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Acute Care Hospital

Halifax Health Medical Center

Daytona Beach, Florida · Volusia County · Emergency services listed

Summary

Halifax Health Medical Center is an acute care hospital in Daytona Beach, Florida. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 11 services, specialties and programs. Medicare lists 667 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(386) 254‑4000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
767Beds (hospital website)
667Doctors and clinicians
11Services listed

Quick answers

Does Halifax Health Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Halifax Health Medical Center. In a medical emergency, call 911.
Where is Halifax Health Medical Center?
303 N Clyde Morris Blvd, Daytona Beach, FL 32114, in Volusia County, Florida.
What is the phone number of Halifax Health Medical Center?
(386) 254-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Halifax Health Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][10]

Conditions treated[5][6]

  • Stroke
  • Brain and spinal cord injury

Programs and centers[5][7][8][9]

  • Pediatric emergency department
  • OB emergency department
  • UF Health Trauma Surgery at Halifax Health

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

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationThrombectomy-Capable Stroke Center

Visiting and practical information

VisitingGuests 8 a.m.-8 p.m. daily; critical care units (3rd and 5th floors) open 24 hours[4]

Recognition[4][6]

  • Level II Trauma Center
  • Thrombectomy-Capable Stroke Center certification (The Joint Commission)

Doctors and clinicians (667)

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

Main specialties

Doctors with a page on this site (667)

And 643 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

  • SMA Willis0.5 mi · Daytona Beach, FL · Community health center
  • Aza Health0.5 mi · Daytona Beach, FL · Community health center
  • SMA Stadium0.5 mi · Daytona Beach, FL · Community health center

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1065%National average: 72%
Would definitely recommend the hospital65%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys2,175Response rate: 19%

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)0.799No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.425Better than the national benchmark
Surgical site infections after colon surgery0.84No different from the national benchmark
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections1.157No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.636Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients12.2%
Deaths within 30 days: heart failure patients10.1%
Deaths within 30 days: pneumonia patients16.5%
Deaths within 30 days: COPD patients10.2%
Deaths within 30 days: stroke patients9.6%
Deaths within 30 days: coronary bypass surgery (CABG)2%
Serious complications (patient safety indicator PSI-90)1.23No different from the national rate
Complications after hip or knee replacement4.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.5%
Readmitted within 30 days: heart failure25.3%
Readmitted within 30 days: pneumonia19.3%
Readmitted within 30 days: COPD20.4%
Readmitted within 30 days: coronary bypass surgery11.8%
Readmitted within 30 days: hip or knee replacement6%

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)165 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)61%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Daytona BeachBest hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as Halifax Health Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WND CTR VST NEW INTER $266 $212.80 $74.48 – $266
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $159.60
  • AETNA — ALL PRODUCTS: $159.60
  • AETNA — Coventry: $123.42
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $84.85
  • AETNA — MEDICARE ADVANTAGE: $266
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $266
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $239.40
  • AVMED — HMO: $133
  • AVMED — STATE OF FLORIDA EMPLOYERS: $122.36
  • BLUE CROSS — ALL PRODUCTS: $111.72
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT NEW LEVEL 3 $266 $212.80 $74.48 – $266
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $159.60
  • AETNA — ALL PRODUCTS: $159.60
  • AETNA — Coventry: $123.42
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $84.85
  • AETNA — MEDICARE ADVANTAGE: $266
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $266
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $239.40
  • AVMED — HMO: $133
  • AVMED — STATE OF FLORIDA EMPLOYERS: $122.36
  • BLUE CROSS — ALL PRODUCTS: $111.72
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT NEW LVL 3 $266 $212.80 $74.48 – $266
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $159.60
  • AETNA — ALL PRODUCTS: $159.60
  • AETNA — Coventry: $123.42
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $84.85
  • AETNA — MEDICARE ADVANTAGE: $266
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $266
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $239.40
  • AVMED — HMO: $133
  • AVMED — STATE OF FLORIDA EMPLOYERS: $122.36
  • BLUE CROSS — ALL PRODUCTS: $111.72
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WND CTR VST NEW EXT $222 $177.60 $62.16 – $222
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $133.20
  • AETNA — ALL PRODUCTS: $133.20
  • AETNA — Coventry: $103.01
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $70.82
  • AETNA — MEDICARE ADVANTAGE: $222
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $222
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $199.80
  • AVMED — HMO: $111
  • AVMED — STATE OF FLORIDA EMPLOYERS: $102.12
  • BLUE CROSS — ALL PRODUCTS: $93.24
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT NEW LEVEL 4 $247 $197.60 $69.16 – $247
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $148.20
  • AETNA — ALL PRODUCTS: $148.20
  • AETNA — Coventry: $114.61
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $78.79
  • AETNA — MEDICARE ADVANTAGE: $247
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $247
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $222.30
  • AVMED — HMO: $123.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $113.62
  • BLUE CROSS — ALL PRODUCTS: $103.74
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT NEW LVL 4 $247 $197.60 $69.16 – $247
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $148.20
  • AETNA — ALL PRODUCTS: $148.20
  • AETNA — Coventry: $114.61
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $78.79
  • AETNA — MEDICARE ADVANTAGE: $247
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $247
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $222.30
  • AVMED — HMO: $123.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $113.62
  • BLUE CROSS — ALL PRODUCTS: $103.74
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WND CTR VST NEW COMPLEX $182 $145.60 $50.96 – $182
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $109.20
  • AETNA — ALL PRODUCTS: $109.20
  • AETNA — Coventry: $84.45
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $58.06
  • AETNA — MEDICARE ADVANTAGE: $182
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $182
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $163.80
  • AVMED — HMO: $91
  • AVMED — STATE OF FLORIDA EMPLOYERS: $83.72
  • BLUE CROSS — ALL PRODUCTS: $76.44
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT NEW LEVEL 5 $346 $276.80 $96.88 – $346
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $207.60
  • AETNA — ALL PRODUCTS: $207.60
  • AETNA — Coventry: $160.54
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $110.37
  • AETNA — MEDICARE ADVANTAGE: $346
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $346
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $311.40
  • AVMED — HMO: $173
  • AVMED — STATE OF FLORIDA EMPLOYERS: $159.16
  • BLUE CROSS — ALL PRODUCTS: $145.32
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT NEW LVL 5 $346 $276.80 $96.88 – $346
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $207.60
  • AETNA — ALL PRODUCTS: $207.60
  • AETNA — Coventry: $160.54
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $110.37
  • AETNA — MEDICARE ADVANTAGE: $346
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $346
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $311.40
  • AVMED — HMO: $173
  • AVMED — STATE OF FLORIDA EMPLOYERS: $159.16
  • BLUE CROSS — ALL PRODUCTS: $145.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WND CTR VST EST.INTERMEDIATE $221 $176.80 $61.88 – $221
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $132.60
  • AETNA — ALL PRODUCTS: $132.60
  • AETNA — Coventry: $102.54
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $70.50
  • AETNA — MEDICARE ADVANTAGE: $221
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $221
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $198.90
  • AVMED — HMO: $110.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $101.66
  • BLUE CROSS — ALL PRODUCTS: $92.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT EST LEVEL 3 $169 $135.20 $47.32 – $169
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $101.40
  • AETNA — ALL PRODUCTS: $101.40
  • AETNA — Coventry: $78.42
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $53.91
  • AETNA — MEDICARE ADVANTAGE: $169
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $169
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $152.10
  • AVMED — HMO: $84.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $77.74
  • BLUE CROSS — ALL PRODUCTS: $70.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SUTURE LYSIS OD $221 $176.80 $61.88 – $221
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $132.60
  • AETNA — ALL PRODUCTS: $132.60
  • AETNA — Coventry: $102.54
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $70.50
  • AETNA — MEDICARE ADVANTAGE: $221
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $221
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $198.90
  • AVMED — HMO: $110.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $101.66
  • BLUE CROSS — ALL PRODUCTS: $92.82
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WND CTR VST EST.EXTENDED $278 $222.40 $77.84 – $278
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $166.80
  • AETNA — ALL PRODUCTS: $166.80
  • AETNA — Coventry: $128.99
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $88.68
  • AETNA — MEDICARE ADVANTAGE: $278
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $278
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $250.20
  • AVMED — HMO: $139
  • AVMED — STATE OF FLORIDA EMPLOYERS: $127.88
  • BLUE CROSS — ALL PRODUCTS: $116.76
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT EST LEVEL 4 $190 $152 $53.20 – $190
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $114
  • AETNA — ALL PRODUCTS: $114
  • AETNA — Coventry: $88.16
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $60.61
  • AETNA — MEDICARE ADVANTAGE: $190
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $190
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $171
  • AVMED — HMO: $95
  • AVMED — STATE OF FLORIDA EMPLOYERS: $87.40
  • BLUE CROSS — ALL PRODUCTS: $79.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT LEVEL 3-EST $278 $222.40 $77.84 – $278
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $166.80
  • AETNA — ALL PRODUCTS: $166.80
  • AETNA — Coventry: $128.99
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $88.68
  • AETNA — MEDICARE ADVANTAGE: $278
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $278
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $250.20
  • AVMED — HMO: $139
  • AVMED — STATE OF FLORIDA EMPLOYERS: $127.88
  • BLUE CROSS — ALL PRODUCTS: $116.76
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $92.93
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • TRICARE — ALL PRODUCTS: $92.93
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $112.56
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • TRICARE — ALL PRODUCTS: $112.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PEDS Level III $1,700 $1,360 $581.40 – $1,615
Emergency room visit (moderate): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,020
  • AETNA — ALL PRODUCTS: $1,020
  • AETNA — Coventry: $788.80
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $641.40
  • AETNA — MEDICARE ADVANTAGE: $285.06
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $285.06
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,530
  • AVMED — HMO: $850
  • AVMED — STATE OF FLORIDA EMPLOYERS: $782
  • BLUE CROSS — ALL PRODUCTS: $714
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PEDS Level III-M $1,700 $1,360 $581.40 – $1,615
Emergency room visit (moderate): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,020
  • AETNA — ALL PRODUCTS: $1,020
  • AETNA — Coventry: $788.80
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $641.40
  • AETNA — MEDICARE ADVANTAGE: $285.06
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $285.06
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,530
  • AVMED — HMO: $850
  • AVMED — STATE OF FLORIDA EMPLOYERS: $782
  • BLUE CROSS — ALL PRODUCTS: $714
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PSYCH LEVEL III $1,700 $1,360 $581.40 – $1,615
Emergency room visit (moderate): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,020
  • AETNA — ALL PRODUCTS: $1,020
  • AETNA — Coventry: $788.80
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $641.40
  • AETNA — MEDICARE ADVANTAGE: $285.06
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $285.06
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,530
  • AVMED — HMO: $850
  • AVMED — STATE OF FLORIDA EMPLOYERS: $782
  • BLUE CROSS — ALL PRODUCTS: $714
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PEDS Level IV $3,085 $2,468 $1,055.07 – $2,930.75
Emergency room visit (moderately high): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,851
  • AETNA — ALL PRODUCTS: $1,851
  • AETNA — Coventry: $1,431.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $980.41
  • AETNA — MEDICARE ADVANTAGE: $435.74
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $435.74
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,776.50
  • AVMED — HMO: $1,542.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,419.10
  • BLUE CROSS — ALL PRODUCTS: $1,295.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PEDS Level IV-M $3,085 $2,468 $1,055.07 – $2,930.75
Emergency room visit (moderately high): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,851
  • AETNA — ALL PRODUCTS: $1,851
  • AETNA — Coventry: $1,431.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $980.41
  • AETNA — MEDICARE ADVANTAGE: $435.74
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $435.74
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,776.50
  • AVMED — HMO: $1,542.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,419.10
  • BLUE CROSS — ALL PRODUCTS: $1,295.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PSYCH LEVEL IV-M $3,085 $2,468 $1,055.07 – $2,930.75
Emergency room visit (moderately high): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,851
  • AETNA — ALL PRODUCTS: $1,851
  • AETNA — Coventry: $1,431.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $980.41
  • AETNA — MEDICARE ADVANTAGE: $435.74
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $435.74
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,776.50
  • AVMED — HMO: $1,542.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,419.10
  • BLUE CROSS — ALL PRODUCTS: $1,295.70
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PEDS Level V $5,320 $4,256 $1,819.44 – $5,054
Emergency room visit (high): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,192
  • AETNA — ALL PRODUCTS: $3,192
  • AETNA — Coventry: $2,468.48
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,399.28
  • AETNA — MEDICARE ADVANTAGE: $621.90
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $621.90
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $4,788
  • AVMED — HMO: $2,660
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,447.20
  • BLUE CROSS — ALL PRODUCTS: $2,234.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PEDS Level V-M $5,320 $4,256 $1,819.44 – $5,054
Emergency room visit (high): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,192
  • AETNA — ALL PRODUCTS: $3,192
  • AETNA — Coventry: $2,468.48
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,399.28
  • AETNA — MEDICARE ADVANTAGE: $621.90
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $621.90
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $4,788
  • AVMED — HMO: $2,660
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,447.20
  • BLUE CROSS — ALL PRODUCTS: $2,234.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED PSYCH LEVEL V-M $5,320 $4,256 $1,819.44 – $5,054
Emergency room visit (high): 10 of 63 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,192
  • AETNA — ALL PRODUCTS: $3,192
  • AETNA — Coventry: $2,468.48
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,399.28
  • AETNA — MEDICARE ADVANTAGE: $621.90
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $621.90
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $4,788
  • AVMED — HMO: $2,660
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,447.20
  • BLUE CROSS — ALL PRODUCTS: $2,234.40

