Does HCA Florida Pasadena Hospital a Part of HCA Florid… have an emergency room?

Yes. Medicare (CMS) data lists emergency services at HCA Florida Pasadena Hospital a Part of HCA Florid…. In a medical emergency, call 911.

Where is HCA Florida Pasadena Hospital a Part of HCA Florid…?

1501 Pasadena Ave S, Saint Petersburg, FL 33707, in Pinellas County, Florida.

What is the phone number of HCA Florida Pasadena Hospital a Part of HCA Florid…?

(727) 381-1000, as listed by Medicare (CMS).

What is the Medicare star rating of HCA Florida Pasadena Hospital a Part of HCA Florid…?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

HCA Florida Pasadena Hospital a Part of HCA Florid…

Quick answers

Does HCA Florida Pasadena Hospital a Part of HCA Florid… have an emergency room?: Yes. Medicare (CMS) data lists emergency services at HCA Florida Pasadena Hospital a Part of HCA Florid…. In a medical emergency, call 911.
Where is HCA Florida Pasadena Hospital a Part of HCA Florid…?: 1501 Pasadena Ave S, Saint Petersburg, FL 33707, in Pinellas County, Florida.
What is the phone number of HCA Florida Pasadena Hospital a Part of HCA Florid…?: (727) 381-1000, as listed by Medicare (CMS).
What is the Medicare star rating of HCA Florida Pasadena Hospital a Part of HCA Florid…?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][9][10]

Weight loss surgery
Emergency Care
Imaging Services
Inpatient physical rehabilitation
Neurological Care
Orthopedic Care
Outpatient physical rehabilitation
Surgery
Women's Care
Wound Care
Cardiology
Hyperbaric Medicine
Physical medicine and rehabilitation

Conditions treated^{[9][10][14][15][16][17][18]}

Stroke
Brain injuries
Spinal cord injuries
Amputations
Guillain-Barré syndrome
Hip fractures
Multiple sclerosis
Parkinson's disease
Multiple fractures
Multiple trauma
Generalized debility after prolonged hospitalization
Neurological disorders
Osteoporosis
Arthritis
Sprains and strains
Broken bones
Sports injuries
Spine conditions
Ligament issues
Hiatal hernia
Inguinal hernia
Femoral hernia
Umbilical hernia
Ventral hernia
Incisional hernia
Epigastric hernia
Breast cancer
Lymphedema
Dysphagia

Treatments^{[6][7][10][13][15]}

Tenecteplase (clot-busting drug) for stroke
Stroke rehabilitation
Lymphedema therapy
Cardiopulmonary rehabilitation
Mist therapy for chronic wounds
Hyperbaric medicine
Barium swallow study
Laryngeal videostroboscopy
Gastric bypass (Roux-en-Y)
Sleeve gastrectomy
Endoscopic sleeve
Bariatric revision surgery

Procedures^{[7][16][17][18]}

Total hip replacement
Hip resurfacing
Total knee replacement
Partial knee replacement
Shoulder replacement
Hernia repair
Abdominal wall reconstruction
Robotic surgery
Laparoscopic surgery
Cardiothoracic surgery
Gynecologic surgery
Neurosurgery
Vascular surgery
Surgical oncology
Urologic surgery
Head and neck surgery
Digital mammography
Breast biopsy
CT scanning
MRI
Nuclear medicine
Ultrasound
Fluoroscopy
DEXA bone density scan
X-ray imaging

Programs and centers^{[6][7][8][9][10][12][13][15][17][18]}

Emergency department (24/7)
Primary Stroke Center
Inpatient rehabilitation program
Outpatient physical rehabilitation program
Voice Center
Weight loss surgery program
Hernia Center
Breast health program
Teleneurology
Surgical services

Emergency care (hospital website)^{[4][6][8][12][15]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center (Joint Commission)

Visiting and practical information

Visiting	Hospital visiting hours 7 a.m. to 7 p.m.; ICU 10 a.m. to 7 p.m., if the patient consents^[5]
Parking	Parking lot in front of the hospital; convenient nearby parking noted for imaging^[7][17]
Patient portal	MyHealthONE

Recognition^{[4][6][12][15]}

Primary Stroke Center certification (Joint Commission)
Joint Commission hospital accreditation
Accreditation from The Joint Commission
Primary Stroke Center certification from The Joint Commission
The Joint Commission Gold Seal of Approval for Total Hip and Knee Replacement Certification
Institute of Quality designation (Aetna)
College of American Pathologists Accreditation
American College of Radiology Accreditation

Other emergency rooms nearby

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

HCA Florida St Petersburg Hospital3.8 mi · Saint Petersburg, FL · Acute Care Hospital
Bay Pines VA Medical Center4.6 mi · Bay Pines, FL · Federal/VA Acute Care Hospital
St Anthonys Hospital5.5 mi · Saint Petersburg, FL · Acute Care Hospital
HCA Florida Northside Hospital5.7 mi · Saint Petersburg, FL · Acute Care Hospital
Orlando Health Bayfront Hospital6.0 mi · Saint Petersburg, FL · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of St Pet…2.5 mi · Saint Petersburg, FL · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Aviata at the Sea - Pasadena0.1 mi · South Pasadena, FL · 2 of 5 stars
Gulfport Nursing Center0.2 mi · Pasadena, FL · 1 of 5 stars
Springs at Boca Ciega Bay1.2 mi · South Pasadena, FL · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Accentcare Hospice & Palliative Care of Pinellas C14 mi · Clearwater, FL · 3 of 5 stars
Accent Care Hospice & Palliative Care of Hillsboro20 mi · Tampa, FL · 1 of 5 stars
Affinity Care of Manatee County LLC21 mi · Bradenton, FL · 2 of 5 stars

All hospice providers in the state →

Home health agencies

Best Care Home Health at Pasco and Pinellas LLC6.6 mi · St Petersburg, FL · 3 of 5 stars
Gulf Breeze Home Health Inc6.6 mi · Saint Petersburg, FL
Orlando Health Home Care6.6 mi · Saint Petersburg, FL

