Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

HCA Florida Northwest Hospital

Margate, Florida · Broward County · Emergency services listed

Summary

HCA Florida Northwest Hospital is an acute care hospital in Margate, Florida. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 101 services, specialties and programs. Medicare lists 255 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(954) 974‑0400 Directions Website Medicare profile
Compare

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)
289Beds (hospital website)
255Doctors and clinicians
101Services listed

Quick answers

Does HCA Florida Northwest Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at HCA Florida Northwest Hospital. In a medical emergency, call 911.
Where is HCA Florida Northwest Hospital?
2801 N State Rd 7, Margate, FL 33063, in Broward County, Florida.
What is the phone number of HCA Florida Northwest Hospital?
(954) 974-0400, as listed by Medicare (CMS).
What is the Medicare star rating of HCA Florida Northwest Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][12][17]

Conditions treated[7][12][14][19]

Treatments[6][7][8][12][13][14][15][16][20]

  • Cardiac stress tests
  • Electrocardiograms (EKG)
  • Transesophageal echocardiography
  • Left and right heart catheterization
  • Transcatheter aortic valve replacement (TAVR)
  • Angioplasty and stenting
  • Coronary bypass surgery
  • Valve replacement and repair
  • Transcarotid artery revascularization (TCAR)
  • Thoracic endovascular aortic repair (TEVAR)
  • Atherectomy
  • Shockwave lithotripsy
  • Atrial fibrillation ablation
  • Left atrial appendage closure
  • Pacemaker insertion
  • Implantable cardioverter defibrillator (ICD) insertion
  • Tissue plasminogen activator (tPA) for stroke
  • Carotid artery stenting

Procedures[6][7][8][12][14][17][20]

  • Vertebroplasty
  • Lower extremity angiography
  • Biliary interventions
  • Dialysis graft maintenance
  • Vascular access
  • Electrophysiology studies
  • Intravascular ultrasound (IVUS)
  • Bentall procedure
  • Iliac artery stenting
  • Lower extremity arterial stenting
  • Cardiac ablation
  • Biventricular pacemaker insertion
  • Cardiac 3D mapping
  • Anterior cruciate ligament (ACL) reconstruction
  • Meniscus repair
  • Shoulder replacement
  • Total ankle replacement
  • Carpal tunnel surgery

Programs and centers[5][6][7][10][13][14][15][16][17][18]

  • Lung cancer screening program
  • Level III neonatal intensive care unit (NICU)
  • Heart and Vascular Center
  • Orthopedic and Spine Institute
  • Minimally Invasive Surgical Services Institute
  • Northwest Hospital Robotic Surgery Institute
  • Stroke Victors Support Group
  • Bariatric support group
  • Patient surgery text updates
  • Breastfeeding support (lactation consultants)
  • Nurse navigation for orthopedic and spine patients

Emergency care (hospital website)[4][5][11]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (Joint Commission and DNV)

Visiting and practical information

VisitingVisiting hours 5:00 am to 11:00 pm; sign in at main lobby desk or ER after hours[10]
ParkingFree parking in front of hospital, ER and outpatient buildings, plus two free garages; free valet at ER[10]
Patient portalMyHealthONE

Recognition[4][5][7][11][13][17]

  • Joint Commission accreditation
  • Cribs for Kids National Safe Sleep Hospital certification
  • Healthgrades America's 250 Best Hospitals
  • Primary Stroke Center certification (The Joint Commission)
  • Hospital accreditation (The Joint Commission)
  • Accredited Chest Pain Center (American College of Cardiology)
  • National Safe Sleep Certified Hospital (Cribs for Kids)
  • America's 250 Best Hospitals (Healthgrades) 2026
  • America's 50 Best Hospitals for Surgical Excellence (Healthgrades) 2026
  • Critical Care Excellence Award (Healthgrades) 2026

Doctors and clinicians (255)

255 doctors and other clinicians list HCA Florida Northwest Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (255)

And 231 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 1 of 5 stars
Overall rating of the hospital1 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well1 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1056%National average: 72%
Would definitely recommend the hospital56%National average: 71%
Nurses “always” communicated well64%National average: 80%
Doctors “always” communicated well66%National average: 80%
Staff “always” explained medicines before giving them47%National average: 62%
Were given information about recovery at home69%National average: 86%
Room and bathroom “always” clean61%National average: 74%
Area around the room “always” quiet at night47%National average: 60%
Completed surveys737Response rate: 17%

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)0.558No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.339No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.402No different from the national benchmark
MRSA bloodstream infections1.453No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.03Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients12.4%
Deaths within 30 days: heart failure patients8.4%
Deaths within 30 days: pneumonia patients15.8%
Deaths within 30 days: COPD patients7.5%
Deaths within 30 days: stroke patients10.6%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)0.88No different from the national rate
Complications after hip or knee replacement4.9%

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 attack15%
Readmitted within 30 days: heart failure23.5%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgery12.2%
Readmitted within 30 days: hip or knee replacement6.1%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)149 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)90%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 FloridaBest hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as HCA Florida Northwest Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP $539 $539 $312.62
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna — ASA: $483
  • Aetna — HMO: $272.09
  • Aetna — HMO-Gated: $286.58
  • Aetna — PPO: $313.95
  • Aetna — PPO-NonGated: $330.05
  • Aetna — QHP: $223.79
  • AmeriHealth Caritas — HIX: $122.06
  • AvMed — JacksonFirstNetworkOON: $359
  • BCBS — BSLNON-PAR: $363.86
  • BCBS — HMO: $201.25
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e Not listed in the file Not listed in the file $277.61 – $283.45
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $283.45
  • CorVel Corporation — WORKERSCOMP: $277.61
  • Prime Health — WORKERSCOMP: $283.45
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP $694 $694 $50.66 – $589.90
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — ASA: $208.20
  • Aetna — HMO: $117.29
  • Aetna — HMO-Gated: $123.53
  • Aetna — PPO: $135.33
  • Aetna — PPO-NonGated: $142.27
  • Aetna — QHP: $96.47
  • AmeriHealth Caritas — HIX: $447.10
  • AvMed — JacksonFirstNetworkOON: $1,315
  • BCBS — BSLNON-PAR: $156.84
  • BCBS — HMO: $86.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e Not listed in the file Not listed in the file $145.35 – $148.41
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $148.41
  • CorVel Corporation — WORKERSCOMP: $145.35
  • Prime Health — WORKERSCOMP: $148.41
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP $851 $851 $62.12 – $723.35
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — ASA: $255.30
  • Aetna — HMO: $143.82
  • Aetna — HMO-Gated: $151.48
  • Aetna — PPO: $165.94
  • Aetna — PPO-NonGated: $174.46
  • Aetna — QHP: $118.29
  • AmeriHealth Caritas — HIX: $144.67
  • AvMed — JacksonFirstNetworkOON: $425.50
  • BCBS — BSLNON-PAR: $192.33
  • BCBS — HMO: $106.38
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e Not listed in the file Not listed in the file $189.05 – $193.03
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $193.03
  • CorVel Corporation — WORKERSCOMP: $189.05
  • Prime Health — WORKERSCOMP: $193.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST $407 $407 $236.06
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • Aetna — ASA: $122.10
  • Aetna — HMO: $68.78
  • Aetna — HMO-Gated: $72.45
  • Aetna — PPO: $79.36
  • Aetna — PPO-NonGated: $83.44
  • Aetna — QHP: $56.57
  • AmeriHealth Caritas — HIX: $95.88
  • AvMed — JacksonFirstNetworkOON: $282
  • BCBS — BSLNON-PAR: $91.98
  • BCBS — HMO: $50.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history Not listed in the file Not listed in the file $147.77 – $150.88
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $150.88
  • CorVel Corporation — WORKERSCOMP: $147.77
  • Prime Health — WORKERSCOMP: $150.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST $539 $539 $312.62
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Aetna — ASA: $190.50
  • Aetna — HMO: $107.31
  • Aetna — HMO-Gated: $113.03
  • Aetna — PPO: $123.83
  • Aetna — PPO-NonGated: $130.18
  • Aetna — QHP: $88.27
  • AmeriHealth Caritas — HIX: $107.95
  • AvMed — JacksonFirstNetworkOON: $317.50
  • BCBS — BSLNON-PAR: $143.51
  • BCBS — HMO: $79.38
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history Not listed in the file Not listed in the file $87.40 – $89.24
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $89.24
  • CorVel Corporation — WORKERSCOMP: $87.40
  • Prime Health — WORKERSCOMP: $89.24
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $375.25 – $383.15
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $383.15
  • CorVel Corporation — WORKERSCOMP: $375.25
  • Prime Health — WORKERSCOMP: $383.15
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $239.61 – $244.65
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $244.65
  • CorVel Corporation — WORKERSCOMP: $239.61
  • Prime Health — WORKERSCOMP: $244.65
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $70.58
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Humana — TRICR: $70.58
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $85.86
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Humana — TRICR: $85.86
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT $1,115 $1,115 $178.40 – $947.75
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — ASA: $334.50
  • AvMed — JacksonFirstNetworkOON: $557.50
  • BLIS — COMM: $390.25
  • Freedom Health — MGMCD: $178.40
  • Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $947.75
  • Multiplan — COMMPPOPRIMARYNETWORK: $836.25
  • Plotkin Health — COMM: $557.50
  • Prime Health Sherriff — COMM: $557.50
  • United — GlobalBenefitPlanAppendix: $501.75
  • United PPO — OptionsPPO: $256.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $800 – $3,143
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • AmeriHealth Caritas — HIX: $1,750
  • AvMed — ASOEO: $3,721
  • AvMed — FullyInsured: $3,356
  • AvMed — HIX: $1,707
  • BCBS — BSLNON-PAR: $2,501
  • BCBS — HMO: $2,023
  • BCBS — MBN: $1,685
  • BCBS — NWB: $2,427
  • BCBS — PHS: $2,501
  • BCBS — PPO: $2,427
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT $1,622 $1,622 $259.52 – $1,378.70
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — ASA: $486.60
  • AvMed — JacksonFirstNetworkOON: $811
  • BLIS — COMM: $567.70
  • Freedom Health — MGMCD: $259.52
  • Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $1,378.70
  • Multiplan — COMMPPOPRIMARYNETWORK: $1,216.50
  • Plotkin Health — COMM: $811
  • Prime Health Sherriff — COMM: $811
  • United — GlobalBenefitPlanAppendix: $729.90
  • United PPO — OptionsPPO: $373.06
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $135.85 – $138.71
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • AmeriHealth Caritas — HIX: $2,062
  • AvMed — ASOEO: $4,359
  • AvMed — FullyInsured: $3,933
  • AvMed — HIX: $2,002
  • BCBS — BSLNON-PAR: $2,501
  • BCBS — HMO: $2,144
  • BCBS — MBN: $1,733
  • BCBS — NWB: $2,727
  • BCBS — PHS: $2,501
  • BCBS — PPO: $2,727
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT $1,782 $1,782 $285.12 – $1,514.70
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — ASA: $534.60
  • AvMed — JacksonFirstNetworkOON: $891
  • BLIS — COMM: $623.70
  • Freedom Health — MGMCD: $285.12
  • Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $1,514.70
  • Multiplan — COMMPPOPRIMARYNETWORK: $1,336.50
  • Plotkin Health — COMM: $891
  • Prime Health Sherriff — COMM: $891
  • United — GlobalBenefitPlanAppendix: $801.90
  • United PPO — OptionsPPO: $409.86
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $800 – $3,143
Emergency room visit (high): 10 of 21 insurance plan rates
  • AmeriHealth Caritas — HIX: $3,126
  • AvMed — ASOEO: $77
  • AvMed — FullyInsured: $6,974
  • AvMed — HIX: $3,547
  • BCBS — BSLNON-PAR: $2,501
  • BCBS — HMO: $2,144
  • BCBS — MBN: $1,733
  • BCBS — NWB: $2,727
  • BCBS — PHS: $2,501
  • BCBS — PPO: $2,727