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PAN CHEM $222 $177.60 $63.94 – $210.90
Basic metabolic panel (blood test): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $133.20
  • AETNA — ALL PRODUCTS: $133.20
  • AETNA — Coventry: $103.01
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $19.04
  • AETNA — MEDICARE ADVANTAGE: $8.46
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $8.46
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $199.80
  • AVMED — HMO: $111
  • AVMED — STATE OF FLORIDA EMPLOYERS: $102.12
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PAN CHEM $222 $177.60 $63.94 – $210.90
Basic metabolic panel (blood test): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $130.98
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC P $277 $221.60 $79.78 – $263.15
Comprehensive metabolic panel (blood test): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $166.20
  • AETNA — ALL PRODUCTS: $166.20
  • AETNA — Coventry: $128.53
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $23.76
  • AETNA — MEDICARE ADVANTAGE: $10.56
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $10.56
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $249.30
  • AVMED — HMO: $138.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $127.42
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP COMPREHENSIVE METABOL $57 $45.60 $16.42 – $54.15
Comprehensive metabolic panel (blood test): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $34.20
  • AETNA — ALL PRODUCTS: $34.20
  • AETNA — Coventry: $26.45
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $23.76
  • AETNA — MEDICARE ADVANTAGE: $10.56
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $10.56
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $51.30
  • AVMED — HMO: $28.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $26.22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC P $277 $221.60 $79.78 – $263.15
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $163.43
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $4.48 – $109.96
Obstetric blood test panel: 10 of 25 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $107.57
  • AETNA — MEDICARE ADVANTAGE: $47.81
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $47.81
  • BLUE CROSS — MEDICARE ADVANTAGE: $47.81
  • CENTIVO — ALL PRODUCTS: $102.79
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $47.81
  • DIVISION OF THE BLIND — ALL PRODUCTS: $47.81
  • EMBS — PPO: $40.64
  • EMPLOYERS HEALTH NETWORK — ALL PRODUCTS: $95.62
  • EVOLUTIONS — PPO: $83.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $162 $129.60 $46.66 – $153.90
Cholesterol panel (lipid panel): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $97.20
  • AETNA — ALL PRODUCTS: $97.20
  • AETNA — Coventry: $75.17
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $30.13
  • AETNA — MEDICARE ADVANTAGE: $13.39
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $13.39
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $145.80
  • AVMED — HMO: $81
  • AVMED — STATE OF FLORIDA EMPLOYERS: $74.52
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CRISK $34 $27.20 $9.79 – $32.30
Cholesterol panel (lipid panel): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $20.40
  • AETNA — ALL PRODUCTS: $20.40
  • AETNA — Coventry: $15.78
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $30.13
  • AETNA — MEDICARE ADVANTAGE: $13.39
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $13.39
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $30.60
  • AVMED — HMO: $17
  • AVMED — STATE OF FLORIDA EMPLOYERS: $15.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEART CHECK $38 $30.40 $10.94 – $36.10
Cholesterol panel (lipid panel): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $22.80
  • AETNA — ALL PRODUCTS: $22.80
  • AETNA — Coventry: $17.63
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $30.13
  • AETNA — MEDICARE ADVANTAGE: $13.39
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $13.39
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $34.20
  • AVMED — HMO: $19
  • AVMED — STATE OF FLORIDA EMPLOYERS: $17.48
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $195 $156 $56.16 – $185.25
Kidney function panel: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $117
  • AETNA — ALL PRODUCTS: $117
  • AETNA — Coventry: $90.48
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $19.53
  • AETNA — MEDICARE ADVANTAGE: $8.68
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $8.68
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $175.50
  • AVMED — HMO: $97.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $89.70
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $195 $156 $56.16 – $185.25
Kidney function panel: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $115.05
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $194 $155.20 $55.87 – $184.30
Liver function panel: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $116.40
  • AETNA — ALL PRODUCTS: $116.40
  • AETNA — Coventry: $90.02
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $18.38
  • AETNA — MEDICARE ADVANTAGE: $8.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $8.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $174.60
  • AVMED — HMO: $97
  • AVMED — STATE OF FLORIDA EMPLOYERS: $89.24
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $194 $155.20 $55.87 – $184.30
Liver function panel: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $114.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS COMPLETE $165 $132 $47.52 – $156.75
Urine test (automated, with microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $99
  • AETNA — ALL PRODUCTS: $99
  • AETNA — Coventry: $76.56
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7.13
  • AETNA — MEDICARE ADVANTAGE: $3.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $148.50
  • AVMED — HMO: $82.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $75.90
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS COMPLETE $165 $132 $47.52 – $156.75
Urine test (automated, with microscope): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $97.35
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BILE URINE $34 $27.20 $9.79 – $32.30
Urine test (manual, without microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $20.40
  • AETNA — ALL PRODUCTS: $20.40
  • AETNA — Coventry: $15.78
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7.83
  • AETNA — MEDICARE ADVANTAGE: $3.48
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3.48
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $30.60
  • AVMED — HMO: $17
  • AVMED — STATE OF FLORIDA EMPLOYERS: $15.64
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OCCULT BLOOD URINE $33 $26.40 $9.50 – $31.35
Urine test (manual, without microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $19.80
  • AETNA — ALL PRODUCTS: $19.80
  • AETNA — Coventry: $15.31
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7.83
  • AETNA — MEDICARE ADVANTAGE: $3.48
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3.48
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $29.70
  • AVMED — HMO: $16.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $15.18
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NON-AUTO W/O MICRO $16 $12.80 $4.61 – $15.20
Urine test (manual, without microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $9.60
  • AETNA — ALL PRODUCTS: $9.60
  • AETNA — Coventry: $7.42
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7.83
  • AETNA — MEDICARE ADVANTAGE: $3.48
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3.48
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $14.40
  • AVMED — HMO: $8
  • AVMED — STATE OF FLORIDA EMPLOYERS: $7.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACETONE URINE $106 $84.80 $30.53 – $100.70
Urine test (automated, without microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $63.60
  • AETNA — ALL PRODUCTS: $63.60
  • AETNA — Coventry: $49.18
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $5.06
  • AETNA — MEDICARE ADVANTAGE: $2.25
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $2.25
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $95.40
  • AVMED — HMO: $53
  • AVMED — STATE OF FLORIDA EMPLOYERS: $48.76
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE NITRITE $21 $16.80 $6.05 – $19.95
Urine test (automated, without microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $12.60
  • AETNA — ALL PRODUCTS: $12.60
  • AETNA — Coventry: $9.74
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $5.06
  • AETNA — MEDICARE ADVANTAGE: $2.25
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $2.25
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $18.90
  • AVMED — HMO: $10.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $9.66
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE PH $54 $43.20 $15.55 – $51.30
Urine test (automated, without microscope): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $32.40
  • AETNA — ALL PRODUCTS: $32.40
  • AETNA — Coventry: $25.06
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $5.06
  • AETNA — MEDICARE ADVANTAGE: $2.25
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $2.25
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $48.60
  • AVMED — HMO: $27
  • AVMED — STATE OF FLORIDA EMPLOYERS: $24.84
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SPECIFIC ANTIGE $129 $103.20 $37.15 – $122.55
PSA (prostate specific antigen) blood test: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $77.40
  • AETNA — ALL PRODUCTS: $77.40
  • AETNA — Coventry: $59.86
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $41.38
  • AETNA — MEDICARE ADVANTAGE: $18.39
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $6.34
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $18.39
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $116.10
  • AVMED — HMO: $64.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $59.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA R $19 $15.20 $5.47 – $18.05
PSA (prostate specific antigen) blood test: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $11.40
  • AETNA — ALL PRODUCTS: $11.40
  • AETNA — Coventry: $8.82
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $41.38
  • AETNA — MEDICARE ADVANTAGE: $18.39
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $6.34
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $18.39
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $17.10
  • AVMED — HMO: $9.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $8.74
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATIC SPECIFIC ANTIGE $129 $103.20 $37.15 – $122.55
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $76.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 3RD GENERATION TSH $156 $124.80 $44.93 – $148.20
Thyroid stimulating hormone (TSH) test: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $93.60
  • AETNA — ALL PRODUCTS: $93.60
  • AETNA — Coventry: $72.38
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $37.80
  • AETNA — MEDICARE ADVANTAGE: $16.80
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $6.94
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $16.80
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $140.40
  • AVMED — HMO: $78
  • AVMED — STATE OF FLORIDA EMPLOYERS: $71.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $171 $136.80 $49.25 – $162.45
Thyroid stimulating hormone (TSH) test: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $102.60
  • AETNA — ALL PRODUCTS: $102.60
  • AETNA — Coventry: $79.34
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $37.80
  • AETNA — MEDICARE ADVANTAGE: $16.80
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $6.94
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $16.80
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $153.90
  • AVMED — HMO: $85.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $78.66
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 3RD GENERATION TSH $156 $124.80 $44.93 – $148.20
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $92.04
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CT (CBC) $232 $185.60 $66.82 – $220.40
Complete blood count (CBC) with differential: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $139.20
  • AETNA — ALL PRODUCTS: $139.20
  • AETNA — Coventry: $107.65
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $17.48
  • AETNA — MEDICARE ADVANTAGE: $7.77
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $3.11
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $7.77
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $208.80
  • AVMED — HMO: $116
  • AVMED — STATE OF FLORIDA EMPLOYERS: $106.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP CBC $44 $35.20 $12.67 – $41.80
Complete blood count (CBC) with differential: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $26.40
  • AETNA — ALL PRODUCTS: $26.40
  • AETNA — Coventry: $20.42
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $17.48
  • AETNA — MEDICARE ADVANTAGE: $7.77
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $3.11
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $7.77
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $39.60
  • AVMED — HMO: $22
  • AVMED — STATE OF FLORIDA EMPLOYERS: $20.24
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CT (CBC) $232 $185.60 $66.82 – $220.40
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $136.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMATOLOGY STUDY $45 $36 $12.96 – $42.75
Complete blood count (CBC), automated: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $27
  • AETNA — ALL PRODUCTS: $27
  • AETNA — Coventry: $20.88
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $14.56
  • AETNA — MEDICARE ADVANTAGE: $6.47
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $3.11
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6.47
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $40.50
  • AVMED — HMO: $22.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $20.70
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC,AUTO AND PLATELET CT $111 $88.80 $31.97 – $105.45
Complete blood count (CBC), automated: 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $66.60
  • AETNA — ALL PRODUCTS: $66.60
  • AETNA — Coventry: $51.50
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $14.56
  • AETNA — MEDICARE ADVANTAGE: $6.47
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $3.11
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6.47
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $99.90
  • AVMED — HMO: $55.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $51.06
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMATOLOGY STUDY $45 $36 $12.96 – $42.75
Complete blood count (CBC), automated: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $26.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $152 $121.60 $43.78 – $144.40
Blood clotting time test (prothrombin time, PT): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $91.20
  • AETNA — ALL PRODUCTS: $91.20
  • AETNA — Coventry: $70.53
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $9.65
  • AETNA — MEDICARE ADVANTAGE: $4.29
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $2.33
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $4.29
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $136.80
  • AVMED — HMO: $76
  • AVMED — STATE OF FLORIDA EMPLOYERS: $69.92
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $152 $121.60 $43.78 – $144.40
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $89.68
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT $196 $156.80 $56.45 – $186.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $117.60
  • AETNA — ALL PRODUCTS: $117.60
  • AETNA — Coventry: $90.94
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $13.52
  • AETNA — MEDICARE ADVANTAGE: $6.01
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $2.33
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6.01
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $176.40
  • AVMED — HMO: $98
  • AVMED — STATE OF FLORIDA EMPLOYERS: $90.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT HEPZYME $196 $156.80 $56.45 – $186.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $117.60
  • AETNA — ALL PRODUCTS: $117.60
  • AETNA — Coventry: $90.94
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $13.52
  • AETNA — MEDICARE ADVANTAGE: $6.01
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $2.33
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6.01
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $176.40
  • AVMED — HMO: $98
  • AVMED — STATE OF FLORIDA EMPLOYERS: $90.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT VON WILL R $32 $25.60 $9.22 – $30.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 69 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $19.20
  • AETNA — ALL PRODUCTS: $19.20
  • AETNA — Coventry: $14.85
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $13.52
  • AETNA — MEDICARE ADVANTAGE: $6.01
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $2.33
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6.01
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $28.80
  • AVMED — HMO: $16
  • AVMED — STATE OF FLORIDA EMPLOYERS: $14.72

