Does Euclid Hospital have an emergency room?

Yes. The hospital’s official website lists an emergency room at Euclid Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Euclid Hospital?

18901 Lake Shore Boulevard, Euclid, OH 44119, in Cuyahoga County, Ohio.

What is the phone number of Euclid Hospital?

(216) 531-9000, as listed by Medicare (CMS).

What is the Medicare star rating of Euclid Hospital?

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

Does Medicare reduce its payments to Euclid Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Euclid Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4450; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Euclid Hospital — Phone, Address, ER & Ratings

Quick answers

Does Euclid Hospital have an emergency room?: Yes. The hospital’s official website lists an emergency room at Euclid Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Euclid Hospital?: 18901 Lake Shore Boulevard, Euclid, OH 44119, in Cuyahoga County, Ohio.
What is the phone number of Euclid Hospital?: (216) 531-9000, as listed by Medicare (CMS).
What is the Medicare star rating of Euclid Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Euclid Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Euclid Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4450; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[5]

Cardiac rehabilitation
Cardiovascular care
Digestive health
Emergency department
Geriatric evaluation and management
Hyperbaric oxygen therapy
Orthopaedic services
Outpatient rehabilitation
Pain management
Radiology services
Stroke center
Surgical services
Chronic care clinics
Functional medicine
Surgery

Conditions treated^{[9][10][12][13][17]}

Stroke
Cardiovascular disease
Congestive heart failure
Heart attack
Hip and knee joint problems
Arthritis
Shoulder problems
Carpal tunnel syndrome
Foot and ankle disorders
Sports and exercise injuries
Parkinson's disease
Hyperthyroidism
Thyroid cancer
Breast cancer (screening)

Treatments^[10][13][14]

Computed tomography (CT)
Magnetic resonance imaging (MRI)
Mammography
Ultrasound
Nuclear medicine
Bone density imaging
Angiography
Echocardiogram
Electrocardiogram (EKG)
Holter monitoring
Treadmill stress testing
Hearing evaluations

Procedures^[9][11][18]

Colonoscopy
Upper endoscopy
Capsule endoscopy
Enteroscopy
Flexible sigmoidscopy
Argon plasma coagulation
Insertion of feeding tubes
General surgery
Gynecological surgery
Orthopaedic surgery
Podiatric surgery
Arthroscopic surgery
Hip resurfacing
Total joint replacement
Rotator cuff surgery

Programs and centers^{[12][13][15][17]}

Cardiac rehabilitation program
Cleveland Clinic Neuro-Rehabilitation Program
Neuro Day program
Balance program
Lymphedema program
Industrial Hearing Conservation Program
Stroke support group
Sports medicine

Emergency care (hospital website)^{[4][5][6][8][12]}

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

Visiting and practical information

Visiting	Open visitation 24/7, except in some ICU settings^[7]
Parking	Free surface parking and EV charging on site; valet for a fee at the main entrance, 7 a.m. to 3:30 p.m^[6]

Recognition^[12][16]

American Heart Association Get With The Guidelines Stroke Gold Plus 2026
Primary Stroke Center certification (The Joint Commission)
NICHE certified geriatric emergency department (level 3)
Joint Commission accreditation

Doctors and clinicians (528)

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

Main specialties

And 504 more: the button below opens the full list.

Other emergency rooms nearby

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

Louis Stokes Cleveland VA Medical Center6.8 mi · Cleveland, OH · Federal/VA Acute Care Hospital
UH Cleveland Medical Center7.0 mi · Cleveland, OH · Acute Care Hospital
Cleveland Clinic7.6 mi · Cleveland, OH · Acute Care Hospital
Hillcrest Hospital7.9 mi · Mayfield Heights, OH · Acute Care Hospital
Lake Health Beachwood Medical Center9.5 mi · Beachwood, OH · Acute Care Hospital

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

Other hospitals near Euclid

Windsor Laurelwood Center for Behavorial Medicine6.3 mi · Willoughby, OH · Psychiatric Hospital
Rainbow Babies and Childrens Hospital7.0 mi · Cleveland, OH · Children's Hospital
Select Specialty Hospital- Cleveland Fairhill7.7 mi · Cleveland, OH · Long-Term Acute Care Hospital

Hospitals in Cuyahoga 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

Heritage Healthcare of Euclid1.0 mi · Euclid, OH · 3 of 5 stars
Slovene Home for the Aged1.1 mi · Cleveland, OH · 2 of 5 stars
Gardens of Euclid Beach1.6 mi · Cleveland, OH · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of the Western Reserve at University Hospital2.2 mi · Cleveland, OH · 4 of 5 stars
Hospice of the Western Reserve, Inc2.2 mi · Cleveland, OH · 4 of 5 stars
Hospice of Greater Cleveland4.4 mi · Cleveland, OH

All hospice providers in the state →

Home health agencies

Precious Home Health Care Inc0.6 mi · Euclid, OH
Hope Health Homecare LLC2.1 mi · Euclid, OH
Dignity Home Health Service LLC2.7 mi · Euclid, OH

All home health agencies in the state →

Dialysis facilities

CDC Home Care2.1 mi · Euclid, OH · 1 of 5 stars
Center for Dialysis Care, Euclid2.1 mi · Euclid, OH · 1 of 5 stars
FMC - Ohio Renal Care Group Euclid2.7 mi · Euclid, OH · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Cleveland Surgical Suites4.8 mi · Richmond Heights, OH
University Suburban Endoscopy Center4.9 mi · South Euclid, OH
Brainard Surgery Center LLC7.8 mi · Lyndhurst, OH

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

Panther Wellness Center -Euclid SBHC1.1 mi · Euclid, OH · Community health center
Collinwood Health Center2.4 mi · Cleveland, OH · Community health center
Collinwood Health Center3.2 mi · Cleveland, OH · Community health center

Clinics and urgent care

Nextdoor Urgent Care LLC4.9 mi · South Euclid, OH · Urgent care center
University Primary Care Practices Inc4.9 mi · South Euclid, OH · Urgent care center
Church Square Urgent Care LLC7.4 mi · Cleveland, OH · Urgent care center

Pharmacies

Johnston Drug Inc0.6 mi · Euclid, OH · Community/retail pharmacy
Walgreen Co1.3 mi · Euclid, OH · Pharmacy
Walgreen Co2.1 mi · Euclid, OH · Pharmacy

Assisted living nearby

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

Heritage of Euclid LLC0.6 mi · Euclid, OH
Slovene Home for the Aged0.6 mi · Cleveland, OH
Hilltop Village Assisted Living2.7 mi · Euclid, OH
Meadow Falls of Wickliffe3.9 mi · Wickliffe, OH

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	59%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	76%National average: 80%
“Always” got help as soon as they wanted	56%National average: 64%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	70%National average: 73%
Completed surveys	406Response rate: 13%

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.

Central line bloodstream infections (CLABSI)	0.826No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.673No different from the national benchmark
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.964No different from the national benchmark
Not reported to Medicare	Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

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	8.6%
Deaths within 30 days: pneumonia patients	12.3%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	10.1%
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack 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)	16.6%
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	19.8%
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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	152 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	71%National average: 66%

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 →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Euclid Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.4450Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	0.9935Fewer readmissions than expected
Pneumonia	1.0355More readmissions than expected
COPD (chronic lung disease)	0.9858Fewer readmissions than expected
Hip or knee replacement	1.0471More readmissions than expected
No result published	Heart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	23.88 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	12.50 out of 100
Person and community engagement (patient survey)	27.00 out of 100
Safety (infections and sepsis care)	56.00 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.02Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 Ohio Best hospitals in Ohio

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 Euclid Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 22 amounts are marked with “!”: they are 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. They are shown exactly as listed; ask the hospital before relying on them.

