Does Erlanger Murphy Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Erlanger Murphy Medical Center. In a medical emergency, call 911.

Where is Erlanger Murphy Medical Center?

3990 East US Highway 64 Alt, Murphy, NC 28906, in Cherokee County, North Carolina.

What is the phone number of Erlanger Murphy Medical Center?

(828) 837-8161, as listed by Medicare (CMS).

What is the Medicare star rating of Erlanger Murphy Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Erlanger Murphy Medical Center — Phone, Address & ER

Quick answers

Does Erlanger Murphy Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Erlanger Murphy Medical Center. In a medical emergency, call 911.
Where is Erlanger Murphy Medical Center?: 3990 East US Highway 64 Alt, Murphy, NC 28906, in Cherokee County, North Carolina.
What is the phone number of Erlanger Murphy Medical Center?: (828) 837-8161, as listed by Medicare (CMS).
What is the Medicare star rating of Erlanger Murphy Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^{[4][5][9][11][13]}

Conditions treated^{[5][7][10][12][13]}

Treatments^{[4][6][7][10][13]}

Cardiac rehabilitation
Physical therapy
Occupational therapy
Speech therapy
Hyperbaric oxygen therapy
Debridement
Negative pressure wound therapy
Compression therapy
Interventional radiology
MRI
CT scan
X-ray
Ultrasound
Fluoroscopy
Nuclear medicine
Bone density testing (DEXA)
3D mammography
Stress testing
Pulmonary function testing
Echocardiography
Cardiac event monitoring
Ventilator care

Procedures^[9][10][11]

Stereotactic breast biopsy
Robotic-assisted surgery
Colonoscopy
Upper endoscopy
Skin lesion removal
Gallbladder removal
Hernia repair
Port placement and removal
Breast lesion removal
Thyroidectomy
Colectomy
Appendix removal
Total joint replacement
Arthroscopy
Platelet-rich plasma (PRP) therapy
Carpal tunnel treatment

Programs and centers^{[5][7][11][12][13][15]}

Emergency Department (24/7)
Cardiac rehabilitation
Pulmonary rehabilitation
Tobacco cessation program
Free asthma education classes
Wound Care Center
Telepsychiatry for acute behavioral health (NC-STeP)
Teleneurology
Robotic surgery program
Diet and nutrition services

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

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Family encouraged to visit, but visitation may be limited for health risks; follow Erlanger visitation policy^[8]

Recognition^{[4][7][10][14]}

Critical access hospital
American College of Radiology accreditation in Digital Mammography and Ultrasound
College of American Pathologists (CAP) laboratory accreditation
Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL) accreditation

Doctors and clinicians (250)

250 doctors and other clinicians list Erlanger Murphy 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 (250)

Aaron J. Giese, PAPhysician Assistant
Aaron J. Schueneman, MDHematology/Oncology
Alexander S. JonesFamily Practice
Alexandra R. Priest, CNACertified Registered Nurse Anesthetist (CRNA)
Amy Parsons, MDPathology
Anders E. Petersen, MDFamily Practice
Andrew Glass, MDEmergency Medicine
Andrew J. Hill Iv, MDDiagnostic Radiology
Andy M. SteeleNurse Practitioner
Anisaa Widyawati W. Romano Perry, DOFamily Practice
Anita Shvarts, MDAllergy/Immunology
Aruna Abraham, NPNurse Practitioner
Ashley K. Helton, NPNurse Practitioner
Ashley N. CrowderNurse Practitioner
Ashwani Sastry, MDCardiovascular Disease (Cardiology)
Avinash M. Sud, MDDiagnostic Radiology
Benjamin Dart, MDGeneral Practice
Benjamin F. Guiney Jr., MDEmergency Medicine
Benjamin T. Seymour, PAPhysician Assistant
Bessie Ingram-Nunally, MDEmergency Medicine
Brian Haycook, MDOrthopedic Surgery
Brian Kraft, CNACertified Registered Nurse Anesthetist (CRNA)
Brianna Iannarelli, CNACertified Registered Nurse Anesthetist (CRNA)
Bridget Beaudoin, CNACertified Registered Nurse Anesthetist (CRNA)

And 226 more: the button below opens the full list.

Other emergency rooms nearby

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

Union General Hospital13 mi · Blairsville, GA · Acute Care Hospital
Chatuge Regional Hospital15 mi · Hiawassee, GA · Critical Access Hospital
Blue Ridge Medical Center26 mi · Blue Ridge, GA · Critical Access Hospital
Angel Medical Center31 mi · Franklin, NC · Critical Access Hospital
Mountain Lakes Medical Center36 mi · Clayton, GA · Critical Access Hospital

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

Other hospitals near Murphy

Northeast Georgia Medical Center Lumpkin38 mi · Dahlonega, GA · Acute Care Hospital

Hospitals in Cherokee County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Clay County Health and Rehabilitation9.1 mi · Hayesville, NC · 2 of 5 stars
Murphy Rehabilitation & Nursing9.1 mi · Murphy, NC · 4 of 5 stars
Valley View Care and Rehabilitation11 mi · Andrews, NC · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of North Carolina9.7 mi · Murphy, NC
Appalachian Hospice, LLC15 mi · Blairsville, GA · 5 of 5 stars
Empyrean Hospice of Georgia, Llc-(Blairsville)15 mi · Blairsville, GA

All hospice providers in the state →

Home health agencies

Mountain Home Health13 mi · Hayesville, NC
Mountain Home Health Services13 mi · Hayesville, NC · 3 of 5 stars
Mountain Home Health15 mi · Blairsville, GA · 2.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Smoky Mountain Dialysis9.7 mi · Murphy, NC · 4 of 5 stars
Union County Dialysis15 mi · Blairsville, GA · 2 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Appalachian Mountain Health at Murphy0.1 mi · Murphy, NC · Community health center
Appalachian Mountain Community Health Centers9.7 mi · Murphy, NC · Community health center
Appalachian Mountain Health at Robbinsville19 mi · Robbinsville, NC · Community health center

Clinics and urgent care

Erlanger MMC Urgent Care9.7 mi · Murphy, NC · Rural health clinic
Erlanger Murphy Medical Group, Family9.7 mi · Murphy, NC · Rural health clinic
Erlanger Primary Care Peachtree9.7 mi · Murphy, NC · Rural health clinic

Pharmacies

Appalachian Mountain Community Health Centers9.7 mi · Murphy, NC · Pharmacy
Hyercare, LLC9.7 mi · Murphy, NC · Community/retail pharmacy
Ingles Markets Inc9.7 mi · Murphy, NC · Community/retail pharmacy

Assisted living nearby

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

Hayesville House13 mi · Hayesville, NC

About the Medicare star rating

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

Medicare quality data

What Erlanger Murphy 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	76%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	84%National average: 80%
“Always” got help as soon as they wanted	65%National average: 64%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	87%National average: 73%
Completed surveys	173Response rate: 26%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

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

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients	11.2%
Deaths within 30 days: pneumonia patients	14.3%
Deaths within 30 days: stroke patients	13.1%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	15.1%
Readmitted within 30 days: heart failure	20.9%
Readmitted within 30 days: pneumonia	16.3%
Readmitted within 30 days: COPD	19.2%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in North Carolina Best hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Erlanger Murphy 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 →

