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Acute Care Hospital

Evans Memorial Hospital

Claxton, Georgia · Evans County · Emergency services listed

Evans Memorial Hospital is an acute care hospital at 200 N River Street, Claxton, GA 30417. Phone: (912) 739-5105. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Evans Memorial Hospital is an acute care hospital in Claxton, Georgia. Medicare data lists emergency services. Its official website lists 75 services, specialties and programs. Medicare lists 84 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(912) 739‑5105 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
49Beds (hospital website)
84Doctors and clinicians
75Services listed

Quick answers

Does Evans Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Evans Memorial Hospital. In a medical emergency, call 911.
Where is Evans Memorial Hospital?
200 N River Street, Claxton, GA 30417, in Evans County, Georgia.
What is the phone number of Evans Memorial Hospital?
(912) 739-5105, as listed by Medicare (CMS).
What is the Medicare star rating of Evans Memorial Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Does Medicare reduce its payments to Evans Memorial Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Evans Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7315; 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[4][7][8][9][12]

Treatments[7][8][13]

  • Iron infusions
  • Saline infusion
  • Antibiotic infusion therapy
  • Blood transfusion
  • Breathing retraining and oxygen therapy
  • Nutritional counseling
  • Tumescent liposuction

Procedures[8][9][11]

  • Laparoscopic gallbladder removal
  • Diagnostic laparoscopy
  • Appendectomy
  • Hernia repair
  • Colorectal surgery
  • Port-a-cath placement
  • Thyroid biopsy and resection
  • Parathyroidectomy
  • Breast biopsy and lumpectomy
  • Mastectomy
  • Laparoscopic colon resection
  • Laparoscopic Nissen fundoplication
  • Colonoscopy
  • Upper endoscopy and esophageal dilation
  • Anoscopy and hemorrhoid banding
  • Flexible sigmoidoscopy
  • Manometry
  • Breast reconstruction

Programs and centers[5][6][7][10][12][13]

  • Emergency department (24-hour physician care)
  • Telestroke (remote neurology stroke evaluation)
  • Hospitalist care (24-hour inpatient)
  • Cardiac rehabilitation
  • Pulmonary rehabilitation
  • Smoking cessation program
  • Outpatient and inpatient rehabilitation
  • Infusion services (outpatient)
  • KidsABC pediatric care collaboration (emergency department participant)

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes

Recognition[4][9][11]

  • DNV Healthcare (NIAHO) accredited
  • Mammography accredited by the American College of Radiology (ACR)
  • CLIA certified laboratory; licensed by the State of Georgia

Doctors and clinicians (84)

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

Main specialties

Doctors with a page on this site (84)

And 60 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Claxton

Hospitals in Evans 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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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 Evans Memorial 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) 5 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment5 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital77%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well90%National average: 80%
“Always” got help as soon as they wanted74%National average: 64%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean78%National average: 73%
Completed surveys147Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged 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: pneumonia patients15.8%
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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)16.3%
Readmitted within 30 days: pneumonia17.5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)130 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)52%National average: 66%

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 Evans Memorial 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 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.7315Lower 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).

Pneumonia0.9957Fewer readmissions than expected
No result publishedHeart attack; Heart failure; COPD (chronic lung disease); Hip or knee replacement; 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.

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, ratio1.04Above 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.

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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 GeorgiaBest hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Evans Memorial 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 →

Show the prices of 50 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: EXTENDED EMERGENCY ROOM $45 Not listed in the file $6.96 – $38.25
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $38.25
  • Amerigroup Medicaid — HMO: $7.09
  • BCBS HMO/Pathway — HMO: $25.43
  • BCBS PPO — PPO: $25.43
  • Caresource Medicaid — HMO: $6.96
  • Cigna — PPO: $27
  • Peach State Medicaid — HMO: $7.10
  • United Healthcare — PPO: $29.25
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: EXTENDED EMERGENCY ROOM $45 Not listed in the file $29.25 – $30.92
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Cigna — PPO: $30.92
  • United Healthcare — PPO: $29.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: EXTENDED CARE $320 Not listed in the file $49.47 – $272
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $272
  • Amerigroup Medicaid — HMO: $50.43
  • BCBS HMO/Pathway — HMO: $180.80
  • BCBS PPO — PPO: $180.80
  • Caresource Medicaid — HMO: $49.47
  • Cigna — PPO: $192
  • Peach State Medicaid — HMO: $50.46
  • United Healthcare — PPO: $208
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: EXTENDED CARE $320 Not listed in the file $208 – $219.84
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Cigna — PPO: $219.84
  • United Healthcare — PPO: $208
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT MODERATE SEVE $1,200 Not listed in the file $185.52 – $1,066.92
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $1,020
  • Ambetter — EPO: $309.47
  • Amerigroup Medicaid — HMO: $189.12
  • BCBS HMO/Pathway — HMO: $1,066.92
  • BCBS PPO — PPO: $678
  • Caresource Commercial — EPO: $333.27
  • Caresource Medicaid — HMO: $185.52
  • Cigna — PPO: $720
  • Humana Medicare — HMO: $238.05
  • Peach State Medicaid — HMO: $189.24
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPARTMENT VISIT MODERATE SEVE $1,200 Not listed in the file $780 – $824.40
Emergency room visit (moderate): rates for 2 insurance plans
  • Cigna — PPO: $824.40
  • United Healthcare — PPO: $780
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT HIGH/URGENT S $1,400 Not listed in the file $216.44 – $1,190
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $1,190
  • Ambetter — EPO: $473.02
  • Amerigroup Medicaid — HMO: $220.64
  • BCBS HMO/Pathway — HMO: $1,066.92
  • BCBS PPO — PPO: $791
  • Caresource Commercial — EPO: $509.40
  • Caresource Medicaid — HMO: $216.44
  • Cigna — PPO: $840
  • Humana Medicare — HMO: $363.86
  • Peach State Medicaid — HMO: $220.78
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPARTMENT VISIT HIGH/URGENT S $1,400 Not listed in the file $910 – $961.80
Emergency room visit (moderately high): rates for 2 insurance plans
  • Cigna — PPO: $961.80
  • United Healthcare — PPO: $910
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT SEVERITY/THRE $1,840 Not listed in the file $284.46 – $1,564
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $1,564
  • Ambetter — EPO: $675.10
  • Amerigroup Medicaid — HMO: $289.98
  • BCBS HMO/Pathway — HMO: $1,066.92
  • BCBS PPO — PPO: $1,039.60
  • Caresource Commercial — EPO: $727.03
  • Caresource Medicaid — HMO: $284.46
  • Cigna — PPO: $1,104
  • Humana Medicare — HMO: $519.31
  • Peach State Medicaid — HMO: $290.17
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPARTMENT VISIT SEVERITY/THRE $1,840 Not listed in the file $1,196 – $1,264.08
Emergency room visit (high): rates for 2 insurance plans
  • Cigna — PPO: $1,264.08
  • United Healthcare — PPO: $1,196

