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Acute Care Hospital

Englewood Hospital and Medical Center

Englewood, New Jersey · Bergen County · Emergency services listed

Summary

Englewood Hospital and Medical Center is an acute care hospital in Englewood, New Jersey. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 88 services, specialties and programs. Medicare lists 1,363 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(201) 894‑3000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
1,363Doctors and clinicians
88Services listed

Quick answers

Does Englewood Hospital and Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Englewood Hospital and Medical Center. In a medical emergency, call 911.
Where is Englewood Hospital and Medical Center?
350 Engle St, Englewood, NJ 07631, in Bergen County, New Jersey.
What is the phone number of Englewood Hospital and Medical Center?
(201) 894-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Englewood Hospital and Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[8][9][11][12][13][16][17][18][19][20]

Conditions treated[8][10][16][17][18][19][20][21][22][23]

Treatments[7][9][10][12][13][14][16][17][19][20][21][22][23]

  • Coronary artery bypass grafting
  • Heart valve surgery
  • Maze procedure
  • Transcatheter aortic valve replacement (TAVR)
  • Transcatheter mitral valve repair (MitraClip, PASCAL)
  • Transcatheter mitral valve replacement
  • TriClip tricuspid valve repair
  • EVOQUE tricuspid valve replacement
  • Left atrial appendage occlusion (Watchman, Amulet)
  • Alcohol septal ablation
  • Angioplasty and percutaneous coronary intervention (stent placement)
  • Cardiac catheterization
  • Electrophysiology study
  • Catheter ablation
  • Pulsed field ablation
  • Cardioversion
  • Pacemaker and implantable defibrillator
  • Ascending aorta repair

Programs and centers[7][9][10][15][17][18][21][22]

  • Bloodless Medicine and Surgery program
  • Structural Heart and Valve Disease Program
  • Cardiac rehabilitation
  • Lefcourt Family Cancer Treatment and Wellness Center
  • Chronic coronary total occlusion (CTO) program
  • Emergency cardiac care (24/7 cath lab)
  • Visiting Hearts peer support program
  • Outpatient addiction medicine program

Emergency care (hospital website)[6][10]

Emergency roomYes
Open 24/7Yes
Stroke designationDesignated Primary Stroke Center by The Joint Commission

Recognition[10][18][22]

  • Academic Comprehensive Cancer Program (American College of Surgeons Commission on Cancer)
  • Certified valve center (American College of Cardiology), first in northern New Jersey
  • Primary Stroke Center (The Joint Commission)

Doctors and clinicians (1,363)

1,363 doctors and other clinicians list Englewood Hospital and Medical Center 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 (1,363)

And 1,339 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Englewood Hospital and Medical Center 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 hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys1,986Response 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)0.581No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.601No different from the national benchmark
Surgical site infections after colon surgery1.17No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.284No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.491Better 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 patients12%
Deaths within 30 days: heart failure patients10.1%
Deaths within 30 days: pneumonia patients14.3%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients9.5%
Deaths within 30 days: coronary bypass surgery (CABG)1.9%
Serious complications (patient safety indicator PSI-90)0.68Better than the national rate
Complications after hip or knee replacement3.4%

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 attack13.4%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia19.6%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: coronary bypass surgery8.6%
Readmitted within 30 days: hip or knee replacement5.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)183 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)84%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 New JerseyBest hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Englewood Hospital and Medical Center 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient New Lev 3 $897 $89.70 $65.57 – $897
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $441.32
  • Aetna_759 — Managed Medicare: $103.16
  • Aetna_773 — Managed Medicaid: $75.71
  • Aetna_794 — Whole Health: $139.04
  • AmeriChoice_756 — Managed Medicaid: $80.82
  • AmeriGroup_754 — Managed Medicaid: $88.09
  • AmeriHealth_757 — All Commercial Products: $466.35
  • Bergen — Worker's Comp: $672.75
  • Cigna_744 — All Commercial Products: $539.81
  • Coventry — All Commercial Products: $672.75
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Osns-New Pt Vsit Basic99203 $184 $18.40 $13.45 – $184
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $90.53
  • Aetna_759 — Managed Medicare: $21.16
  • Aetna_773 — Managed Medicaid: $15.53
  • Aetna_794 — Whole Health: $28.52
  • AmeriChoice_756 — Managed Medicaid: $16.58
  • AmeriGroup_754 — Managed Medicaid: $18.07
  • AmeriHealth_757 — All Commercial Products: $95.66
  • Bergen — Worker's Comp: $138
  • Cigna_744 — All Commercial Products: $110.73
  • Coventry — All Commercial Products: $138
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient New Lev 3 $897 $89.70 $65.57 – $897
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Horizon — Casualty PIP: $529.23
  • Multiplan — PHCS: $439.53
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient New Lev 4 $976 $97.60 $71.35 – $976
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $480.19
  • Aetna_759 — Managed Medicare: $112.24
  • Aetna_773 — Managed Medicaid: $82.37
  • Aetna_794 — Whole Health: $151.28
  • AmeriChoice_756 — Managed Medicaid: $87.94
  • AmeriGroup_754 — Managed Medicaid: $95.84
  • AmeriHealth_757 — All Commercial Products: $507.42
  • Bergen — Worker's Comp: $732
  • Cigna_744 — All Commercial Products: $587.36
  • Coventry — All Commercial Products: $732
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Osns-New Pt Vsit Intm 99204 $357 $35.70 $26.10 – $357
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $175.64
  • Aetna_759 — Managed Medicare: $41.06
  • Aetna_773 — Managed Medicaid: $30.13
  • Aetna_794 — Whole Health: $55.34
  • AmeriChoice_756 — Managed Medicaid: $32.17
  • AmeriGroup_754 — Managed Medicaid: $35.06
  • AmeriHealth_757 — All Commercial Products: $185.60
  • Bergen — Worker's Comp: $267.75
  • Cigna_744 — All Commercial Products: $214.84
  • Coventry — All Commercial Products: $267.75
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient New Lev 4 $976 $97.60 $71.35 – $976
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • Horizon — Casualty PIP: $575.84
  • Multiplan — PHCS: $478.24
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient New Lev 5 $1,069 $106.90 $78.14 – $1,069
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $525.95
  • Aetna_759 — Managed Medicare: $122.94
  • Aetna_773 — Managed Medicaid: $90.22
  • Aetna_794 — Whole Health: $165.70
  • AmeriChoice_756 — Managed Medicaid: $96.32
  • AmeriGroup_754 — Managed Medicaid: $104.98
  • AmeriHealth_757 — All Commercial Products: $555.77
  • Bergen — Worker's Comp: $801.75
  • Cigna_744 — All Commercial Products: $643.32
  • Coventry — All Commercial Products: $801.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Osns-New Pt Vsit Extnd99205 $910 $91 $66.52 – $910
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $447.72
  • Aetna_759 — Managed Medicare: $104.65
  • Aetna_773 — Managed Medicaid: $76.80
  • Aetna_794 — Whole Health: $141.05
  • AmeriChoice_756 — Managed Medicaid: $81.99
  • AmeriGroup_754 — Managed Medicaid: $89.36
  • AmeriHealth_757 — All Commercial Products: $473.11
  • Bergen — Worker's Comp: $682.50
  • Cigna_744 — All Commercial Products: $547.64
  • Coventry — All Commercial Products: $682.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient New Lev 5 $1,069 $106.90 $78.14 – $1,069
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Horizon — Casualty PIP: $630.71
  • Multiplan — PHCS: $523.81
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient Visit Est Lev 3 $1,021 $102.10 $74.64 – $1,021
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $502.33
  • Aetna_759 — Managed Medicare: $117.42
  • Aetna_773 — Managed Medicaid: $86.17
  • Aetna_794 — Whole Health: $158.26
  • AmeriChoice_756 — Managed Medicaid: $91.99
  • AmeriGroup_754 — Managed Medicaid: $100.26
  • AmeriHealth_757 — All Commercial Products: $530.82
  • Bergen — Worker's Comp: $765.75
  • Cigna_744 — All Commercial Products: $614.44
  • Coventry — All Commercial Products: $765.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Osns-Est Pt Vsit Basic99213 $152 $15.20 $11.11 – $152
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $74.78
  • Aetna_759 — Managed Medicare: $17.48
  • Aetna_773 — Managed Medicaid: $12.83
  • Aetna_794 — Whole Health: $23.56
  • AmeriChoice_756 — Managed Medicaid: $13.70
  • AmeriGroup_754 — Managed Medicaid: $14.93
  • AmeriHealth_757 — All Commercial Products: $79.02
  • Bergen — Worker's Comp: $114
  • Cigna_744 — All Commercial Products: $91.47
  • Coventry — All Commercial Products: $114
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient Visit Est Lev 3 $1,021 $102.10 $74.64 – $1,021
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • Horizon — Casualty PIP: $602.39
  • Multiplan — PHCS: $500.29
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient Visit Est Lev 4 $945 $94.50 $69.08 – $945
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $464.94
  • Aetna_759 — Managed Medicare: $108.68
  • Aetna_773 — Managed Medicaid: $79.76
  • Aetna_794 — Whole Health: $146.48
  • AmeriChoice_756 — Managed Medicaid: $85.14
  • AmeriGroup_754 — Managed Medicaid: $92.80
  • AmeriHealth_757 — All Commercial Products: $491.31
  • Bergen — Worker's Comp: $708.75
  • Cigna_744 — All Commercial Products: $568.70
  • Coventry — All Commercial Products: $708.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Osns-Est Pt Vsit Intm 99214 $307 $30.70 $22.44 – $307
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $151.04
  • Aetna_759 — Managed Medicare: $35.31
  • Aetna_773 — Managed Medicaid: $25.91
  • Aetna_794 — Whole Health: $47.59
  • AmeriChoice_756 — Managed Medicaid: $27.66
  • AmeriGroup_754 — Managed Medicaid: $30.15
  • AmeriHealth_757 — All Commercial Products: $159.61
  • Bergen — Worker's Comp: $230.25
  • Cigna_744 — All Commercial Products: $184.75
  • Coventry — All Commercial Products: $230.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient Visit Est Lev 4 $945 $94.50 $69.08 – $945
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Horizon — Casualty PIP: $557.55
  • Multiplan — PHCS: $463.05
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $64.70
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Horizon New Jersey Health_674 — All Commercial Products: $64.70
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $91.10
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Horizon New Jersey Health_674 — All Commercial Products: $91.10
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 $75
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Emblem_762 — GHI: $75
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 $75
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Emblem_762 — GHI: $75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 3 99283 $2,289 $228.90 $293.47 – $2,268
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • Aetna_740 — All Commercial Products: $1,782
  • Aetna_759 — Managed Medicare: $326.08
  • Aetna_773 — Managed Medicaid: $193.19
  • Aetna_794 — Whole Health: $538.04
  • AmeriChoice_732 — Managed Medicare: $326.08
  • AmeriChoice_756 — Managed Medicaid: $206.24
  • AmeriGroup_754 — Managed Medicaid: $224.78
  • AmeriGroup_758 — Managed Medicare: $326.08
  • AmeriHealth_757 — All Commercial Products: $990
  • AmeriHealth_760 — Value Exchange: $586.62
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 3 99283 $2,289 $228.90 $167.33 – $1,716.75
Emergency room visit (moderate): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,350.51
  • Multiplan — PHCS: $1,121.61
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 3 W/P9928325 $2,289 $228.90 $167.33 – $2,289
Emergency room visit (moderate): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,350.51
  • Multiplan — PHCS: $1,121.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 4 99284 $2,455 $245.50 $398 – $2,268
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • Aetna_740 — All Commercial Products: $1,782
  • Aetna_759 — Managed Medicare: $501.47
  • Aetna_773 — Managed Medicaid: $207.20
  • Aetna_794 — Whole Health: $827.43
  • AmeriChoice_732 — Managed Medicare: $501.47
  • AmeriChoice_756 — Managed Medicaid: $221.20
  • AmeriGroup_754 — Managed Medicaid: $241.08
  • AmeriGroup_758 — Managed Medicare: $501.47
  • AmeriHealth_757 — All Commercial Products: $990
  • AmeriHealth_760 — Value Exchange: $902.15
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 4 99284 $2,455 $245.50 $179.46 – $1,841.25
Emergency room visit (moderately high): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,448.45
  • Multiplan — PHCS: $1,202.95
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 4 W/P9928425 $2,455 $245.50 $179.46 – $2,455
Emergency room visit (moderately high): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,448.45
  • Multiplan — PHCS: $1,202.95
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 5 99285 $2,605 $260.50 $436 – $3,298
Emergency room visit (high): 10 of 47 insurance plan rates
  • Aetna_740 — All Commercial Products: $1,782
  • Aetna_759 — Managed Medicare: $722.02
  • Aetna_773 — Managed Medicaid: $219.86
  • Aetna_794 — Whole Health: $1,191.34
  • AmeriChoice_732 — Managed Medicare: $722.02
  • AmeriChoice_756 — Managed Medicaid: $234.71
  • AmeriGroup_754 — Managed Medicaid: $255.81
  • AmeriGroup_758 — Managed Medicare: $722.02
  • AmeriHealth_757 — All Commercial Products: $990
  • AmeriHealth_760 — Value Exchange: $1,298.92
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 5 99285 $2,605 $260.50 $190.43 – $1,953.75
Emergency room visit (high): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,536.95
  • Multiplan — PHCS: $1,276.45
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 5 W/P9928525 $2,605 $260.50 $190.43 – $2,605
Emergency room visit (high): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,536.95
  • Multiplan — PHCS: $1,276.45

