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Acute Care Hospital

Glenwood Regional Medical Center

West Monroe, Louisiana · Ouachita Parish · Emergency services listed

Summary

Glenwood Regional Medical Center is an acute care hospital in West Monroe, Louisiana. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 60 services, specialties and programs. Medicare lists 232 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(318) 329‑4600 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
278Beds (hospital website)
232Doctors and clinicians
60Services listed

Quick answers

Does Glenwood Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Glenwood Regional Medical Center. In a medical emergency, call 911.
Where is Glenwood Regional Medical Center?
503 McMillan Road, West Monroe, LA 71291, in Ouachita Parish, Louisiana.
What is the phone number of Glenwood Regional Medical Center?
(318) 329-4600, as listed by Medicare (CMS).
What is the Medicare star rating of Glenwood Regional Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][10][12][14]

Conditions treated[6][8][10][11][12][14]

  • Stroke
  • Aortic stenosis
  • Cancer, all types and stages
  • Osteoarthritis
  • Anterior cruciate ligament tears
  • Fractures
  • Muscle strains
  • Cervical and lumbar disc injuries
  • Spinal deformities
  • Scoliosis
  • Foot and ankle injuries
  • Labral and meniscal tears
  • Rotator cuff tears

Treatments[10][11][12][14]

  • Radiation therapy
  • Outpatient oncology services
  • Digital and 3D mammography
  • Diagnostic imaging
  • Hospice
  • MRI with computer-aided detection
  • Breast ultrasound
  • Dexascan bone density
  • Breast intervention and biopsy
  • Epidural steroid injections
  • Radiofrequency ablation
  • Joint injections
  • Physical therapy
  • EKG and echocardiogram
  • Stress tests
  • Holter monitoring
  • Nuclear cardiology
  • Pacemakers and defibrillators

Procedures[10][11]

Programs and centers[6][10][11][12][14]

  • Accredited Chest Pain Center
  • Breast Patient Navigation Program
  • Cardiac rehabilitation
  • Pulmonary rehabilitation
  • Cancer rehabilitation program
  • Cancer center tumor registry

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Interpreters and languagesFree qualified interpreters and translated information for non-English speakers; contact Risk Management[7]

Recognition[6][12][13]

  • Accredited Chest Pain Center
  • Approved by the American College of Surgeons Commission on Cancer as a comprehensive community cancer center
  • DNV accredited hospital

Doctors and clinicians (232)

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

Main specialties

Doctors with a page on this site (232)

And 208 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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1077%National average: 72%
Would definitely recommend the hospital75%National average: 71%
Nurses “always” communicated well87%National average: 80%
Doctors “always” communicated well87%National average: 80%
Staff “always” explained medicines before giving them70%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean67%National average: 74%
Area around the room “always” quiet at night71%National average: 60%
Completed surveys415Response rate: 18%

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)1.889No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.95No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.421No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.062Better 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 patients12.4%
Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients15.4%
Deaths within 30 days: COPD patients7.5%
Deaths within 30 days: stroke patients13.1%
Deaths within 30 days: coronary bypass surgery (CABG)5.6%
Serious complications (patient safety indicator PSI-90)1.04No different from the national rate
Complications after hip or knee replacement4.7%

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 attack14.8%
Readmitted within 30 days: heart failure23.5%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgery12.3%
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)158 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)61%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 LouisianaBest hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Glenwood Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3 $65.06 Not listed in the file $33.90 – $274
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $42.29
  • BCBS of LA Commercial — BCBS of LA Commercial: $65.06
  • Cigna Commercial — Cigna Commercial: $38.65
  • MedSolutions — MedSolutions: $65.06
  • MHNet — MHNet: $65.06
  • PPO Plus All Other — PPO Plus All Other: $45.54
  • PPO Plus Over 200 — PPO Plus Over 200: $33.90
  • Three Rivers Provider Network — Three Rivers Provider Network: $55.30
  • United Behavioral Health — United Behavioral Health: $65.06
  • United Healthcare Commercial — United Healthcare Commercial: $274
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3 $65.06 Not listed in the file $33.90 – $65.06
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $45.54
  • PPO Plus Over 200 — PPO Plus Over 200: $33.90
  • Three Rivers Provider Network — Three Rivers Provider Network: $55.30
  • United Behavioral Health — United Behavioral Health: $39.04
  • Verity Healthnet National — Verity Healthnet National: $55.30
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4 $65.06 Not listed in the file $33.90 – $274
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $42.29
  • BCBS of LA Commercial — BCBS of LA Commercial: $65.06
  • Cigna Commercial — Cigna Commercial: $38.65
  • MedSolutions — MedSolutions: $65.06
  • MHNet — MHNet: $65.06
  • PPO Plus All Other — PPO Plus All Other: $45.54
  • PPO Plus Over 200 — PPO Plus Over 200: $33.90
  • Three Rivers Provider Network — Three Rivers Provider Network: $55.30
  • United Behavioral Health — United Behavioral Health: $65.06
  • United Healthcare Commercial — United Healthcare Commercial: $274
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4 $65.06 Not listed in the file $33.90 – $65.06
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $45.54
  • PPO Plus Over 200 — PPO Plus Over 200: $33.90
  • Three Rivers Provider Network — Three Rivers Provider Network: $55.30
  • United Behavioral Health — United Behavioral Health: $39.04
  • Verity Healthnet National — Verity Healthnet National: $55.30
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5 $1,609.21 Not listed in the file $56.77 – $1,609.21
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,045.99
  • BCBS of LA Commercial — BCBS of LA Commercial: $84.64
  • Cigna Commercial — Cigna Commercial: $955.87
  • MedSolutions — MedSolutions: $1,609.21
  • MHNet — MHNet: $1,609.21
  • PPO Plus All Other — PPO Plus All Other: $1,126.45
  • PPO Plus Over 200 — PPO Plus Over 200: $838.40
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,367.83
  • United Behavioral Health — United Behavioral Health: $1,609.21
  • United Healthcare Commercial — United Healthcare Commercial: $274
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5 $1,609.21 Not listed in the file $838.40 – $1,609.21
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,126.45
  • PPO Plus Over 200 — PPO Plus Over 200: $838.40
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,367.83
  • United Behavioral Health — United Behavioral Health: $965.53
  • Verity Healthnet National — Verity Healthnet National: $1,367.83
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 3 $488.66 Not listed in the file $37.83 – $488.66
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $317.63
  • BCBS of LA Commercial — BCBS of LA Commercial: $48.27
  • Cigna Commercial — Cigna Commercial: $290.26
  • MedSolutions — MedSolutions: $488.66
  • MHNet — MHNet: $488.66
  • PPO Plus All Other — PPO Plus All Other: $342.06
  • PPO Plus Over 200 — PPO Plus Over 200: $254.59
  • Three Rivers Provider Network — Three Rivers Provider Network: $415.36
  • United Behavioral Health — United Behavioral Health: $488.66
  • United Healthcare Commercial — United Healthcare Commercial: $274
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEVEL 3 $488.66 Not listed in the file $254.59 – $488.66
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $342.06
  • PPO Plus Over 200 — PPO Plus Over 200: $254.59
  • Three Rivers Provider Network — Three Rivers Provider Network: $415.36
  • United Behavioral Health — United Behavioral Health: $293.20
  • Verity Healthnet National — Verity Healthnet National: $415.36
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 4 $548.89 Not listed in the file $56.77 – $548.89
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $356.78
  • BCBS of LA Commercial — BCBS of LA Commercial: $64.89
  • Cigna Commercial — Cigna Commercial: $326.04
  • MedSolutions — MedSolutions: $548.89
  • MHNet — MHNet: $548.89
  • PPO Plus All Other — PPO Plus All Other: $384.22
  • PPO Plus Over 200 — PPO Plus Over 200: $285.97
  • Three Rivers Provider Network — Three Rivers Provider Network: $466.56
  • United Behavioral Health — United Behavioral Health: $548.89
  • United Healthcare Commercial — United Healthcare Commercial: $274
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEVEL 4 $548.89 Not listed in the file $285.97 – $548.89
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $384.22
  • PPO Plus Over 200 — PPO Plus Over 200: $285.97
  • Three Rivers Provider Network — Three Rivers Provider Network: $466.56
  • United Behavioral Health — United Behavioral Health: $329.33
  • Verity Healthnet National — Verity Healthnet National: $466.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3 $1,732.05 $248.33 $239.64 – $1,385.51
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,125.83
  • BCBS of LA Commercial — BCBS of LA Commercial: $581
  • Cigna Commercial — Cigna Commercial: $1,611
  • Humana Commercial — Humana Commercial: $1,385.51
  • Humana Medicare Advantage — Humana Medicare Advantage: $239.64
  • INSYSS — INSYSS: $422.16
  • Medicare — Medicare: $248.33
  • Medicare Plus 110 — Medicare Plus 110: $273.16
  • MedSolutions — MedSolutions: $1,732.05
  • MHNet — MHNet: $1,732.05
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 3 $1,732.05 Not listed in the file $902.40 – $1,732.05
Emergency room visit (moderate): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,212.43
  • PPO Plus Over 200 — PPO Plus Over 200: $902.40
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,472.24
  • United Behavioral Health — United Behavioral Health: $1,039.23
  • Verity Healthnet National — Verity Healthnet National: $1,472.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4 $2,379.49 $379.59 $366.30 – $2,117.82
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,546.67
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,656.29
  • Cigna Commercial — Cigna Commercial: $4,315
  • Humana Commercial — Humana Commercial: $2,117.82
  • Humana Medicare Advantage — Humana Medicare Advantage: $366.30
  • INSYSS — INSYSS: $645.30
  • Medicare — Medicare: $379.59
  • Medicare Plus 110 — Medicare Plus 110: $417.55
  • MedSolutions — MedSolutions: $2,379.49
  • MHNet — MHNet: $2,379.49
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 4 $2,379.49 Not listed in the file $1,239.71 – $2,379.49
Emergency room visit (moderately high): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,665.64
  • PPO Plus Over 200 — PPO Plus Over 200: $1,239.71
  • Three Rivers Provider Network — Three Rivers Provider Network: $2,022.57
  • United Behavioral Health — United Behavioral Health: $1,427.69
  • Verity Healthnet National — Verity Healthnet National: $2,022.57
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5 $2,387.85 $541.76 $522.80 – $3,022.63
Emergency room visit (high): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,552.10
  • BCBS of LA Commercial — BCBS of LA Commercial: $2,931
  • Cigna Commercial — Cigna Commercial: $4,315
  • Humana Commercial — Humana Commercial: $3,022.63
  • Humana Medicare Advantage — Humana Medicare Advantage: $522.80
  • INSYSS — INSYSS: $920.99
  • Medicare — Medicare: $541.76
  • Medicare Plus 110 — Medicare Plus 110: $595.94
  • MedSolutions — MedSolutions: $2,387.85
  • MHNet — MHNet: $2,387.85
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 5 $2,387.85 Not listed in the file $1,244.07 – $2,387.85
Emergency room visit (high): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,671.49
  • PPO Plus Over 200 — PPO Plus Over 200: $1,244.07
  • Three Rivers Provider Network — Three Rivers Provider Network: $2,029.67
  • United Behavioral Health — United Behavioral Health: $1,432.71
  • Verity Healthnet National — Verity Healthnet National: $2,029.67