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PNL(SMA-8 S $435 Not listed in the file $11.08 – $369.75
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $369.75
  • Amerigroup Medicaid — HMO: $12.14
  • BCBS HMO/Pathway — HMO: $11.60
  • BCBS PPO — PPO: $11.60
  • Caresource Medicaid — HMO: $11.08
  • Cigna — PPO: $261
  • Peach State Medicaid — HMO: $12.13
  • United Healthcare — PPO: $282.75
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PNL(SMA-8 $435 Not listed in the file $11.08 – $369.75
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $369.75
  • Amerigroup Medicaid — HMO: $12.14
  • BCBS HMO/Pathway — HMO: $11.60
  • BCBS PPO — PPO: $11.60
  • Caresource Medicaid — HMO: $11.08
  • Cigna — PPO: $261
  • Peach State Medicaid — HMO: $12.13
  • United Healthcare — PPO: $282.75
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PNL(SMA-8 S $435 Not listed in the file $282.75 – $298.85
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Cigna — PPO: $298.85
  • United Healthcare — PPO: $282.75
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CMP (BMP ALREADY DONE) $565 Not listed in the file $13.82 – $480.25
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $480.25
  • Amerigroup Medicaid — HMO: $15.15
  • BCBS HMO/Pathway — HMO: $14.49
  • BCBS PPO — PPO: $14.49
  • Caresource Medicaid — HMO: $13.82
  • Cigna — PPO: $339
  • Peach State Medicaid — HMO: $15.13
  • United Healthcare — PPO: $367.25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PNL(SMA-13 S $565 Not listed in the file $13.82 – $480.25
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $480.25
  • Amerigroup Medicaid — HMO: $15.15
  • BCBS HMO/Pathway — HMO: $14.49
  • BCBS PPO — PPO: $14.49
  • Caresource Medicaid — HMO: $13.82
  • Cigna — PPO: $339
  • Peach State Medicaid — HMO: $15.13
  • United Healthcare — PPO: $367.25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PNL(SMA-13 $565 Not listed in the file $13.82 – $480.25
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $480.25
  • Amerigroup Medicaid — HMO: $15.15
  • BCBS HMO/Pathway — HMO: $14.49
  • BCBS PPO — PPO: $14.49
  • Caresource Medicaid — HMO: $13.82
  • Cigna — PPO: $339
  • Peach State Medicaid — HMO: $15.13
  • United Healthcare — PPO: $367.25
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: EVANS PNP PRFLE $435 Not listed in the file $29.20 – $369.75
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $369.75
  • Amerigroup Medicaid — HMO: $32.01
  • BCBS HMO/Pathway — HMO: $65.58
  • BCBS PPO — PPO: $65.58
  • Caresource Medicaid — HMO: $29.20
  • Cigna — PPO: $261
  • Peach State Medicaid — HMO: $31.98
  • United Healthcare — PPO: $282.75
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: EVANS PNP PRFLE $435 Not listed in the file $282.75 – $298.85
Obstetric blood test panel: rates for 2 insurance plans
  • Cigna — PPO: $298.85
  • United Healthcare — PPO: $282.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID OR HDL PROFILE S $410 Not listed in the file $17.52 – $348.50
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna Commercial — PPO: $348.50
  • Amerigroup Medicaid — HMO: $19.21
  • BCBS HMO/Pathway — HMO: $18.37
  • BCBS PPO — PPO: $18.37
  • Caresource Medicaid — HMO: $17.52
  • Cigna — PPO: $246
  • Peach State Medicaid — HMO: $19.19
  • United Healthcare — PPO: $266.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID OR HDL PROFILE $410 Not listed in the file $17.52 – $348.50
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna Commercial — PPO: $348.50
  • Amerigroup Medicaid — HMO: $19.21
  • BCBS HMO/Pathway — HMO: $18.37
  • BCBS PPO — PPO: $18.37
  • Caresource Medicaid — HMO: $17.52
  • Cigna — PPO: $246
  • Peach State Medicaid — HMO: $19.19
  • United Healthcare — PPO: $266.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID OR HDL PROFILE S $410 Not listed in the file $266.50 – $281.67
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Cigna — PPO: $281.67
  • United Healthcare — PPO: $266.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $500 Not listed in the file $11.36 – $425
Kidney function panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $425
  • Amerigroup Medicaid — HMO: $12.45
  • BCBS HMO/Pathway — HMO: $11.91
  • BCBS PPO — PPO: $11.91
  • Caresource Medicaid — HMO: $11.36
  • Cigna — PPO: $300
  • Peach State Medicaid — HMO: $12.44
  • United Healthcare — PPO: $325
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL $500 Not listed in the file $325 – $343.50
Kidney function panel: rates for 2 insurance plans
  • Cigna — PPO: $343.50
  • United Healthcare — PPO: $325
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCT PANEL(LIVER $425 Not listed in the file $10.69 – $361.25
Liver function panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $361.25
  • Amerigroup Medicaid — HMO: $11.72
  • BCBS HMO/Pathway — HMO: $11.21
  • BCBS PPO — PPO: $11.21
  • Caresource Medicaid — HMO: $10.69
  • Cigna — PPO: $255
  • Peach State Medicaid — HMO: $11.71
  • United Healthcare — PPO: $276.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCT PANEL(LIVER S $425 Not listed in the file $10.69 – $361.25
Liver function panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $361.25