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $2,192 $2,192 $8.46
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — MCR: $8.97
  • Align — MCR: $9.05
  • American Health Plan — MCR: $8.97
  • AmeriHealth Caritas — HIX: $12.69
  • AmeriHealth Caritas — MGMCR: $10.15
  • AvMed — MCR: $8.88
  • BCBS — MCRHMO: $8.63
  • BCBS — MCRPPO: $8.63
  • CareWorks (Rockport) — WORKERSCOMP: $237.11
  • Centurion — GVT: $9.31
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM $2,192 $2,192 $1,271.36
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — ASA: $657.60
  • AvMed — ASOEO: $548
  • AvMed — Empower: $591.84
  • AvMed — Engage: $591.84
  • AvMed — Flex: $591.84
  • AvMed — Focus: $591.84
  • AvMed — FullyInsured: $482.24
  • AvMed — HIX: $263.04
  • AvMed — JacksonFirstNetworkOON: $1,096
  • AvMed — JHSSelect: $591.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $2,457 $2,457 $10.56
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — MCR: $11.19
  • Align — MCR: $11.30
  • American Health Plan — MCR: $11.19
  • AmeriHealth Caritas — HIX: $15.84
  • AmeriHealth Caritas — MGMCR: $12.67
  • AvMed — MCR: $11.09
  • BCBS — MCRHMO: $10.77
  • BCBS — MCRPPO: $10.77
  • CareWorks (Rockport) — WORKERSCOMP: $352.43
  • Centurion — GVT: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $2,457 $2,457 $1,425.06
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — ASA: $737.10
  • AvMed — ASOEO: $614.25
  • AvMed — Empower: $663.39
  • AvMed — Engage: $663.39
  • AvMed — Flex: $663.39
  • AvMed — Focus: $663.39
  • AvMed — FullyInsured: $540.54
  • AvMed — HIX: $294.84
  • AvMed — JacksonFirstNetworkOON: $1,228.50
  • AvMed — JHSSelect: $663.39
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or Not listed in the file Not listed in the file $47.33 – $241.44
Obstetric blood test panel: 10 of 40 insurance plan rates
  • Aetna — MCR: $50.68
  • Align — MCR: $51.16
  • American Health Plan — MCR: $50.68
  • AmeriHealth Caritas — HIX: $71.72
  • AmeriHealth Caritas — MGMCR: $57.37
  • AvMed — MCR: $50.20
  • BCBS — MCRHMO: $48.77
  • BCBS — MCRPPO: $48.77
  • CareWorks (Rockport) — WORKERSCOMP: $266.21
  • Centurion — GVT: $52.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $798 $798 $13.39
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • Aetna — MCR: $14.19
  • Align — MCR: $14.33
  • American Health Plan — MCR: $14.19
  • AmeriHealth Caritas — HIX: $20.09
  • AmeriHealth Caritas — MGMCR: $16.07
  • AvMed — MCR: $14.06
  • BCBS — MCRHMO: $13.66
  • BCBS — MCRPPO: $13.66
  • CareWorks (Rockport) — WORKERSCOMP: $240.35
  • Centurion — GVT: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $798 $798 $68.63 – $678.30
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — ASA: $239.40
  • AvMed — ASOEO: $199.50
  • AvMed — Empower: $215.46
  • AvMed — Engage: $215.46
  • AvMed — Flex: $215.46
  • AvMed — Focus: $215.46
  • AvMed — FullyInsured: $175.56
  • AvMed — HIX: $95.76
  • AvMed — JacksonFirstNetworkOON: $399
  • AvMed — JHSSelect: $215.46
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $2,426 $2,426 $8.68
Kidney function panel: 10 of 40 insurance plan rates
  • Aetna — MCR: $9.20
  • Align — MCR: $9.29
  • American Health Plan — MCR: $9.20
  • AmeriHealth Caritas — HIX: $13.02
  • AmeriHealth Caritas — MGMCR: $10.42
  • AvMed — MCR: $9.11
  • BCBS — MCRHMO: $8.85
  • BCBS — MCRPPO: $8.85
  • CareWorks (Rockport) — WORKERSCOMP: $176.75
  • Centurion — GVT: $9.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $2,426 $2,426 $1,407.08
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna — ASA: $727.80
  • AvMed — ASOEO: $606.50
  • AvMed — Empower: $655.02
  • AvMed — Engage: $655.02
  • AvMed — Flex: $655.02
  • AvMed — Focus: $655.02
  • AvMed — FullyInsured: $533.72
  • AvMed — HIX: $291.12
  • AvMed — JacksonFirstNetworkOON: $1,213
  • AvMed — JHSSelect: $655.02
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $2,818 $2,818 $8.17
Liver function panel: 10 of 40 insurance plan rates
  • Aetna — MCR: $8.66
  • Align — MCR: $8.74
  • American Health Plan — MCR: $8.66
  • AmeriHealth Caritas — HIX: $12.25
  • AmeriHealth Caritas — MGMCR: $9.80
  • AvMed — MCR: $8.58
  • BCBS — MCRHMO: $8.33
  • BCBS — MCRPPO: $8.33
  • CareWorks (Rockport) — WORKERSCOMP: $285.61
  • Centurion — GVT: $8.99
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $2,818 $2,818 $1,634.44
Liver function panel: 10 of 29 insurance plan rates
  • Aetna — ASA: $845.40
  • AvMed — ASOEO: $704.50
  • AvMed — Empower: $760.86
  • AvMed — Engage: $760.86
  • AvMed — Flex: $760.86
  • AvMed — Focus: $760.86
  • AvMed — FullyInsured: $619.96
  • AvMed — HIX: $338.16
  • AvMed — JacksonFirstNetworkOON: $1,409
  • AvMed — JHSSelect: $760.86
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $1,498 $1,498 $3.17
Urine test (automated, with microscope): 10 of 40 insurance plan rates
  • Aetna — MCR: $3.36
  • Align — MCR: $3.39
  • American Health Plan — MCR: $3.36
  • AmeriHealth Caritas — HIX: $4.75
  • AmeriHealth Caritas — MGMCR: $3.80
  • AvMed — MCR: $3.33
  • BCBS — MCRHMO: $3.23
  • BCBS — MCRPPO: $3.23
  • CareWorks (Rockport) — WORKERSCOMP: $122.87
  • Centurion — GVT: $3.49
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO $1,498 $1,498 $128.83 – $1,273.30
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — ASA: $449.40
  • AvMed — ASOEO: $374.50
  • AvMed — Empower: $404.46
  • AvMed — Engage: $404.46
  • AvMed — Flex: $404.46
  • AvMed — Focus: $404.46
  • AvMed — FullyInsured: $329.56
  • AvMed — HIX: $179.76
  • AvMed — JacksonFirstNetworkOON: $749
  • AvMed — JHSSelect: $404.46
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $153 $153 $3.48
Urine test (manual, without microscope): 10 of 40 insurance plan rates
  • Aetna — MCR: $3.69
  • Align — MCR: $3.72
  • American Health Plan — MCR: $3.69
  • AmeriHealth Caritas — HIX: $5.22
  • AmeriHealth Caritas — MGMCR: $4.18
  • AvMed — MCR: $3.65
  • BCBS — MCRHMO: $3.55
  • BCBS — MCRPPO: $3.55
  • CareWorks (Rockport) — WORKERSCOMP: $39.88
  • Centurion — GVT: $3.83
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: BILIRUBIN UR MANUAL $153 $153 $13.16 – $130.05
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna — ASA: $45.90
  • AvMed — ASOEO: $38.25
  • AvMed — Empower: $41.31
  • AvMed — Engage: $41.31
  • AvMed — Flex: $41.31
  • AvMed — Focus: $41.31
  • AvMed — FullyInsured: $33.66
  • AvMed — HIX: $18.36
  • AvMed — JacksonFirstNetworkOON: $76.50
  • AvMed — JHSSelect: $41.31
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $974 $974 $2.25
Urine test (automated, without microscope): 10 of 40 insurance plan rates
