Does Elkhart General Hospital have an emergency room?

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

Where is Elkhart General Hospital?

600 E Blvd, Elkhart, IN 46514, in Elkhart County, Indiana.

What is the phone number of Elkhart General Hospital?

(574) 294-2621, as listed by Medicare (CMS).

What is the Medicare star rating of Elkhart General Hospital?

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

Elkhart General Hospital — Elkhart, IN

Quick answers

Does Elkhart General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Elkhart General Hospital. In a medical emergency, call 911.
Where is Elkhart General Hospital?: 600 E Blvd, Elkhart, IN 46514, in Elkhart County, Indiana.
What is the phone number of Elkhart General Hospital?: (574) 294-2621, as listed by Medicare (CMS).
What is the Medicare star rating of Elkhart General Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Conditions treated^[4][7]

Treatments^[4]

Joint replacement
da Vinci robotic surgery
Mammography
DEXA bone density scan
Genetic counseling
Breastfeeding services

Procedures^[4]

Da Vinci robotic surgery
Joint replacement
Mammography
DEXA scan
PET/CT
Ultrasound

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level 3
Stroke designation	Primary Stroke Center certified by The Joint Commission

Visiting and practical information

Visiting	General visiting hours 9:00 a.m. to 7:00 p.m^[9]
Interpreters and languages	Free interpreter services for limited- or non-English speakers, on site or by phone 24 hours a day^[8]

Recognition^[7]

Primary Stroke Center (The Joint Commission)

Doctors and clinicians (532)

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

Main specialties

Doctors with a page on this site (532)

Aaron J. Burrows, MDGastroenterology
Aaron Young, MDFamily Practice
Abdurrahman H. Mustafa, MDInternal Medicine
Abhishek K. Das, MDPhysical Medicine and Rehabilitation
Abul W. Basher, MDCardiovascular Disease (Cardiology)
Abuzafar M. Arif, MDGastroenterology
Adam C. Losch, MDEmergency Medicine
Adam E. Collier, CNACertified Registered Nurse Anesthetist (CRNA)
Adam J. Farrell, PAPhysician Assistant
Adam J. TylerNurse Practitioner
Adam Snoap, MDOtolaryngology
Adil Wani, MDInterventional Cardiology
Ahsanul Haque, MDHematology/Oncology
Alejandro M. Mikelonis, PAPhysician Assistant
Aleksandar Alavanja, MDDiagnostic Radiology
Alexander Tawadros, MDDiagnostic Radiology
Alexandra M. Livingston, DONeurology
Ali Syed, MDGastroenterology
Alison S. Haffner, NPNurse Practitioner
Allison Lamont, MDDiagnostic Radiology
Alphonse H. Harding, MDDiagnostic Radiology
Alyssa Rumsey, DOInternal Medicine
Aman Shamaa, PAPhysician Assistant
Amanda K. Kelly, CNACertified Registered Nurse Anesthetist (CRNA)

And 508 more: the button below opens the full list.

Other emergency rooms nearby

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

Saint Joseph Regional Medical Center9.1 mi · Mishawaka, IN · Acute Care Hospital
Goshen Hospital13 mi · Goshen, IN · Acute Care Hospital
Memorial Hospital of South Bend14 mi · South Bend, IN · Acute Care Hospital
Ascension Borgess Lee Hospital19 mi · Dowagiac, MI · Critical Access Hospital
Community Hospital of Bremen Inc21 mi · Bremen, IN · Critical Access Hospital

Other hospitals nearby

Medical Behavioral Hospital - Mishawaka10 mi · Mishawaka, IN · Psychiatric Hospital
Unity Physicians Hospital11 mi · Mishawaka, IN · Acute Care Hospital
Rehabilitation Hospital of Northern Indiana, LLC11 mi · Mishawaka, IN · Inpatient Rehabilitation Hospital
Oaklawn Psychiatric Center Inc11 mi · Goshen, IN · Psychiatric 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

Greenleaf Health Campus2.0 mi · Elkhart, IN · 3 of 5 stars
East Lake Nursing & Rehabilitation Center2.6 mi · Elkhart, IN · 4 of 5 stars
Woodland Manor3.2 mi · Elkhart, IN · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Heart to Heart Hospice of Eastern Indiana LLC3.3 mi · Elkhart, IN · 3 of 5 stars
Caring Cove Hospice LLC9.1 mi · Mishawaka, IN
Comfort 1 Hospice, LLC9.1 mi · Mishawaka, IN

All hospice providers in the state →

Home health agencies

Aunova Home Care LLC7.9 mi · Granger, IN
Purposecare of Indiana7.9 mi · Granger, IN · 4 of 5 stars
Interim Healthcare of South Bend9.1 mi · Mishawaka, IN · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Elkhart Dialysis0.0 mi · Elkhart, IN · 3 of 5 stars
FMC - Nephrology - Elkhart6.7 mi · Elkhart, IN · 2 of 5 stars
DaVita Mishawaka Dialysis9.1 mi · Mishawaka, IN · 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.

Elkhart Day Surgery, LLC0.0 mi · Elkhart, IN
Osmc Outpatient Surgery Center0.0 mi · Elkhart, IN
Riverpointe Surgery Center0.0 mi · Elkhart, IN

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

Heart City Womens Health1.3 mi · Elkhart, IN · Community health center
Heart City Health Center2.7 mi · Elkhart, IN · Community health center
Heart City Health Dental2.8 mi · Elkhart, IN · Community health center

Clinics and urgent care

American Current Care P.A .0.0 mi · Elkhart, IN · Urgent care center
Beacon Medical Group, Inc.7.9 mi · Granger, IN · Urgent care center
Pic Indiana PC9.1 mi · Mishawaka, IN · Urgent care center

Pharmacies

Elkhart General Hospital, Inc.0.0 mi · Elkhart, IN · Community/retail pharmacy
Hook-Superx LLC0.0 mi · Elkhart, IN · Pharmacy
Hook-Superx LLC0.0 mi · Elkhart, IN · Pharmacy

Assisted living nearby

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

Brentwood at Elkhart Assisted Living0.0 mi · Elkhart, IN
Hellenic Senior Living of Elkhart0.0 mi · Elkhart, IN
Harmony at Elkhart3.3 mi · Elkhart, IN
Elkhart Place Assisted Living6.7 mi · Elkhart, IN

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	64%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	53%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	51%National average: 60%
Completed surveys	580Response rate: 25%

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)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.252No different from the national benchmark
Surgical site infections after colon surgery	0.717No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	0.985No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.322Better 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	11.6%
Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	6.6%
Deaths within 30 days: stroke patients	10.8%
Deaths within 30 days: coronary bypass surgery (CABG)	1.6%
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Complications after hip or knee replacement	4.4%