  • Amerigroup Medicaid — HMO: $11.72
  • BCBS HMO/Pathway — HMO: $11.21
  • BCBS PPO — PPO: $11.21
  • Caresource Medicaid — HMO: $10.69
  • Cigna — PPO: $255
  • Peach State Medicaid — HMO: $11.71
  • United Healthcare — PPO: $276.25
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCT PANEL(LIVER $425 Not listed in the file $276.25 – $291.98
Liver function panel: rates for 2 insurance plans
  • Cigna — PPO: $291.98
  • United Healthcare — PPO: $276.25
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: .URINALYSIS COMPLETE $55 Not listed in the file $4.15 – $46.75
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $46.75
  • Amerigroup Medicaid — HMO: $4.55
  • BCBS HMO/Pathway — HMO: $4.35
  • BCBS PPO — PPO: $4.35
  • Caresource Medicaid — HMO: $4.15
  • Cigna — PPO: $33
  • Peach State Medicaid — HMO: $4.54
  • United Healthcare — PPO: $35.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: ..URINALYSIS $185 Not listed in the file $4.15 – $157.25
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $157.25
  • Amerigroup Medicaid — HMO: $4.55
  • BCBS HMO/Pathway — HMO: $4.35
  • BCBS PPO — PPO: $4.35
  • Caresource Medicaid — HMO: $4.15
  • Cigna — PPO: $111
  • Peach State Medicaid — HMO: $4.54
  • United Healthcare — PPO: $120.25
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: .URINALYSIS COMPLETE $55 Not listed in the file $35.75 – $37.79
Urine test (automated, with microscope): rates for 2 insurance plans
  • Cigna — PPO: $37.79
  • United Healthcare — PPO: $35.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS PROTEIN $65 Not listed in the file $3.34 – $55.25
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $55.25
  • Amerigroup Medicaid — HMO: $3.66
  • BCBS HMO/Pathway — HMO: $3.50
  • BCBS PPO — PPO: $3.50
  • Caresource Medicaid — HMO: $3.34
  • Cigna — PPO: $39
  • Peach State Medicaid — HMO: $3.66
  • United Healthcare — PPO: $42.25
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS GLUCOSE $55 Not listed in the file $3.34 – $46.75
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $46.75
  • Amerigroup Medicaid — HMO: $3.66
  • BCBS HMO/Pathway — HMO: $3.50
  • BCBS PPO — PPO: $3.50
  • Caresource Medicaid — HMO: $3.34
  • Cigna — PPO: $33
  • Peach State Medicaid — HMO: $3.66
  • United Healthcare — PPO: $35.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS KETONE $65 Not listed in the file $3.34 – $55.25
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $55.25
  • Amerigroup Medicaid — HMO: $3.66
  • BCBS HMO/Pathway — HMO: $3.50
  • BCBS PPO — PPO: $3.50
  • Caresource Medicaid — HMO: $3.34
  • Cigna — PPO: $39
  • Peach State Medicaid — HMO: $3.66
  • United Healthcare — PPO: $42.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS DIPSTICK $100 Not listed in the file $2.94 – $85
Urine test (automated, without microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $85
  • Amerigroup Medicaid — HMO: $3.23
  • BCBS HMO/Pathway — HMO: $3.08
  • BCBS PPO — PPO: $3.08
  • Caresource Medicaid — HMO: $2.94
  • Cigna — PPO: $60
  • Peach State Medicaid — HMO: $3.22
  • United Healthcare — PPO: $65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS $130 Not listed in the file $2.94 – $110.50
Urine test (automated, without microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $110.50
  • Amerigroup Medicaid — HMO: $3.23
  • BCBS HMO/Pathway — HMO: $3.08
  • BCBS PPO — PPO: $3.08
  • Caresource Medicaid — HMO: $2.94
  • Cigna — PPO: $78
  • Peach State Medicaid — HMO: $3.22
  • United Healthcare — PPO: $84.50
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS DIPSTICK $100 Not listed in the file $65 – $68.70
Urine test (automated, without microscope): rates for 2 insurance plans
  • Cigna — PPO: $68.70
  • United Healthcare — PPO: $65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (PROSTATE SPECIFIC AG LEVEL $430 Not listed in the file $24.06 – $365.50
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna Commercial — PPO: $365.50
  • Amerigroup Medicaid — HMO: $26.37
  • BCBS HMO/Pathway — HMO: $25.23
  • BCBS PPO — PPO: $25.23
  • Caresource Medicaid — HMO: $24.06
  • Cigna — PPO: $258
  • Peach State Medicaid — HMO: $26.34
  • United Healthcare — PPO: $279.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: .TOTAL PSA (PSA 2) $220 Not listed in the file $24.06 – $187
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna Commercial — PPO: $187
  • Amerigroup Medicaid — HMO: $26.37
  • BCBS HMO/Pathway — HMO: $25.23
  • BCBS PPO — PPO: $25.23
  • Caresource Medicaid — HMO: $24.06
  • Cigna — PPO: $132
  • Peach State Medicaid — HMO: $26.34
  • United Healthcare — PPO: $143
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA (PROSTATE SPECIFIC AG LEVEL $430 Not listed in the file $279.50 – $295.41
PSA (prostate specific antigen) blood test: rates for 2 insurance plans
  • Cigna — PPO: $295.41
  • United Healthcare — PPO: $279.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $270 Not listed in the file $21.96 – $229.50
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna Commercial — PPO: $229.50
  • Amerigroup Medicaid — HMO: $24.08
  • BCBS HMO/Pathway — HMO: $23.05
  • BCBS PPO — PPO: $23.05
  • Caresource Medicaid — HMO: $21.96
  • Cigna — PPO: $162