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: OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$139	$90.35	$30.30 – $139
New patient office visit (about 30–44 minutes): 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $104.25 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $30.30 AETNA — Qhp/Ipf: $139 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $62.55 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $154.12
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$139	$90.35	$30.30 – $139
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $69.50 ANTHEM — TRADITIONAL: $80.40 OSCAR — ALL PRODUCTS: $50.17
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$174	$113.10	$37.93 – $174
New patient office visit (about 45–59 minutes): 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $130.50 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $37.93 AETNA — Qhp/Ipf: $174 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $78.30 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $252.28
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$174	$113.10	$37.93 – $174
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $87 ANTHEM — TRADITIONAL: $100.64 OSCAR — ALL PRODUCTS: $62.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$235	$152.75	$51.23 – $235
New patient office visit (about 60–74 minutes): 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $176.25 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $51.23 AETNA — Qhp/Ipf: $235 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $105.75 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $343.62
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$235	$152.75	$51.23 – $235
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $117.50 ANTHEM — TRADITIONAL: $135.92 OSCAR — ALL PRODUCTS: $84.81
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$150	$97.50	$48.59 – $62
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $112.50 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $32.70 AETNA — Qhp/Ipf: $150 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $67.50 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $125.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ASSESSMENT	$150	$97.50	$32.70 – $150
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $112.50 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $32.70 AETNA — Qhp/Ipf: $150 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $67.50 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $125.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$150	$97.50	$32.70 – $150
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $75 ANTHEM — TRADITIONAL: $86.76 OSCAR — ALL PRODUCTS: $54.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$187	$121.55	$48.59 – $62
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $140.25 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $40.77 AETNA — Qhp/Ipf: $187 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $84.15 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $184.22
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$187	$121.55	$40.77 – $187
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $93.50 ANTHEM — TRADITIONAL: $108.16 OSCAR — ALL PRODUCTS: $67.49
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	$59.95 – $69.41
Office consultation with a specialist (moderate): rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $69.41 ANTHEM — Managed Medicaid: $66.26 Buckeye — Managed Medicaid: $66.26 CARESOURCE — Managed Medicaid: $67.52 MOLINA — Managed Medicaid: $66.26 OPTUM — Managed Medicaid Transplant: $59.95 Paramount — Managed Medicaid: $64.99 UNITED — Managed Medicaid: $67.52 United BH — Managed Medicaid: $66.89 United BH — MEDICARE ADVANTAGE: $63.10
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	$59.95 – $69.41
Office consultation with a specialist (moderate to high): rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $69.41 ANTHEM — Managed Medicaid: $66.26 Buckeye — Managed Medicaid: $66.26 CARESOURCE — Managed Medicaid: $67.52 MOLINA — Managed Medicaid: $66.26 OPTUM — Managed Medicaid Transplant: $59.95 Paramount — Managed Medicaid: $64.99 UNITED — Managed Medicaid: $67.52 United BH — Managed Medicaid: $66.89 United BH — MEDICARE ADVANTAGE: $63.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$184	$119.60	$48.59 – $62
Preventive checkup, new patient, age 18–39: 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $138 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $40.11 AETNA — Qhp/Ipf: $184 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $82.80 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $31.35
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$184	$119.60	$31.35 – $184
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $92 ANTHEM — TRADITIONAL: $106.43 OSCAR — ALL PRODUCTS: $66.41
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$254	$165.10	$43.28 – $254
Preventive checkup, new patient, age 40–64: 10 of 48 insurance plan rates AETNA — Acop: $48.59 AETNA — ALL PRODUCTS: $190.50 AETNA — Asa_Whirlpool_Peia: $57.87 AETNA — International: $62 AETNA — MEDICARE ADVANTAGE: $55.37 AETNA — Qhp/Ipf: $254 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $114.30 ANTHEM — Managed Medicaid: $66.26 ANTHEM — PPO/HMO: $43.28
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$254	$165.10	$43.28 – $254
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $127 ANTHEM — TRADITIONAL: $146.91 OSCAR — ALL PRODUCTS: $91.67
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT LOW MDM	$1,911	$1,242.15	$540.43 – $1,719.90
Emergency room visit (moderate): 10 of 64 insurance plan rates AETNA — Acop: $812 AETNA — ALL PRODUCTS: $1,433.25 AETNA — Asa_Whirlpool_Peia: $970 AETNA — International: $1,100 AETNA — MEDICARE ADVANTAGE: $258.26 AETNA — Qhp/Ipf: $1,337.70 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $859.95 ANTHEM — Managed Medicaid: $66.26 ANTHEM — MEDICARE ADVANTAGE: $258.26
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT LOW MDM	$1,911	$1,242.15	$540.43 – $1,719.90
Emergency room visit (moderate): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $955.50 ANTHEM — TRADITIONAL: $1,105.32 OSCAR — ALL PRODUCTS: $689.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM	$2,938	$1,909.70	$830.87 – $2,644.20
Emergency room visit (moderately high): 10 of 64 insurance plan rates AETNA — Acop: $1,145 AETNA — ALL PRODUCTS: $2,203.50 AETNA — Asa_Whirlpool_Peia: $1,336 AETNA — International: $1,515 AETNA — MEDICARE ADVANTAGE: $394.76 AETNA — Qhp/Ipf: $2,056.60 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $1,322.10 ANTHEM — Managed Medicaid: $66.26 ANTHEM — MEDICARE ADVANTAGE: $394.76
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM	$2,938	$1,909.70	$830.87 – $2,644.20
Emergency room visit (moderately high): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $1,469 ANTHEM — TRADITIONAL: $1,699.34 OSCAR — ALL PRODUCTS: $1,060.32
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM	$4,230	$2,749.50	$1,196.24 – $3,807
Emergency room visit (high): 10 of 64 insurance plan rates AETNA — Acop: $1,145 AETNA — ALL PRODUCTS: $3,172.50 AETNA — Asa_Whirlpool_Peia: $1,336 AETNA — International: $1,515 AETNA — MEDICARE ADVANTAGE: $563.42 AETNA — Qhp/Ipf: $2,961 AMERIHEALTH — Managed Medicaid: $69.41 Amish Community Aid Plan — ALL PRODUCTS: $1,903.50 ANTHEM — Managed Medicaid: $66.26 ANTHEM — MEDICARE ADVANTAGE: $563.42
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM	$4,230	$2,749.50	$1,196.24 – $3,807
Emergency room visit (high): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,115 ANTHEM — TRADITIONAL: $2,446.63 OSCAR — ALL PRODUCTS: $1,526.61