Show the prices of 86 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Level 3 New Patient	$386	$270.20	$78.05 – $362.84
New patient office visit (about 30–44 minutes): rates for 10 insurance plans AETNA — ALL PRODUCTS: $331.96 AETNA — MEDICARE ADVANTAGE: $96.50 BCBSNC — ALL PRODUCTS: $274.72 BCBSNC — MEDICARE ADVANTAGE: $100.36 CIGNA HEALTHCARE — ALL PRODUCTS: $294.52 HUMANA — ALL PRODUCTS: $231.60 MEDCOST — ALL PRODUCTS: $362.84 Peach State — All Products: $78.05 UNITEDHEALTHCARE — ALL PRODUCTS: $297.22 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $96.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Visit Level 3 New Patient	$386	$270.20	$78.05 – $362.84
New patient office visit (about 30–44 minutes): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $274.33
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Level 4 New Patient	$512	$358.40	$103.53 – $481.28
New patient office visit (about 45–59 minutes): rates for 10 insurance plans AETNA — ALL PRODUCTS: $440.32 AETNA — MEDICARE ADVANTAGE: $128 BCBSNC — ALL PRODUCTS: $364.39 BCBSNC — MEDICARE ADVANTAGE: $133.12 CIGNA HEALTHCARE — ALL PRODUCTS: $390.66 HUMANA — ALL PRODUCTS: $307.20 MEDCOST — ALL PRODUCTS: $481.28 Peach State — All Products: $103.53 UNITEDHEALTHCARE — ALL PRODUCTS: $394.24 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $128
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Visit Level 4 New Patient	$512	$358.40	$103.53 – $481.28
New patient office visit (about 45–59 minutes): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $363.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Level 5 New Patient	$701	$490.70	$141.74 – $658.94
New patient office visit (about 60–74 minutes): rates for 10 insurance plans AETNA — ALL PRODUCTS: $602.86 AETNA — MEDICARE ADVANTAGE: $175.25 BCBSNC — ALL PRODUCTS: $498.90 BCBSNC — MEDICARE ADVANTAGE: $182.26 CIGNA HEALTHCARE — ALL PRODUCTS: $534.86 HUMANA — ALL PRODUCTS: $420.60 MEDCOST — ALL PRODUCTS: $658.94 Peach State — All Products: $141.74 UNITEDHEALTHCARE — ALL PRODUCTS: $539.77 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $175.25
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Visit Level 5 New Patient	$701	$490.70	$141.74 – $658.94
New patient office visit (about 60–74 minutes): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $498.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Est Patient Level 3	$294	$205.80	$59.45 – $276.36
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans AETNA — ALL PRODUCTS: $252.84 AETNA — MEDICARE ADVANTAGE: $73.50 BCBSNC — ALL PRODUCTS: $209.24 BCBSNC — MEDICARE ADVANTAGE: $76.44 CIGNA HEALTHCARE — ALL PRODUCTS: $224.32 HUMANA — ALL PRODUCTS: $176.40 MEDCOST — ALL PRODUCTS: $276.36 Peach State — All Products: $59.45 UNITEDHEALTHCARE — ALL PRODUCTS: $226.38 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $73.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Est Patient Level 3	$294	$205.80	$59.45 – $276.36
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $208.95
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Est Patient Level 4	$386	$270.20	$78.05 – $362.84
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AETNA — ALL PRODUCTS: $331.96 AETNA — MEDICARE ADVANTAGE: $96.50 BCBSNC — ALL PRODUCTS: $274.72 BCBSNC — MEDICARE ADVANTAGE: $100.36 CIGNA HEALTHCARE — ALL PRODUCTS: $294.52 HUMANA — ALL PRODUCTS: $231.60 MEDCOST — ALL PRODUCTS: $362.84 Peach State — All Products: $78.05 UNITEDHEALTHCARE — ALL PRODUCTS: $297.22 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $96.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Est Patient Level 4	$386	$270.20	$78.05 – $362.84
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $274.33
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	$143.82
Office consultation with a specialist (moderate): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $143.82
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	$231.11
Office consultation with a specialist (moderate to high): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $231.11
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	$147.56
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $147.56
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	$179.37
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $179.37
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Care III-Limited	$1,313	$919.10	$265.49 – $1,234.22
Emergency room visit (moderate): rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,129.18 AETNA — MEDICARE ADVANTAGE: $328.25 BCBSNC — ALL PRODUCTS: $934.46 BCBSNC — MEDICARE ADVANTAGE: $341.38 CIGNA HEALTHCARE — ALL PRODUCTS: $1,001.82 HUMANA — ALL PRODUCTS: $535 MEDCOST — ALL PRODUCTS: $1,234.22 Peach State — All Products: $265.49 UNITEDHEALTHCARE — ALL PRODUCTS: $1,011.01 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $328.25
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Emergency Care III-Limited	$1,313	$919.10	$265.49 – $1,234.22
Emergency room visit (moderate): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $933.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Care IV-Intermediate	$2,090	$1,463	$422.60 – $1,964.60
Emergency room visit (moderately high): rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,797.40 AETNA — MEDICARE ADVANTAGE: $522.50 BCBSNC — ALL PRODUCTS: $1,487.45 BCBSNC — MEDICARE ADVANTAGE: $543.40 CIGNA HEALTHCARE — ALL PRODUCTS: $1,594.67 HUMANA — ALL PRODUCTS: $690 MEDCOST — ALL PRODUCTS: $1,964.60 Peach State — All Products: $422.60 UNITEDHEALTHCARE — ALL PRODUCTS: $1,609.30 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $522.50
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Emergency Care IV-Intermediate	$2,090	$1,463	$422.60 – $1,964.60
Emergency room visit (moderately high): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,485.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Care V-Extended	$2,551	$1,785.70	$515.81 – $2,397.94
Emergency room visit (high): rates for 10 insurance plans AETNA — ALL PRODUCTS: $2,193.86 AETNA — MEDICARE ADVANTAGE: $637.75 BCBSNC — ALL PRODUCTS: $1,815.55 BCBSNC — MEDICARE ADVANTAGE: $663.26 CIGNA HEALTHCARE — ALL PRODUCTS: $1,946.41 HUMANA — ALL PRODUCTS: $1,150 MEDCOST — ALL PRODUCTS: $2,397.94 Peach State — All Products: $515.81 UNITEDHEALTHCARE — ALL PRODUCTS: $1,964.27 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $637.75
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Emergency Care V-Extended	$2,551	$1,785.70	$515.81 – $2,397.94
Emergency room visit (high): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,813

