Does Fitzgibbon Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Fitzgibbon Hospital. In a medical emergency, call 911.

Where is Fitzgibbon Hospital?

2305 S 65 Highway, Marshall, MO 65340, in Saline County, Missouri.

What is the phone number of Fitzgibbon Hospital?

(660) 886-7431, as listed by Medicare (CMS).

What is the Medicare star rating of Fitzgibbon Hospital?

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

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

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Fitzgibbon Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 1.0445; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Fitzgibbon Hospital — Phone, Address, ER & Ratings

Quick answers

Does Fitzgibbon Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Fitzgibbon Hospital. In a medical emergency, call 911.
Where is Fitzgibbon Hospital?: 2305 S 65 Highway, Marshall, MO 65340, in Saline County, Missouri.
What is the phone number of Fitzgibbon Hospital?: (660) 886-7431, as listed by Medicare (CMS).
What is the Medicare star rating of Fitzgibbon Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Fitzgibbon Hospital for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Fitzgibbon Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 1.0445; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[6][8][16][17]}

Conditions treated^[6]

Trauma
Orthopedic conditions
Cardiovascular conditions
Respiratory conditions
Obstetric conditions
Gynecologic conditions
Neurologic conditions
Abdominal conditions
Genitourinary conditions

Treatments^[16]

Infusions
Injections
Transfusions
PICC line placement
Pain management

Procedures^{[5][7][9][10][11][12][13][14][15][16]}

Cardiac permanent pacemaker insertion
Endoscopy (FEGD, colonoscopy, bronchoscopy)
General surgery
Obstetric and gynecologic surgery
Orthopedic surgery
3D mammography
Cardiac stress testing
CT scan
DEXA bone density scan
Echocardiography
Fluoroscopy
Low dose lung CT
MRI
Nuclear medicine
Ultrasound
X-ray

Programs and centers^[6][8][17]

Fitzgibbon Community Cancer Center
Fast Track Emergency Department
Medical-surgical and pediatrics unit
Comfort care (hospice and palliative care)

Emergency care (hospital website)^[6]

Emergency room	Yes

Visiting and practical information

Visiting	Med-Surg/Pediatrics unit: no limit on visiting hours if the patient's condition allows^[17]

Doctors and clinicians (124)

124 doctors and other clinicians list Fitzgibbon 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 (124)

Abdullah Arshad, MDInternal Medicine
Alberto A. Diaz-Arias, MDPathology
Alexander S. Taylor, MDPathology
Alexandre M. Tungesvik, MDHematology/Oncology
Amber R. DrumhellerNurse Practitioner
Andrea T. Kuensting, CNSCertified Clinical Nurse Specialist (CNS)
Andrew Horine, DOFamily Practice
Andrew J. Getzoff, MDDiagnostic Radiology
Andrew R. Wyant, MDGeneral Practice
Ann M. Gray, MDFamily Practice
Anna C. Venneman, MDPathology
Anne E. Petersen, MDGeneral Surgery
Arooj Mohsin, MDHospitalist
Aruna Cheddi, MDHospitalist
Blake J. Brooks, MDNephrology
Brenda K. Dodds, NPNurse Practitioner
Brenna StotlemeyerPhysician Assistant
Brett W. Metzger, PAPhysician Assistant
Brian E. Gonzales, NPNurse Practitioner
Brian P. Bostick, MDCardiovascular Disease (Cardiology)
Brooke SchreckhiseNurse Practitioner
Carrie A. Lucas, NPNurse Practitioner
Carrie M. Peecher, DOFamily Practice
Cary D. AdkissonNurse Practitioner

And 100 more: the button below opens the full list.

