Does Gulf Coast Medical Center Lee Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Gulf Coast Medical Center Lee Health. In a medical emergency, call 911.

Where is Gulf Coast Medical Center Lee Health?

13681 Doctors Way, Fort Myers, FL 33912, in Lee County, Florida.

What is the phone number of Gulf Coast Medical Center Lee Health?

(239) 343-1000, as listed by Medicare (CMS).

What is the Medicare star rating of Gulf Coast Medical Center Lee Health?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Gulf Coast Medical Center Lee Health

Quick answers

Does Gulf Coast Medical Center Lee Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Gulf Coast Medical Center Lee Health. In a medical emergency, call 911.
Where is Gulf Coast Medical Center Lee Health?: 13681 Doctors Way, Fort Myers, FL 33912, in Lee County, Florida.
What is the phone number of Gulf Coast Medical Center Lee Health?: (239) 343-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Gulf Coast Medical Center Lee Health?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Conditions treated^[4]

Treatments^[4]

Inpatient cancer care
Skilled nursing (adjacent unit)

Procedures^[4]

Minimally invasive catheter procedures for stroke

Programs and centers^[4]

Level II Trauma Center
Neuroscience Institute
Comprehensive Stroke Center
Regional Cancer Center (7th floor)

Emergency care (hospital website)^[4]

Emergency room	Yes
Trauma designation	Level II
Stroke designation	Comprehensive Stroke Center

Visiting and practical information

Visiting	Hours vary by unit, level of care and patient needs; call for unit hours^[4]
Parking	Free parking out front and around the facility; volunteer golf-cart rides to the door^[4]
Interpreters and languages	Language services are available for patients^[4]
Patient portal	MyChart

Recognition^[4]

CMS 4-star Quality Star Rating
Leapfrog Hospital Safety Grade A
AHA/ASA Get With The Guidelines Gold Plus Stroke
American College of Cardiology Best Hospitals
ENA Lantern Award (2022)

Doctors and clinicians (1,219)

1,219 doctors and other clinicians list Gulf Coast Medical Center Lee Health 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 (1,219)

Aamer Abbass, MDGastroenterology
Aaron D. Heligman, MDDiagnostic Radiology
Aaron S. Guest, PAPhysician Assistant
Aastha Parsa, MDNephrology
Abdallah M. Al Moussa, MDInternal Medicine
Abdulhakim O. Aghil, MDHospitalist
Abhijit Shah, MDDiagnostic Radiology
Abid T. Javed, MDGastroenterology
Abigail C. Reed, PAPhysician Assistant
Abraham Figueroa, CNACertified Registered Nurse Anesthetist (CRNA)
Abraham Sadighi, MDVascular Surgery
Abusayeed M. Feroz, MDPulmonary Disease
Adam L. Burow, DOCardiovascular Disease (Cardiology)
Adam M. Shuster, DOPain Management
Adela Ruiz, PAPhysician Assistant
Adelaida D. Alfonso, NPNurse Practitioner
Adelbert Cabrera, MDPathology
Ader Joseph, DOInternal Medicine
Adia K. Vernette, PAPhysician Assistant
Aditya R. Boddu, MDCardiovascular Disease (Cardiology)
Adrian Martinez Rubio, NPNurse Practitioner
Adrian Orozco, MDNeurology
Ahsan U. Shah, MDHematology/Oncology
Aileen Fiallo, PAPhysician Assistant

And 1,195 more: the button below opens the full list.

Other emergency rooms nearby

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

Lee Memorial Hospital5.9 mi · Fort Myers, FL · Acute Care Hospital
Cape Coral Hospital8.7 mi · Cape Coral, FL · Acute Care Hospital
HCA Florida Lehigh Hospital13 mi · Lehigh Acres, FL · Acute Care Hospital
Physicians Regional Medical Center - Pine Ridge21 mi · Naples, FL · Acute Care Hospital
Naples Community Hospital27 mi · Naples, FL · Acute Care Hospital

Other hospitals nearby

Rehabilitation Hospital of Fort Myers0.2 mi · Fort Myers, FL · Inpatient Rehabilitation Hospital
Park Royal Hospital4.2 mi · Fort Myers, FL · Psychiatric Hospital
Select Specialty Hospital-Fort Myers6.3 mi · Fort Myers, FL · Long-Term Acute Care Hospital
Rehabilitation Hospital of Cape Coral10 mi · Cape Coral, FL · Inpatient Rehabilitation Hospital

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

Gulf Coast Medical Center Skilled Nursing Unit0.4 mi · Fort Myers, FL · 5 of 5 stars
Eagleridge Health and Rehabilitation Center1.3 mi · Fort Myers, FL · 3 of 5 stars
Fort Myers Rehabilitation and Nursing Center2.2 mi · Fort Myers, FL · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Hope Hospice and Community Services Inc8.2 mi · Fort Myers, FL · 2 of 5 stars
Avow Hospice Inc25 mi · Naples, FL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Elite Home Health1.7 mi · Fort Myers, FL
Empath Home Health1.7 mi · Fort Myers, FL · 4 of 5 stars
Mederi Caretenders1.7 mi · Fort Myers, FL

All home health agencies in the state →

Dialysis facilities

Fort Myers Kidney Care Center1.7 mi · Fort Myers, FL · 2 of 5 stars
USRC Fort Myers South Dialysis1.7 mi · Fort Myers, FL · 5 of 5 stars
USRC Fort Myers Dialysis5.9 mi · Fort Myers, FL · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Lee Health Surgery Center General Surgery1.7 mi · Fort Myers, FL
Performance Health Surgery Center1.7 mi · Fort Myers, FL
St Mark's Surgical Center, LLC1.7 mi · Fort Myers, FL

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

Broadway Dental Office4.8 mi · Fort Myers, FL · Community health center
The Salvation Army6.3 mi · Fort Myers, FL · Community health center
Summerlin Health Center6.3 mi · Fort Myers, FL · Community health center

Clinics and urgent care

Dwic of Tampa Bay, Inc1.8 mi · Fort Myers, FL · Urgent care center
MD Now Medical Centers Inc1.8 mi · Fort Myers, FL · Urgent care center
Coastal Care Health System, Inc.3.0 mi · Fort Myers, FL · Urgent care center

Pharmacies

Access Infusion Partners1.7 mi · Fort Myers, FL · Pharmacy
BJS Wholesale Club Inc1.7 mi · Fort Myers, FL · Community/retail pharmacy
Lee Memorial Health System1.7 mi · Fort Myers, FL · Pharmacy