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel,Elec P/G	$165	$115.50	$41.25 – $155.10
Basic metabolic panel (blood test): rates for 10 insurance plans AETNA — ALL PRODUCTS: $141.90 AETNA — MEDICARE ADVANTAGE: $41.25 BCBSNC — ALL PRODUCTS: $111.39 BCBSNC — MEDICARE ADVANTAGE: $42.90 CIGNA HEALTHCARE — ALL PRODUCTS: $125.90 HUMANA — ALL PRODUCTS: $13.11 MEDCOST — ALL PRODUCTS: $155.10 Peach State — All Products: $10.65 UNITEDHEALTHCARE — ALL PRODUCTS: $127.05 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $41.25
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel,Elec P/G	$165	$115.50	$41.25 – $155.10
Basic metabolic panel (blood test): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $117.27
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehen Metabolic Panel	$218	$152.60	$54.50 – $204.92
Comprehensive metabolic panel (blood test): rates for 10 insurance plans AETNA — ALL PRODUCTS: $187.48 AETNA — MEDICARE ADVANTAGE: $54.50 BCBSNC — ALL PRODUCTS: $147.17 BCBSNC — MEDICARE ADVANTAGE: $56.68 CIGNA HEALTHCARE — ALL PRODUCTS: $166.33 HUMANA — ALL PRODUCTS: $16.37 MEDCOST — ALL PRODUCTS: $204.92 Peach State — All Products: $13.29 UNITEDHEALTHCARE — ALL PRODUCTS: $167.86 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $54.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Comp Metabolic Pnl	$437	$305.90	$109.25 – $410.78
Comprehensive metabolic panel (blood test): rates for 10 insurance plans AETNA — ALL PRODUCTS: $375.82 AETNA — MEDICARE ADVANTAGE: $109.25 BCBSNC — ALL PRODUCTS: $295.02 BCBSNC — MEDICARE ADVANTAGE: $113.62 CIGNA HEALTHCARE — ALL PRODUCTS: $333.43 HUMANA — ALL PRODUCTS: $16.37 MEDCOST — ALL PRODUCTS: $410.78 Peach State — All Products: $13.29 UNITEDHEALTHCARE — ALL PRODUCTS: $336.49 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $109.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Comprehen Metabolic Panel	$218	$152.60	$54.50 – $204.92
Comprehensive metabolic panel (blood test): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $154.93
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	$74.11
Obstetric blood test panel: rates for 2 insurance plans HUMANA — ALL PRODUCTS: $74.11 Peach State — All Products: $28.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel	$207	$144.90	$51.75 – $194.58
Cholesterol panel (lipid panel): rates for 10 insurance plans AETNA — ALL PRODUCTS: $178.02 AETNA — MEDICARE ADVANTAGE: $51.75 BCBSNC — ALL PRODUCTS: $139.75 BCBSNC — MEDICARE ADVANTAGE: $53.82 CIGNA HEALTHCARE — ALL PRODUCTS: $157.94 HUMANA — ALL PRODUCTS: $20.75 MEDCOST — ALL PRODUCTS: $194.58 Peach State — All Products: $16.85 UNITEDHEALTHCARE — ALL PRODUCTS: $159.39 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $51.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Lipid Panel	$408	$285.60	$102 – $383.52
Cholesterol panel (lipid panel): rates for 10 insurance plans AETNA — ALL PRODUCTS: $350.88 AETNA — MEDICARE ADVANTAGE: $102 BCBSNC — ALL PRODUCTS: $275.44 BCBSNC — MEDICARE ADVANTAGE: $106.08 CIGNA HEALTHCARE — ALL PRODUCTS: $311.30 HUMANA — ALL PRODUCTS: $20.75 MEDCOST — ALL PRODUCTS: $383.52 Peach State — All Products: $16.85 UNITEDHEALTHCARE — ALL PRODUCTS: $314.16 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $102
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Lipid Panel	$207	$144.90	$51.75 – $194.58
Cholesterol panel (lipid panel): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $147.11
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel	$495	$346.50	$123.75 – $465.30
Kidney function panel: rates for 10 insurance plans AETNA — ALL PRODUCTS: $425.70 AETNA — MEDICARE ADVANTAGE: $123.75 BCBSNC — ALL PRODUCTS: $334.17 BCBSNC — MEDICARE ADVANTAGE: $128.70 CIGNA HEALTHCARE — ALL PRODUCTS: $377.69 HUMANA — ALL PRODUCTS: $13.45 MEDCOST — ALL PRODUCTS: $465.30 Peach State — All Products: $10.92 UNITEDHEALTHCARE — ALL PRODUCTS: $381.15 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $123.75
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Renal Function Panel	$90	$63	$22.50 – $84.60
Kidney function panel: rates for 10 insurance plans AETNA — ALL PRODUCTS: $77.40 AETNA — MEDICARE ADVANTAGE: $22.50 BCBSNC — ALL PRODUCTS: $60.76 BCBSNC — MEDICARE ADVANTAGE: $23.40 CIGNA HEALTHCARE — ALL PRODUCTS: $68.67 HUMANA — ALL PRODUCTS: $13.45 MEDCOST — ALL PRODUCTS: $84.60 Peach State — All Products: $10.92 UNITEDHEALTHCARE — ALL PRODUCTS: $69.30 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $22.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Renal Function Panel	$495	$346.50	$123.75 – $465.30
Kidney function panel: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $351.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel	$169	$118.30	$42.25 – $158.86
Liver function panel: rates for 10 insurance plans AETNA — ALL PRODUCTS: $145.34 AETNA — MEDICARE ADVANTAGE: $42.25 BCBSNC — ALL PRODUCTS: $114.09 BCBSNC — MEDICARE ADVANTAGE: $43.94 CIGNA HEALTHCARE — ALL PRODUCTS: $128.95 HUMANA — ALL PRODUCTS: $12.66 MEDCOST — ALL PRODUCTS: $158.86 Peach State — All Products: $10.28 UNITEDHEALTHCARE — ALL PRODUCTS: $130.13 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $42.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Hepatic Function Pnl	$344	$240.80	$86 – $323.36
Liver function panel: rates for 10 insurance plans AETNA — ALL PRODUCTS: $295.84 AETNA — MEDICARE ADVANTAGE: $86 BCBSNC — ALL PRODUCTS: $232.23 BCBSNC — MEDICARE ADVANTAGE: $89.44 CIGNA HEALTHCARE — ALL PRODUCTS: $262.47 HUMANA — ALL PRODUCTS: $12.66 MEDCOST — ALL PRODUCTS: $323.36 Peach State — All Products: $10.28 UNITEDHEALTHCARE — ALL PRODUCTS: $264.88 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $86
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel	$169	$118.30	$42.25 – $158.86
Liver function panel: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $120.11
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis W/ Micro	$174	$121.80	$43.50 – $163.56
Urine test (automated, with microscope): rates for 10 insurance plans AETNA — ALL PRODUCTS: $149.64 AETNA — MEDICARE ADVANTAGE: $43.50 BCBSNC — ALL PRODUCTS: $117.47 BCBSNC — MEDICARE ADVANTAGE: $45.24 CIGNA HEALTHCARE — ALL PRODUCTS: $132.76 HUMANA — ALL PRODUCTS: $4.91 MEDCOST — ALL PRODUCTS: $163.56 Peach State — All Products: $3.99 UNITEDHEALTHCARE — ALL PRODUCTS: $133.98 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $43.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Urinalysis W/ Micro	$82	$57.40	$20.50 – $77.08
Urine test (automated, with microscope): rates for 10 insurance plans AETNA — ALL PRODUCTS: $70.52 AETNA — MEDICARE ADVANTAGE: $20.50 BCBSNC — ALL PRODUCTS: $55.36 BCBSNC — MEDICARE ADVANTAGE: $21.32 CIGNA HEALTHCARE — ALL PRODUCTS: $62.57 HUMANA — ALL PRODUCTS: $4.91 MEDCOST — ALL PRODUCTS: $77.08 Peach State — All Products: $3.99 UNITEDHEALTHCARE — ALL PRODUCTS: $63.14 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $20.50
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Urinalysis W/ Micro	$174	$121.80	$43.50 – $163.56
Urine test (automated, with microscope): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $123.66
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Non Auto, Without Micro	$21	$14.70	$5.25 – $19.74
Urine test (manual, without microscope): rates for 10 insurance plans AETNA — ALL PRODUCTS: $18.06 AETNA — MEDICARE ADVANTAGE: $5.25 BCBSNC — ALL PRODUCTS: $14.18 BCBSNC — MEDICARE ADVANTAGE: $5.46 CIGNA HEALTHCARE — ALL PRODUCTS: $16.02 HUMANA — ALL PRODUCTS: $5.39 MEDCOST — ALL PRODUCTS: $19.74 Peach State — All Products: $3.21 UNITEDHEALTHCARE — ALL PRODUCTS: $16.17 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $5.25
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Urinalysis Non Auto, Without Micro	$21	$14.70	$5.25 – $19.74
Urine test (manual, without microscope): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $14.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Auto Without Micro	$77	$53.90	$19.25 – $72.38
Urine test (automated, without microscope): rates for 10 insurance plans AETNA — ALL PRODUCTS: $66.22 AETNA — MEDICARE ADVANTAGE: $19.25 BCBSNC — ALL PRODUCTS: $51.98 BCBSNC — MEDICARE ADVANTAGE: $20.02 CIGNA HEALTHCARE — ALL PRODUCTS: $58.75 HUMANA — ALL PRODUCTS: $3.49 MEDCOST — ALL PRODUCTS: $72.38 Peach State — All Products: $2.83 UNITEDHEALTHCARE — ALL PRODUCTS: $59.29 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $19.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Urinalysis Auto Without Micro	$77	$53.90	$19.25 – $72.38
Urine test (automated, without microscope): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $54.72
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostatic Specific Ag	$235	$164.50	$58.75 – $220.90
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA — ALL PRODUCTS: $202.10 AETNA — MEDICARE ADVANTAGE: $58.75 BCBSNC — ALL PRODUCTS: $158.65 BCBSNC — MEDICARE ADVANTAGE: $61.10 CIGNA HEALTHCARE — ALL PRODUCTS: $179.31 HUMANA — ALL PRODUCTS: $28.50 MEDCOST — ALL PRODUCTS: $220.90 Peach State — All Products: $23.13 UNITEDHEALTHCARE — ALL PRODUCTS: $180.95 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $58.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Prostatic Specific Ag	$503	$352.10	$125.75 – $472.82
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA — ALL PRODUCTS: $432.58 AETNA — MEDICARE ADVANTAGE: $125.75 BCBSNC — ALL PRODUCTS: $339.58 BCBSNC — MEDICARE ADVANTAGE: $130.78 CIGNA HEALTHCARE — ALL PRODUCTS: $383.79 HUMANA — ALL PRODUCTS: $28.50 MEDCOST — ALL PRODUCTS: $472.82 Peach State — All Products: $23.13 UNITEDHEALTHCARE — ALL PRODUCTS: $387.31 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $125.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Psa Screening	$503	$352.10	$125.75 – $472.82
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA — ALL PRODUCTS: $432.58 AETNA — MEDICARE ADVANTAGE: $125.75 BCBSNC — ALL PRODUCTS: $339.58 BCBSNC — MEDICARE ADVANTAGE: $130.78 CIGNA HEALTHCARE — ALL PRODUCTS: $383.79 HUMANA — ALL PRODUCTS: $28.50 MEDCOST — ALL PRODUCTS: $472.82 Peach State — All Products: $23.13 UNITEDHEALTHCARE — ALL PRODUCTS: $387.31 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $125.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Tsh	$162	$113.40	$40.50 – $152.28
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA — ALL PRODUCTS: $139.32 AETNA — MEDICARE ADVANTAGE: $40.50 BCBSNC — ALL PRODUCTS: $109.37 BCBSNC — MEDICARE ADVANTAGE: $42.12 CIGNA HEALTHCARE — ALL PRODUCTS: $123.61 HUMANA — ALL PRODUCTS: $26.04 MEDCOST — ALL PRODUCTS: $152.28 Peach State — All Products: $21.12 UNITEDHEALTHCARE — ALL PRODUCTS: $124.74 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $40.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Tsh	$557	$389.90	$139.25 – $523.58
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA — ALL PRODUCTS: $479.02 AETNA — MEDICARE ADVANTAGE: $139.25 BCBSNC — ALL PRODUCTS: $376.03 BCBSNC — MEDICARE ADVANTAGE: $144.82 CIGNA HEALTHCARE — ALL PRODUCTS: $424.99 HUMANA — ALL PRODUCTS: $26.04 MEDCOST — ALL PRODUCTS: $523.58 Peach State — All Products: $21.12 UNITEDHEALTHCARE — ALL PRODUCTS: $428.89 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $139.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Dinf Tsh	$557	$389.90	$139.25 – $523.58
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA — ALL PRODUCTS: $479.02 AETNA — MEDICARE ADVANTAGE: $139.25 BCBSNC — ALL PRODUCTS: $376.03 BCBSNC — MEDICARE ADVANTAGE: $144.82 CIGNA HEALTHCARE — ALL PRODUCTS: $424.99 HUMANA — ALL PRODUCTS: $26.04 MEDCOST — ALL PRODUCTS: $523.58 Peach State — All Products: $21.12 UNITEDHEALTHCARE — ALL PRODUCTS: $428.89 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $139.25
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc W/Auto Diff	$115	$80.50	$28.75 – $108.10
Complete blood count (CBC) with differential: rates for 10 insurance plans AETNA — ALL PRODUCTS: $98.90 AETNA — MEDICARE ADVANTAGE: $28.75 BCBSNC — ALL PRODUCTS: $77.64 BCBSNC — MEDICARE ADVANTAGE: $29.90 CIGNA HEALTHCARE — ALL PRODUCTS: $87.75 HUMANA — ALL PRODUCTS: $12.04 MEDCOST — ALL PRODUCTS: $108.10 Peach State — All Products: $9.77 UNITEDHEALTHCARE — ALL PRODUCTS: $88.55 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $28.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Cbc W/Auto Diff	$250	$175	$62.50 – $235
Complete blood count (CBC) with differential: rates for 10 insurance plans AETNA — ALL PRODUCTS: $215 AETNA — MEDICARE ADVANTAGE: $62.50 BCBSNC — ALL PRODUCTS: $168.78 BCBSNC — MEDICARE ADVANTAGE: $65 CIGNA HEALTHCARE — ALL PRODUCTS: $190.75 HUMANA — ALL PRODUCTS: $12.04 MEDCOST — ALL PRODUCTS: $235 Peach State — All Products: $9.77 UNITEDHEALTHCARE — ALL PRODUCTS: $192.50 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $62.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Cbc W/Auto Diff	$115	$80.50	$28.75 – $108.10
Complete blood count (CBC) with differential: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $81.73
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc W/Man Diff	$115	$80.50	$28.75 – $108.10
Complete blood count (CBC), automated: rates for 10 insurance plans AETNA — ALL PRODUCTS: $98.90 AETNA — MEDICARE ADVANTAGE: $28.75 BCBSNC — ALL PRODUCTS: $77.64 BCBSNC — MEDICARE ADVANTAGE: $29.90 CIGNA HEALTHCARE — ALL PRODUCTS: $87.75 HUMANA — ALL PRODUCTS: $10.03 MEDCOST — ALL PRODUCTS: $108.10 Peach State — All Products: $8.14 UNITEDHEALTHCARE — ALL PRODUCTS: $88.55 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $28.75
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Cbc W/Man Diff	$250	$175	$62.50 – $235
Complete blood count (CBC), automated: rates for 10 insurance plans AETNA — ALL PRODUCTS: $215 AETNA — MEDICARE ADVANTAGE: $62.50 BCBSNC — ALL PRODUCTS: $168.78 BCBSNC — MEDICARE ADVANTAGE: $65 CIGNA HEALTHCARE — ALL PRODUCTS: $190.75 HUMANA — ALL PRODUCTS: $10.03 MEDCOST — ALL PRODUCTS: $235 Peach State — All Products: $8.14 UNITEDHEALTHCARE — ALL PRODUCTS: $192.50 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $62.50
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Cbc W/Man Diff	$115	$80.50	$28.75 – $108.10
Complete blood count (CBC), automated: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $81.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	$84	$58.80	$21 – $78.96
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AETNA — ALL PRODUCTS: $72.24 AETNA — MEDICARE ADVANTAGE: $21 BCBSNC — ALL PRODUCTS: $56.71 BCBSNC — MEDICARE ADVANTAGE: $21.84 CIGNA HEALTHCARE — ALL PRODUCTS: $64.09 HUMANA — ALL PRODUCTS: $6.65 MEDCOST — ALL PRODUCTS: $78.96 Peach State — All Products: $4.94 UNITEDHEALTHCARE — ALL PRODUCTS: $64.68 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $21
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Prothrombin Time	$86	$60.20	$21.50 – $80.84
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AETNA — ALL PRODUCTS: $73.96 AETNA — MEDICARE ADVANTAGE: $21.50 BCBSNC — ALL PRODUCTS: $58.06 BCBSNC — MEDICARE ADVANTAGE: $22.36 CIGNA HEALTHCARE — ALL PRODUCTS: $65.62 HUMANA — ALL PRODUCTS: $6.65 MEDCOST — ALL PRODUCTS: $80.84 Peach State — All Products: $4.94 UNITEDHEALTHCARE — ALL PRODUCTS: $66.22 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $21.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Prothrombin Time	$84	$58.80	$21 – $78.96
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $59.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ptt Part Thromboplastin	$191	$133.70	$47.75 – $179.54
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AETNA — ALL PRODUCTS: $164.26 AETNA — MEDICARE ADVANTAGE: $47.75 BCBSNC — ALL PRODUCTS: $128.94 BCBSNC — MEDICARE ADVANTAGE: $49.66 CIGNA HEALTHCARE — ALL PRODUCTS: $145.73 HUMANA — ALL PRODUCTS: $9.32 MEDCOST — ALL PRODUCTS: $179.54 Peach State — All Products: $7.54 UNITEDHEALTHCARE — ALL PRODUCTS: $147.07 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $47.75
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbc Ptt	$170	$119	$42.50 – $159.80
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AETNA — ALL PRODUCTS: $146.20 AETNA — MEDICARE ADVANTAGE: $42.50 BCBSNC — ALL PRODUCTS: $114.77 BCBSNC — MEDICARE ADVANTAGE: $44.20 CIGNA HEALTHCARE — ALL PRODUCTS: $129.71 HUMANA — ALL PRODUCTS: $9.32 MEDCOST — ALL PRODUCTS: $159.80 Peach State — All Products: $7.54 UNITEDHEALTHCARE — ALL PRODUCTS: $130.90 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $42.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Ptt Part Thromboplastin	$191	$133.70	$47.75 – $179.54
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $135.74