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	13.7%
Readmitted within 30 days: heart failure	22%
Readmitted within 30 days: pneumonia	16.1%
Readmitted within 30 days: COPD	18.2%
Readmitted within 30 days: coronary bypass surgery	10.7%
Readmitted within 30 days: hip or knee replacement	5.3%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	195 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	57%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 Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Elkhart General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Wound Clinic Level 3-New	$306	$198.90	$61.20 – $397.80
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $207.16 Aetna — Medicare Advantage: $137.70 Anthem — Commercial: $75.34 Anthem — HealthSync: $64.05 Caresource — IN Medicaid HIP: $397.80 CHA — Employer Group 1: $195.84 CHA — Employer Group 2: $201.96 CHA — Employer Group 3: $238.68 CHA — Employer Group 4: $183.60 Cigna — OAP: $220.32
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M New Pt Level 3 (FAC)	$100	$65	$20 – $130
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $67.70 Aetna — Medicare Advantage: $45 Anthem — Commercial: $24.62 Anthem — HealthSync: $20.93 Caresource — IN Medicaid HIP: $130 CHA — Employer Group 1: $64 CHA — Employer Group 2: $66 CHA — Employer Group 3: $78 CHA — Employer Group 4: $60 Cigna — OAP: $72
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Wound Clinic Level 3-New	$306	$198.90	$61.20 – $397.80
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $207.16 Caresource — IN Medicaid HIP: $397.80 CHA — Employer Group 1: $195.84 CHA — Employer Group 2: $201.96 CHA — Employer Group 3: $238.68 Cigna — OAP: $220.32 Cigna Sagamore — PPO: $232.56 Devoted Healthcare — Medicare Advantage: $61.20 Encore — Commercial: $226.44 Humana — Commercial: $210.13
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 - NEW	$463	$300.95	$92.60 – $601.90
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $313.45 Aetna — Medicare Advantage: $208.35 Anthem — Commercial: $113.99 Anthem — HealthSync: $96.91 Caresource — IN Medicaid HIP: $601.90 CHA — Employer Group 1: $296.32 CHA — Employer Group 2: $305.58 CHA — Employer Group 3: $361.14 CHA — Employer Group 4: $277.80 Cigna — OAP: $333.36
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M New Pt Level 4 (FAC)	$167	$108.55	$33.40 – $217.10
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $113.06 Aetna — Medicare Advantage: $75.15 Anthem — Commercial: $41.12 Anthem — HealthSync: $34.95 Caresource — IN Medicaid HIP: $217.10 CHA — Employer Group 1: $106.88 CHA — Employer Group 2: $110.22 CHA — Employer Group 3: $130.26 CHA — Employer Group 4: $100.20 Cigna — OAP: $120.24
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 - NEW	$463	$300.95	$92.60 – $601.90
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $313.45 Caresource — IN Medicaid HIP: $601.90 CHA — Employer Group 1: $296.32 CHA — Employer Group 2: $305.58 CHA — Employer Group 3: $361.14 Cigna — OAP: $333.36 Cigna Sagamore — PPO: $351.88 Devoted Healthcare — Medicare Advantage: $92.60 Encore — Commercial: $342.62 Humana — Commercial: $317.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 5 - NEW	$596	$387.40	$119.20 – $774.80
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $403.49 Aetna — Medicare Advantage: $268.20 Anthem — Commercial: $146.74 Anthem — HealthSync: $124.74 Caresource — IN Medicaid HIP: $774.80 CHA — Employer Group 1: $381.44 CHA — Employer Group 2: $393.36 CHA — Employer Group 3: $464.88 CHA — Employer Group 4: $357.60 Cigna — OAP: $429.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M New Pt Level 5 (FAC)	$314	$204.10	$62.80 – $408.20
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $212.58 Aetna — Medicare Advantage: $141.30 Anthem — Commercial: $77.31 Anthem — HealthSync: $65.72 Caresource — IN Medicaid HIP: $408.20 CHA — Employer Group 1: $200.96 CHA — Employer Group 2: $207.24 CHA — Employer Group 3: $244.92 CHA — Employer Group 4: $188.40 Cigna — OAP: $226.08
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 5 - NEW	$596	$387.40	$119.20 – $774.80
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $403.49 Caresource — IN Medicaid HIP: $774.80 CHA — Employer Group 1: $381.44 CHA — Employer Group 2: $393.36 CHA — Employer Group 3: $464.88 Cigna — OAP: $429.12 Cigna Sagamore — PPO: $452.96 Devoted Healthcare — Medicare Advantage: $119.20 Encore — Commercial: $441.04 Humana — Commercial: $409.27
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 3	$231	$150.15	$46.20 – $300.30
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $156.39 Aetna — Medicare Advantage: $103.95 Anthem — Commercial: $56.87 Anthem — HealthSync: $48.35 Caresource — IN Medicaid HIP: $300.30 CHA — Employer Group 1: $147.84 CHA — Employer Group 2: $152.46 CHA — Employer Group 3: $180.18 CHA — Employer Group 4: $138.60 Cigna — OAP: $166.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M Established Pt Level 3 (FAC)	$100	$65	$20 – $130
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $67.70 Aetna — Medicare Advantage: $45 Anthem — Commercial: $24.62 Anthem — HealthSync: $20.93 Caresource — IN Medicaid HIP: $130 CHA — Employer Group 1: $64 CHA — Employer Group 2: $66 CHA — Employer Group 3: $78 CHA — Employer Group 4: $60 Cigna — OAP: $72
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LACTATION CONSULT - <15 MIN	$34	$22.10	$6.80 – $44.20
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $23.02 Aetna — Medicare Advantage: $15.30 Anthem — Commercial: $8.37 Anthem — HealthSync: $7.12 Caresource — IN Medicaid HIP: $44.20 CHA — Employer Group 1: $21.76 CHA — Employer Group 2: $22.44 CHA — Employer Group 3: $26.52 CHA — Employer Group 4: $20.40 Cigna — OAP: $24.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4	$300	$195	$60 – $390
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $203.10 Aetna — Medicare Advantage: $135 Anthem — Commercial: $73.86 Anthem — HealthSync: $62.79 Caresource — IN Medicaid HIP: $390 CHA — Employer Group 1: $192 CHA — Employer Group 2: $198 CHA — Employer Group 3: $234 CHA — Employer Group 4: $180 Cigna — OAP: $216
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LACTATION CONSULT - 30 MIN	$54	$35.10	$10.80 – $70.20
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $36.56 Aetna — Medicare Advantage: $24.30 Anthem — Commercial: $13.29 Anthem — HealthSync: $11.30 Caresource — IN Medicaid HIP: $70.20 CHA — Employer Group 1: $34.56 CHA — Employer Group 2: $35.64 CHA — Employer Group 3: $42.12 CHA — Employer Group 4: $32.40 Cigna — OAP: $38.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M Established Pt Level 4 (FAC)	$127	$82.55	$25.40 – $165.10
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $85.98 Aetna — Medicare Advantage: $57.15 Anthem — Commercial: $31.27 Anthem — HealthSync: $26.58 Caresource — IN Medicaid HIP: $165.10 CHA — Employer Group 1: $81.28 CHA — Employer Group 2: $83.82 CHA — Employer Group 3: $99.06 CHA — Employer Group 4: $76.20 Cigna — OAP: $91.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$37.02
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans McLaren (MI — MI Medicaid: $37.02 UHC — MI Medicaid: $37.02
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$37.02
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans McLaren (MI — MI Medicaid: $37.02 UHC — MI Medicaid: $37.02
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 3 (Intermediate) (6-8)	$682	$443.30	$136.40 – $886.60
Emergency room visit (moderate): 10 of 26 insurance plan rates Aetna — Commercial: $461.71 Aetna — Medicare Advantage: $306.90 Anthem — Commercial: $167.91 Anthem — HealthSync: $142.74 Caresource — IN Medicaid HIP: $886.60 CHA — Employer Group 1: $436.48 CHA — Employer Group 2: $450.12 CHA — Employer Group 3: $531.96 CHA — Employer Group 4: $409.20 Cigna — OAP: $491.04
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 3 (Intermediate) (6-8)	$682	$443.30	$136.40 – $886.60
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $461.71 Caresource — IN Medicaid HIP: $886.60 CHA — Employer Group 1: $436.48 CHA — Employer Group 2: $450.12 CHA — Employer Group 3: $531.96 Cigna — OAP: $491.04 Cigna Sagamore — PPO: $518.32 Devoted Healthcare — Medicare Advantage: $136.40 Encore — Commercial: $504.68 Humana — Commercial: $468.33
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm	Not listed in the file	Not listed in the file	$155.47 – $865.20
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $290.06 Anthem — Commercial: $865.20 Anthem — Exchange: $290.06 Anthem — HealthSync: $735.42 Anthem — Medicare Advantage: $290.06 Anthem — Workers Compensation: $551.12 Caresource — Exchange: $464.10 Devoted Healthcare — Medicare Advantage: $304.56 Humana — Medicare Advantage: $290.06 McLaren (MI — MI Medicaid: $155.47
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 4 (Extended) (9-13)	$1,047	$680.55	$209.40 – $1,361.10
Emergency room visit (moderately high): 10 of 26 insurance plan rates Aetna — Commercial: $708.82 Aetna — Medicare Advantage: $471.15 Anthem — Commercial: $257.77 Anthem — HealthSync: $219.14 Caresource — IN Medicaid HIP: $1,361.10 CHA — Employer Group 1: $670.08 CHA — Employer Group 2: $691.02 CHA — Employer Group 3: $816.66 CHA — Employer Group 4: $628.20 Cigna — OAP: $753.84
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 4 (Extended) (9-13)	$1,047	$680.55	$209.40 – $1,361.10
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Commercial: $708.82 Caresource — IN Medicaid HIP: $1,361.10 CHA — Employer Group 1: $670.08 CHA — Employer Group 2: $691.02 CHA — Employer Group 3: $816.66 Cigna — OAP: $753.84 Cigna Sagamore — PPO: $795.72 Devoted Healthcare — Medicare Advantage: $209.40 Encore — Commercial: $774.78 Humana — Commercial: $718.97
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm	Not listed in the file	Not listed in the file	$239.10 – $1,330.57
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $446.08 Anthem — Commercial: $1,330.57 Anthem — Exchange: $446.08 Anthem — HealthSync: $1,130.98 Anthem — Medicare Advantage: $446.08 Anthem — Workers Compensation: $847.55 Caresource — Exchange: $713.72 Devoted Healthcare — Medicare Advantage: $468.38 Humana — Medicare Advantage: $446.08 McLaren (MI — MI Medicaid: $239.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 5 (Comprehensive) (>/=14)	$1,513	$983.45	$302.60 – $1,966.90
Emergency room visit (high): 10 of 26 insurance plan rates Aetna — Commercial: $1,024.30 Aetna — Medicare Advantage: $680.85 Anthem — Commercial: $372.50 Anthem — HealthSync: $316.67 Caresource — IN Medicaid HIP: $1,966.90 CHA — Employer Group 1: $968.32 CHA — Employer Group 2: $998.58 CHA — Employer Group 3: $1,180.14 CHA — Employer Group 4: $907.80 Cigna — OAP: $1,089.36
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 5 (Comprehensive) (>/=14)	$1,513	$983.45	$302.60 – $1,966.90
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Commercial: $1,024.30 Caresource — IN Medicaid HIP: $1,966.90 CHA — Employer Group 1: $968.32 CHA — Employer Group 2: $998.58 CHA — Employer Group 3: $1,180.14 Cigna — OAP: $1,089.36 Cigna Sagamore — PPO: $1,149.88 Devoted Healthcare — Medicare Advantage: $302.60 Encore — Commercial: $1,119.62 Humana — Commercial: $1,038.98
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm	Not listed in the file	Not listed in the file	$344.26 – $1,915.78
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $642.27 Anthem — Commercial: $1,915.78 Anthem — Exchange: $642.27 Anthem — HealthSync: $1,628.41 Anthem — Medicare Advantage: $642.27 Anthem — Workers Compensation: $1,220.31 Caresource — Exchange: $1,027.63 Devoted Healthcare — Medicare Advantage: $674.38 Humana — Medicare Advantage: $642.27 McLaren (MI — MI Medicaid: $344.26