Assisted living nearby

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

American House Fort Myers1.7 mi · Fort Myers, FL
Brookdale Fort Myers The Colony1.7 mi · Fort Myers, FL
Discovery Commons Cypress Point1.7 mi · Fort Myers, FL
The Preserve1.7 mi · Fort Myers, FL

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	75%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	52%National average: 60%
Completed surveys	2,063Response rate: 41%

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)	0.412No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.05Better than the national benchmark
Surgical site infections after colon surgery	0.683No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	0.466Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.138Better 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 patients	10.7%
Deaths within 30 days: heart failure patients	9.6%
Deaths within 30 days: pneumonia patients	13.4%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	8.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	1.08No different from the national rate
Complications after hip or knee replacement	3.5%

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 attack	14.7%
Readmitted within 30 days: heart failure	22%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	22.3%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	5.1%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	270 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	47%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 Fort Myers Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Gulf Coast Medical Center Lee Health 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 →

$ 64 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpt Visit,New,Levl III	$287	$215	$100.45 – $243.95
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $151.46 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $287 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $128.78 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $128.78 BCBS [210001] — BC FL PPO [21000101]: $163.90 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $122.65 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $154.26 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $128.78 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $128.78 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $131.05
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Opcard Level 3 New	$750	$150	$300 – $600
New patient office visit (about 30–44 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $467.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $442.50 BCBS [210001] — BC FL PPO [21000101]: $408.60 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $439.50 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $600 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $487.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $187.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $401.25 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $405 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB Level 3 New Obt	$750	$150	$300 – $600
New patient office visit (about 30–44 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $467.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $442.50 BCBS [210001] — BC FL PPO [21000101]: $408.60 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $439.50 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $600 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $487.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $187.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $401.25 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $405 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpt Visit,New,Levl IV	$423	$317	$148.05 – $359.55
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $230.43 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $423 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $194.16 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $194.16 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $277.37 BCBS [210001] — BC FL PPO [21000101]: $247.82 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $184.91 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $234.77 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $194.16 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $194.16
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Opcard Level 4 New	$890	$178	$356 – $712
New patient office visit (about 45–59 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $554.47 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $525.10 BCBS [210001] — BC FL PPO [21000101]: $484.87 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $521.54 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $712 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $578.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $222.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $476.15 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $480.60 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB Level 4 New Obt	$890	$178	$356 – $712
New patient office visit (about 45–59 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $554.47 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $525.10 BCBS [210001] — BC FL PPO [21000101]: $484.87 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $521.54 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $712 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $578.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $222.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $476.15 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $480.60 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/Outpt Visit,New,Levl V	$449	$337	$157.15 – $381.65
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $238.88 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $449 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $178.97 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $178.97 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $230.11 BCBS [210001] — BC FL PPO [21000101]: $259.48 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $170.45 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $242.48 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $178.97 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $178.97
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpt Visit,New,Levl V	$547	$410	$191.45 – $464.95
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $290.33 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $547 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $260.33 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $260.33 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $371.90 BCBS [210001] — BC FL PPO [21000101]: $312.84 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $247.93 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $294.76 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $260.33 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $260.33
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Opcard Level 5 New	$1,201	$240.20	$480.40 – $960.80
New patient office visit (about 60–74 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $748.22 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $708.59 BCBS [210001] — BC FL PPO [21000101]: $654.30 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $703.79 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $960.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $780.65 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $300.25 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $642.54 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $648.54 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpt Visit,Est,Levl III	$195	$146	$68.25 – $165.75
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $101.13 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $195 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $103.17 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $103.17 BCBS [210001] — BC FL PPO [21000101]: $108.37 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $98.26 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $102.97 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $103.17 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $103.17 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $104.99
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Opcard Level 3 Est	$495	$99	$198 – $396
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $308.39 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $292.05 BCBS [210001] — BC FL PPO [21000101]: $269.68 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $290.07 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $396 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $321.75 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $123.75 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $264.83 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $267.30 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB Level 3 Est Obt	$495	$99	$198 – $396
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $308.39 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $292.05 BCBS [210001] — BC FL PPO [21000101]: $269.68 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $290.07 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $396 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $321.75 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $123.75 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $264.83 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $267.30 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpt Visit,Est,Level IV	$322	$242	$112.70 – $273.70
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $149.07 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $322 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $147.26 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $147.26 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $210.38 BCBS [210001] — BC FL PPO [21000101]: $159.07 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $140.25 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $151.49 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $147.26 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $147.26
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Opcard Level 4 Est	$771	$154.20	$308.40 – $616.80
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $480.33 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $454.89 BCBS [210001] — BC FL PPO [21000101]: $420.04 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $451.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $616.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $501.15 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $192.75 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $412.49 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $416.34 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB Level 4 Est Obt	$771	$154.20	$308.40 – $616.80
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $480.33 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $454.89 BCBS [210001] — BC FL PPO [21000101]: $420.04 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $451.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $616.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $501.15 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $192.75 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $412.49 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $416.34 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$373	$280	$130.55 – $317.05
Office consultation with a specialist (moderate): rates for 7 insurance plans AETNA [210101] — AETNA PPO [21010105]: $373 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $373 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $298.40 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $373 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $223.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $223.80 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $373
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$373	$280	$130.55 – $317.05
Office consultation with a specialist (moderate): rates for 4 insurance plans BCBS [210001] — BC FL PPO [21000101]: $180.58 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $172.68 HUMANA [250215] — HUMANA PPO [25021501]: $152.24 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $176.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$373	$280	$130.55 – $317.05
Office consultation with a specialist (moderate): rates for 4 insurance plans BCBS [210001] — BC FL PPO [21000101]: $142.46 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $135.34 HUMANA [250215] — HUMANA PPO [25021501]: $137.01 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $138.58
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$521	$391	$182.35 – $442.85
Office consultation with a specialist (moderate to high): rates for 7 insurance plans AETNA [210101] — AETNA PPO [21010105]: $521 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $521 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $416.80 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $521 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $312.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $312.60 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $521
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$521	$391	$182.35 – $442.85
Office consultation with a specialist (moderate to high): rates for 4 insurance plans BCBS [210001] — BC FL PPO [21000101]: $270.90 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $258.48 HUMANA [250215] — HUMANA PPO [25021501]: $237.53 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $264.34
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$521	$391	$182.35 – $442.85
Office consultation with a specialist (moderate to high): rates for 4 insurance plans BCBS [210001] — BC FL PPO [21000101]: $229.23 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $217.65 HUMANA [250215] — HUMANA PPO [25021501]: $213.77 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $242.25