  • Peach State Medicaid — HMO: $24.05
  • United Healthcare — PPO: $175.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: .TSH (THYROID STIM IMMUNOG $425 Not listed in the file $21.96 – $361.25
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna Commercial — PPO: $361.25
  • Amerigroup Medicaid — HMO: $24.08
  • BCBS HMO/Pathway — HMO: $23.05
  • BCBS PPO — PPO: $23.05
  • Caresource Medicaid — HMO: $21.96
  • Cigna — PPO: $255
  • Peach State Medicaid — HMO: $24.05
  • United Healthcare — PPO: $276.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH $270 Not listed in the file $175.50 – $185.49
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • Cigna — PPO: $185.49
  • United Healthcare — PPO: $175.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CBC W/DIFF CHG $275 Not listed in the file $10.16 – $233.75
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna Commercial — PPO: $233.75
  • Amerigroup Medicaid — HMO: $11.14
  • BCBS HMO/Pathway — HMO: $10.66
  • BCBS PPO — PPO: $10.66
  • Caresource Medicaid — HMO: $10.16
  • Cigna — PPO: $165
  • Peach State Medicaid — HMO: $11.13
  • United Healthcare — PPO: $178.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W DIFF $275 Not listed in the file $10.16 – $233.75
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna Commercial — PPO: $233.75
  • Amerigroup Medicaid — HMO: $11.14
  • BCBS HMO/Pathway — HMO: $10.66
  • BCBS PPO — PPO: $10.66
  • Caresource Medicaid — HMO: $10.16
  • Cigna — PPO: $165
  • Peach State Medicaid — HMO: $11.13
  • United Healthcare — PPO: $178.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W DIFF AND RETIC $275 Not listed in the file $10.16 – $233.75
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna Commercial — PPO: $233.75
  • Amerigroup Medicaid — HMO: $11.14
  • BCBS HMO/Pathway — HMO: $10.66
  • BCBS PPO — PPO: $10.66
  • Caresource Medicaid — HMO: $10.16
  • Cigna — PPO: $165
  • Peach State Medicaid — HMO: $11.13
  • United Healthcare — PPO: $178.75
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: PLAIN CBC $200 Not listed in the file $8.47 – $170
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Aetna Commercial — PPO: $170
  • Amerigroup Medicaid — HMO: $9.28
  • BCBS HMO/Pathway — HMO: $8.87
  • BCBS PPO — PPO: $8.87
  • Caresource Medicaid — HMO: $8.47
  • Cigna — PPO: $120
  • Peach State Medicaid — HMO: $9.27
  • United Healthcare — PPO: $130
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: .HEMOGRAM CHG $200 Not listed in the file $8.47 – $170
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Aetna Commercial — PPO: $170
  • Amerigroup Medicaid — HMO: $9.28
  • BCBS HMO/Pathway — HMO: $8.87
  • BCBS PPO — PPO: $8.87
  • Caresource Medicaid — HMO: $8.47
  • Cigna — PPO: $120
  • Peach State Medicaid — HMO: $9.27
  • United Healthcare — PPO: $130
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: PLAIN CBC $200 Not listed in the file $130 – $137.40
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Cigna — PPO: $137.40
  • United Healthcare — PPO: $130
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: .PROTIME WITH INR $180 Not listed in the file $5.14 – $153
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $153
  • Amerigroup Medicaid — HMO: $5.63
  • BCBS HMO/Pathway — HMO: $5.39
  • BCBS PPO — PPO: $5.39
  • Caresource Medicaid — HMO: $5.14
  • Cigna — PPO: $108
  • Peach State Medicaid — HMO: $5.63
  • United Healthcare — PPO: $117
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME WITH INR $180 Not listed in the file $5.14 – $153
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $153
  • Amerigroup Medicaid — HMO: $5.63
  • BCBS HMO/Pathway — HMO: $5.39
  • BCBS PPO — PPO: $5.39
  • Caresource Medicaid — HMO: $5.14
  • Cigna — PPO: $108
  • Peach State Medicaid — HMO: $5.63
  • United Healthcare — PPO: $117
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME (PT) $125 Not listed in the file $5.14 – $106.25
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $106.25
  • Amerigroup Medicaid — HMO: $5.63
  • BCBS HMO/Pathway — HMO: $5.39
  • BCBS PPO — PPO: $5.39
  • Caresource Medicaid — HMO: $5.14
  • Cigna — PPO: $75
  • Peach State Medicaid — HMO: $5.63
  • United Healthcare — PPO: $81.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: .PTT $205 Not listed in the file $7.84 – $174.25
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $174.25
  • Amerigroup Medicaid — HMO: $8.60
  • BCBS HMO/Pathway — HMO: $8.24
  • BCBS PPO — PPO: $8.24
  • Caresource Medicaid — HMO: $7.84
  • Cigna — PPO: $123
  • Peach State Medicaid — HMO: $8.59
  • United Healthcare — PPO: $133.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $205 Not listed in the file $7.84 – $174.25
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $174.25
  • Amerigroup Medicaid — HMO: $8.60
  • BCBS HMO/Pathway — HMO: $8.24
  • BCBS PPO — PPO: $8.24
  • Caresource Medicaid — HMO: $7.84
  • Cigna — PPO: $123
  • Peach State Medicaid — HMO: $8.59
  • United Healthcare — PPO: $133.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: .PTT $205 Not listed in the file $133.25 – $140.84
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
  • Cigna — PPO: $140.84
  • United Healthcare — PPO: $133.25