  • Aetna — MCR: $2.39
  • Align — MCR: $2.41
  • American Health Plan — MCR: $2.39
  • AmeriHealth Caritas — HIX: $3.38
  • AmeriHealth Caritas — MGMCR: $2.70
  • AvMed — MCR: $2.36
  • BCBS — MCRHMO: $2.29
  • BCBS — MCRPPO: $2.29
  • CareWorks (Rockport) — WORKERSCOMP: $92.68
  • Centurion — GVT: $2.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO $974 $974 $83.76 – $827.90
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — ASA: $292.20
  • AvMed — ASOEO: $243.50
  • AvMed — Empower: $262.98
  • AvMed — Engage: $262.98
  • AvMed — Flex: $262.98
  • AvMed — Focus: $262.98
  • AvMed — FullyInsured: $214.28
  • AvMed — HIX: $116.88
  • AvMed — JacksonFirstNetworkOON: $487
  • AvMed — JHSSelect: $262.98
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total $223 $223 $18.39
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates
  • Aetna — MCR: $19.49
  • Align — MCR: $19.68
  • American Health Plan — MCR: $19.49
  • AmeriHealth Caritas — HIX: $27.59
  • AmeriHealth Caritas — MGMCR: $22.07
  • AvMed — MCR: $19.31
  • BCBS — MCRHMO: $18.76
  • BCBS — MCRPPO: $18.76
  • Centurion — GVT: $20.23
  • Cigna HealthSpring — MGMCR: $19.68
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL $223 $223 $129.34
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — ASA: $66.90
  • AvMed — ASOEO: $55.75
  • AvMed — Empower: $60.21
  • AvMed — Engage: $60.21
  • AvMed — Flex: $60.21
  • AvMed — Focus: $60.21
  • AvMed — FullyInsured: $49.06
  • AvMed — HIX: $26.76
  • AvMed — JacksonFirstNetworkOON: $111.50
  • AvMed — JHSSelect: $60.21
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total UNSCHEDULED $223 $223 $163.61 – $167.05
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $167.05
  • CorVel Corporation — WORKERSCOMP: $163.61
  • Prime Health — WORKERSCOMP: $167.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) $749 $749 $16.80
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates
  • Aetna — MCR: $17.81
  • Align — MCR: $17.98
  • American Health Plan — MCR: $17.81
  • AmeriHealth Caritas — HIX: $25.20
  • AmeriHealth Caritas — MGMCR: $20.16
  • AvMed — MCR: $17.64
  • BCBS — MCRHMO: $17.14
  • BCBS — MCRPPO: $17.14
  • Centurion — GVT: $18.48
  • Cigna HealthSpring — MGMCR: $17.98
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $749 $749 $434.42
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — ASA: $224.70
  • AvMed — ASOEO: $187.25
  • AvMed — Empower: $202.23
  • AvMed — Engage: $202.23
  • AvMed — Flex: $202.23
  • AvMed — Focus: $202.23
  • AvMed — FullyInsured: $164.78
  • AvMed — HIX: $89.88
  • AvMed — JacksonFirstNetworkOON: $374.50
  • AvMed — JHSSelect: $202.23
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) UNSCHEDULED $749 $749 $191.05 – $195.08
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $195.08
  • CorVel Corporation — WORKERSCOMP: $191.05
  • Prime Health — WORKERSCOMP: $195.08
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Not listed in the file Not listed in the file $7.77
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • Aetna — MCR: $8.24
  • Align — MCR: $8.31
  • American Health Plan — MCR: $8.24
  • AmeriHealth Caritas — HIX: $11.65
  • AmeriHealth Caritas — MGMCR: $9.32
  • AvMed — MCR: $8.16
  • BCBS — MCRHMO: $7.93
  • BCBS — MCRPPO: $7.93
  • CareWorks (Rockport) — WORKERSCOMP: $170.28
  • Centurion — GVT: $8.55
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $1,155 $1,155 $6.47
Complete blood count (CBC), automated: 10 of 37 insurance plan rates
  • Aetna — MCR: $6.86
  • Align — MCR: $6.92
  • American Health Plan — MCR: $6.86
  • AmeriHealth Caritas — HIX: $9.71
  • AmeriHealth Caritas — MGMCR: $7.76
  • AvMed — MCR: $6.79
  • BCBS — MCRHMO: $6.60
  • BCBS — MCRPPO: $6.60
  • Centurion — GVT: $7.12
  • Cigna HealthSpring — MGMCR: $6.92
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED $1,155 $1,155 $99.33 – $981.75
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — ASA: $346.50
  • AvMed — ASOEO: $288.75
  • AvMed — Empower: $311.85
  • AvMed — Engage: $311.85
  • AvMed — Flex: $311.85
  • AvMed — Focus: $311.85
  • AvMed — FullyInsured: $254.10
  • AvMed — HIX: $138.60
  • AvMed — JacksonFirstNetworkOON: $577.50
  • AvMed — JHSSelect: $311.85
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED $1,155 $1,155 $130.89 – $133.65
Complete blood count (CBC), automated: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $133.65
  • CorVel Corporation — WORKERSCOMP: $130.89
  • Prime Health — WORKERSCOMP: $133.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; $897 $897 $4.29
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates
  • Aetna — MCR: $4.55
  • Align — MCR: $4.59
  • American Health Plan — MCR: $4.55
  • AmeriHealth Caritas — HIX: $6.44
  • AmeriHealth Caritas — MGMCR: $5.15
  • AvMed — MCR: $4.50
  • BCBS — MCRHMO: $4.38
  • BCBS — MCRPPO: $4.38
  • Centurion — GVT: $4.72
  • Cigna HealthSpring — MGMCR: $4.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME $897 $897 $520.26
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — ASA: $269.10
  • AvMed — ASOEO: $224.25
  • AvMed — Empower: $242.19
  • AvMed — Engage: $242.19
  • AvMed — Flex: $242.19
  • AvMed — Focus: $242.19
  • AvMed — FullyInsured: $197.34
  • AvMed — HIX: $107.64
  • AvMed — JacksonFirstNetworkOON: $448.50
  • AvMed — JHSSelect: $242.19
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; UNSCHEDULED $897 $897 $107.66 – $109.93
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $109.93
  • CorVel Corporation — WORKERSCOMP: $107.66
  • Prime Health — WORKERSCOMP: $109.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood $897 $897 $6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates
  • Aetna — MCR: $6.37
  • Align — MCR: $6.43
  • American Health Plan — MCR: $6.37
  • AmeriHealth Caritas — HIX: $9.02
  • AmeriHealth Caritas — MGMCR: $7.21
  • AvMed — MCR: $6.31
  • BCBS — MCRHMO: $6.13
  • BCBS — MCRPPO: $6.13
  • Centurion — GVT: $6.61
  • Cigna HealthSpring — MGMCR: $6.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $897 $897 $520.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — ASA: $269.10
  • AvMed — ASOEO: $224.25
  • AvMed — Empower: $242.19
  • AvMed — Engage: $242.19
  • AvMed — Flex: $242.19
  • AvMed — Focus: $242.19
  • AvMed — FullyInsured: $197.34
  • AvMed — HIX: $107.64
  • AvMed — JacksonFirstNetworkOON: $448.50
  • AvMed — JHSSelect: $242.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood UNSCHEDULED $897 $897 $136.16 – $139.03
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $139.03
  • CorVel Corporation — WORKERSCOMP: $136.16
  • Prime Health — WORKERSCOMP: $139.03