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency Department Visit Low Mdm	$234	$176	$81.90 – $198.90
Emergency room visit (moderate): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $87.87 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $234 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $66.93 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $66.93 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $86.24 BCBS [210001] — BC FL PPO [21000101]: $81.38 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $63.74 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $89.16 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $78.74 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $66.93
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Level 3	$2,418	$483.60	$967.20 – $1,934.40
Emergency room visit (moderate): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,506.41 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,426.62 BCBS [210001] — BC FL PPO [21000101]: $1,067.06 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,416.95 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $1,934.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $1,571.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $1,209 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $1,293.63 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $1,305.72 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB ED Level 3	$2,418	$483.60	$967.20 – $1,934.40
Emergency room visit (moderate): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,506.41 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,426.62 BCBS [210001] — BC FL PPO [21000101]: $1,067.06 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,416.95 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $1,934.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $1,571.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $1,209 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $1,293.63 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $1,305.72 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency Department Visit Moderate Mdm	$443	$332	$155.05 – $376.55
Emergency room visit (moderately high): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $166.78 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $443 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $114.13 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $114.13 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $147.06 BCBS [210001] — BC FL PPO [21000101]: $154.52 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $108.70 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $169.19 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $134.27 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $114.13
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Level 4	$4,567	$913.40	$1,826.80 – $3,653.60
Emergency room visit (moderately high): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,845.24 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,694.53 BCBS [210001] — BC FL PPO [21000101]: $2,015.42 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $2,676.26 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,653.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $2,968.55 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $2,283.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,443.35 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,466.18 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB ED Level 4	$4,567	$913.40	$1,826.80 – $3,653.60
Emergency room visit (moderately high): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,845.24 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,694.53 BCBS [210001] — BC FL PPO [21000101]: $2,015.42 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $2,676.26 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,653.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $2,968.55 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $2,283.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,443.35 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,466.18 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency Department Visit High Mdm	$654	$491	$228.90 – $555.90
Emergency room visit (high): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $245.68 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $654 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $193.81 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $193.81 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $276.87 BCBS [210001] — BC FL PPO [21000101]: $269.04 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $184.58 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $250.03 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $193.81 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $193.81
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Level 5	$6,712	$1,342.40	$2,684.80 – $5,369.60
Emergency room visit (high): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $4,181.58 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $3,960.08 BCBS [210001] — BC FL PPO [21000101]: $2,962.01 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $3,933.23 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $5,369.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $4,362.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $3,356 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $3,590.92 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $3,624.48 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB ED Level 5	$6,712	$1,342.40	$2,684.80 – $5,369.60
Emergency room visit (high): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $4,181.58 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $3,960.08 BCBS [210001] — BC FL PPO [21000101]: $2,962.01 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $3,933.23 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $5,369.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $4,362.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $3,356 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $3,590.92 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $3,624.48 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Basic Metabolic Panel	$78	$15.60	$31.20 – $62.40
Basic metabolic panel (blood test): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $48.59 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $46.02 BCBS [210001] — BC FL PPO [21000101]: $63.35 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $45.71 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $62.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $50.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $41.73 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $42.12 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Uc/Pol Only)	$78	$15.60	$31.20 – $62.40
Basic metabolic panel (blood test): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $48.59 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $46.02 BCBS [210001] — BC FL PPO [21000101]: $63.35 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $45.71 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $62.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $50.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $41.73 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $42.12 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Comprehensive Metabolic Panel	$118	$23.60	$47.20 – $94.40
Comprehensive metabolic panel (blood test): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $73.51 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $69.62 BCBS [210001] — BC FL PPO [21000101]: $95.84 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $69.15 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $94.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $76.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $63.13 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $63.72 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel (Uc/Pol Only)	$110	$22	$44 – $88
Comprehensive metabolic panel (blood test): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $68.53 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $64.90 BCBS [210001] — BC FL PPO [21000101]: $89.34 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $64.46 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $88 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $71.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $58.85 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $59.40 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Bmp to Cmp Add On	$110	$22	$44 – $88
Comprehensive metabolic panel (blood test): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $68.53 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $64.90 BCBS [210001] — BC FL PPO [21000101]: $89.34 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $64.46 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $88 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $71.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $58.85 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $59.40 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Profile With Reflex to Direct Ldl	$124	$24.80	$49.60 – $99.20
Cholesterol panel (lipid panel): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $77.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $73.16 BCBS [210001] — BC FL PPO [21000101]: $100.71 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $72.66 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $99.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $80.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $66.34 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $66.96 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Zz Lipid Panel	$41	$8.20	$16.40 – $32.80
Cholesterol panel (lipid panel): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $25.54 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $24.19 BCBS [210001] — BC FL PPO [21000101]: $33.30 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $24.03 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $32.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $26.65 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $21.94 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $22.14 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Lipid Profile	$124	$24.80	$49.60 – $99.20
Cholesterol panel (lipid panel): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $77.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $73.16 BCBS [210001] — BC FL PPO [21000101]: $100.71 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $72.66 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $99.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $80.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $66.34 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $66.96 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Renal Panel	$90	$18	$36 – $72
Kidney function panel: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $56.07 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $53.10 BCBS [210001] — BC FL PPO [21000101]: $73.10 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $52.74 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $72 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $58.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $48.15 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $48.60 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Liver Profile	$74	$14.80	$29.60 – $59.20
Liver function panel: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $46.10 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $43.66 BCBS [210001] — BC FL PPO [21000101]: $60.10 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $43.36 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $59.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $48.10 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $39.59 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $39.96 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Liver Profile (Uc/Pol Only)	$74	$14.80	$29.60 – $59.20
Liver function panel: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $46.10 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $43.66 BCBS [210001] — BC FL PPO [21000101]: $60.10 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $43.36 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $59.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $48.10 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $39.59 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $39.96 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab *Urinalysis With Microscopy	$61	$12.20	$24.40 – $48.80
Urine test (automated, with microscope): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $38 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $35.99 BCBS [210001] — BC FL PPO [21000101]: $49.54 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $35.75 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $48.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $39.65 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $32.64 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $32.94 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopic	$61	$12.20	$24.40 – $48.80
Urine test (automated, with microscope): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $38 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $35.99 BCBS [210001] — BC FL PPO [21000101]: $49.54 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $35.75 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $48.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $39.65 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $32.64 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $32.94 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urine Dips	$45	$9	$18 – $36