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Brain W/O Contrast	$1,320	$924	$266.90 – $1,240.80
CT scan of the head or brain, without contrast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,135.20 AETNA — MEDICARE ADVANTAGE: $330 BCBSNC — ALL PRODUCTS: $891.13 BCBSNC — MEDICARE ADVANTAGE: $343.20 CIGNA HEALTHCARE — ALL PRODUCTS: $1,007.16 HUMANA — ALL PRODUCTS: $460 MEDCOST — ALL PRODUCTS: $1,240.80 Peach State — All Products: $266.90 UNITEDHEALTHCARE — ALL PRODUCTS: $1,016.40 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $330
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT Brain W/O Contrast	$1,320	$924	$266.90 – $1,240.80
CT scan of the head or brain, without contrast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $938.12
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain W/WO Contrast	$2,643	$1,850.10	$534.41 – $2,484.42
MRI of the brain, before and after contrast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $2,272.98 AETNA — MEDICARE ADVANTAGE: $660.75 BCBSNC — ALL PRODUCTS: $1,784.29 BCBSNC — MEDICARE ADVANTAGE: $687.18 CIGNA HEALTHCARE — ALL PRODUCTS: $2,016.61 HUMANA — ALL PRODUCTS: $740 MEDCOST — ALL PRODUCTS: $2,484.42 Peach State — All Products: $534.41 UNITEDHEALTHCARE — ALL PRODUCTS: $2,035.11 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $660.75
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Brain W/WO Contrast	$2,643	$1,850.10	$534.41 – $2,484.42
MRI of the brain, before and after contrast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,878.38
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Chest 2 Views	$354	$247.80	$71.58 – $332.76
Chest X-ray, 2 views: rates for 10 insurance plans AETNA — ALL PRODUCTS: $304.44 AETNA — MEDICARE ADVANTAGE: $88.50 BCBSNC — ALL PRODUCTS: $251.94 BCBSNC — MEDICARE ADVANTAGE: $92.04 CIGNA HEALTHCARE — ALL PRODUCTS: $270.10 HUMANA — ALL PRODUCTS: $44.04 MEDCOST — ALL PRODUCTS: $332.76 Peach State — All Products: $71.58 UNITEDHEALTHCARE — ALL PRODUCTS: $272.58 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $88.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Chest 2 Views	$354	$247.80	$71.58 – $332.76
Chest X-ray, 2 views: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $251.59
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Spine,Lumbar Min 4 Views	$683	$478.10	$138.10 – $642.02
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans AETNA — ALL PRODUCTS: $587.38 AETNA — MEDICARE ADVANTAGE: $170.75 BCBSNC — ALL PRODUCTS: $486.09 BCBSNC — MEDICARE ADVANTAGE: $177.58 CIGNA HEALTHCARE — ALL PRODUCTS: $521.13 HUMANA — ALL PRODUCTS: $70.46 MEDCOST — ALL PRODUCTS: $642.02 Peach State — All Products: $138.10 UNITEDHEALTHCARE — ALL PRODUCTS: $525.91 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $170.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Spine,Lumbar Min 4 Views	$683	$478.10	$138.10 – $642.02
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $485.41
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Spine Lumbar W/O Contrast	$1,784	$1,248.80	$360.72 – $1,676.96
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,534.24 AETNA — MEDICARE ADVANTAGE: $446 BCBSNC — ALL PRODUCTS: $1,204.38 BCBSNC — MEDICARE ADVANTAGE: $463.84 CIGNA HEALTHCARE — ALL PRODUCTS: $1,361.19 HUMANA — ALL PRODUCTS: $740 MEDCOST — ALL PRODUCTS: $1,676.96 Peach State — All Products: $360.72 UNITEDHEALTHCARE — ALL PRODUCTS: $1,373.68 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $446
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Spine Lumbar W/O Contrast	$1,784	$1,248.80	$360.72 – $1,676.96
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,267.89
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pelvis,CT,W/Cont	$2,756	$1,929.20	$557.26 – $2,590.64
CT scan of the pelvis, with contrast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $2,370.16 AETNA — MEDICARE ADVANTAGE: $689 BCBSNC — ALL PRODUCTS: $1,860.58 BCBSNC — MEDICARE ADVANTAGE: $716.56 CIGNA HEALTHCARE — ALL PRODUCTS: $2,102.83 HUMANA — ALL PRODUCTS: $460 MEDCOST — ALL PRODUCTS: $2,590.64 Peach State — All Products: $557.26 UNITEDHEALTHCARE — ALL PRODUCTS: $2,122.12 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $689
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Pelvis,CT,W/Cont	$2,756	$1,929.20	$557.26 – $2,590.64
CT scan of the pelvis, with contrast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,958.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Lower Ext Any Jnt W/O Con	$1,784	$1,248.80	$360.72 – $1,676.96
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,534.24 AETNA — MEDICARE ADVANTAGE: $446 BCBSNC — ALL PRODUCTS: $1,204.38 BCBSNC — MEDICARE ADVANTAGE: $463.84 CIGNA HEALTHCARE — ALL PRODUCTS: $1,361.19 HUMANA — ALL PRODUCTS: $740 MEDCOST — ALL PRODUCTS: $1,676.96 Peach State — All Products: $360.72 UNITEDHEALTHCARE — ALL PRODUCTS: $1,373.68 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $446
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Lower Ext Any Jnt W/O Con	$1,784	$1,248.80	$360.72 – $1,676.96
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,267.89
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abd Pelvis W Cont	$4,343	$3,040.10	$878.15 – $4,082.42
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $3,734.98 AETNA — MEDICARE ADVANTAGE: $1,085.75 BCBSNC — ALL PRODUCTS: $2,931.96 BCBSNC — MEDICARE ADVANTAGE: $1,129.18 CIGNA HEALTHCARE — ALL PRODUCTS: $3,313.71 HUMANA — ALL PRODUCTS: $460 MEDCOST — ALL PRODUCTS: $4,082.42 Peach State — All Products: $878.15 UNITEDHEALTHCARE — ALL PRODUCTS: $3,344.11 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $1,085.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT Abd Pelvis W Cont	$4,343	$3,040.10	$878.15 – $4,082.42
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $3,086.57
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Abdomen,US,Complete	$988	$691.60	$199.77 – $928.72
Ultrasound of the abdomen, complete: rates for 10 insurance plans AETNA — ALL PRODUCTS: $849.68 AETNA — MEDICARE ADVANTAGE: $247 BCBSNC — ALL PRODUCTS: $703.16 BCBSNC — MEDICARE ADVANTAGE: $256.88 CIGNA HEALTHCARE — ALL PRODUCTS: $753.84 HUMANA — ALL PRODUCTS: $178.89 MEDCOST — ALL PRODUCTS: $928.72 Peach State — All Products: $199.77 UNITEDHEALTHCARE — ALL PRODUCTS: $760.76 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $247
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Abdomen,US,Complete	$988	$691.60	$199.77 – $928.72
Ultrasound of the abdomen, complete: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $702.17
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Preg Uter >1st Tri>/=14 Wks Sn	$783	$548.10	$158.32 – $736.02
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans AETNA — ALL PRODUCTS: $673.38 AETNA — MEDICARE ADVANTAGE: $195.75 BCBSNC — ALL PRODUCTS: $557.26 BCBSNC — MEDICARE ADVANTAGE: $203.58 CIGNA HEALTHCARE — ALL PRODUCTS: $597.43 HUMANA — ALL PRODUCTS: $207.92 MEDCOST — ALL PRODUCTS: $736.02 Peach State — All Products: $158.32 UNITEDHEALTHCARE — ALL PRODUCTS: $602.91 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $195.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Preg Uter >1st Tri>/=14 Wks Sn	$783	$548.10	$158.32 – $736.02
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $556.48
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Transvaginal,US	$920	$644	$186.02 – $864.80
Transvaginal ultrasound: rates for 10 insurance plans AETNA — ALL PRODUCTS: $791.20 AETNA — MEDICARE ADVANTAGE: $230 BCBSNC — ALL PRODUCTS: $654.76 BCBSNC — MEDICARE ADVANTAGE: $239.20 CIGNA HEALTHCARE — ALL PRODUCTS: $701.96 HUMANA — ALL PRODUCTS: $177.72 MEDCOST — ALL PRODUCTS: $864.80 Peach State — All Products: $186.02 UNITEDHEALTHCARE — ALL PRODUCTS: $708.40 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $230
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Transvaginal,US	$920	$644	$186.02 – $864.80
Transvaginal ultrasound: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $653.84
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Dx Unilateral	$154	$107.80	$31.14 – $144.76
Diagnostic mammogram, one breast: rates for 10 insurance plans AETNA — ALL PRODUCTS: $132.44 AETNA — MEDICARE ADVANTAGE: $38.50 BCBSNC — ALL PRODUCTS: $109.60 BCBSNC — MEDICARE ADVANTAGE: $40.04 CIGNA HEALTHCARE — ALL PRODUCTS: $117.50 HUMANA — ALL PRODUCTS: $195.78 MEDCOST — ALL PRODUCTS: $144.76 Peach State — All Products: $31.14 UNITEDHEALTHCARE — ALL PRODUCTS: $118.58 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $38.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammo Dx Unilateral	$154	$107.80	$31.14 – $144.76
Diagnostic mammogram, one breast: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $109.45
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Dx Bilateral	$196	$137.20	$39.63 – $184.24
Diagnostic mammogram, both breasts: rates for 10 insurance plans AETNA — ALL PRODUCTS: $168.56 AETNA — MEDICARE ADVANTAGE: $49 BCBSNC — ALL PRODUCTS: $139.49 BCBSNC — MEDICARE ADVANTAGE: $50.96 CIGNA HEALTHCARE — ALL PRODUCTS: $149.55 HUMANA — ALL PRODUCTS: $247.40 MEDCOST — ALL PRODUCTS: $184.24 Peach State — All Products: $39.63 UNITEDHEALTHCARE — ALL PRODUCTS: $150.92 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $49
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammo Dx Bilateral	$196	$137.20	$39.63 – $184.24
Diagnostic mammogram, both breasts: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $139.30
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Screen Bilateral	$196	$137.20	$39.63 – $184.24
Screening mammogram, both breasts: rates for 10 insurance plans AETNA — ALL PRODUCTS: $168.56 AETNA — MEDICARE ADVANTAGE: $49 BCBSNC — ALL PRODUCTS: $139.49 BCBSNC — MEDICARE ADVANTAGE: $50.96 CIGNA HEALTHCARE — ALL PRODUCTS: $149.55 HUMANA — ALL PRODUCTS: $199.22 MEDCOST — ALL PRODUCTS: $184.24 Peach State — All Products: $39.63 UNITEDHEALTHCARE — ALL PRODUCTS: $150.92 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $49
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Mammo Screen Bilateral	$196	$137.20	$39.63 – $184.24
Screening mammogram, both breasts: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $139.30