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD W/O $3,900 $3,120 $1,123.20 – $3,705
CT scan of the head or brain, without contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $2,340
  • AETNA — ALL PRODUCTS: $2,340
  • AETNA — Coventry: $1,809.60
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $214.31
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $3,510
  • AVMED — HMO: $1,950
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,794
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT SCAN HEAD W/O $3,900 $3,120 $1,123.20 – $3,705
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $2,301
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-BRAIN WITH & W/O CONT $6,505 $5,204 $1,873.44 – $6,179.75
MRI of the brain, before and after contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,903
  • AETNA — ALL PRODUCTS: $3,903
  • AETNA — Coventry: $3,018.32
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $819.72
  • AETNA — MEDICARE ADVANTAGE: $364.32
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $262.04
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $364.32
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $5,854.50
  • AVMED — HMO: $3,252.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,992.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI-BRAIN WITH & W/O CONT $6,505 $5,204 $1,873.44 – $6,179.75
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $3,837.95
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY CHEST PA & LAT $930 $744 $267.84 – $883.50
Chest X-ray, 2 views: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $558
  • AETNA — ALL PRODUCTS: $558
  • AETNA — Coventry: $431.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $204.48
  • AETNA — MEDICARE ADVANTAGE: $90.88
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $38.10
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $90.88
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $837
  • AVMED — HMO: $465
  • AVMED — STATE OF FLORIDA EMPLOYERS: $427.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY CHEST W/NIPPLE $980 $784 $282.24 – $931
Chest X-ray, 2 views: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $588
  • AETNA — ALL PRODUCTS: $588
  • AETNA — Coventry: $454.72
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $204.48
  • AETNA — MEDICARE ADVANTAGE: $90.88
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $38.10
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $90.88
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $882
  • AVMED — HMO: $490
  • AVMED — STATE OF FLORIDA EMPLOYERS: $450.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST.DECUB BILATERAL $930 $744 $267.84 – $883.50
Chest X-ray, 2 views: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $558
  • AETNA — ALL PRODUCTS: $558
  • AETNA — Coventry: $431.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $204.48
  • AETNA — MEDICARE ADVANTAGE: $90.88
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $38.10
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $90.88
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $837
  • AVMED — HMO: $465
  • AVMED — STATE OF FLORIDA EMPLOYERS: $427.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY SPINE LUMBAR MIN 4VW $1,375 $1,100 $396 – $1,306.25
X-ray of the lower spine, at least 4 views: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $825
  • AETNA — ALL PRODUCTS: $825
  • AETNA — Coventry: $638
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $38.10
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,237.50
  • AVMED — HMO: $687.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $632.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY SPINE LUMBAR MIN 4VW $1,375 $1,100 $396 – $1,306.25
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $811.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONT $5,590 $4,472 $1,609.92 – $5,310.50
MRI of the lower back (lumbar spine), without contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,354
  • AETNA — ALL PRODUCTS: $3,354
  • AETNA — Coventry: $2,593.76
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $560.63
  • AETNA — MEDICARE ADVANTAGE: $249.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $158.17
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $249.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $5,031
  • AVMED — HMO: $2,795
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,571.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONT $5,590 $4,472 $1,609.92 – $5,310.50
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $3,298.10
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN PELVIS W $4,395 $3,516 $1,265.76 – $4,175.25
CT scan of the pelvis, with contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $2,637
  • AETNA — ALL PRODUCTS: $2,637
  • AETNA — Coventry: $2,039.28
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $412.13
  • AETNA — MEDICARE ADVANTAGE: $183.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $214.31
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $183.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $3,955.50
  • AVMED — HMO: $2,197.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,021.70
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT SCAN PELVIS W $4,395 $3,516 $1,265.76 – $4,175.25
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $2,593.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOW EXT JT WO $5,530 $4,424 $1,592.64 – $5,253.50
MRI of a leg joint (such as the knee), without contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,318
  • AETNA — ALL PRODUCTS: $3,318
  • AETNA — Coventry: $2,565.92
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $560.63
  • AETNA — MEDICARE ADVANTAGE: $249.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $158.17
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $249.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $4,977
  • AVMED — HMO: $2,765
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,543.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT ANKLE,LT W/O CONT $5,530 $4,424 $1,592.64 – $5,253.50
MRI of a leg joint (such as the knee), without contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,318
  • AETNA — ALL PRODUCTS: $3,318
  • AETNA — Coventry: $2,565.92
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $560.63
  • AETNA — MEDICARE ADVANTAGE: $249.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $158.17
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $249.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $4,977
  • AVMED — HMO: $2,765
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,543.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT ANKLE,RT W/O CONT $5,530 $4,424 $1,592.64 – $5,253.50
MRI of a leg joint (such as the knee), without contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $3,318
  • AETNA — ALL PRODUCTS: $3,318
  • AETNA — Coventry: $2,565.92
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $560.63
  • AETNA — MEDICARE ADVANTAGE: $249.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $158.17
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $249.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $4,977
  • AVMED — HMO: $2,765
  • AVMED — STATE OF FLORIDA EMPLOYERS: $2,543.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PEL W IV CONTRAST $10,210 $8,168 $2,940.48 – $9,699.50
CT scan of the abdomen and pelvis, with contrast: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $6,126
  • AETNA — ALL PRODUCTS: $6,126
  • AETNA — Coventry: $4,737.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $819.72
  • AETNA — MEDICARE ADVANTAGE: $364.32
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $214.31
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $364.32
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $9,189
  • AVMED — HMO: $5,105
  • AVMED — STATE OF FLORIDA EMPLOYERS: $4,696.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD/PEL W IV CONTRAST $10,210 $8,168 $2,940.48 – $9,699.50
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $6,023.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US UPPER ABD COMP $2,360 $1,888 $679.68 – $2,242
Ultrasound of the abdomen, complete: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,416
  • AETNA — ALL PRODUCTS: $1,416
  • AETNA — Coventry: $1,095.04
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $110.25
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,124
  • AVMED — HMO: $1,180
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,085.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIS (? PREG/ECTOPIC) $2,360 $1,888 $679.68 – $2,242
Ultrasound of the abdomen, complete: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,416
  • AETNA — ALL PRODUCTS: $1,416
  • AETNA — Coventry: $1,095.04
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $110.25
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,124
  • AVMED — HMO: $1,180
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,085.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US UPPER ABD COMP $2,360 $1,888 $679.68 – $2,242
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $1,392.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ULTRASOUND>14WKS,SGL GES $1,440 $1,152 $414.72 – $1,368
Pregnancy ultrasound (after the first trimester): 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $864
  • AETNA — ALL PRODUCTS: $864
  • AETNA — Coventry: $668.16
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $65.63
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,296
  • AVMED — HMO: $720
  • AVMED — STATE OF FLORIDA EMPLOYERS: $662.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB ULTRASOUND>14WKS,SGL GES $1,440 $1,152 $414.72 – $1,368
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $849.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,675 $1,340 $482.40 – $1,591.25
Transvaginal ultrasound: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,005
  • AETNA — ALL PRODUCTS: $1,005
  • AETNA — Coventry: $777.20
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $73.61
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,507.50
  • AVMED — HMO: $837.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $770.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL TO COMP NON OB $1,675 $1,340 $482.40 – $1,591.25
Transvaginal ultrasound: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,005
  • AETNA — ALL PRODUCTS: $1,005
  • AETNA — Coventry: $777.20
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $245.64
  • AETNA — MEDICARE ADVANTAGE: $109.17
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $73.61
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $109.17
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,507.50
  • AVMED — HMO: $837.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $770.50
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,675 $1,340 $482.40 – $1,591.25
Transvaginal ultrasound: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $988.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $29.38 – $277.66
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $271.62
  • AETNA — MEDICARE ADVANTAGE: $120.72
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $120.72
  • BLUE CROSS — MEDICARE ADVANTAGE: $120.72
  • CENTIVO — ALL PRODUCTS: $259.55
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $120.72
  • DIVISION OF THE BLIND — ALL PRODUCTS: $120.72
  • EMBS — PPO: $102.61
  • EMPLOYERS HEALTH NETWORK — ALL PRODUCTS: $241.44
  • EVOLUTIONS — PPO: $211.26
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $29.38 – $351.85
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $344.21
  • AETNA — MEDICARE ADVANTAGE: $152.98
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $152.98
  • BLUE CROSS — MEDICARE ADVANTAGE: $152.98
  • CENTIVO — ALL PRODUCTS: $328.91
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $152.98
  • DIVISION OF THE BLIND — ALL PRODUCTS: $152.98
  • EMBS — PPO: $130.03
  • EMPLOYERS HEALTH NETWORK — ALL PRODUCTS: $305.96
  • EVOLUTIONS — PPO: $267.72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $29.38 – $282.21
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $276.08
  • AETNA — MEDICARE ADVANTAGE: $122.70
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $122.70
  • BLUE CROSS — MEDICARE ADVANTAGE: $122.70
  • CENTIVO — ALL PRODUCTS: $263.81
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $122.70
  • DIVISION OF THE BLIND — ALL PRODUCTS: $122.70
  • EMBS — PPO: $104.30
  • EMPLOYERS HEALTH NETWORK — ALL PRODUCTS: $245.40
  • EVOLUTIONS — PPO: $214.73