Urine test (manual, without microscope): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $28.04 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $26.55 BCBS [210001] — BC FL PPO [21000101]: $36.55 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $26.37 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $36 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $29.25 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $24.08 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $24.30 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: Urinalysis, Auto, W/O Scope	$9	$7	$3.15 – $7.65
Urine test (automated, without microscope): 10 of 11 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $2.77 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $9 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $2.36 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $2.36 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2.70 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $1.35 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $2.36 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $2.36 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $2.40 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $5.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Bilirubin Urine	$29	$5.80	$11.60 – $23.20
Urine test (automated, without microscope): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $18.07 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $17.11 BCBS [210001] — BC FL PPO [21000101]: $23.55 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $16.99 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $23.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $18.85 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $15.52 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $15.66 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Blood Urine	$29	$5.80	$11.60 – $23.20
Urine test (automated, without microscope): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $18.07 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $17.11 BCBS [210001] — BC FL PPO [21000101]: $23.55 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $16.99 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $23.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $18.85 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $15.52 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $15.66 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Psa, Total	$19	$3.80	$7.60 – $15.20
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $11.84 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $11.21 BCBS [210001] — BC FL PPO [21000101]: $15.43 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $11.13 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $15.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $12.35 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $10.17 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $10.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Psa, Ultrasensitive	$57	$11.40	$22.80 – $45.60
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $35.51 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $33.63 BCBS [210001] — BC FL PPO [21000101]: $46.30 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $33.40 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $45.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $37.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $30.50 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $30.78 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Total Psa	$39	$7.80	$15.60 – $31.20
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $24.30 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $23.01 BCBS [210001] — BC FL PPO [21000101]: $31.68 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $22.85 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $31.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $25.35 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $20.87 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $21.06 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Tsh With Reflex to Free T4	$144	$28.80	$57.60 – $115.20
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $89.71 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $84.96 BCBS [210001] — BC FL PPO [21000101]: $116.96 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $84.38 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $115.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $93.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $77.04 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $77.76 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Tsh, Neonate (< 30 Days)	$57	$11.40	$22.80 – $45.60
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $35.51 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $33.63 BCBS [210001] — BC FL PPO [21000101]: $46.30 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $33.40 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $45.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $37.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $30.50 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $30.78 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Tsh	$144	$28.80	$57.60 – $115.20
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $89.71 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $84.96 BCBS [210001] — BC FL PPO [21000101]: $116.96 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $84.38 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $115.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $93.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $77.04 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $77.76 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Cbc With Automated Diff	$69	$13.80	$27.60 – $55.20
Complete blood count (CBC) with differential: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $42.99 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $40.71 BCBS [210001] — BC FL PPO [21000101]: $56.04 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $40.43 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $55.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $44.85 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $36.92 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $37.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Cbc, Automated	$69	$13.80	$27.60 – $55.20
Complete blood count (CBC), automated: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $42.99 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $40.71 BCBS [210001] — BC FL PPO [21000101]: $56.04 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $40.43 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $55.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $44.85 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $36.92 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $37.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Cbc (No Diff)	$64	$12.80	$25.60 – $51.20
Complete blood count (CBC), automated: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $39.87 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $37.76 BCBS [210001] — BC FL PPO [21000101]: $51.98 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $37.50 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $51.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $41.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $34.24 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $34.56 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Cbc (No Diff)*	$64	$12.80	$25.60 – $51.20
Complete blood count (CBC), automated: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $39.87 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $37.76 BCBS [210001] — BC FL PPO [21000101]: $51.98 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $37.50 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $51.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $41.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $34.24 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $34.56 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pain Prothrombin Time	$52	$10.40	$20.80 – $41.60
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $32.40 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $30.68 BCBS [210001] — BC FL PPO [21000101]: $42.23 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $30.47 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $41.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $33.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $27.82 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $28.08 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hg Prothrombin Time POCT	$52	$10.40	$20.80 – $41.60
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $32.40 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $30.68 BCBS [210001] — BC FL PPO [21000101]: $42.23 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $30.47 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $41.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $33.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $27.82 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $28.08 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Prothrombin Time	$52	$10.40	$20.80 – $41.60
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $32.40 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $30.68 BCBS [210001] — BC FL PPO [21000101]: $42.23 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $30.47 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $41.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $33.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $27.82 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $28.08 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Aptt	$69	$13.80	$27.60 – $55.20
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $42.99 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $40.71 BCBS [210001] — BC FL PPO [21000101]: $56.04 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $40.43 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $55.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $44.85 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $36.92 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $37.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lab Heparin Absorbed Aptt	$85	$17	$34 – $68
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $52.96 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $50.15 BCBS [210001] — BC FL PPO [21000101]: $69.04 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $49.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $68 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $55.25 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $45.48 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $45.90 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ptt, Activated (15540)	$42	$8.40	$16.80 – $33.60
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $26.17 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $24.78 BCBS [210001] — BC FL PPO [21000101]: $34.11 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $24.61 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $33.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $27.30 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $74 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $22.47 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $22.68 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Scan Head/Brain	$421	$316	$147.35 – $357.85
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $120.82 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $421 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $114.63 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $114.63 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $131 BCBS [210001] — BC FL PPO [21000101]: $169.82 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $109.17 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $90.86 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $114.63 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $114.63
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head W/O Contrast	$5,840	$1,168	$2,336 – $4,672
CT scan of the head or brain, without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,609 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $3,445.60 BCBS [210001] — BC FL PPO [21000101]: $2,735 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $3,422.24 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $4,672 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $3,796 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $3,124.40 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $3,153.60 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head W/O Contrast-Peds Shunt	$5,497	$1,099.40	$2,198.80 – $4,397.60
CT scan of the head or brain, without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,609 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $3,243.23 BCBS [210001] — BC FL PPO [21000101]: $2,735 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $3,221.24 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $4,397.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $3,573.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,940.90 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,968.38 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Pituitary W/&W/O Contrast	$8,271	$1,654.20	$3,308.40 – $6,616.80
MRI of the brain, before and after contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,879.89 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $4,846.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $6,616.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $5,376.15 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $4,424.99 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $4,466.34 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Iacs W/&W/O Contrast	$8,271	$1,654.20	$3,308.40 – $6,616.80