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Acute Care Panel 80048 $152 $15.20 $11.89 – $121.60
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $74.78
  • Aetna_759 — Managed Medicare: $8.46
  • Aetna_773 — Managed Medicaid: $12.83
  • Aetna_794 — Whole Health: $13.96
  • AmeriChoice_732 — Managed Medicare: $8.46
  • AmeriChoice_756 — Managed Medicaid: $9.30
  • AmeriGroup_754 — Managed Medicaid: $14.93
  • AmeriGroup_758 — Managed Medicare: $8.46
  • AmeriHealth_757 — All Commercial Products: $69.77
  • AmeriHealth_760 — Value Exchange: $15.22
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Acute Care Panel 80048 $152 $15.20 $11.89 – $121.60
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Horizon — Casualty PIP: $89.68
  • Multiplan — PHCS: $74.48
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: BASIC METABOLIC PNL TOTAL CA Not listed in the file Not listed in the file $32.74
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $32.74
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Panel 80053 $400 $40 $31.28 – $320
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $196.80
  • Aetna_759 — Managed Medicare: $10.56
  • Aetna_773 — Managed Medicaid: $33.76
  • Aetna_794 — Whole Health: $17.42
  • AmeriChoice_732 — Managed Medicare: $10.56
  • AmeriChoice_756 — Managed Medicaid: $10.50
  • AmeriGroup_754 — Managed Medicaid: $39.28
  • AmeriGroup_758 — Managed Medicare: $10.56
  • AmeriHealth_757 — All Commercial Products: $183.60
  • AmeriHealth_760 — Value Exchange: $19
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chem Panel 80053 $400 $40 $31.28 – $320
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Horizon — Casualty PIP: $236
  • Multiplan — PHCS: $196
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $40.87
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $40.87
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 $43.03 – $86.01
Obstetric blood test panel: 10 of 25 insurance plan rates
  • Aetna_759 — Managed Medicare: $47.81
  • Aetna_794 — Whole Health: $78.89
  • AmeriChoice_732 — Managed Medicare: $47.81
  • AmeriChoice_756 — Managed Medicaid: $15
  • AmeriGroup_758 — Managed Medicare: $47.81
  • AmeriHealth_760 — Value Exchange: $86.01
  • AmeriHealth_766 — Managed Medicare: $47.81
  • Cigna_744 — All Commercial Products: $532.42
  • Clover_733 — Managed Medicare: $47.81
  • Emblem_734 — HIP: $50.20
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $185.02
Obstetric blood test panel: rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $185.02
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $13
Obstetric blood test panel: rates for 1 insurance plan
  • Emblem_762 — GHI: $13
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Profile 80061 $615 $61.50 $48.09 – $492
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $302.58
  • Aetna_759 — Managed Medicare: $13.39
  • Aetna_773 — Managed Medicaid: $51.91
  • Aetna_794 — Whole Health: $22.09
  • AmeriChoice_732 — Managed Medicare: $13.39
  • AmeriChoice_756 — Managed Medicaid: $15
  • AmeriGroup_754 — Managed Medicaid: $60.39
  • AmeriGroup_758 — Managed Medicare: $13.39
  • AmeriHealth_757 — All Commercial Products: $282.29
  • AmeriHealth_760 — Value Exchange: $24.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Advanced Lip Panel 80061*X* $615 $61.50 $48.09 – $492
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $302.58
  • Aetna_759 — Managed Medicare: $13.39
  • Aetna_773 — Managed Medicaid: $51.91
  • Aetna_794 — Whole Health: $22.09
  • AmeriChoice_732 — Managed Medicare: $13.39
  • AmeriChoice_756 — Managed Medicaid: $15
  • AmeriGroup_754 — Managed Medicaid: $60.39
  • AmeriGroup_758 — Managed Medicare: $13.39
  • AmeriHealth_757 — All Commercial Products: $282.29
  • AmeriHealth_760 — Value Exchange: $24.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Nmr Lipoprofile 80061 *X* $782 $78.20 $61.15 – $625.60
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $384.74
  • Aetna_759 — Managed Medicare: $13.39
  • Aetna_773 — Managed Medicaid: $66
  • Aetna_794 — Whole Health: $22.09
  • AmeriChoice_732 — Managed Medicare: $13.39
  • AmeriChoice_756 — Managed Medicaid: $15
  • AmeriGroup_754 — Managed Medicaid: $76.79
  • AmeriGroup_758 — Managed Medicare: $13.39
  • AmeriHealth_757 — All Commercial Products: $358.94
  • AmeriHealth_760 — Value Exchange: $24.09
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Panel 80069 $160 $16 $12.51 – $128
Kidney function panel: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $78.72
  • Aetna_759 — Managed Medicare: $8.68
  • Aetna_773 — Managed Medicaid: $13.50
  • Aetna_794 — Whole Health: $14.32
  • AmeriChoice_732 — Managed Medicare: $8.68
  • AmeriChoice_756 — Managed Medicaid: $9.60
  • AmeriGroup_754 — Managed Medicaid: $15.71
  • AmeriGroup_758 — Managed Medicare: $8.68
  • AmeriHealth_757 — All Commercial Products: $73.44
  • AmeriHealth_760 — Value Exchange: $15.62
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Panel 80069 $160 $16 $12.51 – $128
Kidney function panel: rates for 2 insurance plans
  • Horizon — Casualty PIP: $94.40
  • Multiplan — PHCS: $78.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $33.59
Kidney function panel: rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $33.59
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver Function Panel 80076 $215 $21.50 $16.81 – $172
Liver function panel: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $105.78
  • Aetna_759 — Managed Medicare: $8.17
  • Aetna_773 — Managed Medicaid: $18.15
  • Aetna_794 — Whole Health: $13.48
  • AmeriChoice_732 — Managed Medicare: $8.17
  • AmeriChoice_756 — Managed Medicaid: $7
  • AmeriGroup_754 — Managed Medicaid: $21.11
  • AmeriGroup_758 — Managed Medicare: $8.17
  • AmeriHealth_757 — All Commercial Products: $98.69
  • AmeriHealth_760 — Value Exchange: $14.70
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xpld-Tox Pnl Liver Pf 80076 $218 $21.80 $17.05 – $174.40
Liver function panel: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $107.26
  • Aetna_759 — Managed Medicare: $8.17
  • Aetna_773 — Managed Medicaid: $18.40
  • Aetna_794 — Whole Health: $13.48
  • AmeriChoice_732 — Managed Medicare: $8.17
  • AmeriChoice_756 — Managed Medicaid: $7
  • AmeriGroup_754 — Managed Medicaid: $21.41
  • AmeriGroup_758 — Managed Medicare: $8.17
  • AmeriHealth_757 — All Commercial Products: $100.06
  • AmeriHealth_760 — Value Exchange: $14.70
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Liver Function Panel 80076 $215 $21.50 $16.81 – $172
Liver function panel: rates for 2 insurance plans
  • Horizon — Casualty PIP: $126.85
  • Multiplan — PHCS: $105.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Urinalysis Automated W/Microscopy 81001 $251 $25.10 $19.63 – $200.80
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $123.49
  • Aetna_759 — Managed Medicare: $3.17
  • Aetna_773 — Managed Medicaid: $21.18
  • Aetna_794 — Whole Health: $5.23
  • AmeriChoice_732 — Managed Medicare: $3.17
  • AmeriChoice_756 — Managed Medicaid: $1.20
  • AmeriGroup_754 — Managed Medicaid: $24.65
  • AmeriGroup_758 — Managed Medicare: $3.17
  • AmeriHealth_757 — All Commercial Products: $115.21
  • AmeriHealth_760 — Value Exchange: $5.70
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete Urinalysis Automated W/Microscopy 81001 $251 $25.10 $19.63 – $200.80
Urine test (automated, with microscope): rates for 2 insurance plans
  • Horizon — Casualty PIP: $148.09
  • Multiplan — PHCS: $122.99
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $12.27
Urine test (automated, with microscope): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $12.27
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine-Reduc Substances81002 $54 $5.40 $4.22 – $43.20
Urine test (manual, without microscope): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $26.57
  • Aetna_759 — Managed Medicare: $3.48
  • Aetna_773 — Managed Medicaid: $4.56
  • Aetna_794 — Whole Health: $5.74
  • AmeriChoice_732 — Managed Medicare: $3.48
  • AmeriChoice_756 — Managed Medicaid: $1
  • AmeriGroup_754 — Managed Medicaid: $5.30
  • AmeriGroup_758 — Managed Medicare: $3.48
  • AmeriHealth_757 — All Commercial Products: $24.79
  • AmeriHealth_760 — Value Exchange: $6.26
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic Screen *X*81002 $43 $4.30 $3.36 – $34.40
Urine test (manual, without microscope): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $21.16
  • Aetna_759 — Managed Medicare: $3.48
  • Aetna_773 — Managed Medicaid: $3.63
  • Aetna_794 — Whole Health: $5.74
  • AmeriChoice_732 — Managed Medicare: $3.48
  • AmeriChoice_756 — Managed Medicaid: $1
  • AmeriGroup_754 — Managed Medicaid: $4.22
  • AmeriGroup_758 — Managed Medicare: $3.48
  • AmeriHealth_757 — All Commercial Products: $19.74
  • AmeriHealth_760 — Value Exchange: $6.26
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urine-Reduc Substances81002 $54 $5.40 $4.22 – $43.20
Urine test (manual, without microscope): rates for 2 insurance plans
  • Horizon — Casualty PIP: $31.86
  • Multiplan — PHCS: $26.46
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Urinalysis Automated W/O Microscopy 81003 $166 $16.60 $12.98 – $132.80
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $81.67
  • Aetna_759 — Managed Medicare: $2.25
  • Aetna_773 — Managed Medicaid: $14.01
  • Aetna_794 — Whole Health: $3.71
  • AmeriChoice_732 — Managed Medicare: $2.25
  • AmeriChoice_756 — Managed Medicaid: $1.50
  • AmeriGroup_754 — Managed Medicaid: $16.30
  • AmeriGroup_758 — Managed Medicare: $2.25