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: BMP Basic Metabolic Panel	$78	$50.70	$15.60 – $101.40
Basic metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — Commercial: $52.81 Aetna — Medicare Advantage: $35.10 Anthem — Commercial: $19.20 Anthem — HealthSync: $16.33 Caresource — IN Medicaid HIP: $101.40 CHA — Employer Group 1: $49.92 CHA — Employer Group 2: $51.48 CHA — Employer Group 3: $60.84 CHA — Employer Group 4: $46.80 Cigna — OAP: $56.16
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMP Basic Metabolic Panel	$78	$50.70	$15.60 – $101.40
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $52.81 Caresource — IN Medicaid HIP: $101.40 CHA — Employer Group 1: $49.92 CHA — Employer Group 2: $51.48 CHA — Employer Group 3: $60.84 Cigna — OAP: $56.16 Cigna Sagamore — PPO: $59.28 Devoted Healthcare — Medicare Advantage: $15.60 Encore — Commercial: $57.72 Humana — Commercial: $53.56
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$4.53 – $16.07
Basic metabolic panel (blood test): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $8.46 Anthem — Commercial: $10.58 Anthem — Exchange: $8.46 Anthem — HealthSync: $7.19 Anthem — IN Medicaid HCC: $8.46 Anthem — IN Medicaid HHW: $8.46 Anthem — IN Medicaid HIP: $8.46 Anthem — Medicare Advantage: $8.46 Anthem — Pathways for Aging: $8.46 Anthem — Workers Compensation: $16.07
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic PanelComprehensive	$73	$47.45	$14.60 – $94.90
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — Commercial: $49.42 Aetna — Medicare Advantage: $32.85 Anthem — Commercial: $17.97 Anthem — HealthSync: $15.28 Caresource — IN Medicaid HIP: $94.90 CHA — Employer Group 1: $46.72 CHA — Employer Group 2: $48.18 CHA — Employer Group 3: $56.94 CHA — Employer Group 4: $43.80 Cigna — OAP: $52.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Metabolic PanelComprehensive	$73	$47.45	$14.60 – $94.90
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $49.42 Caresource — IN Medicaid HIP: $94.90 CHA — Employer Group 1: $46.72 CHA — Employer Group 2: $48.18 CHA — Employer Group 3: $56.94 Cigna — OAP: $52.56 Cigna Sagamore — PPO: $55.48 Devoted Healthcare — Medicare Advantage: $14.60 Encore — Commercial: $54.02 Humana — Commercial: $50.13
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$5.66 – $20.06
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $10.56 Anthem — Commercial: $13.20 Anthem — Exchange: $10.56 Anthem — HealthSync: $8.98 Anthem — IN Medicaid HCC: $10.56 Anthem — IN Medicaid HHW: $10.56 Anthem — IN Medicaid HIP: $10.56 Anthem — Medicare Advantage: $10.56 Anthem — Pathways for Aging: $10.56 Anthem — Workers Compensation: $20.06
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$25.63 – $90.84
Obstetric blood test panel: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $47.81 Anthem — Commercial: $59.76 Anthem — Exchange: $47.81 Anthem — HealthSync: $40.64 Anthem — IN Medicaid HCC: $47.81 Anthem — IN Medicaid HHW: $47.81 Anthem — IN Medicaid HIP: $47.81 Anthem — Medicare Advantage: $47.81 Anthem — Pathways for Aging: $47.81 Anthem — Workers Compensation: $90.84
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80061 LIPID PANEL	$151	$98.15	$30.20 – $196.30
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Aetna — Commercial: $102.23 Aetna — Medicare Advantage: $67.95 Anthem — Commercial: $37.18 Anthem — HealthSync: $31.60 Caresource — IN Medicaid HIP: $196.30 CHA — Employer Group 1: $96.64 CHA — Employer Group 2: $99.66 CHA — Employer Group 3: $117.78 CHA — Employer Group 4: $90.60 Cigna — OAP: $108.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel with LDL Cholesterol Direct Measurement, if Indicated	$151	$98.15	$30.20 – $196.30
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Aetna — Commercial: $102.23 Aetna — Medicare Advantage: $67.95 Anthem — Commercial: $37.18 Anthem — HealthSync: $31.60 Caresource — IN Medicaid HIP: $196.30 CHA — Employer Group 1: $96.64 CHA — Employer Group 2: $99.66 CHA — Employer Group 3: $117.78 CHA — Employer Group 4: $90.60 Cigna — OAP: $108.72
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 80061 LIPID PANEL	$151	$98.15	$30.20 – $196.30
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $102.23 Caresource — IN Medicaid HIP: $196.30 CHA — Employer Group 1: $96.64 CHA — Employer Group 2: $99.66 CHA — Employer Group 3: $117.78 Cigna — OAP: $108.72 Cigna Sagamore — PPO: $114.76 Devoted Healthcare — Medicare Advantage: $30.20 Encore — Commercial: $111.74 Humana — Commercial: $103.69
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal	$202	$131.30	$40.40 – $262.60
Kidney function panel: 10 of 26 insurance plan rates Aetna — Commercial: $136.75 Aetna — Medicare Advantage: $90.90 Anthem — Commercial: $49.73 Anthem — HealthSync: $42.28 Caresource — IN Medicaid HIP: $262.60 CHA — Employer Group 1: $129.28 CHA — Employer Group 2: $133.32 CHA — Employer Group 3: $157.56 CHA — Employer Group 4: $121.20 Cigna — OAP: $145.44
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal	$202	$131.30	$40.40 – $262.60
Kidney function panel: 10 of 16 insurance plan rates Aetna — Commercial: $136.75 Caresource — IN Medicaid HIP: $262.60 CHA — Employer Group 1: $129.28 CHA — Employer Group 2: $133.32 CHA — Employer Group 3: $157.56 Cigna — OAP: $145.44 Cigna Sagamore — PPO: $153.52 Devoted Healthcare — Medicare Advantage: $40.40 Encore — Commercial: $149.48 Humana — Commercial: $138.71
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$4.65 – $16.49
Kidney function panel: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $8.68 Anthem — Commercial: $10.85 Anthem — Exchange: $8.68 Anthem — HealthSync: $7.38 Anthem — IN Medicaid HCC: $8.68 Anthem — IN Medicaid HHW: $8.68 Anthem — IN Medicaid HIP: $8.68 Anthem — Medicare Advantage: $8.68 Anthem — Pathways for Aging: $8.68 Anthem — Workers Compensation: $16.49
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$52	$33.80	$10.40 – $67.60
Liver function panel: 10 of 26 insurance plan rates Aetna — Commercial: $35.20 Aetna — Medicare Advantage: $23.40 Anthem — Commercial: $12.80 Anthem — HealthSync: $10.88 Caresource — IN Medicaid HIP: $67.60 CHA — Employer Group 1: $33.28 CHA — Employer Group 2: $34.32 CHA — Employer Group 3: $40.56 CHA — Employer Group 4: $31.20 Cigna — OAP: $37.44
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80076 HEPATIC FUNCTION PANEL	$52	$33.80	$10.40 – $67.60
Liver function panel: 10 of 26 insurance plan rates Aetna — Commercial: $35.20 Aetna — Medicare Advantage: $23.40 Anthem — Commercial: $12.80 Anthem — HealthSync: $10.88 Caresource — IN Medicaid HIP: $67.60 CHA — Employer Group 1: $33.28 CHA — Employer Group 2: $34.32 CHA — Employer Group 3: $40.56 CHA — Employer Group 4: $31.20 Cigna — OAP: $37.44
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$52	$33.80	$10.40 – $67.60
Liver function panel: 10 of 16 insurance plan rates Aetna — Commercial: $35.20 Caresource — IN Medicaid HIP: $67.60 CHA — Employer Group 1: $33.28 CHA — Employer Group 2: $34.32 CHA — Employer Group 3: $40.56 Cigna — OAP: $37.44 Cigna Sagamore — PPO: $39.52 Devoted Healthcare — Medicare Advantage: $10.40 Encore — Commercial: $38.48 Humana — Commercial: $35.71
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Comp wC	$19	$12.35	$3.80 – $24.70
Urine test (automated, with microscope): 10 of 26 insurance plan rates Aetna — Commercial: $12.86 Aetna — Medicare Advantage: $8.55 Anthem — Commercial: $4.68 Anthem — HealthSync: $3.98 Caresource — IN Medicaid HIP: $24.70 CHA — Employer Group 1: $12.16 CHA — Employer Group 2: $12.54 CHA — Employer Group 3: $14.82 CHA — Employer Group 4: $11.40 Cigna — OAP: $13.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Urinalysis Complete	$19	$12.35	$3.80 – $24.70
Urine test (automated, with microscope): 10 of 26 insurance plan rates Aetna — Commercial: $12.86 Aetna — Medicare Advantage: $8.55 Anthem — Commercial: $4.68 Anthem — HealthSync: $3.98 Caresource — IN Medicaid HIP: $24.70 CHA — Employer Group 1: $12.16 CHA — Employer Group 2: $12.54 CHA — Employer Group 3: $14.82 CHA — Employer Group 4: $11.40 Cigna — OAP: $13.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Scrn w/Micro + Cult if Ind	$19	$12.35	$3.80 – $24.70
Urine test (automated, with microscope): 10 of 26 insurance plan rates Aetna — Commercial: $12.86 Aetna — Medicare Advantage: $8.55 Anthem — Commercial: $4.68 Anthem — HealthSync: $3.98 Caresource — IN Medicaid HIP: $24.70 CHA — Employer Group 1: $12.16 CHA — Employer Group 2: $12.54 CHA — Employer Group 3: $14.82 CHA — Employer Group 4: $11.40 Cigna — OAP: $13.68
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$1.87 – $6.61
Urine test (manual, without microscope): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $3.48 Anthem — Commercial: $4.35 Anthem — Exchange: $3.48 Anthem — HealthSync: $2.96 Anthem — IN Medicaid HCC: $3.48 Anthem — IN Medicaid HHW: $3.48 Anthem — IN Medicaid HIP: $3.48 Anthem — Medicare Advantage: $3.48 Anthem — Pathways for Aging: $3.48 Anthem — Workers Compensation: $6.61
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Urinalysis Macroscopic Only	$25	$16.25	$5 – $32.50
Urine test (automated, without microscope): 10 of 26 insurance plan rates Aetna — Commercial: $16.92 Aetna — Medicare Advantage: $11.25 Anthem — Commercial: $6.16 Anthem — HealthSync: $5.23 Caresource — IN Medicaid HIP: $32.50 CHA — Employer Group 1: $16 CHA — Employer Group 2: $16.50 CHA — Employer Group 3: $19.50 CHA — Employer Group 4: $15 Cigna — OAP: $18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 81003 URINALYSIS MACROSCOPIC ONLY	$25	$16.25	$5 – $32.50
Urine test (automated, without microscope): 10 of 26 insurance plan rates Aetna — Commercial: $16.92 Aetna — Medicare Advantage: $11.25 Anthem — Commercial: $6.16 Anthem — HealthSync: $5.23 Caresource — IN Medicaid HIP: $32.50 CHA — Employer Group 1: $16 CHA — Employer Group 2: $16.50 CHA — Employer Group 3: $19.50 CHA — Employer Group 4: $15 Cigna — OAP: $18
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA Urinalysis Macroscopic Only	$25	$16.25	$5 – $32.50
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $16.92 Caresource — IN Medicaid HIP: $32.50 CHA — Employer Group 1: $16 CHA — Employer Group 2: $16.50 CHA — Employer Group 3: $19.50 Cigna — OAP: $18 Cigna Sagamore — PPO: $19 Devoted Healthcare — Medicare Advantage: $5 Encore — Commercial: $18.50 Humana — Commercial: $17.17
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Screening	$130	$84.50	$26 – $169
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Aetna — Commercial: $88.01 Aetna — Medicare Advantage: $58.50 Anthem — Commercial: $32.01 Anthem — HealthSync: $27.21 Caresource — IN Medicaid HIP: $169 CHA — Employer Group 1: $83.20 CHA — Employer Group 2: $85.80 CHA — Employer Group 3: $101.40 CHA — Employer Group 4: $78 Cigna — OAP: $93.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Diagnostic	$130	$84.50	$26 – $169
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Aetna — Commercial: $88.01 Aetna — Medicare Advantage: $58.50 Anthem — Commercial: $32.01 Anthem — HealthSync: $27.21 Caresource — IN Medicaid HIP: $169 CHA — Employer Group 1: $83.20 CHA — Employer Group 2: $85.80 CHA — Employer Group 3: $101.40 CHA — Employer Group 4: $78 Cigna — OAP: $93.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate-specific Antigen (PSA), Free:Total Ratio Reflex	$130	$84.50	$26 – $169
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Aetna — Commercial: $88.01 Aetna — Medicare Advantage: $58.50 Anthem — Commercial: $32.01 Anthem — HealthSync: $27.21 Caresource — IN Medicaid HIP: $169 CHA — Employer Group 1: $83.20 CHA — Employer Group 2: $85.80 CHA — Employer Group 3: $101.40 CHA — Employer Group 4: $78 Cigna — OAP: $93.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4	$120	$78	$24 – $156
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates Aetna — Commercial: $81.24 Aetna — Medicare Advantage: $54 Anthem — Commercial: $29.54 Anthem — HealthSync: $25.12 Caresource — IN Medicaid HIP: $156 CHA — Employer Group 1: $76.80 CHA — Employer Group 2: $79.20 CHA — Employer Group 3: $93.60 CHA — Employer Group 4: $72 Cigna — OAP: $86.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4	$120	$78	$24 – $156
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Commercial: $81.24 Caresource — IN Medicaid HIP: $156 CHA — Employer Group 1: $76.80 CHA — Employer Group 2: $79.20 CHA — Employer Group 3: $93.60 Cigna — OAP: $86.40 Cigna Sagamore — PPO: $91.20 Devoted Healthcare — Medicare Advantage: $24 Encore — Commercial: $88.80 Humana — Commercial: $82.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$9 – $31.92
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $16.80 Anthem — Commercial: $21 Anthem — Exchange: $16.80 Anthem — HealthSync: $14.28 Anthem — IN Medicaid HCC: $16.80 Anthem — IN Medicaid HHW: $16.80 Anthem — IN Medicaid HIP: $16.80 Anthem — Medicare Advantage: $16.80 Anthem — Pathways for Aging: $16.80 Anthem — Workers Compensation: $31.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC wDiff	$60	$39	$12 – $78
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Aetna — Commercial: $40.62 Aetna — Medicare Advantage: $27 Anthem — Commercial: $14.77 Anthem — HealthSync: $12.56 Caresource — IN Medicaid HIP: $78 CHA — Employer Group 1: $38.40 CHA — Employer Group 2: $39.60 CHA — Employer Group 3: $46.80 CHA — Employer Group 4: $36 Cigna — OAP: $43.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC wDiff	$60	$39	$12 – $78
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Commercial: $40.62 Caresource — IN Medicaid HIP: $78 CHA — Employer Group 1: $38.40 CHA — Employer Group 2: $39.60 CHA — Employer Group 3: $46.80 Cigna — OAP: $43.20 Cigna Sagamore — PPO: $45.60 Devoted Healthcare — Medicare Advantage: $12 Encore — Commercial: $44.40 Humana — Commercial: $41.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$4.16 – $14.76
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $7.77 Anthem — Commercial: $9.71 Anthem — Exchange: $7.77 Anthem — HealthSync: $6.60 Anthem — IN Medicaid HCC: $7.77 Anthem — IN Medicaid HHW: $7.77 Anthem — IN Medicaid HIP: $7.77 Anthem — Medicare Advantage: $7.77 Anthem — Pathways for Aging: $7.77 Anthem — Workers Compensation: $14.76
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC	$74	$48.10	$14.80 – $96.20
Complete blood count (CBC), automated: 10 of 26 insurance plan rates Aetna — Commercial: $50.10 Aetna — Medicare Advantage: $33.30 Anthem — Commercial: $18.22 Anthem — HealthSync: $15.49 Caresource — IN Medicaid HIP: $96.20 CHA — Employer Group 1: $47.36 CHA — Employer Group 2: $48.84 CHA — Employer Group 3: $57.72 CHA — Employer Group 4: $44.40 Cigna — OAP: $53.28
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC	$74	$48.10	$14.80 – $96.20
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $50.10 Caresource — IN Medicaid HIP: $96.20 CHA — Employer Group 1: $47.36 CHA — Employer Group 2: $48.84 CHA — Employer Group 3: $57.72 Cigna — OAP: $53.28 Cigna Sagamore — PPO: $56.24 Devoted Healthcare — Medicare Advantage: $14.80 Encore — Commercial: $54.76 Humana — Commercial: $50.82
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$3.47 – $12.29
Complete blood count (CBC), automated: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $6.47 Anthem — Commercial: $8.09 Anthem — Exchange: $6.47 Anthem — HealthSync: $5.50 Anthem — IN Medicaid HCC: $6.47 Anthem — IN Medicaid HHW: $6.47 Anthem — IN Medicaid HIP: $6.47 Anthem — Medicare Advantage: $6.47 Anthem — Pathways for Aging: $6.47 Anthem — Workers Compensation: $12.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT	$38	$24.70	$7.60 – $49.40
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Aetna — Commercial: $25.73 Aetna — Medicare Advantage: $17.10 Anthem — Commercial: $9.36 Anthem — HealthSync: $7.95 Caresource — IN Medicaid HIP: $49.40 CHA — Employer Group 1: $24.32 CHA — Employer Group 2: $25.08 CHA — Employer Group 3: $29.64 CHA — Employer Group 4: $22.80 Cigna — OAP: $27.36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Prothrombin Time with Mixing Studies if Indicated	$38	$24.70	$7.60 – $49.40
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Aetna — Commercial: $25.73 Aetna — Medicare Advantage: $17.10 Anthem — Commercial: $9.36 Anthem — HealthSync: $7.95 Caresource — IN Medicaid HIP: $49.40 CHA — Employer Group 1: $24.32 CHA — Employer Group 2: $25.08 CHA — Employer Group 3: $29.64 CHA — Employer Group 4: $22.80 Cigna — OAP: $27.36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 PROTHROMBIN TIME	$38	$24.70	$7.60 – $49.40
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Aetna — Commercial: $25.73 Aetna — Medicare Advantage: $17.10 Anthem — Commercial: $9.36 Anthem — HealthSync: $7.95 Caresource — IN Medicaid HIP: $49.40 CHA — Employer Group 1: $24.32 CHA — Employer Group 2: $25.08 CHA — Employer Group 3: $29.64 CHA — Employer Group 4: $22.80 Cigna — OAP: $27.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$59	$38.35	$11.80 – $76.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Aetna — Commercial: $39.94 Aetna — Medicare Advantage: $26.55 Anthem — Commercial: $14.53 Anthem — HealthSync: $12.35 Caresource — IN Medicaid HIP: $76.70 CHA — Employer Group 1: $37.76 CHA — Employer Group 2: $38.94 CHA — Employer Group 3: $46.02 CHA — Employer Group 4: $35.40 Cigna — OAP: $42.48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT with Mixing Studies if Indicated	$59	$38.35	$11.80 – $76.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Aetna — Commercial: $39.94 Aetna — Medicare Advantage: $26.55 Anthem — Commercial: $14.53 Anthem — HealthSync: $12.35 Caresource — IN Medicaid HIP: $76.70 CHA — Employer Group 1: $37.76 CHA — Employer Group 2: $38.94 CHA — Employer Group 3: $46.02 CHA — Employer Group 4: $35.40 Cigna — OAP: $42.48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 THROMBOPLASTIN TIME PARTIAL	$59	$38.35	$11.80 – $76.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Aetna — Commercial: $39.94 Aetna — Medicare Advantage: $26.55 Anthem — Commercial: $14.53 Anthem — HealthSync: $12.35 Caresource — IN Medicaid HIP: $76.70 CHA — Employer Group 1: $37.76 CHA — Employer Group 2: $38.94 CHA — Employer Group 3: $46.02 CHA — Employer Group 4: $35.40 Cigna — OAP: $42.48