MRI of the brain, before and after contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,879.89 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $4,846.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $6,616.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $5,376.15 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $4,424.99 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $4,466.34 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Pituitary W/Head W&WO Cntrst	$8,271	$1,654.20	$3,308.40 – $6,616.80
MRI of the brain, before and after contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,879.89 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $4,846.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $6,616.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $5,376.15 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $4,424.99 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $4,466.34 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Rad Chest Pa/Lat (Cxr)	$930	$186	$372 – $744
Chest X-ray, 2 views: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $579.39 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $548.70 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $544.98 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $744 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $604.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $497.55 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $502.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Rad Chest Ap&Lat W/Fluoro	$930	$186	$372 – $744
Chest X-ray, 2 views: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $579.39 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $548.70 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $544.98 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $744 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $604.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $497.55 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $502.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Rad Chest Inspiration/Expiration	$930	$186	$372 – $744
Chest X-ray, 2 views: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $579.39 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $548.70 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $544.98 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $744 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $604.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $497.55 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $502.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Rad Spine Lumbar Min 4 Views	$2,231	$446.20	$892.40 – $1,784.80
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,389.91 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,316.29 BCBS [210001] — BC FL PPO [21000101]: $467 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,307.37 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $1,784.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $1,450.15 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $1,193.59 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $1,204.74 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar W/O Contrast	$6,877	$1,375.40	$2,750.80 – $5,501.60
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,057.43 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $4,029.92 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $5,501.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $4,470.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $3,679.20 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $3,713.58 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Spine Lumbar W/O Contrast-3t	$6,877	$1,375.40	$2,750.80 – $5,501.60
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,057.43 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $4,029.92 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $5,501.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $4,470.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $3,679.20 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $3,713.58 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/ Contrast	$10,860	$2,172	$4,344 – $8,688
CT scan of the pelvis, with contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,609 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $6,407.40 BCBS [210001] — BC FL PPO [21000101]: $2,735 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $6,363.96 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $8,688 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $7,059 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $5,810.10 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $5,864.40 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Ankle W/O Cont-Right	$4,819	$963.80	$1,927.60 – $3,855.20
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,843.21 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $2,823.93 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,855.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $3,132.35 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,578.17 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,602.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Ankle W/O Cont-Left	$4,819	$963.80	$1,927.60 – $3,855.20
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,843.21 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $2,823.93 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,855.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $3,132.35 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,578.17 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,602.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Hip W/O Contrast-Right	$4,819	$963.80	$1,927.60 – $3,855.20
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,321 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,843.21 BCBS [210001] — BC FL PPO [21000101]: $5,220 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $2,823.93 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,855.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $3,132.35 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,578.17 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,602.26 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abd/Pelvis Dvt Protocol	$16,525	$3,305	$6,610 – $13,220
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,609 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $9,749.75 BCBS [210001] — BC FL PPO [21000101]: $2,735 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $9,683.65 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $13,220 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $10,741.25 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $8,840.88 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $8,923.50 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abd/Pelvis W/ Contrast	$14,048	$2,809.60	$5,619.20 – $11,238.40
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,609 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $8,288.32 BCBS [210001] — BC FL PPO [21000101]: $2,735 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $8,232.13 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $11,238.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $9,131.20 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $998 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $7,515.68 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $7,585.92 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ult Sonogram Abdominal Survey	$2,148	$429.60	$859.20 – $1,718.40
Ultrasound of the abdomen, complete: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,338.20 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,267.32 BCBS [210001] — BC FL PPO [21000101]: $596 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,258.73 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $1,718.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $1,396.20 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $1,149.18 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $1,159.92 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ult Sono OB Over or Equal14wks	$1,242	$248.40	$496.80 – $993.60
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $773.77 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $732.78 BCBS [210001] — BC FL PPO [21000101]: $596 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $727.81 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $993.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $807.30 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $664.47 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $670.68 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ult Sono Transvaginal Non-OB	$1,843	$368.60	$737.20 – $1,474.40
Transvaginal ultrasound: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,148.19 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,087.37 BCBS [210001] — BC FL PPO [21000101]: $596 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,080 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $1,474.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $1,197.95 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $986.01 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $995.22 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Diag Mammo Uni 3d Tomosynthesis W or WO Cad-Right	$498	$99.60	$199.20 – $398.40
Diagnostic mammogram, one breast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $310.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $293.82 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $291.83 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $398.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $323.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $266.43 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $268.92 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Diag Mammo Uni 3d Tomosynthesis W or WO Cad-Left	$498	$99.60	$199.20 – $398.40
Diagnostic mammogram, one breast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $310.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $293.82 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $291.83 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $398.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $323.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $266.43 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $268.92 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mam Diag Mammo Uni W/ or W/O Cad Right	$523	$104.60	$209.20 – $418.40
Diagnostic mammogram, one breast: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $325.83 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $308.57 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $306.48 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $418.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $339.95 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $279.81 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $282.42 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Diag Mammo Bilat 3d Tomosynthesis W or WO Cad	$598	$119.60	$239.20 – $478.40
Diagnostic mammogram, both breasts: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $372.55 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $352.82 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $350.43 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $478.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $388.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $319.93 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $322.92 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mam Diag Mammo W/ or W/O Cad Bilat	$630	$126	$252 – $504
Diagnostic mammogram, both breasts: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $392.49 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $371.70 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $369.18 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $504 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $409.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $337.05 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $340.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Diag Mammo Post Bx/Loc 2d-Bilat	$598	$119.60	$239.20 – $478.40
Diagnostic mammogram, both breasts: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $372.55 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $352.82 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $350.43 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $478.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $388.70 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $315 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $319.93 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $322.92 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Screen Mammo Bilat 3d Tomosynthesis W or WO Cad	$473	$94.60	$189.20 – $378.40
Screening mammogram, both breasts: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $294.68 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $279.07 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $277.18 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $378.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $307.45 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $126 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $253.06 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $255.42 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Screen Mammo Uni 3d Tomosynthesis W or WO Cad-Right	$436	$87.20	$174.40 – $348.80
Screening mammogram, both breasts: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $271.63 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $257.24 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $255.50 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $348.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $283.40 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $126 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $233.26 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $235.44 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MA Digital Screen Mammo Uni 3d Tomosynthesis W or WO Cad-Left	$436	$87.20	$174.40 – $348.80