  • AmeriHealth_757 — All Commercial Products: $76.19
  • AmeriHealth_760 — Value Exchange: $4.05
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Qual. Ph 81003 $3 $0.30 $0.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2.40
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $1.48
  • Aetna_759 — Managed Medicare: $2.25
  • Aetna_773 — Managed Medicaid: $0.25
  • Aetna_794 — Whole Health: $3.71
  • AmeriChoice_732 — Managed Medicare: $2.25
  • AmeriChoice_756 — Managed Medicaid: $1.50
  • AmeriGroup_754 — Managed Medicaid: $0.29
  • AmeriGroup_758 — Managed Medicare: $2.25
  • AmeriHealth_757 — All Commercial Products: $1.38
  • AmeriHealth_760 — Value Exchange: $4.05
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete Urinalysis Automated W/O Microscopy 81003 $166 $16.60 $12.98 – $132.80
Urine test (automated, without microscope): rates for 2 insurance plans
  • Horizon — Casualty PIP: $97.94
  • Multiplan — PHCS: $81.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Diagnostic 84153 $830 $83 $64.91 – $664
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $408.36
  • Aetna_759 — Managed Medicare: $18.39
  • Aetna_773 — Managed Medicaid: $70.05
  • Aetna_794 — Whole Health: $30.34
  • AmeriChoice_732 — Managed Medicare: $18.39
  • AmeriChoice_756 — Managed Medicaid: $24.50
  • AmeriGroup_754 — Managed Medicaid: $81.51
  • AmeriGroup_758 — Managed Medicare: $18.39
  • AmeriHealth_757 — All Commercial Products: $380.97
  • AmeriHealth_760 — Value Exchange: $33.08
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa, Post Prostatectomy 84153 $379 $37.90 $29.64 – $303.20
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $186.47
  • Aetna_759 — Managed Medicare: $18.39
  • Aetna_773 — Managed Medicaid: $31.99
  • Aetna_794 — Whole Health: $30.34
  • AmeriChoice_732 — Managed Medicare: $18.39
  • AmeriChoice_756 — Managed Medicaid: $24.50
  • AmeriGroup_754 — Managed Medicaid: $37.22
  • AmeriGroup_758 — Managed Medicare: $18.39
  • AmeriHealth_757 — All Commercial Products: $173.96
  • AmeriHealth_760 — Value Exchange: $33.08
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xpld-Psa,Free(Tot) 84153 $767 $76.70 $59.98 – $613.60
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $377.36
  • Aetna_759 — Managed Medicare: $18.39
  • Aetna_773 — Managed Medicaid: $64.73
  • Aetna_794 — Whole Health: $30.34
  • AmeriChoice_732 — Managed Medicare: $18.39
  • AmeriChoice_756 — Managed Medicaid: $24.50
  • AmeriGroup_754 — Managed Medicaid: $75.32
  • AmeriGroup_758 — Managed Medicare: $18.39
  • AmeriHealth_757 — All Commercial Products: $352.05
  • AmeriHealth_760 — Value Exchange: $33.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulat Hormn84443 $568 $56.80 $44.42 – $454.40
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $279.46
  • Aetna_759 — Managed Medicare: $16.80
  • Aetna_773 — Managed Medicaid: $47.94
  • Aetna_794 — Whole Health: $27.72
  • AmeriChoice_732 — Managed Medicare: $16.80
  • AmeriChoice_756 — Managed Medicaid: $18.30
  • AmeriGroup_754 — Managed Medicaid: $55.78
  • AmeriGroup_758 — Managed Medicare: $16.80
  • AmeriHealth_757 — All Commercial Products: $260.71
  • AmeriHealth_760 — Value Exchange: $30.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rflx Thyroid Stimulat Hormn 84443 $568 $56.80 $44.42 – $454.40
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $279.46
  • Aetna_759 — Managed Medicare: $16.80
  • Aetna_773 — Managed Medicaid: $47.94
  • Aetna_794 — Whole Health: $27.72
  • AmeriChoice_732 — Managed Medicare: $16.80
  • AmeriChoice_756 — Managed Medicaid: $18.30
  • AmeriGroup_754 — Managed Medicaid: $55.78
  • AmeriGroup_758 — Managed Medicare: $16.80
  • AmeriHealth_757 — All Commercial Products: $260.71
  • AmeriHealth_760 — Value Exchange: $30.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Normocytic Anemia Panel W/O S.Cr *X* 84443 (Tsh) $568 $56.80 $44.42 – $454.40
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $279.46
  • Aetna_759 — Managed Medicare: $16.80
  • Aetna_773 — Managed Medicaid: $47.94
  • Aetna_794 — Whole Health: $27.72
  • AmeriChoice_732 — Managed Medicare: $16.80
  • AmeriChoice_756 — Managed Medicaid: $18.30
  • AmeriGroup_754 — Managed Medicaid: $55.78
  • AmeriGroup_758 — Managed Medicare: $16.80
  • AmeriHealth_757 — All Commercial Products: $260.71
  • AmeriHealth_760 — Value Exchange: $30.22
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc With Diff 85025 $238 $23.80 $17.40 – $190.40
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $117.10
  • Aetna_759 — Managed Medicare: $7.77
  • Aetna_773 — Managed Medicaid: $20.09
  • Aetna_794 — Whole Health: $12.82
  • AmeriChoice_732 — Managed Medicare: $7.77
  • AmeriChoice_756 — Managed Medicaid: $21.44
  • AmeriGroup_754 — Managed Medicaid: $23.37
  • AmeriGroup_758 — Managed Medicare: $7.77
  • AmeriHealth_757 — All Commercial Products: $109.24
  • AmeriHealth_760 — Value Exchange: $13.98
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc With Diff 85025 $238 $23.80 $17.40 – $190.40
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Horizon — Casualty PIP: $140.42
  • Multiplan — PHCS: $116.62
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc With Diff S&D 85025 59 $238 $23.80 $17.40 – $238
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Horizon — Casualty PIP: $140.42
  • Multiplan — PHCS: $116.62
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc 85027 $120 $12 $9.38 – $96
Complete blood count (CBC), automated: 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $59.04
  • Aetna_759 — Managed Medicare: $6.47
  • Aetna_773 — Managed Medicaid: $10.13
  • Aetna_794 — Whole Health: $10.68
  • AmeriChoice_732 — Managed Medicare: $6.47
  • AmeriChoice_756 — Managed Medicaid: $4.80
  • AmeriGroup_754 — Managed Medicaid: $11.78
  • AmeriGroup_758 — Managed Medicare: $6.47
  • AmeriHealth_757 — All Commercial Products: $55.08
  • AmeriHealth_760 — Value Exchange: $11.64
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc 85027 $120 $12 $9.38 – $96
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Horizon — Casualty PIP: $70.80
  • Multiplan — PHCS: $58.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $25.04
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $25.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time 85610 $152 $15.20 $11.89 – $121.60
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $74.78
  • Aetna_759 — Managed Medicare: $4.29
  • Aetna_773 — Managed Medicaid: $12.83
  • Aetna_794 — Whole Health: $7.08
  • AmeriChoice_732 — Managed Medicare: $4.29
  • AmeriChoice_756 — Managed Medicaid: $3
  • AmeriGroup_754 — Managed Medicaid: $14.93
  • AmeriGroup_758 — Managed Medicare: $4.29
  • AmeriHealth_757 — All Commercial Products: $69.77
  • AmeriHealth_760 — Value Exchange: $7.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Inr & Aptt Batt *X*85610 $152 $15.20 $11.89 – $121.60
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $74.78
  • Aetna_759 — Managed Medicare: $4.29
  • Aetna_773 — Managed Medicaid: $12.83
  • Aetna_794 — Whole Health: $7.08
  • AmeriChoice_732 — Managed Medicare: $4.29
  • AmeriChoice_756 — Managed Medicaid: $3
  • AmeriGroup_754 — Managed Medicaid: $14.93
  • AmeriGroup_758 — Managed Medicare: $4.29
  • AmeriHealth_757 — All Commercial Products: $69.77
  • AmeriHealth_760 — Value Exchange: $7.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xpld- Tox Pnl Pt 85610 $152 $15.20 $11.89 – $121.60
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $74.78
  • Aetna_759 — Managed Medicare: $4.29
  • Aetna_773 — Managed Medicaid: $12.83
  • Aetna_794 — Whole Health: $7.08
  • AmeriChoice_732 — Managed Medicare: $4.29
  • AmeriChoice_756 — Managed Medicaid: $3
  • AmeriGroup_754 — Managed Medicaid: $14.93
  • AmeriGroup_758 — Managed Medicare: $4.29
  • AmeriHealth_757 — All Commercial Products: $69.77
  • AmeriHealth_760 — Value Exchange: $7.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thrmboplstn Tm85730 $145 $14.50 $11.34 – $116
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $71.34
  • Aetna_759 — Managed Medicare: $6.01
  • Aetna_773 — Managed Medicaid: $12.24
  • Aetna_794 — Whole Health: $9.92
  • AmeriChoice_732 — Managed Medicare: $6.01
  • AmeriChoice_756 — Managed Medicaid: $3
  • AmeriGroup_754 — Managed Medicaid: $14.24
  • AmeriGroup_758 — Managed Medicare: $6.01
  • AmeriHealth_757 — All Commercial Products: $66.56
  • AmeriHealth_760 — Value Exchange: $10.81
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xpld-Ptt 85730 $145 $14.50 $11.34 – $116
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $71.34
  • Aetna_759 — Managed Medicare: $6.01
  • Aetna_773 — Managed Medicaid: $12.24
  • Aetna_794 — Whole Health: $9.92
  • AmeriChoice_732 — Managed Medicare: $6.01
  • AmeriChoice_756 — Managed Medicaid: $3
  • AmeriGroup_754 — Managed Medicaid: $14.24
  • AmeriGroup_758 — Managed Medicare: $6.01
  • AmeriHealth_757 — All Commercial Products: $66.56
  • AmeriHealth_760 — Value Exchange: $10.81
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xpld- Tox Pnl Ptt 85730 $145 $14.50 $11.34 – $116
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna_740 — All Commercial Products: $71.34
  • Aetna_759 — Managed Medicare: $6.01
  • Aetna_773 — Managed Medicaid: $12.24
  • Aetna_794 — Whole Health: $9.92
  • AmeriChoice_732 — Managed Medicare: $6.01
  • AmeriChoice_756 — Managed Medicaid: $3
  • AmeriGroup_754 — Managed Medicaid: $14.24
  • AmeriGroup_758 — Managed Medicare: $6.01
  • AmeriHealth_757 — All Commercial Products: $66.56
  • AmeriHealth_760 — Value Exchange: $10.81

