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Acute Care Hospital

F F Thompson Hospital

Canandaigua, New York · Ontario County · Emergency services listed

Summary

F F Thompson Hospital is an acute care hospital in Canandaigua, New York. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 56 services, specialties and programs. Medicare lists 854 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(585) 396‑6000 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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
854Doctors and clinicians
56Services listed

Quick answers

Does F F Thompson Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at F F Thompson Hospital. In a medical emergency, call 911.
Where is F F Thompson Hospital?
350 Parrish Street, Canandaigua, NY 14424, in Ontario County, New York.
What is the phone number of F F Thompson Hospital?
(585) 396-6000, as listed by Medicare (CMS).
What is the Medicare star rating of F F Thompson Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][8][9][10][11]

Conditions treated[8][9][10][11]

Treatments[5][10][11]

  • Emergency stroke treatment (stroke code response)
  • Physical therapy (stroke rehabilitation)
  • Occupational therapy (stroke rehabilitation)
  • Speech therapy (stroke rehabilitation)
  • Minimally invasive surgery
  • Sexual assault forensic exam (SANE)

Procedures[8][9][10][11][12]

  • Hip replacement
  • Knee replacement
  • Hernia surgery
  • Robotic-assisted surgery (da Vinci)
  • Breast cancer surgery
  • Corneal transplant
  • Vascular surgery
  • Colon and rectal surgery
  • Neurosurgical procedures
  • Cesarean section
  • Vaginal delivery
  • CT scan
  • MRI
  • Magnetic resonance angiography (MRA)

Programs and centers[5][8][9][11][12]

  • Stroke Center (NYS-designated)
  • Stroke code response team (24/7)
  • Specialized stroke inpatient unit
  • Stroke outreach and community education
  • SANE (sexual assault nurse examiner) program
  • Geriatric Emergency Department Accreditation, Level 3 (ACEP)
  • NICHE geriatric nursing program
  • Birthing Center
  • Joint replacement program (Joint Commission certified: hip and knee)
  • Hernia Surgery Center of Excellence (SRC)
  • Robotic Surgery Center of Excellence (SRC)
  • COPD program (Joint Commission standard certification)

Emergency care (hospital website)[5]

Emergency roomYes
Stroke designationNew York State-designated Stroke Center

Visiting and practical information

VisitingVisiting 8 a.m.-8 p.m. daily; two visitors at bedside, age 12+; exceptions for ED, Birthing Center, surgery[6]
ParkingFree parking for patients and visitors in lots at all entrances[7]
Patient portalMyChart

Recognition[5][9][11][12]

  • New York State-designated Stroke Center
  • Magnet Recognition (ANCC)
  • Get With The Guidelines-Stroke Gold Plus Quality Achievement Award (AHA/ASA)
  • Target: Type 2 Diabetes Honor Roll (AHA)
  • Joint Commission Certificate of Distinction - Hip Replacement
  • Joint Commission Certificate of Distinction - Knee Replacement
  • Joint Commission Advanced Perinatal Certification
  • Joint Commission COPD certification (standard, hospital)
  • Hernia Surgery Center of Excellence (Surgical Review Corporation)
  • Robotic Surgery Center of Excellence (Surgical Review Corporation)
  • Blue Distinction Center+ for Maternity Care (Excellus BCBS)
  • Blue Distinction Center+ for Knee and Hip Replacement (Excellus BCBS)
  • Geriatric Emergency Department Accreditation, Level 3 (ACEP)
  • NICHE site (Hartford Institute for Geriatric Nursing)
  • Leader in LGBTQ Healthcare Equality (HRC Healthcare Equality Index)
  • U.S. News High Performing Hospital - Heart Failure and COPD (2020-21 ratings)

Doctors and clinicians (854)

854 doctors and other clinicians list F F Thompson 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 (854)

And 830 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What F F Thompson 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) 4 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well83%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night42%National average: 60%
Completed surveys467Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)1.175No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.914No different from the national benchmark
Surgical site infections after colon surgery1.784No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.378Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients13%
Deaths within 30 days: pneumonia patients16%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patients10.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.98No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.2%
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD19.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)222 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)62%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New YorkBest hospitals in New York

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 F F Thompson 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 →