Screening mammogram, both breasts: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $271.63 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $257.24 BCBS [210001] — BC FL PPO [21000101]: $399 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $255.50 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $348.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $283.40 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $126 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $233.26 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $235.44 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lhc WO Cors W-WO Lv Gram	$27,856	$5,571.20	$11,142.40 – $22,284.80
Left heart catheterization (diagnostic): rates for 6 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $16,435.04 BCBS [210001] — BC FL PPO [21000101]: $18,655.16 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $22,284.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $18,106.40 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $15,042.24 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ep Comp W/O Attempt Induction	$12,317	$2,463.40	$4,926.80 – $9,853.60
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $7,267.03 BCBS [210001] — BC FL PPO [21000101]: $8,248.69 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $7,217.76 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $9,853.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $8,006.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $551 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $6,589.60 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $6,651.18
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pv Isolation Ablation With Eps/ Cs/ Ts/ 3d Map/ Ice	$92,624	$18,524.80	$37,049.60 – $74,099.20
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $54,648.16 BCBS [210001] — BC FL PPO [21000101]: $62,030.29 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $74,099.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $60,205.60 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $50,016.96 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography 12 Hrs	$8,008	$1,601.60	$3,203.20 – $6,406.40
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $4,988.98 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,724.72 BCBS [210001] — BC FL PPO [21000101]: $4,362.76 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $4,692.69 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $6,406.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $5,205.20 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $683 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $4,284.28 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $4,324.32 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 15 Min Pt Therapeutic Exercise	$280	$56	$112 – $224
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $174.44 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $165.20 BCBS [210001] — BC FL PPO [21000101]: $190.15 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $164.08 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $224 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $182 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $70 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $149.80 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $151.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Telehealth 15 Min Pt Therapeutic Exercise	$280	$56	$112 – $224
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $174.44 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $165.20 BCBS [210001] — BC FL PPO [21000101]: $190.15 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $164.08 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $224 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $182 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $70 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $149.80 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $151.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Telehealth 15 Min Ot Therapeutic Exercise	$280	$56	$112 – $224
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $174.44 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $165.20 BCBS [210001] — BC FL PPO [21000101]: $190.15 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $164.08 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $224 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $182 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $70 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $149.80 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $151.20 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Low Comp 30	$334	$66.80	$133.60 – $267.20
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $208.08 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $197.06 BCBS [210001] — BC FL PPO [21000101]: $226.82 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $195.72 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $267.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $217.10 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $83.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $178.69 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $180.36 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: 45 Min Pt Low Comp	$425	$85	$170 – $340
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $264.78 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $250.75 BCBS [210001] — BC FL PPO [21000101]: $288.62 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $249.05 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $340 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $276.25 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $106.25 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $227.38 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $229.50 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: 60 Min Pt Low Comp	$513	$102.60	$205.20 – $410.40
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $319.60 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $302.67 BCBS [210001] — BC FL PPO [21000101]: $348.38 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $300.62 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $410.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $333.45 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $128.25 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $274.46 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $277.02 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 45 Min Pt Eval Mod Comp	$437	$87.40	$174.80 – $349.60
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $272.25 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $257.83 BCBS [210001] — BC FL PPO [21000101]: $296.77 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $256.08 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $349.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $284.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $109.25 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $233.80 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $235.98 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 60 Min Pt Eval Mod Comp	$581	$116.20	$232.40 – $464.80
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $361.96 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $342.79 BCBS [210001] — BC FL PPO [21000101]: $394.56 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $340.47 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $464.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $377.65 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $145.25 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $310.84 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $313.74 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 75 Min Pt Eval Mod Comp	$728	$145.60	$291.20 – $582.40
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $453.54 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $429.52 BCBS [210001] — BC FL PPO [21000101]: $494.38 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $426.61 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $582.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $473.20 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $182 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $389.48 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $393.12 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 45 Min Pt Eval High Comp	$502	$100.40	$200.80 – $401.60
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $312.75 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $296.18 BCBS [210001] — BC FL PPO [21000101]: $340.91 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $294.17 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $401.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $326.30 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $125.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $268.57 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $271.08 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 60 Min Pt Eval High Comp	$645	$129	$258 – $516
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $401.84 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $380.55 BCBS [210001] — BC FL PPO [21000101]: $438.02 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $377.97 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $516 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $419.25 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $161.25 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $345.08 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $348.30 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: 75 Min Pt Eval High Comp	$792	$158.40	$316.80 – $633.60
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $493.42 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $467.28 BCBS [210001] — BC FL PPO [21000101]: $537.85 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $464.11 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $633.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $514.80 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $198 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $423.72 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $427.68 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psytx Pt&/Family 30 Minutes	$187	$37.40	$74.80 – $149.60
Psychotherapy, 30 minutes: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $116.50 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $110.33 BCBS [210001] — BC FL PPO [21000101]: $101.88 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $109.58 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $149.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $121.55 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $93.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $100.05 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $100.98 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psytx Pt&/Family 45 Minutes	$277	$55.40	$110.80 – $221.60
Psychotherapy, 45 minutes: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $172.57 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $163.43 BCBS [210001] — BC FL PPO [21000101]: $150.91 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $162.32 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $221.60 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $180.05 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $138.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $148.20 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $149.58 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psytx Pt&/Family 60 Minutes	$413	$82.60	$165.20 – $330.40
Psychotherapy, 60 minutes: rates for 10 insurance plans AETNA [210101] — AETNA PPO [21010105]: $257.30 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $243.67 BCBS [210001] — BC FL PPO [21000101]: $225 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $242.02 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $330.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $268.45 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $206.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $220.96 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $223.02 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Family Therapy Without Pt	$973	$194.60	$389.20 – $778.40
Family psychotherapy, without the patient: rates for 9 insurance plans AETNA [210101] — AETNA PPO [21010105]: $606.18 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $574.07 BCBS [210001] — BC FL PPO [21000101]: $530.09 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $570.18 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $778.40 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $632.45 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $486.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $520.56 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $525.42
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Family Therapy W/Pt	$1,150	$230	$460 – $920
Family psychotherapy, with the patient: rates for 9 insurance plans AETNA [210101] — AETNA PPO [21010105]: $716.45 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $678.50 BCBS [210001] — BC FL PPO [21000101]: $626.52 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $673.90 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $920 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $747.50 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $575 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $615.25 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $621
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Group Therapy Not Multi-Famil	$301	$60.20	$120.40 – $240.80
Group psychotherapy: rates for 9 insurance plans AETNA [210101] — AETNA PPO [21010105]: $187.52 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $177.59 BCBS [210001] — BC FL PPO [21000101]: $163.98 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $176.39 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $240.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $195.65 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $150.50 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $161.04 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $162.54