All home health agencies in the state →

Dialysis facilities

St. Pete Dialysis/ Central Dialysis1.1 mi · Saint Petersburg, FL · 2 of 5 stars
DaVita Pinellas West Shore Dialysis2.6 mi · Saint Petersburg, FL · 4 of 5 stars
DaVita St Petersburg South Dialysis3.3 mi · Saint Petersburg, FL · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Pasadena Surgery Center1.1 mi · Saint Petersburg, FL
Bay Area Heart Surgery Center2.6 mi · St Petersburg, FL
St Petersburg Eye Surgery Center2.6 mi · Saint Petersburg, FL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

METRO South St. Pete3.7 mi · Saint Petersburg, FL · Community health center
METRO South St. Pete3.7 mi · Saint Petersburg, FL · Community health center
Evara Health - Tyrone3.8 mi · Saint Petersburg, FL · Community health center

Clinics and urgent care

Professional Urgent Care Services2.6 mi · St Petersburg, FL · Urgent care center
Synergic Healthcare Solutions LLC2.6 mi · St Petersburg, FL · Urgent care center
Rapid Relief Urgent Care 001 LLC4.5 mi · St Petersburg, FL · Urgent care center

Pharmacies

Advanced RX Derm, LLC1.1 mi · St Pete Beach, FL · Community/retail pharmacy
BayCare Urgent Care, LLC1.1 mi · St Pete Beach, FL · Community/retail pharmacy
Walgreen Co1.1 mi · St Pete Beach, FL · Pharmacy

Assisted living nearby

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

Sandpiper ALF1.1 mi · Saint Petersburg, FL
Wentworth Central Avenue1.1 mi · Saint Petersburg, FL
American House St. Petersburg2.6 mi · Saint Petersburg, FL
Arbor Oaks Assisted Living Facility2.6 mi · Saint Petersburg, FL

About the Medicare star rating

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

Medicare quality data

What HCA Florida Pasadena Hospital a Part of HCA Florid… 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.

Not reported to Medicare

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 Saint Petersburg Best hospitals in Saint Petersburg

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as HCA Florida Pasadena Hospital a Part of HCA Florid… 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$1,212.20	$1,212.20	$56.97 – $1,115.22
New patient office visit (about 30–44 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $87.28 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $56.97 Aetna — ASA: $363.66 Aetna — GatedCOMM: $288.50 Aetna — NonGatedCOMM: $288.50 Aetna — QHP: $192.74 AmeriHealth Caritas — HIX: $533.37 BCBS — HMO: $139.40 BCBS — MGMCRHMO: $58.19 BCBS — PHS: $253.35
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$1,380.50	$1,380.50	$64.88 – $1,270.06
New patient office visit (about 45–59 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $99.40 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $64.88 Aetna — ASA: $414.15 Aetna — GatedCOMM: $328.56 Aetna — NonGatedCOMM: $328.56 Aetna — QHP: $219.50 AmeriHealth Caritas — HIX: $607.42 BCBS — HMO: $158.76 BCBS — MGMCRHMO: $66.26 BCBS — PHS: $288.52
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$1,554.30	$1,554.30	$73.05 – $1,429.96
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $111.91 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $73.05 Aetna — ASA: $466.29 Aetna — GatedCOMM: $369.92 Aetna — NonGatedCOMM: $369.92 Aetna — QHP: $247.13 AmeriHealth Caritas — HIX: $683.89 BCBS — HMO: $178.74 BCBS — MGMCRHMO: $74.61 BCBS — PHS: $324.85
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$1,028.50	$1,028.50	$48.34 – $946.22
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $74.05 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $48.34 Aetna — ASA: $308.55 Aetna — GatedCOMM: $244.78 Aetna — NonGatedCOMM: $244.78 Aetna — QHP: $163.53 AmeriHealth Caritas — HIX: $452.54 BCBS — HMO: $118.28 BCBS — MGMCRHMO: $49.37 BCBS — PHS: $214.96
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$1,281.50	$1,281.50	$60.23 – $1,178.98
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $92.27 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $60.23 Aetna — ASA: $384.45 Aetna — GatedCOMM: $305 Aetna — NonGatedCOMM: $305 Aetna — QHP: $203.76 AmeriHealth Caritas — HIX: $563.86 BCBS — HMO: $147.37 BCBS — MGMCRHMO: $61.51 BCBS — PHS: $267.83
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	$68.91 – $71.04
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans CareSource — Tricare: $71.04 Humana — TRICARE: $68.91
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	$83.80 – $86.39
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans CareSource — Tricare: $86.39 Humana — TRICARE: $83.80
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	$9,940.07	$9,940.07	$1,150 – $5,791
Emergency room visit (moderate): 10 of 13 insurance plan rates AvMed — ASOEO: $5,791 AvMed — HIX: $2,252 AvMed — HMOFI: $5,221 BCBS — HMO: $2,053 BCBS — PHS: $3,178 Cigna — HMO: $4,670 Cigna — PPO: $4,670 Evolutions Healthcare Systems — PrimeTier1: $3,186 Oscar — HIX: $2,010 Simply Healthcare — HIX: $1,542
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$9,940.07	$9,940.07	$1,580.47 – $8,449.06
Emergency room visit (moderate): 10 of 11 insurance plan rates Aetna — ASA: $2,982.02 Aetna — QHP: $1,580.47 AmeriHealth Caritas — HIX: $4,373.63 Evolutions Healthcare Systems — ADVANTAGENETWORK: $7,455.05 Evolutions Healthcare Systems — PRIMENETWORK: $4,970.03 Evolutions Healthcare Systems — SELECTNETWORK: $7,455.05 Multiplan — COMPLEMENTARYPPO: $8,449.06 Multiplan — PRIMARYPPO: $7,455.05 Plotkin Health — COMM: $4,970.03 Prime Health Sheriff — COMM: $4,970.03
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	$12,811.59	$12,811.59	$250 – $6,195
Emergency room visit (moderately high): 10 of 13 insurance plan rates AvMed — ASOEO: $6,195 AvMed — HIX: $2,528 AvMed — HMOFI: $5,588 BCBS — HMO: $2,394 BCBS — PHS: $5,646 Cigna — HMO: $4,670 Cigna — PPO: $4,670 Evolutions Healthcare Systems — PrimeTier1: $3,186 Oscar — HIX: $3,102 Simply Healthcare — HIX: $1,755
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$12,811.59	$12,811.59	$2,037.04 – $10,889.85
Emergency room visit (moderately high): 10 of 11 insurance plan rates Aetna — ASA: $3,843.48 Aetna — QHP: $2,037.04 AmeriHealth Caritas — HIX: $5,637.10 Evolutions Healthcare Systems — ADVANTAGENETWORK: $9,608.69 Evolutions Healthcare Systems — PRIMENETWORK: $6,405.80 Evolutions Healthcare Systems — SELECTNETWORK: $9,608.69 Multiplan — COMPLEMENTARYPPO: $10,889.85 Multiplan — PRIMARYPPO: $9,608.69 Plotkin Health — COMM: $6,405.80 Prime Health Sheriff — COMM: $6,405.80
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	$22,071.02	$22,071.02	$1,535 – $4,670
Emergency room visit (high): 10 of 13 insurance plan rates AvMed — ASOEO: $9,709 AvMed — HIX: $3,776 AvMed — HMOFI: $8,755 BCBS — HMO: $2,394 BCBS — PHS: $5,646 Cigna — HMO: $4,670 Cigna — PPO: $4,670 Evolutions Healthcare Systems — PrimeTier1: $3,186 Oscar — HIX: $3,890 Simply Healthcare — HIX: $2,018
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$22,071.02	$22,071.02	$3,509.29 – $18,760.37
Emergency room visit (high): 10 of 11 insurance plan rates Aetna — ASA: $6,621.31 Aetna — QHP: $3,509.29 AmeriHealth Caritas — HIX: $9,711.25 Evolutions Healthcare Systems — ADVANTAGENETWORK: $16,553.26 Evolutions Healthcare Systems — PRIMENETWORK: $11,035.51 Evolutions Healthcare Systems — SELECTNETWORK: $16,553.26 Multiplan — COMPLEMENTARYPPO: $18,760.37 Multiplan — PRIMARYPPO: $16,553.26 Plotkin Health — COMM: $11,035.51 Prime Health Sheriff — COMM: $11,035.51