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: BASIC METABOLIC PANEL	$58	$37.70	$9.88 – $58
Basic metabolic panel (blood test): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $43.50 AETNA — Asa_Whirlpool_Peia: $16.92 AETNA — International: $19.05 AETNA — MEDICARE ADVANTAGE: $8.46 AETNA — Qhp/Ipf: $58 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $26.10 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$58	$37.70	$9.88 – $58
Basic metabolic panel (blood test): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $29 ANTHEM — TRADITIONAL: $33.55 OSCAR — ALL PRODUCTS: $20.93
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$8.78
Basic metabolic panel (blood test): rates for 1 insurance plan CC EHP — ALL PRODUCTS: $8.78
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE META PANL	$73	$47.45	$20.64 – $73
Comprehensive metabolic panel (blood test): 10 of 63 insurance plan rates AETNA — Acop: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $54.75 AETNA — Asa_Whirlpool_Peia: $21.12 AETNA — International: $23.79 AETNA — MEDICARE ADVANTAGE: $10.56 AETNA — Qhp/Ipf: $73 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $32.85 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPRE META PANL	$73	$47.45	$20.64 – $73
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $36.50 ANTHEM — TRADITIONAL: $42.22 OSCAR — ALL PRODUCTS: $26.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.96
Comprehensive metabolic panel (blood test): rates for 1 insurance plan CC EHP — ALL PRODUCTS: $10.96
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PANEL	$330	$214.50	$93.32 – $330
Obstetric blood test panel: 10 of 63 insurance plan rates AETNA — Acop: $0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $247.50 AETNA — Asa_Whirlpool_Peia: $95.63 AETNA — International: $107.69 AETNA — MEDICARE ADVANTAGE: $47.81 AETNA — Qhp/Ipf: $330 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $148.50 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB PANEL	$330	$214.50	$93.32 – $330
Obstetric blood test panel: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $165 ANTHEM — TRADITIONAL: $190.87 OSCAR — ALL PRODUCTS: $119.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$92	$59.80	$0.95 – $31.73
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $69 AETNA — Asa_Whirlpool_Peia: $26.78 AETNA — International: $30.16 AETNA — MEDICARE ADVANTAGE: $13.39 AETNA — Qhp/Ipf: $92 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $41.40 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID-LIPO PANEL 1	$92	$59.80	$15.68 – $92
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $69 AETNA — Asa_Whirlpool_Peia: $26.78 AETNA — International: $30.16 AETNA — MEDICARE ADVANTAGE: $13.39 AETNA — Qhp/Ipf: $92 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $41.40 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: %NMRLIP CHOLESTEROL	$92	$59.80	$0.95 – $31.73
Cholesterol panel (lipid panel): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $69 AETNA — Asa_Whirlpool_Peia: $26.78 AETNA — International: $30.16 AETNA — MEDICARE ADVANTAGE: $13.39 AETNA — Qhp/Ipf: $92 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $41.40 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNC PANL	$60	$39	$10.22 – $60
Kidney function panel: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $45 AETNA — Asa_Whirlpool_Peia: $17.36 AETNA — International: $19.55 AETNA — MEDICARE ADVANTAGE: $8.68 AETNA — Qhp/Ipf: $60 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $27 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNC PANL	$60	$39	$10.22 – $60
Kidney function panel: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $30 ANTHEM — TRADITIONAL: $34.70 OSCAR — ALL PRODUCTS: $21.65
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$9
Kidney function panel: rates for 1 insurance plan CC EHP — ALL PRODUCTS: $9
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEP FUNC PANL	$56	$36.40	$15.84 – $56
Liver function panel: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $42 AETNA — Asa_Whirlpool_Peia: $16.34 AETNA — International: $18.40 AETNA — MEDICARE ADVANTAGE: $8.17 AETNA — Qhp/Ipf: $56 AMERIHEALTH — Managed Medicaid: $19.87 Amish Community Aid Plan — ALL PRODUCTS: $25.20 ANTHEM — Managed Medicaid: $18.96 ANTHEM — MEDICARE ADVANTAGE: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEP FUNC PANL	$56	$36.40	$15.84 – $56
Liver function panel: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $28 ANTHEM — TRADITIONAL: $32.39 OSCAR — ALL PRODUCTS: $20.21
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W SCPE	$22	$14.30	$0.95 – $10.29
Urine test (automated, with microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $16.50 AETNA — Asa_Whirlpool_Peia: $9.14 AETNA — International: $10.29 AETNA — MEDICARE ADVANTAGE: $3.17 AETNA — Qhp/Ipf: $22 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $9.90 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICRO (POINT OF CARE LAB)	$22	$14.30	$0.95 – $10.29
Urine test (automated, with microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $16.50 AETNA — Asa_Whirlpool_Peia: $9.14 AETNA — International: $10.29 AETNA — MEDICARE ADVANTAGE: $3.17 AETNA — Qhp/Ipf: $22 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $9.90 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W SCPE	$22	$14.30	$3.75 – $22
Urine test (automated, with microscope): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $11 ANTHEM — TRADITIONAL: $12.72 OSCAR — ALL PRODUCTS: $7.94
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NON-AUTO W/O MICRO (POINT OF CARE LAB)	$24	$15.60	$3.48 – $6.44
Urine test (manual, without microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $18 AETNA — Asa_Whirlpool_Peia: $10.03 AETNA — International: $11.30 AETNA — MEDICARE ADVANTAGE: $3.48 AETNA — Qhp/Ipf: $24 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $10.80 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: N-AUTOM URINALYS WO MICRO (POINT OF CARE LAB)	$24	$15.60	$0.95 – $11.30
Urine test (manual, without microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $18 AETNA — Asa_Whirlpool_Peia: $10.03 AETNA — International: $11.30 AETNA — MEDICARE ADVANTAGE: $3.48 AETNA — Qhp/Ipf: $24 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $10.80 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA NON-AUTO W/O MICRO (POINT OF CARE LAB)	$24	$15.60	$4.09 – $24
Urine test (manual, without microscope): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $12 ANTHEM — TRADITIONAL: $13.88 OSCAR — ALL PRODUCTS: $8.66
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS (POINT OF CARE LAB)	$16	$10.40	$0.95 – $16.03
Urine test (automated, without microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $12 AETNA — Asa_Whirlpool_Peia: $6.48 AETNA — International: $7.30 AETNA — MEDICARE ADVANTAGE: $2.25 AETNA — Qhp/Ipf: $16 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $7.20 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WO SCPE (POINT OF CARE LAB)	$16	$10.40	$2.25 – $6.44
Urine test (automated, without microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $12 AETNA — Asa_Whirlpool_Peia: $6.48 AETNA — International: $7.30 AETNA — MEDICARE ADVANTAGE: $2.25 AETNA — Qhp/Ipf: $16 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $7.20 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WO SCPE	$16	$10.40	$0.95 – $16.03
Urine test (automated, without microscope): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $12 AETNA — Asa_Whirlpool_Peia: $6.48 AETNA — International: $7.30 AETNA — MEDICARE ADVANTAGE: $2.25 AETNA — Qhp/Ipf: $16 AMERIHEALTH — Managed Medicaid: $6.44 Amish Community Aid Plan — ALL PRODUCTS: $7.20 ANTHEM — Managed Medicaid: $6.14 ANTHEM — MEDICARE ADVANTAGE: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC	$127	$82.55	$0.95 – $41.43
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $95.25 AETNA — Asa_Whirlpool_Peia: $36.79 AETNA — International: $41.43 AETNA — MEDICARE ADVANTAGE: $18.39 AETNA — Qhp/Ipf: $127 AMERIHEALTH — Managed Medicaid: $18.33 Amish Community Aid Plan — ALL PRODUCTS: $57.15 ANTHEM — Managed Medicaid: $17.49 ANTHEM — MEDICARE ADVANTAGE: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA SCREENING	$127	$82.55	$15.83 – $20.23
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $95.25 AETNA — Asa_Whirlpool_Peia: $36.79 AETNA — International: $41.43 AETNA — MEDICARE ADVANTAGE: $18.39 AETNA — Qhp/Ipf: $127 AMERIHEALTH — Managed Medicaid: $18.33 Amish Community Aid Plan — ALL PRODUCTS: $57.15 ANTHEM — Managed Medicaid: $17.49 ANTHEM — MEDICARE ADVANTAGE: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: %PHI PROST SPEC AG TOT	$127	$82.55	$0.95 – $41.43
PSA (prostate specific antigen) blood test: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $95.25 AETNA — Asa_Whirlpool_Peia: $36.79 AETNA — International: $41.43 AETNA — MEDICARE ADVANTAGE: $18.39 AETNA — Qhp/Ipf: $127 AMERIHEALTH — Managed Medicaid: $18.33 Amish Community Aid Plan — ALL PRODUCTS: $57.15 ANTHEM — Managed Medicaid: $17.49 ANTHEM — MEDICARE ADVANTAGE: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: %NEO TSH	$116	$75.40	$0.95 – $37.84
Thyroid stimulating hormone (TSH) test: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $87 AETNA — Asa_Whirlpool_Peia: $33.60 AETNA — International: $37.84 AETNA — MEDICARE ADVANTAGE: $16.80 AETNA — Qhp/Ipf: $116 AMERIHEALTH — Managed Medicaid: $22.22 Amish Community Aid Plan — ALL PRODUCTS: $52.20 ANTHEM — Managed Medicaid: $21.21 ANTHEM — MEDICARE ADVANTAGE: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH)	$116	$75.40	$0.95 – $37.84
Thyroid stimulating hormone (TSH) test: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $87 AETNA — Asa_Whirlpool_Peia: $33.60 AETNA — International: $37.84 AETNA — MEDICARE ADVANTAGE: $16.80 AETNA — Qhp/Ipf: $116 AMERIHEALTH — Managed Medicaid: $22.22 Amish Community Aid Plan — ALL PRODUCTS: $52.20 ANTHEM — Managed Medicaid: $21.21 ANTHEM — MEDICARE ADVANTAGE: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: %NEO TSH	$116	$75.40	$19.77 – $116
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $58 ANTHEM — TRADITIONAL: $67.09 OSCAR — ALL PRODUCTS: $41.86
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO W AUTO DIFF	$54	$35.10	$0.95 – $25.23
Complete blood count (CBC) with differential: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $40.50 AETNA — Asa_Whirlpool_Peia: $22.40 AETNA — International: $25.23 AETNA — MEDICARE ADVANTAGE: $7.77 AETNA — Qhp/Ipf: $54 AMERIHEALTH — Managed Medicaid: $8.57 Amish Community Aid Plan — ALL PRODUCTS: $24.30 ANTHEM — Managed Medicaid: $8.18 ANTHEM — MEDICARE ADVANTAGE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTO W AUTO DIFF	$54	$35.10	$9.20 – $54
Complete blood count (CBC) with differential: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $27 ANTHEM — TRADITIONAL: $31.23 OSCAR — ALL PRODUCTS: $19.49
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$8.06
Complete blood count (CBC) with differential: rates for 1 insurance plan CC EHP — ALL PRODUCTS: $8.06
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF	$45	$29.25	$0.95 – $21
Complete blood count (CBC), automated: 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $33.75 AETNA — Asa_Whirlpool_Peia: $18.65 AETNA — International: $21 AETNA — MEDICARE ADVANTAGE: $6.47 AETNA — Qhp/Ipf: $45 AMERIHEALTH — Managed Medicaid: $8.57 Amish Community Aid Plan — ALL PRODUCTS: $20.25 ANTHEM — Managed Medicaid: $8.18 ANTHEM — MEDICARE ADVANTAGE: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF	$45	$29.25	$7.67 – $45
Complete blood count (CBC), automated: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $22.50 ANTHEM — TRADITIONAL: $26.03 OSCAR — ALL PRODUCTS: $16.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME AND INR (POINT OF CARE LAB)	$30	$19.50	$0.95 – $13.93
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $22.50 AETNA — Asa_Whirlpool_Peia: $12.37 AETNA — International: $13.93 AETNA — MEDICARE ADVANTAGE: $4.29 AETNA — Qhp/Ipf: $30 AMERIHEALTH — Managed Medicaid: $9.81 Amish Community Aid Plan — ALL PRODUCTS: $13.50 ANTHEM — Managed Medicaid: $9.37 ANTHEM — MEDICARE ADVANTAGE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLOTTING TEST (POINT OF CARE LAB)	$30	$19.50	$4.29 – $9.81
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $22.50 AETNA — Asa_Whirlpool_Peia: $12.37 AETNA — International: $13.93 AETNA — MEDICARE ADVANTAGE: $4.29 AETNA — Qhp/Ipf: $30 AMERIHEALTH — Managed Medicaid: $9.81 Amish Community Aid Plan — ALL PRODUCTS: $13.50 ANTHEM — Managed Medicaid: $9.37 ANTHEM — MEDICARE ADVANTAGE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: *PRO TIME	$30	$19.50	$4.29 – $9.81
Blood clotting time test (prothrombin time, PT): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $22.50 AETNA — Asa_Whirlpool_Peia: $12.37 AETNA — International: $13.93 AETNA — MEDICARE ADVANTAGE: $4.29 AETNA — Qhp/Ipf: $30 AMERIHEALTH — Managed Medicaid: $9.81 Amish Community Aid Plan — ALL PRODUCTS: $13.50 ANTHEM — Managed Medicaid: $9.37 ANTHEM — MEDICARE ADVANTAGE: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: *PTT PLASMA/WHOLE BLOOD	$41	$26.65	$6.01 – $9.81
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $30.75 AETNA — Asa_Whirlpool_Peia: $17.33 AETNA — International: $19.51 AETNA — MEDICARE ADVANTAGE: $6.01 AETNA — Qhp/Ipf: $41 AMERIHEALTH — Managed Medicaid: $9.81 Amish Community Aid Plan — ALL PRODUCTS: $18.45 ANTHEM — Managed Medicaid: $9.37 ANTHEM — MEDICARE ADVANTAGE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL HEME - PTT PLASMA/WHOLE BLOOD	$41	$26.65	$0.95 – $19.51
Blood clotting test (partial thromboplastin time, PTT): 10 of 63 insurance plan rates AETNA — Acop: $0.95 AETNA — ALL PRODUCTS: $30.75 AETNA — Asa_Whirlpool_Peia: $17.33 AETNA — International: $19.51 AETNA — MEDICARE ADVANTAGE: $6.01 AETNA — Qhp/Ipf: $41 AMERIHEALTH — Managed Medicaid: $9.81 Amish Community Aid Plan — ALL PRODUCTS: $18.45 ANTHEM — Managed Medicaid: $9.37 ANTHEM — MEDICARE ADVANTAGE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: *PTT PLASMA/WHOLE BLOOD	$41	$26.65	$11.59 – $41
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $20.50 ANTHEM — TRADITIONAL: $23.71 OSCAR — ALL PRODUCTS: $14.80