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excise Breast Cyst	$21,489.04	$4,297.81	$8,595.62 – $17,191.23
Removal of breast growth (open surgery): 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $9.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $9.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $9.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $9.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $9.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $9.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $9.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $9.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total Hip Arthroplasty	$113,933.50	$22,786.70	$45,573.40 – $91,146.80
Total hip replacement: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $106.03 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $106.18 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $104.19 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $104.19 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $106.18 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $106.03 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $106.03 WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $104.19 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Total Hip Arthroplasty	$6,123	$4,592	$2,143.05 – $5,204.55
Total hip replacement: rates for 9 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,717.50 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,467.83 BCBS [210001] — BC FL PPO [21000101]: $1,915.32 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $1,084.91 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,744.49 HUMANA [250215] — HUMANA PPO [25021501]: $1,866.68 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $1,084.91 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $1,836.90 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $1,876.26
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total Hip Arthroplasty	$6,123	$4,592	$2,143.05 – $5,204.55
Total hip replacement: rates for 9 insurance plans AETNA [210101] — AETNA PPO [21010105]: $2,020.59 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,898.40 BCBS [210001] — BC FL PPO [21000101]: $2,253.32 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $1,276.37 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $2,052.34 HUMANA [250215] — HUMANA PPO [25021501]: $2,196.10 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $1,363.80 UNITED HEALTHCARE [210402] — UNITED HMO/PPO [21040201]: $2,102.80 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $6,123
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total Knee Arthroplasty	$114,633.66	$22,926.73	$45,853.46 – $91,706.93
Total knee replacement: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $106.03 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $106.18 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $104.19 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $104.19 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $106.18 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $106.03 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $106.03 WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $104.19 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shldr Arthroscop,Part Acromioplas	$77,470.23	$15,494.05	$30,988.09 – $61,976.18
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (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: Knee Scope,Med/Lat Menisectomy	$39,679.60	$7,935.92	$15,871.84 – $31,743.68
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $9.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $9.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $9.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $9.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $9.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $9.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $9.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $9.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove Tonsils/Adenoids,<12 Y/O	$20,885.92	$4,177.18	$8,354.37 – $16,708.74
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Upper GI Endoscopy,Diagnosis	$1,139	$854	$398.65 – $968.15
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $361.17 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $1,139 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $348.95 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $348.95 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $448.65 BCBS [210001] — BC FL PPO [21000101]: $388.18 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $332.33 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $446.86 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $348.95 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $348.95
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Upper GI Endoscopy,Diagnosis	$551	$413	$192.85 – $468.35
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $183.23 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $551 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $123.35 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $123.35 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $440.80 BCBS [210001] — BC FL PPO [21000101]: $201.67 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $117.48 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $193.45 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $123.35 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $123.35
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Upper GI Endoscopy,Diagnosis	$8,052.40	$1,610.48	$3,220.96 – $6,441.92
Upper GI endoscopy (diagnostic): rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $3,877 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Upper GI Endoscopy,Biopsy	$1,519	$1,139	$531.65 – $1,291.15
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $480.52 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $1,519 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $451.97 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $451.97 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $581.11 BCBS [210001] — BC FL PPO [21000101]: $514.45 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $430.45 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $569.23 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $451.97 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $451.97
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Upper GI Endoscopy,Biopsy	$623	$467	$218.05 – $529.55
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $205.44 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $623 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $137.92 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $137.92 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $498.40 BCBS [210001] — BC FL PPO [21000101]: $227.31 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $131.35 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $218.24 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $137.92 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $137.92
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Upper GI Endoscopy,Biopsy	$15,567.21	$3,113.44	$6,226.88 – $12,453.77
Upper GI endoscopy with biopsy: rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $5,460 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy,Diagnostic	$1,386	$1,040	$485.10 – $1,178.10
Colonoscopy (diagnostic): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $449.45 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $1,386 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $412.15 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $412.15 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,275.69 BCBS [210001] — BC FL PPO [21000101]: $628.03 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $628.03 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,386 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $412.15 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $412.15
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy,Diagnostic	$836	$627	$292.60 – $710.60
Colonoscopy (diagnostic): 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $277.28 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $836 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $185.13 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $185.13 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $668.80 BCBS [210001] — BC FL PPO [21000101]: $306.17 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $176.31 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $288.83 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $185.13 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $185.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy,Diagnostic	$6,170.17	$1,234.03	$2,468.07 – $4,936.14
Colonoscopy (diagnostic): rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $3,877 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy,Biopsy	$13,288.29	$2,657.66	$5,315.32 – $10,630.63
Colonoscopy with biopsy: rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $3,877 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy,Remv Lesn,Snare	$15,537.47	$3,107.49	$6,214.99 – $12,429.98
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $3.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $3.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [210001] — BC FL PPO [21000101]: $3,877 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $3.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $3.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $3.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $3.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $3.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $3.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Endoscope US	$20,094.23	$4,018.85	$8,037.69 – $16,075.38
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $3,877 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: Lap,Cholecystectomy	$3,043	$2,282	$1,065.05 – $2,586.55
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $1,001.05 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $3,043 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $741.96 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $741.96 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,296.55 BCBS [210001] — BC FL PPO [21000101]: $1,132.65 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $706.63 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $1,015.85 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $741.96 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $741.96
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lap,Cholecystectomy	$62,565.34	$12,513.07	$25,026.14 – $50,052.27
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $10.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $10.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: Lap,Cholecystectomy\|ASSISTANT AT SURGERY	$413.85	$310	$144.85 – $351.77
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $136.14 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $413.85 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $100.91 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $100.91 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $312.33 BCBS [210001] — BC FL PPO [21000101]: $154.04 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $96.10 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $138.16 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $100.91 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $100.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair Ing Hernia,5+Y/O,Reducibl	$37,560.83	$7,512.17	$15,024.33 – $30,048.66