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head/Brain W/O Contrast Material $2,080 $208 $152.05 – $1,664
CT scan of the head or brain, without contrast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $1,023.36
  • Aetna_759 — Managed Medicare: $125.23
  • Aetna_773 — Managed Medicaid: $175.55
  • Aetna_794 — Whole Health: $206.63
  • AmeriChoice_732 — Managed Medicare: $125.23
  • AmeriChoice_756 — Managed Medicaid: $187.41
  • AmeriGroup_754 — Managed Medicaid: $204.26
  • AmeriGroup_758 — Managed Medicare: $125.23
  • AmeriHealth_757 — All Commercial Products: $954.72
  • AmeriHealth_760 — Value Exchange: $225.29
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head/Brain W/O Contrast Material $2,080 $208 $152.05 – $1,664
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,227.20
  • Multiplan — PHCS: $1,019.20
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $169 – $350.05
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $350.05
  • Emblem_762 — GHI: $169
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain Brain Stem W/O &W/Contrast Material $7,213 $721.30 $527.27 – $5,770.40
MRI of the brain, before and after contrast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $3,548.80
  • Aetna_759 — Managed Medicare: $420.58
  • Aetna_773 — Managed Medicaid: $608.78
  • Aetna_794 — Whole Health: $693.95
  • AmeriChoice_732 — Managed Medicare: $420.58
  • AmeriChoice_756 — Managed Medicaid: $649.89
  • AmeriGroup_754 — Managed Medicaid: $708.32
  • AmeriGroup_758 — Managed Medicare: $420.58
  • AmeriHealth_757 — All Commercial Products: $3,310.77
  • AmeriHealth_760 — Value Exchange: $756.62
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain Brain Stem W/O &W/Contrast Material $7,213 $721.30 $527.27 – $5,770.40
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $4,255.67
  • Multiplan — PHCS: $3,534.37
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $487 – $1,142.48
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $1,142.48
  • Emblem_762 — GHI: $487
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic Exam Chest 2 Views Frontal&Lateral $484 $48.40 $35.38 – $387.20
Chest X-ray, 2 views: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $238.13
  • Aetna_759 — Managed Medicare: $103.69
  • Aetna_773 — Managed Medicaid: $40.85
  • Aetna_794 — Whole Health: $171.09
  • AmeriChoice_732 — Managed Medicare: $103.69
  • AmeriChoice_756 — Managed Medicaid: $43.61
  • AmeriGroup_754 — Managed Medicaid: $47.53
  • AmeriGroup_758 — Managed Medicare: $103.69
  • AmeriHealth_757 — All Commercial Products: $222.16
  • AmeriHealth_760 — Value Exchange: $186.54
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Radiologic Exam Chest 2 Views Frontal&Lateral $484 $48.40 $35.38 – $387.20
Chest X-ray, 2 views: rates for 2 insurance plans
  • Horizon — Casualty PIP: $285.56
  • Multiplan — PHCS: $237.16
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $18.49 – $115.91
Chest X-ray, 2 views: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $115.91
  • Horizon New Jersey Health_674 — All Commercial Products: $18.49
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radex Spine Lumbosacral Minimum 4 Views $1,573 $157.30 $114.99 – $1,258.40
X-ray of the lower spine, at least 4 views: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $773.92
  • Aetna_759 — Managed Medicare: $125.23
  • Aetna_773 — Managed Medicaid: $132.76
  • Aetna_794 — Whole Health: $206.63
  • AmeriChoice_732 — Managed Medicare: $125.23
  • AmeriChoice_756 — Managed Medicaid: $141.73
  • AmeriGroup_754 — Managed Medicaid: $154.47
  • AmeriGroup_758 — Managed Medicare: $125.23
  • AmeriHealth_757 — All Commercial Products: $722.01
  • AmeriHealth_760 — Value Exchange: $225.29
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Radex Spine Lumbosacral Minimum 4 Views $1,573 $157.30 $114.99 – $1,258.40
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Horizon — Casualty PIP: $928.07
  • Multiplan — PHCS: $770.77
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $27 – $195.08
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $195.08
  • Emblem_762 — GHI: $27
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spinal Canal Lumbar W/O Contrast Material $4,146 $414.60 $303.07 – $3,316.80
MRI of the lower back (lumbar spine), without contrast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $2,039.83
  • Aetna_759 — Managed Medicare: $284.66
  • Aetna_773 — Managed Medicaid: $349.92
  • Aetna_794 — Whole Health: $469.70
  • AmeriChoice_732 — Managed Medicare: $284.66
  • AmeriChoice_756 — Managed Medicaid: $373.55
  • AmeriGroup_754 — Managed Medicaid: $407.14
  • AmeriGroup_758 — Managed Medicare: $284.66
  • AmeriHealth_757 — All Commercial Products: $1,903.01
  • AmeriHealth_760 — Value Exchange: $512.11
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Spinal Canal Lumbar W/O Contrast Material $4,146 $414.60 $303.07 – $3,316.80
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $2,446.14
  • Multiplan — PHCS: $2,031.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $430 – $656.34
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $656.34
  • Emblem_762 — GHI: $430
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W/Contrast Material $4,699 $469.90 $343.50 – $3,759.20
CT scan of the pelvis, with contrast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $2,311.91
  • Aetna_759 — Managed Medicare: $209.65
  • Aetna_773 — Managed Medicaid: $396.60
  • Aetna_794 — Whole Health: $345.92
  • AmeriChoice_732 — Managed Medicare: $209.65
  • AmeriChoice_756 — Managed Medicaid: $423.38
  • AmeriGroup_754 — Managed Medicaid: $461.44
  • AmeriGroup_758 — Managed Medicare: $209.65
  • AmeriHealth_757 — All Commercial Products: $2,156.84
  • AmeriHealth_760 — Value Exchange: $377.15
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W/Contrast Material $4,699 $469.90 $343.50 – $3,759.20
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $2,772.41
  • Multiplan — PHCS: $2,302.51
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $212 – $887.43
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $887.43
  • Emblem_762 — GHI: $212
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Any Jt Lower Extrem W/O Contrast Matrl $4,146 $414.60 $303.07 – $3,316.80
MRI of a leg joint (such as the knee), without contrast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $2,039.83
  • Aetna_759 — Managed Medicare: $284.66
  • Aetna_773 — Managed Medicaid: $349.92
  • Aetna_794 — Whole Health: $469.70
  • AmeriChoice_732 — Managed Medicare: $284.66
  • AmeriChoice_756 — Managed Medicaid: $373.55
  • AmeriGroup_754 — Managed Medicaid: $407.14
  • AmeriGroup_758 — Managed Medicare: $284.66
  • AmeriHealth_757 — All Commercial Products: $1,903.01
  • AmeriHealth_760 — Value Exchange: $512.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Any Jt Lower Extrem W/O Contrast Matrl $4,146 $414.60 $303.07 – $3,316.80
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $2,446.14
  • Multiplan — PHCS: $2,031.54
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $430 – $740.54
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $740.54
  • Emblem_762 — GHI: $430
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen & Pelvis With Contrast Material $9,405 $940.50 $687.51 – $7,524
CT scan of the abdomen and pelvis, with contrast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $4,627.26
  • Aetna_759 — Managed Medicare: $420.58
  • Aetna_773 — Managed Medicaid: $793.78
  • Aetna_794 — Whole Health: $693.95
  • AmeriChoice_732 — Managed Medicare: $420.58
  • AmeriChoice_756 — Managed Medicaid: $847.39
  • AmeriGroup_754 — Managed Medicaid: $923.57
  • AmeriGroup_758 — Managed Medicare: $420.58
  • AmeriHealth_757 — All Commercial Products: $4,316.90
  • AmeriHealth_760 — Value Exchange: $756.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen & Pelvis With Contrast Material $9,405 $940.50 $687.51 – $7,524
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $5,548.95
  • Multiplan — PHCS: $4,608.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD & PELVIS W/CONTRAST Not listed in the file Not listed in the file $168.59 – $1,188.65
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Aetna_740 — All Commercial Products: $1,188.65
  • Emblem_762 — GHI: $185
  • Horizon New Jersey Health_674 — All Commercial Products: $168.59
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdominal Real Time W/Image Documentation $898 $89.80 $65.64 – $718.40
Ultrasound of the abdomen, complete: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $441.82
  • Aetna_759 — Managed Medicare: $125.23
  • Aetna_773 — Managed Medicaid: $75.79
  • Aetna_794 — Whole Health: $206.63
  • AmeriChoice_732 — Managed Medicare: $125.23
  • AmeriChoice_756 — Managed Medicaid: $80.91
  • AmeriGroup_754 — Managed Medicaid: $88.18
  • AmeriGroup_758 — Managed Medicare: $125.23
  • AmeriHealth_757 — All Commercial Products: $412.18
  • AmeriHealth_760 — Value Exchange: $225.29
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdominal Real Time W/Image Documentation $898 $89.80 $65.64 – $718.40
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Horizon — Casualty PIP: $529.82
  • Multiplan — PHCS: $440.02
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $64 – $402.26
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $402.26
  • Emblem_762 — GHI: $64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg Uterus After 1st Trimest 1/1st Gestation $1,973 $197.30 $144.23 – $1,578.40
Pregnancy ultrasound (after the first trimester): 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $970.72
  • Aetna_759 — Managed Medicare: $125.23
  • Aetna_773 — Managed Medicaid: $166.52
  • Aetna_794 — Whole Health: $206.63
  • AmeriChoice_732 — Managed Medicare: $125.23
  • AmeriChoice_756 — Managed Medicaid: $177.77
  • AmeriGroup_754 — Managed Medicaid: $193.75
  • AmeriGroup_758 — Managed Medicare: $125.23
  • AmeriHealth_757 — All Commercial Products: $905.61
  • AmeriHealth_760 — Value Exchange: $225.29
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Preg Uterus After 1st Trimest 1/1st Gestation $1,973 $197.30 $144.23 – $1,578.40
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,164.07
  • Multiplan — PHCS: $966.77
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: OB US >/= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $65 – $446.07
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $446.07
  • Emblem_762 — GHI: $65
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound Transvaginal $2,382 $238.20 $174.12 – $1,905.60
Transvaginal ultrasound: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $1,171.94
  • Aetna_759 — Managed Medicare: $125.23
  • Aetna_773 — Managed Medicaid: $201.04
  • Aetna_794 — Whole Health: $206.63
  • AmeriChoice_732 — Managed Medicare: $125.23
  • AmeriChoice_756 — Managed Medicaid: $214.62
  • AmeriGroup_754 — Managed Medicaid: $233.91
  • AmeriGroup_758 — Managed Medicare: $125.23
  • AmeriHealth_757 — All Commercial Products: $1,093.34
  • AmeriHealth_760 — Value Exchange: $225.29
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ultrasound Transvaginal $2,382 $238.20 $174.12 – $1,905.60
Transvaginal ultrasound: rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,405.38
  • Multiplan — PHCS: $1,167.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $46 – $442.70
Transvaginal ultrasound: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $442.70
  • Emblem_762 — GHI: $46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diag Mammo Digtl Uni Inc Cad $845 $84.50 $61.77 – $676
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $415.74
  • Aetna_759 — Managed Medicare: $164.52
  • Aetna_773 — Managed Medicaid: $71.32
  • Aetna_794 — Whole Health: $271.46
  • AmeriChoice_732 — Managed Medicare: $164.52
  • AmeriChoice_756 — Managed Medicaid: $76.13
  • AmeriGroup_754 — Managed Medicaid: $82.98
  • AmeriGroup_758 — Managed Medicare: $164.52
  • AmeriHealth_757 — All Commercial Products: $387.86
  • AmeriHealth_760 — Value Exchange: $295.97
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Diag Mammo Digtl Uni Inc Cad $845 $84.50 $61.77 – $676
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Horizon — Casualty PIP: $498.55
  • Multiplan — PHCS: $414.05
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $67.70 – $441.04
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $441.04
  • Horizon New Jersey Health_674 — All Commercial Products: $67.70
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diag Mammo Digtl Bil Inc Cad $1,575 $157.50 $115.13 – $1,260
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $774.90
  • Aetna_759 — Managed Medicare: $207.95
  • Aetna_773 — Managed Medicaid: $132.93
  • Aetna_794 — Whole Health: $343.12
  • AmeriChoice_732 — Managed Medicare: $207.95
  • AmeriChoice_756 — Managed Medicaid: $141.91
  • AmeriGroup_754 — Managed Medicaid: $154.67
  • AmeriGroup_758 — Managed Medicare: $207.95
  • AmeriHealth_757 — All Commercial Products: $722.93
  • AmeriHealth_760 — Value Exchange: $374.10
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Diag Mammo Digtl Bil Inc Cad $1,575 $157.50 $115.13 – $1,260
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Horizon — Casualty PIP: $929.25
  • Multiplan — PHCS: $771.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $86.59 – $562.31
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $562.31
  • Horizon New Jersey Health_674 — All Commercial Products: $86.59
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scrn Mammo Digtl Bil Inc Cad $1,455 $145.50 $106.36 – $1,164
Screening mammogram, both breasts: 10 of 45 insurance plan rates
  • Aetna_740 — All Commercial Products: $715.86
  • Aetna_759 — Managed Medicare: $169.06
  • Aetna_773 — Managed Medicaid: $122.80
  • Aetna_794 — Whole Health: $278.95
  • AmeriChoice_732 — Managed Medicare: $169.06
  • AmeriChoice_756 — Managed Medicaid: $131.10
  • AmeriGroup_754 — Managed Medicaid: $142.88
  • AmeriGroup_758 — Managed Medicare: $169.06
  • AmeriHealth_757 — All Commercial Products: $667.85
  • AmeriHealth_760 — Value Exchange: $304.14
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Scrn Mammo Digtl Bil Inc Cad $1,455 $145.50 $106.36 – $1,164
Screening mammogram, both breasts: rates for 2 insurance plans
  • Horizon — Casualty PIP: $858.45
  • Multiplan — PHCS: $712.95
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $71.52 – $464.63
Screening mammogram, both breasts: rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $464.63
  • Horizon New Jersey Health_674 — All Commercial Products: $71.52