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL CAL TTL $279.86 $8.29 $8 – $279.86
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $181.91
  • BCBS of LA Commercial — BCBS of LA Commercial: $25.87
  • Cigna Commercial — Cigna Commercial: $166.24
  • Humana Commercial — Humana Commercial: $46.45
  • Humana Medicare Advantage — Humana Medicare Advantage: $8
  • INSYSS — INSYSS: $14.09
  • Medicare — Medicare: $8.29
  • Medicare Plus 110 — Medicare Plus 110: $9.12
  • MedSolutions — MedSolutions: $279.86
  • MHNet — MHNet: $279.86
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $279.86 $8.29 $8 – $279.86
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $181.91
  • BCBS of LA Commercial — BCBS of LA Commercial: $25.87
  • Cigna Commercial — Cigna Commercial: $166.24
  • Humana Commercial — Humana Commercial: $46.45
  • Humana Medicare Advantage — Humana Medicare Advantage: $8
  • INSYSS — INSYSS: $14.09
  • Medicare — Medicare: $8.29
  • Medicare Plus 110 — Medicare Plus 110: $9.12
  • MedSolutions — MedSolutions: $279.86
  • MHNet — MHNet: $279.86
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL CAL TTL $279.86 Not listed in the file $145.81 – $279.86
Basic metabolic panel (blood test): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $195.90
  • PPO Plus Over 200 — PPO Plus Over 200: $145.81
  • Three Rivers Provider Network — Three Rivers Provider Network: $237.88
  • United Behavioral Health — United Behavioral Health: $167.92
  • Verity Healthnet National — Verity Healthnet National: $237.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $609.16 $10.35 $9.99 – $609.16
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $395.95
  • BCBS of LA Commercial — BCBS of LA Commercial: $32.31
  • Cigna Commercial — Cigna Commercial: $361.84
  • Humana Commercial — Humana Commercial: $57.97
  • Humana Medicare Advantage — Humana Medicare Advantage: $9.99
  • INSYSS — INSYSS: $17.59
  • Medicare — Medicare: $10.35
  • Medicare Plus 110 — Medicare Plus 110: $11.38
  • MedSolutions — MedSolutions: $609.16
  • MHNet — MHNet: $609.16
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $609.16 Not listed in the file $317.37 – $609.16
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $426.41
  • PPO Plus Over 200 — PPO Plus Over 200: $317.37
  • Three Rivers Provider Network — Three Rivers Provider Network: $517.79
  • United Behavioral Health — United Behavioral Health: $365.50
  • Verity Healthnet National — Verity Healthnet National: $517.79
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $161.03 $46.85 $24.01 – $262.48
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $104.67
  • BCBS of LA Commercial — BCBS of LA Commercial: $146.23
  • Cigna Commercial — Cigna Commercial: $95.65
  • Humana Commercial — Humana Commercial: $262.48
  • Humana Medicare Advantage — Humana Medicare Advantage: $45.21
  • INSYSS — INSYSS: $79.64
  • Medicare — Medicare: $46.85
  • Medicare Plus 110 — Medicare Plus 110: $51.54
  • MedSolutions — MedSolutions: $161.03
  • MHNet — MHNet: $161.03
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $161.03 Not listed in the file $83.90 – $161.03
Obstetric blood test panel: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $112.72
  • PPO Plus Over 200 — PPO Plus Over 200: $83.90
  • Three Rivers Provider Network — Three Rivers Provider Network: $136.88
  • United Behavioral Health — United Behavioral Health: $96.62
  • Verity Healthnet National — Verity Healthnet National: $136.88
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $270.43 $13.12 $12.66 – $270.43
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $175.78
  • BCBS of LA Commercial — BCBS of LA Commercial: $40.96
  • Cigna Commercial — Cigna Commercial: $160.64
  • Humana Commercial — Humana Commercial: $73.51
  • Humana Medicare Advantage — Humana Medicare Advantage: $12.66
  • INSYSS — INSYSS: $22.30
  • Medicare — Medicare: $13.12
  • Medicare Plus 110 — Medicare Plus 110: $14.43
  • MedSolutions — MedSolutions: $270.43
  • MHNet — MHNet: $270.43
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL LIPID PANEL $270.43 $13.12 $12.66 – $270.43
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $175.78
  • BCBS of LA Commercial — BCBS of LA Commercial: $40.96
  • Cigna Commercial — Cigna Commercial: $160.64
  • Humana Commercial — Humana Commercial: $73.51
  • Humana Medicare Advantage — Humana Medicare Advantage: $12.66
  • INSYSS — INSYSS: $22.30
  • Medicare — Medicare: $13.12
  • Medicare Plus 110 — Medicare Plus 110: $14.43
  • MedSolutions — MedSolutions: $270.43
  • MHNet — MHNet: $270.43
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $270.43 Not listed in the file $140.89 – $270.43
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $189.30
  • PPO Plus Over 200 — PPO Plus Over 200: $140.89
  • Three Rivers Provider Network — Three Rivers Provider Network: $229.87
  • United Behavioral Health — United Behavioral Health: $162.26
  • Verity Healthnet National — Verity Healthnet National: $229.87
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $679.46 $8.51 $8.21 – $679.46
Kidney function panel: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $441.65
  • BCBS of LA Commercial — BCBS of LA Commercial: $26.56
  • Cigna Commercial — Cigna Commercial: $403.60
  • Humana Commercial — Humana Commercial: $47.65
  • Humana Medicare Advantage — Humana Medicare Advantage: $8.21
  • INSYSS — INSYSS: $14.47
  • Medicare — Medicare: $8.51
  • Medicare Plus 110 — Medicare Plus 110: $9.36
  • MedSolutions — MedSolutions: $679.46
  • MHNet — MHNet: $679.46
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $679.46 Not listed in the file $354 – $679.46
Kidney function panel: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $475.62
  • PPO Plus Over 200 — PPO Plus Over 200: $354
  • Three Rivers Provider Network — Three Rivers Provider Network: $577.54
  • United Behavioral Health — United Behavioral Health: $407.68
  • Verity Healthnet National — Verity Healthnet National: $577.54
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $164.30 $8.01 $7.73 – $164.30
Liver function panel: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $106.80
  • BCBS of LA Commercial — BCBS of LA Commercial: $25
  • Cigna Commercial — Cigna Commercial: $97.59
  • Humana Commercial — Humana Commercial: $44.85
  • Humana Medicare Advantage — Humana Medicare Advantage: $7.73
  • INSYSS — INSYSS: $13.62
  • Medicare — Medicare: $8.01
  • Medicare Plus 110 — Medicare Plus 110: $8.81
  • MedSolutions — MedSolutions: $164.30
  • MHNet — MHNet: $164.30
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $164.30 Not listed in the file $85.60 – $164.30
Liver function panel: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $115.01
  • PPO Plus Over 200 — PPO Plus Over 200: $85.60
  • Three Rivers Provider Network — Three Rivers Provider Network: $139.66
  • United Behavioral Health — United Behavioral Health: $98.58
  • Verity Healthnet National — Verity Healthnet National: $139.66
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO $68.22 $3.11 $3 – $68.22
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $44.34
  • BCBS of LA Commercial — BCBS of LA Commercial: $9.71
  • Cigna Commercial — Cigna Commercial: $40.52
  • Humana Commercial — Humana Commercial: $17.40
  • Humana Medicare Advantage — Humana Medicare Advantage: $3
  • INSYSS — INSYSS: $5.29
  • Medicare — Medicare: $3.11
  • Medicare Plus 110 — Medicare Plus 110: $3.42
  • MedSolutions — MedSolutions: $68.22
  • MHNet — MHNet: $68.22
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO $68.22 Not listed in the file $35.54 – $68.22
Urine test (automated, with microscope): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $47.75
  • PPO Plus Over 200 — PPO Plus Over 200: $35.54
  • Three Rivers Provider Network — Three Rivers Provider Network: $57.99
  • United Behavioral Health — United Behavioral Health: $40.93
  • Verity Healthnet National — Verity Healthnet National: $57.99
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: N-AUTOM URINALYS WO MICRO $57.02 $3.41 $3.28 – $57.02
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $37.06
  • BCBS of LA Commercial — BCBS of LA Commercial: $8.62
  • Cigna Commercial — Cigna Commercial: $33.87
  • Humana Commercial — Humana Commercial: $19.11
  • Humana Medicare Advantage — Humana Medicare Advantage: $3.29
  • INSYSS — INSYSS: $5.80
  • Medicare — Medicare: $3.41
  • Medicare Plus 110 — Medicare Plus 110: $3.75
  • MedSolutions — MedSolutions: $57.02
  • MHNet — MHNet: $57.02
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK $64.02 $3.41 $3.28 – $64.02
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $41.61
  • BCBS of LA Commercial — BCBS of LA Commercial: $8.62
  • Cigna Commercial — Cigna Commercial: $38.03
  • Humana Commercial — Humana Commercial: $19.11
  • Humana Medicare Advantage — Humana Medicare Advantage: $3.29
  • INSYSS — INSYSS: $5.80
  • Medicare — Medicare: $3.41
  • Medicare Plus 110 — Medicare Plus 110: $3.75
  • MedSolutions — MedSolutions: $64.02
  • MHNet — MHNet: $64.02
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: N-AUTOM URINALYS WO MICRO $57.02 Not listed in the file $29.71 – $57.02
Urine test (manual, without microscope): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $39.91
  • PPO Plus Over 200 — PPO Plus Over 200: $29.71
  • Three Rivers Provider Network — Three Rivers Provider Network: $48.47
  • United Behavioral Health — United Behavioral Health: $34.21
  • Verity Healthnet National — Verity Healthnet National: $48.47
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINALYSIS WO MICRO $68.22 $2.20 $2.12 – $68.22
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $44.34
  • BCBS of LA Commercial — BCBS of LA Commercial: $6.86
  • Cigna Commercial — Cigna Commercial: $40.52
  • Humana Commercial — Humana Commercial: $12.35
  • Humana Medicare Advantage — Humana Medicare Advantage: $2.12
  • INSYSS — INSYSS: $3.74
  • Medicare — Medicare: $2.20
  • Medicare Plus 110 — Medicare Plus 110: $2.42
  • MedSolutions — MedSolutions: $68.22
  • MHNet — MHNet: $68.22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL AUTOM URINALYSIS WO MICRO $68.22 $2.20 $2.12 – $68.22
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $44.34
  • BCBS of LA Commercial — BCBS of LA Commercial: $6.86
  • Cigna Commercial — Cigna Commercial: $40.52
  • Humana Commercial — Humana Commercial: $12.35
  • Humana Medicare Advantage — Humana Medicare Advantage: $2.12
  • INSYSS — INSYSS: $3.74
  • Medicare — Medicare: $2.20
  • Medicare Plus 110 — Medicare Plus 110: $2.42
  • MedSolutions — MedSolutions: $68.22
  • MHNet — MHNet: $68.22
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINALYSIS WO MICRO $68.22 Not listed in the file $35.54 – $68.22
Urine test (automated, without microscope): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $47.75
  • PPO Plus Over 200 — PPO Plus Over 200: $35.54
  • Three Rivers Provider Network — Three Rivers Provider Network: $57.99
  • United Behavioral Health — United Behavioral Health: $40.93
  • Verity Healthnet National — Verity Healthnet National: $57.99
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA; TOTAL $364.16 $18.02 $17.39 – $364.16
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $236.70
  • BCBS of LA Commercial — BCBS of LA Commercial: $56.27
  • Cigna Commercial — Cigna Commercial: $216.31
  • Humana Commercial — Humana Commercial: $100.96
  • Humana Medicare Advantage — Humana Medicare Advantage: $17.39
  • INSYSS — INSYSS: $30.63
  • Medicare — Medicare: $18.02
  • Medicare Plus 110 — Medicare Plus 110: $19.82
  • MedSolutions — MedSolutions: $364.16
  • MHNet — MHNet: $364.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PSA; TOTAL $364.16 $18.02 $17.39 – $364.16
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $236.70
  • BCBS of LA Commercial — BCBS of LA Commercial: $56.27
  • Cigna Commercial — Cigna Commercial: $216.31
  • Humana Commercial — Humana Commercial: $100.96
  • Humana Medicare Advantage — Humana Medicare Advantage: $17.39
  • INSYSS — INSYSS: $30.63
  • Medicare — Medicare: $18.02
  • Medicare Plus 110 — Medicare Plus 110: $19.82
  • MedSolutions — MedSolutions: $364.16
  • MHNet — MHNet: $364.16
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA; TOTAL $364.16 Not listed in the file $189.73 – $364.16
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $254.91
  • PPO Plus Over 200 — PPO Plus Over 200: $189.73
  • Three Rivers Provider Network — Three Rivers Provider Network: $309.54
  • United Behavioral Health — United Behavioral Health: $218.50
  • Verity Healthnet National — Verity Healthnet National: $309.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL THYROID STIMULATING HORMONE $334.16 $16.46 $15.88 – $334.16
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $217.20
  • BCBS of LA Commercial — BCBS of LA Commercial: $51.41
  • Cigna Commercial — Cigna Commercial: $198.49
  • Humana Commercial — Humana Commercial: $92.23
  • Humana Medicare Advantage — Humana Medicare Advantage: $15.88
  • INSYSS — INSYSS: $27.98
  • Medicare — Medicare: $16.46
  • Medicare Plus 110 — Medicare Plus 110: $18.11
  • MedSolutions — MedSolutions: $334.16
  • MHNet — MHNet: $334.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE $334.16 $16.46 $15.88 – $334.16
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $217.20
  • BCBS of LA Commercial — BCBS of LA Commercial: $51.41
  • Cigna Commercial — Cigna Commercial: $198.49
  • Humana Commercial — Humana Commercial: $92.23
  • Humana Medicare Advantage — Humana Medicare Advantage: $15.88
  • INSYSS — INSYSS: $27.98
  • Medicare — Medicare: $16.46
  • Medicare Plus 110 — Medicare Plus 110: $18.11
  • MedSolutions — MedSolutions: $334.16
  • MHNet — MHNet: $334.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RL THYROID STIMULATING HORMONE $334.16 Not listed in the file $174.10 – $334.16
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $233.91
  • PPO Plus Over 200 — PPO Plus Over 200: $174.10
  • Three Rivers Provider Network — Three Rivers Provider Network: $284.04
  • United Behavioral Health — United Behavioral Health: $200.50
  • Verity Healthnet National — Verity Healthnet National: $284.04
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL CBC W PLT W AUTOM DIFF $313.27 $7.61 $7.34 – $313.27
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $203.63
  • BCBS of LA Commercial — BCBS of LA Commercial: $23.76
  • Cigna Commercial — Cigna Commercial: $186.08
  • Humana Commercial — Humana Commercial: $42.66
  • Humana Medicare Advantage — Humana Medicare Advantage: $7.34
  • INSYSS — INSYSS: $12.94
  • Medicare — Medicare: $7.61
  • Medicare Plus 110 — Medicare Plus 110: $8.37
  • MedSolutions — MedSolutions: $313.27
  • MHNet — MHNet: $313.27
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL CBC W PLT W AUTOM DIFF $313.27 Not listed in the file $163.21 – $313.27
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $219.29
  • PPO Plus Over 200 — PPO Plus Over 200: $163.21
  • Three Rivers Provider Network — Three Rivers Provider Network: $266.28
  • United Behavioral Health — United Behavioral Health: $187.96
  • Verity Healthnet National — Verity Healthnet National: $266.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT $199.11 $6.34 $6.12 – $199.11
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $129.42
  • BCBS of LA Commercial — BCBS of LA Commercial: $19.77
  • Cigna Commercial — Cigna Commercial: $118.27
  • Humana Commercial — Humana Commercial: $35.52
  • Humana Medicare Advantage — Humana Medicare Advantage: $6.12
  • INSYSS — INSYSS: $10.78
  • Medicare — Medicare: $6.34
  • Medicare Plus 110 — Medicare Plus 110: $6.97
  • MedSolutions — MedSolutions: $199.11
  • MHNet — MHNet: $199.11
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT $199.11 Not listed in the file $103.74 – $199.11
Complete blood count (CBC), automated: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $139.38
  • PPO Plus Over 200 — PPO Plus Over 200: $103.74
  • Three Rivers Provider Network — Three Rivers Provider Network: $169.24
  • United Behavioral Health — United Behavioral Health: $119.47
  • Verity Healthnet National — Verity Healthnet National: $169.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME, FINGERSTICK $137.89 $4.20 $4.05 – $137.89
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $89.63
  • BCBS of LA Commercial — BCBS of LA Commercial: $12.02
  • Cigna Commercial — Cigna Commercial: $81.91
  • Humana Commercial — Humana Commercial: $23.55
  • Humana Medicare Advantage — Humana Medicare Advantage: $4.05
  • INSYSS — INSYSS: $7.14
  • Medicare — Medicare: $4.20
  • Medicare Plus 110 — Medicare Plus 110: $4.62
  • MedSolutions — MedSolutions: $137.89
  • MHNet — MHNet: $137.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME; $137.89 $4.20 $4.05 – $137.89
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $89.63
  • BCBS of LA Commercial — BCBS of LA Commercial: $12.02
  • Cigna Commercial — Cigna Commercial: $81.91
  • Humana Commercial — Humana Commercial: $23.55
  • Humana Medicare Advantage — Humana Medicare Advantage: $4.05
  • INSYSS — INSYSS: $7.14
  • Medicare — Medicare: $4.20
  • Medicare Plus 110 — Medicare Plus 110: $4.62
  • MedSolutions — MedSolutions: $137.89
  • MHNet — MHNet: $137.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PROTIME/INR $137.89 $4.20 $4.05 – $137.89
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $89.63
  • BCBS of LA Commercial — BCBS of LA Commercial: $12.02
  • Cigna Commercial — Cigna Commercial: $81.91
  • Humana Commercial — Humana Commercial: $23.55
  • Humana Medicare Advantage — Humana Medicare Advantage: $4.05
  • INSYSS — INSYSS: $7.14
  • Medicare — Medicare: $4.20
  • Medicare Plus 110 — Medicare Plus 110: $4.62
  • MedSolutions — MedSolutions: $137.89
  • MHNet — MHNet: $137.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD. $148.61 $5.89 $5.68 – $148.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $96.60
  • BCBS of LA Commercial — BCBS of LA Commercial: $18.38
  • Cigna Commercial — Cigna Commercial: $88.27
  • Humana Commercial — Humana Commercial: $32.99
  • Humana Medicare Advantage — Humana Medicare Advantage: $5.68
  • INSYSS — INSYSS: $10.01
  • Medicare — Medicare: $5.89
  • Medicare Plus 110 — Medicare Plus 110: $6.48
  • MedSolutions — MedSolutions: $148.61
  • MHNet — MHNet: $148.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PTT (LAC) $148.61 $5.89 $5.68 – $148.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $96.60
  • BCBS of LA Commercial — BCBS of LA Commercial: $18.38
  • Cigna Commercial — Cigna Commercial: $88.27
  • Humana Commercial — Humana Commercial: $32.99
  • Humana Medicare Advantage — Humana Medicare Advantage: $5.68
  • INSYSS — INSYSS: $10.01
  • Medicare — Medicare: $5.89
  • Medicare Plus 110 — Medicare Plus 110: $6.48
  • MedSolutions — MedSolutions: $148.61
  • MHNet — MHNet: $148.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD. $148.61 Not listed in the file $77.43 – $148.61
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $104.03
  • PPO Plus Over 200 — PPO Plus Over 200: $77.43
  • Three Rivers Provider Network — Three Rivers Provider Network: $126.32
  • United Behavioral Health — United Behavioral Health: $89.17
  • Verity Healthnet National — Verity Healthnet National: $126.32