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT $6,467 $6,467 $3,750.86
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $1,940.10
  • AvMed — Empower: $1,746.09
  • AvMed — Engage: $1,746.09
  • AvMed — Flex: $1,746.09
  • AvMed — Focus: $1,746.09
  • AvMed — JacksonFirstNetworkOON: $3,233.50
  • AvMed — JHSSelect: $1,746.09
  • AvMed — MDCSelect: $1,746.09
  • AvMed — Select: $1,746.09
  • BLIS — COMM: $2,263.45
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material $6,467 $6,467 $185.25 – $2,469
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna — QHP: $769
  • AvMed — ASOEO: $2,469
  • AvMed — FullyInsured: $2,225
  • AvMed — HIX: $926
  • United — AllPayerAppendix: $185.25
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material UNSCHEDULED $6,467 $6,467 $2,246.20 – $2,293.49
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $2,293.49
  • CorVel Corporation — WORKERSCOMP: $2,246.20
  • Prime Health — WORKERSCOMP: $2,293.49
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT $19,019 $19,019 $1,635.63 – $16,166.15
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $5,705.70
  • AvMed — Empower: $5,135.13
  • AvMed — Engage: $5,135.13
  • AvMed — Flex: $5,135.13
  • AvMed — Focus: $5,135.13
  • AvMed — JacksonFirstNetworkOON: $9,509.50
  • AvMed — JHSSelect: $5,135.13
  • AvMed — MDCSelect: $5,135.13
  • AvMed — Select: $5,135.13
  • BLIS — COMM: $6,656.65
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $19,019 $19,019 $625.80 – $2,469
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna — QHP: $1,060
  • AvMed — ASOEO: $2,469
  • AvMed — FullyInsured: $2,225
  • AvMed — HIX: $1,132
  • CareWorks (Rockport) — WORKERSCOMP: $4,016.84
  • CorVel Corporation — WORKERSCOMP: $3,934.02
  • Prime Health — WORKERSCOMP: $4,016.84
  • United — AllPayerAppendix: $625.80
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V $1,719 $1,719 $997.02
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna — ASA: $515.70
  • AvMed — ASOEO: $429.75
  • AvMed — Empower: $464.13
  • AvMed — Engage: $464.13
  • AvMed — Flex: $464.13
  • AvMed — Focus: $464.13
  • AvMed — FullyInsured: $378.18
  • AvMed — HIX: $206.28
  • AvMed — JacksonFirstNetworkOON: $859.50
  • AvMed — JHSSelect: $464.13
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views $1,719 $1,719 $137.53
Chest X-ray, 2 views: rates for 6 insurance plans
  • United — AllPayerAppendix: $137.53
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views UNSCHEDULED $1,719 $1,719 $483.44 – $493.61
Chest X-ray, 2 views: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $493.61
  • CorVel Corporation — WORKERSCOMP: $483.44
  • Prime Health — WORKERSCOMP: $493.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS $4,085 $4,085 $2,369.30
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Aetna — ASA: $1,225.50
  • AvMed — ASOEO: $1,021.25
  • AvMed — Empower: $1,102.95
  • AvMed — Engage: $1,102.95
  • AvMed — Flex: $1,102.95
  • AvMed — Focus: $1,102.95
  • AvMed — FullyInsured: $898.70
  • AvMed — HIX: $490.20
  • AvMed — JacksonFirstNetworkOON: $2,042.50
  • AvMed — JHSSelect: $1,102.95
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views $4,085 $4,085 $185.25
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • United — AllPayerAppendix: $185.25
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED $4,085 $4,085 $850.77 – $868.68
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $868.68
  • CorVel Corporation — WORKERSCOMP: $850.77
  • Prime Health — WORKERSCOMP: $868.68
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT $11,264 $11,264 $6,533.12
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $3,379.20
  • AvMed — Empower: $3,041.28
  • AvMed — Engage: $3,041.28
  • AvMed — Flex: $3,041.28
  • AvMed — Focus: $3,041.28
  • AvMed — JacksonFirstNetworkOON: $5,632
  • AvMed — JHSSelect: $3,041.28
  • AvMed — MDCSelect: $3,041.28
  • AvMed — Select: $3,041.28
  • BLIS — COMM: $3,942.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $11,264 $11,264 $391.22 – $2,469
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna — QHP: $1,060
  • AvMed — ASOEO: $2,469
  • AvMed — FullyInsured: $2,225
  • AvMed — HIX: $1,132
  • CareWorks (Rockport) — WORKERSCOMP: $2,796.80
  • CorVel Corporation — WORKERSCOMP: $2,739.14
  • Prime Health — WORKERSCOMP: $2,796.80
  • United — AllPayerAppendix: $391.22
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST $8,990 $8,990 $773.14 – $7,641.50
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $2,697
  • AvMed — Empower: $2,427.30
  • AvMed — Engage: $2,427.30
  • AvMed — Flex: $2,427.30
  • AvMed — Focus: $2,427.30
  • AvMed — JacksonFirstNetworkOON: $4,495
  • AvMed — JHSSelect: $2,427.30
  • AvMed — MDCSelect: $2,427.30
  • AvMed — Select: $2,427.30
  • BLIS — COMM: $3,146.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) $8,990 $8,990 $769 – $1,539
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — QHP: $769
  • AvMed — ASOEO: $2,469
  • AvMed — FullyInsured: $2,225
  • AvMed — HIX: $926
  • United — AllPayerAppendix: $303.54
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) UNSCHEDULED $8,990 $8,990 $3,087.47 – $3,152.47
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $3,152.47
  • CorVel Corporation — WORKERSCOMP: $3,087.47
  • Prime Health — WORKERSCOMP: $3,152.47
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Not listed in the file Not listed in the file $391.22 – $2,469
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Aetna — QHP: $1,060
  • AvMed — ASOEO: $2,469
  • AvMed — FullyInsured: $2,225
  • AvMed — HIX: $1,132
  • CareWorks (Rockport) — WORKERSCOMP: $2,651.31
  • CorVel Corporation — WORKERSCOMP: $2,596.64
  • Prime Health — WORKERSCOMP: $2,651.31
  • United — AllPayerAppendix: $391.22
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT $11,816 $11,816 $1,016.18 – $10,043.60
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $3,544.80
  • AvMed — Empower: $3,190.32
  • AvMed — Engage: $3,190.32
  • AvMed — Flex: $3,190.32
  • AvMed — Focus: $3,190.32
  • AvMed — JacksonFirstNetworkOON: $5,908
  • AvMed — JHSSelect: $3,190.32
  • AvMed — MDCSelect: $3,190.32
  • AvMed — Select: $3,190.32
  • BLIS — COMM: $4,135.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT $11,816 $11,816 $6,853.28
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $3,544.80
  • AvMed — Empower: $3,190.32
  • AvMed — Engage: $3,190.32
  • AvMed — Flex: $3,190.32
  • AvMed — Focus: $3,190.32
  • AvMed — JacksonFirstNetworkOON: $5,908
  • AvMed — JHSSelect: $3,190.32
  • AvMed — MDCSelect: $3,190.32
  • AvMed — Select: $3,190.32
  • BLIS — COMM: $4,135.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT $17,986 $17,986 $10,431.88
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — ASA: $5,395.80
  • AvMed — Empower: $4,856.22
  • AvMed — Engage: $4,856.22
  • AvMed — Flex: $4,856.22
  • AvMed — Focus: $4,856.22
  • AvMed — JacksonFirstNetworkOON: $8,993
  • AvMed — JHSSelect: $4,856.22
  • AvMed — MDCSelect: $4,856.22
  • AvMed — Select: $4,856.22
  • BLIS — COMM: $6,295.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $17,986 $17,986 $625.80 – $2,469
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — QHP: $769
  • AvMed — ASOEO: $2,469
  • AvMed — FullyInsured: $2,225
  • AvMed — HIX: $926
  • United — AllPayerAppendix: $625.80
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED $17,986 $17,986 $4,980.06 – $5,084.90
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $5,084.90
  • CorVel Corporation — WORKERSCOMP: $4,980.06
  • Prime Health — WORKERSCOMP: $5,084.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $14,885 $14,885 $1,280.11 – $12,652.25
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Aetna — ASA: $4,465.50
  • AvMed — ASOEO: $3,721.25
  • AvMed — Empower: $4,018.95
  • AvMed — Engage: $4,018.95
  • AvMed — Flex: $4,018.95
  • AvMed — Focus: $4,018.95
  • AvMed — FullyInsured: $3,274.70
  • AvMed — HIX: $1,786.20
  • AvMed — JacksonFirstNetworkOON: $7,442.50
  • AvMed — JHSSelect: $4,018.95
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete $14,885 $14,885 $185.25
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • United — AllPayerAppendix: $185.25
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED $14,885 $14,885 $1,503.10 – $1,534.74
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $1,534.74
  • CorVel Corporation — WORKERSCOMP: $1,503.10
  • Prime Health — WORKERSCOMP: $1,534.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI $3,769 $3,769 $324.13 – $3,203.65
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Aetna — ASA: $1,130.70
  • AvMed — ASOEO: $942.25
  • AvMed — Empower: $1,017.63
  • AvMed — Engage: $1,017.63
  • AvMed — Flex: $1,017.63
  • AvMed — Focus: $1,017.63
  • AvMed — FullyInsured: $829.18
  • AvMed — HIX: $452.28
  • AvMed — JacksonFirstNetworkOON: $1,884.50
  • AvMed — JHSSelect: $1,017.63
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $3,769 $3,769 $993.27 – $1,014.18
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $1,014.18
  • CorVel Corporation — WORKERSCOMP: $993.27
  • Prime Health — WORKERSCOMP: $1,014.18
  • United — AllPayerAppendix: $185.25
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $6,103 $6,103 $3,539.74
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — ASA: $1,830.90
  • AvMed — ASOEO: $1,525.75
  • AvMed — Empower: $1,647.81
  • AvMed — Engage: $1,647.81
  • AvMed — Flex: $1,647.81
  • AvMed — Focus: $1,647.81
  • AvMed — FullyInsured: $1,342.66
  • AvMed — HIX: $732.36
  • AvMed — JacksonFirstNetworkOON: $3,051.50
  • AvMed — JHSSelect: $1,647.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal $6,103 $6,103 $185.25
Transvaginal ultrasound: rates for 6 insurance plans
  • United — AllPayerAppendix: $185.25
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal UNSCHEDULED $6,103 $6,103 $1,021.76 – $1,043.27
Transvaginal ultrasound: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $1,043.27
  • CorVel Corporation — WORKERSCOMP: $1,021.76
  • Prime Health — WORKERSCOMP: $1,043.27
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Not listed in the file Not listed in the file $84.93 – $442.18
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates
  • Aetna — MCR: $92.81
  • Align — MCR: $93.69
  • American Health Plan — MCR: $92.81
  • AmeriHealth Caritas — MGMCR: $105.07
  • AvMed — MCR: $91.94
  • BCBS — MCRHMO: $89.31
  • BCBS — MCRPPO: $89.31
  • Centurion — GVT: $96.32
  • Cigna HealthSpring — MGMCR: $93.69
  • Devoted Health — MCR: $87.56
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT $655 $655 $379.90
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — ASA: $196.50
  • AvMed — ASOEO: $163.75
  • AvMed — Empower: $176.85
  • AvMed — Engage: $176.85
  • AvMed — Flex: $176.85
  • AvMed — Focus: $176.85
  • AvMed — FullyInsured: $144.10
  • AvMed — HIX: $78.60
  • AvMed — JacksonFirstNetworkOON: $327.50
  • AvMed — JHSSelect: $176.85
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT $655 $655 $379.90
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — ASA: $196.50
  • AvMed — ASOEO: $163.75
  • AvMed — Empower: $176.85
  • AvMed — Engage: $176.85
  • AvMed — Flex: $176.85
  • AvMed — Focus: $176.85
  • AvMed — FullyInsured: $144.10
  • AvMed — HIX: $78.60
  • AvMed — JacksonFirstNetworkOON: $327.50
  • AvMed — JHSSelect: $176.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $792 $792 $198.71
Diagnostic mammogram, both breasts: 10 of 34 insurance plan rates
  • Aetna — MCR: $119.28
  • Align — MCR: $120.41
  • American Health Plan — MCR: $119.28
  • AmeriHealth Caritas — MGMCR: $135.04
  • AvMed — MCR: $118.16
  • BCBS — MCRHMO: $114.78
  • BCBS — MCRPPO: $114.78
  • Centurion — GVT: $123.78
  • Cigna HealthSpring — MGMCR: $120.41
  • Devoted Health — MCR: $112.53
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI $792 $792 $68.11 – $673.20
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — ASA: $237.60
  • AvMed — ASOEO: $198
  • AvMed — Empower: $213.84
  • AvMed — Engage: $213.84
  • AvMed — Flex: $213.84
  • AvMed — Focus: $213.84
  • AvMed — FullyInsured: $174.24
  • AvMed — HIX: $95.04
  • AvMed — JacksonFirstNetworkOON: $396
  • AvMed — JHSSelect: $213.84
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $748 $748 $89.86 – $467.83
Screening mammogram, both breasts: 10 of 34 insurance plan rates
  • Aetna — MCR: $98.20
  • Align — MCR: $99.12
  • American Health Plan — MCR: $98.20
  • AmeriHealth Caritas — MGMCR: $111.17
  • AvMed — MCR: $97.27
  • BCBS — MCRHMO: $94.49
  • BCBS — MCRPPO: $94.49
  • Centurion — GVT: $101.90
  • Cigna HealthSpring — MGMCR: $99.12
  • Devoted Health — MCR: $92.64
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI $748 $748 $64.33 – $635.80
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — ASA: $224.40
  • AvMed — ASOEO: $187
  • AvMed — Empower: $201.96
  • AvMed — Engage: $201.96
  • AvMed — Flex: $201.96
  • AvMed — Focus: $201.96
  • AvMed — FullyInsured: $164.56
  • AvMed — HIX: $89.76
  • AvMed — JacksonFirstNetworkOON: $374
  • AvMed — JHSSelect: $201.96