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT HEAD WITHOUT CONTRAST $3,315 Not listed in the file $91.17 – $2,817.75
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $2,817.75
  • Ambetter — EPO: $118.52
  • Amerigroup Medicaid — HMO: $522.44
  • Caresource Commercial — EPO: $127.64
  • Caresource Medicaid — HMO: $512.50
  • Cigna — PPO: $1,989
  • Humana Medicare — HMO: $91.17
  • Peach State Medicaid — HMO: $522.78
  • United Healthcare — PPO: $2,154.75
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · modifier TC In the file: CT HEAD WITHOUT CONTRAST $3,315 Not listed in the file $2,154.75 – $2,277.41
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Cigna — PPO: $2,277.41
  • United Healthcare — PPO: $2,154.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI PITUITARY W & W/O $6,145 Not listed in the file $304.22 – $5,223.25
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $5,223.25
  • Ambetter — EPO: $395.49
  • Amerigroup Medicaid — HMO: $968.45
  • Caresource Commercial — EPO: $425.91
  • Caresource Medicaid — HMO: $950.02
  • Cigna — PPO: $3,687
  • Humana Medicare — HMO: $304.22
  • Peach State Medicaid — HMO: $969.07
  • United Healthcare — PPO: $3,994.25
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI BRAIN W & W/O CONTRAST $6,145 Not listed in the file $304.22 – $5,223.25
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $5,223.25
  • Ambetter — EPO: $395.49
  • Amerigroup Medicaid — HMO: $968.45
  • Caresource Commercial — EPO: $425.91
  • Caresource Medicaid — HMO: $950.02
  • Cigna — PPO: $3,687
  • Humana Medicare — HMO: $304.22
  • Peach State Medicaid — HMO: $969.07
  • United Healthcare — PPO: $3,994.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · modifier TC In the file: MRI PITUITARY W & W/O $6,145 Not listed in the file $3,994.25 – $4,221.62
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Cigna — PPO: $4,221.62
  • United Healthcare — PPO: $3,994.25
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: XR CHEST PA LAT $450 Not listed in the file $69.57 – $382.50
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna Commercial — PPO: $382.50
  • Ambetter — EPO: $98.66
  • Amerigroup Medicaid — HMO: $70.92
  • Caresource Commercial — EPO: $106.25
  • Caresource Medicaid — HMO: $69.57
  • Cigna — PPO: $270
  • Humana Medicare — HMO: $75.89
  • Peach State Medicaid — HMO: $70.97
  • United Healthcare — PPO: $292.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: XR CHEST FLUOROSCOPY $680 Not listed in the file $75.89 – $578
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna Commercial — PPO: $578
  • Ambetter — EPO: $98.66
  • Amerigroup Medicaid — HMO: $107.17
  • Caresource Commercial — EPO: $106.25
  • Caresource Medicaid — HMO: $105.13
  • Cigna — PPO: $408
  • Humana Medicare — HMO: $75.89
  • Peach State Medicaid — HMO: $107.24
  • United Healthcare — PPO: $442
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: XR CHEST DECUBUTIS $425 Not listed in the file $65.71 – $361.25
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna Commercial — PPO: $361.25
  • Ambetter — EPO: $98.66
  • Amerigroup Medicaid — HMO: $66.98
  • Caresource Commercial — EPO: $106.25
  • Caresource Medicaid — HMO: $65.71
  • Cigna — PPO: $255
  • Humana Medicare — HMO: $75.89
  • Peach State Medicaid — HMO: $67.02
  • United Healthcare — PPO: $276.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: XR SPINE/LUMBAR $685 Not listed in the file $91.17 – $582.25
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna Commercial — PPO: $582.25
  • Ambetter — EPO: $118.52
  • Amerigroup Medicaid — HMO: $107.96
  • Caresource Commercial — EPO: $127.64
  • Caresource Medicaid — HMO: $105.90
  • Cigna — PPO: $411
  • Humana Medicare — HMO: $91.17
  • Peach State Medicaid — HMO: $108.02
  • United Healthcare — PPO: $445.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · modifier TC In the file: XR SPINE/LUMBAR $685 Not listed in the file $445.25 – $470.60
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Cigna — PPO: $470.60
  • United Healthcare — PPO: $445.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI LUMBAR SPINE WO CONTRA $5,250 Not listed in the file $208.07 – $4,462.50
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $4,462.50
  • Ambetter — EPO: $270.49
  • Amerigroup Medicaid — HMO: $827.40
  • Caresource Commercial — EPO: $291.30
  • Caresource Medicaid — HMO: $811.65
  • Cigna — PPO: $3,150
  • Humana Medicare — HMO: $208.07
  • Peach State Medicaid — HMO: $827.93
  • United Healthcare — PPO: $3,412.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · modifier TC In the file: MRI LUMBAR SPINE WO CONTRA $5,250 Not listed in the file $3,412.50 – $3,606.75
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Cigna — PPO: $3,606.75
  • United Healthcare — PPO: $3,412.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT PELVIS W/CONTRAST $3,350 Not listed in the file $152.96 – $2,847.50
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $2,847.50
  • Ambetter — EPO: $198.85
  • Amerigroup Medicaid — HMO: $527.96
  • Caresource Commercial — EPO: $214.14
  • Caresource Medicaid — HMO: $517.91
  • Cigna — PPO: $2,010
  • Humana Medicare — HMO: $152.96
  • Peach State Medicaid — HMO: $528.30
  • United Healthcare — PPO: $2,177.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · modifier TC In the file: CT PELVIS W/CONTRAST $3,350 Not listed in the file $2,177.50 – $2,301.45
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Cigna — PPO: $2,301.45
  • United Healthcare — PPO: $2,177.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI LOWER EXT JNT WO RT $5,250 Not listed in the file $208.07 – $4,462.50
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $4,462.50
  • Ambetter — EPO: $270.49
  • Amerigroup Medicaid — HMO: $827.40
  • Caresource Commercial — EPO: $291.30
  • Caresource Medicaid — HMO: $811.65
  • Cigna — PPO: $3,150
  • Humana Medicare — HMO: $208.07
  • Peach State Medicaid — HMO: $827.93
  • United Healthcare — PPO: $3,412.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI LOWER EXT JNT WO LT $5,250 Not listed in the file $208.07 – $4,462.50