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain W-O Contrast	$1,373	$892.45	$274.60 – $1,784.90
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates Aetna — Commercial: $929.52 Aetna — Medicare Advantage: $617.85 Anthem — Commercial: $338.03 Anthem — HealthSync: $287.37 Caresource — IN Medicaid HIP: $1,784.90 CHA — Employer Group 1: $878.72 CHA — Employer Group 2: $906.18 CHA — Employer Group 3: $1,070.94 CHA — Employer Group 4: $823.80 Cigna — OAP: $988.56
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Brain W-O Contrast	$1,373	$892.45	$274.60 – $1,784.90
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $929.52 Caresource — IN Medicaid HIP: $1,784.90 CHA — Employer Group 1: $878.72 CHA — Employer Group 2: $906.18 CHA — Employer Group 3: $1,070.94 Cigna — OAP: $988.56 Cigna Sagamore — PPO: $1,043.48 Devoted Healthcare — Medicare Advantage: $274.60 Encore — Commercial: $1,016.02 Humana — Commercial: $942.84
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$59.71 – $332.29
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $111.40 Anthem — Commercial: $332.29 Anthem — Exchange: $111.40 Anthem — HealthSync: $282.45 Anthem — IN Medicaid HCC: $220.90 Anthem — IN Medicaid HHW: $220.90 Anthem — IN Medicaid HIP: $220.90 Anthem — Medicare Advantage: $111.40 Anthem — Pathways for Aging: $220.90 Anthem — Workers Compensation: $211.67
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain Perfusion W W/O Contrast	$2,541	$1,651.65	$508.20 – $3,303.30
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates Aetna — Commercial: $1,720.26 Aetna — Medicare Advantage: $1,143.45 Anthem — Commercial: $625.59 Anthem — HealthSync: $531.83 Caresource — IN Medicaid HIP: $3,303.30 CHA — Employer Group 1: $1,626.24 CHA — Employer Group 2: $1,677.06 CHA — Employer Group 3: $1,981.98 CHA — Employer Group 4: $1,524.60 Cigna — OAP: $1,829.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain W W-O Contrast	$2,541	$1,651.65	$508.20 – $3,303.30
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates Aetna — Commercial: $1,720.26 Aetna — Medicare Advantage: $1,143.45 Anthem — Commercial: $625.59 Anthem — HealthSync: $531.83 Caresource — IN Medicaid HIP: $3,303.30 CHA — Employer Group 1: $1,626.24 CHA — Employer Group 2: $1,677.06 CHA — Employer Group 3: $1,981.98 CHA — Employer Group 4: $1,524.60 Cigna — OAP: $1,829.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Brain Perfusion W W/O Contrast	$2,541	$1,651.65	$508.20 – $3,303.30
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,720.26 Caresource — IN Medicaid HIP: $3,303.30 CHA — Employer Group 1: $1,626.24 CHA — Employer Group 2: $1,677.06 CHA — Employer Group 3: $1,981.98 Cigna — OAP: $1,829.52 Cigna Sagamore — PPO: $1,931.16 Devoted Healthcare — Medicare Advantage: $508.20 Encore — Commercial: $1,880.34 Humana — Commercial: $1,744.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX Chest PA Lateral	$302	$196.30	$60.40 – $392.60
Chest X-ray, 2 views: 10 of 26 insurance plan rates Aetna — Commercial: $204.45 Aetna — Medicare Advantage: $135.90 Anthem — Commercial: $74.35 Anthem — HealthSync: $63.21 Caresource — IN Medicaid HIP: $392.60 CHA — Employer Group 1: $193.28 CHA — Employer Group 2: $199.32 CHA — Employer Group 3: $235.56 CHA — Employer Group 4: $181.20 Cigna — OAP: $217.44
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX CHEST BILAT LATERAL DECUBITUS	$302	$196.30	$60.40 – $392.60
Chest X-ray, 2 views: 10 of 26 insurance plan rates Aetna — Commercial: $204.45 Aetna — Medicare Advantage: $135.90 Anthem — Commercial: $74.35 Anthem — HealthSync: $63.21 Caresource — IN Medicaid HIP: $392.60 CHA — Employer Group 1: $193.28 CHA — Employer Group 2: $199.32 CHA — Employer Group 3: $235.56 CHA — Employer Group 4: $181.20 Cigna — OAP: $217.44
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX Chest PA Lateral	$302	$196.30	$60.40 – $392.60
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $204.45 Caresource — IN Medicaid HIP: $392.60 CHA — Employer Group 1: $193.28 CHA — Employer Group 2: $199.32 CHA — Employer Group 3: $235.56 Cigna — OAP: $217.44 Cigna Sagamore — PPO: $229.52 Devoted Healthcare — Medicare Advantage: $60.40 Encore — Commercial: $223.48 Humana — Commercial: $207.38
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX Spine Lumbar 4 Views	$519	$337.35	$103.80 – $674.70
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates Aetna — Commercial: $351.36 Aetna — Medicare Advantage: $233.55 Anthem — Commercial: $127.78 Anthem — HealthSync: $108.63 Caresource — IN Medicaid HIP: $674.70 CHA — Employer Group 1: $332.16 CHA — Employer Group 2: $342.54 CHA — Employer Group 3: $404.82 CHA — Employer Group 4: $311.40 Cigna — OAP: $373.68
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX Spine Lumbar 4 Views	$519	$337.35	$103.80 – $674.70
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Commercial: $351.36 Caresource — IN Medicaid HIP: $674.70 CHA — Employer Group 1: $332.16 CHA — Employer Group 2: $342.54 CHA — Employer Group 3: $404.82 Cigna — OAP: $373.68 Cigna Sagamore — PPO: $394.44 Devoted Healthcare — Medicare Advantage: $103.80 Encore — Commercial: $384.06 Humana — Commercial: $356.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$59.71 – $332.29
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $111.40 Anthem — Commercial: $332.29 Anthem — Exchange: $111.40 Anthem — HealthSync: $282.45 Anthem — IN Medicaid HCC: $91.46 Anthem — IN Medicaid HHW: $91.46 Anthem — IN Medicaid HIP: $91.46 Anthem — Medicare Advantage: $111.40 Anthem — Pathways for Aging: $91.46 Anthem — Workers Compensation: $211.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Lumbar Spine W-O Contrast	$2,032	$1,320.80	$406.40 – $2,641.60
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates Aetna — Commercial: $1,375.66 Aetna — Medicare Advantage: $914.40 Anthem — Commercial: $500.28 Anthem — HealthSync: $425.30 Caresource — IN Medicaid HIP: $2,641.60 CHA — Employer Group 1: $1,300.48 CHA — Employer Group 2: $1,341.12 CHA — Employer Group 3: $1,584.96 CHA — Employer Group 4: $1,219.20 Cigna — OAP: $1,463.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Lumbar Spine W-O Contrast	$2,032	$1,320.80	$406.40 – $2,641.60
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,375.66 Caresource — IN Medicaid HIP: $2,641.60 CHA — Employer Group 1: $1,300.48 CHA — Employer Group 2: $1,341.12 CHA — Employer Group 3: $1,584.96 Cigna — OAP: $1,463.04 Cigna Sagamore — PPO: $1,544.32 Devoted Healthcare — Medicare Advantage: $406.40 Encore — Commercial: $1,503.68 Humana — Commercial: $1,395.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$135.73 – $755.31
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $253.22 Anthem — Commercial: $755.31 Anthem — Exchange: $253.22 Anthem — HealthSync: $642.01 Anthem — IN Medicaid HCC: $457.59 Anthem — IN Medicaid HHW: $457.59 Anthem — IN Medicaid HIP: $457.59 Anthem — Medicare Advantage: $253.22 Anthem — Pathways for Aging: $457.59 Anthem — Workers Compensation: $481.12
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W-Contrast	$2,714	$1,764.10	$542.80 – $3,528.20
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates Aetna — Commercial: $1,837.38 Aetna — Medicare Advantage: $1,221.30 Anthem — Commercial: $668.19 Anthem — HealthSync: $568.04 Caresource — IN Medicaid HIP: $3,528.20 CHA — Employer Group 1: $1,736.96 CHA — Employer Group 2: $1,791.24 CHA — Employer Group 3: $2,116.92 CHA — Employer Group 4: $1,628.40 Cigna — OAP: $1,954.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W-Contrast	$2,714	$1,764.10	$542.80 – $3,528.20
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,837.38 Caresource — IN Medicaid HIP: $3,528.20 CHA — Employer Group 1: $1,736.96 CHA — Employer Group 2: $1,791.24 CHA — Employer Group 3: $2,116.92 Cigna — OAP: $1,954.08 Cigna Sagamore — PPO: $2,062.64 Devoted Healthcare — Medicare Advantage: $542.80 Encore — Commercial: $2,008.36 Humana — Commercial: $1,863.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$99.96 – $556.26
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $186.49 Anthem — Commercial: $556.26 Anthem — Exchange: $186.49 Anthem — HealthSync: $472.82 Anthem — IN Medicaid HCC: $480.79 Anthem — IN Medicaid HHW: $480.79 Anthem — IN Medicaid HIP: $480.79 Anthem — Medicare Advantage: $186.49 Anthem — Pathways for Aging: $480.79 Anthem — Workers Compensation: $354.33
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$135.73 – $755.31
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $253.22 Anthem — Commercial: $755.31 Anthem — Exchange: $253.22 Anthem — HealthSync: $642.01 Anthem — IN Medicaid HCC: $504.93 Anthem — IN Medicaid HHW: $504.93 Anthem — IN Medicaid HIP: $504.93 Anthem — Medicare Advantage: $253.22 Anthem — Pathways for Aging: $504.93 Anthem — Workers Compensation: $481.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MR Knee RT Presurgical Planning	$2,032	$1,320.80	$406.40 – $2,641.60
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates Aetna — Commercial: $1,375.66 Aetna — Medicare Advantage: $914.40 Anthem — Commercial: $500.28 Anthem — HealthSync: $425.30 Caresource — IN Medicaid HIP: $2,641.60 CHA — Employer Group 1: $1,300.48 CHA — Employer Group 2: $1,341.12 CHA — Employer Group 3: $1,584.96 CHA — Employer Group 4: $1,219.20 Cigna — OAP: $1,463.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MR Lower Ext Joint W-O Contrast LT	$2,032	$1,320.80	$406.40 – $2,641.60
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates Aetna — Commercial: $1,375.66 Aetna — Medicare Advantage: $914.40 Anthem — Commercial: $500.28 Anthem — HealthSync: $425.30 Caresource — IN Medicaid HIP: $2,641.60 CHA — Employer Group 1: $1,300.48 CHA — Employer Group 2: $1,341.12 CHA — Employer Group 3: $1,584.96 CHA — Employer Group 4: $1,219.20 Cigna — OAP: $1,463.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Enterography W-Contrast	$4,978	$3,235.70	$995.60 – $6,471.40
