select: $22,101.09 BCBS — Managed Medicaid: $31,956.89 BCBS — Value: $17,946 Carolina Complete Health — Managed Medicaid: $31,956.89 Cigna — Commercial/HMO/PPO: $27,386.50 Humana — Medicare Advantage: $16,128.47 United Healthcare — Commercial/EPO/PPO: $31,192.49 United Healthcare — Medicare Advantage: $16,128.47 United Healthcare — Options: $34,227.03
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	$8,196.70	$2,213.11	$8,196.70 – $17,394.61
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Aetna — Commercial/HMO/PPO/POS: $14,166.31 BCBS — Commercial/HMO/PPO/Select: $11,232.06 BCBS — Managed Medicaid: $16,302.78 BCBS — Value: $9,120.39 Carolina Complete Health — Managed Medicaid: $16,302.78 Cigna — Commercial/HMO/PPO: $13,918.17 Humana — Medicare Advantage: $8,196.70 United Healthcare — Commercial/EPO/PPO: $15,852.42 United Healthcare — Medicare Advantage: $8,196.70 United Healthcare — Options: $17,394.61

Source: Duke Health Lake Norman Hospital’s standard charges file (rca.elevatepfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	171 Fairview Road, Mooresville, NC 28117
County	Iredell County
State	North Carolina
Phone	(704) 660‑4000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	340129
Name in Medicare records	DUKE HEALTH LAKE NORMAN HOSPITAL
Profile level	Medicare data + hospital website
Official website	dukehealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Duke Health Lake Norman Hospital | Mooresville, NC | Duke Health — dukehealth.org
Duke Health Lake Norman Hospital | Mooresville, NC | Duke Health — dukehealth.org
Emergency Services | Duke Health Lake Norman Hospital | Duke Health — dukehealth.org
Duke Health Lake Norman Hospital: Emergency Room | Mooresville, NC | Duke Health — dukehealth.org
The Stork's Landing Maternity Center | Mooresville, NC | Duke Health — dukehealth.org
Specialties | Duke Health Lake Norman Hospital | Duke Health — dukehealth.org
Visitor Information | Duke Health Lake Norman Hospital | Duke Health — dukehealth.org