Other emergency rooms nearby

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

Carroll County Memorial Hospital25 mi · Carrollton, MO · Critical Access Hospital
Bothwell Regional Health Center27 mi · Sedalia, MO · Acute Care Hospital
Lafayette Regional Health Center34 mi · Lexington, MO · Critical Access Hospital
Western Missouri Medical Center36 mi · Warrensburg, MO · Acute Care Hospital
Ray County Memorial Hospital42 mi · Richmond, MO · Critical Access Hospital

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

Other hospitals near Marshall

Royal Oaks Hospital42 mi · Windsor, MO · Psychiatric Hospital

Hospitals in Saline County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

The Living Center0.1 mi · Marshall, MO · 3 of 5 stars
Legendary Health Care Center1.9 mi · Marshall, MO · 1 of 5 stars
Apple Ridge Care Center18 mi · Waverly, MO · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Fitzgibbon Mary Montgomery Hospice2.0 mi · Marshall, MO

All hospice providers in the state →

Home health agencies

Fitzgibbon Community Home Health2.0 mi · Marshall, MO · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Marshall Renal Center2.0 mi · Marshall, MO · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Katy Trail Community Health-Marshall0.4 mi · Marshall, MO · Community health center
Marshall High School1.4 mi · Marshall, MO · Community health center
Katy Trail Community Health Bueker Middle School1.8 mi · Marshall, MO · Community health center

Clinics and urgent care

Fitzgibbon Professional Building2.0 mi · Marshall, MO · Rural health clinic
Mid-Missouri Family Health at Fitzgibbon2.0 mi · Marshall, MO · Rural health clinic
Akeman McBurney Health Clinic13 mi · Slater, MO · Rural health clinic

Pharmacies

Palmco, Inc.2.0 mi · Marshall, MO · Community/retail pharmacy
Saleaumua Inc2.0 mi · Marshall, MO · Community/retail pharmacy
Summers Pharmacy of Marshall, LLC2.0 mi · Marshall, MO · Community/retail pharmacy

Assisted living nearby

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

Georgia Brown Blosser Home for the Aged2.0 mi · Marshall, MO
Hartland Residential Care Center2.0 mi · Marshall, MO
LYBL2.0 mi · Marshall, MO
Westport Estates Assisted Living2.0 mi · Marshall, MO

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	62%National average: 71%
Nurses “always” communicated well	72%National average: 80%
Doctors “always” communicated well	79%National average: 80%
“Always” got help as soon as they wanted	62%National average: 64%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	65%National average: 73%
Completed surveys	285Response rate: 28%

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

Complications and deaths

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

Deaths within 30 days: heart failure patients	12.5%
Deaths within 30 days: pneumonia patients	17.6%
Deaths within 30 days: COPD patients	8.7%
Serious complications (patient safety indicator PSI-90)	0.98No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	18%
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	20.1%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	79 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	69%National average: 66%

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

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	1.0445Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure	1.0420More readmissions than expected
Pneumonia	1.0065More readmissions than expected
COPD (chronic lung disease)	1.0292More readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	37.58 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	3.33 out of 100
Person and community engagement (patient survey)	32.00 out of 100
Safety (infections and sepsis care)	15.00 out of 100
Efficiency and cost reduction (Medicare spending)	100.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	0.83Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Fitzgibbon Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 72 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$25.63	$20.50	$16.66 – $19.35
New patient office visit (about 30–44 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $16.66 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $18.61 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $17.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.71 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $19.35
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$25.63	$20.50	$16.66 – $19.35
New patient office visit (about 45–59 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $16.66 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $18.61 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $17.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.71 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $19.35
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$25.63	$20.50	$16.66 – $19.35
New patient office visit (about 60–74 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $16.66 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $18.61 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $17.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.71 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $19.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$317.10	$253.68	$206.12 – $239.41
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $206.12 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $230.21 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $211.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $231.48 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $239.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$228.90	$183.12	$148.79 – $172.82
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $148.79 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $166.18 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $152.68 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $167.10 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $172.82
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	$25.63	$20.50	$16.66 – $19.35
Office consultation with a specialist (moderate): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $16.66 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $18.61 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $17.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.71 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $19.35
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more	$25.63	$20.50	$16.66 – $19.35
Office consultation with a specialist (moderate to high): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $16.66 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $18.61 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $17.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.71 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $19.35
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$765.21	$612.17	$497.39 – $894
Emergency room visit (moderate): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $497.39 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $555.54 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $510.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $558.60 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $894
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$189.63	$151.70	$82.97
Emergency room visit (moderate): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $82.97
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$1,187.10	$949.68	$771.62 – $866.58
Emergency room visit (moderately high): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $771.62 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $861.83 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $791.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $866.58 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $830.97
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$361.83	$289.46	$141.35
Emergency room visit (moderately high): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $141.35
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$1,866.22	$1,492.98	$1,213.04 – $1,362.34
Emergency room visit (high): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $1,213.04 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $1,354.88 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,244.77 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,362.34 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,306.35
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$529.93	$423.94	$204.87
Emergency room visit (high): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $204.87