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $14.14
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • TRICARE — ALL PRODUCTS: $14.14
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT HRT CATH W/LT VENT INJ $13,145 $10,516 $3,785.76 – $12,487.75
Left heart catheterization (diagnostic): 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $7,887
  • AETNA — ALL PRODUCTS: $7,887
  • AETNA — Coventry: $6,099.28
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7,617.33
  • AETNA — MEDICARE ADVANTAGE: $3,385.48
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1,700.28
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3,385.48
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $11,830.50
  • AVMED — HMO: $6,572.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $6,046.70
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LT HRT CATH W/LT VENT INJ $13,145 $10,516 $3,785.76 – $12,487.75
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $7,755.55
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP STUDY COMP WO/INDUCTION $18,680 $14,944 $5,379.84 – $17,746
Heart rhythm study (electrophysiology evaluation): 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $11,208
  • AETNA — ALL PRODUCTS: $11,208
  • AETNA — Coventry: $8,667.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $18,326.31
  • AETNA — MEDICARE ADVANTAGE: $8,145.02
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $4,590.30
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $8,145.02
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $16,812
  • AVMED — HMO: $9,340
  • AVMED — STATE OF FLORIDA EMPLOYERS: $8,592.80
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP STUDY COMP WO/INDUCTION $18,680 $14,944 $5,379.84 – $17,746
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $11,021.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP/ABL AFIB/PULM VEIN $62,825 $50,260 $18,093.60 – $59,683.75
Heart rhythm study with ablation for atrial fibrillation: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $37,695
  • AETNA — ALL PRODUCTS: $37,695
  • AETNA — Coventry: $29,150.80
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $61,414.24
  • AETNA — MEDICARE ADVANTAGE: $27,295.22
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $12,857.28
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $27,295.22
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $56,542.50
  • AVMED — HMO: $31,412.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $28,899.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP/ABL AFIB/PULM VEIN $62,825 $50,260 $18,093.60 – $59,683.75
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $37,066.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $484.08 – $2,297.78
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,017.72
  • AETNA — MEDICARE ADVANTAGE: $896.76
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $896.76
  • BLUE CROSS — ALL PRODUCTS: $1,262.87
  • BLUE CROSS — BLUE OPTIONS: $1,375.02
  • BLUE CROSS — BSL: $1,226.98
  • BLUE CROSS — MEDICARE ADVANTAGE: $896.76
  • BLUE CROSS — NWB: $1,415.40
  • BLUE CROSS — PHS: $1,491.66
  • BLUE CROSS — PPO: $1,401.94