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) · Hospital (facility) fee In the file: CT - HEAD/BRAIN WO CONTRAST $1,548.92 $95.10 $91.77 – $530.61
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,006.80
  • BCBS of LA Commercial — BCBS of LA Commercial: $283.60
  • Cigna Commercial — Cigna Commercial: $1,319
  • Humana Commercial — Humana Commercial: $530.61
  • Humana Medicare Advantage — Humana Medicare Advantage: $91.77
  • INSYSS — INSYSS: $161.67
  • Medicare — Medicare: $95.10
  • Medicare Plus 110 — Medicare Plus 110: $104.61
  • MedSolutions — MedSolutions: $113.07
  • MHNet — MHNet: $1,548.92
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT - HEAD/BRAIN WO CONTRAST $1,548.92 Not listed in the file $806.99 – $1,548.92
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,084.24
  • PPO Plus Over 200 — PPO Plus Over 200: $806.99
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,316.58
  • United Behavioral Health — United Behavioral Health: $929.35
  • Verity Healthnet National — Verity Healthnet National: $1,316.58
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W & WO CONTRAST $5,246.33 $317.37 $306.26 – $1,770.69
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $3,410.11
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,130.75
  • Cigna Commercial — Cigna Commercial: $1,575
  • Humana Commercial — Humana Commercial: $1,770.69
  • Humana Medicare Advantage — Humana Medicare Advantage: $306.26
  • INSYSS — INSYSS: $539.53
  • Medicare — Medicare: $317.37
  • Medicare Plus 110 — Medicare Plus 110: $349.11
  • MedSolutions — MedSolutions: $421.49
  • MHNet — MHNet: $5,246.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W & WO CONTRAST $5,246.33 Not listed in the file $2,733.34 – $5,246.33
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $3,672.43
  • PPO Plus Over 200 — PPO Plus Over 200: $2,733.34
  • Three Rivers Provider Network — Three Rivers Provider Network: $4,459.38
  • United Behavioral Health — United Behavioral Health: $3,147.80
  • Verity Healthnet National — Verity Healthnet National: $4,459.38
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST X-RAY 2 VIEWS $644.77 $79.16 $76.39 – $441.67
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $419.10
  • BCBS of LA Commercial — BCBS of LA Commercial: $153.91
  • Cigna Commercial — Cigna Commercial: $382.99
  • Humana Commercial — Humana Commercial: $441.67
  • Humana Medicare Advantage — Humana Medicare Advantage: $76.39
  • INSYSS — INSYSS: $134.57
  • Medicare — Medicare: $79.16
  • Medicare Plus 110 — Medicare Plus 110: $87.08
  • MedSolutions — MedSolutions: $644.77
  • MHNet — MHNet: $644.77
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $644.77 $79.16 $76.39 – $441.67
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $419.10
  • BCBS of LA Commercial — BCBS of LA Commercial: $153.91
  • Cigna Commercial — Cigna Commercial: $382.99
  • Humana Commercial — Humana Commercial: $441.67
  • Humana Medicare Advantage — Humana Medicare Advantage: $76.39
  • INSYSS — INSYSS: $134.57
  • Medicare — Medicare: $79.16
  • Medicare Plus 110 — Medicare Plus 110: $87.08
  • MedSolutions — MedSolutions: $644.77
  • MHNet — MHNet: $644.77
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST X-RAY 2 VIEWS $644.77 Not listed in the file $335.93 – $644.77
Chest X-ray, 2 views: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $451.34
  • PPO Plus Over 200 — PPO Plus Over 200: $335.93
  • Three Rivers Provider Network — Three Rivers Provider Network: $548.05
  • United Behavioral Health — United Behavioral Health: $386.86
  • Verity Healthnet National — Verity Healthnet National: $548.05
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER SPINE 4+ VW $1,031.94 $95.10 $91.77 – $530.61
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $670.76
  • BCBS of LA Commercial — BCBS of LA Commercial: $283.60
  • Cigna Commercial — Cigna Commercial: $612.97
  • Humana Commercial — Humana Commercial: $530.61
  • Humana Medicare Advantage — Humana Medicare Advantage: $91.77
  • INSYSS — INSYSS: $161.67
  • Medicare — Medicare: $95.10
  • Medicare Plus 110 — Medicare Plus 110: $104.61
  • MedSolutions — MedSolutions: $1,031.94
  • MHNet — MHNet: $1,031.94
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-RAY OF LOWER SPINE 4+ VW $1,031.94 Not listed in the file $537.64 – $1,031.94
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $722.36
  • PPO Plus Over 200 — PPO Plus Over 200: $537.64
  • Three Rivers Provider Network — Three Rivers Provider Network: $877.15
  • United Behavioral Health — United Behavioral Health: $619.16
  • Verity Healthnet National — Verity Healthnet National: $877.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTR $3,110.47 $217.06 $209.46 – $1,211.04
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $2,021.81
  • BCBS of LA Commercial — BCBS of LA Commercial: $575.59
  • Cigna Commercial — Cigna Commercial: $1,575
  • Humana Commercial — Humana Commercial: $1,211.04
  • Humana Medicare Advantage — Humana Medicare Advantage: $209.46
  • INSYSS — INSYSS: $369
  • Medicare — Medicare: $217.06
  • Medicare Plus 110 — Medicare Plus 110: $238.77
  • MedSolutions — MedSolutions: $267
  • MHNet — MHNet: $3,110.47
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTR $3,110.47 Not listed in the file $1,620.55 – $3,110.47
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $2,177.33
  • PPO Plus Over 200 — PPO Plus Over 200: $1,620.55
  • Three Rivers Provider Network — Three Rivers Provider Network: $2,643.90
  • United Behavioral Health — United Behavioral Health: $1,866.28
  • Verity Healthnet National — Verity Healthnet National: $2,643.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS; W CONTR $3,631.19 $159.57 $153.99 – $890.26
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $2,360.27
  • BCBS of LA Commercial — BCBS of LA Commercial: $626.21
  • Cigna Commercial — Cigna Commercial: $1,319
  • Humana Commercial — Humana Commercial: $890.26
  • Humana Medicare Advantage — Humana Medicare Advantage: $153.99
  • INSYSS — INSYSS: $271.27
  • Medicare — Medicare: $159.57
  • Medicare Plus 110 — Medicare Plus 110: $175.53
  • MedSolutions — MedSolutions: $173.78
  • MHNet — MHNet: $3,631.19
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS; W CONTR $3,631.19 Not listed in the file $1,891.85 – $3,631.19
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $2,541.83
  • PPO Plus Over 200 — PPO Plus Over 200: $1,891.85
  • Three Rivers Provider Network — Three Rivers Provider Network: $3,086.51
  • United Behavioral Health — United Behavioral Health: $2,178.71
  • Verity Healthnet National — Verity Healthnet National: $3,086.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI - LE JNT WO CONTR BIL $4,486.24 $478.91 $462.15 – $2,671.98
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $2,916.06
  • BCBS of LA Commercial — BCBS of LA Commercial: $575.59
  • Cigna Commercial — Cigna Commercial: $1,575
  • Humana Commercial — Humana Commercial: $2,671.98
  • Humana Medicare Advantage — Humana Medicare Advantage: $462.15
  • INSYSS — INSYSS: $814.15
  • Medicare — Medicare: $478.91
  • Medicare Plus 110 — Medicare Plus 110: $526.80
  • MedSolutions — MedSolutions: $267
  • MHNet — MHNet: $4,486.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI - LE JNT WO CONTR LT $2,990.83 $217.06 $209.46 – $1,211.04
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,944.04
  • BCBS of LA Commercial — BCBS of LA Commercial: $575.59
  • Cigna Commercial — Cigna Commercial: $1,575
  • Humana Commercial — Humana Commercial: $1,211.04
  • Humana Medicare Advantage — Humana Medicare Advantage: $209.46
  • INSYSS — INSYSS: $369
  • Medicare — Medicare: $217.06
  • Medicare Plus 110 — Medicare Plus 110: $238.77
  • MedSolutions — MedSolutions: $267
  • MHNet — MHNet: $2,990.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI - LE JNT WO CONTR RT $2,990.83 $217.06 $209.46 – $1,211.04
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,944.04
  • BCBS of LA Commercial — BCBS of LA Commercial: $575.59
  • Cigna Commercial — Cigna Commercial: $1,575
  • Humana Commercial — Humana Commercial: $1,211.04
  • Humana Medicare Advantage — Humana Medicare Advantage: $209.46
  • INSYSS — INSYSS: $369
  • Medicare — Medicare: $217.06
  • Medicare Plus 110 — Medicare Plus 110: $238.77
  • MedSolutions — MedSolutions: $267
  • MHNet — MHNet: $2,990.83
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST $4,078.77 $317.37 $306.26 – $1,770.69
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $2,651.20
  • BCBS of LA Commercial — BCBS of LA Commercial: $626.21
  • Cigna Commercial — Cigna Commercial: $1,319
  • Humana Commercial — Humana Commercial: $1,770.69
  • Humana Medicare Advantage — Humana Medicare Advantage: $306.26
  • INSYSS — INSYSS: $539.53
  • Medicare — Medicare: $317.37
  • Medicare Plus 110 — Medicare Plus 110: $349.11
  • MedSolutions — MedSolutions: $213.54
  • MHNet — MHNet: $4,078.77
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST $4,078.77 Not listed in the file $2,125.04 – $4,078.77
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $2,855.14
  • PPO Plus Over 200 — PPO Plus Over 200: $2,125.04
  • Three Rivers Provider Network — Three Rivers Provider Network: $3,466.95
  • United Behavioral Health — United Behavioral Health: $2,447.26
  • Verity Healthnet National — Verity Healthnet National: $3,466.95
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $1,464.49 $95.10 $91.77 – $530.61
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $951.92
  • BCBS of LA Commercial — BCBS of LA Commercial: $283.60
  • Cigna Commercial — Cigna Commercial: $869.91
  • Humana Commercial — Humana Commercial: $530.61
  • Humana Medicare Advantage — Humana Medicare Advantage: $91.77
  • INSYSS — INSYSS: $161.67
  • Medicare — Medicare: $95.10
  • Medicare Plus 110 — Medicare Plus 110: $104.61
  • MedSolutions — MedSolutions: $1,464.49
  • MHNet — MHNet: $1,464.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $1,464.49 Not listed in the file $763 – $1,464.49
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,025.14
  • PPO Plus Over 200 — PPO Plus Over 200: $763
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,244.82
  • United Behavioral Health — United Behavioral Health: $878.69
  • Verity Healthnet National — Verity Healthnet National: $1,244.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $1,220.43 $95.10 $91.77 – $530.61
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $793.28
  • BCBS of LA Commercial — BCBS of LA Commercial: $283.60
  • Cigna Commercial — Cigna Commercial: $724.94
  • Humana Commercial — Humana Commercial: $530.61
  • Humana Medicare Advantage — Humana Medicare Advantage: $91.77
  • INSYSS — INSYSS: $161.67
  • Medicare — Medicare: $95.10
  • Medicare Plus 110 — Medicare Plus 110: $104.61
  • MedSolutions — MedSolutions: $1,220.43
  • MHNet — MHNet: $1,220.43
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $1,220.43 Not listed in the file $635.84 – $1,220.43
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $854.30
  • PPO Plus Over 200 — PPO Plus Over 200: $635.84
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,037.37
  • United Behavioral Health — United Behavioral Health: $732.26
  • Verity Healthnet National — Verity Healthnet National: $1,037.37
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-OB TRANSVAG US $1,264.23 $95.10 $91.77 – $530.61
Transvaginal ultrasound: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $821.75
  • BCBS of LA Commercial — BCBS of LA Commercial: $283.60
  • Cigna Commercial — Cigna Commercial: $750.95
  • Humana Commercial — Humana Commercial: $530.61
  • Humana Medicare Advantage — Humana Medicare Advantage: $91.77
  • INSYSS — INSYSS: $161.67
  • Medicare — Medicare: $95.10
  • Medicare Plus 110 — Medicare Plus 110: $104.61
  • MedSolutions — MedSolutions: $1,264.23
  • MHNet — MHNet: $1,264.23
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON-OB TRANSVAG US $1,264.23 Not listed in the file $658.66 – $1,264.23
Transvaginal ultrasound: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $884.96
  • PPO Plus Over 200 — PPO Plus Over 200: $658.66
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,074.60
  • United Behavioral Health — United Behavioral Health: $758.54
  • Verity Healthnet National — Verity Healthnet National: $1,074.60
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DX MAMMO INCL CAD UNI LT $946.52 $75.07 $72.44 – $946.52
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $615.24
  • BCBS of LA Commercial — BCBS of LA Commercial: $211.52
  • Cigna Commercial — Cigna Commercial: $562.23
  • Humana Commercial — Humana Commercial: $418.83
  • Humana Medicare Advantage — Humana Medicare Advantage: $72.44
  • INSYSS — INSYSS: $127.62
  • Medicare — Medicare: $75.07
  • Medicare Plus 110 — Medicare Plus 110: $82.58
  • MedSolutions — MedSolutions: $946.52
  • MHNet — MHNet: $946.52
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: DX MAMMO INCL CAD UNI RT $946.52 $75.07 $72.44 – $946.52
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $615.24
  • BCBS of LA Commercial — BCBS of LA Commercial: $211.52
  • Cigna Commercial — Cigna Commercial: $562.23
  • Humana Commercial — Humana Commercial: $418.83
  • Humana Medicare Advantage — Humana Medicare Advantage: $72.44
  • INSYSS — INSYSS: $127.62
  • Medicare — Medicare: $75.07
  • Medicare Plus 110 — Medicare Plus 110: $82.58
  • MedSolutions — MedSolutions: $946.52
  • MHNet — MHNet: $946.52
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: DX MAMMO INCL CAD UNI LT $946.52 Not listed in the file $493.14 – $946.52
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $662.56
  • PPO Plus Over 200 — PPO Plus Over 200: $493.14
  • Three Rivers Provider Network — Three Rivers Provider Network: $804.54
  • United Behavioral Health — United Behavioral Health: $567.91
  • Verity Healthnet National — Verity Healthnet National: $804.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $1,667.73 $96.32 $92.95 – $1,667.73
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,084.02
  • BCBS of LA Commercial — BCBS of LA Commercial: $270.07
  • Cigna Commercial — Cigna Commercial: $990.63
  • Humana Commercial — Humana Commercial: $537.42
  • Humana Medicare Advantage — Humana Medicare Advantage: $92.95
  • INSYSS — INSYSS: $163.74
  • Medicare — Medicare: $96.32
  • Medicare Plus 110 — Medicare Plus 110: $105.95
  • MedSolutions — MedSolutions: $1,667.73
  • MHNet — MHNet: $1,667.73
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $1,667.73 Not listed in the file $868.89 – $1,667.73
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,167.41
  • PPO Plus Over 200 — PPO Plus Over 200: $868.89
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,417.57
  • United Behavioral Health — United Behavioral Health: $1,000.64
  • Verity Healthnet National — Verity Healthnet National: $1,417.57
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $1,125 $79.11 $76.34 – $1,125
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $731.25
  • BCBS of LA Commercial — BCBS of LA Commercial: $223.39
  • Cigna Commercial — Cigna Commercial: $668.25
  • Humana Commercial — Humana Commercial: $443.15
  • Humana Medicare Advantage — Humana Medicare Advantage: $76.34
  • INSYSS — INSYSS: $134.49
  • Medicare — Medicare: $79.11
  • Medicare Plus 110 — Medicare Plus 110: $87.02
  • MedSolutions — MedSolutions: $1,125
  • MHNet — MHNet: $1,125
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $1,125 Not listed in the file $586.12 – $1,125
Screening mammogram, both breasts: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $787.50
  • PPO Plus Over 200 — PPO Plus Over 200: $586.12
  • Three Rivers Provider Network — Three Rivers Provider Network: $956.25
  • United Behavioral Health — United Behavioral Health: $675
  • Verity Healthnet National — Verity Healthnet National: $956.25
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCR MAMMO BI INCL CAD RED SVC $1,125 $39.55 $38.17 – $1,125
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $731.25
  • BCBS of LA Commercial — BCBS of LA Commercial: $223.39
  • Cigna Commercial — Cigna Commercial: $668.25
  • Humana Commercial — Humana Commercial: $221.58
  • Humana Medicare Advantage — Humana Medicare Advantage: $38.17
  • INSYSS — INSYSS: $67.23
  • Medicare — Medicare: $39.55
  • Medicare Plus 110 — Medicare Plus 110: $43.51
  • MedSolutions — MedSolutions: $1,125
  • MHNet — MHNet: $1,125