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Not listed in the file Not listed in the file $13.20
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $25.22
  • CorVel Corporation — WORKERSCOMP: $24.70
  • Humana — TRICR: $13.20
  • Prime Health — WORKERSCOMP: $25.22
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe Not listed in the file Not listed in the file $13,508
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates
  • Aetna — HMO: $9,333
  • Aetna — HMO-Gated: $9,823
  • Aetna — PPO: $11,438
  • Aetna — PPO-NonGated: $12,038
  • Aetna — QHP: $6,765
  • AmeriHealth Caritas — HIX: $10,752
  • AvMed — ASOEO: $16,454
  • AvMed — FullyInsured: $14,840
  • AvMed — HIX: $7,545
  • CareWorks (Rockport) — WORKERSCOMP: $15,733.24
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor $29,449 $29,449 $6,942 – $23,692
Heart rhythm study (electrophysiology evaluation): 10 of 30 insurance plan rates
  • Aetna — HMO: $19,763
  • Aetna — HMO-Gated: $20,801
  • Aetna — PPO: $22,510
  • Aetna — PPO-NonGated: $23,692
  • Aetna — QHP: $14,326
  • AmeriHealth Caritas — HIX: $30,632
  • AvMed — ASOEO: $46,072
  • AvMed — FullyInsured: $41,547
  • AvMed — HIX: $24,969
  • BCBS — BSLNON-PAR: $21,368
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA $29,449 $29,449 $3,828.37 – $25,031.65
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates
  • Aetna — ASA: $8,834.70
  • AvMed — Empower: $7,951.23
  • AvMed — Engage: $7,951.23
  • AvMed — Flex: $7,951.23
  • AvMed — Focus: $7,951.23
  • AvMed — JacksonFirstNetworkOON: $14,724.50
  • AvMed — JHSSelect: $7,951.23
  • AvMed — MDCSelect: $7,951.23
  • AvMed — Select: $7,951.23
  • BLIS — COMM: $10,307.15
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, $93,512 $93,512 $7,350 – $46,072
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates
  • Aetna — HMO: $19,763
  • Aetna — HMO-Gated: $20,801
  • Aetna — PPO: $22,510
  • Aetna — PPO-NonGated: $23,692
  • Aetna — QHP: $14,326
  • AmeriHealth Caritas — HIX: $15,190
  • AvMed — ASOEO: $46,072
  • AvMed — FullyInsured: $41,547
  • AvMed — HIX: $24,969
  • BCBS — BSLNON-PAR: $21,368
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB $93,512 $93,512 $54,236.96
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Aetna — ASA: $28,053.60
  • AmeriHealth Caritas — HIX: $15,897.04
  • AvMed — Empower: $25,248.24
  • AvMed — Engage: $25,248.24
  • AvMed — Flex: $25,248.24
  • AvMed — Focus: $25,248.24
  • AvMed — JacksonFirstNetworkOON: $46,756
  • AvMed — JHSSelect: $25,248.24
  • AvMed — MDCSelect: $25,248.24
  • AvMed — Select: $25,248.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR $15,682 $15,682 $1,348.65 – $13,329.70
Sleep study (overnight, in a sleep lab): 10 of 41 insurance plan rates
  • Aetna — ASA: $4,704.60
  • AmeriHealth Caritas — HIX: $2,665.94
  • AvMed — ASOEO: $3,920.50
  • AvMed — Empower: $4,234.14
  • AvMed — Engage: $4,234.14
  • AvMed — Flex: $4,234.14
  • AvMed — Focus: $4,234.14
  • AvMed — FullyInsured: $3,450.04
  • AvMed — HIX: $1,881.84
  • AvMed — JacksonFirstNetworkOON: $7,841
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist UNSCHEDULED $15,682 $15,682 $5,861.44 – $5,984.84
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $5,984.84
  • CorVel Corporation — WORKERSCOMP: $5,861.44
  • Prime Health — WORKERSCOMP: $5,984.84
  • United — AllPayerAppendix: $4,250
  • Aetna — HMO: 16.4% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO-Gated: 17.3% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 19.5% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO-NonGated: 20.5% (a percentage in the contract, not a dollar amount)
  • Aetna — QHP: 12.9% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib Not listed in the file Not listed in the file $28.62 – $149.03
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 36 insurance plan rates
  • Aetna — MCR: $31.28
  • Align — MCR: $31.58
  • American Health Plan — MCR: $31.28
  • AmeriHealth Caritas — MGMCR: $35.41
  • AvMed — MCR: $30.99
  • BCBS — MCRHMO: $30.10
  • BCBS — MCRPPO: $30.10
  • CareWorks (Rockport) — WORKERSCOMP: $33.95
  • Centurion — GVT: $32.46
  • Cigna HealthSpring — MGMCR: $31.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT $856 $856 $73.62 – $727.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • Aetna — ASA: $256.80
  • AmeriHealth Caritas — HIX: $145.52
  • AvMed — ASOEO: $214
  • AvMed — Empower: $231.12
  • AvMed — Engage: $231.12
  • AvMed — Flex: $231.12
  • AvMed — Focus: $231.12
  • AvMed — FullyInsured: $188.32
  • AvMed — HIX: $102.72
  • AvMed — JacksonFirstNetworkOON: $428
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO|CO In the file: THER EXERCIS 15 MIN OTCO $856 $856 $73.62 – $727.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • Aetna — ASA: $256.80
  • AmeriHealth Caritas — HIX: $145.52
  • AvMed — ASOEO: $214
  • AvMed — Empower: $231.12
  • AvMed — Engage: $231.12
  • AvMed — Flex: $231.12
  • AvMed — Focus: $231.12
  • AvMed — FullyInsured: $188.32
  • AvMed — HIX: $102.72
  • AvMed — JacksonFirstNetworkOON: $428
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact Not listed in the file Not listed in the file $93.10 – $95.06
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates
  • Aetna — MCR: $104.65
  • Align — MCR: $105.64
  • American Health Plan — MCR: $104.65
  • AmeriHealth Caritas — MGMCR: $118.48
  • AvMed — MCR: $103.67
  • BCBS — MCRHMO: $100.70
  • BCBS — MCRPPO: $100.70
  • CareWorks (Rockport) — WORKERSCOMP: $95.06
  • Centurion — GVT: $108.60
  • Cigna HealthSpring — MGMCR: $105.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX $1,274 $1,274 $738.92
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • Aetna — ASA: $382.20
  • AmeriHealth Caritas — HIX: $216.58
  • AvMed — ASOEO: $318.50
  • AvMed — Empower: $343.98
  • AvMed — Engage: $343.98
  • AvMed — Flex: $343.98
  • AvMed — Focus: $343.98
  • AvMed — FullyInsured: $280.28
  • AvMed — HIX: $152.88
  • AvMed — JacksonFirstNetworkOON: $637
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP|CQ In the file: EVAL PT LOW COMPLX CQ $1,274 $1,274 $109.56 – $1,082.90
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • Aetna — ASA: $382.20
  • AmeriHealth Caritas — HIX: $216.58
  • AvMed — ASOEO: $318.50
  • AvMed — Empower: $343.98
  • AvMed — Engage: $343.98
  • AvMed — Flex: $343.98
  • AvMed — Focus: $343.98
  • AvMed — FullyInsured: $280.28
  • AvMed — HIX: $152.88
  • AvMed — JacksonFirstNetworkOON: $637
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or Not listed in the file Not listed in the file $95.77 – $498.59
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates
  • Aetna — MCR: $104.65
  • Align — MCR: $105.64
  • American Health Plan — MCR: $104.65
  • AmeriHealth Caritas — MGMCR: $118.48
  • AvMed — MCR: $103.67
  • BCBS — MCRHMO: $100.70
  • BCBS — MCRPPO: $100.70
  • CareWorks (Rockport) — WORKERSCOMP: $95.06
  • Centurion — GVT: $108.60
  • Cigna HealthSpring — MGMCR: $105.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX $1,274 $1,274 $109.56 – $1,082.90
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Aetna — ASA: $382.20
  • AmeriHealth Caritas — HIX: $216.58
  • AvMed — ASOEO: $318.50
  • AvMed — Empower: $343.98
  • AvMed — Engage: $343.98
  • AvMed — Flex: $343.98
  • AvMed — Focus: $343.98
  • AvMed — FullyInsured: $280.28
  • AvMed — HIX: $152.88
  • AvMed — JacksonFirstNetworkOON: $637
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP|CQ In the file: EVAL PT MOD COMPLX CQ $1,274 $1,274 $109.56 – $1,082.90
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Aetna — ASA: $382.20
  • AmeriHealth Caritas — HIX: $216.58
  • AvMed — ASOEO: $318.50
  • AvMed — Empower: $343.98
  • AvMed — Engage: $343.98
  • AvMed — Flex: $343.98
  • AvMed — Focus: $343.98
  • AvMed — FullyInsured: $280.28
  • AvMed — HIX: $152.88
  • AvMed — JacksonFirstNetworkOON: $637
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o Not listed in the file Not listed in the file $93.10 – $95.06
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates
  • Aetna — MCR: $104.65
  • Align — MCR: $105.64
  • American Health Plan — MCR: $104.65
  • AmeriHealth Caritas — MGMCR: $118.48
  • AvMed — MCR: $103.67
  • BCBS — MCRHMO: $100.70
  • BCBS — MCRPPO: $100.70
  • CareWorks (Rockport) — WORKERSCOMP: $95.06
  • Centurion — GVT: $108.60
  • Cigna HealthSpring — MGMCR: $105.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP|CQ In the file: EVAL PT HIGH COMPLX CQ $1,274 $1,274 $738.92
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • Aetna — ASA: $382.20
  • AmeriHealth Caritas — HIX: $216.58
  • AvMed — ASOEO: $318.50
  • AvMed — Empower: $343.98
  • AvMed — Engage: $343.98
  • AvMed — Flex: $343.98
  • AvMed — Focus: $343.98
  • AvMed — FullyInsured: $280.28
  • AvMed — HIX: $152.88
  • AvMed — JacksonFirstNetworkOON: $637
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX $1,274 $1,274 $738.92
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • Aetna — ASA: $382.20
  • AmeriHealth Caritas — HIX: $216.58
  • AvMed — ASOEO: $318.50
  • AvMed — Empower: $343.98
  • AvMed — Engage: $343.98
  • AvMed — Flex: $343.98
  • AvMed — Focus: $343.98
  • AvMed — FullyInsured: $280.28
  • AvMed — HIX: $152.88
  • AvMed — JacksonFirstNetworkOON: $637
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient SCHEDULED Not listed in the file Not listed in the file $68.40 – $69.84
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $69.84
  • CorVel Corporation — WORKERSCOMP: $68.40
  • Prime Health — WORKERSCOMP: $69.84
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient UNSCHEDULED Not listed in the file Not listed in the file $247 – $252.20
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $252.20
  • CorVel Corporation — WORKERSCOMP: $247
  • Prime Health — WORKERSCOMP: $252.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient SCHEDULED Not listed in the file Not listed in the file $91.20 – $93.12
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $93.12
  • CorVel Corporation — WORKERSCOMP: $91.20
  • Prime Health — WORKERSCOMP: $93.12
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient UNSCHEDULED Not listed in the file Not listed in the file $247 – $252.20
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $252.20
  • CorVel Corporation — WORKERSCOMP: $247
  • Prime Health — WORKERSCOMP: $252.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient SCHEDULED Not listed in the file Not listed in the file $136.80 – $139.68
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $139.68
  • CorVel Corporation — WORKERSCOMP: $136.80
  • Prime Health — WORKERSCOMP: $139.68
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient UNSCHEDULED Not listed in the file Not listed in the file $247 – $252.20
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $252.20
  • CorVel Corporation — WORKERSCOMP: $247
  • Prime Health — WORKERSCOMP: $252.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes SCHEDULED Not listed in the file Not listed in the file $110.20 – $112.52
Family psychotherapy, without the patient: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $112.52
  • CorVel Corporation — WORKERSCOMP: $110.20
  • Prime Health — WORKERSCOMP: $112.52
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes UNSCHEDULED Not listed in the file Not listed in the file $247 – $252.20
Family psychotherapy, without the patient: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $252.20
  • CorVel Corporation — WORKERSCOMP: $247
  • Prime Health — WORKERSCOMP: $252.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes UNSCHEDULED Not listed in the file Not listed in the file $247 – $252.20
Family psychotherapy, with the patient: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $252.20
  • CorVel Corporation — WORKERSCOMP: $247
  • Prime Health — WORKERSCOMP: $252.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) SCHEDULED Not listed in the file Not listed in the file $30.40 – $31.04
Group psychotherapy: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $31.04
  • CorVel Corporation — WORKERSCOMP: $30.40
  • Prime Health — WORKERSCOMP: $31.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) UNSCHEDULED Not listed in the file Not listed in the file $247 – $252.20
Group psychotherapy: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $252.20
  • CorVel Corporation — WORKERSCOMP: $247
  • Prime Health — WORKERSCOMP: $252.20