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE 15 MIN/OT $197 $157.60 $56.74 – $187.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $118.20
  • AETNA — ALL PRODUCTS: $118.20
  • AETNA — Coventry: $91.41
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $64.40
  • AETNA — MEDICARE ADVANTAGE: $28.62
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $23.14
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $28.62
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $177.30
  • AVMED — HMO: $98.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $90.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE 15 MIN/PT $197 $157.60 $56.74 – $187.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $118.20
  • AETNA — ALL PRODUCTS: $118.20
  • AETNA — Coventry: $91.41
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $64.40
  • AETNA — MEDICARE ADVANTAGE: $28.62
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $23.14
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $28.62
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $177.30
  • AVMED — HMO: $98.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $90.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERC 15 MIN $197 $157.60 $56.74 – $187.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $118.20
  • AETNA — ALL PRODUCTS: $118.20
  • AETNA — Coventry: $91.41
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $64.40
  • AETNA — MEDICARE ADVANTAGE: $28.62
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $23.14
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $28.62
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $177.30
  • AVMED — HMO: $98.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $90.62
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVAL/PT 20MIN $635 $508 $182.88 – $603.25
Physical therapy evaluation (low complexity): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $381
  • AETNA — ALL PRODUCTS: $381
  • AETNA — Coventry: $294.64
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $216
  • AETNA — MEDICARE ADVANTAGE: $96
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $176.52
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $96
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $571.50
  • AVMED — HMO: $317.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $292.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL-LOW COMP $635 $508 $182.88 – $603.25
Physical therapy evaluation (low complexity): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $381
  • AETNA — ALL PRODUCTS: $381
  • AETNA — Coventry: $294.64
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $216
  • AETNA — MEDICARE ADVANTAGE: $96
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $176.52
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $96
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $571.50
  • AVMED — HMO: $317.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $292.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EVAL/PT 20MIN $635 $508 $182.88 – $603.25
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $374.65
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVAL/PT 30MIN $630 $504 $181.44 – $598.50
Physical therapy evaluation (moderate complexity): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $378
  • AETNA — ALL PRODUCTS: $378
  • AETNA — Coventry: $292.32
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $216
  • AETNA — MEDICARE ADVANTAGE: $96
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $176.52
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $96
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $567
  • AVMED — HMO: $315
  • AVMED — STATE OF FLORIDA EMPLOYERS: $289.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL-MOD COMP $630 $504 $181.44 – $598.50
Physical therapy evaluation (moderate complexity): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $378
  • AETNA — ALL PRODUCTS: $378
  • AETNA — Coventry: $292.32
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $216
  • AETNA — MEDICARE ADVANTAGE: $96
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $176.52
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $96
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $567
  • AVMED — HMO: $315
  • AVMED — STATE OF FLORIDA EMPLOYERS: $289.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EVAL/PT 30MIN $630 $504 $181.44 – $598.50
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $371.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVAL/PT 45MIN $630 $504 $181.44 – $598.50
Physical therapy evaluation (high complexity): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $378
  • AETNA — ALL PRODUCTS: $378
  • AETNA — Coventry: $292.32
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $216
  • AETNA — MEDICARE ADVANTAGE: $96
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $176.52
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $96
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $567
  • AVMED — HMO: $315
  • AVMED — STATE OF FLORIDA EMPLOYERS: $289.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL-HIGH COMP $630 $504 $181.44 – $598.50
Physical therapy evaluation (high complexity): 10 of 70 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $378
  • AETNA — ALL PRODUCTS: $378
  • AETNA — Coventry: $292.32
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $216
  • AETNA — MEDICARE ADVANTAGE: $96
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $176.52
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $96
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $567
  • AVMED — HMO: $315
  • AVMED — STATE OF FLORIDA EMPLOYERS: $289.80
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EVAL/PT 45MIN $630 $504 $181.44 – $598.50
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $371.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHER 30MIN PATIENT/FAMIL $209 $167.20 $60.19 – $198.55
Psychotherapy, 30 minutes: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $125.40
  • AETNA — ALL PRODUCTS: $125.40
  • AETNA — Coventry: $96.98
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $83.65
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $188.10
  • AVMED — HMO: $104.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $96.14
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHER 30MIN PATIENT/FAMIL $209 $167.20 $60.19 – $198.55
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $123.31
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHER 45MIN PATIENT/FAMIL $300 $240 $86.40 – $285
Psychotherapy, 45 minutes: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $180
  • AETNA — ALL PRODUCTS: $180
  • AETNA — Coventry: $139.20
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $98.11
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $270
  • AVMED — HMO: $150
  • AVMED — STATE OF FLORIDA EMPLOYERS: $138
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHER 45MIN PATIENT/FAMIL $300 $240 $86.40 – $285
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $177
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHER 60MIN PATIENT/FAMIL $555 $444 $159.84 – $527.25
Psychotherapy, 60 minutes: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $333
  • AETNA — ALL PRODUCTS: $333
  • AETNA — Coventry: $257.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $98.11
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $499.50
  • AVMED — HMO: $277.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $255.30
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHER 60MIN PATIENT/FAMIL $555 $444 $159.84 – $527.25
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $327.45
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER 30MIN WO PATIENT $254 $203.20 $73.15 – $241.30
Family psychotherapy, without the patient: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $152.40
  • AETNA — ALL PRODUCTS: $152.40
  • AETNA — Coventry: $117.86
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $115.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $228.60
  • AVMED — HMO: $127
  • AVMED — STATE OF FLORIDA EMPLOYERS: $116.84
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER 60MIN WO PATIENT $254 $203.20 $73.15 – $241.30
Family psychotherapy, without the patient: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $152.40
  • AETNA — ALL PRODUCTS: $152.40
  • AETNA — Coventry: $117.86
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $115.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $228.60
  • AVMED — HMO: $127
  • AVMED — STATE OF FLORIDA EMPLOYERS: $116.84
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY THER 30MIN WO PATIENT $254 $203.20 $73.15 – $241.30
Family psychotherapy, without the patient: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $149.86
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY 1 HR $233 $186.40 $67.10 – $221.35
Family psychotherapy, with the patient: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $139.80
  • AETNA — ALL PRODUCTS: $139.80
  • AETNA — Coventry: $108.11
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $115.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $209.70
  • AVMED — HMO: $116.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $107.18
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY 1/2 HR $233 $186.40 $67.10 – $221.35
Family psychotherapy, with the patient: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $139.80
  • AETNA — ALL PRODUCTS: $139.80
  • AETNA — Coventry: $108.11
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $417.05
  • AETNA — MEDICARE ADVANTAGE: $185.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $115.55
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $185.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $209.70
  • AVMED — HMO: $116.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $107.18
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY THERAPY 1 HR $233 $186.40 $67.10 – $221.35
Family psychotherapy, with the patient: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $137.47
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY (1/2 HR) $242 $193.60 $69.70 – $229.90
Group psychotherapy: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $145.20
  • AETNA — ALL PRODUCTS: $145.20
  • AETNA — Coventry: $112.29
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $238.70
  • AETNA — MEDICARE ADVANTAGE: $106.09
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $166.93
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $106.09
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $217.80
  • AVMED — HMO: $121
  • AVMED — STATE OF FLORIDA EMPLOYERS: $111.32
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY 1 HR $242 $193.60 $69.70 – $229.90
Group psychotherapy: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $145.20
  • AETNA — ALL PRODUCTS: $145.20
  • AETNA — Coventry: $112.29
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $238.70
  • AETNA — MEDICARE ADVANTAGE: $106.09
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $166.93
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $106.09
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $217.80
  • AVMED — HMO: $121
  • AVMED — STATE OF FLORIDA EMPLOYERS: $111.32
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY $41 $32.80 $11.81 – $38.95
Group psychotherapy: 10 of 74 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $24.60
  • AETNA — ALL PRODUCTS: $24.60
  • AETNA — Coventry: $19.02
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $238.70
  • AETNA — MEDICARE ADVANTAGE: $106.09
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $166.93
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $106.09
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $36.90
  • AVMED — HMO: $20.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $18.86