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $4,462.50
  • Ambetter — EPO: $270.49
  • Amerigroup Medicaid — HMO: $827.40
  • Caresource Commercial — EPO: $291.30
  • Caresource Medicaid — HMO: $811.65
  • Cigna — PPO: $3,150
  • Humana Medicare — HMO: $208.07
  • Peach State Medicaid — HMO: $827.93
  • United Healthcare — PPO: $3,412.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI HIP LEFT WO CONT $5,250 Not listed in the file $208.07 – $4,462.50
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $4,462.50
  • Ambetter — EPO: $270.49
  • Amerigroup Medicaid — HMO: $827.40
  • Caresource Commercial — EPO: $291.30
  • Caresource Medicaid — HMO: $811.65
  • Cigna — PPO: $3,150
  • Humana Medicare — HMO: $208.07
  • Peach State Medicaid — HMO: $827.93
  • United Healthcare — PPO: $3,412.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT ABDOMEN/PELVIS W/CONTRAST $6,695 Not listed in the file $304.22 – $5,690.75
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $5,690.75
  • Ambetter — EPO: $395.49
  • Amerigroup Medicaid — HMO: $1,055.13
  • Caresource Commercial — EPO: $425.91
  • Caresource Medicaid — HMO: $1,035.05
  • Cigna — PPO: $4,017
  • Humana Medicare — HMO: $304.22
  • Peach State Medicaid — HMO: $1,055.80
  • United Healthcare — PPO: $4,351.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · modifier TC In the file: CT ABDOMEN/PELVIS W/CONTRAST $6,695 Not listed in the file $4,351.75 – $4,599.47
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Cigna — PPO: $4,599.47
  • United Healthcare — PPO: $4,351.75
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $1,185 Not listed in the file $91.17 – $1,007.25
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna Commercial — PPO: $1,007.25
  • Ambetter — EPO: $118.52
  • Amerigroup Medicaid — HMO: $186.76
  • Caresource Commercial — EPO: $127.64
  • Caresource Medicaid — HMO: $183.20
  • Cigna — PPO: $711
  • Humana Medicare — HMO: $91.17
  • Peach State Medicaid — HMO: $186.87
  • United Healthcare — PPO: $770.25
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMEN COMPLETE $1,185 Not listed in the file $770.25 – $814.10
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Cigna — PPO: $814.10
  • United Healthcare — PPO: $770.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US FETAL >14 WKS COMPLETE $1,020 Not listed in the file $91.17 – $867
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna Commercial — PPO: $867
  • Ambetter — EPO: $118.52
  • Amerigroup Medicaid — HMO: $160.75
  • Caresource Commercial — EPO: $127.64
  • Caresource Medicaid — HMO: $157.69
  • Cigna — PPO: $612
  • Humana Medicare — HMO: $91.17
  • Peach State Medicaid — HMO: $160.85
  • United Healthcare — PPO: $663
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US FETAL >14 WKS COMPLETE $1,020 Not listed in the file $663 – $700.74
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Cigna — PPO: $700.74
  • United Healthcare — PPO: $663
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: US TRANSVAGINAL (NON-OB) $700 Not listed in the file $91.17 – $595
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna Commercial — PPO: $595
  • Ambetter — EPO: $118.52
  • Amerigroup Medicaid — HMO: $110.32
  • Caresource Commercial — EPO: $127.64
  • Caresource Medicaid — HMO: $108.22
  • Cigna — PPO: $420
  • Humana Medicare — HMO: $91.17
  • Peach State Medicaid — HMO: $110.39
  • United Healthcare — PPO: $455
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · modifier TC In the file: US TRANSVAGINAL (NON-OB) $700 Not listed in the file $455 – $480.90
Transvaginal ultrasound: rates for 2 insurance plans
  • Cigna — PPO: $480.90
  • United Healthcare — PPO: $455
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: MM DIGITAL SPOT MAG BILATERAL $545 Not listed in the file $84.26 – $463.25
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna Commercial — PPO: $463.25
  • Amerigroup Medicaid — HMO: $85.89
  • Caresource Medicaid — HMO: $84.26
  • Cigna — PPO: $327
  • Peach State Medicaid — HMO: $85.95
  • United Healthcare — PPO: $354.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: MM DIGITAL MAMMO DIAGNOSTIC W/CAD BIL $615 Not listed in the file $95.08 – $522.75
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna Commercial — PPO: $522.75
  • Amerigroup Medicaid — HMO: $96.92
  • Caresource Medicaid — HMO: $95.08
  • Cigna — PPO: $369
  • Peach State Medicaid — HMO: $96.99
  • United Healthcare — PPO: $399.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: MM DIGITAL MAMMO UNILATERAL RIGHT W/CAD $450 Not listed in the file $69.57 – $382.50
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna Commercial — PPO: $382.50
  • Amerigroup Medicaid — HMO: $70.92
  • Caresource Medicaid — HMO: $69.57
  • Cigna — PPO: $270
  • Peach State Medicaid — HMO: $70.97
  • United Healthcare — PPO: $292.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: MM DIGITAL SPOT MAG LEFT $450 Not listed in the file $69.57 – $382.50
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Aetna Commercial — PPO: $382.50
  • Amerigroup Medicaid — HMO: $70.92
  • Caresource Medicaid — HMO: $69.57
  • Cigna — PPO: $270
  • Peach State Medicaid — HMO: $70.97
  • United Healthcare — PPO: $292.50
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · modifier TC In the file: MM DIGITAL SPOT MAG LEFT $450 Not listed in the file $292.50 – $309.15
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Cigna — PPO: $309.15
  • United Healthcare — PPO: $292.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: MM DIGITAL MAMMO SCREENING W/CAD BIL $450 Not listed in the file $69.57 – $382.50
Screening mammogram, both breasts: rates for 6 insurance plans
  • Aetna Commercial — PPO: $382.50
  • Amerigroup Medicaid — HMO: $70.92
  • Caresource Medicaid — HMO: $69.57
  • Cigna — PPO: $270
  • Peach State Medicaid — HMO: $70.97
  • United Healthcare — PPO: $292.50
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · modifier TC In the file: MM DIGITAL MAMMO SCREENING W/CAD BIL $450 Not listed in the file $292.50 – $309.15
Screening mammogram, both breasts: rates for 2 insurance plans
  • Cigna — PPO: $309.15
  • United Healthcare — PPO: $292.50