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates Aetna — Commercial: $3,370.11 Aetna — Medicare Advantage: $2,240.10 Anthem — Commercial: $1,225.58 Anthem — HealthSync: $1,041.90 Caresource — IN Medicaid HIP: $6,471.40 CHA — Employer Group 1: $3,185.92 CHA — Employer Group 2: $3,285.48 CHA — Employer Group 3: $3,882.84 CHA — Employer Group 4: $2,986.80 Cigna — OAP: $3,584.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis W-Contrast	$4,978	$3,235.70	$995.60 – $6,471.40
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates Aetna — Commercial: $3,370.11 Aetna — Medicare Advantage: $2,240.10 Anthem — Commercial: $1,225.58 Anthem — HealthSync: $1,041.90 Caresource — IN Medicaid HIP: $6,471.40 CHA — Employer Group 1: $3,185.92 CHA — Employer Group 2: $3,285.48 CHA — Employer Group 3: $3,882.84 CHA — Employer Group 4: $2,986.80 Cigna — OAP: $3,584.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Enterography W-Contrast	$4,978	$3,235.70	$995.60 – $6,471.40
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,370.11 Caresource — IN Medicaid HIP: $6,471.40 CHA — Employer Group 1: $3,185.92 CHA — Employer Group 2: $3,285.48 CHA — Employer Group 3: $3,882.84 Cigna — OAP: $3,584.16 Cigna Sagamore — PPO: $3,783.28 Devoted Healthcare — Medicare Advantage: $995.60 Encore — Commercial: $3,683.72 Humana — Commercial: $3,418.39
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$1,026	$666.90	$205.20 – $1,333.80
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates Aetna — Commercial: $694.60 Aetna — Medicare Advantage: $461.70 Anthem — Commercial: $252.60 Anthem — HealthSync: $214.74 Caresource — IN Medicaid HIP: $1,333.80 CHA — Employer Group 1: $656.64 CHA — Employer Group 2: $677.16 CHA — Employer Group 3: $800.28 CHA — Employer Group 4: $615.60 Cigna — OAP: $738.72
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete	$1,026	$666.90	$205.20 – $1,333.80
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Commercial: $694.60 Caresource — IN Medicaid HIP: $1,333.80 CHA — Employer Group 1: $656.64 CHA — Employer Group 2: $677.16 CHA — Employer Group 3: $800.28 Cigna — OAP: $738.72 Cigna Sagamore — PPO: $779.76 Devoted Healthcare — Medicare Advantage: $205.20 Encore — Commercial: $759.24 Humana — Commercial: $704.55
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$59.71 – $332.29
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $111.40 Anthem — Commercial: $332.29 Anthem — Exchange: $111.40 Anthem — HealthSync: $282.45 Anthem — IN Medicaid HCC: $274.05 Anthem — IN Medicaid HHW: $274.05 Anthem — IN Medicaid HIP: $274.05 Anthem — Medicare Advantage: $111.40 Anthem — Pathways for Aging: $274.05 Anthem — Workers Compensation: $211.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Done	$493	$320.45	$98.60 – $640.90
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates Aetna — Commercial: $333.76 Aetna — Medicare Advantage: $221.85 Anthem — Commercial: $121.38 Anthem — HealthSync: $103.18 Caresource — IN Medicaid HIP: $640.90 CHA — Employer Group 1: $315.52 CHA — Employer Group 2: $325.38 CHA — Employer Group 3: $384.54 CHA — Employer Group 4: $295.80 Cigna — OAP: $354.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ULTRASOUND (U ECHOGRAPHY PREGNANT UTER)	$617	$401.05	$123.40 – $802.10
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates Aetna — Commercial: $417.71 Aetna — Medicare Advantage: $277.65 Anthem — Commercial: $151.91 Anthem — HealthSync: $129.14 Caresource — IN Medicaid HIP: $802.10 CHA — Employer Group 1: $394.88 CHA — Employer Group 2: $407.22 CHA — Employer Group 3: $481.26 CHA — Employer Group 4: $370.20 Cigna — OAP: $444.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Wks	$617	$401.05	$123.40 – $802.10
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates Aetna — Commercial: $417.71 Aetna — Medicare Advantage: $277.65 Anthem — Commercial: $151.91 Anthem — HealthSync: $129.14 Caresource — IN Medicaid HIP: $802.10 CHA — Employer Group 1: $394.88 CHA — Employer Group 2: $407.22 CHA — Employer Group 3: $481.26 CHA — Employer Group 4: $370.20 Cigna — OAP: $444.24
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB	$626	$406.90	$125.20 – $813.80
Transvaginal ultrasound: 10 of 26 insurance plan rates Aetna — Commercial: $423.80 Aetna — Medicare Advantage: $281.70 Anthem — Commercial: $154.12 Anthem — HealthSync: $131.02 Caresource — IN Medicaid HIP: $813.80 CHA — Employer Group 1: $400.64 CHA — Employer Group 2: $413.16 CHA — Employer Group 3: $488.28 CHA — Employer Group 4: $375.60 Cigna — OAP: $450.72
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Transvaginal Non OB	$626	$406.90	$125.20 – $813.80
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Commercial: $423.80 Caresource — IN Medicaid HIP: $813.80 CHA — Employer Group 1: $400.64 CHA — Employer Group 2: $413.16 CHA — Employer Group 3: $488.28 Cigna — OAP: $450.72 Cigna Sagamore — PPO: $475.76 Devoted Healthcare — Medicare Advantage: $125.20 Encore — Commercial: $463.24 Humana — Commercial: $429.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$59.71 – $332.29
Transvaginal ultrasound: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $111.40 Anthem — Commercial: $332.29 Anthem — Exchange: $111.40 Anthem — HealthSync: $282.45 Anthem — IN Medicaid HCC: $249.91 Anthem — IN Medicaid HHW: $249.91 Anthem — IN Medicaid HIP: $249.91 Anthem — Medicare Advantage: $111.40 Anthem — Pathways for Aging: $249.91 Anthem — Workers Compensation: $211.67
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Bilat Diag Mammo Spcl	$1,119	$727.35	$223.80 – $1,454.70
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — Commercial: $757.56 Aetna — Medicare Advantage: $503.55 Anthem — Commercial: $275.50 Anthem — HealthSync: $234.21 Caresource — IN Medicaid HIP: $1,454.70 CHA — Employer Group 1: $716.16 CHA — Employer Group 2: $738.54 CHA — Employer Group 3: $872.82 CHA — Employer Group 4: $671.40 Cigna — OAP: $805.68
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Digital Bilat Diag Mammo Spcl	$1,119	$727.35	$223.80 – $1,454.70
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Commercial: $757.56 Caresource — IN Medicaid HIP: $1,454.70 CHA — Employer Group 1: $716.16 CHA — Employer Group 2: $738.54 CHA — Employer Group 3: $872.82 Cigna — OAP: $805.68 Cigna Sagamore — PPO: $850.44 Devoted Healthcare — Medicare Advantage: $223.80 Encore — Commercial: $828.06 Humana — Commercial: $768.42
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$61.07 – $255.68
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $113.63 Anthem — Commercial: $97.69 Anthem — Exchange: $113.63 Anthem — HealthSync: $66.43 Anthem — IN Medicaid HCC: $255.68 Anthem — IN Medicaid HHW: $255.68 Anthem — IN Medicaid HIP: $255.68 Anthem — Medicare Advantage: $113.63 Anthem — Pathways for Aging: $255.68 Anthem — Workers Compensation: $215.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo-Implant	$729	$473.85	$145.80 – $947.70
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $493.53 Aetna — Medicare Advantage: $328.05 Anthem — Commercial: $179.48 Anthem — HealthSync: $152.58 Caresource — IN Medicaid HIP: $947.70 CHA — Employer Group 1: $466.56 CHA — Employer Group 2: $481.14 CHA — Employer Group 3: $568.62 CHA — Employer Group 4: $437.40 Cigna — OAP: $524.88
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo	$729	$473.85	$145.80 – $947.70
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $493.53 Aetna — Medicare Advantage: $328.05 Anthem — Commercial: $179.48 Anthem — HealthSync: $152.58 Caresource — IN Medicaid HIP: $947.70 CHA — Employer Group 1: $466.56 CHA — Employer Group 2: $481.14 CHA — Employer Group 3: $568.62 CHA — Employer Group 4: $437.40 Cigna — OAP: $524.88
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo-Implant	$729	$473.85	$145.80 – $947.70
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $493.53 Caresource — IN Medicaid HIP: $947.70 CHA — Employer Group 1: $466.56 CHA — Employer Group 2: $481.14 CHA — Employer Group 3: $568.62 Cigna — OAP: $524.88 Cigna Sagamore — PPO: $554.04 Devoted Healthcare — Medicare Advantage: $145.80 Encore — Commercial: $539.46 Humana — Commercial: $500.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Screening Mammo (BCCP)	$496	$322.40	$99.20 – $644.80
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $335.79 Aetna — Medicare Advantage: $223.20 Anthem — Commercial: $122.12 Anthem — HealthSync: $103.81 Caresource — IN Medicaid HIP: $644.80 CHA — Employer Group 1: $317.44 CHA — Employer Group 2: $327.36 CHA — Employer Group 3: $386.88 CHA — Employer Group 4: $297.60 Cigna — OAP: $357.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: zzMA Digital Screening Mammo Special	$496	$322.40	$99.20 – $644.80
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $335.79 Aetna — Medicare Advantage: $223.20 Anthem — Commercial: $122.12 Anthem — HealthSync: $103.81 Caresource — IN Medicaid HIP: $644.80 CHA — Employer Group 1: $317.44 CHA — Employer Group 2: $327.36 CHA — Employer Group 3: $386.88 CHA — Employer Group 4: $297.60 Cigna — OAP: $357.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Screening Mammo	$496	$322.40	$99.20 – $644.80
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $335.79 Aetna — Medicare Advantage: $223.20 Anthem — Commercial: $122.12 Anthem — HealthSync: $103.81 Caresource — IN Medicaid HIP: $644.80 CHA — Employer Group 1: $317.44 CHA — Employer Group 2: $327.36 CHA — Employer Group 3: $386.88 CHA — Employer Group 4: $297.60 Cigna — OAP: $357.12