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	$2,458.37	$2,458.37	$8.46
Basic metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — MCR: $8.97 BayCare Health Plans — MCR: $8.88 BCBS — MCRPPO: $8.63 BCBS — MGMCRHMO: $8.63 CareSource — Tricare: $7.91 Centurion — LOGOV: $9.31 Cigna HealthSpring — MCR: $9.05 Clear Spring Health — MCR: $9.31 Devoted Health — MCR: $8.46 Gold Kidney of Florida — Medicare: $9.22
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$2,458.37	$2,458.37	$115.54 – $2,261.70
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $177 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $115.54 Aetna — ASA: $737.51 AmeriHealth Caritas — HIX: $1,081.68 AvMed — ASOEO: $663.76 AvMed — HIX: $196.67 AvMed — HMOFI: $565.43 Evolutions Healthcare Systems — ADVANTAGENETWORK: $1,843.78 Evolutions Healthcare Systems — CHOICENETWORK: $2,261.70 Evolutions Healthcare Systems — PRIMENETWORK: $1,229.18
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$2,981.08	$2,981.08	$140.11 – $2,742.59
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $214.64 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $140.11 Aetna — ASA: $894.32 AmeriHealth Caritas — HIX: $1,311.68 AvMed — ASOEO: $804.89 AvMed — HIX: $238.49 AvMed — HMOFI: $685.65 Evolutions Healthcare Systems — ADVANTAGENETWORK: $2,235.81 Evolutions Healthcare Systems — CHOICENETWORK: $2,742.59 Evolutions Healthcare Systems — PRIMENETWORK: $1,490.54
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	Not listed in the file	Not listed in the file	$10.56
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — MCR: $11.19 BayCare Health Plans — MCR: $11.09 BCBS — MCRPPO: $10.77 BCBS — MGMCRHMO: $10.77 CareSource — Tricare: $9.87 Centurion — LOGOV: $11.62 Cigna HealthSpring — MCR: $11.30 Clear Spring Health — MCR: $11.62 Devoted Health — MCR: $10.56 Gold Kidney of Florida — Medicare: $11.51
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	$47.81
Obstetric blood test panel: 10 of 26 insurance plan rates Aetna — MCR: $50.68 BayCare Health Plans — MCR: $50.20 BCBS — MCRPPO: $48.77 BCBS — MGMCRHMO: $48.77 CareSource — Tricare: $58.43 Centurion — LOGOV: $52.59 Cigna HealthSpring — MCR: $51.16 Clear Spring Health — MCR: $52.59 Devoted Health — MCR: $47.81 Gold Kidney of Florida — Medicare: $52.11
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$101.27	$101.27	$4.76 – $93.17
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $7.29 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $4.76 Aetna — ASA: $30.38 AmeriHealth Caritas — HIX: $44.56 AvMed — ASOEO: $27.34 AvMed — HIX: $8.10 AvMed — HMOFI: $23.29 Evolutions Healthcare Systems — ADVANTAGENETWORK: $75.95 Evolutions Healthcare Systems — CHOICENETWORK: $93.17 Evolutions Healthcare Systems — PRIMENETWORK: $50.63
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	Not listed in the file	Not listed in the file	$13.39
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Aetna — MCR: $14.19 BayCare Health Plans — MCR: $14.06 BCBS — MCRPPO: $13.66 BCBS — MGMCRHMO: $13.66 CareSource — Tricare: $12.51 Centurion — LOGOV: $14.73 Cigna HealthSpring — MCR: $14.33 Clear Spring Health — MCR: $14.73 Devoted Health — MCR: $13.39 Gold Kidney of Florida — Medicare: $14.60
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	$2,685.56	$2,685.56	$8.68
Kidney function panel: 10 of 26 insurance plan rates Aetna — MCR: $9.20 BayCare Health Plans — MCR: $9.11 BCBS — MCRPPO: $8.85 BCBS — MGMCRHMO: $8.85 CareSource — Tricare: $8.11 Centurion — LOGOV: $9.55 Cigna HealthSpring — MCR: $9.29 Clear Spring Health — MCR: $9.55 Devoted Health — MCR: $8.68 Gold Kidney of Florida — Medicare: $9.46
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$2,685.56	$2,685.56	$126.22 – $2,470.72
Kidney function panel: 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $193.36 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $126.22 Aetna — ASA: $805.67 AmeriHealth Caritas — HIX: $1,181.65 AvMed — ASOEO: $725.10 AvMed — HIX: $214.84 AvMed — HMOFI: $617.68 Evolutions Healthcare Systems — ADVANTAGENETWORK: $2,014.17 Evolutions Healthcare Systems — CHOICENETWORK: $2,470.72 Evolutions Healthcare Systems — PRIMENETWORK: $1,342.78
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$41	$41	$1.93 – $37.72
Liver function panel: 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $2.95 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1.93 Aetna — ASA: $12.30 AmeriHealth Caritas — HIX: $18.04 AvMed — ASOEO: $11.07 AvMed — HIX: $3.28 AvMed — HMOFI: $9.43 Evolutions Healthcare Systems — ADVANTAGENETWORK: $30.75 Evolutions Healthcare Systems — CHOICENETWORK: $37.72 Evolutions Healthcare Systems — PRIMENETWORK: $20.50
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	Not listed in the file	Not listed in the file	$8.17
Liver function panel: 10 of 26 insurance plan rates Aetna — MCR: $8.66 BayCare Health Plans — MCR: $8.58 BCBS — MCRPPO: $8.33 BCBS — MGMCRHMO: $8.33 CareSource — Tricare: $7.63 Centurion — LOGOV: $8.99 Cigna HealthSpring — MCR: $8.74 Clear Spring Health — MCR: $8.99 Devoted Health — MCR: $8.17 Gold Kidney of Florida — Medicare: $8.91
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$1,146.71	$1,146.71	$53.90 – $1,054.97
Urine test (automated, with microscope): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $82.56 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $53.90 Aetna — ASA: $344.01 AmeriHealth Caritas — HIX: $504.55 AvMed — ASOEO: $309.61 AvMed — HIX: $91.74 AvMed — HMOFI: $263.74 Evolutions Healthcare Systems — ADVANTAGENETWORK: $860.03 Evolutions Healthcare Systems — CHOICENETWORK: $1,054.97 Evolutions Healthcare Systems — PRIMENETWORK: $573.36