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: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $24.60 – $274.23
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $122.81
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $113.04
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $45.54
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $101.74
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $274.23
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $115.30
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $113.86
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $113.04
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $87.27
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $144.98
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office o/p new low 30 min Not listed in the file Not listed in the file $56.10 – $191.25
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $69.26
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $74.80
  • ELDERPLAN 1316 — ELDERPLAN 131601: $69.26
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $191.25
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $123.73
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $69.26
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $69.26
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $69.26
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $56.10
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $461
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $190 $113.30 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $40.88 – $408.14
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $184.42
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $170.85
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $69.13
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $153.77
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $408.14
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $174.27
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $174.25
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $170.85
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $147.88
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $217.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45 min Not listed in the file Not listed in the file $91.87 – $313.19
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $113.42
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $122.49
  • ELDERPLAN 1316 — ELDERPLAN 131601: $113.42
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $313.19
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $202.61
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $113.42
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $113.42
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $113.42
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $91.87
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $487
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $240 $143.11 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $53.17 – $538.85
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $243.52
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $227.85
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $86.68
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $205.07
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $538.85
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $232.41
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $220.32
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $227.85
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $195.47
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $244.58
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office o/p new hi 60 min Not listed in the file Not listed in the file $125.70 – $428.50
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $155.18
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $167.59
  • ELDERPLAN 1316 — ELDERPLAN 131601: $155.18
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $428.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $277.21
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $155.18
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $155.18
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $155.18
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $125.70
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $340.15
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $290 $172.93 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $17.57 – $221.41
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $100.45
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $91.86
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $29.93
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $82.67
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $221.41
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $93.70
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $79.37
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $91.86
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $80.06
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $118.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20 min Not listed in the file Not listed in the file $45.37 – $154.66
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $56.01
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $60.49
  • ELDERPLAN 1316 — ELDERPLAN 131601: $56.01
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $154.66
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $100.06
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $56.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $56.01
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $56.01
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $45.37
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $461
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $420 $101.37 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $24.59 – $313.46
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $141.47
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $130.88
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $44.94
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $117.79
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $313.46
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $133.50
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $115.34
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $130.88
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $112.37
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $167.22
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30 min Not listed in the file Not listed in the file $66.69 – $227.34
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $82.33
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $88.92
  • ELDERPLAN 1316 — ELDERPLAN 131601: $82.33
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $227.34
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $147.07
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $82.33
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $82.33
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $82.33
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $66.69
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $487
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $490 $143.11 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est low 30 Not listed in the file Not listed in the file $149
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $149
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $349 $208.11 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $64.28 – $399.82
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $89.20
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $399.82
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $75.62
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $209.74
  • FIDELIS MEDICAID 1708, FIDELIS 5155 — FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W: $163.13
  • FIDELIS MEDICAID 1708, FIDELIS 5155 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $155.36
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, — HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE: $111.50
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN: $233.58
  • MVP 2900 — MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003: $186.75
  • MVP 2900, CIGNA 5144 — MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL : $257.76
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est mod 40 Not listed in the file Not listed in the file $223.35
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $223.35
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $555 $330.95 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $30.04 – $317.09
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $142.71
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $80.27
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $51.90
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $117.08
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $317.09
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $132.69
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $141.35
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $130.09
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $71.69
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $168.28
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $164.62
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $164.62
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: HB Initial Preventive Medicine New Pt Age 18-39yrs $222 Not listed in the file Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $36.91 – $365.55
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $164.52
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $150.52
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $60.58
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $135.47
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $365.55
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $153.53
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $163.71
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $150.52
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $76.49
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $194.17
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $191.21
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $191.21
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HB Initial Preventive Medicine New Patient 40-64yrs $231 Not listed in the file Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM Not listed in the file Not listed in the file $17.64 – $176.50
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $77.56
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $67.02
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $25.95
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $60.32
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $176.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $68.36
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $69.64
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $67.02
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $24.41
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $91.99
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $82.99 – $940.92
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $340.75
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $368.01
  • ELDERPLAN 1316 — ELDERPLAN 131601: $340.75
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $940.92
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $608.72
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $340.75
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $82.99
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $340.75
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $340.75
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $276.01
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM $289 $172.33 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM Not listed in the file Not listed in the file $32.52 – $297.44
Emergency room visit (moderately high): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $132.20
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $114.02
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $40.54
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $102.62
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $297.44
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $116.30
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $127.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $114.02
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $45.02
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $156.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $145.97 – $1,438.26
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $520.86
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $562.53
  • ELDERPLAN 1316 — ELDERPLAN 131601: $520.86
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $1,438.26
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $930.47
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $520.86
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $145.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $520.86
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $520.86
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $421.90
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $545 $324.98 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM Not listed in the file Not listed in the file $48.54 – $432.43
Emergency room visit (high): 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $191.67
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $165.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $63.46
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $148.95
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $432.43
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $168.81
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $185.26
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $165.50
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $67.19
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $226.83
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $214.87 – $2,052.73
Emergency room visit (high): 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $743.39
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $802.86
  • ELDERPLAN 1316 — ELDERPLAN 131601: $743.39
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $2,052.73
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $1,328
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $743.39
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $214.87
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $743.39
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $743.39
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $602.15
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM $795 $474.06 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca Not listed in the file Not listed in the file $5.64 – $16.48
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $8.46
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $8.46
  • ELDERPLAN 1316 — ELDERPLAN 131601: $8.46
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $5.92
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $5.92
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $8.46
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $5.64
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $8.46
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $8.46
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL (CALCIUM, TOTAL) Not listed in the file Not listed in the file $5.64 – $16.48
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $7.32
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $7.32
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $7.32
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $7.32
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $16.48
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $7.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $7.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $7.32
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $7.32
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $16.48
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL Not listed in the file Not listed in the file $5.64 – $16.48
Basic metabolic panel (blood test): rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $9.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $9.50
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $7.03 – $22.72
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $10.56
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $10.56
  • ELDERPLAN 1316 — ELDERPLAN 131601: $10.56
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $7.39
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $7.39
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $10.56
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $7.03
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $10.56
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $10.56
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL Not listed in the file Not listed in the file $7.03 – $22.72
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $10.10
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $10.10
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $10.10
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $10.10
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $22.72
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $10.10
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $10.10
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $10.10
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $10.10
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $22.72
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CHG COMPREHENSIVE METABOLIC PANEL Not listed in the file Not listed in the file $7.03 – $22.72
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $11.86
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $11.86
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel Not listed in the file Not listed in the file $31.87 – $53.70
Obstetric blood test panel: 10 of 21 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $47.81
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $47.81
  • ELDERPLAN 1316 — ELDERPLAN 131601: $47.81
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $33.47
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $33.47
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $47.81
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $31.87
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $47.81
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $47.81
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $47.81
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: CHG OBSTETRIC PANEL Not listed in the file Not listed in the file $31.87 – $53.70
Obstetric blood test panel: rates for 2 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $53.70
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $53.70
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel Not listed in the file Not listed in the file $6.10 – $15.04
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $13.39
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $13.39
  • ELDERPLAN 1316 — ELDERPLAN 131601: $13.39
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $9.37
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $9.37
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $13.39
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $8.92
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $13.39
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $13.39
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL Not listed in the file Not listed in the file $6.10 – $15.04
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $6.10