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance 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	$24.65
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $24.65
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lhc W/WO Lv Inc S& I	$12,651	$8,855.70	$2,558.03 – $11,891.94
Left heart catheterization (diagnostic): rates for 10 insurance plans AETNA — ALL PRODUCTS: $10,879.86 AETNA — MEDICARE ADVANTAGE: $3,162.75 BCBSNC — ALL PRODUCTS: $9,003.72 BCBSNC — MEDICARE ADVANTAGE: $3,289.26 CIGNA HEALTHCARE — ALL PRODUCTS: $9,652.71 HUMANA — ALL PRODUCTS: $4,230 MEDCOST — ALL PRODUCTS: $11,891.94 Peach State — All Products: $2,558.03 UNITEDHEALTHCARE — ALL PRODUCTS: $9,741.27 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $3,162.75
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Lhc W/WO Lv Inc S& I	$12,651	$8,855.70	$2,558.03 – $11,891.94
Left heart catheterization (diagnostic): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $8,991.07
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Eps Comp W/O Arrhythmia	$5,188	$3,631.60	$1,049.01 – $4,876.72
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans AETNA — ALL PRODUCTS: $4,461.68 AETNA — MEDICARE ADVANTAGE: $1,297 BCBSNC — ALL PRODUCTS: $3,692.30 BCBSNC — MEDICARE ADVANTAGE: $1,348.88 CIGNA HEALTHCARE — ALL PRODUCTS: $3,958.44 HUMANA — ALL PRODUCTS: $3,112.80 MEDCOST — ALL PRODUCTS: $4,876.72 Peach State — All Products: $1,049.01 UNITEDHEALTHCARE — ALL PRODUCTS: $3,994.76 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $1,297
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Eps Comp W/O Arrhythmia	$5,188	$3,631.60	$1,049.01 – $4,876.72
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $3,687.11
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Eps W Afib Pv Ablation	$25,705	$17,993.50	$5,197.55 – $24,162.70
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans AETNA — ALL PRODUCTS: $22,106.30 AETNA — MEDICARE ADVANTAGE: $6,426.25 BCBSNC — ALL PRODUCTS: $18,294.25 BCBSNC — MEDICARE ADVANTAGE: $6,683.30 CIGNA HEALTHCARE — ALL PRODUCTS: $19,612.92 HUMANA — ALL PRODUCTS: $15,423 MEDCOST — ALL PRODUCTS: $24,162.70 Peach State — All Products: $5,197.55 UNITEDHEALTHCARE — ALL PRODUCTS: $19,792.85 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $6,426.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Eps W Afib Pv Ablation	$25,705	$17,993.50	$5,197.55 – $24,162.70
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $18,268.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysmnogrm >/= 6yrs 4+ Paramtr	$7,235	$5,064.50	$1,462.92 – $6,800.90
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans AETNA — ALL PRODUCTS: $6,222.10 AETNA — MEDICARE ADVANTAGE: $1,808.75 BCBSNC — ALL PRODUCTS: $5,149.15 BCBSNC — MEDICARE ADVANTAGE: $1,881.10 CIGNA HEALTHCARE — ALL PRODUCTS: $5,520.31 HUMANA — ALL PRODUCTS: $4,341 MEDCOST — ALL PRODUCTS: $6,800.90 Peach State — All Products: $1,462.92 UNITEDHEALTHCARE — ALL PRODUCTS: $5,570.95 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $1,808.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysmnogrm >/=? 6yrs 4+ Paramtr < 6 Hours	$6,675	$4,672.50	$1,349.69 – $6,274.50
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans AETNA — ALL PRODUCTS: $5,740.50 AETNA — MEDICARE ADVANTAGE: $1,668.75 BCBSNC — ALL PRODUCTS: $4,750.60 BCBSNC — MEDICARE ADVANTAGE: $1,735.50 CIGNA HEALTHCARE — ALL PRODUCTS: $5,093.03 HUMANA — ALL PRODUCTS: $4,005 MEDCOST — ALL PRODUCTS: $6,274.50 Peach State — All Products: $1,349.69 UNITEDHEALTHCARE — ALL PRODUCTS: $5,139.75 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $1,668.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Polysmnogrm >/= 6yrs 4+ Paramtr	$7,235	$5,064.50	$1,462.92 – $6,800.90
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $5,141.91