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $851.55 – $9,404.25
Removal of breast growth (open surgery): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $9,199.81
  • AETNA — MEDICARE ADVANTAGE: $4,088.81
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $4,088.81
  • BLUE CROSS — MEDICARE ADVANTAGE: $4,088.81
  • CENTIVO — ALL PRODUCTS: $8,790.93
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $4,088.81
  • CLAIMDOC — ALL PRODUCTS: $8,648.45
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $4,189.69
  • COVENTRY — MEDICARE ADVANTAGE: $3,843.75
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,997.50
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $6,052.96 – $30,836.48
Total hip replacement: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $30,166.12
  • AETNA — MEDICARE ADVANTAGE: $13,407.17
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $13,407.17
  • BLUE CROSS — MEDICARE ADVANTAGE: $13,407.17
  • CENTIVO — ALL PRODUCTS: $28,825.40
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $13,407.17
  • CLAIMDOC — ALL PRODUCTS: $29,059.78
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $14,077.85
  • COVENTRY — MEDICARE ADVANTAGE: $12,915.46
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $13,432.07
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $6,052.96 – $30,836.48
Total knee replacement: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $30,166.12
  • AETNA — MEDICARE ADVANTAGE: $13,407.17
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $13,407.17
  • BLUE CROSS — MEDICARE ADVANTAGE: $13,407.17
  • CENTIVO — ALL PRODUCTS: $28,825.40
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $13,407.17
  • CLAIMDOC — ALL PRODUCTS: $29,059.78
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $14,077.85
  • COVENTRY — MEDICARE ADVANTAGE: $12,915.46
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $13,432.07
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,393.51 – $7,858.83
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7,687.98
  • AETNA — MEDICARE ADVANTAGE: $3,416.88
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3,416.88
  • BLUE CROSS — MEDICARE ADVANTAGE: $3,416.88
  • CENTIVO — ALL PRODUCTS: $7,346.29
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $3,416.88
  • CLAIMDOC — ALL PRODUCTS: $7,327.97
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $3,549.99
  • COVENTRY — MEDICARE ADVANTAGE: $3,256.87
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,387.15
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,385.63 – $14,218.49
Removal of tonsils and adenoids (under age 12): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $13,909.40
  • AETNA — MEDICARE ADVANTAGE: $6,181.95
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6,181.95
  • BLUE CROSS — MEDICARE ADVANTAGE: $6,181.95
  • CENTIVO — ALL PRODUCTS: $13,291.20
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $6,181.95
  • CLAIMDOC — ALL PRODUCTS: $13,360.55
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $6,472.44
  • COVENTRY — MEDICARE ADVANTAGE: $5,938.02
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $6,175.54
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $644.88 – $2,178.43
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,131.08
  • AETNA — MEDICARE ADVANTAGE: $947.15
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $947.15
  • BLUE CROSS — MEDICARE ADVANTAGE: $947.15
  • CENTIVO — ALL PRODUCTS: $2,036.36
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $947.15
  • CLAIMDOC — ALL PRODUCTS: $2,117.48
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $1,025.80
  • COVENTRY — MEDICARE ADVANTAGE: $941.10
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $978.75
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $644.88 – $2,178.43
Upper GI endoscopy with biopsy: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,131.08
  • AETNA — MEDICARE ADVANTAGE: $947.15
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $947.15
  • BLUE CROSS — MEDICARE ADVANTAGE: $947.15
  • CENTIVO — ALL PRODUCTS: $2,036.36
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $947.15
  • CLAIMDOC — ALL PRODUCTS: $2,117.48
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $1,025.80
  • COVENTRY — MEDICARE ADVANTAGE: $941.10
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $978.75
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $640.83 – $2,233.61
Colonoscopy (diagnostic): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,185.05
  • AETNA — MEDICARE ADVANTAGE: $971.14
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $971.14
  • BLUE CROSS — MEDICARE ADVANTAGE: $971.14
  • CENTIVO — ALL PRODUCTS: $2,087.94
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $971.14
  • CLAIMDOC — ALL PRODUCTS: $2,059.10
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $997.52
  • COVENTRY — MEDICARE ADVANTAGE: $915.16
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $951.76
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $640.83 – $2,874.14
Colonoscopy with biopsy: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,811.66
  • AETNA — MEDICARE ADVANTAGE: $1,249.63
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $1,249.63
  • BLUE CROSS — MEDICARE ADVANTAGE: $1,249.63
  • CENTIVO — ALL PRODUCTS: $2,686.70
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $1,249.63
  • CLAIMDOC — ALL PRODUCTS: $2,662.96
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $1,290.06
  • COVENTRY — MEDICARE ADVANTAGE: $1,183.54
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,230.88
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $640.83 – $2,874.14
Colonoscopy with removal of polyps (snare): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,811.66
  • AETNA — MEDICARE ADVANTAGE: $1,249.63
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $1,249.63
  • BLUE CROSS — MEDICARE ADVANTAGE: $1,249.63
  • CENTIVO — ALL PRODUCTS: $2,686.70
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $1,249.63
  • CLAIMDOC — ALL PRODUCTS: $2,662.96
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $1,290.06
  • COVENTRY — MEDICARE ADVANTAGE: $1,183.54
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,230.88
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/EUS $3,550 $2,840 $1,022.40 – $3,372.50
Ultrasound of the lower bowel by endoscope: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $2,130
  • AETNA — ALL PRODUCTS: $2,130
  • AETNA — Coventry: $1,647.20
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,811.66
  • AETNA — MEDICARE ADVANTAGE: $1,249.63
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $687.63
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $1,249.63
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $3,195
  • AVMED — HMO: $1,775
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,633
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/EUS $3,550 $2,840 $1,022.40 – $3,372.50
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $2,094.50
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $640.83 – $2,233.61
Screening colonoscopy (not high risk): 10 of 44 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,185.05
  • AETNA — MEDICARE ADVANTAGE: $971.14
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $687.63
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $971.14
  • BLUE CROSS — MEDICARE ADVANTAGE: $971.14
  • CARESOURCE NETWORK — PCP: $720.38
  • CENTIVO — ALL PRODUCTS: $2,087.94
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $971.14
  • CLAIMDOC — ALL PRODUCTS: $2,059.10
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $997.52
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,333.94 – $14,520.40
Gallbladder removal by laparoscope: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $14,204.74
  • AETNA — MEDICARE ADVANTAGE: $6,313.22
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $6,313.22
  • BLUE CROSS — MEDICARE ADVANTAGE: $6,313.22
  • CENTIVO — ALL PRODUCTS: $13,573.42
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $6,313.22
  • CLAIMDOC — ALL PRODUCTS: $13,176.93
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $6,383.49
  • COVENTRY — MEDICARE ADVANTAGE: $5,856.41
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $6,090.67
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,350.08 – $8,599.56
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $8,412.61
  • AETNA — MEDICARE ADVANTAGE: $3,738.94
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3,738.94
  • BLUE CROSS — MEDICARE ADVANTAGE: $3,738.94
  • CENTIVO — ALL PRODUCTS: $8,038.71
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $3,738.94
  • CLAIMDOC — ALL PRODUCTS: $7,970.40
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $3,861.22
  • COVENTRY — MEDICARE ADVANTAGE: $3,542.40
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,684.10
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE $1,860 $1,488 $520.80 – $1,860
Prostate biopsy: 10 of 58 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,116
  • AETNA — ALL PRODUCTS: $1,116
  • AETNA — Coventry: $863.04
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $593.34
  • AETNA — MEDICARE ADVANTAGE: $1,860
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1,180.54