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,	Not listed in the file	Not listed in the file	$3.17
Urine test (automated, with microscope): 10 of 26 insurance plan rates Aetna — MCR: $3.36 BayCare Health Plans — MCR: $3.33 BCBS — MCRPPO: $3.23 BCBS — MGMCRHMO: $3.23 CareSource — Tricare: $2.96 Centurion — LOGOV: $3.49 Cigna HealthSpring — MCR: $3.39 Clear Spring Health — MCR: $3.49 Devoted Health — MCR: $3.17 Gold Kidney of Florida — Medicare: $3.46
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPEC GRAV UR MANUAL	$212.86	$212.86	$10 – $195.83
Urine test (manual, without microscope): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $15.33 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $10 Aetna — ASA: $63.86 AmeriHealth Caritas — HIX: $93.66 AvMed — ASOEO: $57.47 AvMed — HIX: $17.03 AvMed — HMOFI: $48.96 Evolutions Healthcare Systems — ADVANTAGENETWORK: $159.65 Evolutions Healthcare Systems — CHOICENETWORK: $195.83 Evolutions Healthcare Systems — PRIMENETWORK: $106.43
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA W O MICRO MANUAL	$919.06	$919.06	$43.20 – $845.54
Urine test (manual, without microscope): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $66.17 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $43.20 Aetna — ASA: $275.72 AmeriHealth Caritas — HIX: $404.39 AvMed — ASOEO: $248.15 AvMed — HIX: $73.52 AvMed — HMOFI: $211.38 Evolutions Healthcare Systems — ADVANTAGENETWORK: $689.29 Evolutions Healthcare Systems — CHOICENETWORK: $845.54 Evolutions Healthcare Systems — PRIMENETWORK: $459.53
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PH UR MANUAL	$220.96	$220.96	$10.39 – $203.28
Urine test (manual, without microscope): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $15.91 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $10.39 Aetna — ASA: $66.29 AmeriHealth Caritas — HIX: $97.22 AvMed — ASOEO: $59.66 AvMed — HIX: $17.68 AvMed — HMOFI: $50.82 Evolutions Healthcare Systems — ADVANTAGENETWORK: $165.72 Evolutions Healthcare Systems — CHOICENETWORK: $203.28 Evolutions Healthcare Systems — PRIMENETWORK: $110.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO	$955.36	$955.36	$44.90 – $878.93
Urine test (automated, without microscope): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $68.79 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $44.90 Aetna — ASA: $286.61 AmeriHealth Caritas — HIX: $420.36 AvMed — ASOEO: $257.95 AvMed — HIX: $76.43 AvMed — HMOFI: $219.73 Evolutions Healthcare Systems — ADVANTAGENETWORK: $716.52 Evolutions Healthcare Systems — CHOICENETWORK: $878.93 Evolutions Healthcare Systems — PRIMENETWORK: $477.68
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,	Not listed in the file	Not listed in the file	$2.25
Urine test (automated, without microscope): 10 of 26 insurance plan rates Aetna — MCR: $2.39 BayCare Health Plans — MCR: $2.36 BCBS — MCRPPO: $2.29 BCBS — MGMCRHMO: $2.29 CareSource — Tricare: $2.10 Centurion — LOGOV: $2.48 Cigna HealthSpring — MCR: $2.41 Clear Spring Health — MCR: $2.48 Devoted Health — MCR: $2.25 Gold Kidney of Florida — Medicare: $2.45
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$41	$41	$1.93 – $37.72
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $2.95 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1.93 Aetna — ASA: $12.30 AmeriHealth Caritas — HIX: $18.04 AvMed — ASOEO: $11.07 AvMed — HIX: $3.28 AvMed — HMOFI: $9.43 Evolutions Healthcare Systems — ADVANTAGENETWORK: $30.75 Evolutions Healthcare Systems — CHOICENETWORK: $37.72 Evolutions Healthcare Systems — PRIMENETWORK: $20.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	Not listed in the file	Not listed in the file	$18.39
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Aetna — MCR: $19.49 BayCare Health Plans — MCR: $19.31 BCBS — MCRPPO: $18.76 BCBS — MGMCRHMO: $18.76 CareSource — Tricare: $17.18 Centurion — LOGOV: $20.23 Cigna HealthSpring — MCR: $19.68 Clear Spring Health — MCR: $20.23 Devoted Health — MCR: $18.39 Gold Kidney of Florida — Medicare: $20.05
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total Other Outpatient	Not listed in the file	Not listed in the file	$18.39
PSA (prostate specific antigen) blood test: rates for 1 insurance plan United VA CCN — FED: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$3,335.81	$3,335.81	$156.78 – $3,068.95
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $240.18 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $156.78 Aetna — ASA: $1,000.74 AmeriHealth Caritas — HIX: $1,467.76 AvMed — ASOEO: $900.67 AvMed — HIX: $266.86 AvMed — HMOFI: $767.24 Evolutions Healthcare Systems — ADVANTAGENETWORK: $2,501.86 Evolutions Healthcare Systems — CHOICENETWORK: $3,068.95 Evolutions Healthcare Systems — PRIMENETWORK: $1,667.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	Not listed in the file	Not listed in the file	$16.80
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Aetna — MCR: $17.81 BayCare Health Plans — MCR: $17.64 BCBS — MCRPPO: $17.14 BCBS — MGMCRHMO: $17.14 CareSource — Tricare: $15.70 Centurion — LOGOV: $18.48 Cigna HealthSpring — MCR: $17.98 Clear Spring Health — MCR: $18.48 Devoted Health — MCR: $16.80 Gold Kidney of Florida — Medicare: $18.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) Other Outpatient	Not listed in the file	Not listed in the file	$16.80
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan United VA CCN — FED: $16.80
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	$7.04 – $10.57