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $8,920.90 $781.20 $753.86 – $4,358.51
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $5,798.59
  • BCBS of LA Commercial — BCBS of LA Commercial: $2,237.31
  • Cigna Commercial — Cigna Commercial: $5,299.01
  • Humana Commercial — Humana Commercial: $4,358.51
  • Humana Medicare Advantage — Humana Medicare Advantage: $753.86
  • INSYSS — INSYSS: $1,328.04
  • Medicare — Medicare: $781.20
  • Medicare Plus 110 — Medicare Plus 110: $859.32
  • MedSolutions — MedSolutions: $8,920.90
  • MHNet — MHNet: $8,920.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM LTD $8,920.90 $781.20 $753.86 – $4,358.51
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $5,798.59
  • BCBS of LA Commercial — BCBS of LA Commercial: $2,237.31
  • Cigna Commercial — Cigna Commercial: $5,299.01
  • Humana Commercial — Humana Commercial: $4,358.51
  • Humana Medicare Advantage — Humana Medicare Advantage: $753.86
  • INSYSS — INSYSS: $1,328.04
  • Medicare — Medicare: $781.20
  • Medicare Plus 110 — Medicare Plus 110: $859.32
  • MedSolutions — MedSolutions: $8,920.90
  • MHNet — MHNet: $8,920.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $8,920.90 Not listed in the file $4,647.79 – $8,920.90
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $6,244.63
  • PPO Plus Over 200 — PPO Plus Over 200: $4,647.79
  • Three Rivers Provider Network — Three Rivers Provider Network: $7,582.76
  • United Behavioral Health — United Behavioral Health: $5,352.54
  • Verity Healthnet National — Verity Healthnet National: $7,582.76