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $28 – $722.69
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Cigna_744 — All Commercial Products: $722.69
  • Emblem_762 — GHI: $28
  • Horizon New Jersey Health_674 — All Commercial Products: $140.32
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $3,409.05 – $6,814.32
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates
  • Aetna_759 — Managed Medicare: $3,787.84
  • Aetna_794 — Whole Health: $6,249.93
  • AmeriChoice_732 — Managed Medicare: $3,787.84
  • AmeriGroup_758 — Managed Medicare: $3,787.84
  • AmeriHealth_760 — Value Exchange: $6,814.32
  • AmeriHealth_766 — Managed Medicare: $3,787.84
  • Cigna_744 — All Commercial Products: $4,808.87
  • Clover_733 — Managed Medicare: $3,787.84
  • Emblem_734 — HIP: $3,956.69
  • Health Care Support_787 — All Commercial Products: $6,628.72
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $421.50
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Horizon New Jersey Health_674 — All Commercial Products: $421.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ep Eval W/O Indc 93619 $14,301 $1,430.10 $7,783 – $16,076.23
Heart rhythm study (electrophysiology evaluation): 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $10,306
  • Aetna_759 — Managed Medicare: $8,936.20
  • Aetna_773 — Managed Medicaid: $1,207
  • Aetna_794 — Whole Health: $14,744.73
  • AmeriChoice_732 — Managed Medicare: $8,936.20
  • AmeriChoice_756 — Managed Medicaid: $1,288.52
  • AmeriGroup_754 — Managed Medicaid: $1,404.36
  • AmeriGroup_758 — Managed Medicare: $8,936.20
  • AmeriHealth_757 — All Commercial Products: $6,564.16
  • AmeriHealth_760 — Value Exchange: $16,076.23
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ep Eval W/O Indc 93619 $14,301 $1,430.10 $1,045.40 – $11,440.80
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans
  • Horizon — Casualty PIP: $8,437.59
  • Multiplan — PHCS: $7,007.49
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein $54,951 $5,495.10 $1,650 – $51,974.38
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $10,306
  • Aetna_759 — Managed Medicare: $28,890.71
  • Aetna_773 — Managed Medicaid: $4,637.86
  • Aetna_794 — Whole Health: $47,669.67
  • AmeriChoice_732 — Managed Medicare: $28,890.71
  • AmeriChoice_756 — Managed Medicaid: $4,951.09
  • AmeriGroup_754 — Managed Medicaid: $5,396.19
  • AmeriGroup_758 — Managed Medicare: $28,890.71
  • AmeriHealth_757 — All Commercial Products: $7,031
  • AmeriHealth_760 — Value Exchange: $51,974.38
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein $54,951 $5,495.10 $4,016.92 – $41,213.25
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
  • Horizon — Casualty PIP: $32,421.09
  • Multiplan — PHCS: $26,925.99
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography Sleep Staging 4/> Addl Param $10,639 $1,063.90 $777.71 – $8,511.20
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $5,234.39
  • Aetna_759 — Managed Medicare: $1,198.14
  • Aetna_773 — Managed Medicaid: $897.93
  • Aetna_794 — Whole Health: $1,976.93
  • AmeriChoice_732 — Managed Medicare: $1,198.14
  • AmeriChoice_756 — Managed Medicaid: $958.57
  • AmeriGroup_754 — Managed Medicaid: $1,044.75
  • AmeriGroup_758 — Managed Medicare: $1,198.14
  • AmeriHealth_757 — All Commercial Products: $5,531.22
  • AmeriHealth_760 — Value Exchange: $2,155.45
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Polysomnography Sleep Staging 4/> Addl Param $10,639 $1,063.90 $777.71 – $8,511.20
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Horizon — Casualty PIP: $6,277.01
  • Multiplan — PHCS: $5,213.11
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $245 – $3,328.89
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Aetna_740 — All Commercial Products: $3,328.89
  • Emblem_762 — GHI: $245

