Ely - Bloomenson Community Hospital is a critical access hospital at 328 West Conan Street, Ely, MN 55731. Phone: (218) 365-3271. It has an emergency department.
Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).
Summary
Ely - Bloomenson Community Hospital is a critical access hospital in Ely, Minnesota. Medicare data lists emergency services. Its official website lists 64 services, specialties and programs. Medicare lists 66 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Does Ely - Bloomenson Community Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ely - Bloomenson Community Hospital. In a medical emergency, call 911.
Where is Ely - Bloomenson Community Hospital?
328 West Conan Street, Ely, MN 55731, in St. Louis County, Minnesota.
What is the phone number of Ely - Bloomenson Community Hospital?
(218) 365-3271, as listed by Medicare (CMS).
What is the Medicare star rating of Ely - Bloomenson Community Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
AACVPR Program Certification (cardiopulmonary rehabilitation program)
Doctors and clinicians (66)
66 doctors and other clinicians list Ely - Bloomenson Community Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 42 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Ely - Bloomenson Community 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.
Rated the hospital 9 or 10 out of 10
84%National average: 72%
Would definitely recommend the hospital
86%National average: 71%
Nurses “always” communicated well
91%National average: 80%
Doctors “always” communicated well
87%National average: 80%
“Always” got help as soon as they wanted
79%National average: 64%
Staff “always” explained medicines before giving them
80%National average: 62%
Were given information about recovery at home
90%National average: 86%
Room and bathroom “always” clean
79%National average: 73%
Not reported to Medicare
Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients)
15.8%
Readmitted within 30 days: pneumonia
17.7%
Not reported to Medicare
Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report
Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD
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.
Average (median) time patients spent in the emergency room before leaving (OP-18b)
102 minutesNational average: 162 minutes
Not reported to Medicare
Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)
Not reported to Medicare: infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 52 common services exactly as Ely - Bloomenson Community 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.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$256
$207.36
$87.53 – $256
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $227.84
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $210.79
BCBS MCAID — BCBS MCAID: $87.53
BCBS MCR ADV — BCBS MCR ADV: $140.80
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $217.60
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $248.32
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $250.88
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$365
$295.65
$124.79 – $365
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $324.85
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $300.54
BCBS MCAID — BCBS MCAID: $124.79
BCBS MCR ADV — BCBS MCR ADV: $200.75
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $310.25
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $354.05
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $357.70
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$464
$375.84
$158.64 – $464
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $412.96
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $382.06
BCBS MCAID — BCBS MCAID: $158.64
BCBS MCR ADV — BCBS MCR ADV: $255.20
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $394.40
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $450.08
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $454.72
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$188
$152.28
$64.28 – $188
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $167.32
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $154.80
BCBS MCAID — BCBS MCAID: $64.28
BCBS MCR ADV — BCBS MCR ADV: $103.40
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $159.80
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $182.36
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $184.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$260
$210.60
$88.89 – $260
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $231.40
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $214.08
BCBS MCAID — BCBS MCAID: $88.89
BCBS MCR ADV — BCBS MCR ADV: $143
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $221
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $252.20
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $254.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more
$392
$317.52
$61.92 – $392
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $348.88
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $162.01
BCBS MCAID — BCBS MCAID: $67.17
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $333.20
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $380.24
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $384.16
MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $357.90
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more
$463
$375.03
$158.30 – $463
Office consultation with a specialist (moderate to high): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $412.07
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $381.23
BCBS MCAID — BCBS MCAID: $158.30
BCBS MCR ADV — BCBS MCR ADV: $254.65
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $393.55
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $449.11
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $603.68
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$596
$482.76
$44.76 – $584.08
Emergency room visit (moderate): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $530.44
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $129.98
BCBS MCAID — BCBS MCAID: $50.90
BCBS MCR ADV — BCBS MCR ADV: $65.04
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $506.60
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $578.12
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $584.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$1,107
$896.67
$378.48 – $1,107
Emergency room visit (moderately high): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $985.23
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $911.50
BCBS MCAID — BCBS MCAID: $378.48
BCBS MCR ADV — BCBS MCR ADV: $608.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $940.95
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $1,073.79
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $1,084.86
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$959
$776.79
$76.08 – $939.82
Emergency room visit (moderately high): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $853.51
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $221.76
BCBS MCAID — BCBS MCAID: $86.59
BCBS MCR ADV — BCBS MCR ADV: $110.45
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $815.15