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE EA 15 MIN $194.92 $27.03 $10.96 – $261
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $126.70
  • BCBS of LA Commercial — BCBS of LA Commercial: $76.88
  • Cigna Commercial — Cigna Commercial: $261
  • Humana Commercial — Humana Commercial: $150.81
  • Humana Medicare Advantage — Humana Medicare Advantage: $26.08
  • INSYSS — INSYSS: $45.95
  • Medicare — Medicare: $27.03
  • Medicare Plus 110 — Medicare Plus 110: $29.73
  • MedSolutions — MedSolutions: $194.92
  • MHNet — MHNet: $194.92
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISE EA 15 MIN $178.76 $27.03 $10.96 – $261
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $116.19
  • BCBS of LA Commercial — BCBS of LA Commercial: $76.88
  • Cigna Commercial — Cigna Commercial: $261
  • Humana Commercial — Humana Commercial: $150.81
  • Humana Medicare Advantage — Humana Medicare Advantage: $26.08
  • INSYSS — INSYSS: $45.95
  • Medicare — Medicare: $27.03
  • Medicare Plus 110 — Medicare Plus 110: $29.73
  • MedSolutions — MedSolutions: $178.76
  • MHNet — MHNet: $178.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE EA 15 MIN $194.92 Not listed in the file $101.55 – $194.92
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $136.44
  • PPO Plus Over 200 — PPO Plus Over 200: $101.55
  • Three Rivers Provider Network — Three Rivers Provider Network: $165.68
  • United Behavioral Health — United Behavioral Health: $116.95
  • Verity Healthnet National — Verity Healthnet National: $165.68
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $318.24 $91.07 $74.48 – $508.10
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $206.86
  • BCBS of LA Commercial — BCBS of LA Commercial: $210.08
  • Cigna Commercial — Cigna Commercial: $261
  • Humana Commercial — Humana Commercial: $508.10
  • Humana Medicare Advantage — Humana Medicare Advantage: $87.88
  • INSYSS — INSYSS: $154.82
  • Medicare — Medicare: $91.07
  • Medicare Plus 110 — Medicare Plus 110: $100.18
  • MedSolutions — MedSolutions: $318.24
  • MHNet — MHNet: $318.24
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $318.24 Not listed in the file $165.80 – $318.24
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $222.77
  • PPO Plus Over 200 — PPO Plus Over 200: $165.80
  • Three Rivers Provider Network — Three Rivers Provider Network: $270.50
  • United Behavioral Health — United Behavioral Health: $190.94
  • Verity Healthnet National — Verity Healthnet National: $270.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $384.55 $91.07 $74.48 – $508.10
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $249.96
  • BCBS of LA Commercial — BCBS of LA Commercial: $210.08
  • Cigna Commercial — Cigna Commercial: $261
  • Humana Commercial — Humana Commercial: $508.10
  • Humana Medicare Advantage — Humana Medicare Advantage: $87.88
  • INSYSS — INSYSS: $154.82
  • Medicare — Medicare: $91.07
  • Medicare Plus 110 — Medicare Plus 110: $100.18
  • MedSolutions — MedSolutions: $384.55
  • MHNet — MHNet: $384.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $384.55 Not listed in the file $200.35 – $384.55
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $269.19
  • PPO Plus Over 200 — PPO Plus Over 200: $200.35
  • Three Rivers Provider Network — Three Rivers Provider Network: $326.87
  • United Behavioral Health — United Behavioral Health: $230.73
  • Verity Healthnet National — Verity Healthnet National: $326.87
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $446.26 $91.07 $74.48 – $508.10
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $290.07
  • BCBS of LA Commercial — BCBS of LA Commercial: $210.08
  • Cigna Commercial — Cigna Commercial: $261
  • Humana Commercial — Humana Commercial: $508.10
  • Humana Medicare Advantage — Humana Medicare Advantage: $87.88
  • INSYSS — INSYSS: $154.82
  • Medicare — Medicare: $91.07
  • Medicare Plus 110 — Medicare Plus 110: $100.18
  • MedSolutions — MedSolutions: $446.26
  • MHNet — MHNet: $446.26
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $446.26 Not listed in the file $232.50 – $446.26
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $312.38
  • PPO Plus Over 200 — PPO Plus Over 200: $232.50
  • Three Rivers Provider Network — Three Rivers Provider Network: $379.32
  • United Behavioral Health — United Behavioral Health: $267.76
  • Verity Healthnet National — Verity Healthnet National: $379.32
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES $174.03 $161.46 $155.81 – $474.22
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $113.12
  • BCBS of LA Commercial — BCBS of LA Commercial: $174.03
  • Cigna Commercial — Cigna Commercial: $103.37
  • Humana Medicare Advantage — Humana Medicare Advantage: $155.81
  • INSYSS — INSYSS: $274.48
  • Medicare — Medicare: $161.46
  • Medicare Plus 110 — Medicare Plus 110: $177.61
  • MedSolutions — MedSolutions: $174.03
  • MHNet — MHNet: $174.03
  • PPO Plus All Other — PPO Plus All Other: $121.82
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES $174.03 Not listed in the file $90.67 – $174.03
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $121.82
  • PPO Plus Over 200 — PPO Plus Over 200: $90.67
  • Three Rivers Provider Network — Three Rivers Provider Network: $147.93
  • United Behavioral Health — United Behavioral Health: $104.42
  • Verity Healthnet National — Verity Healthnet National: $147.93
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES $216.88 $161.46 $155.81 – $474.22
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $140.97
  • BCBS of LA Commercial — BCBS of LA Commercial: $216.88
  • Cigna Commercial — Cigna Commercial: $128.83
  • Humana Medicare Advantage — Humana Medicare Advantage: $155.81
  • INSYSS — INSYSS: $274.48
  • Medicare — Medicare: $161.46
  • Medicare Plus 110 — Medicare Plus 110: $177.61
  • MedSolutions — MedSolutions: $216.88
  • MHNet — MHNet: $216.88
  • PPO Plus All Other — PPO Plus All Other: $151.82
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES $216.88 Not listed in the file $112.99 – $216.88
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $151.82
  • PPO Plus Over 200 — PPO Plus Over 200: $112.99
  • Three Rivers Provider Network — Three Rivers Provider Network: $184.35
  • United Behavioral Health — United Behavioral Health: $130.13
  • Verity Healthnet National — Verity Healthnet National: $184.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES $259.73 $161.46 $155.81 – $474.22
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $168.82
  • BCBS of LA Commercial — BCBS of LA Commercial: $259.73
  • Cigna Commercial — Cigna Commercial: $154.28
  • Humana Medicare Advantage — Humana Medicare Advantage: $155.81
  • INSYSS — INSYSS: $274.48
  • Medicare — Medicare: $161.46
  • Medicare Plus 110 — Medicare Plus 110: $177.61
  • MedSolutions — MedSolutions: $259.73
  • MHNet — MHNet: $259.73
  • PPO Plus All Other — PPO Plus All Other: $181.81
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES $259.73 Not listed in the file $135.32 – $259.73
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $181.81
  • PPO Plus Over 200 — PPO Plus Over 200: $135.32
  • Three Rivers Provider Network — Three Rivers Provider Network: $220.77
  • United Behavioral Health — United Behavioral Health: $155.84
  • Verity Healthnet National — Verity Healthnet National: $220.77
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN $1,079.06 $161.46 $155.81 – $474.22
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $701.39
  • BCBS of LA Commercial — BCBS of LA Commercial: $307.11
  • Cigna Commercial — Cigna Commercial: $640.96
  • Humana Medicare Advantage — Humana Medicare Advantage: $155.81
  • INSYSS — INSYSS: $274.48
  • Medicare — Medicare: $161.46
  • Medicare Plus 110 — Medicare Plus 110: $177.61
  • MedSolutions — MedSolutions: $1,079.06
  • MHNet — MHNet: $1,079.06
  • PPO Plus All Other — PPO Plus All Other: $755.34
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN $1,079.06 Not listed in the file $562.19 – $1,079.06
Family psychotherapy, without the patient: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $755.34
  • PPO Plus Over 200 — PPO Plus Over 200: $562.19
  • Three Rivers Provider Network — Three Rivers Provider Network: $917.20
  • United Behavioral Health — United Behavioral Health: $647.44
  • Verity Healthnet National — Verity Healthnet National: $917.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN $1,079.06 $161.46 $155.81 – $474.22
Family psychotherapy, with the patient: 10 of 18 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $701.39
  • BCBS of LA Commercial — BCBS of LA Commercial: $307.11
  • Cigna Commercial — Cigna Commercial: $640.96
  • Humana Medicare Advantage — Humana Medicare Advantage: $155.81
  • INSYSS — INSYSS: $274.48
  • Medicare — Medicare: $161.46
  • Medicare Plus 110 — Medicare Plus 110: $177.61
  • MedSolutions — MedSolutions: $1,079.06
  • MHNet — MHNet: $1,079.06
  • PPO Plus All Other — PPO Plus All Other: $755.34
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN $1,079.06 Not listed in the file $562.19 – $1,079.06
Family psychotherapy, with the patient: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $755.34
  • PPO Plus Over 200 — PPO Plus Over 200: $562.19
  • Three Rivers Provider Network — Three Rivers Provider Network: $917.20
  • United Behavioral Health — United Behavioral Health: $647.44
  • Verity Healthnet National — Verity Healthnet National: $917.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY NOT MULTI-FAMILY $235.40 $92.42 $89.19 – $271.43
Group psychotherapy: 10 of 18 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $153.01
  • BCBS of LA Commercial — BCBS of LA Commercial: $178.25
  • Cigna Commercial — Cigna Commercial: $139.83
  • Humana Medicare Advantage — Humana Medicare Advantage: $89.19
  • INSYSS — INSYSS: $157.11
  • Medicare — Medicare: $92.42
  • Medicare Plus 110 — Medicare Plus 110: $101.66
  • MedSolutions — MedSolutions: $235.40
  • MHNet — MHNet: $235.40
  • PPO Plus All Other — PPO Plus All Other: $164.78
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP PSYCH PARTIAL HOSP 45-50 $235.40 $92.42 $89.19 – $271.43
Group psychotherapy: 10 of 18 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $153.01
  • BCBS of LA Commercial — BCBS of LA Commercial: $178.25
  • Cigna Commercial — Cigna Commercial: $139.83
  • Humana Medicare Advantage — Humana Medicare Advantage: $89.19
  • INSYSS — INSYSS: $157.11
  • Medicare — Medicare: $92.42
  • Medicare Plus 110 — Medicare Plus 110: $101.66
  • MedSolutions — MedSolutions: $235.40
  • MHNet — MHNet: $235.40
  • PPO Plus All Other — PPO Plus All Other: $164.78
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP THRPY NOT MULTI FAMILY $235.40 $92.42 $89.19 – $271.43
Group psychotherapy: 10 of 18 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $153.01
  • BCBS of LA Commercial — BCBS of LA Commercial: $178.25
  • Cigna Commercial — Cigna Commercial: $139.83
  • Humana Medicare Advantage — Humana Medicare Advantage: $89.19
  • INSYSS — INSYSS: $157.11
  • Medicare — Medicare: $92.42
  • Medicare Plus 110 — Medicare Plus 110: $101.66
  • MedSolutions — MedSolutions: $235.40
  • MHNet — MHNet: $235.40
  • PPO Plus All Other — PPO Plus All Other: $164.78