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Therapeutic Procd 15min	$165	$115.50	$33.36 – $155.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans AETNA — ALL PRODUCTS: $141.90 AETNA — MEDICARE ADVANTAGE: $41.25 BCBSNC — ALL PRODUCTS: $85.90 BCBSNC — MEDICARE ADVANTAGE: $42.90 CIGNA HEALTHCARE — ALL PRODUCTS: $125.90 HUMANA — ALL PRODUCTS: $57.44 MEDCOST — ALL PRODUCTS: $155.10 Peach State — All Products: $33.36 UNITEDHEALTHCARE — ALL PRODUCTS: $127.05 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $41.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Therapeutic Procd 15min	$165	$115.50	$33.36 – $155.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $117.27
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Level 1-Low Comp	$297	$207.90	$60.05 – $279.18
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA — ALL PRODUCTS: $255.42 AETNA — MEDICARE ADVANTAGE: $74.25 BCBSNC — ALL PRODUCTS: $154.62 BCBSNC — MEDICARE ADVANTAGE: $77.22 CIGNA HEALTHCARE — ALL PRODUCTS: $226.61 HUMANA — ALL PRODUCTS: $195.59 MEDCOST — ALL PRODUCTS: $279.18 Peach State — All Products: $60.05 UNITEDHEALTHCARE — ALL PRODUCTS: $228.69 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $74.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pbb HC Pt Eval Level 1-Low Comp	$173	$121.10	$34.98 – $162.62
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA — ALL PRODUCTS: $148.78 AETNA — MEDICARE ADVANTAGE: $43.25 BCBSNC — ALL PRODUCTS: $90.06 BCBSNC — MEDICARE ADVANTAGE: $44.98 CIGNA HEALTHCARE — ALL PRODUCTS: $132 HUMANA — ALL PRODUCTS: $195.59 MEDCOST — ALL PRODUCTS: $162.62 Peach State — All Products: $34.98 UNITEDHEALTHCARE — ALL PRODUCTS: $133.21 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $43.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Pt Eval Level 1-Low Comp	$297	$207.90	$60.05 – $279.18
Physical therapy evaluation (low complexity): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $211.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Level 2-Mod Comp	$297	$207.90	$60.05 – $279.18
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AETNA — ALL PRODUCTS: $255.42 AETNA — MEDICARE ADVANTAGE: $74.25 BCBSNC — ALL PRODUCTS: $154.62 BCBSNC — MEDICARE ADVANTAGE: $77.22 CIGNA HEALTHCARE — ALL PRODUCTS: $226.61 HUMANA — ALL PRODUCTS: $195.59 MEDCOST — ALL PRODUCTS: $279.18 Peach State — All Products: $60.05 UNITEDHEALTHCARE — ALL PRODUCTS: $228.69 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $74.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pbb HC Pt Eval Level 2-Mod Comp	$173	$121.10	$34.98 – $162.62
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AETNA — ALL PRODUCTS: $148.78 AETNA — MEDICARE ADVANTAGE: $43.25 BCBSNC — ALL PRODUCTS: $90.06 BCBSNC — MEDICARE ADVANTAGE: $44.98 CIGNA HEALTHCARE — ALL PRODUCTS: $132 HUMANA — ALL PRODUCTS: $195.59 MEDCOST — ALL PRODUCTS: $162.62 Peach State — All Products: $34.98 UNITEDHEALTHCARE — ALL PRODUCTS: $133.21 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $43.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Pt Eval Level 2-Mod Comp	$297	$207.90	$60.05 – $279.18
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $211.08
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Eval Level 3-High Comp	$297	$207.90	$60.05 – $279.18
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA — ALL PRODUCTS: $255.42 AETNA — MEDICARE ADVANTAGE: $74.25 BCBSNC — ALL PRODUCTS: $154.62 BCBSNC — MEDICARE ADVANTAGE: $77.22 CIGNA HEALTHCARE — ALL PRODUCTS: $226.61 HUMANA — ALL PRODUCTS: $195.59 MEDCOST — ALL PRODUCTS: $279.18 Peach State — All Products: $60.05 UNITEDHEALTHCARE — ALL PRODUCTS: $228.69 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $74.25
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pbb HC Pt Eval Level 3-High Comp	$173	$121.10	$34.98 – $162.62
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA — ALL PRODUCTS: $148.78 AETNA — MEDICARE ADVANTAGE: $43.25 BCBSNC — ALL PRODUCTS: $90.06 BCBSNC — MEDICARE ADVANTAGE: $44.98 CIGNA HEALTHCARE — ALL PRODUCTS: $132 HUMANA — ALL PRODUCTS: $195.59 MEDCOST — ALL PRODUCTS: $162.62 Peach State — All Products: $34.98 UNITEDHEALTHCARE — ALL PRODUCTS: $133.21 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $43.25
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Pt Eval Level 3-High Comp	$297	$207.90	$60.05 – $279.18
Physical therapy evaluation (high complexity): rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $211.08
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy 30 Mins W/ Pt	$120	$84	$24.26 – $112.80
Psychotherapy, 30 minutes: rates for 10 insurance plans AETNA — ALL PRODUCTS: $103.20 AETNA — MEDICARE ADVANTAGE: $30 BCBSNC — ALL PRODUCTS: $85.40 BCBSNC — MEDICARE ADVANTAGE: $31.20 CIGNA HEALTHCARE — ALL PRODUCTS: $91.56 HUMANA — ALL PRODUCTS: $72 MEDCOST — ALL PRODUCTS: $112.80 Peach State — All Products: $24.26 UNITEDHEALTHCARE — ALL PRODUCTS: $92.40 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $30
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Psychotherapy 30 Mins W/ Pt	$120	$84	$24.26 – $112.80
Psychotherapy, 30 minutes: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $85.28
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy 45 Mins W/ Pt	$160	$112	$32.35 – $150.40
Psychotherapy, 45 minutes: rates for 10 insurance plans AETNA — ALL PRODUCTS: $137.60 AETNA — MEDICARE ADVANTAGE: $40 BCBSNC — ALL PRODUCTS: $113.87 BCBSNC — MEDICARE ADVANTAGE: $41.60 CIGNA HEALTHCARE — ALL PRODUCTS: $122.08 HUMANA — ALL PRODUCTS: $96 MEDCOST — ALL PRODUCTS: $150.40 Peach State — All Products: $32.35 UNITEDHEALTHCARE — ALL PRODUCTS: $123.20 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $40
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Psychotherapy 45 Mins W/ Pt	$160	$112	$32.35 – $150.40
Psychotherapy, 45 minutes: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $113.71
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy 60 Mins W/ Pt	$320	$224	$64.70 – $300.80
Psychotherapy, 60 minutes: rates for 10 insurance plans AETNA — ALL PRODUCTS: $275.20 AETNA — MEDICARE ADVANTAGE: $80 BCBSNC — ALL PRODUCTS: $227.74 BCBSNC — MEDICARE ADVANTAGE: $83.20 CIGNA HEALTHCARE — ALL PRODUCTS: $244.16 HUMANA — ALL PRODUCTS: $192 MEDCOST — ALL PRODUCTS: $300.80 Peach State — All Products: $64.70 UNITEDHEALTHCARE — ALL PRODUCTS: $246.40 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $80
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Psychotherapy 60 Mins W/ Pt	$320	$224	$64.70 – $300.80
Psychotherapy, 60 minutes: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $227.42
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy WO Pt Present, 50 Mins	$160	$112	$32.35 – $150.40
Family psychotherapy, without the patient: rates for 10 insurance plans AETNA — ALL PRODUCTS: $137.60 AETNA — MEDICARE ADVANTAGE: $40 BCBSNC — ALL PRODUCTS: $113.87 BCBSNC — MEDICARE ADVANTAGE: $41.60 CIGNA HEALTHCARE — ALL PRODUCTS: $122.08 HUMANA — ALL PRODUCTS: $96 MEDCOST — ALL PRODUCTS: $150.40 Peach State — All Products: $32.35 UNITEDHEALTHCARE — ALL PRODUCTS: $123.20 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $40
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy WO Pt Present, 50 M	$160	$112	$32.35 – $150.40
Family psychotherapy, without the patient: rates for 10 insurance plans AETNA — ALL PRODUCTS: $137.60 AETNA — MEDICARE ADVANTAGE: $40 BCBSNC — ALL PRODUCTS: $113.87 BCBSNC — MEDICARE ADVANTAGE: $41.60 CIGNA HEALTHCARE — ALL PRODUCTS: $122.08 HUMANA — ALL PRODUCTS: $96 MEDCOST — ALL PRODUCTS: $150.40 Peach State — All Products: $32.35 UNITEDHEALTHCARE — ALL PRODUCTS: $123.20 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $40
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Family Psychotherapy WO Pt Present, 50 Mins	$160	$112	$32.35 – $150.40
Family psychotherapy, without the patient: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $113.71
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy With Pt Present, 50 Mins	$160	$112	$32.35 – $150.40
Family psychotherapy, with the patient: rates for 10 insurance plans AETNA — ALL PRODUCTS: $137.60 AETNA — MEDICARE ADVANTAGE: $40 BCBSNC — ALL PRODUCTS: $113.87 BCBSNC — MEDICARE ADVANTAGE: $41.60 CIGNA HEALTHCARE — ALL PRODUCTS: $122.08 HUMANA — ALL PRODUCTS: $96 MEDCOST — ALL PRODUCTS: $150.40 Peach State — All Products: $32.35 UNITEDHEALTHCARE — ALL PRODUCTS: $123.20 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy With Pt Present, 50	$160	$112	$32.35 – $150.40
Family psychotherapy, with the patient: rates for 10 insurance plans AETNA — ALL PRODUCTS: $137.60 AETNA — MEDICARE ADVANTAGE: $40 BCBSNC — ALL PRODUCTS: $113.87 BCBSNC — MEDICARE ADVANTAGE: $41.60 CIGNA HEALTHCARE — ALL PRODUCTS: $122.08 HUMANA — ALL PRODUCTS: $96 MEDCOST — ALL PRODUCTS: $150.40 Peach State — All Products: $32.35 UNITEDHEALTHCARE — ALL PRODUCTS: $123.20 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $40
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Family Psychotherapy With Pt Present, 50 Mins	$160	$112	$32.35 – $150.40
Family psychotherapy, with the patient: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $113.71
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Group Psychotherapy, Other Than Multi Fam	$320	$224	$64.70 – $300.80
Group psychotherapy: rates for 10 insurance plans AETNA — ALL PRODUCTS: $275.20 AETNA — MEDICARE ADVANTAGE: $80 BCBSNC — ALL PRODUCTS: $227.74 BCBSNC — MEDICARE ADVANTAGE: $83.20 CIGNA HEALTHCARE — ALL PRODUCTS: $244.16 HUMANA — ALL PRODUCTS: $192 MEDCOST — ALL PRODUCTS: $300.80 Peach State — All Products: $64.70 UNITEDHEALTHCARE — ALL PRODUCTS: $246.40 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $80
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Group Psychotherapy, Other Than Multi Fa	$320	$224	$64.70 – $300.80
Group psychotherapy: rates for 10 insurance plans AETNA — ALL PRODUCTS: $275.20 AETNA — MEDICARE ADVANTAGE: $80 BCBSNC — ALL PRODUCTS: $227.74 BCBSNC — MEDICARE ADVANTAGE: $83.20 CIGNA HEALTHCARE — ALL PRODUCTS: $244.16 HUMANA — ALL PRODUCTS: $192 MEDCOST — ALL PRODUCTS: $300.80 Peach State — All Products: $64.70 UNITEDHEALTHCARE — ALL PRODUCTS: $246.40 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $80
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Group Psychotherapy, Other Than Multi Fam	$320	$224	$64.70 – $300.80
Group psychotherapy: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $227.42