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 Not listed in the file Not listed in the file $4,500
Removal of breast growth (open surgery): 10 of 40 insurance plan rates
  • Aetna — HMO: $11,456
  • Aetna — HMO-Gated: $12,057
  • Aetna — PPO: $13,140
  • Aetna — PPO-NonGated: $13,830
  • Aetna — QHP: $8,304
  • AmeriHealth Caritas — HIX: $8,727
  • AvMed — ASOEO: $22,212
  • AvMed — FullyInsured: $20,033
  • AvMed — HIX: $10,188
  • BCBS — BSLNON-PAR: $18,507
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft UNSCHE Not listed in the file Not listed in the file $1,162.69 – $1,187.16
Total hip replacement: 10 of 46 insurance plan rates
  • Aetna — HMO: $29,886
  • Aetna — HMO-Gated: $31,455
  • Aetna — PPO: $29,886
  • Aetna — PPO-NonGated: $31,455
  • Aetna — QHP: $21,664
  • Align — MCR: $12,000
  • American Health Plan — MCR: $17,429.32
  • AmeriHealth Caritas — HIX: $35,069
  • AvMed — ASOEO: $41,379
  • AvMed — FullyInsured: $40,029
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file $2,702 – $6,802
Total knee replacement: 10 of 49 insurance plan rates
  • Aetna — HMO: $29,886
  • Aetna — HMO-Gated: $31,455
  • Aetna — PPO: $29,886
  • Aetna — PPO-NonGated: $31,455
  • Aetna — QHP: $21,664
  • Align — MCR: $12,000
  • American Health Plan — MCR: $17,429.32
  • AmeriHealth Caritas — HIX: $35,069
  • AvMed — ASOEO: $41,379
  • AvMed — FullyInsured: $40,029
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele Not listed in the file Not listed in the file $1,423 – $13,830
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates
  • Aetna — HMO: $11,456
  • Aetna — HMO-Gated: $12,057
  • Aetna — PPO: $13,140
  • Aetna — PPO-NonGated: $13,830
  • Aetna — QHP: $8,304
  • AmeriHealth Caritas — HIX: $3,251
  • AvMed — ASOEO: $22,212
  • AvMed — FullyInsured: $20,033
  • AvMed — HIX: $10,188
  • CareWorks (Rockport) — WORKERSCOMP: $4,189.28
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula Not listed in the file Not listed in the file $5,048 – $13,830
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 40 insurance plan rates
  • Aetna — HMO: $11,456
  • Aetna — HMO-Gated: $12,057
  • Aetna — PPO: $13,140
  • Aetna — PPO-NonGated: $13,830
  • Aetna — QHP: $8,304
  • AmeriHealth Caritas — HIX: $9,539
  • AvMed — ASOEO: $22,212
  • AvMed — FullyInsured: $20,033
  • AvMed — HIX: $10,188
  • BCBS — BSLNON-PAR: $18,507
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12 Not listed in the file Not listed in the file $2,702 – $6,802
Removal of tonsils and adenoids (under age 12): 10 of 30 insurance plan rates
  • AmeriHealth Caritas — HIX: $8,727
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $18,507
  • BCBS — HMO: $16,818
  • BCBS — MBN: $13,571
  • BCBS — NWB: $17,625
  • BCBS — PHS: $18,507
  • BCBS — PPO: $17,625
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12 Other Surgical Services Not listed in the file Not listed in the file $2,750
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Medica HealthCare — MCR: $2,750
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep Not listed in the file Not listed in the file $2,050 – $6,802
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $5,414
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $4,659
  • BCBS — HMO: $2,887
  • BCBS — MBN: $2,473
  • BCBS — NWB: $2,978
  • BCBS — PHS: $4,659
  • BCBS — PPO: $2,978
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file $2,702 – $6,802
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $5,414
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $4,659
  • BCBS — HMO: $2,887
  • BCBS — MBN: $2,473
  • BCBS — NWB: $2,978
  • BCBS — PHS: $4,659
  • BCBS — PPO: $2,978
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Not listed in the file Not listed in the file $2,050 – $6,802
Colonoscopy (diagnostic): 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $5,414
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $4,659
  • BCBS — HMO: $2,887
  • BCBS — MBN: $2,473
  • BCBS — NWB: $2,978
  • BCBS — PHS: $4,659
  • BCBS — PPO: $2,978
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple Not listed in the file Not listed in the file $2,702 – $6,802
Colonoscopy with biopsy: 10 of 30 insurance plan rates
  • AmeriHealth Caritas — HIX: $5,414
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $5,376
  • BCBS — HMO: $4,144
  • BCBS — MBN: $3,436
  • BCBS — NWB: $4,276
  • BCBS — PHS: $5,376
  • BCBS — PPO: $4,276
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple SCHEDULED Not listed in the file Not listed in the file $2,591.36 – $2,645.92
Colonoscopy with biopsy: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $2,645.92
  • CorVel Corporation — WORKERSCOMP: $2,591.36
  • Prime Health — WORKERSCOMP: $2,645.92
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple UNSCHEDULED Not listed in the file Not listed in the file $3,507.58 – $3,581.42
Colonoscopy with biopsy: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $3,581.42
  • CorVel Corporation — WORKERSCOMP: $3,507.58
  • Prime Health — WORKERSCOMP: $3,581.42
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Not listed in the file Not listed in the file $2,702 – $6,802
Colonoscopy with removal of polyps (snare): 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $5,414
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $5,376
  • BCBS — HMO: $4,144
  • BCBS — MBN: $3,436
  • BCBS — NWB: $4,276
  • BCBS — PHS: $5,376
  • BCBS — PPO: $4,276
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and Not listed in the file Not listed in the file $2,702 – $6,802
Ultrasound of the lower bowel by endoscope: 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $5,414
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $5,376
  • BCBS — HMO: $4,144
  • BCBS — MBN: $3,436
  • BCBS — NWB: $4,276
  • BCBS — PHS: $5,376
  • BCBS — PPO: $4,276
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Not listed in the file Not listed in the file $1,982 – $4,302
Screening colonoscopy (not high risk): rates for 7 insurance plans
  • AmeriHealth Caritas — HIX: $3,689
  • CareWorks (Rockport) — WORKERSCOMP: $220.19
  • CorVel Corporation — WORKERSCOMP: $215.65
  • Oscar — HIX: $2,194
  • Prime Health — WORKERSCOMP: $220.19
  • Simply Healthcare — HIX: $1,982
  • United — AllPayerAppendix: $4,302
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy Not listed in the file Not listed in the file $5,048 – $15,568
Gallbladder removal by laparoscope: 10 of 36 insurance plan rates
  • Aetna — HMO: $9,149
  • Aetna — HMO-Gated: $9,629
  • Aetna — PPO: $10,980
  • Aetna — PPO-NonGated: $11,556
  • Aetna — QHP: $6,632
  • AmeriHealth Caritas — HIX: $13,315
  • AvMed — ASOEO: $21,390
  • AvMed — FullyInsured: $19,290
  • AvMed — HIX: $9,810
  • BCBS — BSLNON-PAR: $18,507
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy UNSCHEDULED Not listed in the file Not listed in the file $1,435.01 – $1,465.22
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $1,465.22
  • CorVel Corporation — WORKERSCOMP: $1,435.01
  • Prime Health — WORKERSCOMP: $1,465.22
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy SCHEDULED Not listed in the file Not listed in the file $258.61 – $264.05
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $264.05
  • CorVel Corporation — WORKERSCOMP: $258.61
  • Prime Health — WORKERSCOMP: $264.05
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible Not listed in the file Not listed in the file $5,048 – $6,802
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • AmeriHealth Caritas — HIX: $9,539
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $18,507
  • BCBS — HMO: $16,818
  • BCBS — MBN: $13,571
  • BCBS — NWB: $17,625
  • BCBS — PHS: $18,507
  • BCBS — PPO: $17,625
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible UNSCHEDULED Not listed in the file Not listed in the file $13,881.48 – $14,173.72
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $14,173.72
  • CorVel Corporation — WORKERSCOMP: $13,881.48
  • Prime Health — WORKERSCOMP: $14,173.72
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible SCHEDULED Not listed in the file Not listed in the file $4,878.72 – $4,981.43
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $4,981.43
  • CorVel Corporation — WORKERSCOMP: $4,878.72
  • Prime Health — WORKERSCOMP: $4,981.43
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Not listed in the file Not listed in the file $2,820 – $5,414
Prostate biopsy: rates for 3 insurance plans
  • AmeriHealth Caritas — HIX: $5,414
  • Oscar — HIX: $3,120
  • Simply Healthcare — HIX: $2,820
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach SCHEDULED Not listed in the file Not listed in the file $5,175.33 – $5,284.29
Prostate biopsy: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $5,284.29
  • CorVel Corporation — WORKERSCOMP: $5,175.33
  • Prime Health — WORKERSCOMP: $5,284.29
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Other Surgica Not listed in the file Not listed in the file $2,750
Prostate removal by laparoscope (radical prostatectomy): 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $22,880
  • AvMed — ASOEO: $15,633
  • AvMed — FullyInsured: $14,096
  • AvMed — HIX: $7,167
  • BCBS — BSLNON-PAR: $18,507
  • BCBS — HMO: $16,818
  • BCBS — MBN: $13,571
  • BCBS — NWB: $17,625
  • BCBS — PHS: $18,507
  • BCBS — PPO: $17,625
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery Not listed in the file Not listed in the file $11,754
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • Aetna — HMO: $11,456
  • Aetna — HMO-Gated: $12,057
  • Aetna — PPO: $13,140
  • Aetna — PPO-NonGated: $13,830
  • Aetna — QHP: $8,304
  • AmeriHealth Caritas — HIX: $8,727
  • AvMed — ASOEO: $15,633
  • AvMed — FullyInsured: $14,096
  • AvMed — HIX: $7,167
  • BCBS — BSLNON-PAR: $18,507
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur Not listed in the file Not listed in the file $2,750
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $3,689
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $4,659
  • BCBS — HMO: $2,887
  • BCBS — MBN: $2,473
  • BCBS — NWB: $2,978
  • BCBS — PHS: $4,659
  • BCBS — PPO: $2,978
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing Not listed in the file Not listed in the file $1,982 – $6,802
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • AmeriHealth Caritas — HIX: $3,689
  • BCBS — BSLNON-PAR: $4,659
  • BCBS — HMO: $2,887
  • BCBS — MBN: $2,473
  • BCBS — NWB: $2,978
  • BCBS — PHS: $4,659
  • BCBS — PPO: $2,978
  • BCBS — SBN: $2,887
  • CareWorks (Rockport) — WORKERSCOMP: $2,199.73
  • Cigna — HMO: $6,802
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Not listed in the file Not listed in the file $5,048 – $8,727
Carpal tunnel release: 10 of 31 insurance plan rates
  • AmeriHealth Caritas — HIX: $8,727
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $7,164
  • BCBS — HMO: $6,394
  • BCBS — MBN: $5,119
  • BCBS — NWB: $6,320
  • BCBS — PHS: $7,164
  • BCBS — PPO: $6,320
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel UNSCHEDULED Not listed in the file Not listed in the file $4,394.23 – $4,486.74
Carpal tunnel release: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $4,486.74
  • CorVel Corporation — WORKERSCOMP: $4,394.23
  • Prime Health — WORKERSCOMP: $4,486.74
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel SCHEDULED Not listed in the file Not listed in the file $3,225.74 – $3,293.65
Carpal tunnel release: rates for 3 insurance plans
  • CareWorks (Rockport) — WORKERSCOMP: $3,293.65
  • CorVel Corporation — WORKERSCOMP: $3,225.74
  • Prime Health — WORKERSCOMP: $3,293.65
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or Not listed in the file Not listed in the file $2,750
Laser treatment of clouding after cataract surgery: 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $3,689
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $3,942
  • BCBS — HMO: $2,553
  • BCBS — MBN: $2,142
  • BCBS — NWB: $2,627
  • BCBS — PHS: $3,942
  • BCBS — PPO: $2,627
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga Not listed in the file Not listed in the file $2,702
Cataract removal with lens implant: 10 of 34 insurance plan rates
  • AmeriHealth Caritas — HIX: $8,727
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • BCBS — BSLNON-PAR: $7,164
  • BCBS — HMO: $6,394
  • BCBS — MBN: $5,119
  • BCBS — NWB: $6,320
  • BCBS — PHS: $7,164
  • BCBS — PPO: $6,320