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Px 1/> Areas Each 15 Min Exercises $252 $25.20 $18.42 – $201.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • Aetna_740 — All Commercial Products: $123.98
  • Aetna_759 — Managed Medicare: $37.06
  • Aetna_773 — Managed Medicaid: $21.27
  • Aetna_794 — Whole Health: $61.15
  • AmeriChoice_732 — Managed Medicare: $37.06
  • AmeriChoice_756 — Managed Medicaid: $22.71
  • AmeriGroup_754 — Managed Medicaid: $24.75
  • AmeriGroup_758 — Managed Medicare: $37.06
  • AmeriHealth_757 — All Commercial Products: $115.67
  • AmeriHealth_760 — Value Exchange: $66.67
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Therapeutic Px 1/> Areas Each 15 Min Exercises $252 $25.20 $18.42 – $201.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans
  • Horizon — Casualty PIP: $148.68
  • Multiplan — PHCS: $123.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: THERAPEUTIC EXERCISES Not listed in the file Not listed in the file $151.54
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $151.54
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Low Complex 20 Mins $1,665 $166.50 $121.71 – $1,332
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $819.18
  • Aetna_759 — Managed Medicare: $126.19
  • Aetna_773 — Managed Medicaid: $140.53
  • Aetna_794 — Whole Health: $208.21
  • AmeriChoice_732 — Managed Medicare: $126.19
  • AmeriChoice_756 — Managed Medicaid: $150.02
  • AmeriGroup_754 — Managed Medicaid: $163.50
  • AmeriGroup_758 — Managed Medicare: $126.19
  • AmeriHealth_757 — All Commercial Products: $764.24
  • AmeriHealth_760 — Value Exchange: $227.02
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Low Complex 20 Mins $1,665 $166.50 $121.71 – $1,332
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • Horizon — Casualty PIP: $982.35
  • Multiplan — PHCS: $815.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $515.22
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $515.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Mod Complex 30 Mins $1,848 $184.80 $135.09 – $1,478.40
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $909.22
  • Aetna_759 — Managed Medicare: $126.19
  • Aetna_773 — Managed Medicaid: $155.97
  • Aetna_794 — Whole Health: $208.21
  • AmeriChoice_732 — Managed Medicare: $126.19
  • AmeriChoice_756 — Managed Medicaid: $166.50
  • AmeriGroup_754 — Managed Medicaid: $181.47
  • AmeriGroup_758 — Managed Medicare: $126.19
  • AmeriHealth_757 — All Commercial Products: $848.23
  • AmeriHealth_760 — Value Exchange: $227.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Mod Complex 30 Mins $1,848 $184.80 $135.09 – $1,478.40
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,090.32
  • Multiplan — PHCS: $905.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $515.22
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $515.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation High Complex 45 Mins $2,033 $203.30 $148.61 – $1,626.40
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $1,000.24
  • Aetna_759 — Managed Medicare: $126.19
  • Aetna_773 — Managed Medicaid: $171.59
  • Aetna_794 — Whole Health: $208.21
  • AmeriChoice_732 — Managed Medicare: $126.19
  • AmeriChoice_756 — Managed Medicaid: $183.17
  • AmeriGroup_754 — Managed Medicaid: $199.64
  • AmeriGroup_758 — Managed Medicare: $126.19
  • AmeriHealth_757 — All Commercial Products: $933.15
  • AmeriHealth_760 — Value Exchange: $227.02
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation High Complex 45 Mins $2,033 $203.30 $148.61 – $1,626.40
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • Horizon — Casualty PIP: $1,199.47
  • Multiplan — PHCS: $996.17
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 0 In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $515.22
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Aetna_740 — All Commercial Products: $515.22
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 $170.29 – $340.40
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
  • Aetna_759 — Managed Medicare: $189.21
  • Aetna_794 — Whole Health: $312.20
  • AmeriChoice_732 — Managed Medicare: $189.21
  • AmeriGroup_758 — Managed Medicare: $189.21
  • AmeriHealth_760 — Value Exchange: $340.40
  • AmeriHealth_766 — Managed Medicare: $189.21
  • Clover_733 — Managed Medicare: $189.21
  • Emblem_734 — HIP: $193.60
  • Health Care Support_787 — All Commercial Products: $331.13
  • Heathnet Federal Services — Tricare: $174.08
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 $170.29 – $340.40
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates
  • Aetna_759 — Managed Medicare: $189.21
  • Aetna_794 — Whole Health: $312.20
  • AmeriChoice_732 — Managed Medicare: $189.21
  • AmeriGroup_758 — Managed Medicare: $189.21
  • AmeriHealth_760 — Value Exchange: $340.40
  • AmeriHealth_766 — Managed Medicare: $189.21
  • Clover_733 — Managed Medicare: $189.21
  • Emblem_734 — HIP: $193.60
  • Health Care Support_787 — All Commercial Products: $331.13
  • Heathnet Federal Services — Tricare: $174.08
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 $170.29 – $340.40
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates
  • Aetna_759 — Managed Medicare: $189.21
  • Aetna_794 — Whole Health: $312.20
  • AmeriChoice_732 — Managed Medicare: $189.21
  • AmeriGroup_758 — Managed Medicare: $189.21
  • AmeriHealth_760 — Value Exchange: $340.40
  • AmeriHealth_766 — Managed Medicare: $189.21
  • Clover_733 — Managed Medicare: $189.21
  • Emblem_734 — HIP: $193.60
  • Health Care Support_787 — All Commercial Products: $331.13
  • Heathnet Federal Services — Tricare: $174.08
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 $170.29 – $340.40
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna_759 — Managed Medicare: $189.21
  • Aetna_794 — Whole Health: $312.20
  • AmeriChoice_732 — Managed Medicare: $189.21
  • AmeriGroup_758 — Managed Medicare: $189.21
  • AmeriHealth_760 — Value Exchange: $340.40
  • AmeriHealth_766 — Managed Medicare: $189.21
  • Clover_733 — Managed Medicare: $189.21
  • Emblem_734 — HIP: $193.60
  • Emblem_762 — GHI: $90
  • Health Care Support_787 — All Commercial Products: $331.13
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 $170.29 – $340.40
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna_759 — Managed Medicare: $189.21
  • Aetna_794 — Whole Health: $312.20
  • AmeriChoice_732 — Managed Medicare: $189.21
  • AmeriGroup_758 — Managed Medicare: $189.21
  • AmeriHealth_760 — Value Exchange: $340.40
  • AmeriHealth_766 — Managed Medicare: $189.21
  • Clover_733 — Managed Medicare: $189.21
  • Emblem_734 — HIP: $193.60
  • Emblem_762 — GHI: $90
  • Health Care Support_787 — All Commercial Products: $331.13
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 $98.04 – $195.97
Group psychotherapy: 10 of 20 insurance plan rates
  • Aetna_759 — Managed Medicare: $108.93
  • Aetna_794 — Whole Health: $179.74
  • AmeriChoice_732 — Managed Medicare: $108.93
  • AmeriGroup_758 — Managed Medicare: $108.93
  • AmeriHealth_760 — Value Exchange: $195.97
  • AmeriHealth_766 — Managed Medicare: $108.93
  • Clover_733 — Managed Medicare: $108.93
  • Emblem_734 — HIP: $108.24
  • Emblem_762 — GHI: $48
  • Health Care Support_787 — All Commercial Products: $190.63