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left Heart Cath w/o Coronaries	$8,358	$5,432.70	$1,671.60 – $10,865.40
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates Aetna — Commercial: $5,658.37 Aetna — Medicare Advantage: $3,761.10 Anthem — Commercial: $2,057.74 Anthem — HealthSync: $1,749.33 Caresource — IN Medicaid HIP: $10,865.40 CHA — Employer Group 1: $5,349.12 CHA — Employer Group 2: $5,516.28 CHA — Employer Group 3: $6,519.24 CHA — Employer Group 4: $5,014.80 Cigna — OAP: $6,017.76
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Left Heart Cath w/o Coronaries	$8,358	$5,432.70	$1,671.60 – $10,865.40
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $5,658.37 Caresource — IN Medicaid HIP: $10,865.40 CHA — Employer Group 1: $5,349.12 CHA — Employer Group 2: $5,516.28 CHA — Employer Group 3: $6,519.24 Cigna — OAP: $6,017.76 Cigna Sagamore — PPO: $6,352.08 Devoted Healthcare — Medicare Advantage: $1,671.60 Encore — Commercial: $6,184.92 Humana — Commercial: $5,739.44
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$1,806.03 – $10,050.46
Left heart catheterization (diagnostic): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $3,369.45 Anthem — Commercial: $10,050.46 Anthem — Exchange: $3,369.45 Anthem — HealthSync: $8,542.89 Anthem — IN Medicaid HCC: $8,683.74 Anthem — IN Medicaid HHW: $8,683.74 Anthem — IN Medicaid HIP: $8,683.74 Anthem — Medicare Advantage: $3,369.45 Anthem — Pathways for Aging: $8,683.74 Anthem — Workers Compensation: $6,401.96
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP Stimulation & Recording Study	$11,630	$7,559.50	$2,326 – $15,119
Heart rhythm study (electrophysiology evaluation): 10 of 26 insurance plan rates Aetna — Commercial: $7,873.51 Aetna — Medicare Advantage: $5,233.50 Anthem — Commercial: $2,863.31 Anthem — HealthSync: $2,434.16 Caresource — IN Medicaid HIP: $15,119 CHA — Employer Group 1: $7,443.20 CHA — Employer Group 2: $7,675.80 CHA — Employer Group 3: $9,071.40 CHA — Employer Group 4: $6,978 Cigna — OAP: $8,373.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP Stimulation & Recording Study	$11,630	$7,559.50	$2,326 – $15,119
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates Aetna — Commercial: $7,873.51 Caresource — IN Medicaid HIP: $15,119 CHA — Employer Group 1: $7,443.20 CHA — Employer Group 2: $7,675.80 CHA — Employer Group 3: $9,071.40 Cigna — OAP: $8,373.60 Cigna Sagamore — PPO: $8,838.80 Devoted Healthcare — Medicare Advantage: $2,326 Encore — Commercial: $8,606.20 Humana — Commercial: $7,986.32
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation	Not listed in the file	Not listed in the file	$4,260.74 – $23,710.86
Heart rhythm study (electrophysiology evaluation): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $7,949.15 Anthem — Commercial: $23,710.86 Anthem — Exchange: $7,949.15 Anthem — HealthSync: $20,154.23 Anthem — IN Medicaid HCC: $13,051.74 Anthem — IN Medicaid HHW: $13,051.74 Anthem — IN Medicaid HIP: $13,051.74 Anthem — Medicare Advantage: $7,949.15 Anthem — Pathways for Aging: $13,051.74 Anthem — Workers Compensation: $15,103.38
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comp EPS w/Afib and PVI	$49,140	$31,941	$9,828 – $63,882
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates Aetna — Commercial: $33,267.78 Aetna — Medicare Advantage: $22,113 Anthem — Commercial: $12,098.27 Anthem — HealthSync: $10,285 Caresource — IN Medicaid HIP: $63,882 CHA — Employer Group 1: $31,449.60 CHA — Employer Group 2: $32,432.40 CHA — Employer Group 3: $38,329.20 CHA — Employer Group 4: $29,484 Cigna — OAP: $35,380.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comp EPS w/Afib and PVI	$49,140	$31,941	$9,828 – $63,882
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates Aetna — Commercial: $33,267.78 Caresource — IN Medicaid HIP: $63,882 CHA — Employer Group 1: $31,449.60 CHA — Employer Group 2: $32,432.40 CHA — Employer Group 3: $38,329.20 Cigna — OAP: $35,380.80 Cigna Sagamore — PPO: $37,346.40 Devoted Healthcare — Medicare Advantage: $9,828 Encore — Commercial: $36,363.60 Humana — Commercial: $33,744.44
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib	Not listed in the file	Not listed in the file	$13,774.96 – $76,657.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $25,699.55 Anthem — Commercial: $76,657.08 Anthem — Exchange: $25,699.55 Anthem — HealthSync: $65,158.51 Anthem — IN Medicaid HCC: $26,103.48 Anthem — IN Medicaid HHW: $26,103.48 Anthem — IN Medicaid HIP: $26,103.48 Anthem — Medicare Advantage: $25,699.55 Anthem — Pathways for Aging: $26,103.48 Anthem — Workers Compensation: $48,829.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC SLEEP STUDY	$4,596	$2,987.40	$919.20 – $5,974.80
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates Aetna — Commercial: $3,111.49 Aetna — Medicare Advantage: $2,068.20 Anthem — Commercial: $1,131.54 Anthem — HealthSync: $961.94 Caresource — IN Medicaid HIP: $5,974.80 CHA — Employer Group 1: $2,941.44 CHA — Employer Group 2: $3,033.36 CHA — Employer Group 3: $3,584.88 CHA — Employer Group 4: $2,757.60 Cigna — OAP: $3,309.12
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC SLEEP STUDY	$4,596	$2,987.40	$919.20 – $5,974.80
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — Commercial: $3,111.49 Caresource — IN Medicaid HIP: $5,974.80 CHA — Employer Group 1: $2,941.44 CHA — Employer Group 2: $3,033.36 CHA — Employer Group 3: $3,584.88 Cigna — OAP: $3,309.12 Cigna Sagamore — PPO: $3,492.96 Devoted Healthcare — Medicare Advantage: $919.20 Encore — Commercial: $3,401.04 Humana — Commercial: $3,156.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$3,559.88
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $1,065.80 Anthem — Commercial: $3,179.08 Anthem — Exchange: $1,065.80 Anthem — HealthSync: $2,702.22 Anthem — IN Medicaid HCC: $3,559.88 Anthem — IN Medicaid HHW: $3,559.88 Anthem — IN Medicaid HIP: $3,559.88 Anthem — Medicare Advantage: $1,065.80 Anthem — Pathways for Aging: $3,559.88 Anthem — Workers Compensation: $2,025.02