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $6.10
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $6.10
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $6.10
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $13.73
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $6.10
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $6.10
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $6.10
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $6.10
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $13.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: CHG LIPID PANEL Not listed in the file Not listed in the file $6.10 – $15.04
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $15.04
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $15.04
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel Not listed in the file Not listed in the file $5.78 – $19.53
Kidney function panel: 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $8.68
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $8.68
  • ELDERPLAN 1316 — ELDERPLAN 131601: $8.68
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $6.08
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $6.08
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $8.68
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $5.78
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $8.68
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $8.68
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $5.78 – $19.53
Kidney function panel: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $8.68
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $8.68
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $8.68
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $8.68
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $19.53
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $8.68
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $8.68
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $8.68
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $8.68
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $19.53
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: CHG RENAL FUNCTION PANEL Not listed in the file Not listed in the file $5.78 – $19.53
Kidney function panel: rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $9.75
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $9.75
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel Not listed in the file Not listed in the file $5.44 – $16.48
Liver function panel: 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $8.17
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $8.17
  • ELDERPLAN 1316 — ELDERPLAN 131601: $8.17
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $5.72
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $5.72
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $8.17
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $5.44
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $8.17
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $8.17
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $5.44 – $16.48
Liver function panel: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $7.32
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $7.32
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $7.32
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $7.32
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $16.48
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $7.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $7.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $7.32
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $7.32
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $16.48
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: CHG HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $5.44 – $16.48
Liver function panel: rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $9.18
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $9.18
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.11 – $7.13
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $3.17
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $3.17
  • ELDERPLAN 1316 — ELDERPLAN 131601: $3.17
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $2.22
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $2.22
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $3.17
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $2.11
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $3.17
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $3.17
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS, BY DIP STICK OR TABLET REAGE Not listed in the file Not listed in the file $2.11 – $7.13
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $3.17
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $3.17
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $3.17
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $3.17
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $7.13
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $3.17
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $3.17
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $3.17
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $3.17
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $7.13
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY Not listed in the file Not listed in the file $2.11 – $7.13
Urine test (automated, with microscope): rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $3.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $3.56
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $1.72 – $4.55
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $3.48
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $3.48
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $2
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $2.29
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $2.44
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $3.48
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $3.48
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $3.20
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $3.48
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $2.02
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $2.02 – $4.54
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $3.48
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $3.48
  • ELDERPLAN 1316 — ELDERPLAN 131601: $3.48
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $2.44
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $2.44
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $3.48
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $2.31
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $3.48
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $3.48
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS, BY DIP STICK OR TABLET REAGE Not listed in the file Not listed in the file $2.02 – $4.54
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $2.02
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $2.02
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $2.02
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $2.02
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $4.54
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $2.02
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $2.02
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $2.02
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $2.02
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $4.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $1.35 – $4.55
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $2.25
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $2.25
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $2
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $1.48
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $1.58
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $2.25
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $2.25
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $2.43
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $2.25
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $2.02
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.49 – $4.54
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $2.25
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $2.25
  • ELDERPLAN 1316 — ELDERPLAN 131601: $2.25
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $1.58
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $1.58
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $2.25
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $1.49
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $2.25
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $2.25
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS, BY DIP STICK OR TABLET REAGE Not listed in the file Not listed in the file $1.49 – $4.54
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $2.02
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $2.02
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $2.02
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $2.02
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $4.54
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $2.02
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $2.02
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $2.02
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $2.02
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $4.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total Not listed in the file Not listed in the file $12.25 – $41.38
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $18.39
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $18.39
  • ELDERPLAN 1316 — ELDERPLAN 131601: $18.39
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $12.87
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $12.87
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $18.39
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $12.25
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $18.39
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $18.39
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL Not listed in the file Not listed in the file $12.25 – $41.38
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $18.39
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $18.39
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $18.39
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $18.39
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $41.38
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $18.39
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $18.39
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $18.39
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $18.39
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $41.38
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL Not listed in the file Not listed in the file $12.25 – $41.38
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $20.65
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $20.65
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE Not listed in the file Not listed in the file $7.06 – $20.45
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $16.80
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $16.80
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $10.80
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $11.08
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $11.76
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $16.80
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $16.80
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $18.17
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $16.80
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $9.09
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $9.09 – $20.45
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $16.80
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $16.80
  • ELDERPLAN 1316 — ELDERPLAN 131601: $16.80
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $11.76
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $11.76
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $16.80
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $11.19
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $16.80
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $16.80
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIMULATING HORMONE (TSH) Not listed in the file Not listed in the file $9.09 – $20.45
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $9.09
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $9.09
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $9.09
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $9.09
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $20.45
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $9.09
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $9.09
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $9.09
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $9.09
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $20.45
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $3.20 – $8.73
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $7.77
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $7.77
  • ELDERPLAN 1316 — ELDERPLAN 131601: $7.77
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $5.44
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $5.44
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $7.77
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $5.18
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $7.77
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $7.77
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: BLOOD COUNT; COMPLETE (CBC), AUTOMATED ( Not listed in the file Not listed in the file $3.20 – $8.73
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $3.20
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $3.20
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $3.20
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $3.20
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $7.20
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $3.20
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $3.20
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $3.20
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $3.20
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $7.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC Not listed in the file Not listed in the file $3.20 – $8.73
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $8.73
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $8.73
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated Not listed in the file Not listed in the file $3.20 – $7.27
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $6.47
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $6.47
  • ELDERPLAN 1316 — ELDERPLAN 131601: $6.47
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $4.53
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $4.53
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $6.47
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $4.31
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $6.47
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $6.47
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: BLOOD COUNT; COMPLETE (CBC), AUTOMATED ( Not listed in the file Not listed in the file $3.20 – $7.27
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $3.20
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $3.20
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $3.20
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $3.20
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $7.20
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $3.20
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $3.20
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $3.20
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $3.20
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $7.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CHG BLOOD COUNT COMPLETE AUTOMATED Not listed in the file Not listed in the file $3.20 – $7.27
Complete blood count (CBC), automated: rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $7.27
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $7.27
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME Not listed in the file Not listed in the file $2.57 – $8.89
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $4.29
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $4.29
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $4.14
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $2.83
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $3
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $4.29
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $4.29
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $4.64
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $4.29
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $3.95
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time Not listed in the file Not listed in the file $2.86 – $8.89
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $4.29
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $4.29
  • ELDERPLAN 1316 — ELDERPLAN 131601: $4.29
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $3
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $3
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $4.29
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $2.86
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $4.29
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $4.29
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME; Not listed in the file Not listed in the file $2.86 – $8.89
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $3.95
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $3.95
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $3.95
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $3.95
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $8.89
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $3.95
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $3.95
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $3.95
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $3.95
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $8.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial Not listed in the file Not listed in the file $4.01 – $13.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $6.01
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $6.01
  • ELDERPLAN 1316 — ELDERPLAN 131601: $6.01
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $4.21
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $4.21
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $6.01
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $4.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $6.01
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $6.01
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME, PARTIAL (PTT); PLAS Not listed in the file Not listed in the file $4.01 – $13.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $6.01
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $6.01
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $6.01
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $6.01
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $13.52
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $6.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $6.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $6.01
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $6.01
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $13.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD Not listed in the file Not listed in the file $4.01 – $13.52
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $6.75
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $6.75
  • AETNA 2700 — AETNA 270002: 50% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)