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY 6YRS OR OLDER $4,120 Not listed in the file $636.95 – $3,502
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $3,502
  • Ambetter — EPO: $973.49
  • Amerigroup Medicaid — HMO: $649.31
  • BCBS HMO/Pathway — HMO: $1,318.18
  • BCBS PPO — PPO: $1,318.18
  • Caresource Commercial — EPO: $1,048.38
  • Caresource Medicaid — HMO: $636.95
  • Cigna — PPO: $2,472
  • Humana Medicare — HMO: $748.84
  • Peach State Medicaid — HMO: $649.72
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOMNOGRAPHY 6YRS OR OLDER $4,120 Not listed in the file $2,678 – $2,830.44
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Cigna — PPO: $2,830.44
  • United Healthcare — PPO: $2,678

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: OT THERAPEUTIC EX (PER 15 MINS) $185 Not listed in the file $28.60 – $157.25
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $157.25
  • Amerigroup Medicaid — HMO: $29.16
  • BCBS HMO/Pathway — HMO: $31.01
  • BCBS PPO — PPO: $104.53
  • Caresource Medicaid — HMO: $28.60
  • Cigna — PPO: $111
  • Peach State Medicaid — HMO: $29.17
  • United Healthcare — PPO: $120.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier CQ In the file: PT THER EXERC (PER 15 MINS) $185 Not listed in the file $28.60 – $157.25
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $157.25
  • Amerigroup Medicaid — HMO: $29.16
  • BCBS HMO/Pathway — HMO: $31.01
  • BCBS PPO — PPO: $102.47
  • Caresource Medicaid — HMO: $28.60
  • Cigna — PPO: $111
  • Peach State Medicaid — HMO: $29.17
  • United Healthcare — PPO: $120.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: PT THER EXERC (PER 15 MINS) $185 Not listed in the file $28.60 – $157.25
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $157.25
  • Amerigroup Medicaid — HMO: $29.16
  • BCBS HMO/Pathway — HMO: $31.01
  • BCBS PPO — PPO: $102.47
  • Caresource Medicaid — HMO: $28.60
  • Cigna — PPO: $111
  • Peach State Medicaid — HMO: $29.17
  • United Healthcare — PPO: $120.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL LOW COMPLEXITY $410 Not listed in the file $63.39 – $348.50
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna Commercial — PPO: $348.50
  • Amerigroup Medicaid — HMO: $64.62
  • BCBS HMO/Pathway — HMO: $68.74
  • BCBS PPO — PPO: $227.10
  • Caresource Medicaid — HMO: $63.39
  • Cigna — PPO: $246
  • Peach State Medicaid — HMO: $64.66
  • United Healthcare — PPO: $266.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL LOW COMPLEXITY $410 Not listed in the file $266.50 – $281.67
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • Cigna — PPO: $281.67
  • United Healthcare — PPO: $266.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL MODERATE COMPLEXITY $410 Not listed in the file $63.39 – $348.50
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna Commercial — PPO: $348.50
  • Amerigroup Medicaid — HMO: $64.62
  • BCBS HMO/Pathway — HMO: $231.65
  • BCBS PPO — PPO: $227.10
  • Caresource Medicaid — HMO: $63.39
  • Cigna — PPO: $246
  • Peach State Medicaid — HMO: $64.66
  • United Healthcare — PPO: $266.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL MODERATE COMPLEXITY $410 Not listed in the file $266.50 – $281.67
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • Cigna — PPO: $281.67
  • United Healthcare — PPO: $266.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL HIGH COMPLEXITY $410 Not listed in the file $63.39 – $348.50
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna Commercial — PPO: $348.50
  • Amerigroup Medicaid — HMO: $64.62
  • BCBS HMO/Pathway — HMO: $231.65
  • BCBS PPO — PPO: $227.10
  • Caresource Medicaid — HMO: $63.39
  • Cigna — PPO: $246
  • Peach State Medicaid — HMO: $64.66
  • United Healthcare — PPO: $266.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL HIGH COMPLEXITY $410 Not listed in the file $266.50 – $281.67
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • Cigna — PPO: $281.67
  • United Healthcare — PPO: $266.50
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY 30 MIN W/PATIENT $300 Not listed in the file $46.38 – $255
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $255
  • Ambetter — EPO: $201.21
  • Amerigroup Medicaid — HMO: $47.28
  • BCBS HMO/Pathway — HMO: $169.50
  • BCBS PPO — PPO: $169.50
  • Caresource Commercial — EPO: $216.69
  • Caresource Medicaid — HMO: $46.38
  • Cigna — PPO: $180
  • Humana Medicare — HMO: $154.78
  • Peach State Medicaid — HMO: $47.31
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY 30 MIN W/PATIENT $300 Not listed in the file $195 – $206.10
Psychotherapy, 30 minutes: rates for 2 insurance plans
  • Cigna — PPO: $206.10
  • United Healthcare — PPO: $195
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY 45 MIN W/PATIENT $605 Not listed in the file $93.53 – $514.25
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $514.25
  • Ambetter — EPO: $201.21
  • Amerigroup Medicaid — HMO: $95.35
  • BCBS HMO/Pathway — HMO: $341.83
  • BCBS PPO — PPO: $341.83
  • Caresource Commercial — EPO: $216.69
  • Caresource Medicaid — HMO: $93.53
  • Cigna — PPO: $363
  • Humana Medicare — HMO: $154.78
  • Peach State Medicaid — HMO: $95.41
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY 45 MIN W/PATIENT $605 Not listed in the file $393.25 – $415.64
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • Cigna — PPO: $415.64
  • United Healthcare — PPO: $393.25
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY 1 HR W/PATIENT $605 Not listed in the file $93.53 – $514.25
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $514.25
  • Ambetter — EPO: $201.21
  • Amerigroup Medicaid — HMO: $95.35
  • BCBS HMO/Pathway — HMO: $341.83
  • BCBS PPO — PPO: $341.83
  • Caresource Commercial — EPO: $216.69
  • Caresource Medicaid — HMO: $93.53
  • Cigna — PPO: $363
  • Humana Medicare — HMO: $154.78
  • Peach State Medicaid — HMO: $95.41
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY 1 HR W/PATIENT $605 Not listed in the file $393.25 – $415.64
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • Cigna — PPO: $415.64
  • United Healthcare — PPO: $393.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCOTHERAPY/ 1 HR $350 Not listed in the file $54.11 – $297.50
Group psychotherapy: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $297.50
  • Ambetter — EPO: $115.15
  • Amerigroup Medicaid — HMO: $55.16
  • BCBS HMO/Pathway — HMO: $197.75
  • BCBS PPO — PPO: $197.75
  • Caresource Commercial — EPO: $124.01
  • Caresource Medicaid — HMO: $54.11
  • Cigna — PPO: $210
  • Humana Medicare — HMO: $88.58
  • Peach State Medicaid — HMO: $55.20
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCOTHERAPY/ 1 HR $350 Not listed in the file $227.50 – $240.45
Group psychotherapy: rates for 2 insurance plans
  • Cigna — PPO: $240.45
  • United Healthcare — PPO: $227.50