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Not listed in the file Not listed in the file $2,702 – $6,802
Vaginal delivery, with care before and after: 10 of 27 insurance plan rates
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • Cigna — HMO: $6,802
  • Cigna — PPO: $6,802
  • Freedom Health — MGMCR: $2,350
  • Health Sun Health Plan — MGMCR: $2,050
  • Medica HealthCare — MCR: $2,750
  • MMM of FL (Health Advantage Plan) — MCR: $2,250
  • Molina — HIX: $2,702
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Not listed in the file Not listed in the file $1,950 – $9,710
Cesarean delivery (C-section), with care before and after: 10 of 27 insurance plan rates
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • Cigna — HMO: $6,802
  • Cigna — PPO: $6,802
  • Freedom Health — MGMCR: $2,350
  • Health Sun Health Plan — MGMCR: $2,050
  • Medica HealthCare — MCR: $2,750
  • MMM of FL (Health Advantage Plan) — MCR: $2,250
  • Molina — HIX: $2,702
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p Not listed in the file Not listed in the file $2,702 – $6,802
Vaginal delivery after a previous C-section, with care before and after: 10 of 27 insurance plan rates
  • AvMed — ASOEO: $9,710
  • AvMed — FullyInsured: $8,755
  • AvMed — HIX: $4,452
  • Cigna — HMO: $6,802
  • Cigna — PPO: $6,802
  • Freedom Health — MGMCR: $2,350
  • Health Sun Health Plan — MGMCR: $2,050
  • Medica HealthCare — MCR: $2,750
  • MMM of FL (Health Advantage Plan) — MCR: $2,250
  • Molina — HIX: $2,702