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) In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $72.72 – $360.36
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $130.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $140.94
  • ELDERPLAN 1316 — ELDERPLAN 131601: $130.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $360.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $233.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $78.92
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $130.50
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $130.50
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $105.71
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH Not listed in the file Not listed in the file $72.72 – $360.36
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $121.20
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $121.20
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $121.20
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $121.20
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $272.70
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $121.20
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $121.20
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $121.20
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $121.20
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $272.70
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HB CT Head/Brain W/O Contrast Material $607 Not listed in the file Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $296.62 – $1,202.53
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $435.49
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $470.33
  • ELDERPLAN 1316 — ELDERPLAN 131601: $435.49
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $1,202.53
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $777.96
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $435.49
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $296.62
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $435.49
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $435.49
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $352.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE (EG, PROTON) IMAGING, Not listed in the file Not listed in the file $296.62 – $1,202.53
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $505
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $505
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $1,136.25
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $505
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $505
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $505
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $505
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $1,136.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HB MRI Brain Brain Stem W/O W/Contrast Material $1,814 Not listed in the file Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $7.78 – $82.66
Chest X-ray, 2 views: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $42.78
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $31.60
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $24.65
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $34.68
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $28.44
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $82.66
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $32.23
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $34.39
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $31.60
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $30.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $9.09 – $299.97
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $108.63
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $117.32
  • ELDERPLAN 1316 — ELDERPLAN 131601: $108.63
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $299.97
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $194.06
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $108.63
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $21
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $108.63
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $108.63
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $87.99
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS Not listed in the file Not listed in the file $9.09 – $299.97
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $15.15
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $15.15
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $34.09
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $15.15
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $15.15
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $15.15
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $15.15
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $34.09
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $8.68 – $125.90
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $66
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $50.94
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $42.71
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $53.63
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $45.85
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $125.90
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $51.96
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $50.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $50.94
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $46.54
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $18.18 – $360.36
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $130.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $140.94
  • ELDERPLAN 1316 — ELDERPLAN 131601: $130.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $360.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $233.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $35.56
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $130.50
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $130.50
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $105.71
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: RADIOLOGIC EXAMINATION, SPINE, LUMBOSACR Not listed in the file Not listed in the file $18.18 – $360.36
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $30.30
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $30.30
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $30.30
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $30.30
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $68.18
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $30.30
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $30.30
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $30.30
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $30.30
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $68.18
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $169.35 – $1,136.25
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $297.84
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $321.67
  • ELDERPLAN 1316 — ELDERPLAN 131601: $297.84
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $822.43
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $532.07
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $297.84
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $169.35
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $297.84
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $297.84
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $241.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE (EG, PROTON) IMAGING, Not listed in the file Not listed in the file $169.35 – $1,136.25
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $505
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $505
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $1,136.25
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $505
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $505
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $505
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $505
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $1,136.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HB MRI Spinal Canal Lumbar W/O Contrast Material $1,184 Not listed in the file Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $103.02 – $604.59
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $218.95
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $236.47
  • ELDERPLAN 1316 — ELDERPLAN 131601: $218.95
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $604.59
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $391.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $218.95
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $181.82
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $218.95
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $218.95
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $177.35
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: COMPUTED TOMOGRAPHY, PELVIS; WITH CONTRA Not listed in the file Not listed in the file $103.02 – $604.59
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $171.70
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $171.70
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $171.70
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $171.70
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $386.32
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $171.70
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $171.70
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $171.70
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $171.70
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $386.32
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HB CT Pelvis W/Contrast Material Not listed in the file $438 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $190.64 – $1,136.25
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $297.84
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $321.67
  • ELDERPLAN 1316 — ELDERPLAN 131601: $297.84
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $822.43
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $532.07
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $297.84
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $190.64
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $297.84
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $297.84
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $241.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE (EG, PROTON) IMAGING, Not listed in the file Not listed in the file $190.64 – $1,136.25
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $505
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $505
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $1,136.25
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $505
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $505
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $505
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $505
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $1,136.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HB MRI Any Jt Lower Extrem W/O Contrast Matrl $1,184 Not listed in the file Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $65.41 – $1,202.53
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $435.49
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $470.33
  • ELDERPLAN 1316 — ELDERPLAN 131601: $435.49
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $1,202.53
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $777.96
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $435.49
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $253.86
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $435.49
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $435.49
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $352.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; Not listed in the file Not listed in the file $65.41 – $1,202.53
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $109.01
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $109.01
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $109.01
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $109.01
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $245.27
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $109.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $109.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $109.01
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $109.01
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $245.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HB CT Abdomen & Pelvis W/Contrast Material $1,338 Not listed in the file Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $21.84 – $287.78
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $146.76
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $109.34
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $105.69
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $133.35
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $98.41
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $287.78
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $111.53
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $129.84
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $109.34
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $106.99
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file Not listed in the file $36.36 – $360.36
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $130.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $140.94
  • ELDERPLAN 1316 — ELDERPLAN 131601: $130.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $360.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $233.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $89.29
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $130.50
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $130.50
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $105.71
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ULTRASOUND, ABDOMINAL, REAL TIME WITH IM Not listed in the file Not listed in the file $36.36 – $360.36
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $60.60
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $60.60
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $136.35
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $60.60
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $60.60
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $60.60
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $60.60
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $136.35
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $33.33 – $360.36
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $130.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $140.94
  • ELDERPLAN 1316 — ELDERPLAN 131601: $130.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $360.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $233.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $130.50
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $130.50
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $105.71
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $286.06
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: ULTRASOUND, PREGNANT UTERUS, REAL TIME W Not listed in the file Not listed in the file $33.33 – $360.36
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $55.55
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $55.55
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $55.55
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $55.55
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $124.99
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $55.55
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $55.55
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $55.55
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $55.55
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $124.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >= 14 wks sngl fetus Not listed in the file Not listed in the file $33.33 – $360.36
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $99.70
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $24.58 – $169.60
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $149.53
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA CHICKERING 270001,AETNA 270002,: $112.32
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $90.85
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $101.09
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $114.57
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $129.83
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $112.32
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, — HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE: $90.85
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICARE 1301 — HIGHMARK BC/BS MEDICARE 130101: $109.15
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN: $168.13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $36.36 – $360.36
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $130.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $140.94
  • ELDERPLAN 1316 — ELDERPLAN 131601: $130.50
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $360.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $233.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $95.42
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $130.50
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $130.50
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $105.71
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: ULTRASOUND, TRANSVAGINAL Not listed in the file Not listed in the file $36.36 – $360.36
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $60.60
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $60.60
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $136.35
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $60.60
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $60.60
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $60.60
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $60.60
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $136.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $58.78 – $225.82
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $81.78
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $88.32
  • ELDERPLAN 1316 — ELDERPLAN 131601: $81.78
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $225.82
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $146.09
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $81.78
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $107.48
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $81.78
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $81.78
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $66.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMP Not listed in the file Not listed in the file $58.78 – $225.82
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $97.97
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $97.97
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $220.43
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $97.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $97.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $97.97
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $97.97
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $220.43
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Computer-Aided Detcj Uni Not listed in the file $288 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $58.78 – $289.55
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $104.86
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $113.25
  • ELDERPLAN 1316 — ELDERPLAN 131601: $104.86
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $289.55
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $187.32
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $104.86
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $137.58
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $104.86
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $104.86
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $84.94
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMP Not listed in the file Not listed in the file $58.78 – $289.55
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $97.97
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $97.97
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $220.43
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $97.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $97.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $97.97