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $1,860
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,674
  • AVMED — HMO: $930
  • AVMED — STATE OF FLORIDA EMPLOYERS: $855.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE NEEDLE/PUNCH $1,860 $1,488 $520.80 – $1,860
Prostate biopsy: 10 of 58 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,116
  • AETNA — ALL PRODUCTS: $1,116
  • AETNA — Coventry: $863.04
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $593.34
  • AETNA — MEDICARE ADVANTAGE: $1,860
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $1,180.54
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $1,860
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,674
  • AVMED — HMO: $930
  • AVMED — STATE OF FLORIDA EMPLOYERS: $855.60
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE $1,860 $1,488 $520.80 – $1,860
Prostate biopsy: rates for 1 insurance plan
  • AETNA — ALL PRODUCTS: $1,097.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $2,903.31 – $25,531.18
Prostate removal by laparoscope (radical prostatectomy): 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $24,976.15
  • AETNA — MEDICARE ADVANTAGE: $11,100.51
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $11,100.51
  • BLUE CROSS — MEDICARE ADVANTAGE: $11,100.51
  • CENTIVO — ALL PRODUCTS: $23,866.10
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $11,100.51
  • CLAIMDOC — ALL PRODUCTS: $23,513.79
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $11,391.13
  • COVENTRY — MEDICARE ADVANTAGE: $10,450.57
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $10,868.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,521.98 – $7,775.06
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7,606.04
  • AETNA — MEDICARE ADVANTAGE: $3,380.46
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $3,380.46
  • BLUE CROSS — MEDICARE ADVANTAGE: $3,380.46
  • CENTIVO — ALL PRODUCTS: $7,267.99
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $3,380.46
  • CLAIMDOC — ALL PRODUCTS: $7,180.98
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $3,478.79
  • COVENTRY — MEDICARE ADVANTAGE: $3,191.55
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,319.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION 62323 W/FLUORO $2,085 $1,668 $600.48 – $1,980.75
Spinal injection, lower back (epidural), with imaging guidance: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,251
  • AETNA — ALL PRODUCTS: $1,251
  • AETNA — Coventry: $967.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,658.56
  • AETNA — MEDICARE ADVANTAGE: $737.14
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $495.23
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $737.14
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,876.50
  • AVMED — HMO: $1,042.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $959.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION 62323 W/FLUORO HMC $2,085 $1,668 $600.48 – $1,980.75
Spinal injection, lower back (epidural), with imaging guidance: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,251
  • AETNA — ALL PRODUCTS: $1,251
  • AETNA — Coventry: $967.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,658.56
  • AETNA — MEDICARE ADVANTAGE: $737.14
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $495.23
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $737.14
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,876.50
  • AVMED — HMO: $1,042.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $959.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION 62323 W/FLUORO HPO $2,085 $1,668 $600.48 – $1,980.75
Spinal injection, lower back (epidural), with imaging guidance: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,251
  • AETNA — ALL PRODUCTS: $1,251
  • AETNA — Coventry: $967.44
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,658.56
  • AETNA — MEDICARE ADVANTAGE: $737.14
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $495.23
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $737.14
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,876.50
  • AVMED — HMO: $1,042.50
  • AVMED — STATE OF FLORIDA EMPLOYERS: $959.10
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SOMA NERVE BLK LEV1 64483 LT $2,680 $2,144 $771.84 – $2,546
Nerve root injection, lower back, with imaging guidance: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,608
  • AETNA — ALL PRODUCTS: $1,608
  • AETNA — Coventry: $1,243.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,078.18
  • AETNA — MEDICARE ADVANTAGE: $923.64
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $495.23
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $923.64
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,412
  • AVMED — HMO: $1,340
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,232.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SOMA NERVE BLK LEV1 64483 RT $2,680 $2,144 $771.84 – $2,546
Nerve root injection, lower back, with imaging guidance: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,608
  • AETNA — ALL PRODUCTS: $1,608
  • AETNA — Coventry: $1,243.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,078.18
  • AETNA — MEDICARE ADVANTAGE: $923.64
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $495.23
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $923.64
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,412
  • AVMED — HMO: $1,340
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,232.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SOMA NERVE BLK 64483 $2,680 $2,144 $771.84 – $2,546
Nerve root injection, lower back, with imaging guidance: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,608
  • AETNA — ALL PRODUCTS: $1,608
  • AETNA — Coventry: $1,243.52
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $2,078.18
  • AETNA — MEDICARE ADVANTAGE: $923.64
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $495.23
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $923.64
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $2,412
  • AVMED — HMO: $1,340
  • AVMED — STATE OF FLORIDA EMPLOYERS: $1,232.80
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $873.86 – $4,690.14
Carpal tunnel release: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $4,588.18
  • AETNA — MEDICARE ADVANTAGE: $2,039.19
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $2,039.19
  • BLUE CROSS — MEDICARE ADVANTAGE: $2,039.19
  • CENTIVO — ALL PRODUCTS: $4,384.26
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $2,039.19
  • CLAIMDOC — ALL PRODUCTS: $4,410.34
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $2,136.57
  • COVENTRY — MEDICARE ADVANTAGE: $1,960.15
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,038.56
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG LASER OD $1,920 $1,536 $552.96 – $1,824
Laser treatment of clouding after cataract surgery: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,152
  • AETNA — ALL PRODUCTS: $1,152
  • AETNA — Coventry: $890.88
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,292.29
  • AETNA — MEDICARE ADVANTAGE: $574.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $377.44
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $574.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,728
  • AVMED — HMO: $960
  • AVMED — STATE OF FLORIDA EMPLOYERS: $883.20
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG LASER OS $1,920 $1,536 $552.96 – $1,824
Laser treatment of clouding after cataract surgery: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,152
  • AETNA — ALL PRODUCTS: $1,152
  • AETNA — Coventry: $890.88
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,292.29
  • AETNA — MEDICARE ADVANTAGE: $574.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $377.44
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $574.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,728
  • AVMED — HMO: $960
  • AVMED — STATE OF FLORIDA EMPLOYERS: $883.20
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG LASER OPHTH UHS OS $1,920 $1,536 $552.96 – $1,824
Laser treatment of clouding after cataract surgery: 10 of 75 insurance plan rates
  • A&G ADMIN — ALL PRODUCTS: $1,152
  • AETNA — ALL PRODUCTS: $1,152
  • AETNA — Coventry: $890.88
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $1,292.29
  • AETNA — MEDICARE ADVANTAGE: $574.35
  • AETNA BETTER HEALTH — MANAGED MEDICAID: $377.44
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $574.35
  • AMERICAS CHOICE PROVIDER NETWORK — PPO: $1,728
  • AVMED — HMO: $960
  • AVMED — STATE OF FLORIDA EMPLOYERS: $883.20
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,109.23 – $5,543.03
Cataract removal with lens implant: 10 of 32 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $5,422.53
  • AETNA — MEDICARE ADVANTAGE: $2,410.01
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $2,410.01
  • BLUE CROSS — MEDICARE ADVANTAGE: $2,410.01
  • CENTIVO — ALL PRODUCTS: $5,181.53
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $2,410.01
  • CLAIMDOC — ALL PRODUCTS: $5,151.04
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $2,495.39
  • COVENTRY — MEDICARE ADVANTAGE: $2,289.35
  • DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,380.93