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Not listed in the file Not listed in the file $7,000 – $90,361.37
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 74 insurance plan rates
  • Aetna — HMO: $16,602
  • Aetna — HMO-Gated: $106,874
  • Aetna — MCR: $90,361.37
  • Aetna — PPO: $19,995
  • Aetna — PPO-NonGated: $124,237
  • Aetna — QHP: $76,010
  • Align — MCR: $90,361.37
  • American Health Plan — MCR: $90,361.37
  • AmeriHealth Caritas — HIX: $103,961.82
  • AmeriHealth Caritas — MGMCR: $87,803.98
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Not listed in the file Not listed in the file $19,146.13
Hip or knee replacement (major joint of the leg), without major complications: 10 of 71 insurance plan rates
  • Aetna — HMO: $44,350
  • Aetna — HMO-Gated: $46,678
  • Aetna — MCR: $19,146.13
  • Aetna — PPO: $54,902
  • Aetna — PPO-NonGated: $57,784
  • Aetna — QHP: $33,162
  • Align — MCR: $19,146.13
  • American Health Plan — MCR: $1,275
  • AmeriHealth Caritas — HIX: $20,498.42
  • AmeriHealth Caritas — MGMCR: $18,604.26
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $23,792.33
Neck (cervical) spinal fusion, without complications: 10 of 71 insurance plan rates
  • Aetna — HMO: $32,875
  • Aetna — HMO-Gated: $34,601
  • Aetna — MCR: $23,792.33
  • Aetna — PPO: $49,413
  • Aetna — PPO-NonGated: $52,007
  • Aetna — QHP: $24,608
  • Align — MCR: $1,275
  • American Health Plan — MCR: $23,792.33
  • AmeriHealth Caritas — HIX: $51,542
  • AmeriHealth Caritas — MGMCR: $23,118.96
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $12,905.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 71 insurance plan rates
  • Aetna — HMO: $17,132
  • Aetna — HMO-Gated: $18,031
  • Aetna — MCR: $12,905.88
  • Aetna — PPO: $21,961
  • Aetna — PPO-NonGated: $23,114
  • Aetna — QHP: $12,824
  • Align — MCR: $12,905.88
  • American Health Plan — MCR: $12,905.88
  • AmeriHealth Caritas — HIX: $13,184.92
  • AmeriHealth Caritas — MGMCR: $12,540.62

Source: HCA Florida Northwest Hospital’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address2801 N State Rd 7, Margate, FL 33063
CountyBroward County
StateFlorida
Phone(954) 974‑0400
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100189
Name in Medicare recordsHCA FLORIDA NORTHWEST HOSPITAL
Profile levelMedicare data + hospital website
Official websitehcafloridahealthcare.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Northwest Hospital | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  2. Northwest Hospital | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  3. Diagnostic Imaging Center | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  4. Cardiologists in Margate, FL — hcafloridahealthcare.com
  5. Heart and vascular surgery | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  6. Visitor Information | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  7. Awards and Recognition | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  8. Heart arrhythmia | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  9. Neurology Specialists in Margate, FL | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  10. Orthopedics in Margate, FL | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  11. Surgical Services in Margate | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  12. Bariatric Program | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  13. Maternity Hospital in Margate | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  14. Patient SMS Updates | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  15. Pediatric Care in Margate, FL | HCA Florida Northwest Hospital — hcafloridahealthcare.com
  16. Women's care | HCA Florida Northwest Hospital — hcafloridahealthcare.com