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $97.97
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $220.43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Computer-Aided Detcj Bi Not listed in the file $352 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $58.78 – $238.96
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $86.54
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $93.46
  • ELDERPLAN 1316 — ELDERPLAN 131601: $86.54
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $238.96
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $154.60
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $86.54
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $113.67
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $86.54
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $86.54
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $70.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW Not listed in the file Not listed in the file $58.78 – $238.96
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $97.97
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $97.97
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $220.43
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $97.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $97.97
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $97.97
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $97.97
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $220.43
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HB Screening Mammography Bi 2-View Breast Inc Cad Not listed in the file $314 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $10.30 – $35.31
Electrocardiogram (ECG/EKG) with reading: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $18.28
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $14.72
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $14.40
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $19.19
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $13.25
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $35.31
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $15.01
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $17.94
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $14.72
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $15.15
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram complete Not listed in the file Not listed in the file $11.92 – $40.65
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $14.72
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $15.90
  • ELDERPLAN 1316 — ELDERPLAN 131601: $14.72
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $40.65
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $26.30
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $14.72
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $19.38
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $14.72
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $14.72
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $11.92
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM, ROUTINE ECG WITH AT L Not listed in the file Not listed in the file $11.92 – $40.65
Electrocardiogram (ECG/EKG) with reading: 10 of 15 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — BLUE CHOICE OPTION MEDICAID 170601: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 — EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-25: $15.15
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $15.15
  • FIDELIS MEDICAID 1708 — FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 : $34.09
  • FIDELIS MEDICAID 1708 — FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502: $15.15
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 — HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204: $15.15
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 — HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143: $15.15
  • INDEPENDENT HEALTH ASSOC MEDICAID 1710 — INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD: $15.15
  • MOLINA HEALTHCARE 1723 — MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 51: $34.09
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $892.95 – $11,174.57
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $4,046.85
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $4,370.60
  • ELDERPLAN 1316 — ELDERPLAN 131601: $4,046.85
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $11,174.57
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $7,229.29
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $4,046.85
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $892.95
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $4,046.85
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $4,046.85
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3,277.95
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $424.21 – $26,884.56
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $9,736.20
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $10,515.09
  • ELDERPLAN 1316 — ELDERPLAN 131601: $9,736.20
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $26,884.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $17,392.74
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $9,736.20
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $424.21
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $9,736.20
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $9,736.20
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $7,886.32
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $1,429.36 – $90,094.23
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $32,627.47
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $35,237.67
  • ELDERPLAN 1316 — ELDERPLAN 131601: $32,627.47
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $90,094.23
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $58,285.71
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $32,627.47
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $1,429.36
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $32,627.47
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $32,627.47
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $26,428.25
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $85.25 – $1,481.48
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $794.39
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $641.94
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $414.61
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $715.90
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $577.75
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,481.48
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $654.78
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $642.17
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $641.94
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $654.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $539.99 – $2,959.98
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,071.95
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,157.71
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,071.95
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $2,959.98
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $1,914.94
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,071.95
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $539.99
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,071.95
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,071.95
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $868.28
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $330 $196.78 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises Not listed in the file Not listed in the file $24.28 – $42.84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $27.99
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $30.23
  • ELDERPLAN 1316 — ELDERPLAN 131601: $27.99
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $34.99
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $34.99
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $27.99
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $24.28
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $27.99
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $27.99
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $27.99
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic px 1/> areas each 15 min exercises Not listed in the file Not listed in the file $24.28 – $42.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $42.84
  • MVP 2900 — MVP PREMIER INDIVIDUAL 290002: $31.04
  • MVP 2900, CIGNA 5144 — MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA HEALTHCARE (P: $42.84
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $31.08
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HB Therapeutic Px 1/> Areas Each 15 Min Exercises Not listed in the file $70 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $95.27
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $102.89
  • ELDERPLAN 1316 — ELDERPLAN 131601: $95.27
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $119.09
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $119.09
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $95.27
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $95.27
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $95.27
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $95.27
  • MVP MEDICAID 1712 — MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900: $95.27
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation low complex 20 mins Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $120.36
  • MVP 2900 — MVP PREMIER INDIVIDUAL 290002: $87.20
  • MVP 2900, CIGNA 5144 — MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA HEALTHCARE (P: $120.36
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $87.32
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $86.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $95.27
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $102.89
  • ELDERPLAN 1316 — ELDERPLAN 131601: $95.27
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $119.09
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $119.09
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $95.27
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $95.27
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $95.27
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $95.27
  • MVP MEDICAID 1712 — MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900: $95.27
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation mod complex 30 mins Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $120.36
  • MVP 2900 — MVP PREMIER INDIVIDUAL 290002: $87.20
  • MVP 2900, CIGNA 5144 — MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA HEALTHCARE (P: $120.36
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $87.32
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $86.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $95.27
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $102.89
  • ELDERPLAN 1316 — ELDERPLAN 131601: $95.27
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $119.09
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $119.09
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $95.27
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $95.27
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $95.27
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $95.27
  • MVP MEDICAID 1712 — MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900: $95.27
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation high complex 45 mins Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $120.36
  • MVP 2900 — MVP PREMIER INDIVIDUAL 290002: $87.20
  • MVP 2900, CIGNA 5144 — MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA HEALTHCARE (P: $120.36
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $87.32
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $86.22 – $120.36
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $86.22
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $18.22 – $187.54
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $106.43
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $84.71
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $22.71
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $78.30
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $76.24
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $187.54
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $86.40
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $75.38
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $84.71
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $66.21
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $79.08 – $611.81
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $221.56
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $239.29
  • ELDERPLAN 1316 — ELDERPLAN 131601: $221.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $611.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $395.80
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $79.08
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $221.56
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $221.56
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $179.47
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • AETNA 2700 — AETNA 270002: 71% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $27.31 – $247.94
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $140.47
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $112.31
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $29.08
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $104.08
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $101.08
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $247.94
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $114.56
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $100.26
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $112.31
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $87.37
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $105.12 – $611.81
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $221.56
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $239.29
  • ELDERPLAN 1316 — ELDERPLAN 131601: $221.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $611.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $395.80
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $105.12
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $221.56
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $221.56
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $179.47
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • AETNA 2700 — AETNA 270002: 71% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $41.23 – $364.97
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $208.04
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $164.80
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $42.54
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $156.49
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $148.32
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $364.97
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $168.10
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $150.12
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $164.80
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $127.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $158.05 – $611.81
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $221.56
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $239.29
  • ELDERPLAN 1316 — ELDERPLAN 131601: $221.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $611.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $395.80
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $158.05
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $221.56
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $221.56
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $179.47
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • AETNA 2700 — AETNA 270002: 71% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $31.31 – $237.84
Family psychotherapy, without the patient: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $133.63
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $104.92
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $68
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $106
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $94.43
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $237.84
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $107.02
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $110.19
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $104.92
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $83.05
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $107.06 – $611.81
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $221.56
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $239.29
  • ELDERPLAN 1316 — ELDERPLAN 131601: $221.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $611.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $395.80
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $107.06
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $221.56
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $221.56
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $179.47
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, without the patient: rates for 3 insurance plans
  • AETNA 2700 — AETNA 270002: 71% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $68 – $247.99
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $139.35
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $108.69
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $68
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $109.77
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $97.82
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $247.99
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $110.86
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $114.10
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $108.69
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $85.89
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $110.87 – $611.81
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $221.56
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $239.29
  • ELDERPLAN 1316 — ELDERPLAN 131601: $221.56
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $611.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $395.80
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $110.87
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $221.56
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $221.56
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $179.47
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, with the patient: rates for 3 insurance plans
  • AETNA 2700 — AETNA 270002: 71% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $10.61 – $66.28
Group psychotherapy: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $37.86
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $29.91
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $28
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $29.39
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $26.92
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $66.28
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $30.51
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $29.88
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $29.91
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $23.19
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file Not listed in the file $29.68 – $350.17
Group psychotherapy: 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $126.81
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $136.96
  • ELDERPLAN 1316 — ELDERPLAN 131601: $126.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $350.17
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $226.54
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $126.81
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $29.68
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $126.81
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $126.81
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $102.72
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: PR GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file Not listed in the file
Group psychotherapy: rates for 3 insurance plans
  • AETNA 2700 — AETNA 270002: 71% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)