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$5,935.38
Removal of breast growth (open surgery): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $5,935.38
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	$19,943.57
Total hip replacement: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $19,943.57
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	$19,943.57
Total knee replacement: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $19,943.57
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	$260.34
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $260.34
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	$5,029.15
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $5,029.15
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	$9,169.27
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $9,169.27
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	$1,453.22
Upper GI endoscopy (diagnostic): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,453.22
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	$1,453.22
Upper GI endoscopy with biopsy: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,453.22
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	$1,413.15
Colonoscopy (diagnostic): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,413.15
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	$1,827.57
Colonoscopy with biopsy: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,827.57
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	$1,827.57
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,827.57
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	$1,827.57
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,827.57
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	$1,413.15
Screening colonoscopy (not high risk): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $1,413.15
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	$9,043.26
Gallbladder removal by laparoscope: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $9,043.26
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	$5,470.04
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $5,470.04
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Biopsy Prostate	$2,382	$1,667.40	$481.64 – $2,239.08
Prostate biopsy: rates for 10 insurance plans AETNA — ALL PRODUCTS: $2,048.52 AETNA — MEDICARE ADVANTAGE: $595.50 BCBSNC — ALL PRODUCTS: $1,695.27 BCBSNC — MEDICARE ADVANTAGE: $619.32 CIGNA HEALTHCARE — ALL PRODUCTS: $1,817.47 HUMANA — ALL PRODUCTS: $1,429.20 MEDCOST — ALL PRODUCTS: $2,239.08 Peach State — All Products: $481.64 UNITEDHEALTHCARE — ALL PRODUCTS: $1,834.14 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $595.50
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT Biopsy Prostate	$2,382	$1,667.40	$481.64 – $2,239.08
Prostate biopsy: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $1,692.89
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	$16,137.39
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan HUMANA — ALL PRODUCTS: $16,137.39
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	$4,928.27
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $4,928.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esi L-S Spine W Image	$4,539	$3,177.30	$917.79 – $4,266.66
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans AETNA — ALL PRODUCTS: $3,903.54 AETNA — MEDICARE ADVANTAGE: $1,134.75 BCBSNC — ALL PRODUCTS: $3,230.41 BCBSNC — MEDICARE ADVANTAGE: $1,180.14 CIGNA HEALTHCARE — ALL PRODUCTS: $3,463.26 HUMANA — ALL PRODUCTS: $2,723.40 MEDCOST — ALL PRODUCTS: $4,266.66 Peach State — All Products: $917.79 UNITEDHEALTHCARE — ALL PRODUCTS: $3,495.03 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $1,134.75
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Esi L-S Spine W Image	$4,539	$3,177.30	$917.79 – $4,266.66
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $3,225.87
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Inj Epid L/Sac Init	$4,416	$3,091.20	$892.92 – $4,151.04
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans AETNA — ALL PRODUCTS: $3,797.76 AETNA — MEDICARE ADVANTAGE: $1,104 BCBSNC — ALL PRODUCTS: $3,142.87 BCBSNC — MEDICARE ADVANTAGE: $1,148.16 CIGNA HEALTHCARE — ALL PRODUCTS: $3,369.41 HUMANA — ALL PRODUCTS: $2,649.60 MEDCOST — ALL PRODUCTS: $4,151.04 Peach State — All Products: $892.92 UNITEDHEALTHCARE — ALL PRODUCTS: $3,400.32 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $1,104
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Inj Epid L/Sac Init	$4,416	$3,091.20	$892.92 – $4,151.04
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $3,138.45
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	$3,026.79
Carpal tunnel release: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $3,026.79
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Post Capsulotomy	$1,327	$928.90	$268.32 – $1,247.38
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans AETNA — ALL PRODUCTS: $1,141.22 AETNA — MEDICARE ADVANTAGE: $331.75 BCBSNC — ALL PRODUCTS: $944.43 BCBSNC — MEDICARE ADVANTAGE: $345.02 CIGNA HEALTHCARE — ALL PRODUCTS: $1,012.50 HUMANA — ALL PRODUCTS: $796.20 MEDCOST — ALL PRODUCTS: $1,247.38 Peach State — All Products: $268.32 UNITEDHEALTHCARE — ALL PRODUCTS: $1,021.79 UNITEDHEALTHCARE — MEDICARE ADVANTAGE: $331.75
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC Post Capsulotomy	$1,327	$928.90	$268.32 – $1,247.38
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan BCBSNC — ALL PRODUCTS: $943.10
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	$3,535.13
Cataract removal with lens implant: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $3,535.13