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file $3,561.90 $3,437.23 – $19,872.81
Removal of breast growth (open surgery): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $6,623.59
  • Humana Commercial — Humana Commercial: $19,872.81
  • Humana Medicare Advantage — Humana Medicare Advantage: $3,437.23
  • INSYSS — INSYSS: $6,055.23
  • Medicare — Medicare: $3,561.90
  • Medicare Plus 110 — Medicare Plus 110: $3,918.09
  • Tricare — Tricare: $3,693.02
  • United Healthcare Commercial — United Healthcare Commercial: $5,278
  • United Healthcare Exchange — United Healthcare Exchange: $4,524.78
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $3,561.90
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file $11,666.69 $11,258.36 – $65,162.79
Total hip replacement: 10 of 21 insurance plan rates
  • Humana Commercial — Humana Commercial: $65,162.79
  • Humana Medicare Advantage — Humana Medicare Advantage: $11,258.36
  • INSYSS — INSYSS: $19,833.37
  • Medicare — Medicare: $11,666.69
  • Medicare Plus 110 — Medicare Plus 110: $12,833.36
  • United Healthcare Commercial — United Healthcare Commercial: $11,050
  • United Healthcare Exchange — United Healthcare Exchange: $14,836.70
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $11,666.69
  • Vantage Commercial (All Other) and HIX — Vantage Commercial (All Other) and HIX: $34,302.45
  • Aetna Commercial — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file $11,666.69 $11,258.36 – $65,162.79
Total knee replacement: 10 of 21 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $25,081.56
  • Humana Commercial — Humana Commercial: $65,162.79
  • Humana Medicare Advantage — Humana Medicare Advantage: $11,258.36
  • INSYSS — INSYSS: $19,833.37
  • Medicare — Medicare: $11,666.69
  • Medicare Plus 110 — Medicare Plus 110: $12,833.36
  • United Healthcare Commercial — United Healthcare Commercial: $11,050
  • United Healthcare Exchange — United Healthcare Exchange: $14,836.70
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $11,666.69
  • Vantage Commercial (All Other) and HIX — Vantage Commercial (All Other) and HIX: $34,302.45
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,138
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates
  • United Healthcare Commercial — United Healthcare Commercial: $1,138
  • Aetna Commercial — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna Commercial — Cigna Commercial: 59.5% (a percentage in the contract, not a dollar amount)
  • MedSolutions — MedSolutions: 100% (a percentage in the contract, not a dollar amount)
  • MHNet — MHNet: 100% (a percentage in the contract, not a dollar amount)
  • PPO Plus All Other — PPO Plus All Other: 70% (a percentage in the contract, not a dollar amount)
  • PPO Plus Over 200 — PPO Plus Over 200: 52.1% (a percentage in the contract, not a dollar amount)
  • Three Rivers Provider Network — Three Rivers Provider Network: 85% (a percentage in the contract, not a dollar amount)
  • United Behavioral Health — United Behavioral Health: 100% (a percentage in the contract, not a dollar amount)
  • United Healthcare Medicaid — United Healthcare Medicaid: 9.04% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file $2,976.56 $2,872.38 – $16,607.03
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $6,160.85
  • Humana Commercial — Humana Commercial: $16,607.03
  • Humana Medicare Advantage — Humana Medicare Advantage: $2,872.38
  • INSYSS — INSYSS: $5,060.15
  • Medicare — Medicare: $2,976.56
  • Medicare Plus 110 — Medicare Plus 110: $3,274.22
  • Tricare — Tricare: $3,086.14
  • United Healthcare Commercial — United Healthcare Commercial: $7,142
  • United Healthcare Exchange — United Healthcare Exchange: $3,781.20
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $2,976.56
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file $5,385.31 $5,196.82 – $30,046.11
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $10,535.21
  • Humana Commercial — Humana Commercial: $30,046.11
  • Humana Medicare Advantage — Humana Medicare Advantage: $5,196.82
  • INSYSS — INSYSS: $9,155.03
  • Medicare — Medicare: $5,385.31
  • Medicare Plus 110 — Medicare Plus 110: $5,923.84
  • Tricare — Tricare: $5,583.56
  • United Healthcare Commercial — United Healthcare Commercial: $5,278
  • United Healthcare Exchange — United Healthcare Exchange: $6,841.10
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $5,385.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file $825.09 $796.21 – $4,603.42
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,842.15
  • Humana Commercial — Humana Commercial: $4,603.42
  • Humana Medicare Advantage — Humana Medicare Advantage: $796.21
  • INSYSS — INSYSS: $1,402.65
  • Medicare — Medicare: $825.09
  • Medicare Plus 110 — Medicare Plus 110: $907.60
  • Tricare — Tricare: $4,424.43
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • United Healthcare Exchange — United Healthcare Exchange: $1,048.14
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $825.09
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file $825.09 $796.21 – $4,603.42
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,842.15
  • Humana Commercial — Humana Commercial: $4,603.42
  • Humana Medicare Advantage — Humana Medicare Advantage: $796.21
  • INSYSS — INSYSS: $1,402.65
  • Medicare — Medicare: $825.09
  • Medicare Plus 110 — Medicare Plus 110: $907.60
  • Tricare — Tricare: $4,424.43
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • United Healthcare Exchange — United Healthcare Exchange: $1,048.14
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $825.09
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file $845.99 $816.38 – $4,720.03
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,759.12
  • Humana Commercial — Humana Commercial: $4,720.03
  • Humana Medicare Advantage — Humana Medicare Advantage: $816.38
  • INSYSS — INSYSS: $1,438.18
  • Medicare — Medicare: $845.99
  • Medicare Plus 110 — Medicare Plus 110: $930.59
  • Tricare — Tricare: $4,427.14
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • United Healthcare Exchange — United Healthcare Exchange: $1,074.69
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $845.99
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file $1,088.59 $1,050.49 – $6,073.53
Colonoscopy with biopsy: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $2,320.09
  • Humana Commercial — Humana Commercial: $6,073.53
  • Humana Medicare Advantage — Humana Medicare Advantage: $1,050.49
  • INSYSS — INSYSS: $1,850.60
  • Medicare — Medicare: $1,088.59
  • Medicare Plus 110 — Medicare Plus 110: $1,197.45
  • Tricare — Tricare: $4,458.58
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • United Healthcare Exchange — United Healthcare Exchange: $1,382.86
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $1,088.59
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file $1,088.59 $1,050.49 – $6,073.53
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $2,320.09
  • Humana Commercial — Humana Commercial: $6,073.53
  • Humana Medicare Advantage — Humana Medicare Advantage: $1,050.49
  • INSYSS — INSYSS: $1,850.60
  • Medicare — Medicare: $1,088.59
  • Medicare Plus 110 — Medicare Plus 110: $1,197.45
  • Tricare — Tricare: $4,458.58
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • United Healthcare Exchange — United Healthcare Exchange: $1,382.86
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $1,088.59
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file $1,088.59 $1,050.49 – $6,073.53
Ultrasound of the lower bowel by endoscope: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $2,320.09
  • Humana Commercial — Humana Commercial: $6,073.53
  • Humana Medicare Advantage — Humana Medicare Advantage: $1,050.49
  • INSYSS — INSYSS: $1,850.60
  • Medicare — Medicare: $1,088.59
  • Medicare Plus 110 — Medicare Plus 110: $1,197.45
  • Tricare — Tricare: $4,458.58
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • United Healthcare Exchange — United Healthcare Exchange: $1,382.86
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $1,088.59
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCRN COLONOSCPY PT NOT HI RISK $2,303.75 $842.55 $813.06 – $4,720.03
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,497.44
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,759.12
  • Cigna Commercial — Cigna Commercial: $1,370.73
  • Humana Commercial — Humana Commercial: $4,720.03
  • Humana Medicare Advantage — Humana Medicare Advantage: $813.06
  • INSYSS — INSYSS: $1,432.33
  • Medicare — Medicare: $842.55
  • Medicare Plus 110 — Medicare Plus 110: $926.81
  • MedSolutions — MedSolutions: $2,303.75
  • MHNet — MHNet: $2,303.75
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCRN COLONOSCPY PT NOT HI RISK $2,303.75 Not listed in the file $1,200.25 – $2,303.75
Screening colonoscopy (not high risk): rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,612.63
  • PPO Plus Over 200 — PPO Plus Over 200: $1,200.25
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,958.19
  • United Behavioral Health — United Behavioral Health: $1,382.25
  • Verity Healthnet National — Verity Healthnet National: $1,958.19
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file $5,499.66 $5,307.17 – $30,684.10
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $10,899.18
  • Humana Commercial — Humana Commercial: $30,684.10
  • Humana Medicare Advantage — Humana Medicare Advantage: $5,307.17
  • INSYSS — INSYSS: $9,349.42
  • Medicare — Medicare: $5,499.66
  • Medicare Plus 110 — Medicare Plus 110: $6,049.63
  • Tricare — Tricare: $5,702.12
  • United Healthcare Commercial — United Healthcare Commercial: $10,754
  • United Healthcare Exchange — United Healthcare Exchange: $6,986.36
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $5,499.66
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file $3,257.12 $3,143.12 – $18,172.34
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $6,780.20
  • Humana Commercial — Humana Commercial: $18,172.34
  • Humana Medicare Advantage — Humana Medicare Advantage: $3,143.12
  • INSYSS — INSYSS: $5,537.10
  • Medicare — Medicare: $3,257.12
  • Medicare Plus 110 — Medicare Plus 110: $3,582.83
  • Tricare — Tricare: $3,377.02
  • United Healthcare Commercial — United Healthcare Commercial: $7,142
  • United Healthcare Exchange — United Healthcare Exchange: $4,137.60
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $3,257.12
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $4,009 – $30,000
Prostate biopsy: 10 of 15 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $4,201.39
  • Humana Commercial — Humana Commercial: $22,500
  • INSYSS — INSYSS: $30,000
  • United Healthcare Commercial — United Healthcare Commercial: $4,009
  • Aetna Commercial — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna Commercial — Cigna Commercial: 59.5% (a percentage in the contract, not a dollar amount)
  • MedSolutions — MedSolutions: 100% (a percentage in the contract, not a dollar amount)
  • MHNet — MHNet: 100% (a percentage in the contract, not a dollar amount)
  • PPO Plus All Other — PPO Plus All Other: 70% (a percentage in the contract, not a dollar amount)
  • PPO Plus Over 200 — PPO Plus Over 200: 52.1% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file $9,665.45 $9,327.16 – $53,951.77
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $18,819.17
  • Humana Commercial — Humana Commercial: $53,951.77
  • Humana Medicare Advantage — Humana Medicare Advantage: $9,327.16
  • INSYSS — INSYSS: $16,431.26
  • Medicare — Medicare: $9,665.45
  • Medicare Plus 110 — Medicare Plus 110: $10,632
  • Tricare — Tricare: $10,026.02
  • United Healthcare Commercial — United Healthcare Commercial: $11,050
  • United Healthcare Exchange — United Healthcare Exchange: $12,284.10
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $9,665.45
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file $2,944.84 $2,841.77 – $16,430.03
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $5,518.61
  • Humana Commercial — Humana Commercial: $16,430.03
  • Humana Medicare Advantage — Humana Medicare Advantage: $2,841.77
  • INSYSS — INSYSS: $5,006.23
  • Medicare — Medicare: $2,944.84
  • Medicare Plus 110 — Medicare Plus 110: $3,239.32
  • Tricare — Tricare: $3,053.24
  • United Healthcare Commercial — United Healthcare Commercial: $5,278
  • United Healthcare Exchange — United Healthcare Exchange: $3,740.90
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $2,944.84
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $1,979.49 $642.15 $619.67 – $3,582.72
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,286.67
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,346.33
  • Cigna Commercial — Cigna Commercial: $1,175.82
  • Humana Commercial — Humana Commercial: $3,582.72
  • Humana Medicare Advantage — Humana Medicare Advantage: $619.67
  • INSYSS — INSYSS: $1,091.65
  • Medicare — Medicare: $642.15
  • Medicare Plus 110 — Medicare Plus 110: $706.37
  • MedSolutions — MedSolutions: $1,979.49
  • MHNet — MHNet: $1,979.49
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $1,979.49 Not listed in the file $1,031.31 – $1,979.49
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • PPO Plus All Other — PPO Plus All Other: $1,385.64
  • PPO Plus Over 200 — PPO Plus Over 200: $1,031.31
  • Three Rivers Provider Network — Three Rivers Provider Network: $1,682.57
  • United Behavioral Health — United Behavioral Health: $1,187.69
  • Verity Healthnet National — Verity Healthnet National: $1,682.57
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file $804.61 $776.45 – $4,489.12
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,665.46
  • Humana Commercial — Humana Commercial: $4,489.12
  • Humana Medicare Advantage — Humana Medicare Advantage: $776.45
  • INSYSS — INSYSS: $1,367.84
  • Medicare — Medicare: $804.61
  • Medicare Plus 110 — Medicare Plus 110: $885.07
  • Tricare — Tricare: $4,421.78
  • United Healthcare Commercial — United Healthcare Commercial: $2,120
  • United Healthcare Exchange — United Healthcare Exchange: $1,022.11
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $804.61
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file $1,776.41 $1,714.24 – $9,911.04
Carpal tunnel release: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $3,750.92
  • Humana Commercial — Humana Commercial: $9,911.04
  • Humana Medicare Advantage — Humana Medicare Advantage: $1,714.24
  • INSYSS — INSYSS: $3,019.90
  • Medicare — Medicare: $1,776.41
  • Medicare Plus 110 — Medicare Plus 110: $1,954.05
  • Tricare — Tricare: $4,547.73
  • United Healthcare Commercial — United Healthcare Commercial: $5,278
  • United Healthcare Exchange — United Healthcare Exchange: $2,256.61
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $1,776.41
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file $500.33 $482.82 – $2,791.50
Laser treatment of clouding after cataract surgery: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $1,209.07
  • Humana Commercial — Humana Commercial: $2,791.50
  • Humana Medicare Advantage — Humana Medicare Advantage: $482.82
  • INSYSS — INSYSS: $850.56
  • Medicare — Medicare: $500.33
  • Medicare Plus 110 — Medicare Plus 110: $550.36
  • Tricare — Tricare: $4,382.35
  • United Healthcare Commercial — United Healthcare Commercial: $2,120
  • United Healthcare Exchange — United Healthcare Exchange: $635.59
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $500.33
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file $2,099.44 $2,025.96 – $11,713.35
Cataract removal with lens implant: 10 of 22 insurance plan rates
  • BCBS of LA Commercial — BCBS of LA Commercial: $4,664.69
  • Humana Commercial — Humana Commercial: $11,713.35
  • Humana Medicare Advantage — Humana Medicare Advantage: $2,025.96
  • INSYSS — INSYSS: $3,569.05
  • Medicare — Medicare: $2,099.44
  • Medicare Plus 110 — Medicare Plus 110: $2,309.38
  • Tricare — Tricare: $4,589.59
  • United Healthcare Commercial — United Healthcare Commercial: $5,278
  • United Healthcare Exchange — United Healthcare Exchange: $2,666.97
  • United Healthcare Medicare Adv — United Healthcare Medicare Adv: $2,099.44