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 Not listed in the file Not listed in the file $152.88 – $1,267.48
Removal of breast growth (open surgery): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $662.96
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $542.18
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $203.10
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $579.57
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $487.96
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,267.48
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $553.02
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $535.63
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $867.18
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $484.03
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion Not listed in the file Not listed in the file $3,958.93 – $13,496.06
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $4,887.57
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $5,278.58
  • ELDERPLAN 1316 — ELDERPLAN 131601: $4,887.57
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $13,496.06
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $8,731.16
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $4,887.57
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $4,887.57
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $4,887.57
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3,958.93
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $10,713.56
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,696 $1,011.32 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $579.91 – $3,130.67
Total hip replacement: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $1,643.12
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $1,102.42
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $662.75
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $1,755.25
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $992.18
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $3,130.67
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,124.47
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $1,451.41
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $1,102.42
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $697.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty Not listed in the file Not listed in the file $12,981.32 – $44,253.48
Total hip replacement: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $16,026.32
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $17,308.43
  • ELDERPLAN 1316 — ELDERPLAN 131601: $16,026.32
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $44,253.48
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $28,629.42
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $16,026.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $16,026.32
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $16,026.32
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $12,981.32
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $26,499
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $3,820 $2,277.87 Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $623 – $3,127.60
Total knee replacement: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $1,641.11
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $1,100.13
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $712
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $1,754.48
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $990.12
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $3,127.60
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,122.13
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $1,449.76
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $1,100.13
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $1,179.46
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty Not listed in the file Not listed in the file $12,981.32 – $44,253.48
Total knee replacement: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $16,026.32
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $17,308.43
  • ELDERPLAN 1316 — ELDERPLAN 131601: $16,026.32
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $44,253.48
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $28,629.42
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $16,026.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $16,026.32
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $16,026.32
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $12,981.32
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $26,499
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $3,815 $2,274.88 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $98.25 – $574.74
Shoulder arthroscopy: shaving of shoulder bone: 10 of 26 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $217.69
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $140.36
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $310.67
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $126.32
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $417.31
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $143.17
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $187.11
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $140.36
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $392.22
  • FIDELIS 5155 — FIDELIS METAL TIERS 515501: $218.71
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $486 $289.80 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: HB Shoulder Scope Bone Shaving Not listed in the file $4,838 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $256.22 – $1,332
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $702.31
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $489.81
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $292.82
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $749.44
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $440.83
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,332
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $499.61
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $578.18
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $489.81
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $499.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $3,308.35 – $11,278.21
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $4,084.38
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $4,411.14
  • ELDERPLAN 1316 — ELDERPLAN 131601: $4,084.38
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $11,278.21
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $7,296.35
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $4,084.38
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $4,084.38
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $4,084.38
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3,308.35
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $8,952.97
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: PR ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG $1,569 $935.59 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $117.30 – $403.26
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $377.54
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA CHICKERING 270001,AETNA 270002,: $249.81
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $134.05
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $224.83
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $254.81
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $308.70
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $249.81
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, — HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE: $167.56
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICARE 1301 — HIGHMARK BC/BS MEDICARE 130101: $275.57
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN: $373.96
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $5,985.60 – $20,404.98
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $7,389.63
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $7,980.80
  • ELDERPLAN 1316 — ELDERPLAN 131601: $7,389.63
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $20,404.98
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $13,200.83
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $7,389.63
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $7,389.63
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $7,389.63
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $5,985.60
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $16,198.06
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: BIOPSY OF THROAT Not listed in the file Not listed in the file $117.30 – $403.26
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • LIFETIME BENEFIT SOLUTIONS 2200,EXCELLUS BLUE CROSS BLUE SHI — ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENE: $263.17
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $67.20 – $800
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $800
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $307.95
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $145.32
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $379.76
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $277.16
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $707.94
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $314.11
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $297.68
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $532.95
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $277.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $917.06 – $3,126.27
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,132.18
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,222.75
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,132.18
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $3,126.27
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,022.52
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,132.18
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,132.18
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,132.18
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $917.06
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $2,481.73
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $915 $545.61 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $83.35 – $935
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $935
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $399.57
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $166.82
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $508.45
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $359.61
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $926.50
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $407.56
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $396.52
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $749.57
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $354.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $917.06 – $3,126.27
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,132.18
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,222.75
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,132.18
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $3,126.27
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,022.52
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,132.18
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,132.18
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,132.18
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $917.06
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $2,481.73
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $1,185 $706.62 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $85.86 – $915
Colonoscopy (diagnostic): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $915
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $361.12
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $189.09
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $578.10
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $325.01
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $834.25
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $368.34
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $351.76
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $711.12
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $314.66
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $940.29 – $3,205.46
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,160.85
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,253.72
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,160.85
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $3,205.46
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,073.74