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$284.13	$227.30	$184.68 – $214.52
Basic metabolic panel (blood test): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $184.68 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $206.28 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $189.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $207.41 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $214.52
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$330.41	$264.33	$214.77 – $249.46
Comprehensive metabolic panel (blood test): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $214.77 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $239.88 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $220.38 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $241.20 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $249.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$178.66	$142.93	$116.13 – $134.89
Cholesterol panel (lipid panel): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $116.13 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $129.71 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $119.17 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $130.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $134.89
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$275.52	$220.42	$179.09 – $208.02
Kidney function panel: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $179.09 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $200.03 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $183.77 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $201.13 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $208.02
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$216.33	$173.06	$140.61 – $163.33
Liver function panel: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $140.61 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $157.06 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $144.29 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $157.92 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $163.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$97.94	$78.35	$63.66 – $73.94
Urine test (automated, with microscope): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $63.66 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $71.10 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $65.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $71.50 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $73.94
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$9.45	$7.56	$4.25
Urine test (manual, without microscope): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $4.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$36.59	$29.27	$23.78 – $27.63
Urine test (automated, without microscope): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $23.78 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $26.56 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $24.41 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $26.71 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $27.63
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$102	$81.60	$66.30 – $77.01
PSA (prostate specific antigen) blood test: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $66.30 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $74.05 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $68.03 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $74.46 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $77.01
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$272.29	$217.83	$176.99 – $205.58
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $176.99 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $197.68 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $181.62 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $198.77 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $205.58
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$159.29	$127.43	$103.54 – $120.26
Complete blood count (CBC) with differential: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $103.54 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $115.64 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $106.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $116.28 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $120.26
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$159.29	$127.43	$103.54 – $120.26
Complete blood count (CBC), automated: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $103.54 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $115.64 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $106.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $116.28 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $120.26
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$8.40	$6.72	$5.23
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $79.05 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $88.30 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $5.23 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $88.78 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $91.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$158.21	$126.57	$102.84 – $119.45
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $102.84 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $114.86 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $105.53 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $115.49 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $119.45