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Aetna — MCR: $8.24 BayCare Health Plans — MCR: $8.16 BCBS — MCRPPO: $7.93 BCBS — MGMCRHMO: $7.93 CareSource — Tricare: $7.26 Centurion — LOGOV: $8.55 Cigna HealthSpring — MCR: $8.31 Clear Spring Health — MCR: $8.55 Devoted Health — MCR: $7.77 Gold Kidney of Florida — Medicare: $8.47
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)	$45.27	$45.27	$6.47
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Aetna — MCR: $6.86 BayCare Health Plans — MCR: $6.79 BCBS — MCRPPO: $6.60 BCBS — MGMCRHMO: $6.60 CareSource — Tricare: $6.05 Centurion — LOGOV: $7.12 Cigna HealthSpring — MCR: $6.92 Clear Spring Health — MCR: $7.12 Devoted Health — MCR: $6.47 Gold Kidney of Florida — Medicare: $7.05
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$45.27	$45.27	$2.13 – $41.65
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $3.26 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $2.13 Aetna — ASA: $13.58 AmeriHealth Caritas — HIX: $19.92 AvMed — ASOEO: $12.22 AvMed — HIX: $3.62 AvMed — HMOFI: $10.41 Evolutions Healthcare Systems — ADVANTAGENETWORK: $33.95 Evolutions Healthcare Systems — CHOICENETWORK: $41.65 Evolutions Healthcare Systems — PRIMENETWORK: $22.64
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) Other Outpatient	$45.27	$45.27	$6.47
Complete blood count (CBC), automated: rates for 1 insurance plan United VA CCN — FED: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$511.98	$511.98	$24.06 – $471.02
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $36.86 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $24.06 Aetna — ASA: $153.59 AmeriHealth Caritas — HIX: $225.27 AvMed — ASOEO: $138.23 AvMed — HIX: $40.96 AvMed — HMOFI: $117.76 Evolutions Healthcare Systems — ADVANTAGENETWORK: $383.99 Evolutions Healthcare Systems — CHOICENETWORK: $471.02 Evolutions Healthcare Systems — PRIMENETWORK: $255.99
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Aetna — MCR: $4.55 BayCare Health Plans — MCR: $4.50 BCBS — MCRPPO: $4.38 BCBS — MGMCRHMO: $4.38 CareSource — Tricare: $4.01 Centurion — LOGOV: $4.72 Cigna HealthSpring — MCR: $4.59 Clear Spring Health — MCR: $4.72 Devoted Health — MCR: $4.29 Gold Kidney of Florida — Medicare: $4.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; Other Outpatient	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan United VA CCN — FED: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$1,829.74	$1,829.74	$86 – $1,683.36
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $131.74 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $86 Aetna — ASA: $548.92 AmeriHealth Caritas — HIX: $805.09 AvMed — ASOEO: $494.03 AvMed — HIX: $146.38 AvMed — HMOFI: $420.84 Evolutions Healthcare Systems — ADVANTAGENETWORK: $1,372.31 Evolutions Healthcare Systems — CHOICENETWORK: $1,683.36 Evolutions Healthcare Systems — PRIMENETWORK: $914.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood	Not listed in the file	Not listed in the file	$6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Aetna — MCR: $6.37 BayCare Health Plans — MCR: $6.31 BCBS — MCRPPO: $6.13 BCBS — MGMCRHMO: $6.13 CareSource — Tricare: $5.62 Centurion — LOGOV: $6.61 Cigna HealthSpring — MCR: $6.43 Clear Spring Health — MCR: $6.61 Devoted Health — MCR: $6.01 Gold Kidney of Florida — Medicare: $6.55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood Other Outpatient	Not listed in the file	Not listed in the file	$6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan United VA CCN — FED: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT	$15,207.65	$15,207.65	$714.76 – $13,991.04
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,094.95 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $714.76 Aetna — ASA: $4,562.30 Aetna — QHP: $2,418.02 AmeriHealth Caritas — HIX: $6,691.37 Evolutions Healthcare Systems — ADVANTAGENETWORK: $11,405.74 Evolutions Healthcare Systems — CHOICENETWORK: $13,991.04 Evolutions Healthcare Systems — PRIMENETWORK: $7,603.82 Evolutions Healthcare Systems — SELECTNETWORK: $11,405.74 Molina — HIX: $4,106.07
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	$15,207.65	$15,207.65	$245.18 – $1,975
CT scan of the head or brain, without contrast: rates for 6 insurance plans AvMed — ASOEO: $1,975 AvMed — HIX: $767 AvMed — HMOFI: $1,780 United — AllPayerAppendix: $245.18 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$25,236.40	$25,236.40	$1,186.11 – $23,217.49
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,817.02 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,186.11 Aetna — ASA: $7,570.92 Aetna — QHP: $4,012.59 AmeriHealth Caritas — HIX: $11,104.02 Evolutions Healthcare Systems — ADVANTAGENETWORK: $18,927.30 Evolutions Healthcare Systems — CHOICENETWORK: $23,217.49 Evolutions Healthcare Systems — PRIMENETWORK: $12,618.20 Evolutions Healthcare Systems — SELECTNETWORK: $18,927.30 Molina — HIX: $6,813.83
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	$25,236.40	$25,236.40	$828.27 – $3,623
MRI of the brain, before and after contrast: rates for 6 insurance plans AvMed — ASOEO: $3,623 AvMed — HIX: $1,123 AvMed — HMOFI: $3,265 United — AllPayerAppendix: $828.27 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (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	$95	$95	$4.46 – $87.40
Chest X-ray, 2 views: 10 of 24 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $6.84 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $4.46 Aetna — ASA: $28.50 AmeriHealth Caritas — HIX: $41.80 AvMed — ASOEO: $25.65 AvMed — HIX: $7.60 AvMed — HMOFI: $21.85 Evolutions Healthcare Systems — ADVANTAGENETWORK: $71.25 Evolutions Healthcare Systems — CHOICENETWORK: $87.40 Evolutions Healthcare Systems — PRIMENETWORK: $47.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views Other Diagnostic Radiology FS	Not listed in the file	Not listed in the file	$182.03