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,160.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,160.85
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,160.85
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $940.29
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $2,544.59
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $727 $433.51 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $119.80 – $1,066.82
Colonoscopy with biopsy: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $1,020
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $458.30
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $225.86
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $747.22
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $412.47
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,066.82
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $467.47
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $453.05
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $808.30
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $405.33
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,209.94 – $4,124.69
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,493.75
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,613.25
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,493.75
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $4,124.69
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,668.43
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,493.75
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,493.75
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,493.75
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $1,209.94
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $3,274.30
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,323 $788.90 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $122.15 – $1,115.33
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $1,100
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $478.25
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $253.41
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $775.21
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $430.43
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,115.33
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $487.82
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $473.82
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $828.25
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $421.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,209.94 – $4,124.69
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,493.75
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,613.25
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,493.75
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $4,124.69
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,668.43
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,493.75
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,493.75
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,493.75
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $1,209.94
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $3,274.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,370 $816.93 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,209.94 – $4,124.69
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,493.75
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,613.25
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,493.75
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $4,124.69
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,668.43
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,493.75
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,493.75
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,493.75
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $1,209.94
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $3,274.30
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $111.02 – $915
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $915
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $361.36
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $244.69
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $348.52
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $325.22
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $834.88
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $368.59
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $352.03
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $711.36
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $281.56
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $187.01 – $3,205.46
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,160.85
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,253.72
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,160.85
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $3,205.46
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $2,073.74
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,160.85
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: $187.01
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,160.85
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,160.85
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $940.29
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PR COLON CA SCRN NOT HI RSK IND $597 $355.99 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $277.43 – $1,603.43
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $842.08
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $595.37
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $317.07
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $768.51
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $535.83
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,603.43
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $607.28
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $705.64
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $595.37
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $620.98
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $6,112.69 – $20,838.25
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $7,546.54
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $8,150.26
  • ELDERPLAN 1316 — ELDERPLAN 131601: $7,546.54
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $20,838.25
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $13,481.13
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $7,546.54
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $7,546.54
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $7,546.54
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $6,112.69
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $16,542
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $1,844 $1,099.58 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $194.41 – $1,274.46
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $669.20
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $478.67
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $222.18
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $607.76
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $430.80
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,274.46
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $488.24
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $558.17
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $478.67
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $491.54
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,620.18 – $12,341.23
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $4,469.36
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $4,826.90
  • ELDERPLAN 1316 — ELDERPLAN 131601: $4,469.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $12,341.23
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $7,984.06
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $4,469.36
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $4,469.36
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $4,469.36
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3,620.18
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $9,796.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,465 $873.58 Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH Not listed in the file Not listed in the file Not listed in the file
Prostate biopsy: rates for 5 insurance plans
  • AETNA 2700 — AETNA 270002: 68% (a percentage in the contract, not a dollar amount)
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: 88% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE 5158 — UNITED HEALTHCARE 515803: 79.23% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $728.69 – $2,045.77
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $1,528.29
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA CHICKERING 270001,AETNA 270002,: $1,040.99
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $837.78
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $936.89
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,061.81
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $1,566.09
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $1,040.99
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, — HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE: $1,047.22
  • HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICARE 1301 — HIGHMARK BC/BS MEDICARE 130101: $1,115.54
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN: $1,557.97
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $10,747.93 – $36,639.83
Prostate removal by laparoscope (radical prostatectomy): 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $13,269.05
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $14,330.58
  • ELDERPLAN 1316 — ELDERPLAN 131601: $13,269.05
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $36,639.83
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $23,703.83
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $13,269.05
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $13,269.05
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $13,269.05
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $10,747.93
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $29,085.76
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: REPAIR TESTIS INJURY Not listed in the file Not listed in the file $728.69 – $2,045.77
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • LIFETIME BENEFIT SOLUTIONS 2200,EXCELLUS BLUE CROSS BLUE SHI — ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENE: $1,065.34
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $109.51 – $3,297.24
Hysteroscopy with biopsy of the uterus lining: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $1,572.08
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $1,207.26
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $144.64
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $1,495.51
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $1,086.53
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $3,297.24
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,231.41
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $1,473.05
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $1,207.26
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $1,272.74
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,273.09 – $11,158
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $4,040.85
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $4,364.12
  • ELDERPLAN 1316 — ELDERPLAN 131601: $4,040.85
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $11,158
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $7,218.58
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $4,040.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $4,040.85
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $4,040.85
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $3,273.09
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $8,857.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $2,593 $1,546.21 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $47.10 – $633.38
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $323.31
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $261.10
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $123.34
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $347.85
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $234.99
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $633.38
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $266.32
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $272.36
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $461.10
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $237.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $713.72 – $2,433.09