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT scan head or brain without contrast	$2,425.87	$1,940.70	$709 – $1,770.89
CT scan of the head or brain, without contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $1,576.82 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $1,761.18 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,618.06 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,770.89 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $709
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan head or brain without contrast	$105.58	$84.46	$46.35
CT scan of the head or brain, without contrast: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $46.35
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$3,396.75	$2,717.40	$1,102 – $2,479.63
MRI of the brain, before and after contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $2,207.89 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $2,466.04 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $2,265.63 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,479.63 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,102
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of brain before and after contrast	$3,481.67	$2,785.34	$1,102 – $2,541.62
MRI of the brain, before and after contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $2,263.09 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $2,527.69 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $2,322.27 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,541.62 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,102
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of brain before and after contrast	$281.88	$225.50	$123.78
MRI of the brain, before and after contrast: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $123.78
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$89.30	$71.44	$58.05 – $67.42
Chest X-ray, 2 views: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $58.05 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $64.83 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $59.56 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $65.19 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $67.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of chest, 2 views	$27.68	$22.14	$11.76
Chest X-ray, 2 views: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $11.76
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of lower and sacral spine, minimum of 4 views	$753.38	$602.70	$489.70 – $568.80
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $489.70 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $546.95 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $502.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $549.97 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $568.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of lower and sacral spine, minimum of 4 views	$33.83	$27.06	$14.85
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $14.85
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of lower spinal canal without contrast	$2,874.66	$2,299.73	$1,102 – $2,098.50
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $1,868.53 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $2,087 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,917.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,098.50 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,102
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of lower spinal canal without contrast	$182.45	$145.96	$80.47
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $80.47
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of pelvis with contrast	$1,991.06	$1,592.85	$709 – $1,453.47
CT scan of the pelvis, with contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $1,294.19 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $1,445.51 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,328.04 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,453.47 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $709
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of pelvis with contrast	$143.50	$114.80	$62.88
CT scan of the pelvis, with contrast: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $62.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of leg joint without contrast	$2,260.13	$1,808.10	$1,102 – $1,649.89
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $1,469.08 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $1,640.85 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,507.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,649.89 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,102
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of leg joint without contrast	$168.10	$134.48	$73.77
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $73.77
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of abdomen and pelvis with contrast	$4,391.10	$3,512.88	$709 – $3,205.50
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $2,854.22 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $3,187.94 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $2,928.86 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,205.50 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $709
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of abdomen and pelvis with contrast	$223.45	$178.76	$98.62
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $98.62
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Complete ultrasound scan of abdomen	$1,054.73	$843.78	$685.57 – $796.32
Ultrasound of the abdomen, complete: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $685.57 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $765.73 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $703.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $769.95 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $796.32
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Complete ultrasound scan of abdomen	$98.40	$78.72	$43.97
Ultrasound of the abdomen, complete: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $43.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$870.69	$696.55	$565.95 – $657.37
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $565.95 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $632.12 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $580.75 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $635.60 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $657.37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$120.95	$96.76	$55.21
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $55.21
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$729.70	$583.76	$474.31 – $550.92
Transvaginal ultrasound: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $474.31 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $529.76 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $486.71 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $532.68 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $550.92
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$711.90	$569.52	$462.74 – $537.48
Transvaginal ultrasound: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $462.74 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $516.84 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $474.84 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $519.69 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $537.48
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$86.10	$68.88	$38.03
Transvaginal ultrasound: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $38.03
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$327.60	$262.08	$212.94 – $247.34
Diagnostic mammogram, one breast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $212.94 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $237.84 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $218.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $239.15 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $247.34
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: Diagnostic mammography of 1 breast	$327.60	$262.08	$212.94 – $247.34
Diagnostic mammogram, one breast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $212.94 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $237.84 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $218.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $239.15 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $247.34
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of 1 breast	$335.79	$268.63	$218.26 – $253.52
Diagnostic mammogram, one breast: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $218.26 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $243.78 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $223.97 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $245.13 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $253.52
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$276.15	$220.92	$179.50 – $208.49
Diagnostic mammogram, both breasts: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $179.50 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $200.48 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $184.19 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $201.59 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $208.49
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of both breasts	$283.05	$226.44	$183.98 – $213.70
Diagnostic mammogram, both breasts: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $183.98 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $205.49 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $188.79 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $206.63 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $213.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography	$320.25	$256.20	$208.16 – $241.79
Screening mammogram, both breasts: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $208.16 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $232.50 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $213.61 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $233.78 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $241.79
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: Screening mammography	$96.35	$77.08	$41.22
Screening mammogram, both breasts: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $41.22

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report	$40.95	$32.76	$26.62 – $30.92
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $26.62 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $29.73 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $27.31 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $29.89 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $30.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$4,792.20	$3,833.76	$3,114.93 – $3,618.11
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $3,114.93 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $3,479.14 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $3,196.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,498.31 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $3,618.11

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$27.98	$22.38	$18.19 – $21.12
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $18.19 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $20.31 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $18.66 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $20.43 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $21.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$139.91	$111.93	$90.94 – $105.63
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $90.94 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $101.57 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $93.32 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $102.13 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $105.63
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$144.22	$115.38	$93.74 – $108.89
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $93.74 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $104.70 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $96.19 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $105.28 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $108.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes	$263.68	$210.94	$171.39 – $199.08
Physical therapy evaluation (low complexity): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $171.39 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $191.43 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $175.87 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $192.49 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $199.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes	$263.68	$210.94	$171.39 – $199.08
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $171.39 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $191.43 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $175.87 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $192.49 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $199.08
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes	$263.68	$210.94	$171.39 – $199.08
Physical therapy evaluation (high complexity): rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $171.39 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $191.43 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $175.87 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $192.49 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $199.08
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$124.03	$99.22	$84.02
Psychotherapy, 30 minutes: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $84.02
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$158.88	$127.10	$111.08
Psychotherapy, 45 minutes: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $111.08
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$233.70	$186.96	$163.60
Psychotherapy, 60 minutes: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $163.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$171.18	$136.94	$119.87
Family psychotherapy, without the patient: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $119.87
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$212.18	$169.74	$124.37
Family psychotherapy, with the patient: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $124.37
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$60.48	$48.38	$29.45
Group psychotherapy: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $29.45