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O CONTRAST MATERIAL	$734	$477.10	$207.58 – $734
CT scan of the head or brain, without contrast: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $550.50 AETNA — Asa_Whirlpool_Peia: $440.22 AETNA — International: $501.24 AETNA — MEDICARE ADVANTAGE: $98.91 AETNA — Qhp/Ipf: $734 AMERIHEALTH — Managed Medicaid: $397.64 Amish Community Aid Plan — ALL PRODUCTS: $330.30 ANTHEM — Managed Medicaid: $379.56 ANTHEM — MEDICARE ADVANTAGE: $98.91
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	$734	$477.10	$207.58 – $734
CT scan of the head or brain, without contrast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $367 ANTHEM — TRADITIONAL: $424.55 OSCAR — ALL PRODUCTS: $264.90
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	$2,464	$1,601.60	$696.82 – $2,464
MRI of the brain, before and after contrast: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $1,848 AETNA — Asa_Whirlpool_Peia: $1,489.01 AETNA — International: $1,695.41 AETNA — MEDICARE ADVANTAGE: $330.06 AETNA — Qhp/Ipf: $2,464 AMERIHEALTH — Managed Medicaid: $389.90 Amish Community Aid Plan — ALL PRODUCTS: $1,108.80 ANTHEM — Managed Medicaid: $372.17 ANTHEM — MEDICARE ADVANTAGE: $330.06
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	$2,464	$1,601.60	$696.82 – $2,464
MRI of the brain, before and after contrast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $1,232 ANTHEM — TRADITIONAL: $1,425.18 OSCAR — ALL PRODUCTS: $889.26
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM CHEST 2 VIEWS	$608	$395.20	$171.94 – $608
Chest X-ray, 2 views: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $456 AETNA — Asa_Whirlpool_Peia: $196.24 AETNA — International: $223.45 AETNA — MEDICARE ADVANTAGE: $82.33 AETNA — Qhp/Ipf: $608 AMERIHEALTH — Managed Medicaid: $57.34 Amish Community Aid Plan — ALL PRODUCTS: $273.60 ANTHEM — Managed Medicaid: $54.74 ANTHEM — MEDICARE ADVANTAGE: $82.33
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM CHEST 2 VIEWS	$608	$395.20	$171.94 – $608
Chest X-ray, 2 views: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $304 ANTHEM — TRADITIONAL: $351.67 OSCAR — ALL PRODUCTS: $219.43
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	$734	$477.10	$207.58 – $734
X-ray of the lower spine, at least 4 views: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $550.50 AETNA — Asa_Whirlpool_Peia: $264.14 AETNA — International: $300.75 AETNA — MEDICARE ADVANTAGE: $98.91 AETNA — Qhp/Ipf: $734 AMERIHEALTH — Managed Medicaid: $57.34 Amish Community Aid Plan — ALL PRODUCTS: $330.30 ANTHEM — Managed Medicaid: $54.74 ANTHEM — MEDICARE ADVANTAGE: $98.91
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	$734	$477.10	$207.58 – $734
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $367 ANTHEM — TRADITIONAL: $424.55 OSCAR — ALL PRODUCTS: $264.90
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	$1,668	$1,084.20	$471.71 – $1,668
MRI of the lower back (lumbar spine), without contrast: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $1,251 AETNA — Asa_Whirlpool_Peia: $930.41 AETNA — International: $1,059.38 AETNA — MEDICARE ADVANTAGE: $225.74 AETNA — Qhp/Ipf: $1,668 AMERIHEALTH — Managed Medicaid: $258.01 Amish Community Aid Plan — ALL PRODUCTS: $750.60 ANTHEM — Managed Medicaid: $246.28 ANTHEM — MEDICARE ADVANTAGE: $225.74
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	$1,668	$1,084.20	$471.71 – $1,668
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $834 ANTHEM — TRADITIONAL: $964.77 OSCAR — ALL PRODUCTS: $601.98
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST MATERIAL	$1,228	$798.20	$159.40 – $495.02
CT scan of the pelvis, with contrast: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $921 AETNA — Asa_Whirlpool_Peia: $722.28 AETNA — International: $822.40 AETNA — MEDICARE ADVANTAGE: $165.94 AETNA — Qhp/Ipf: $1,228 AMERIHEALTH — Managed Medicaid: $397.64 Amish Community Aid Plan — ALL PRODUCTS: $552.60 ANTHEM — Managed Medicaid: $379.56 ANTHEM — MEDICARE ADVANTAGE: $165.94
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST MATERIAL	$1,228	$798.20	$347.28 – $1,228
CT scan of the pelvis, with contrast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $614 ANTHEM — TRADITIONAL: $710.28 OSCAR — ALL PRODUCTS: $443.19
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	$1,668	$1,084.20	$0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,005.89
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $1,251 AETNA — Asa_Whirlpool_Peia: $930.41 AETNA — International: $1,059.38 AETNA — MEDICARE ADVANTAGE: $225.74 AETNA — Qhp/Ipf: $1,668 AMERIHEALTH — Managed Medicaid: $258.01 Amish Community Aid Plan — ALL PRODUCTS: $750.60 ANTHEM — Managed Medicaid: $246.28 ANTHEM — MEDICARE ADVANTAGE: $225.74
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	$1,668	$1,084.20	$471.71 – $1,668
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $834 ANTHEM — TRADITIONAL: $964.77 OSCAR — ALL PRODUCTS: $601.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$2,464	$1,601.60	$0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,863.61
CT scan of the abdomen and pelvis, with contrast: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $1,848 AETNA — Asa_Whirlpool_Peia: $1,489.01 AETNA — International: $1,695.41 AETNA — MEDICARE ADVANTAGE: $330.06 AETNA — Qhp/Ipf: $2,464 AMERIHEALTH — Managed Medicaid: $397.64 Amish Community Aid Plan — ALL PRODUCTS: $1,108.80 ANTHEM — Managed Medicaid: $379.56 ANTHEM — MEDICARE ADVANTAGE: $330.06
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$2,464	$1,601.60	$696.82 – $2,464
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $1,232 ANTHEM — TRADITIONAL: $1,425.18 OSCAR — ALL PRODUCTS: $889.26
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$734	$477.10	$0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $551.66
Ultrasound of the abdomen, complete: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $550.50 AETNA — Asa_Whirlpool_Peia: $264.14 AETNA — International: $300.75 AETNA — MEDICARE ADVANTAGE: $98.91 AETNA — Qhp/Ipf: $734 AMERIHEALTH — Managed Medicaid: $151.76 Amish Community Aid Plan — ALL PRODUCTS: $330.30 ANTHEM — Managed Medicaid: $144.86 ANTHEM — MEDICARE ADVANTAGE: $98.91
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$734	$477.10	$207.58 – $734
Ultrasound of the abdomen, complete: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $367 ANTHEM — TRADITIONAL: $424.55 OSCAR — ALL PRODUCTS: $264.90
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	$734	$477.10	$0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $551.66
Pregnancy ultrasound (after the first trimester): 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $550.50 AETNA — Asa_Whirlpool_Peia: $264.14 AETNA — International: $300.75 AETNA — MEDICARE ADVANTAGE: $98.91 AETNA — Qhp/Ipf: $734 AMERIHEALTH — Managed Medicaid: $118.04 Amish Community Aid Plan — ALL PRODUCTS: $330.30 ANTHEM — Managed Medicaid: $112.68 ANTHEM — MEDICARE ADVANTAGE: $98.91
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	$734	$477.10	$207.58 – $734
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $367 ANTHEM — TRADITIONAL: $424.55 OSCAR — ALL PRODUCTS: $264.90
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$734	$477.10	$0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $551.66
Transvaginal ultrasound: 10 of 64 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $550.50 AETNA — Asa_Whirlpool_Peia: $264.14 AETNA — International: $300.75 AETNA — MEDICARE ADVANTAGE: $98.91 AETNA — Qhp/Ipf: $734 AMERIHEALTH — Managed Medicaid: $98.67 Amish Community Aid Plan — ALL PRODUCTS: $330.30 ANTHEM — Managed Medicaid: $94.19 ANTHEM — MEDICARE ADVANTAGE: $98.91
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$734	$477.10	$207.58 – $734
Transvaginal ultrasound: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $367 ANTHEM — TRADITIONAL: $424.55 OSCAR — ALL PRODUCTS: $264.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$563	$365.95	$159.22 – $563
Diagnostic mammogram, one breast: 10 of 63 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $422.25 AETNA — Asa_Whirlpool_Peia: $394.10 AETNA — International: $361.45 AETNA — MEDICARE ADVANTAGE: $168.11 AETNA — Qhp/Ipf: $563 AMERIHEALTH — Managed Medicaid: $52.35 Amish Community Aid Plan — ALL PRODUCTS: $253.35 ANTHEM — Managed Medicaid: $49.97 ANTHEM — MEDICARE ADVANTAGE: $168.11
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$563	$365.95	$159.22 – $563
Diagnostic mammogram, one breast: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $281.50 ANTHEM — TRADITIONAL: $325.64 OSCAR — ALL PRODUCTS: $203.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$706	$458.90	$199.66 – $706
Diagnostic mammogram, both breasts: 10 of 63 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $529.50 AETNA — Asa_Whirlpool_Peia: $494.20 AETNA — International: $453.25 AETNA — MEDICARE ADVANTAGE: $213.08 AETNA — Qhp/Ipf: $706 AMERIHEALTH — Managed Medicaid: $52.35 Amish Community Aid Plan — ALL PRODUCTS: $317.70 ANTHEM — Managed Medicaid: $49.97 ANTHEM — MEDICARE ADVANTAGE: $213.08
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$706	$458.90	$199.66 – $706
Diagnostic mammogram, both breasts: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $353 ANTHEM — TRADITIONAL: $408.35 OSCAR — ALL PRODUCTS: $254.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$609	$395.85	$0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $489.29
Screening mammogram, both breasts: 10 of 63 insurance plan rates AETNA — Acop: $0.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — ALL PRODUCTS: $456.75 AETNA — Asa_Whirlpool_Peia: $426.30 AETNA — International: $390.98 AETNA — MEDICARE ADVANTAGE: $172.34 AETNA — Qhp/Ipf: $609 AMERIHEALTH — Managed Medicaid: $52.35 Amish Community Aid Plan — ALL PRODUCTS: $274.05 ANTHEM — Managed Medicaid: $49.97 ANTHEM — MEDICARE ADVANTAGE: $172.34
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$609	$395.85	$172.23 – $609
Screening mammogram, both breasts: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $304.50 ANTHEM — TRADITIONAL: $352.25 OSCAR — ALL PRODUCTS: $219.79