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $10.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $10.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: Repair Ing Hernia,5+Y/O,Reducibl	$2,397	$1,798	$838.95 – $2,037.45
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $786.89 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $2,397 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $593.99 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $593.99 BCBS [210001] — BC FL PPO [21000101]: $890.17 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $565.70 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $800.98 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $593.99 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $593.99 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $604.45
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Repair Ing Hernia 5+Y/O Reducibl	$7,490	$1,498	$2,996 – $5,992
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $4,419.10 BCBS [210001] — BC FL PPO [21000101]: $4,604.85 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $5,992 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $4,868.50 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $4,044.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of Prostate,Needle/Punch	$40,013.09	$8,002.62	$16,005.24 – $32,010.47
Prostate biopsy: rates for 7 insurance plans BCBS [210001] — BC FL PPO [21000101]: $5,460 AETNA [210101] — AETNA PPO [21010105]: 62.3% (a percentage in the contract, not a dollar amount) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Biopsy Prostate	$2,119	$423.80	$847.60 – $1,695.20
Prostate biopsy: rates for 6 insurance plans AETNA [210101] — AETNA PPO [21010105]: $1,320.14 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,250.21 BCBS [210001] — BC FL PPO [21000101]: $5,460 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $1,695.20 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $1,377.35 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $1,144.26
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lap,Prostatectomy,Radical,W/Nerve Spare	$157,303.91	$31,460.78	$62,921.56 – $125,843.13
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $10.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $10.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $10.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $10.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) BCBS [210001] — BC FL PPO [21000101]: 61.48% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy,W/Endo Bx	$25,458.60	$5,091.72	$10,183.44 – $20,366.88
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $11.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $11.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [210001] — BC FL PPO [21000101]: $6,950 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $11.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $11.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $11.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $11.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $11.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $11.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Rad Xr Lumbar Puncture W/ Injection	$4,875.30	$975.06	$1,950.12 – $3,900.24
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $3,877 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Rad Xr Lumbar Puncture W/ Injection	$3,786	$757.20	$1,514.40 – $3,028.80
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,233.74 BCBS [210001] — BC FL PPO [21000101]: $3,877 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,028.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $2,460.90 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,044.44 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC IR Epidural Inject, Lumbr or Sacrl, W/ Imaging	$3,786	$757.20	$1,514.40 – $3,028.80
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $2,233.74 BCBS [210001] — BC FL PPO [21000101]: $3,877 CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: $3,028.80 GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: $2,460.90 WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: $2,044.44 HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj,Foramen,L/S,1 Level	$5,065.40	$1,013.08	$2,026.16 – $4,052.32
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans BCBS [210001] — BC FL PPO [21000101]: $3,877 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount) CLARITEV/MULTIPLAN [250223] — CLARITEV MULTIPLAN NETWORK [25022301]: 80% (a percentage in the contract, not a dollar amount) GLOBAL EXCEL MANAGEMENT [250241] — GLOBAL EXCEL CONTRACTED [25024101]: 65% (a percentage in the contract, not a dollar amount) HUMANA [250215] — HUMANA PPO [25021501]: 64% (a percentage in the contract, not a dollar amount) WELLPOINT [250265] — WELLPOINT FLORIDA [25026501]: 54% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Revise Median N/Carpal Tunnel Surg	$1,921	$1,441	$672.35 – $1,632.85
Carpal tunnel release: 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $627.53 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $1,921 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $538.76 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $538.76 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $769.65 BCBS [210001] — BC FL PPO [21000101]: $691.29 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $513.10 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $663.11 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $538.76 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $538.76
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Revise Median N/Carpal Tunnel Surg	$1,902	$1,427	$665.70 – $1,616.70
Carpal tunnel release: 10 of 17 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $624.16 AETNA BETTER HEALTH [210102] — AETNA HEALTHY KIDS [21010201]: $1,902 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $475.51 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $475.51 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: $1,521.60 BCBS [210001] — BC FL PPO [21000101]: $687.73 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $452.87 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $658.98 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $475.51 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $475.51
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Revise Median N/Carpal Tunnel Surg	$21,413.26	$4,282.65	$8,565.30 – $17,130.61
Carpal tunnel release: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $14.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $14.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [210001] — BC FL PPO [21000101]: $5,460 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $13.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $13.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $14.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $14.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $14.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $13.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remv Cataract Extracap,Insert Lens	$19,523.25	$3,904.65	$7,809.30 – $15,618.60
Cataract removal with lens implant: 10 of 14 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $155.71 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $155.93 BCBS [210001] — BC FL PPO [21000101]: $5,460 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $153.02 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $153.02 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $155.93 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $155.71 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $155.71 WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $153.02 AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 59% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC	$503,084.60	$100,616.92	$201,233.84 – $402,467.68
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $79,218.15 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $79,329.36 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $77,846.57 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $77,846.57 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $79,329.36 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $79,218.15 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $78,877.11 WELLCARE HEALTH PLAN [250516] — MEDICARE REPLACEMENT [25051601]: $77,846.57 AETNA [210101] — AETNA PPO [21010105]: 55% (a percentage in the contract, not a dollar amount) AVMED HEALTH PLAN [250204] — AVMED HEALTH PLAN CONTRACTED [25020401]: 53% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC	$120,849.80	$24,169.96	$48,339.92 – $96,679.84
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $49,215.88 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $16,159.56 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $16,182.24 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $15,879.77 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $40,192.49 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $15,879.77 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $16,182.24 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $16,159.56 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $38,770.89 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $16,089.99
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/McC	$148,393.86	$29,678.77	$59,357.54 – $118,715.09
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $62,289.77 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $20,273.60 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $20,302.06 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $19,922.58 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $50,869.37 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $19,922.58 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $20,302.06 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $20,273.60 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $49,070.13 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $20,186.32
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	$80,196.19	$16,039.24	$32,078.48 – $64,156.95
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates AETNA [210101] — AETNA PPO [21010105]: $31,656.46 AETNA COVENTRY MCR REPLACEMENT [250518] — AETNA MEDICARE [25051801]: $10,634.04 ALIGN SENIOR CARE [250524] — ALIGN MEDICARE REPLACEMENT [25052401]: $10,648.97 BCBS MEDICARE [250503] — BCBS MEDICARE REPLACEMENT [25050301]: $10,449.93 CIGNA [210201] — CIGNA HMO/PPO [21020101]: $25,852.47 CIGNA MCR HMO/PPO [250525] — MEDICARE REPLACEMENT [25052501]: $10,449.93 FREEDOM HEALTH [250505] — FREEDOM HLTH MEDICARE REPLACEMENT [25050501]: $10,648.97 HUMANA GOLD [250508] — PFFS MEDICARE REPLACEMENT [25050801]: $10,634.04 LEE HEALTH CARE PARTNERS [250255] — KEY BENEFIT ADMIN [25025501]: $24,938.07 UNITED HEALTH MCR HMO/PPO [250515] — UHC MEDICARE REPLACEMENT [25051501]: $10,588.26

Source: Gulf Coast Medical Center Lee Health’s standard charges file (leehealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 26, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	13681 Doctors Way, Fort Myers, FL 33912
County	Lee County
State	Florida
Phone	(239) 343‑1000
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	4 of 5 stars
CMS Certification Number	100220
Name in Medicare records	GULF COAST MEDICAL CENTER LEE HEALTH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Gulf Coast Medical Center
Official website	leehealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Gulf Coast Medical Center | Find a Location | Lee Health — leehealth.org