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $1,267.67 – $193,846.18
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 62 insurance plan rates
  • AETNA — Coventry: $37,156.15
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $61,343.63
  • AETNA — MEDICARE ADVANTAGE: $80,077.92
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $80,077.92
  • BLUE CROSS — ALL PRODUCTS: $156,632.41
  • BLUE CROSS — BLUE OPTIONS: $185,403.63
  • BLUE CROSS — BSL: $142,877.79
  • BLUE CROSS — MEDICARE ADVANTAGE: $80,077.92
  • BLUE CROSS — NWB: $190,696.12
  • BLUE CROSS — PHS: $193,846.18
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $1,267.67 – $41,097.14
Hip or knee replacement (major joint of the leg), without major complications: 10 of 33 insurance plan rates
  • AETNA — Coventry: $8,290.90
  • AETNA — MEDICARE ADVANTAGE: $17,868.32
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $17,868.32
  • BLUE CROSS — MEDICARE ADVANTAGE: $17,868.32
  • CENTIVO — ALL PRODUCTS: $38,416.89
  • CIGNA HEALTHSPRING — MEDICARE ADVANTAGE: $17,868.32
  • CLAIMDOC — ALL PRODUCTS: $38,416.89
  • CLEAR SPRING HEALTH OF FL — MEDICARE ADVANTAGE: $19,476.47
  • COUNTY OF VOLUSIA CORRECTIONS — ALL PRODUCTS: $8,934.16
  • COVENTRY — MEDICARE ADVANTAGE: $17,868.32
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 joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $1,267.67 – $41,097.14
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $12,095.28
  • BLUE CROSS — ALL PRODUCTS: $30,883.62
  • BLUE CROSS — BLUE OPTIONS: $36,556.51
  • BLUE CROSS — BSL: $28,171.58
  • BLUE CROSS — NWB: $37,600.05
  • BLUE CROSS — PHS: $38,221.15
  • BLUE CROSS — PPO: $38,221.15
  • DIVISION OF THE BLIND — ALL PRODUCTS: $1,267.67
  • EMPLOYERS HEALTH NETWORK — ALL PRODUCTS: $25,702.59
  • A&G ADMIN — ALL PRODUCTS: 60% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $1,267.67 – $50,432.03
Neck (cervical) spinal fusion, without complications: 10 of 62 insurance plan rates
  • AETNA — Coventry: $10,174.11
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $15,308.32
  • AETNA — MEDICARE ADVANTAGE: $21,926.97
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $21,926.97
  • BLUE CROSS — ALL PRODUCTS: $39,087.65
  • BLUE CROSS — BLUE OPTIONS: $46,267.52
  • BLUE CROSS — BSL: $35,655.19
  • BLUE CROSS — MEDICARE ADVANTAGE: $21,926.97
  • BLUE CROSS — NWB: $47,588.26
  • BLUE CROSS — PHS: $48,374.36
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,267.67 – $28,559.54
Uterus and ovary surgery (not for cancer), without complications: 10 of 62 insurance plan rates
  • AETNA — Coventry: $5,761.58
  • AETNA — EXCHANGE AFFORDABLE CARE ACT: $7,779.88
  • AETNA — MEDICARE ADVANTAGE: $12,417.19
  • AMERICAS CHOICE PROVIDER NETWORK — MEDICARE ADVANTAGE: $12,417.19
  • BLUE CROSS — ALL PRODUCTS: $19,864.85
  • BLUE CROSS — BLUE OPTIONS: $23,513.75
  • BLUE CROSS — BSL: $18,120.42
  • BLUE CROSS — MEDICARE ADVANTAGE: $12,417.19
  • BLUE CROSS — NWB: $24,184.97
  • BLUE CROSS — PHS: $24,584.47

Source: Halifax Health Medical Center’s standard charges file (halifax.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 5, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address303 N Clyde Morris Blvd, Daytona Beach, FL 32114
CountyVolusia County
StateFlorida
Phone(386) 254‑4000
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100017
Name in Medicare recordsHALIFAX HEALTH MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(386) 425‑4000[4]
Name on the hospital’s websiteHalifax Health Medical Center of Daytona Beach
Official websitehalifaxhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Halifax Health Medical Center of Daytona Beach — halifaxhealth.org
  2. Emergency Department of Daytona Beach | Halifax Health — halifaxhealth.org
  3. Thrombectomy-Capable Stroke Center | Halifax Health — halifaxhealth.org
  4. Trauma Surgery | Halifax Health — halifaxhealth.org
  5. Pediatric Emergency Department | Halifax Health — halifaxhealth.org
  6. OB Emergency Department | Halifax Health — halifaxhealth.org
  7. Orthopedics | Halifax Health — halifaxhealth.org