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $5,891.36
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
  • Tricare — Tricare: $5,891.36
  • Aetna Commercial — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • BCBS of LA Commercial — BCBS of LA Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Cigna Commercial — Cigna Commercial: 59.5% (a percentage in the contract, not a dollar amount)
  • MedSolutions — MedSolutions: 100% (a percentage in the contract, not a dollar amount)
  • MHNet — MHNet: 100% (a percentage in the contract, not a dollar amount)
  • PPO Plus All Other — PPO Plus All Other: 70% (a percentage in the contract, not a dollar amount)
  • PPO Plus Over 200 — PPO Plus Over 200: 52.1% (a percentage in the contract, not a dollar amount)
  • Three Rivers Provider Network — Three Rivers Provider Network: 85% (a percentage in the contract, not a dollar amount)
  • United Behavioral Health — United Behavioral Health: 100% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates
  • Aetna Commercial — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • BCBS of LA Commercial — BCBS of LA Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Cigna Commercial — Cigna Commercial: 59.5% (a percentage in the contract, not a dollar amount)
  • MedSolutions — MedSolutions: 100% (a percentage in the contract, not a dollar amount)
  • MHNet — MHNet: 100% (a percentage in the contract, not a dollar amount)
  • PPO Plus All Other — PPO Plus All Other: 70% (a percentage in the contract, not a dollar amount)
  • PPO Plus Over 200 — PPO Plus Over 200: 52.1% (a percentage in the contract, not a dollar amount)
  • Three Rivers Provider Network — Three Rivers Provider Network: 85% (a percentage in the contract, not a dollar amount)
  • United Behavioral Health — United Behavioral Health: 100% (a percentage in the contract, not a dollar amount)
  • United Healthcare Medicaid — United Healthcare Medicaid: 9.04% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates
  • Aetna Commercial — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • BCBS of LA Commercial — BCBS of LA Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Cigna Commercial — Cigna Commercial: 59.5% (a percentage in the contract, not a dollar amount)
  • MedSolutions — MedSolutions: 100% (a percentage in the contract, not a dollar amount)
  • MHNet — MHNet: 100% (a percentage in the contract, not a dollar amount)
  • PPO Plus All Other — PPO Plus All Other: 70% (a percentage in the contract, not a dollar amount)
  • PPO Plus Over 200 — PPO Plus Over 200: 52.1% (a percentage in the contract, not a dollar amount)
  • Three Rivers Provider Network — Three Rivers Provider Network: 85% (a percentage in the contract, not a dollar amount)
  • United Behavioral Health — United Behavioral Health: 100% (a percentage in the contract, not a dollar amount)
  • United Healthcare Medicaid — United Healthcare Medicaid: 9.04% (a percentage in the contract, not a dollar amount)