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: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$415	$269.75	$90.47 – $415
Electrocardiogram (ECG/EKG) with reading: 10 of 47 insurance plan rates AETNA — Acop: $249 AETNA — ALL PRODUCTS: $311.25 AETNA — Asa_Whirlpool_Peia: $290.50 AETNA — International: $271.41 AETNA — MEDICARE ADVANTAGE: $90.47 AETNA — Qhp/Ipf: $415 AMERIHEALTH — Managed Medicaid: $23.74 Amish Community Aid Plan — ALL PRODUCTS: $186.75 ANTHEM — Managed Medicaid: $22.66 ANTHEM — PPO/HMO: $31.38
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$415	$269.75	$90.47 – $415
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $207.50 ANTHEM — TRADITIONAL: $240.04 OSCAR — ALL PRODUCTS: $149.77
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$18,494	$12,021.10	$1,170.97 – $9,753
Left heart catheterization (diagnostic): 10 of 64 insurance plan rates AETNA — Acop: $8,566 AETNA — ALL PRODUCTS: $13,870.50 AETNA — Asa_Whirlpool_Peia: $8,602 AETNA — International: $9,753 AETNA — MEDICARE ADVANTAGE: $3,067.12 AETNA — Qhp/Ipf: $18,494 AMERIHEALTH — Managed Medicaid: $1,967.11 Amish Community Aid Plan — ALL PRODUCTS: $8,322.30 ANTHEM — Managed Medicaid: $1,877.69 ANTHEM — MEDICARE ADVANTAGE: $3,067.12
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$18,494	$12,021.10	$5,230.10 – $18,494
Left heart catheterization (diagnostic): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $9,247 ANTHEM — TRADITIONAL: $10,696.93 OSCAR — ALL PRODUCTS: $6,674.48
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$43,632	$28,360.80	$12,339.13 – $43,632
Heart rhythm study (electrophysiology evaluation): 10 of 64 insurance plan rates AETNA — Acop: $26,179.20 AETNA — ALL PRODUCTS: $32,724 AETNA — Asa_Whirlpool_Peia: $8,602 AETNA — International: $9,753 AETNA — MEDICARE ADVANTAGE: $7,379.08 AETNA — Qhp/Ipf: $43,632 AMERIHEALTH — Managed Medicaid: $1,575.50 Amish Community Aid Plan — ALL PRODUCTS: $19,634.40 ANTHEM — Managed Medicaid: $1,503.88 ANTHEM — MEDICARE ADVANTAGE: $7,379.08
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$43,632	$28,360.80	$12,339.13 – $43,632
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $21,816 ANTHEM — TRADITIONAL: $25,236.75 OSCAR — ALL PRODUCTS: $15,746.79
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$69,628	$45,258.20	$19,690.80 – $69,628
Heart rhythm study with ablation for atrial fibrillation: 10 of 64 insurance plan rates AETNA — Acop: $41,776.80 AETNA — ALL PRODUCTS: $52,221 AETNA — Asa_Whirlpool_Peia: $8,602 AETNA — International: $9,753 AETNA — MEDICARE ADVANTAGE: $24,728.43 AETNA — Qhp/Ipf: $69,628 AMERIHEALTH — Managed Medicaid: $12,242.35 Amish Community Aid Plan — ALL PRODUCTS: $31,332.60 ANTHEM — Managed Medicaid: $11,685.88 ANTHEM — MEDICARE ADVANTAGE: $24,728.43
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$69,628	$45,258.20	$19,690.80 – $69,628
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $34,814 ANTHEM — TRADITIONAL: $40,272.84 OSCAR — ALL PRODUCTS: $25,128.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$7,020	$4,563	$812.43 – $1,493.87
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates AETNA — Acop: $4,212 AETNA — ALL PRODUCTS: $5,265 AETNA — Asa_Whirlpool_Peia: $4,914 AETNA — International: $4,506.84 AETNA — MEDICARE ADVANTAGE: $812.43 AETNA — Qhp/Ipf: $7,020 Amish Community Aid Plan — ALL PRODUCTS: $3,159 ANTHEM — MEDICARE ADVANTAGE: $812.43 ANTHEM — PPO/HMO: $1,493.87 ANTHEM — TRADITIONAL: $3,934.71
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$7,020	$4,563	$1,985.26 – $7,020
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $3,510 ANTHEM — TRADITIONAL: $4,060.37 OSCAR — ALL PRODUCTS: $2,533.52

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: THERA EXER 1	$258	$167.70	$72.96 – $258
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates AETNA — Acop: $85.66 AETNA — ALL PRODUCTS: $193.50 AETNA — Asa_Whirlpool_Peia: $97.78 AETNA — International: $94.17 AETNA — MEDICARE ADVANTAGE: $37.31 AETNA — Qhp/Ipf: $258 AMERIHEALTH — Managed Medicaid: $85.92 Amish Community Aid Plan — ALL PRODUCTS: $116.10 ANTHEM — Managed Medicaid: $82.02 ANTHEM — MEDICARE ADVANTAGE: $37.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERA EXER 15MIN	$258	$167.70	$72.96 – $258
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates AETNA — Acop: $85.66 AETNA — ALL PRODUCTS: $193.50 AETNA — Asa_Whirlpool_Peia: $97.78 AETNA — International: $94.17 AETNA — MEDICARE ADVANTAGE: $37.31 AETNA — Qhp/Ipf: $258 AMERIHEALTH — Managed Medicaid: $85.92 Amish Community Aid Plan — ALL PRODUCTS: $116.10 ANTHEM — Managed Medicaid: $82.02 ANTHEM — MEDICARE ADVANTAGE: $37.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUT PROC/EXER, 15 MIN	$258	$167.70	$37.06 – $85.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates AETNA — Acop: $85.66 AETNA — ALL PRODUCTS: $193.50 AETNA — Asa_Whirlpool_Peia: $97.78 AETNA — International: $94.17 AETNA — MEDICARE ADVANTAGE: $37.31 AETNA — Qhp/Ipf: $258 AMERIHEALTH — Managed Medicaid: $85.92 Amish Community Aid Plan — ALL PRODUCTS: $116.10 ANTHEM — Managed Medicaid: $82.02 ANTHEM — MEDICARE ADVANTAGE: $37.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VV EVALUATION LOW COMPLEXITY (97161)	$605	$393.25	$171.09 – $605
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$605	$393.25	$171.09 – $605
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - LOW	$605	$393.25	$81.27 – $201.67
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VV EVALUATION MODERATE COMPLEXITY (97162)	$605	$393.25	$171.09 – $605
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - MOD	$605	$393.25	$81.27 – $201.67
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VV EVALUATION MODERATE COMPLEXITY (97162)	$605	$393.25	$171.09 – $605
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $302.50 ANTHEM — TRADITIONAL: $349.93 OSCAR — ALL PRODUCTS: $218.34
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VV EVALUATION HIGH COMPLEXITY (97163)	$605	$393.25	$171.09 – $605
Physical therapy evaluation (high complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL - HIGH	$605	$393.25	$81.27 – $201.67
Physical therapy evaluation (high complexity): 10 of 63 insurance plan rates AETNA — Acop: $200.86 AETNA — ALL PRODUCTS: $453.75 AETNA — Asa_Whirlpool_Peia: $229.30 AETNA — International: $220.83 AETNA — MEDICARE ADVANTAGE: $126.43 AETNA — Qhp/Ipf: $605 AMERIHEALTH — Managed Medicaid: $94.11 Amish Community Aid Plan — ALL PRODUCTS: $272.25 ANTHEM — Managed Medicaid: $89.83 ANTHEM — MEDICARE ADVANTAGE: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VV EVALUATION HIGH COMPLEXITY (97163)	$605	$393.25	$171.09 – $605
Physical therapy evaluation (high complexity): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $302.50 ANTHEM — TRADITIONAL: $349.93 OSCAR — ALL PRODUCTS: $218.34
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES	$482	$313.30	$136.31 – $482
Psychotherapy, 30 minutes: 10 of 64 insurance plan rates AETNA — Acop: $289.20 AETNA — ALL PRODUCTS: $361.50 AETNA — Asa_Whirlpool_Peia: $337.40 AETNA — International: $309.44 AETNA — MEDICARE ADVANTAGE: $167.92 AETNA — Qhp/Ipf: $482 AMERIHEALTH — Managed Medicaid: $96.04 Amish Community Aid Plan — ALL PRODUCTS: $216.90 ANTHEM — Managed Medicaid: $91.68 ANTHEM — MEDICARE ADVANTAGE: $167.92
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES	$482	$313.30	$136.31 – $482
Psychotherapy, 30 minutes: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $241 ANTHEM — TRADITIONAL: $278.79 OSCAR — ALL PRODUCTS: $173.95
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES	$482	$313.30	$136.31 – $482
Psychotherapy, 45 minutes: 10 of 64 insurance plan rates AETNA — Acop: $289.20 AETNA — ALL PRODUCTS: $361.50 AETNA — Asa_Whirlpool_Peia: $337.40 AETNA — International: $309.44 AETNA — MEDICARE ADVANTAGE: $167.92 AETNA — Qhp/Ipf: $482 AMERIHEALTH — Managed Medicaid: $120.15 Amish Community Aid Plan — ALL PRODUCTS: $216.90 ANTHEM — Managed Medicaid: $114.69 ANTHEM — MEDICARE ADVANTAGE: $167.92
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES	$482	$313.30	$136.31 – $482
Psychotherapy, 45 minutes: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $241 ANTHEM — TRADITIONAL: $278.79 OSCAR — ALL PRODUCTS: $173.95
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES	$482	$313.30	$103.77 – $316.85
Psychotherapy, 60 minutes: 10 of 63 insurance plan rates AETNA — Acop: $289.20 AETNA — ALL PRODUCTS: $361.50 AETNA — Asa_Whirlpool_Peia: $337.40 AETNA — International: $309.44 AETNA — MEDICARE ADVANTAGE: $167.92 AETNA — Qhp/Ipf: $482 AMERIHEALTH — Managed Medicaid: $120.15 Amish Community Aid Plan — ALL PRODUCTS: $216.90 ANTHEM — Managed Medicaid: $114.69 ANTHEM — MEDICARE ADVANTAGE: $167.92
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES	$482	$313.30	$136.31 – $482
Psychotherapy, 60 minutes: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $241 ANTHEM — TRADITIONAL: $278.79 OSCAR — ALL PRODUCTS: $173.95
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$482	$313.30	$136.31 – $482
Family psychotherapy, without the patient: 10 of 63 insurance plan rates AETNA — Acop: $289.20 AETNA — ALL PRODUCTS: $361.50 AETNA — Asa_Whirlpool_Peia: $337.40 AETNA — International: $309.44 AETNA — MEDICARE ADVANTAGE: $167.92 AETNA — Qhp/Ipf: $482 AMERIHEALTH — Managed Medicaid: $160.37 Amish Community Aid Plan — ALL PRODUCTS: $216.90 ANTHEM — Managed Medicaid: $153.08 ANTHEM — MEDICARE ADVANTAGE: $167.92
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$482	$313.30	$136.31 – $482
Family psychotherapy, without the patient: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $241 ANTHEM — TRADITIONAL: $278.79 OSCAR — ALL PRODUCTS: $173.95
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAM THERAPY W PATIENT DTOX	$482	$313.30	$136.31 – $482
Family psychotherapy, with the patient: 10 of 63 insurance plan rates AETNA — Acop: $289.20 AETNA — ALL PRODUCTS: $361.50 AETNA — Asa_Whirlpool_Peia: $337.40 AETNA — International: $309.44 AETNA — MEDICARE ADVANTAGE: $167.92 AETNA — Qhp/Ipf: $482 AMERIHEALTH — Managed Medicaid: $160.37 Amish Community Aid Plan — ALL PRODUCTS: $216.90 ANTHEM — Managed Medicaid: $153.08 ANTHEM — MEDICARE ADVANTAGE: $167.92
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$482	$313.30	$136.31 – $482
Family psychotherapy, with the patient: 10 of 63 insurance plan rates AETNA — Acop: $289.20 AETNA — ALL PRODUCTS: $361.50 AETNA — Asa_Whirlpool_Peia: $337.40 AETNA — International: $309.44 AETNA — MEDICARE ADVANTAGE: $167.92 AETNA — Qhp/Ipf: $482 AMERIHEALTH — Managed Medicaid: $160.37 Amish Community Aid Plan — ALL PRODUCTS: $216.90 ANTHEM — Managed Medicaid: $153.08 ANTHEM — MEDICARE ADVANTAGE: $167.92
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAM THERAPY W PATIENT DTOX	$482	$313.30	$136.31 – $482
Family psychotherapy, with the patient: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $241 ANTHEM — TRADITIONAL: $278.79 OSCAR — ALL PRODUCTS: $173.95
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IOP HALF DAY RATE	$834	$542.10	$235.86 – $834
Group psychotherapy: 10 of 63 insurance plan rates AETNA — Acop: $500.40 AETNA — ALL PRODUCTS: $625.50 AETNA — Asa_Whirlpool_Peia: $583.80 AETNA — International: $535.43 AETNA — MEDICARE ADVANTAGE: $96.11 AETNA — Qhp/Ipf: $834 AMERIHEALTH — Managed Medicaid: $133.07 Amish Community Aid Plan — ALL PRODUCTS: $375.30 ANTHEM — Managed Medicaid: $127.02 ANTHEM — MEDICARE ADVANTAGE: $96.11
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VIRTUAL VISIT IOP HALF DAY RATE	$834	$542.10	$56.67 – $133.07
Group psychotherapy: 10 of 63 insurance plan rates AETNA — Acop: $500.40 AETNA — ALL PRODUCTS: $625.50 AETNA — Asa_Whirlpool_Peia: $583.80 AETNA — International: $535.43 AETNA — MEDICARE ADVANTAGE: $96.11 AETNA — Qhp/Ipf: $834 AMERIHEALTH — Managed Medicaid: $133.07 Amish Community Aid Plan — ALL PRODUCTS: $375.30 ANTHEM — Managed Medicaid: $127.02 ANTHEM — MEDICARE ADVANTAGE: $96.11
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CD IOP DAY	$834	$542.10	$235.86 – $834
Group psychotherapy: 10 of 63 insurance plan rates AETNA — Acop: $500.40 AETNA — ALL PRODUCTS: $625.50 AETNA — Asa_Whirlpool_Peia: $583.80 AETNA — International: $535.43 AETNA — MEDICARE ADVANTAGE: $96.11 AETNA — Qhp/Ipf: $834 AMERIHEALTH — Managed Medicaid: $133.07 Amish Community Aid Plan — ALL PRODUCTS: $375.30 ANTHEM — Managed Medicaid: $127.02 ANTHEM — MEDICARE ADVANTAGE: $96.11