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 $4,058.63 – $8,112.75
Removal of breast growth (open surgery): 10 of 21 insurance plan rates
  • Aetna_759 — Managed Medicare: $4,509.59
  • Aetna_794 — Whole Health: $7,440.82
  • AmeriChoice_732 — Managed Medicare: $4,509.59
  • AmeriGroup_758 — Managed Medicare: $4,509.59
  • AmeriHealth_760 — Value Exchange: $8,112.75
  • AmeriHealth_766 — Managed Medicare: $4,509.59
  • Cigna_744 — All Commercial Products: $5,786.80
  • Clover_733 — Managed Medicare: $4,509.59
  • Emblem_734 — HIP: $4,628.38
  • Health Care Support_787 — All Commercial Products: $7,891.78
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 $13,637.47 – $27,259.78
Total hip replacement: 10 of 20 insurance plan rates
  • Aetna_759 — Managed Medicare: $15,152.74
  • Aetna_794 — Whole Health: $25,002.02
  • AmeriChoice_732 — Managed Medicare: $15,152.74
  • AmeriGroup_758 — Managed Medicare: $15,152.74
  • AmeriHealth_760 — Value Exchange: $27,259.78
  • AmeriHealth_766 — Managed Medicare: $15,152.74
  • Clover_733 — Managed Medicare: $15,152.74
  • Emblem_734 — HIP: $15,980.82
  • Health Care Support_787 — All Commercial Products: $26,517.29
  • Heathnet Federal Services — Tricare: $13,940.52
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 $13,637.47 – $27,259.78
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna_759 — Managed Medicare: $15,152.74
  • Aetna_794 — Whole Health: $25,002.02
  • AmeriChoice_732 — Managed Medicare: $15,152.74
  • AmeriGroup_758 — Managed Medicare: $15,152.74
  • AmeriHealth_760 — Value Exchange: $27,259.78
  • AmeriHealth_766 — Managed Medicare: $15,152.74
  • Clover_733 — Managed Medicare: $15,152.74
  • Emblem_734 — HIP: $15,980.82
  • Health Care Support_787 — All Commercial Products: $26,517.29
  • Heathnet Federal Services — Tricare: $13,940.52
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 $3,962 – $5,786.80
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • Cigna_744 — All Commercial Products: $5,786.80
  • Horizon New Jersey Health_674 — All Commercial Products: $477.92
  • United Healthcare_742 — All Commercial Products: $3,962
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $3,438.94 – $7,838
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
  • Aetna_759 — Managed Medicare: $3,821.05
  • Aetna_794 — Whole Health: $6,304.73
  • AmeriChoice_732 — Managed Medicare: $3,821.05
  • AmeriGroup_758 — Managed Medicare: $3,821.05
  • AmeriHealth_760 — Value Exchange: $6,874.06
  • AmeriHealth_766 — Managed Medicare: $3,821.05
  • Cigna_744 — All Commercial Products: $5,891.35
  • Clover_733 — Managed Medicare: $3,821.05
  • Emblem_734 — HIP: $3,930.31
  • Health Care Support_787 — All Commercial Products: $6,686.83
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 $5,786.80 – $12,532.98
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna_759 — Managed Medicare: $6,966.64
  • Aetna_794 — Whole Health: $11,494.95
  • AmeriChoice_732 — Managed Medicare: $6,966.64
  • AmeriGroup_758 — Managed Medicare: $6,966.64
  • AmeriHealth_760 — Value Exchange: $12,532.98
  • AmeriHealth_766 — Managed Medicare: $6,966.64
  • Cigna_744 — All Commercial Products: $5,786.80
  • Clover_733 — Managed Medicare: $6,966.64
  • Emblem_734 — HIP: $7,110.82
  • Health Care Support_787 — All Commercial Products: $12,191.61
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 $993.71 – $4,865
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,104.13
  • Aetna_794 — Whole Health: $1,821.81
  • AmeriChoice_732 — Managed Medicare: $1,104.13
  • AmeriGroup_758 — Managed Medicare: $1,104.13
  • AmeriHealth_760 — Value Exchange: $1,986.32
  • AmeriHealth_766 — Managed Medicare: $1,104.13
  • Clover_733 — Managed Medicare: $1,104.13
  • Emblem_734 — HIP: $1,100.69
  • Health Care Support_787 — All Commercial Products: $1,932.22
  • Heathnet Federal Services — Tricare: $1,015.80
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 $993.71 – $5,712.82
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,104.13
  • Aetna_794 — Whole Health: $1,821.81
  • AmeriChoice_732 — Managed Medicare: $1,104.13
  • AmeriGroup_758 — Managed Medicare: $1,104.13
  • AmeriHealth_760 — Value Exchange: $1,986.32
  • AmeriHealth_766 — Managed Medicare: $1,104.13
  • Cigna_744 — All Commercial Products: $5,712.82
  • Clover_733 — Managed Medicare: $1,104.13
  • Emblem_734 — HIP: $1,100.69
  • Health Care Support_787 — All Commercial Products: $1,932.22
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 $966.32 – $5,712.82
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,073.68
  • Aetna_794 — Whole Health: $1,771.58
  • AmeriChoice_732 — Managed Medicare: $1,073.68
  • AmeriGroup_758 — Managed Medicare: $1,073.68
  • AmeriHealth_760 — Value Exchange: $1,931.56
  • AmeriHealth_766 — Managed Medicare: $1,073.68
  • Cigna_744 — All Commercial Products: $5,712.82
  • Clover_733 — Managed Medicare: $1,073.68
  • Emblem_734 — HIP: $1,109.77
  • Health Care Support_787 — All Commercial Products: $1,878.95
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,249.70 – $5,712.82
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,388.56
  • Aetna_794 — Whole Health: $2,291.12
  • AmeriChoice_732 — Managed Medicare: $1,388.56
  • AmeriGroup_758 — Managed Medicare: $1,388.56
  • AmeriHealth_760 — Value Exchange: $2,498.01
  • AmeriHealth_766 — Managed Medicare: $1,388.56
  • Cigna_744 — All Commercial Products: $5,712.82
  • Clover_733 — Managed Medicare: $1,388.56
  • Emblem_734 — HIP: $1,432.89
  • Health Care Support_787 — All Commercial Products: $2,429.97
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,249.70 – $5,712.82
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,388.56
  • Aetna_794 — Whole Health: $2,291.12
  • AmeriChoice_732 — Managed Medicare: $1,388.56
  • AmeriGroup_758 — Managed Medicare: $1,388.56
  • AmeriHealth_760 — Value Exchange: $2,498.01
  • AmeriHealth_766 — Managed Medicare: $1,388.56
  • Cigna_744 — All Commercial Products: $5,712.82
  • Clover_733 — Managed Medicare: $1,388.56
  • Emblem_734 — HIP: $1,432.89
  • Health Care Support_787 — All Commercial Products: $2,429.97
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,249.70 – $2,498.01
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,388.56
  • Aetna_794 — Whole Health: $2,291.12
  • AmeriChoice_732 — Managed Medicare: $1,388.56
  • AmeriGroup_758 — Managed Medicare: $1,388.56
  • AmeriHealth_760 — Value Exchange: $2,498.01
  • AmeriHealth_766 — Managed Medicare: $1,388.56
  • Clover_733 — Managed Medicare: $1,388.56
  • Emblem_734 — HIP: $1,432.89
  • Health Care Support_787 — All Commercial Products: $2,429.97
  • Heathnet Federal Services — Tricare: $1,277.47
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 $966.32 – $1,931.56
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates
  • Aetna_759 — Managed Medicare: $1,073.68
  • Aetna_794 — Whole Health: $1,771.58
  • AmeriChoice_732 — Managed Medicare: $1,073.68
  • AmeriGroup_758 — Managed Medicare: $1,073.68
  • AmeriHealth_760 — Value Exchange: $1,931.56
  • AmeriHealth_766 — Managed Medicare: $1,073.68
  • Clover_733 — Managed Medicare: $1,073.68
  • Emblem_734 — HIP: $1,109.77
  • Health Care Support_787 — All Commercial Products: $1,878.95
  • Heathnet Federal Services — Tricare: $987.79
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 $6,183.80 – $12,612
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
  • Aetna_759 — Managed Medicare: $6,870.89
  • Aetna_794 — Whole Health: $11,336.97
  • AmeriChoice_732 — Managed Medicare: $6,870.89
  • AmeriGroup_758 — Managed Medicare: $6,870.89
  • AmeriHealth_760 — Value Exchange: $12,360.74
  • AmeriHealth_766 — Managed Medicare: $6,870.89
  • Cigna_744 — All Commercial Products: $6,539.51
  • Clover_733 — Managed Medicare: $6,870.89
  • Emblem_734 — HIP: $7,006.16
  • Health Care Support_787 — All Commercial Products: $12,024.06
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 $3,740.43 – $7,838
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • Aetna_759 — Managed Medicare: $4,156.03
  • Aetna_794 — Whole Health: $6,857.45
  • AmeriChoice_732 — Managed Medicare: $4,156.03
  • AmeriGroup_758 — Managed Medicare: $4,156.03
  • AmeriHealth_760 — Value Exchange: $7,476.70
  • AmeriHealth_766 — Managed Medicare: $4,156.03
  • Cigna_744 — All Commercial Products: $5,891.35
  • Clover_733 — Managed Medicare: $4,156.03
  • Emblem_734 — HIP: $4,200.88
  • Health Care Support_787 — All Commercial Products: $7,273.06
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of Prostate $9,890 $989 $722.96 – $7,912
Prostate biopsy: 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $4,865.88
  • Aetna_759 — Managed Medicare: $2,412.45
  • Aetna_773 — Managed Medicaid: $834.72
  • Aetna_794 — Whole Health: $3,980.54
  • AmeriChoice_732 — Managed Medicare: $2,412.45
  • AmeriChoice_756 — Managed Medicaid: $891.09
  • AmeriGroup_754 — Managed Medicaid: $971.20
  • AmeriGroup_758 — Managed Medicare: $2,412.45
  • AmeriHealth_757 — All Commercial Products: $5,141.81
  • AmeriHealth_760 — Value Exchange: $4,339.99
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Biopsy of Prostate $9,890 $989 $722.96 – $7,912
Prostate biopsy: rates for 2 insurance plans
  • Horizon — Casualty PIP: $5,835.10
  • Multiplan — PHCS: $4,846.10
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 $11,034.79 – $22,057.32
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates
  • Aetna_759 — Managed Medicare: $12,260.88
  • Aetna_794 — Whole Health: $20,230.45
  • AmeriChoice_732 — Managed Medicare: $12,260.88
  • AmeriGroup_758 — Managed Medicare: $12,260.88
  • AmeriHealth_760 — Value Exchange: $22,057.32
  • AmeriHealth_766 — Managed Medicare: $12,260.88
  • Clover_733 — Managed Medicare: $12,260.88
  • Emblem_734 — HIP: $12,499.07
  • Health Care Support_787 — All Commercial Products: $21,456.54
  • Heathnet Federal Services — Tricare: $11,280.01
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 $3,369.96 – $6,736.19
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates
  • Aetna_759 — Managed Medicare: $3,744.41
  • Aetna_794 — Whole Health: $6,178.27
  • AmeriChoice_732 — Managed Medicare: $3,744.41
  • AmeriGroup_758 — Managed Medicare: $3,744.41
  • AmeriHealth_760 — Value Exchange: $6,736.19
  • AmeriHealth_766 — Managed Medicare: $3,744.41
  • Cigna_744 — All Commercial Products: $5,786.80
  • Clover_733 — Managed Medicare: $3,744.41
  • Emblem_734 — HIP: $3,796.16
  • Health Care Support_787 — All Commercial Products: $6,552.71
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 $734 – $5,608.28
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates
  • Aetna_759 — Managed Medicare: $815.55
  • Aetna_794 — Whole Health: $1,345.66
  • AmeriChoice_732 — Managed Medicare: $815.55
  • AmeriGroup_758 — Managed Medicare: $815.55
  • AmeriHealth_760 — Value Exchange: $1,467.18
  • AmeriHealth_766 — Managed Medicare: $815.55
  • Cigna_744 — All Commercial Products: $5,608.28
  • Clover_733 — Managed Medicare: $815.55
  • Emblem_734 — HIP: $839.71
  • Health Care Support_787 — All Commercial Products: $1,427.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Anes&/Strd Foramen Epidural L/S 1 Lvl W/Img $18,350 $1,835 $1,341.39 – $14,680
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates
  • Aetna_740 — All Commercial Products: $9,028.20
  • Aetna_759 — Managed Medicare: $1,048.46
  • Aetna_773 — Managed Medicaid: $1,548.74
  • Aetna_794 — Whole Health: $1,729.96
  • AmeriChoice_732 — Managed Medicare: $1,048.46
  • AmeriChoice_756 — Managed Medicaid: $1,653.34
  • AmeriGroup_754 — Managed Medicaid: $1,801.97
  • AmeriGroup_758 — Managed Medicare: $1,048.46
  • AmeriHealth_757 — All Commercial Products: $9,540.17
  • AmeriHealth_760 — Value Exchange: $1,886.18
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inj Anes&/Strd Foramen Epidural L/S 1 Lvl W/Img $18,350 $1,835 $1,341.39 – $14,680
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans
  • Horizon — Casualty PIP: $10,826.50
  • Multiplan — PHCS: $8,991.50
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 $2,069.73 – $5,712.82
Carpal tunnel release: 10 of 21 insurance plan rates
  • Aetna_759 — Managed Medicare: $2,299.70
  • Aetna_794 — Whole Health: $3,794.50
  • AmeriChoice_732 — Managed Medicare: $2,299.70
  • AmeriGroup_758 — Managed Medicare: $2,299.70
  • AmeriHealth_760 — Value Exchange: $4,137.16
  • AmeriHealth_766 — Managed Medicare: $2,299.70
  • Cigna_744 — All Commercial Products: $5,712.82
  • Clover_733 — Managed Medicare: $2,299.70
  • Emblem_734 — HIP: $2,344.44
  • Health Care Support_787 — All Commercial Products: $4,024.47
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 $581.46 – $1,162.27
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates
  • Aetna_759 — Managed Medicare: $646.06
  • Aetna_794 — Whole Health: $1,066.01
  • AmeriChoice_732 — Managed Medicare: $646.06
  • AmeriGroup_758 — Managed Medicare: $646.06
  • AmeriHealth_760 — Value Exchange: $1,162.27
  • AmeriHealth_766 — Managed Medicare: $646.06
  • Clover_733 — Managed Medicare: $646.06
  • Emblem_734 — HIP: $705.80
  • Health Care Support_787 — All Commercial Products: $1,130.61
  • Heathnet Federal Services — Tricare: $594.38
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,417.33 – $6,389.94
Cataract removal with lens implant: 10 of 20 insurance plan rates
  • Aetna_759 — Managed Medicare: $2,685.92
  • Aetna_794 — Whole Health: $4,431.78
  • AmeriChoice_732 — Managed Medicare: $2,685.92
  • AmeriGroup_758 — Managed Medicare: $2,685.92
  • AmeriHealth_760 — Value Exchange: $4,831.98
  • AmeriHealth_766 — Managed Medicare: $2,685.92
  • Cigna_744 — All Commercial Products: $6,389.94
  • Clover_733 — Managed Medicare: $2,685.92
  • Emblem_734 — HIP: $2,829.63
  • Health Care Support_787 — All Commercial Products: $4,700.37