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $64,215.23 $1,173.72 – $163,070.90
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $58,510
  • BCBS of LA Commercial — BCBS of LA Commercial: $134,115.01
  • Cigna Commercial — Cigna Commercial: $2,116
  • Humana Commercial — Humana Commercial: $136,176.57
  • Humana Medicare Advantage — Humana Medicare Advantage: $61,967.70
  • INSYSS — INSYSS: $109,808.05
  • Medicare — Medicare: $64,215.23
  • Medicare Plus 110 — Medicare Plus 110: $70,636.76
  • United Healthcare Commercial — United Healthcare Commercial: $126,706.83
  • United Healthcare Exchange — United Healthcare Exchange: $81,862.90
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file $24,201.47 $1,000 – $61,403.27
Spinal fusion (not neck), without major complications: 10 of 20 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,819
  • BCBS of LA Commercial — BCBS of LA Commercial: $52,510.22
  • Cigna Commercial — Cigna Commercial: $2,116
  • Humana Commercial — Humana Commercial: $1,000
  • Humana Medicare Advantage — Humana Medicare Advantage: $23,354.42
  • INSYSS — INSYSS: $41,384.52
  • Medicare — Medicare: $24,201.47
  • Medicare Plus 110 — Medicare Plus 110: $26,621.62
  • United Healthcare Exchange — United Healthcare Exchange: $30,824.94
  • United Healthcare Medicaid — United Healthcare Medicaid: $1,173.72
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $12,905.96 $1,173.72 – $32,703.47
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,819
  • BCBS of LA Commercial — BCBS of LA Commercial: $25,386.11
  • Cigna Commercial — Cigna Commercial: $2,116
  • Humana Commercial — Humana Commercial: $26,850.29
  • Humana Medicare Advantage — Humana Medicare Advantage: $12,454.25
  • INSYSS — INSYSS: $22,069.20
  • Medicare — Medicare: $12,905.96
  • Medicare Plus 110 — Medicare Plus 110: $14,196.56
  • United Healthcare Commercial — United Healthcare Commercial: $24,983.11
  • United Healthcare Exchange — United Healthcare Exchange: $16,417.40
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $16,253.46 $1,173.72 – $41,208.83
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,819
  • BCBS of LA Commercial — BCBS of LA Commercial: $33,918.50
  • Cigna Commercial — Cigna Commercial: $2,116
  • Humana Commercial — Humana Commercial: $33,982.90
  • Humana Medicare Advantage — Humana Medicare Advantage: $15,684.58
  • INSYSS — INSYSS: $27,793.41
  • Medicare — Medicare: $16,253.46
  • Medicare Plus 110 — Medicare Plus 110: $17,878.80
  • United Healthcare Commercial — United Healthcare Commercial: $31,619.72
  • United Healthcare Exchange — United Healthcare Exchange: $20,687.16
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $8,409.98 $1,173.72 – $21,280
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates
  • Aetna Commercial — Aetna Commercial: $1,819
  • BCBS of LA Commercial — BCBS of LA Commercial: $15,133.08
  • Cigna Commercial — Cigna Commercial: $2,116
  • Humana Commercial — Humana Commercial: $17,270.54
  • Humana Medicare Advantage — Humana Medicare Advantage: $8,115.63
  • INSYSS — INSYSS: $14,381.06
  • Medicare — Medicare: $8,409.98
  • Medicare Plus 110 — Medicare Plus 110: $9,250.97
  • United Healthcare Commercial — United Healthcare Commercial: $16,069.55
  • United Healthcare Exchange — United Healthcare Exchange: $10,682.73

Source: Glenwood Regional Medical Center’s standard charges file (glenwoodregional.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 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
Address503 McMillan Road, West Monroe, LA 71291
ParishOuachita Parish
StateLouisiana
Phone(318) 329‑4600
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
CMS Certification Number190160
Name in Medicare recordsGLENWOOD REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(318) 329‑4200[4]
Official websiteglenwoodregional.org
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. Glenwood Regional Medical Center — glenwoodregional.org
  2. Services A-Z — glenwoodregional.org
  3. Emergency Care — glenwoodregional.org
  4. Non-Discrimination Notice & Interpreter Services – Glenwood Regional Medical Center — glenwoodregional.org
  5. Neurology/Stroke – Glenwood Regional Medical Center — glenwoodregional.org
  6. Cardiology – Glenwood Regional Medical Center — glenwoodregional.org
  7. Orthopedics – Glenwood Regional Medical Center — glenwoodregional.org
  8. Cancer Care – Glenwood Regional Medical Center — glenwoodregional.org
  9. About – Glenwood Regional Medical Center — glenwoodregional.org
  10. Cancer Care – Glenwood Regional Medical Center — glenwoodregional.org