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: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$11,488	$7,467.20	$786.81 – $6,410
Removal of breast growth (open surgery): 10 of 64 insurance plan rates AETNA — Acop: $5,355 AETNA — ALL PRODUCTS: $8,616 AETNA — Asa_Whirlpool_Peia: $5,653 AETNA — International: $6,410 AETNA — MEDICARE ADVANTAGE: $3,704.30 AETNA — Qhp/Ipf: $11,488 AMERIHEALTH — Managed Medicaid: $1,042.01 Amish Community Aid Plan — ALL PRODUCTS: $5,169.60 ANTHEM — Managed Medicaid: $994.64 ANTHEM — MEDICARE ADVANTAGE: $3,704.30
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$11,488	$7,467.20	$3,248.81 – $11,488
Removal of breast growth (open surgery): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $5,744 ANTHEM — TRADITIONAL: $6,644.66 OSCAR — ALL PRODUCTS: $4,146.02
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	$6,874.74 – $26,295.70
Total hip replacement: 10 of 19 insurance plan rates AETNA — MEDICARE ADVANTAGE: $12,146.38 ANTHEM — MEDICARE ADVANTAGE: $12,146.38 ANTHEM — PPO/HMO: $26,295.70 CIGNA — MEDICARE ADVANTAGE: $12,510.77 CommuniCare — MEDICARE ADVANTAGE: $12,753.70 DEVOTED HEALTH — MEDICARE ADVANTAGE: $12,146.38 HUMANA — Medicare Advantage HMO: $11,928.06 MMO — Medicare Advantage HMO: $11,928.06 MMO — Medicare Advantage PPO: $12,285.90 OPTUM — All Products VA: $11,928.06
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	$6,874.74 – $26,295.70
Total hip replacement: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $7,960.23 ANTHEM — Managed Medicaid: $7,598.40 Buckeye — Managed Medicaid: $7,598.40 CARESOURCE — Managed Medicaid: $7,743.13 MOLINA — Managed Medicaid: $7,598.40 OPTUM — Managed Medicaid Transplant: $6,874.74 Paramount — Managed Medicaid: $7,453.67 UNITED — Managed Medicaid: $7,743.13 United BH — Managed Medicaid: $7,670.76 United BH — MEDICARE ADVANTAGE: $7,236.57
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	$6,874.74 – $26,295.70
Total knee replacement: 10 of 18 insurance plan rates AETNA — MEDICARE ADVANTAGE: $12,146.38 ANTHEM — MEDICARE ADVANTAGE: $12,146.38 ANTHEM — PPO/HMO: $26,295.70 CIGNA — MEDICARE ADVANTAGE: $12,510.77 CommuniCare — MEDICARE ADVANTAGE: $12,753.70 DEVOTED HEALTH — MEDICARE ADVANTAGE: $12,146.38 HUMANA — Medicare Advantage HMO: $11,928.06 MMO — Medicare Advantage HMO: $11,928.06 MMO — Medicare Advantage PPO: $12,285.90 OPTUM — All Products VA: $11,928.06
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	$6,874.74 – $26,295.70
Total knee replacement: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $7,960.23 ANTHEM — Managed Medicaid: $7,598.40 Buckeye — Managed Medicaid: $7,598.40 CARESOURCE — Managed Medicaid: $7,743.13 MOLINA — Managed Medicaid: $7,598.40 OPTUM — Managed Medicaid Transplant: $6,874.74 Paramount — Managed Medicaid: $7,453.67 UNITED — Managed Medicaid: $7,743.13 United BH — Managed Medicaid: $7,670.76 United BH — MEDICARE ADVANTAGE: $7,236.57
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	$1,597.38 – $1,849.60
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $1,849.60 ANTHEM — Managed Medicaid: $1,765.52 Buckeye — Managed Medicaid: $1,765.52 CARESOURCE — Managed Medicaid: $1,799.15 MOLINA — Managed Medicaid: $1,765.52 OPTUM — Managed Medicaid Transplant: $1,597.38 Paramount — Managed Medicaid: $1,731.89 UNITED — Managed Medicaid: $1,799.15 United BH — Managed Medicaid: $1,782.34 United BH — MEDICARE ADVANTAGE: $1,681.45
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	$1,597.38 – $6,701.59
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates AETNA — MEDICARE ADVANTAGE: $3,095.56 ANTHEM — MEDICARE ADVANTAGE: $3,095.56 ANTHEM — PPO/HMO: $6,701.59 CIGNA — MEDICARE ADVANTAGE: $3,188.43 CommuniCare — MEDICARE ADVANTAGE: $3,250.34 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,095.56 HUMANA — Medicare Advantage HMO: $3,007.88 MMO — ALL PRODUCTS: $4,042 MMO — Medicare Advantage HMO: $3,007.88 MMO — Medicare Advantage PPO: $3,098.12
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	$1,597.38 – $6,701.59
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $1,849.60 ANTHEM — Managed Medicaid: $1,765.52 Buckeye — Managed Medicaid: $1,765.52 CARESOURCE — Managed Medicaid: $1,799.15 MOLINA — Managed Medicaid: $1,765.52 OPTUM — Managed Medicaid Transplant: $1,597.38 Paramount — Managed Medicaid: $1,731.89 UNITED — Managed Medicaid: $1,799.15 United BH — Managed Medicaid: $1,782.34 United BH — MEDICARE ADVANTAGE: $1,681.45
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	$1,251.18 – $12,124.77
Removal of tonsils and adenoids (under age 12): 10 of 18 insurance plan rates AETNA — MEDICARE ADVANTAGE: $5,600.62 ANTHEM — MEDICARE ADVANTAGE: $5,600.62 ANTHEM — PPO/HMO: $12,124.77 CIGNA — MEDICARE ADVANTAGE: $5,768.63 CommuniCare — MEDICARE ADVANTAGE: $5,880.65 DEVOTED HEALTH — MEDICARE ADVANTAGE: $5,600.62 HUMANA — Medicare Advantage HMO: $5,484.05 MMO — Medicare Advantage HMO: $5,484.05 MMO — Medicare Advantage PPO: $5,648.58 OPTUM — All Products VA: $5,484.05
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	$1,251.18 – $12,124.77
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $1,448.73 ANTHEM — Managed Medicaid: $1,382.88 Buckeye — Managed Medicaid: $1,382.88 CARESOURCE — Managed Medicaid: $1,409.22 MOLINA — Managed Medicaid: $1,382.88 OPTUM — Managed Medicaid Transplant: $1,251.18 Paramount — Managed Medicaid: $1,356.54 UNITED — Managed Medicaid: $1,409.22 United BH — Managed Medicaid: $1,396.05 United BH — MEDICARE ADVANTAGE: $1,317.03
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$4,313	$2,803.45	$228.51 – $3,053
Upper GI endoscopy (diagnostic): 10 of 64 insurance plan rates AETNA — Acop: $2,451 AETNA — ALL PRODUCTS: $3,234.75 AETNA — Asa_Whirlpool_Peia: $2,693 AETNA — International: $3,053 AETNA — MEDICARE ADVANTAGE: $858.08 AETNA — Qhp/Ipf: $4,313 AMERIHEALTH — Managed Medicaid: $788.01 Amish Community Aid Plan — ALL PRODUCTS: $1,940.85 ANTHEM — Managed Medicaid: $752.19 ANTHEM — MEDICARE ADVANTAGE: $858.08
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$4,313	$2,803.45	$1,219.72 – $4,313
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,156.50 ANTHEM — TRADITIONAL: $2,494.64 OSCAR — ALL PRODUCTS: $1,556.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$4,313	$2,803.45	$256.54 – $3,971
Upper GI endoscopy with biopsy: 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $3,234.75 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $858.08 AETNA — Qhp/Ipf: $4,313 AMERIHEALTH — Managed Medicaid: $788.01 Amish Community Aid Plan — ALL PRODUCTS: $1,940.85 ANTHEM — Managed Medicaid: $752.19 ANTHEM — MEDICARE ADVANTAGE: $858.08
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$4,313	$2,803.45	$1,219.72 – $4,313
Upper GI endoscopy with biopsy: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,156.50 ANTHEM — TRADITIONAL: $2,494.64 OSCAR — ALL PRODUCTS: $1,556.56
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$4,194	$2,726.10	$1,186.06 – $4,194
Colonoscopy (diagnostic): 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $3,145.50 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $879.81 AETNA — Qhp/Ipf: $4,194 AMERIHEALTH — Managed Medicaid: $899.03 Amish Community Aid Plan — ALL PRODUCTS: $1,887.30 ANTHEM — Managed Medicaid: $858.17 ANTHEM — MEDICARE ADVANTAGE: $879.81
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$4,194	$2,726.10	$1,186.06 – $4,194
Colonoscopy (diagnostic): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,097 ANTHEM — TRADITIONAL: $2,425.81 OSCAR — ALL PRODUCTS: $1,513.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$5,424	$3,525.60	$370.78 – $4,338
Colonoscopy with biopsy: 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $4,068 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $1,132.12 AETNA — Qhp/Ipf: $5,424 AMERIHEALTH — Managed Medicaid: $899.03 Amish Community Aid Plan — ALL PRODUCTS: $2,440.80 ANTHEM — Managed Medicaid: $858.17 ANTHEM — MEDICARE ADVANTAGE: $1,132.12
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$5,424	$3,525.60	$1,533.91 – $5,424
Colonoscopy with biopsy: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,712 ANTHEM — TRADITIONAL: $3,137.24 OSCAR — ALL PRODUCTS: $1,957.52
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$5,424	$3,525.60	$468.99 – $4,338
Colonoscopy with removal of polyps (snare): 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $4,068 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $1,132.12 AETNA — Qhp/Ipf: $5,424 AMERIHEALTH — Managed Medicaid: $899.03 Amish Community Aid Plan — ALL PRODUCTS: $2,440.80 ANTHEM — Managed Medicaid: $858.17 ANTHEM — MEDICARE ADVANTAGE: $1,132.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$5,424	$3,525.60	$1,533.91 – $5,424
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,712 ANTHEM — TRADITIONAL: $3,137.24 OSCAR — ALL PRODUCTS: $1,957.52
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	$776.44 – $2,450.92
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates AETNA — MEDICARE ADVANTAGE: $1,132.12 ANTHEM — MEDICARE ADVANTAGE: $1,132.12 ANTHEM — PPO/HMO: $2,450.92 CIGNA — MEDICARE ADVANTAGE: $1,166.08 CommuniCare — MEDICARE ADVANTAGE: $1,188.72 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,132.12 HUMANA — Medicare Advantage HMO: $1,093.05 MMO — Medicare Advantage HMO: $1,093.05 MMO — Medicare Advantage PPO: $1,125.85 OPTUM — All Products VA: $1,093.05
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	$776.44 – $2,450.92
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $899.03 ANTHEM — Managed Medicaid: $858.17 Buckeye — Managed Medicaid: $858.17 CARESOURCE — Managed Medicaid: $874.51 MOLINA — Managed Medicaid: $858.17 OPTUM — Managed Medicaid Transplant: $776.44 Paramount — Managed Medicaid: $841.82 UNITED — Managed Medicaid: $874.51 United BH — Managed Medicaid: $866.34 United BH — MEDICARE ADVANTAGE: $817.30
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLOSCPY, SCRN; NOT HI RISK	$3,647	$2,370.55	$342.50 – $3,971
Screening colonoscopy (not high risk): 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $2,735.25 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $879.81 AETNA — Qhp/Ipf: $3,647 AMERIHEALTH — Managed Medicaid: $899.03 Amish Community Aid Plan — ALL PRODUCTS: $1,641.15 ANTHEM — Managed Medicaid: $858.17 ANTHEM — MEDICARE ADVANTAGE: $879.81
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLOSCPY, SCRN; NOT HI RISK	$3,647	$2,370.55	$1,031.37 – $3,647
Screening colonoscopy (not high risk): rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $1,823.50 ANTHEM — TRADITIONAL: $2,109.42 OSCAR — ALL PRODUCTS: $1,316.20
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY	$26,838	$17,444.70	$1,238.71 – $10,235
Gallbladder removal by laparoscope: 10 of 64 insurance plan rates AETNA — Acop: $8,422 AETNA — ALL PRODUCTS: $20,128.50 AETNA — Asa_Whirlpool_Peia: $7,310 AETNA — International: $8,288 AETNA — MEDICARE ADVANTAGE: $5,719.53 AETNA — Qhp/Ipf: $26,838 AMERIHEALTH — Managed Medicaid: $3,052.93 Amish Community Aid Plan — ALL PRODUCTS: $12,077.10 ANTHEM — Managed Medicaid: $2,914.16 ANTHEM — MEDICARE ADVANTAGE: $5,719.53
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY	$26,838	$17,444.70	$7,589.79 – $26,838
Gallbladder removal by laparoscope: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $13,419 ANTHEM — TRADITIONAL: $15,523.10 OSCAR — ALL PRODUCTS: $9,685.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$16,234	$10,552.10	$989.15 – $6,885
Groin (inguinal) hernia repair, age 5 or older: 10 of 64 insurance plan rates AETNA — Acop: $6,075 AETNA — ALL PRODUCTS: $12,175.50 AETNA — Asa_Whirlpool_Peia: $6,072 AETNA — International: $6,885 AETNA — MEDICARE ADVANTAGE: $3,387.33 AETNA — Qhp/Ipf: $16,234 AMERIHEALTH — Managed Medicaid: $2,460.66 Amish Community Aid Plan — ALL PRODUCTS: $7,305.30 ANTHEM — Managed Medicaid: $2,348.81 ANTHEM — MEDICARE ADVANTAGE: $3,387.33
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$16,234	$10,552.10	$4,590.98 – $16,234
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $8,117 ANTHEM — TRADITIONAL: $9,389.75 OSCAR — ALL PRODUCTS: $5,858.85
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$983.76 – $2,050.97
Prostate biopsy: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $1,139.09 ANTHEM — Managed Medicaid: $1,087.32 Buckeye — Managed Medicaid: $1,087.32 CARESOURCE — Managed Medicaid: $1,108.03 MOLINA — Managed Medicaid: $1,087.32 OPTUM — Managed Medicaid Transplant: $983.76 Paramount — Managed Medicaid: $1,066.61 UNITED — Managed Medicaid: $1,108.03 United BH — Managed Medicaid: $1,097.67 United BH — MEDICARE ADVANTAGE: $1,035.54
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$983.76 – $2,050.97
Prostate biopsy: rates for 7 insurance plans HUMANA — Medicare Advantage HMO: $1,899.05 MMO — Medicare Advantage HMO: $1,899.05 MMO — Medicare Advantage PPO: $1,956.02 OPTUM — All Products VA: $1,899.05 Perennial Health — MEDICARE ADVANTAGE: $2,050.97 The Health Plan — MEDICARE ADVANTAGE: $1,767.05 UNITED — MEDICARE ADVANTAGE: $1,899.05
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	$2,864.89 – $21,771.62
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates AETNA — MEDICARE ADVANTAGE: $10,056.64 ANTHEM — MEDICARE ADVANTAGE: $10,056.64 ANTHEM — PPO/HMO: $21,771.62 CIGNA — MEDICARE ADVANTAGE: $10,358.34 CommuniCare — MEDICARE ADVANTAGE: $10,559.47 DEVOTED HEALTH — MEDICARE ADVANTAGE: $10,056.64 HUMANA — Medicare Advantage HMO: $9,651.62 MMO — Medicare Advantage HMO: $9,651.62 MMO — Medicare Advantage PPO: $9,941.17 OPTUM — All Products VA: $9,651.62
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	$2,864.89 – $21,771.62
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $3,317.24 ANTHEM — Managed Medicaid: $3,166.45 Buckeye — Managed Medicaid: $3,166.45 CARESOURCE — Managed Medicaid: $3,226.77 MOLINA — Managed Medicaid: $3,166.45 OPTUM — Managed Medicaid Transplant: $2,864.89 Paramount — Managed Medicaid: $3,106.14 UNITED — Managed Medicaid: $3,226.77 United BH — Managed Medicaid: $3,196.61 United BH — MEDICARE ADVANTAGE: $3,015.67
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$14,626	$9,506.90	$421.86 – $5,653
Hysteroscopy with biopsy of the uterus lining: 10 of 64 insurance plan rates AETNA — Acop: $5,355 AETNA — ALL PRODUCTS: $10,969.50 AETNA — Asa_Whirlpool_Peia: $5,653 AETNA — International: $9,565.40 AETNA — MEDICARE ADVANTAGE: $3,062.57 AETNA — Qhp/Ipf: $14,626 AMERIHEALTH — Managed Medicaid: $1,720.75 Amish Community Aid Plan — ALL PRODUCTS: $6,581.70 ANTHEM — Managed Medicaid: $1,642.54 ANTHEM — MEDICARE ADVANTAGE: $3,062.57
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$14,626	$9,506.90	$4,136.23 – $14,626
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $7,313 ANTHEM — TRADITIONAL: $8,459.68 OSCAR — ALL PRODUCTS: $5,278.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$4,778	$3,105.70	$187.63 – $3,465
Spinal injection, lower back (epidural), with imaging guidance: 10 of 64 insurance plan rates AETNA — Acop: $2,451 AETNA — ALL PRODUCTS: $3,583.50 AETNA — Asa_Whirlpool_Peia: $2,693 AETNA — International: $3,053 AETNA — MEDICARE ADVANTAGE: $667.82 AETNA — Qhp/Ipf: $4,778 AMERIHEALTH — Managed Medicaid: $571.13 Amish Community Aid Plan — ALL PRODUCTS: $2,150.10 ANTHEM — Managed Medicaid: $545.17 ANTHEM — MEDICARE ADVANTAGE: $667.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$4,778	$3,105.70	$1,351.22 – $4,778
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $2,389 ANTHEM — TRADITIONAL: $2,763.60 OSCAR — ALL PRODUCTS: $1,724.38
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$6,143	$3,992.95	$1,737.24 – $6,143
Nerve root injection, lower back, with imaging guidance: 10 of 64 insurance plan rates AETNA — Acop: $2,451 AETNA — ALL PRODUCTS: $4,607.25 AETNA — Asa_Whirlpool_Peia: $2,693 AETNA — International: $3,053 AETNA — MEDICARE ADVANTAGE: $836.78 AETNA — Qhp/Ipf: $6,143 AMERIHEALTH — Managed Medicaid: $571.13 Amish Community Aid Plan — ALL PRODUCTS: $2,764.35 ANTHEM — Managed Medicaid: $545.17 ANTHEM — MEDICARE ADVANTAGE: $836.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$6,143	$3,992.95	$1,737.24 – $6,143
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $3,071.50 ANTHEM — TRADITIONAL: $3,553.11 OSCAR — ALL PRODUCTS: $2,217.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$13,474	$8,758.10	$3,810.45 – $13,474
Carpal tunnel release: 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $10,105.50 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $1,847.43 AETNA — Qhp/Ipf: $13,474 AMERIHEALTH — Managed Medicaid: $1,100.98 Amish Community Aid Plan — ALL PRODUCTS: $6,063.30 ANTHEM — Managed Medicaid: $1,050.93 ANTHEM — MEDICARE ADVANTAGE: $1,847.43
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$13,474	$8,758.10	$3,810.45 – $13,474
Carpal tunnel release: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $6,737 ANTHEM — TRADITIONAL: $7,793.36 OSCAR — ALL PRODUCTS: $4,862.77
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST-CATARACT LASER SURGERY	$2,524	$1,640.60	$277.68 – $3,971
Laser treatment of clouding after cataract surgery: 10 of 64 insurance plan rates AETNA — Acop: $3,265 AETNA — ALL PRODUCTS: $1,893 AETNA — Asa_Whirlpool_Peia: $3,502 AETNA — International: $3,971 AETNA — MEDICARE ADVANTAGE: $520.34 AETNA — Qhp/Ipf: $2,524 AMERIHEALTH — Managed Medicaid: $321.52 Amish Community Aid Plan — ALL PRODUCTS: $1,135.80 ANTHEM — Managed Medicaid: $306.90 ANTHEM — MEDICARE ADVANTAGE: $520.34
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POST-CATARACT LASER SURGERY	$2,524	$1,640.60	$713.79 – $2,524
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Amish Community Aid Plan — ALL PRODUCTS: $1,262 ANTHEM — TRADITIONAL: $1,459.88 OSCAR — ALL PRODUCTS: $910.91
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,151.35 – $4,726.80
Cataract removal with lens implant: 10 of 18 insurance plan rates AETNA — MEDICARE ADVANTAGE: $2,183.38 ANTHEM — MEDICARE ADVANTAGE: $2,183.38 ANTHEM — PPO/HMO: $4,726.80 CIGNA — MEDICARE ADVANTAGE: $2,248.88 CommuniCare — MEDICARE ADVANTAGE: $2,292.55 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,183.38 HUMANA — Medicare Advantage HMO: $2,114.33 MMO — Medicare Advantage HMO: $2,114.33 MMO — Medicare Advantage PPO: $2,177.76 OPTUM — All Products VA: $2,114.33
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$1,151.35 – $4,726.80
Cataract removal with lens implant: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $1,333.15 ANTHEM — Managed Medicaid: $1,272.55 Buckeye — Managed Medicaid: $1,272.55 CARESOURCE — Managed Medicaid: $1,296.79 MOLINA — Managed Medicaid: $1,272.55 OPTUM — Managed Medicaid Transplant: $1,151.35 Paramount — Managed Medicaid: $1,248.31 UNITED — Managed Medicaid: $1,296.79 United BH — Managed Medicaid: $1,284.67 United BH — MEDICARE ADVANTAGE: $1,211.95