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple	$834.09	$667.27	$467.96
Removal of breast growth (open surgery): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $467.96
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$2,761.66	$2,209.33	$1,347.97
Total hip replacement: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,347.97
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$2,965.07	$2,372.06	$1,345.03
Total knee replacement: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,345.03
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$1,281.81	$1,025.45	$174.37
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $174.37
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$1,205.40	$964.32	$587.25
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $587.25
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$573.64	$458.91	$128.83
Upper GI endoscopy (diagnostic): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $128.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$658.67	$526.94	$144.30
Upper GI endoscopy with biopsy: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $144.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$753.38	$602.70	$192.92
Colonoscopy (diagnostic): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $192.92
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$899.75	$719.80	$208.30
Colonoscopy with biopsy: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $208.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$1,012.75	$810.20	$262.40
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $262.40
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$717.50	$574	$193.32
Screening colonoscopy (not high risk): rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $193.32
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$1,645	$1,316	$734.18
Gallbladder removal by laparoscope: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $734.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$933.11	$746.49	$587.26
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $587.26
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$603.78	$483.02	$241.15
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $241.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$262.40	$209.92	$104.46
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $104.46
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier 26 In the file: Injection of substance into lower spine canal using imaging guidance	$259.33	$207.46	$104.46
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $104.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$213	$170.40	$115.85
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $115.85
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$777.05	$621.64	$476.84
Carpal tunnel release: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $476.84

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery	$3,448.31	$2,758.65	$2,585.01
Vaginal delivery, with care before and after: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $2,585.01
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery	$3,903.56	$3,122.85	$2,891.23
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $2,891.23
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery	$3,630.19	$2,904.15	$2,725.53
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $2,725.53

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$48,645.79	$38,916.63	$3,680 – $23,618.92
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $23,618.92 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $4,000 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $3,680 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $20,369.77 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $10,385
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	$10,697.60	$8,558.08	$1,840 – $4,286
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans AETNA - ALL PLANS — AETNA - ALL PLANS: $4,234.58 BCBS BLUE LEASED PPO - ALL OTHER PLANS — BCBS BLUE LEASED PPO - ALL OTHER PLANS: $2,000 BCBS PREFERRED BLUE RISK PPO — BCBS PREFERRED BLUE RISK PPO: $1,840 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,796 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $4,286

Source: Fitzgibbon Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 2, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	2305 S 65 Highway, Marshall, MO 65340
County	Saline County
State	Missouri
Phone	(660) 886‑7431
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	260142
Name in Medicare records	FITZGIBBON HOSPITAL
Profile level	Medicare data + hospital website
Official website	fitzgibbon.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Radiology (Imaging Services) | Fitzgibbon Hospital — fitzgibbon.org
Fast Track Emergency Department (ED) | Fitzgibbon Hospital — fitzgibbon.org
Echocardiography | Fitzgibbon Hospital — fitzgibbon.org
Fitzgibbon Community Cancer Center | Fitzgibbon Hospital — fitzgibbon.org
3D Mammography | Fitzgibbon Hospital — fitzgibbon.org
CT Scan - Computed Tomography | Fitzgibbon Hospital — fitzgibbon.org
Fluoroscopy | Fitzgibbon Hospital — fitzgibbon.org
MRI - Magnetic Resonance Imaging | Fitzgibbon Hospital — fitzgibbon.org
Nuclear Medicine | Fitzgibbon Hospital — fitzgibbon.org
Ultrasound | Fitzgibbon Hospital — fitzgibbon.org
X-Ray | Fitzgibbon Hospital — fitzgibbon.org
Surgical Services & Departments | Fitzgibbon Hospital — fitzgibbon.org
Med-Surg/Pediatrics | Fitzgibbon Hospital — fitzgibbon.org

Fitzgibbon Hospital

Summary

Profile from official sources

At a glance