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $881.14
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $951.63
  • ELDERPLAN 1316 — ELDERPLAN 131601: $881.14
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $2,433.09
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $1,574.07
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $881.14
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $881.14
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $881.14
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $713.72
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $1,931.46
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $740 $441.26 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $42.43 – $602.91
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $309.75
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $253.31
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $148.31
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $324.65
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $227.98
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $602.91
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $258.38
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $251.73
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $253.31
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $226.34
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $894.30 – $3,048.68
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $1,104.07
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $1,192.40
  • ELDERPLAN 1316 — ELDERPLAN 131601: $1,104.07
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $3,048.68
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $1,972.32
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $1,104.07
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $1,104.07
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $1,104.07
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $894.30
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $2,420.13
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HB Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl Not listed in the file $1,448 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $166.89 – $1,095.60
Carpal tunnel release: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $578.70
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $458.44
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $191.32
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $617.45
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $412.60
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $1,095.60
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $467.61
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $464.94
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $758.44
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $408.52
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,974.42 – $6,730.82
Carpal tunnel release: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $2,437.55
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $2,632.56
  • ELDERPLAN 1316 — ELDERPLAN 131601: $2,437.55
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $6,730.82
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $4,354.45
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $2,437.55
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $2,437.55
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $2,437.55
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $1,974.42
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $5,343.12
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,292 $770.42 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery Not listed in the file Not listed in the file $556.11 – $1,895.78
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $686.55
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $741.48
  • ELDERPLAN 1316 — ELDERPLAN 131601: $686.55
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $1,895.78
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $1,226.46
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $686.55
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $686.55
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $686.55
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $556.11
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $1,504.92
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $2,333.46 – $7,954.81
Cataract removal with lens implant: 10 of 15 insurance plan rates
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $2,880.82
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $3,111.28
  • ELDERPLAN 1316 — ELDERPLAN 131601: $2,880.82
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE : $7,954.81
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201, OUT AREA BLUE CROSS BL — EXCELLUS METAL TIERS 220102: $5,146.30
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $2,880.82
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $2,880.82
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $2,880.82
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $2,333.46
  • MVP 2900 — MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003: $6,314.76
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP Not listed in the file Not listed in the file Not listed in the file
Cataract removal with lens implant: rates for 5 insurance plans
  • AETNA 2700 — AETNA 270002: 68% (a percentage in the contract, not a dollar amount)
  • HIGHMARK BLUE CROSS BLUE SHIELD 5143 — HIGHMARK BCBS 514301: 88% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH 5156 — INDEPENDENT HEALTH (BUFFALO NY) 515601: 56% (a percentage in the contract, not a dollar amount)
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: 43.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE 5158 — UNITED HEALTHCARE 515803: 79.23% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,420.74 – $5,817.45
Vaginal delivery, with care before and after: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $3,049.30
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $2,078.59
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $1,420.74
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $2,390.18
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $1,870.73
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $5,817.45
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $2,120.16
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $2,258.64
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $2,078.59
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $1,720.75
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $6,677 $3,981.50 Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,420.74 – $6,416.42
Cesarean delivery (C-section), with care before and after: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $3,376.30
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $2,310.97
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $1,420.74
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $2,390.18
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $2,079.87
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $6,416.42
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $2,357.19
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $2,497.02
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $2,310.97
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $2,486.34
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $7,393 $4,408.45 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,420.74 – $6,073
Vaginal delivery after a previous C-section, with care before and after: 10 of 27 insurance plan rates
  • AETNA 2700 — AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA M: $3,182.52
  • AETNA MEDICARE 1300, AETNA 2700 — AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006: $2,176.20
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 — AMERIGROUP (BSWNY ALTERNATE) 172001: $1,420.74
  • BLUE CROSS BLUE SHIELD OF WESTERN NY 5143, OUT OF AREA BLUE — BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 5143: $2,390.18
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID 1704 — CAPITAL DISTRICT PHYSICIANS MEDICAID 170401: $1,958.58
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) 5149 — CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901: $6,073
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $2,219.72
  • EMPIRE PLAN 5179, EMPIRE PLAN UHC 5180 — EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001: $2,367.76
  • EXCELLUS BLUE CROSS BLUE SHIELD 2201 — EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL : $2,176.20
  • EXCELLUS MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 — BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ M: $2,356.27
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $6,969 $4,155.61 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $88,810.85 $71,936.79 – $129,269.92
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • AETNA 2700 — AETNA 270002: $75,464.52
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $88,810.85
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $88,810.85
  • ELDERPLAN 1316 — ELDERPLAN 131601: $88,810.85
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $88,810.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $88,810.85
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $88,810.85
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: $88,810.85
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $71,936.79
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $88,810.85
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $18,061.90 $14,630.14 – $25,488.48
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • AETNA 2700 — AETNA 270002: $14,879.53
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $18,061.90
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $18,061.90
  • ELDERPLAN 1316 — ELDERPLAN 131601: $18,061.90
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $18,061.90
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $18,061.90
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $18,061.90
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: $18,061.90
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $14,630.14
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $18,061.90
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $22,677.67 $18,368.91 – $32,259.34
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • AETNA 2700 — AETNA 270002: $18,832.19
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $22,677.67
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $22,677.67
  • ELDERPLAN 1316 — ELDERPLAN 131601: $22,677.67
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $22,677.67
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $22,677.67
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $22,677.67
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: $22,677.67
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $18,368.91
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $22,677.67
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $11,862.51 $9,570.76 – $16,394.61
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • AETNA 2700 — AETNA 270002: $9,570.76
  • AETNA MEDICARE 1300 — AETNA MEDICARE 130001: $11,862.51
  • CDPHP MEDICARE 1320 — CDPHP MEDICARE 132001: $11,862.51
  • ELDERPLAN 1316 — ELDERPLAN 131601: $11,862.51
  • FIDELIS MEDICARE 1311 — FIDELIS MEDICARE 131101: $11,862.51
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 — HIGHMARK BCBS MEDICARE 130101: $11,862.51
  • HUMANA MEDICARE 1312 — HUMANA MEDICARE 131201: $11,862.51
  • INDEPENDENT HEALTH MEDICARE 1305 — INDEPENDENT HEALTH MEDICARE 130501: $11,862.51
  • MEDICARE BLUE CHOICE 1306 — MEDICARE BLUE CHOICE 130601: $9,608.63
  • MVP MEDICARE 1307 — MVP MEDICARE 130701: $11,862.51

Source: F F Thompson Hospital’s standard charges file (urmc.rochester.edu, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address350 Parrish Street, Canandaigua, NY 14424
CountyOntario County
StateNew York
Phone(585) 396‑6000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330074
Name in Medicare recordsF F THOMPSON HOSPITAL
Profile levelMedicare data + hospital website
Official websitethompsonhealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Emergency Medicine - Thompson Health — thompsonhealth.com
  2. Visitation Policy - Thompson Health — thompsonhealth.com
  3. Parking - Thompson Health — thompsonhealth.com
  4. Thompson Health > Patients & Visitors > Visitor Information — thompsonhealth.com
  5. Thompson Health > About Us > Awards and Recognitions — thompsonhealth.com
  6. Surgical Services — thompsonhealth.com
  7. Stroke Center at F.F. Thompson Hospital — thompsonhealth.com
  8. Thompson Health > About Us — thompsonhealth.com