Chest X-ray, 2 views: rates for 1 insurance plan United — AllPayerAppendix: $182.03
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	Not listed in the file
Chest X-ray, 2 views: rates for 3 insurance plans Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — QHP: 10.9% (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: XR L-SPINE 4 + VIEWS	$4,790.05	$4,790.05	$225.13 – $4,406.85
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $344.88 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $225.13 Aetna — ASA: $1,437.02 AmeriHealth Caritas — HIX: $2,107.62 AvMed — ASOEO: $1,293.31 AvMed — HIX: $383.20 AvMed — HMOFI: $1,101.71 Evolutions Healthcare Systems — ADVANTAGENETWORK: $3,592.54 Evolutions Healthcare Systems — CHOICENETWORK: $4,406.85 Evolutions Healthcare Systems — PRIMENETWORK: $2,395.03
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 Other Diagnostic Radiology FS	Not listed in the file	Not listed in the file	$245.18
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan United — AllPayerAppendix: $245.18
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	Not listed in the file	Not listed in the file	Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — QHP: 10.9% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$18,414.99	$18,414.99	$865.50 – $16,941.79
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,325.88 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $865.50 Aetna — ASA: $5,524.50 Aetna — QHP: $2,927.98 AmeriHealth Caritas — HIX: $8,102.60 Evolutions Healthcare Systems — ADVANTAGENETWORK: $13,811.24 Evolutions Healthcare Systems — CHOICENETWORK: $16,941.79 Evolutions Healthcare Systems — PRIMENETWORK: $9,207.50 Evolutions Healthcare Systems — SELECTNETWORK: $13,811.24 Molina — HIX: $4,972.05
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	$18,414.99	$18,414.99	$517.79 – $3,623
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans AvMed — ASOEO: $3,623 AvMed — HIX: $1,123 AvMed — HMOFI: $3,265 United — AllPayerAppendix: $517.79 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (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	$18,693.41	$18,693.41	$878.59 – $17,197.94
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,345.93 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $878.59 Aetna — ASA: $5,608.02 Aetna — QHP: $2,972.25 AmeriHealth Caritas — HIX: $8,225.10 Evolutions Healthcare Systems — ADVANTAGENETWORK: $14,020.06 Evolutions Healthcare Systems — CHOICENETWORK: $17,197.94 Evolutions Healthcare Systems — PRIMENETWORK: $9,346.70 Evolutions Healthcare Systems — SELECTNETWORK: $14,020.06 Molina — HIX: $5,047.22
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$401.74 – $1,975
CT scan of the pelvis, with contrast: rates for 6 insurance plans AvMed — ASOEO: $1,975 AvMed — HIX: $767 AvMed — HMOFI: $1,780 United — AllPayerAppendix: $401.74 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (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) 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	$517.79 – $3,623
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans AvMed — ASOEO: $3,623 AvMed — HIX: $1,123 AvMed — HMOFI: $3,265 United — AllPayerAppendix: $517.79 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (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 50 In the file: MRI LW JNT W/O CONT BI	$14,435.86	$14,435.86	$678.49 – $13,280.99
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,039.38 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $678.49 Aetna — ASA: $4,330.76 Aetna — QHP: $2,295.30 AmeriHealth Caritas — HIX: $6,351.78 Evolutions Healthcare Systems — ADVANTAGENETWORK: $10,826.90 Evolutions Healthcare Systems — CHOICENETWORK: $13,280.99 Evolutions Healthcare Systems — PRIMENETWORK: $7,217.93 Evolutions Healthcare Systems — SELECTNETWORK: $10,826.90 Molina — HIX: $3,897.68
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	$14,392.35	$14,392.35	$676.44 – $13,240.96
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,036.25 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $676.44 Aetna — ASA: $4,317.70 Aetna — QHP: $2,288.38 AmeriHealth Caritas — HIX: $6,332.63 Evolutions Healthcare Systems — ADVANTAGENETWORK: $10,794.26 Evolutions Healthcare Systems — CHOICENETWORK: $13,240.96 Evolutions Healthcare Systems — PRIMENETWORK: $7,196.18 Evolutions Healthcare Systems — SELECTNETWORK: $10,794.26 Molina — HIX: $3,885.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$37,381.44	$37,381.44	$1,756.93 – $34,390.92
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $2,691.46 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,756.93 Aetna — ASA: $11,214.43 Aetna — QHP: $5,943.65 AmeriHealth Caritas — HIX: $16,447.83 Evolutions Healthcare Systems — ADVANTAGENETWORK: $28,036.08 Evolutions Healthcare Systems — CHOICENETWORK: $34,390.92 Evolutions Healthcare Systems — PRIMENETWORK: $18,690.72 Evolutions Healthcare Systems — SELECTNETWORK: $28,036.08 Molina — HIX: $10,092.99
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)	$37,381.44	$37,381.44	$767 – $1,975
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans AvMed — ASOEO: $1,975 AvMed — HIX: $767 AvMed — HMOFI: $1,780 United — AllPayerAppendix: $828.27 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$6,744.08	$6,744.08	$316.97 – $6,204.55