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $930.23
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $1,506.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$1,508
$1,221.48
$110.10 – $1,477.84
Emergency room visit (high): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $1,342.12
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $321.55
BCBS MCAID — BCBS MCAID: $126.21
BCBS MCR ADV — BCBS MCR ADV: $160.69
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,281.80
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $1,462.76
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $175.42
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$267
$216.27
$91.29 – $267
Urine test (automated, with microscope): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $237.63
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $219.85
BCBS MCAID — BCBS MCAID: $91.29
BCBS MCR ADV — BCBS MCR ADV: $146.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $226.95
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $258.99
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $302.82
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$176
$142.56
$60.17 – $176
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $156.64
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $144.92
BCBS MCAID — BCBS MCAID: $60.17
BCBS MCR ADV — BCBS MCR ADV: $96.80
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $149.60
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $170.72
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $133.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$149
$120.69
$50.94 – $149
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $132.61
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $122.69
BCBS MCAID — BCBS MCAID: $50.94
BCBS MCR ADV — BCBS MCR ADV: $81.95
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $126.65
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $144.53
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $581.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$3,720
$3,013.20
$987 – $3,720
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $3,310.80
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $3,063.05
BCBS MCAID — BCBS MCAID: $1,271.87
BCBS MCR ADV — BCBS MCR ADV: $2,046
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $3,162
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $3,608.40
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $602.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$590
$477.90
$201.72 – $590
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $525.10
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $485.81
BCBS MCAID — BCBS MCAID: $201.72
BCBS MCR ADV — BCBS MCR ADV: $324.50
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $501.50
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $572.30
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $578.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$495
$400.95
$169.24 – $495
Transvaginal ultrasound: 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $440.55
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $407.58
BCBS MCAID — BCBS MCAID: $169.24
BCBS MCR ADV — BCBS MCR ADV: $272.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $420.75
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $480.15
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $4,439.40
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) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$142
$115.02
$48.55 – $142
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $126.38
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $116.92
BCBS MCAID — BCBS MCAID: $48.55
BCBS MCR ADV — BCBS MCR ADV: $78.10
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $120.70
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $137.74
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $139.16
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$247
$200.07
$84.45 – $247
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $219.83
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $203.38
BCBS MCAID — BCBS MCAID: $84.45
BCBS MCR ADV — BCBS MCR ADV: $135.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $209.95
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $239.59
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $242.06
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$277
$224.37
$94.71 – $277
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $246.53
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $228.08
BCBS MCAID — BCBS MCAID: $94.71
BCBS MCR ADV — BCBS MCR ADV: $152.35
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $235.45
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $268.69
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $271.46
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$309
$250.29
$105.65 – $309
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $275.01
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $254.43
BCBS MCAID — BCBS MCAID: $105.65
BCBS MCR ADV — BCBS MCR ADV: $169.95
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $262.65
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $299.73
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $302.82
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$2,667
$2,160.27
$911.85 – $2,667
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $2,373.63
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $2,196.01
BCBS MCAID — BCBS MCAID: $911.85
BCBS MCR ADV — BCBS MCR ADV: $1,466.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,266.95
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $2,586.99
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,613.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$2,483
$2,011.23
$848.94 – $2,483
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $2,209.87
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $2,044.50
BCBS MCAID — BCBS MCAID: $848.94
BCBS MCR ADV — BCBS MCR ADV: $1,365.65
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,110.55
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $2,408.51
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $2,537.22
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$2,037
$1,649.97
$696.45 – $2,037
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $1,812.93
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $1,677.27
BCBS MCAID — BCBS MCAID: $696.45
BCBS MCR ADV — BCBS MCR ADV: $1,120.35
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $1,731.45
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $1,975.89
HUMANA CHOICECARE COMM - ALL OTHER PLANS — HUMANA CHOICECARE COMM - ALL OTHER PLANS: $1,996.26
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$2,628
$2,128.68
$898.51 – $2,628
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
AMERICAS PPO - ALL PLANS — AMERICAS PPO - ALL PLANS: $2,338.92
BCBS / BLUE PLUS - ALL OTHER PLANS — BCBS / BLUE PLUS - ALL OTHER PLANS: $2,163.90
BCBS MCAID — BCBS MCAID: $898.51
BCBS MCR ADV — BCBS MCR ADV: $1,445.40
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,233.80
HPI/CIGNA COMM - ALL OTHER PLANS — HPI/CIGNA COMM - ALL OTHER PLANS: $2,549.16
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.