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	$2,005.49 – $2,322.14
Vaginal delivery, with care before and after: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $2,322.14 ANTHEM — Managed Medicaid: $2,216.59 Buckeye — Managed Medicaid: $2,216.59 CARESOURCE — Managed Medicaid: $2,258.81 MOLINA — Managed Medicaid: $2,216.59 OPTUM — Managed Medicaid Transplant: $2,005.49 Paramount — Managed Medicaid: $2,174.37 UNITED — Managed Medicaid: $2,258.81 United BH — Managed Medicaid: $2,237.70 United BH — MEDICARE ADVANTAGE: $2,111.04
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	$1,392.94 – $1,612.88
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $1,612.88 ANTHEM — Managed Medicaid: $1,539.56 Buckeye — Managed Medicaid: $1,539.56 CARESOURCE — Managed Medicaid: $1,568.89 MOLINA — Managed Medicaid: $1,539.56 OPTUM — Managed Medicaid Transplant: $1,392.94 Paramount — Managed Medicaid: $1,510.24 UNITED — Managed Medicaid: $1,568.89 United BH — Managed Medicaid: $1,554.23 United BH — MEDICARE ADVANTAGE: $1,466.25
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	$2,005.49 – $2,322.14
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans AMERIHEALTH — Managed Medicaid: $2,322.14 ANTHEM — Managed Medicaid: $2,216.59 Buckeye — Managed Medicaid: $2,216.59 CARESOURCE — Managed Medicaid: $2,258.81 MOLINA — Managed Medicaid: $2,216.59 OPTUM — Managed Medicaid Transplant: $2,005.49 Paramount — Managed Medicaid: $2,174.37 UNITED — Managed Medicaid: $2,258.81 United BH — Managed Medicaid: $2,237.70 United BH — MEDICARE ADVANTAGE: $2,111.04