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $813.25
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Horizon New Jersey Health_674 — All Commercial Products: $813.25
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $953.57
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Horizon New Jersey Health_674 — All Commercial Products: $953.57

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $66,134.37 – $261,230.11
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $155,683.48
  • Aetna_759 — Managed Medicare: $92,201.29
  • Aetna_794 — Whole Health: $152,132.13
  • AmeriChoice_732 — Managed Medicare: $92,201.29
  • AmeriGroup_758 — Managed Medicare: $92,201.29
  • AmeriHealth_757 — All Commercial Products: $193,973.07
  • AmeriHealth_760 — Value Exchange: $142,734.38
  • AmeriHealth_766 — Managed Medicare: $92,201.29
  • Bergen — Worker's Comp: $15,756.24
  • Cigna_744 — All Commercial Products: $112,735.10
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC Not listed in the file Not listed in the file $87,528.94
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans
  • Horizon_Blue Cross Blue Shield_576 — Omnia: $87,528.94
  • Qualcare_752 — All Commercial Products: $99,564
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $16,614.78 – $55,646.82
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates
  • Aetna_740 — All Commercial Products: $30,696.51
  • Aetna_759 — Managed Medicare: $18,460.87
  • Aetna_794 — Whole Health: $30,460.44
  • AmeriChoice_732 — Managed Medicare: $18,460.87
  • AmeriGroup_758 — Managed Medicare: $18,460.87
  • AmeriHealth_757 — All Commercial Products: $38,837.98
  • AmeriHealth_766 — Managed Medicare: $18,460.87
  • Cigna_744 — All Commercial Products: $33,071.45
  • Clover_733 — Managed Medicare: $18,460.87
  • Emblem_734 — HIP: $18,460.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $16,614.78 – $55,646.82
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates
  • AmeriHealth_760 — Value Exchange: $28,143.31
  • Bergen — Worker's Comp: $15,756.24
  • Horizon — Casualty Worker's Comp: $2,873
  • Horizon_Blue Cross Blue Shield_745 — HMO: $27,334.44
  • Horizon_Blue Cross Blue Shield_747 — PPO: $30,623.22
  • Horizon_Blue Cross Blue Shield_748 — Indemnity: $51,507.42
  • Oxford_741 — All Commercial Products: $32,768.15
  • Qualcare — Worker's Comp: $6,675
  • Qualcare_783 — EPO: $22,788.02
  • United Healthcare_742 — All Commercial Products: $33,128.86
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC Not listed in the file Not listed in the file $18,761
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • Horizon_Blue Cross Blue Shield_576 — Omnia: $18,761
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $20,733.19 – $74,870.40
Neck (cervical) spinal fusion, without complications: 10 of 34 insurance plan rates
  • Aetna_740 — All Commercial Products: $38,850.85
  • Aetna_759 — Managed Medicare: $23,036.88
  • Aetna_794 — Whole Health: $38,010.85
  • AmeriChoice_732 — Managed Medicare: $23,036.88
  • AmeriGroup_758 — Managed Medicare: $23,036.88
  • AmeriHealth_757 — All Commercial Products: $48,464.99
  • AmeriHealth_760 — Value Exchange: $35,619.40
  • AmeriHealth_766 — Managed Medicare: $23,036.88
  • Bergen — Worker's Comp: $15,756.24
  • Cigna_744 — All Commercial Products: $41,856.67
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION W/O CC/MCC Not listed in the file Not listed in the file $20,867.54
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan
  • Horizon_Blue Cross Blue Shield_576 — Omnia: $20,867.54
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $2,424.96 – $48,045.23
Uterus and ovary surgery (not for cancer), without complications: 10 of 37 insurance plan rates
  • Aetna_740 — All Commercial Products: $19,744.50
  • Aetna_759 — Managed Medicare: $11,939.17
  • Aetna_794 — Whole Health: $19,699.63
  • AmeriChoice_732 — Managed Medicare: $11,939.17
  • AmeriGroup_758 — Managed Medicare: $11,939.17
  • AmeriHealth_757 — All Commercial Products: $25,117.63
  • AmeriHealth_760 — Value Exchange: $18,102.23
  • AmeriHealth_766 — Managed Medicare: $11,939.17
  • Bergen — Worker's Comp: $15,756.24
  • Cigna_744 — All Commercial Products: $21,272.10
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC Not listed in the file Not listed in the file $9,227.57
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan
  • Horizon_Blue Cross Blue Shield_576 — Omnia: $9,227.57

Source: Englewood Hospital and Medical Center’s standard charges file (englewood.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 2, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address350 Engle St, Englewood, NJ 07631
CountyBergen County
StateNew Jersey
Phone(201) 894‑3000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number310045
Name in Medicare recordsENGLEWOOD HOSPITAL AND MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteEnglewood Hospital
Official websiteenglewoodhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. 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.

  1. Emergency Department - Englewood Health — englewoodhealth.org
  2. Bloodless Medicine and Surgery | Englewood Health — englewoodhealth.org
  3. Heart Care | Englewood Health — englewoodhealth.org
  4. Cardiothoracic Surgery | Englewood Health — englewoodhealth.org
  5. Emergency Cardiac Care | Englewood Health — englewoodhealth.org
  6. Contact the Cardiac Care Departments | Englewood Health — englewoodhealth.org
  7. Radiology and Imaging | Englewood Health — englewoodhealth.org
  8. Cardiac Imaging and Diagnostic Tests | Englewood Health — englewoodhealth.org
  9. Interventional Cardiology | Englewood Health — englewoodhealth.org
  10. Cardiac Rehabilitation | Englewood Health — englewoodhealth.org
  11. Behavioral Health and Psychiatry | Englewood Health — englewoodhealth.org
  12. Addiction Medicine | Englewood Health — englewoodhealth.org
  13. Cancer Care | Englewood Health — englewoodhealth.org
  14. Aortic Disease | Englewood Health — englewoodhealth.org
  15. Arrhythmia Management | Englewood Health — englewoodhealth.org
  16. Coronary Artery Disease | Englewood Health — englewoodhealth.org
  17. Structural Heart and Valve Disease | Englewood Health — englewoodhealth.org
  18. Heart Failure | Englewood Health — englewoodhealth.org