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION 1+ $13,845 Not listed in the file $2,140.44 – $11,768.25
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $11,768.25
  • Ambetter — EPO: $4,438.67
  • Amerigroup Medicaid — HMO: $2,181.97
  • BCBS HMO/Pathway — HMO: $2,985
  • BCBS PPO — PPO: $3,476.25
  • Caresource Commercial — EPO: $4,780.10
  • Caresource Medicaid — HMO: $2,140.44
  • Cigna — PPO: $8,307
  • Humana Medicare — HMO: $3,414.36
  • Peach State Medicaid — HMO: $2,183.36
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: REMOVAL OF BREAST LESION 1+ $13,845 Not listed in the file $8,999.25 – $9,511.52
Removal of breast growth (open surgery): rates for 2 insurance plans
  • Cigna — PPO: $9,511.52
  • United Healthcare — PPO: $8,999.25
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION $620 Not listed in the file $95.85 – $527
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • Aetna Commercial — PPO: $527
  • Amerigroup Medicaid — HMO: $97.71
  • BCBS HMO/Pathway — HMO: $350.30
  • BCBS PPO — PPO: $350.30
  • Caresource Medicaid — HMO: $95.85
  • Cigna — PPO: $372
  • Peach State Medicaid — HMO: $97.77
  • United Healthcare — PPO: $403
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: SHO ARTHRS SRG DECOMPRESSION $620 Not listed in the file $403 – $425.94
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Cigna — PPO: $425.94
  • United Healthcare — PPO: $403
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY SURGERY $21,245 Not listed in the file $2,853.26 – $18,058.25
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $18,058.25
  • Ambetter — EPO: $3,709.24
  • Amerigroup Medicaid — HMO: $3,348.21
  • BCBS HMO/Pathway — HMO: $2,985
  • BCBS PPO — PPO: $3,476.25
  • Caresource Commercial — EPO: $3,994.56
  • Caresource Medicaid — HMO: $3,284.48
  • Cigna — PPO: $12,747
  • Humana Medicare — HMO: $2,853.26
  • Peach State Medicaid — HMO: $3,350.34
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: KNEE ARTHROSCOPY SURGERY $21,245 Not listed in the file $13,809.25 – $14,595.32
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • Cigna — PPO: $14,595.32
  • United Healthcare — PPO: $13,809.25
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH $3,605 Not listed in the file $557.33 – $3,064.25
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $3,064.25
  • Ambetter — EPO: $1,028.20
  • Amerigroup Medicaid — HMO: $568.15
  • BCBS HMO/Pathway — HMO: $1,922
  • BCBS PPO — PPO: $2,262.91
  • Caresource Commercial — EPO: $1,107.29
  • Caresource Medicaid — HMO: $557.33
  • Cigna — PPO: $2,163
  • Humana Medicare — HMO: $790.92
  • Peach State Medicaid — HMO: $568.51
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAGNOSTIC BRUSH WASH $3,605 Not listed in the file $2,343.25 – $2,476.64
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • Cigna — PPO: $2,476.64
  • United Healthcare — PPO: $2,343.25
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPY CHOLECYSTECOMY $25,110 Not listed in the file $3,882.01 – $21,343.50
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $21,343.50
  • Ambetter — EPO: $6,853.41
  • Amerigroup Medicaid — HMO: $3,957.34
  • BCBS HMO/Pathway — HMO: $4,120
  • BCBS PPO — PPO: $5,058.33
  • Caresource Commercial — EPO: $7,380.59
  • Caresource Medicaid — HMO: $3,882.01
  • Cigna — PPO: $15,066
  • Humana Medicare — HMO: $5,271.85
  • Peach State Medicaid — HMO: $3,959.85
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: LAPAROSCOPY CHOLECYSTECOMY $25,110 Not listed in the file $16,321.50 – $17,250.57
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • Cigna — PPO: $17,250.57
  • United Healthcare — PPO: $16,321.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP IST IGUN HRNA 5+ $14,490 Not listed in the file $2,240.15 – $12,316.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $12,316.50
  • Ambetter — EPO: $4,058.86
  • Amerigroup Medicaid — HMO: $2,283.62
  • BCBS HMO/Pathway — HMO: $2,985
  • BCBS PPO — PPO: $3,476.25
  • Caresource Commercial — EPO: $4,371.08
  • Caresource Medicaid — HMO: $2,240.15
  • Cigna — PPO: $8,694
  • Humana Medicare — HMO: $3,122.20
  • Peach State Medicaid — HMO: $2,285.07
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC > 5YR $14,000 Not listed in the file $2,164.40 – $11,900
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $11,900
  • Ambetter — EPO: $4,058.86
  • Amerigroup Medicaid — HMO: $2,206.40
  • BCBS HMO/Pathway — HMO: $2,985
  • BCBS PPO — PPO: $3,476.25
  • Caresource Commercial — EPO: $4,371.08
  • Caresource Medicaid — HMO: $2,164.40
  • Cigna — PPO: $8,400
  • Humana Medicare — HMO: $3,122.20
  • Peach State Medicaid — HMO: $2,207.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: PRP IST IGUN HRNA 5+ $14,490 Not listed in the file $9,418.50 – $9,954.63
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • Cigna — PPO: $9,954.63
  • United Healthcare — PPO: $9,418.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY $7,358.52 Not listed in the file $1,137.63 – $6,254.74
Carpal tunnel release: 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $6,254.74
  • Ambetter — EPO: $2,213.68
  • Amerigroup Medicaid — HMO: $1,159.70
  • BCBS HMO/Pathway — HMO: $2,572
  • BCBS PPO — PPO: $2,977.73
  • Caresource Commercial — EPO: $2,383.96
  • Caresource Medicaid — HMO: $1,137.63
  • Cigna — PPO: $4,415.11
  • Humana Medicare — HMO: $1,702.83
  • Peach State Medicaid — HMO: $1,160.44
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: CARPAL TUNNEL SURGERY $7,358.52 Not listed in the file $4,783.04 – $5,055.30
Carpal tunnel release: rates for 2 insurance plans
  • Cigna — PPO: $5,055.30
  • United Healthcare — PPO: $4,783.04

Source: Evans Memorial Hospital’s standard charges file (evansmemorialhospital.slicedhealth.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 26, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address200 N River Street, Claxton, GA 30417
CountyEvans County
StateGeorgia
Phone(912) 739‑5105
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number110142
Name in Medicare recordsEVANS MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(912) 739‑5000[4]
Official websiteevansmemorialhospital.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. About Us - Evans Memorial Hospital — evansmemorialhospital.org
  2. Home — evansmemorialhospital.org
  3. Emergency — evansmemorialhospital.org
  4. Cardiopulmonary Rehabilitation — evansmemorialhospital.org
  5. Surgical Services — evansmemorialhospital.org
  6. Imaging — evansmemorialhospital.org
  7. Rehabilitation & Wellness — evansmemorialhospital.org
  8. Laboratory — evansmemorialhospital.org
  9. Services — evansmemorialhospital.org
  10. Infusion Services — evansmemorialhospital.org