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $485.57 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $316.97 Aetna — ASA: $2,023.22 AmeriHealth Caritas — HIX: $2,967.40 AvMed — ASOEO: $1,820.90 AvMed — HIX: $539.53 AvMed — HMOFI: $1,551.14 Evolutions Healthcare Systems — ADVANTAGENETWORK: $5,058.06 Evolutions Healthcare Systems — CHOICENETWORK: $6,204.55 Evolutions Healthcare Systems — PRIMENETWORK: $3,372.04
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$245.18
Ultrasound of the abdomen, complete: rates for 4 insurance plans United — AllPayerAppendix: $245.18 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — QHP: 10.9% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$4,240.53	$4,240.53	$199.30 – $3,901.29
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $305.32 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $199.30 Aetna — ASA: $1,272.16 AmeriHealth Caritas — HIX: $1,865.83 AvMed — ASOEO: $1,144.94 AvMed — HIX: $339.24 AvMed — HMOFI: $975.32 Evolutions Healthcare Systems — ADVANTAGENETWORK: $3,180.40 Evolutions Healthcare Systems — CHOICENETWORK: $3,901.29 Evolutions Healthcare Systems — PRIMENETWORK: $2,120.26
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	Not listed in the file	Not listed in the file	$245.18
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans United — AllPayerAppendix: $245.18 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — QHP: 10.9% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$4,240.53	$4,240.53	$199.30 – $3,901.29
Transvaginal ultrasound: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $305.32 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $199.30 Aetna — ASA: $1,272.16 AmeriHealth Caritas — HIX: $1,865.83 AvMed — ASOEO: $1,144.94 AvMed — HIX: $339.24 AvMed — HMOFI: $975.32 Evolutions Healthcare Systems — ADVANTAGENETWORK: $3,180.40 Evolutions Healthcare Systems — CHOICENETWORK: $3,901.29 Evolutions Healthcare Systems — PRIMENETWORK: $2,120.26
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$245.18
Transvaginal ultrasound: rates for 4 insurance plans United — AllPayerAppendix: $245.18 Aetna — GatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 16.4% (a percentage in the contract, not a dollar amount) Aetna — QHP: 10.9% (a percentage in the contract, not a dollar amount)
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	$205.70
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna — MCR: $87.52 BayCare Health Plans — MCR: $86.70 BCBS — MCRPPO: $84.22 BCBS — MGMCRHMO: $84.22 CareSource — Tricare: $82.57 Centurion — LOGOV: $90.83 Cigna HealthSpring — MCR: $88.35 Clear Spring Health — MCR: $90.83 Devoted Health — MCR: $82.57 Gold Kidney of Florida — Medicare: $90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$751.51	$751.51	$35.32 – $691.39
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $54.11 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $35.32 Aetna — ASA: $225.45 AmeriHealth Caritas — HIX: $330.66 AvMed — ASOEO: $202.91 AvMed — HIX: $60.12 AvMed — HMOFI: $172.85 Evolutions Healthcare Systems — ADVANTAGENETWORK: $563.63 Evolutions Healthcare Systems — CHOICENETWORK: $691.39 Evolutions Healthcare Systems — PRIMENETWORK: $375.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$751.51	$751.51	$35.32 – $691.39
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $54.11 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $35.32 Aetna — ASA: $225.45 AmeriHealth Caritas — HIX: $330.66 AvMed — ASOEO: $202.91 AvMed — HIX: $60.12 AvMed — HMOFI: $172.85 Evolutions Healthcare Systems — ADVANTAGENETWORK: $563.63 Evolutions Healthcare Systems — CHOICENETWORK: $691.39 Evolutions Healthcare Systems — PRIMENETWORK: $375.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient	$1,141.06	$1,141.06	$106.06
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna — MCR: $112.42 BayCare Health Plans — MCR: $111.36 BCBS — MCRPPO: $108.18 BCBS — MGMCRHMO: $108.18 CareSource — Tricare: $106.05 Centurion — LOGOV: $116.67 Cigna HealthSpring — MCR: $113.48 Clear Spring Health — MCR: $116.67 Devoted Health — MCR: $106.06 Gold Kidney of Florida — Medicare: $115.61
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$1,141.06	$1,141.06	$53.63 – $1,049.78
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $82.16 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $53.63 Aetna — ASA: $342.32 AmeriHealth Caritas — HIX: $502.07 AvMed — ASOEO: $308.09 AvMed — HIX: $91.28 AvMed — HMOFI: $262.44 Evolutions Healthcare Systems — ADVANTAGENETWORK: $855.79 Evolutions Healthcare Systems — CHOICENETWORK: $1,049.78 Evolutions Healthcare Systems — PRIMENETWORK: $570.53
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	$267.08	$267.08	$217.46
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — MCR: $92.60 BayCare Health Plans — MCR: $91.73 BCBS — MCRPPO: $89.11 BCBS — MGMCRHMO: $89.11 CareSource — Tricare: $87.36 Centurion — LOGOV: $96.10 Cigna HealthSpring — MCR: $93.48 Clear Spring Health — MCR: $96.10 Devoted Health — MCR: $87.36 Gold Kidney of Florida — Medicare: $95.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$267.08	$267.08	$12.55 – $245.71
Screening mammogram, both breasts: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $19.23 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $12.55 Aetna — ASA: $80.12 AmeriHealth Caritas — HIX: $117.52 AvMed — ASOEO: $72.11 AvMed — HIX: $21.37 AvMed — HMOFI: $61.43 Evolutions Healthcare Systems — ADVANTAGENETWORK: $200.31 Evolutions Healthcare Systems — CHOICENETWORK: $245.71 Evolutions Healthcare Systems — PRIMENETWORK: $133.54