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$14.80 – $52.33
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $27.54 Anthem — Commercial: $34.43 Anthem — Exchange: $27.54 Anthem — HealthSync: $23.41 Anthem — Medicare Advantage: $27.54 Anthem — Workers Compensation: $52.33 Caresource — Exchange: $44.06 Devoted Healthcare — Medicare Advantage: $28.92 Humana — Medicare Advantage: $27.54 McLaren (MI — MI Medicaid: $14.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ,GP In the file: PT THERAPEUTIC EXERCISE-CQ	$133	$86.45	$26.60 – $172.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $90.04 Aetna — Medicare Advantage: $59.85 Anthem — Commercial: $32.74 Anthem — HealthSync: $27.84 Caresource — IN Medicaid HIP: $172.90 CHA — Employer Group 1: $85.12 CHA — Employer Group 2: $87.78 CHA — Employer Group 3: $103.74 CHA — Employer Group 4: $79.80 Cigna — OAP: $95.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Therapeutic Exercise Units	$133	$86.45	$26.60 – $172.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $90.04 Aetna — Medicare Advantage: $59.85 Anthem — Commercial: $32.74 Anthem — HealthSync: $27.84 Caresource — IN Medicaid HIP: $172.90 CHA — Employer Group 1: $85.12 CHA — Employer Group 2: $87.78 CHA — Employer Group 3: $103.74 CHA — Employer Group 4: $79.80 Cigna — OAP: $95.76
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$50.42 – $178.01
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $93.69 Anthem — Commercial: $117.11 Anthem — Exchange: $93.69 Anthem — HealthSync: $79.64 Anthem — Medicare Advantage: $93.69 Anthem — Workers Compensation: $178.01 Caresource — Exchange: $149.90 Devoted Healthcare — Medicare Advantage: $98.37 Humana — Medicare Advantage: $93.69 McLaren (MI — MI Medicaid: $50.42
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Low	$261	$169.65	$52.20 – $339.30
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates Aetna — Commercial: $176.70 Aetna — Medicare Advantage: $117.45 Anthem — Commercial: $64.26 Anthem — HealthSync: $54.63 Caresource — IN Medicaid HIP: $339.30 CHA — Employer Group 1: $167.04 CHA — Employer Group 2: $172.26 CHA — Employer Group 3: $203.58 CHA — Employer Group 4: $156.60 Cigna — OAP: $187.92
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT PT EVAL LOW COMPLEX 20 MIN	$261	$169.65	$52.20 – $339.30
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates Aetna — Commercial: $176.70 Aetna — Medicare Advantage: $117.45 Anthem — Commercial: $64.26 Anthem — HealthSync: $54.63 Caresource — IN Medicaid HIP: $339.30 CHA — Employer Group 1: $167.04 CHA — Employer Group 2: $172.26 CHA — Employer Group 3: $203.58 CHA — Employer Group 4: $156.60 Cigna — OAP: $187.92
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$50.42 – $178.01
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $93.69 Anthem — Commercial: $117.11 Anthem — Exchange: $93.69 Anthem — HealthSync: $79.64 Anthem — Medicare Advantage: $93.69 Anthem — Workers Compensation: $178.01 Caresource — Exchange: $149.90 Devoted Healthcare — Medicare Advantage: $98.37 Humana — Medicare Advantage: $93.69 McLaren (MI — MI Medicaid: $50.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Moderate	$288	$187.20	$57.60 – $374.40
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates Aetna — Commercial: $194.98 Aetna — Medicare Advantage: $129.60 Anthem — Commercial: $70.91 Anthem — HealthSync: $60.28 Caresource — IN Medicaid HIP: $374.40 CHA — Employer Group 1: $184.32 CHA — Employer Group 2: $190.08 CHA — Employer Group 3: $224.64 CHA — Employer Group 4: $172.80 Cigna — OAP: $207.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT PT EVAL MOD COMPLEX 30 MIN	$288	$187.20	$57.60 – $374.40
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates Aetna — Commercial: $194.98 Aetna — Medicare Advantage: $129.60 Anthem — Commercial: $70.91 Anthem — HealthSync: $60.28 Caresource — IN Medicaid HIP: $374.40 CHA — Employer Group 1: $184.32 CHA — Employer Group 2: $190.08 CHA — Employer Group 3: $224.64 CHA — Employer Group 4: $172.80 Cigna — OAP: $207.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$50.42 – $178.01
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $93.69 Anthem — Commercial: $117.11 Anthem — Exchange: $93.69 Anthem — HealthSync: $79.64 Anthem — Medicare Advantage: $93.69 Anthem — Workers Compensation: $178.01 Caresource — Exchange: $149.90 Devoted Healthcare — Medicare Advantage: $98.37 Humana — Medicare Advantage: $93.69 McLaren (MI — MI Medicaid: $50.42
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: High	$432	$280.80	$86.40 – $561.60
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Aetna — Commercial: $292.46 Aetna — Medicare Advantage: $194.40 Anthem — Commercial: $106.36 Anthem — HealthSync: $90.42 Caresource — IN Medicaid HIP: $561.60 CHA — Employer Group 1: $276.48 CHA — Employer Group 2: $285.12 CHA — Employer Group 3: $336.96 CHA — Employer Group 4: $259.20 Cigna — OAP: $311.04
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT PT EVAL HIGH COMPLEX 45 MIN	$432	$280.80	$86.40 – $561.60
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Aetna — Commercial: $292.46 Aetna — Medicare Advantage: $194.40 Anthem — Commercial: $106.36 Anthem — HealthSync: $90.42 Caresource — IN Medicaid HIP: $561.60 CHA — Employer Group 1: $276.48 CHA — Employer Group 2: $285.12 CHA — Employer Group 3: $336.96 CHA — Employer Group 4: $259.20 Cigna — OAP: $311.04
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MIN	$300	$195	$60 – $390
Psychotherapy, 30 minutes: 10 of 26 insurance plan rates Aetna — Commercial: $203.10 Aetna — Medicare Advantage: $135 Anthem — Commercial: $73.86 Anthem — HealthSync: $62.79 Caresource — IN Medicaid HIP: $390 CHA — Employer Group 1: $192 CHA — Employer Group 2: $198 CHA — Employer Group 3: $234 CHA — Employer Group 4: $180 Cigna — OAP: $216
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MIN	$300	$195	$60 – $390
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $203.10 Caresource — IN Medicaid HIP: $390 CHA — Employer Group 1: $192 CHA — Employer Group 2: $198 CHA — Employer Group 3: $234 Cigna — OAP: $216 Cigna Sagamore — PPO: $228 Devoted Healthcare — Medicare Advantage: $60 Encore — Commercial: $222 Humana — Commercial: $206.01
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$90.22 – $502.06
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $168.32 Anthem — Commercial: $502.06 Anthem — Exchange: $168.32 Anthem — HealthSync: $426.75 Anthem — Medicare Advantage: $168.32 Anthem — Workers Compensation: $319.81 Caresource — Exchange: $269.31 Devoted Healthcare — Medicare Advantage: $176.73 Humana — Medicare Advantage: $168.32 McLaren (MI — MI Medicaid: $90.22
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MIN	$498	$323.70	$99.60 – $647.40
Psychotherapy, 45 minutes: 10 of 26 insurance plan rates Aetna — Commercial: $337.15 Aetna — Medicare Advantage: $224.10 Anthem — Commercial: $122.61 Anthem — HealthSync: $104.23 Caresource — IN Medicaid HIP: $647.40 CHA — Employer Group 1: $318.72 CHA — Employer Group 2: $328.68 CHA — Employer Group 3: $388.44 CHA — Employer Group 4: $298.80 Cigna — OAP: $358.56
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MIN	$498	$323.70	$99.60 – $647.40
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $337.15 Caresource — IN Medicaid HIP: $647.40 CHA — Employer Group 1: $318.72 CHA — Employer Group 2: $328.68 CHA — Employer Group 3: $388.44 Cigna — OAP: $358.56 Cigna Sagamore — PPO: $378.48 Devoted Healthcare — Medicare Advantage: $99.60 Encore — Commercial: $368.52 Humana — Commercial: $341.98
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$90.22 – $502.06
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $168.32 Anthem — Commercial: $502.06 Anthem — Exchange: $168.32 Anthem — HealthSync: $426.75 Anthem — Medicare Advantage: $168.32 Anthem — Workers Compensation: $319.81 Caresource — Exchange: $269.31 Devoted Healthcare — Medicare Advantage: $176.73 Humana — Medicare Advantage: $168.32 McLaren (MI — MI Medicaid: $90.22
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MIN	$665	$432.25	$133 – $864.50
Psychotherapy, 60 minutes: 10 of 26 insurance plan rates Aetna — Commercial: $450.21 Aetna — Medicare Advantage: $299.25 Anthem — Commercial: $163.72 Anthem — HealthSync: $139.18 Caresource — IN Medicaid HIP: $864.50 CHA — Employer Group 1: $425.60 CHA — Employer Group 2: $438.90 CHA — Employer Group 3: $518.70 CHA — Employer Group 4: $399 Cigna — OAP: $478.80
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MIN	$665	$432.25	$133 – $864.50
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $450.21 Caresource — IN Medicaid HIP: $864.50 CHA — Employer Group 1: $425.60 CHA — Employer Group 2: $438.90 CHA — Employer Group 3: $518.70 Cigna — OAP: $478.80 Cigna Sagamore — PPO: $505.40 Devoted Healthcare — Medicare Advantage: $133 Encore — Commercial: $492.10 Humana — Commercial: $456.66
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$90.22 – $502.06
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $168.32 Anthem — Commercial: $502.06 Anthem — Exchange: $168.32 Anthem — HealthSync: $426.75 Anthem — Medicare Advantage: $168.32 Anthem — Workers Compensation: $319.81 Caresource — Exchange: $269.31 Devoted Healthcare — Medicare Advantage: $176.73 Humana — Medicare Advantage: $168.32 McLaren (MI — MI Medicaid: $90.22
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY CONFERENCE	$498	$323.70	$99.60 – $647.40
Family psychotherapy, without the patient: 10 of 26 insurance plan rates Aetna — Commercial: $337.15 Aetna — Medicare Advantage: $224.10 Anthem — Commercial: $122.61 Anthem — HealthSync: $104.23 Caresource — IN Medicaid HIP: $647.40 CHA — Employer Group 1: $318.72 CHA — Employer Group 2: $328.68 CHA — Employer Group 3: $388.44 CHA — Employer Group 4: $298.80 Cigna — OAP: $358.56
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY CONFERENCE	$498	$323.70	$99.60 – $647.40
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Commercial: $337.15 Caresource — IN Medicaid HIP: $647.40 CHA — Employer Group 1: $318.72 CHA — Employer Group 2: $328.68 CHA — Employer Group 3: $388.44 Cigna — OAP: $358.56 Cigna Sagamore — PPO: $378.48 Devoted Healthcare — Medicare Advantage: $99.60 Encore — Commercial: $368.52 Humana — Commercial: $341.98
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$90.22 – $502.06
Family psychotherapy, without the patient: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $168.32 Anthem — Commercial: $502.06 Anthem — Exchange: $168.32 Anthem — HealthSync: $426.75 Anthem — Medicare Advantage: $168.32 Anthem — Workers Compensation: $319.81 Caresource — Exchange: $269.31 Devoted Healthcare — Medicare Advantage: $176.73 Humana — Medicare Advantage: $168.32 McLaren (MI — MI Medicaid: $90.22
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHER. W/PATIENT PRES	$498	$323.70	$99.60 – $647.40
Family psychotherapy, with the patient: 10 of 26 insurance plan rates Aetna — Commercial: $337.15 Aetna — Medicare Advantage: $224.10 Anthem — Commercial: $122.61 Anthem — HealthSync: $104.23 Caresource — IN Medicaid HIP: $647.40 CHA — Employer Group 1: $318.72 CHA — Employer Group 2: $328.68 CHA — Employer Group 3: $388.44 CHA — Employer Group 4: $298.80 Cigna — OAP: $358.56
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHER. W/PATIENT PRES	$498	$323.70	$99.60 – $647.40
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Commercial: $337.15 Caresource — IN Medicaid HIP: $647.40 CHA — Employer Group 1: $318.72 CHA — Employer Group 2: $328.68 CHA — Employer Group 3: $388.44 Cigna — OAP: $358.56 Cigna Sagamore — PPO: $378.48 Devoted Healthcare — Medicare Advantage: $99.60 Encore — Commercial: $368.52 Humana — Commercial: $341.98
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$90.22 – $502.06
Family psychotherapy, with the patient: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $168.32 Anthem — Commercial: $502.06 Anthem — Exchange: $168.32 Anthem — HealthSync: $426.75 Anthem — Medicare Advantage: $168.32 Anthem — Workers Compensation: $319.81 Caresource — Exchange: $269.31 Devoted Healthcare — Medicare Advantage: $176.73 Humana — Medicare Advantage: $168.32 McLaren (MI — MI Medicaid: $90.22
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP MEDICAL PSYCHOTHERAPY	$151	$98.15	$30.20 – $196.30
Group psychotherapy: 10 of 26 insurance plan rates Aetna — Commercial: $102.23 Aetna — Medicare Advantage: $67.95 Anthem — Commercial: $37.18 Anthem — HealthSync: $31.60 Caresource — IN Medicaid HIP: $196.30 CHA — Employer Group 1: $96.64 CHA — Employer Group 2: $99.66 CHA — Employer Group 3: $117.78 CHA — Employer Group 4: $90.60 Cigna — OAP: $108.72
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP MEDICAL PSYCHOTHERAPY	$151	$98.15	$30.20 – $196.30
Group psychotherapy: 10 of 16 insurance plan rates Aetna — Commercial: $102.23 Caresource — IN Medicaid HIP: $196.30 CHA — Employer Group 1: $96.64 CHA — Employer Group 2: $99.66 CHA — Employer Group 3: $117.78 Cigna — OAP: $108.72 Cigna Sagamore — PPO: $114.76 Devoted Healthcare — Medicare Advantage: $30.20 Encore — Commercial: $111.74 Humana — Commercial: $103.69
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$51.94 – $289.05
Group psychotherapy: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $96.91 Anthem — Commercial: $289.05 Anthem — Exchange: $96.91 Anthem — HealthSync: $245.69 Anthem — Medicare Advantage: $96.91 Anthem — Workers Compensation: $184.12 Caresource — Exchange: $155.05 Devoted Healthcare — Medicare Advantage: $101.75 Humana — Medicare Advantage: $96.91 McLaren (MI — MI Medicaid: $51.94