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance 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	$3,030.70
Vaginal delivery, with care before and after: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $3,030.70
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	$3,350.06
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $3,350.06
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,178.31
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan HUMANA — ALL PRODUCTS: $3,178.31

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$57,870.02 – $83,964.57
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 7 insurance plans HUMANA — ALL PRODUCTS: $83,964.57 Peach State — All Products: $57,870.02 AETNA — ALL PRODUCTS: 86% (a percentage in the contract, not a dollar amount) BCBSNC — ALL PRODUCTS: 71.07% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PRODUCTS: 76.3% (a percentage in the contract, not a dollar amount) MEDCOST — ALL PRODUCTS: 94% (a percentage in the contract, not a dollar amount) UNITEDHEALTHCARE — ALL PRODUCTS: 77% (a percentage in the contract, not a dollar amount)
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	$11,305.85 – $12,614.64
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans HUMANA — ALL PRODUCTS: $12,614.64 Peach State — All Products: $11,305.85 AETNA — ALL PRODUCTS: 86% (a percentage in the contract, not a dollar amount) BCBSNC — ALL PRODUCTS: 71.07% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PRODUCTS: 76.3% (a percentage in the contract, not a dollar amount) MEDCOST — ALL PRODUCTS: 94% (a percentage in the contract, not a dollar amount) UNITEDHEALTHCARE — ALL PRODUCTS: 77% (a percentage in the contract, not a dollar amount)
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	$14,195.43 – $15,838.71
Neck (cervical) spinal fusion, without complications: rates for 7 insurance plans HUMANA — ALL PRODUCTS: $15,838.71 Peach State — All Products: $14,195.43 AETNA — ALL PRODUCTS: 86% (a percentage in the contract, not a dollar amount) BCBSNC — ALL PRODUCTS: 71.07% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PRODUCTS: 76.3% (a percentage in the contract, not a dollar amount) MEDCOST — ALL PRODUCTS: 94% (a percentage in the contract, not a dollar amount) UNITEDHEALTHCARE — ALL PRODUCTS: 77% (a percentage in the contract, not a dollar amount)
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	$7,187.66 – $8,019.71
Uterus and ovary surgery (not for cancer), without complications: rates for 7 insurance plans HUMANA — ALL PRODUCTS: $8,019.71 Peach State — All Products: $7,187.66 AETNA — ALL PRODUCTS: 86% (a percentage in the contract, not a dollar amount) BCBSNC — ALL PRODUCTS: 71.07% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PRODUCTS: 76.3% (a percentage in the contract, not a dollar amount) MEDCOST — ALL PRODUCTS: 94% (a percentage in the contract, not a dollar amount) UNITEDHEALTHCARE — ALL PRODUCTS: 77% (a percentage in the contract, not a dollar amount)

Source: Erlanger Murphy Medical Center’s standard charges file (erlanger.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 25, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	3990 East US Highway 64 Alt, Murphy, NC 28906
County	Cherokee County
State	North Carolina
Phone	(828) 837‑8161
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	341328
Name in Medicare records	ERLANGER MURPHY MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Erlanger Western Carolina Hospital
Official website	erlanger.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Erlanger Western Carolina Hospital — erlanger.org
Erlanger Western Carolina Emergency Department — erlanger.org
Cardiology — erlanger.org
Cardiopulmonary — erlanger.org
Medical Surgical — erlanger.org
Orthopaedics - Murphy — erlanger.org
Radiology — erlanger.org
Surgery - Murphy — erlanger.org
Cardiac Rehabilitation — erlanger.org
Chronic Wound Treatment and Diabetic Ulcer Care in Murphy, NC | Erlanger — erlanger.org
Laboratory — erlanger.org
Diet and Nutrition Services — erlanger.org

Erlanger Murphy Medical Center

Summary

Profile from official sources

At a glance