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	$16,743 – $283,600
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 41 insurance plan rates AETNA — Acop: $98,796.50 AETNA — Asa_Whirlpool_Peia: $134,445.02 AETNA — International: $152,435.59 AETNA — MEDICARE ADVANTAGE: $68,192.22 ANTHEM — MEDICARE ADVANTAGE: $68,192.22 ANTHEM — PPO/HMO: $16,743 CIGNA — ALL PRODUCTS: $166,796.74 CIGNA — MEDICARE ADVANTAGE: $70,237.99 CommuniCare — MEDICARE ADVANTAGE: $71,601.83 DEVOTED HEALTH — MEDICARE ADVANTAGE: $68,192.22
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	$13,491.56 – $60,600
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates AETNA — Acop: $30,439 AETNA — Asa_Whirlpool_Peia: $39,129 AETNA — International: $30,056.12 ANTHEM — PPO/HMO: $16,743 CIGNA — ALL PRODUCTS: $32,887.75 Medical Benefit Corp — Transplant SMCP: $60,600 MMO — ALL PRODUCTS: $19,648 UNITED — ALL PRODUCTS: $20,542 AETNA — ALL PRODUCTS: 75% (a percentage in the contract, not a dollar amount) AETNA — NAP: 68.8% (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 HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$13,491.56 – $60,600
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates AETNA — MEDICARE ADVANTAGE: $14,369.67 ANTHEM — MEDICARE ADVANTAGE: $14,369.67 CIGNA — MEDICARE ADVANTAGE: $14,800.76 CommuniCare — MEDICARE ADVANTAGE: $15,088.15 DEVOTED HEALTH — MEDICARE ADVANTAGE: $14,369.67 HUMANA — Medicare Advantage HMO: $14,369.67 Humana Military — ALL PRODUCTS: $13,491.56 MMO — Medicare Advantage HMO: $14,369.67 MMO — Medicare Advantage PPO: $14,800.76 OPTUM — All Products VA: $14,369.67
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	$16,682.52 – $83,000
Neck (cervical) spinal fusion, without complications: 10 of 41 insurance plan rates AETNA — Acop: $34,878 AETNA — Asa_Whirlpool_Peia: $42,128 AETNA — International: $38,040.34 AETNA — MEDICARE ADVANTAGE: $17,881.13 ANTHEM — MEDICARE ADVANTAGE: $17,881.13 ANTHEM — PPO/HMO: $16,743 CIGNA — ALL PRODUCTS: $41,624.17 CIGNA — MEDICARE ADVANTAGE: $18,417.56 CommuniCare — MEDICARE ADVANTAGE: $18,775.19 DEVOTED HEALTH — MEDICARE ADVANTAGE: $17,881.13
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	$8,943.83 – $21,153.94
Uterus and ovary surgery (not for cancer), without complications: 10 of 40 insurance plan rates AETNA — Acop: $10,576 AETNA — Asa_Whirlpool_Peia: $14,436 AETNA — International: $19,332.59 AETNA — MEDICARE ADVANTAGE: $9,653.46 ANTHEM — MEDICARE ADVANTAGE: $9,653.46 ANTHEM — PPO/HMO: $16,110.49 CIGNA — ALL PRODUCTS: $21,153.94 CIGNA — MEDICARE ADVANTAGE: $9,943.06 CommuniCare — MEDICARE ADVANTAGE: $10,136.13 DEVOTED HEALTH — MEDICARE ADVANTAGE: $9,653.46

Source: Euclid Hospital’s standard charges file (clevelandclinic.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	18901 Lake Shore Boulevard, Euclid, OH 44119
County	Cuyahoga County
State	Ohio
Phone	(216) 531‑9000
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
CMS Certification Number	360082
Name in Medicare records	EUCLID HOSPITAL
Profile level	Medicare data + hospital website
Official website	my.clevelandclinic.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.

Euclid Hospital — my.clevelandclinic.org
Specialties & Services at Euclid Hospital — my.clevelandclinic.org
Guest Services — my.clevelandclinic.org
Euclid Hospital Visitor Guide | Cleveland Clinic — my.clevelandclinic.org
Emergency Department | Euclid Hospital — my.clevelandclinic.org
Orthopaedic Services | Euclid Hospital — my.clevelandclinic.org
Radiology Services | Euclid Hospital — my.clevelandclinic.org
Surgical Services | Euclid Hospital — my.clevelandclinic.org
Stroke Center | Euclid Hospital — my.clevelandclinic.org
Outpatient Rehabilitation | Euclid Hospital — my.clevelandclinic.org
Cardiovascular Care | Euclid Hospital — my.clevelandclinic.org
Outpatient Care | Euclid Hospital — my.clevelandclinic.org
Quality, Recognition and Accreditation | Euclid Hospital — my.clevelandclinic.org
Cardiac Rehabilitation | Euclid Hospital — my.clevelandclinic.org
Digestive Health Center | Euclid Hospital — my.clevelandclinic.org

Euclid Hospital

Summary

Profile from official sources

At a glance