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$1,905.42 – $11,965.51
Removal of breast growth (open surgery): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $4,011.48 Anthem — Commercial: $11,965.51 Anthem — Exchange: $4,011.48 Anthem — HealthSync: $10,170.69 Anthem — IN Medicaid HCC: $1,905.42 Anthem — IN Medicaid HHW: $1,905.42 Anthem — IN Medicaid HIP: $1,905.42 Anthem — Medicare Advantage: $4,011.48 Anthem — Pathways for Aging: $1,905.42 Anthem — Workers Compensation: $7,621.81
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$7,224.76 – $40,205.47
Total hip replacement: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $13,479.02 Anthem — Commercial: $40,205.47 Anthem — Exchange: $13,479.02 Anthem — HealthSync: $34,174.65 Anthem — IN Medicaid HCC: $26,103.48 Anthem — IN Medicaid HHW: $26,103.48 Anthem — IN Medicaid HIP: $26,103.48 Anthem — Medicare Advantage: $13,479.02 Anthem — Pathways for Aging: $26,103.48 Anthem — Workers Compensation: $25,610.14
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$7,224.76 – $40,205.47
Total knee replacement: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $13,479.02 Anthem — Commercial: $40,205.47 Anthem — Exchange: $13,479.02 Anthem — HealthSync: $34,174.65 Anthem — IN Medicaid HCC: $26,103.48 Anthem — IN Medicaid HHW: $26,103.48 Anthem — IN Medicaid HIP: $26,103.48 Anthem — Medicare Advantage: $13,479.02 Anthem — Pathways for Aging: $26,103.48 Anthem — Workers Compensation: $25,610.14
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$1,905.42
Shoulder arthroscopy: shaving of shoulder bone: 10 of 16 insurance plan rates Anthem — IN Medicaid HCC: $1,905.42 Anthem — IN Medicaid HHW: $1,905.42 Anthem — IN Medicaid HIP: $1,905.42 Anthem — Pathways for Aging: $1,905.42 Caresource — IN Medicaid HHW: $1,905.42 Caresource — IN Medicaid HIP: $1,905.42 Humana — Pathways for Aging: $1,905.42 MdWise — IN Medicaid HHW: $1,905.42 MdWise — IN Medicaid HIP: $1,905.42 MHS — IN Medicaid HCC: $1,905.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,821.86 – $10,138.57
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $3,398.99 Anthem — Commercial: $10,138.57 Anthem — Exchange: $3,398.99 Anthem — HealthSync: $8,617.78 Anthem — IN Medicaid HCC: $2,273.62 Anthem — IN Medicaid HHW: $2,273.62 Anthem — IN Medicaid HIP: $2,273.62 Anthem — Medicare Advantage: $3,398.99 Anthem — Pathways for Aging: $2,273.62 Anthem — Workers Compensation: $6,458.08
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$3,121.64 – $18,484.90
Removal of tonsils and adenoids (under age 12): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $6,197.13 Anthem — Commercial: $18,484.90 Anthem — Exchange: $6,197.13 Anthem — HealthSync: $15,712.16 Anthem — IN Medicaid HCC: $3,121.64 Anthem — IN Medicaid HHW: $3,121.64 Anthem — IN Medicaid HIP: $3,121.64 Anthem — Medicare Advantage: $6,197.13 Anthem — Pathways for Aging: $3,121.64 Anthem — Workers Compensation: $11,774.54
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHGASTRODSCPY DIAG BRUSH WASH	$2,705	$1,758.25	$541 – $3,516.50
Upper GI endoscopy (diagnostic): 10 of 26 insurance plan rates Aetna — Commercial: $1,831.28 Aetna — Medicare Advantage: $1,217.25 Anthem — Commercial: $665.97 Anthem — HealthSync: $566.16 Caresource — IN Medicaid HIP: $3,516.50 CHA — Employer Group 1: $1,731.20 CHA — Employer Group 2: $1,785.30 CHA — Employer Group 3: $2,109.90 CHA — Employer Group 4: $1,623 Cigna — OAP: $1,947.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESOPHGASTRODSCPY DIAG BRUSH WASH	$2,705	$1,758.25	$541 – $3,516.50
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $1,831.28 Caresource — IN Medicaid HIP: $3,516.50 CHA — Employer Group 1: $1,731.20 CHA — Employer Group 2: $1,785.30 CHA — Employer Group 3: $2,109.90 Cigna — OAP: $1,947.60 Cigna Sagamore — PPO: $2,055.80 Devoted Healthcare — Medicare Advantage: $541 Encore — Commercial: $2,001.70 Humana — Commercial: $1,857.52
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$526.44 – $2,929.63
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $982.17 Anthem — Commercial: $2,929.63 Anthem — Exchange: $982.17 Anthem — HealthSync: $2,490.18 Anthem — IN Medicaid HCC: $2,273.62 Anthem — IN Medicaid HHW: $2,273.62 Anthem — IN Medicaid HIP: $2,273.62 Anthem — Medicare Advantage: $982.17 Anthem — Pathways for Aging: $2,273.62 Anthem — Workers Compensation: $1,866.12
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$526.44 – $2,929.63
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $982.17 Anthem — Commercial: $2,929.63 Anthem — Exchange: $982.17 Anthem — HealthSync: $2,490.18 Anthem — IN Medicaid HCC: $2,273.62 Anthem — IN Medicaid HHW: $2,273.62 Anthem — IN Medicaid HIP: $2,273.62 Anthem — Medicare Advantage: $982.17 Anthem — Pathways for Aging: $2,273.62 Anthem — Workers Compensation: $1,866.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$511.93 – $2,848.85
Colonoscopy (diagnostic): 10 of 32 insurance plan rates Aetna — Medicare Advantage: $955.09 Anthem — Commercial: $2,848.85 Anthem — Exchange: $955.09 Anthem — HealthSync: $2,421.52 Anthem — IN Medicaid HCC: $2,273.62 Anthem — IN Medicaid HHW: $2,273.62 Anthem — IN Medicaid HIP: $2,273.62 Anthem — Medicare Advantage: $955.09 Anthem — Pathways for Aging: $2,273.62 Anthem — Workers Compensation: $1,814.67
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$662.06 – $3,684.32
Colonoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Medicare Advantage: $1,235.18 Anthem — Commercial: $3,684.32 Anthem — Exchange: $1,235.18 Anthem — HealthSync: $3,131.68 Anthem — IN Medicaid HCC: $3,121.64 Anthem — IN Medicaid HHW: $3,121.64 Anthem — IN Medicaid HIP: $3,121.64 Anthem — Medicare Advantage: $1,235.18 Anthem — Pathways for Aging: $3,121.64 Anthem — Workers Compensation: $2,346.85
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$662.06 – $3,684.32
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $1,235.18 Anthem — Commercial: $3,684.32 Anthem — Exchange: $1,235.18 Anthem — HealthSync: $3,131.68 Anthem — IN Medicaid HCC: $3,121.64 Anthem — IN Medicaid HHW: $3,121.64 Anthem — IN Medicaid HIP: $3,121.64 Anthem — Medicare Advantage: $1,235.18 Anthem — Pathways for Aging: $3,121.64 Anthem — Workers Compensation: $2,346.85
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$662.06 – $3,684.32
Ultrasound of the lower bowel by endoscope: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $1,235.18 Anthem — Commercial: $3,684.32 Anthem — Exchange: $1,235.18 Anthem — HealthSync: $3,131.68 Anthem — IN Medicaid HCC: $3,121.64 Anthem — IN Medicaid HHW: $3,121.64 Anthem — IN Medicaid HIP: $3,121.64 Anthem — Medicare Advantage: $1,235.18 Anthem — Pathways for Aging: $3,121.64 Anthem — Workers Compensation: $2,346.85
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$511.93 – $2,848.85
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $955.09 Anthem — Commercial: $2,848.85 Anthem — Exchange: $955.09 Anthem — HealthSync: $2,421.52 Anthem — Medicare Advantage: $955.09 Anthem — Workers Compensation: $1,814.67 Caresource — Exchange: $1,528.14 Devoted Healthcare — Medicare Advantage: $1,002.84 Humana — Medicare Advantage: $955.09 McLaren (MI — MI Medicaid: $511.93
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$3,276.01 – $18,230.87
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $6,111.96 Anthem — Commercial: $18,230.87 Anthem — Exchange: $6,111.96 Anthem — HealthSync: $15,496.24 Anthem — IN Medicaid HCC: $4,211.34 Anthem — IN Medicaid HHW: $4,211.34 Anthem — IN Medicaid HIP: $4,211.34 Anthem — Medicare Advantage: $6,111.96 Anthem — Pathways for Aging: $4,211.34 Anthem — Workers Compensation: $11,612.73
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$1,981.58 – $11,027.40
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $3,696.97 Anthem — Commercial: $11,027.40 Anthem — Exchange: $3,696.97 Anthem — HealthSync: $9,373.29 Anthem — IN Medicaid HCC: $2,273.62 Anthem — IN Medicaid HHW: $2,273.62 Anthem — IN Medicaid HIP: $2,273.62 Anthem — Medicare Advantage: $3,696.97 Anthem — Pathways for Aging: $2,273.62 Anthem — Workers Compensation: $7,024.25
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-55700 Biopsy Prostate	$1,422	$924.30	$284.40 – $1,848.60
Prostate biopsy: 10 of 26 insurance plan rates Aetna — Commercial: $962.69 Aetna — Medicare Advantage: $639.90 Anthem — Commercial: $350.10 Anthem — HealthSync: $297.62 Caresource — IN Medicaid HIP: $1,848.60 CHA — Employer Group 1: $910.08 CHA — Employer Group 2: $938.52 CHA — Employer Group 3: $1,109.16 CHA — Employer Group 4: $853.20 Cigna — OAP: $1,023.84
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR-55700 Biopsy Prostate	$1,422	$924.30	$284.40 – $1,848.60
Prostate biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $962.69 Caresource — IN Medicaid HIP: $1,848.60 CHA — Employer Group 1: $910.08 CHA — Employer Group 2: $938.52 CHA — Employer Group 3: $1,109.16 Cigna — OAP: $1,023.84 Cigna Sagamore — PPO: $1,080.72 Devoted Healthcare — Medicare Advantage: $284.40 Encore — Commercial: $1,052.28 Humana — Commercial: $976.49
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$1,150.24 – $6,401.05
Prostate biopsy: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,145.97 Anthem — Commercial: $6,401.05 Anthem — Exchange: $2,145.97 Anthem — HealthSync: $5,440.89 Anthem — IN Medicaid HCC: $1,728.79 Anthem — IN Medicaid HHW: $1,728.79 Anthem — IN Medicaid HIP: $1,728.79 Anthem — Medicare Advantage: $2,145.97 Anthem — Pathways for Aging: $1,728.79 Anthem — Workers Compensation: $4,077.35
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$5,845.93 – $32,532.37
Prostate removal by laparoscope (radical prostatectomy): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $10,906.59 Anthem — Commercial: $32,532.37 Anthem — Exchange: $10,906.59 Anthem — HealthSync: $27,652.51 Anthem — IN Medicaid HCC: $26,103.48 Anthem — IN Medicaid HHW: $26,103.48 Anthem — IN Medicaid HIP: $26,103.48 Anthem — Medicare Advantage: $10,906.59 Anthem — Pathways for Aging: $26,103.48 Anthem — Workers Compensation: $20,722.51
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,785.31 – $9,935.19
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $3,330.81 Anthem — Commercial: $9,935.19 Anthem — Exchange: $3,330.81 Anthem — HealthSync: $8,444.91 Anthem — IN Medicaid HCC: $1,905.42 Anthem — IN Medicaid HHW: $1,905.42 Anthem — IN Medicaid HIP: $1,905.42 Anthem — Medicare Advantage: $3,330.81 Anthem — Pathways for Aging: $1,905.42 Anthem — Workers Compensation: $6,328.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-62323 INJ L Spine Imag	$1,139	$740.35	$227.80 – $1,480.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates Aetna — Commercial: $771.10 Aetna — Medicare Advantage: $512.55 Anthem — Commercial: $280.42 Anthem — HealthSync: $238.39 Caresource — IN Medicaid HIP: $1,480.70 CHA — Employer Group 1: $728.96 CHA — Employer Group 2: $751.74 CHA — Employer Group 3: $888.42 CHA — Employer Group 4: $683.40 Cigna — OAP: $820.08
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR-62323 INJ L Spine Imag	$1,139	$740.35	$227.80 – $1,480.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $771.10 Caresource — IN Medicaid HIP: $1,480.70 CHA — Employer Group 1: $728.96 CHA — Employer Group 2: $751.74 CHA — Employer Group 3: $888.42 Cigna — OAP: $820.08 Cigna Sagamore — PPO: $865.64 Devoted Healthcare — Medicare Advantage: $227.80 Encore — Commercial: $842.86 Humana — Commercial: $782.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$388.85 – $2,163.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $725.47 Anthem — Commercial: $2,163.95 Anthem — Exchange: $725.47 Anthem — HealthSync: $1,839.36 Anthem — IN Medicaid HCC: $1,905.42 Anthem — IN Medicaid HHW: $1,905.42 Anthem — IN Medicaid HIP: $1,905.42 Anthem — Medicare Advantage: $725.47 Anthem — Pathways for Aging: $1,905.42 Anthem — Workers Compensation: $1,378.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-64483 Nerve Root Inj Lumbar	$1,749	$1,136.85	$349.80 – $2,273.70
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates Aetna — Commercial: $1,184.07 Aetna — Medicare Advantage: $787.05 Anthem — Commercial: $430.60 Anthem — HealthSync: $366.07 Caresource — IN Medicaid HIP: $2,273.70 CHA — Employer Group 1: $1,119.36 CHA — Employer Group 2: $1,154.34 CHA — Employer Group 3: $1,364.22 CHA — Employer Group 4: $1,049.40 Cigna — OAP: $1,259.28
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR-64483 Nerve Root Inj Lumbar	$1,749	$1,136.85	$349.80 – $2,273.70
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $1,184.07 Caresource — IN Medicaid HIP: $2,273.70 CHA — Employer Group 1: $1,119.36 CHA — Employer Group 2: $1,154.34 CHA — Employer Group 3: $1,364.22 Cigna — OAP: $1,259.28 Cigna Sagamore — PPO: $1,329.24 Devoted Healthcare — Medicare Advantage: $349.80 Encore — Commercial: $1,294.26 Humana — Commercial: $1,201.04
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$499.90 – $2,781.93
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $932.65 Anthem — Commercial: $2,781.93 Anthem — Exchange: $932.65 Anthem — HealthSync: $2,364.64 Anthem — IN Medicaid HCC: $1,242.31 Anthem — IN Medicaid HHW: $1,242.31 Anthem — IN Medicaid HIP: $1,242.31 Anthem — Medicare Advantage: $932.65 Anthem — Pathways for Aging: $1,242.31 Anthem — Workers Compensation: $1,772.04
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,096.49 – $6,101.91
Carpal tunnel release: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,045.69 Anthem — Commercial: $6,101.91 Anthem — Exchange: $2,045.69 Anthem — HealthSync: $5,186.63 Anthem — IN Medicaid HCC: $1,728.79 Anthem — IN Medicaid HHW: $1,728.79 Anthem — IN Medicaid HIP: $1,728.79 Anthem — Medicare Advantage: $2,045.69 Anthem — Pathways for Aging: $1,728.79 Anthem — Workers Compensation: $3,886.81
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$308.04 – $1,728.79
Laser treatment of clouding after cataract surgery: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $574.71 Anthem — Commercial: $1,714.24 Anthem — Exchange: $574.71 Anthem — HealthSync: $1,457.11 Anthem — IN Medicaid HCC: $1,728.79 Anthem — IN Medicaid HHW: $1,728.79 Anthem — IN Medicaid HIP: $1,728.79 Anthem — Medicare Advantage: $574.71 Anthem — Pathways for Aging: $1,728.79 Anthem — Workers Compensation: $1,091.94
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$1,280.64 – $7,126.69
Cataract removal with lens implant: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,389.25 Anthem — Commercial: $7,126.69 Anthem — Exchange: $2,389.25 Anthem — HealthSync: $6,057.68 Anthem — IN Medicaid HCC: $4,315.74 Anthem — IN Medicaid HHW: $4,315.74 Anthem — IN Medicaid HIP: $4,315.74 Anthem — Medicare Advantage: $2,389.25 Anthem — Pathways for Aging: $4,315.74 Anthem — Workers Compensation: $4,539.57

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

Found through the price transparency link on the hospital’s website (beaconhealthsystem.org), because the hospital has no cms-hpt.txt file; both are 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	600 E Blvd, Elkhart, IN 46514
County	Elkhart County
State	Indiana
Phone	(574) 294‑2621
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150018
Name in Medicare records	ELKHART GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	locations.beaconhealthsystem.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.

Elkhart General Hospital - Beacon Health System — locations.beaconhealthsystem.org
Elkhart General Hospital Pediatrics Unit — locations.beaconhealthsystem.org
Emergency and Trauma Care — beaconhealthsystem.org
Stroke care > Beacon Health System — beaconhealthsystem.org
Language Interpreters — beaconhealthsystem.org
Visiting Hours & Policies > Beacon Health System — beaconhealthsystem.org

Elkhart General Hospital

Summary

Profile from official sources

At a glance