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	Not listed in the file	Not listed in the file	$12.61 – $13
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans CareSource — Tricare: $13 Humana — TRICARE: $12.61 Aetna — GatedCOMM: 23.8% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 23.8% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.9% (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	$30,386
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $3,500 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $2,940 Aetna — GatedCOMM: $30,386 Aetna — NonGatedCOMM: $30,386 AvMed — ASOEO: $26,145 AvMed — HIX: $10,168 AvMed — HMOFI: $23,578 Cigna — HMO: $12,638 Cigna — PPO: $12,638 Evolutions Healthcare Systems — PrimeTier1: $13,560
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	Not listed in the file	Not listed in the file	$47,009
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $7,650 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $6,426 Aetna — GatedCOMM: $47,009 Aetna — NonGatedCOMM: $47,009 BCBS — HMO: $18,398 BCBS — PHS: $27,714 Cigna — HMO: $23,865 Cigna — PPO: $23,865 Evolutions Healthcare Systems — PrimeTier1: $23,125 Molina — HIX: $8,010
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	Not listed in the file	Not listed in the file	$25,121 – $44,541
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans AvMed — ASOEO: $44,541 AvMed — HIX: $25,121 AvMed — HMOFI: $40,167
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,	Not listed in the file	Not listed in the file	$47,009
Heart rhythm study with ablation for atrial fibrillation: 10 of 18 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $7,650 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $6,426 Aetna — GatedCOMM: $47,009 Aetna — NonGatedCOMM: $47,009 BCBS — HMO: $18,398 BCBS — PHS: $27,714 Cigna — HMO: $23,865 Cigna — PPO: $23,865 Evolutions Healthcare Systems — PrimeTier1: $23,125 Molina — HIX: $8,010
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters,	Not listed in the file	Not listed in the file	$25,121 – $44,541
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans AvMed — ASOEO: $44,541 AvMed — HIX: $25,121 AvMed — HMOFI: $40,167
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR	$16,564.94	$16,564.94	$778.55 – $15,239.74
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,192.68 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $778.55 Aetna — ASA: $4,969.48 AmeriHealth Caritas — HIX: $7,288.57 AvMed — ASOEO: $4,472.53 AvMed — HIX: $1,325.20 AvMed — HMOFI: $3,809.94 BCBS — HMO: $1,904.97 BCBS — PHS: $3,462.07 Cigna — HMO: $2,981.69
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	$16,564.94	$16,564.94	$1,992
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans United — AllPayerAppendix: $1,992 Aetna — GatedCOMM: 23.8% (a percentage in the contract, not a dollar amount) Aetna — NonGatedCOMM: 23.8% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.9% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · 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
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates Aetna — MCR: $30.34 BayCare Health Plans — MCR: $30.05 BCBS — MCRPPO: $29.19 BCBS — MGMCRHMO: $29.19 CareSource — Tricare: $28.63 Centurion — LOGOV: $31.48 Cigna HealthSpring — MCR: $30.62 Clear Spring Health — MCR: $31.48 Devoted Health — MCR: $28.62 Gold Kidney of Florida — Medicare: $31.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT	$378.17	$378.17	$17.77 – $347.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $27.23 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $17.77 Aetna — ASA: $113.45 AmeriHealth Caritas — HIX: $166.39 AvMed — ASOEO: $102.11 AvMed — HIX: $30.25 AvMed — HMOFI: $86.98 Cigna — HMO: $68.07 Cigna — PPO: $68.07 Evolutions Healthcare Systems — ADVANTAGENETWORK: $283.63
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: THER EXERCIS 15 MIN PTCQ	$378.17	$378.17	$17.77 – $347.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $27.23 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $17.77 Aetna — ASA: $113.45 AmeriHealth Caritas — HIX: $166.39 AvMed — ASOEO: $102.11 AvMed — HIX: $30.25 AvMed — HMOFI: $86.98 Cigna — HMO: $68.07 Cigna — PPO: $68.07 Evolutions Healthcare Systems — ADVANTAGENETWORK: $283.63
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	$96
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates Aetna — MCR: $101.76 BayCare Health Plans — MCR: $100.80 BCBS — MCRPPO: $97.92 BCBS — MGMCRHMO: $97.92 CareSource — Tricare: $96 Centurion — LOGOV: $105.60 Cigna HealthSpring — MCR: $102.72 Clear Spring Health — MCR: $105.60 Devoted Health — MCR: $96 Gold Kidney of Florida — Medicare: $104.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$426.93	$426.93	$20.07 – $392.78
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $30.74 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $20.07 Aetna — ASA: $128.08 AmeriHealth Caritas — HIX: $187.85 AvMed — ASOEO: $115.27 AvMed — HIX: $34.15 AvMed — HMOFI: $98.19 Cigna — HMO: $76.85 Cigna — PPO: $76.85 Evolutions Healthcare Systems — ADVANTAGENETWORK: $320.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ 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	$84.48 – $114.05
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates Aetna — MCR: $89.55 BayCare Health Plans — MCR: $88.70 BCBS — MCRPPO: $86.17 BCBS — MGMCRHMO: $86.17 Centurion — LOGOV: $92.93 Cigna HealthSpring — MCR: $90.39 Clear Spring Health — MCR: $92.93 Devoted Health — MCR: $84.48 Gold Kidney of Florida — Medicare: $92.08 HUMANA — MGMCRHMO: $92.93
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	$93.12 – $129.60
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates Aetna — MCR: $101.76 BayCare Health Plans — MCR: $100.80 BCBS — MCRPPO: $97.92 BCBS — MGMCRHMO: $97.92 CareSource — Tricare: $96 Centurion — LOGOV: $105.60 Cigna HealthSpring — MCR: $102.72 Clear Spring Health — MCR: $105.60 Devoted Health — MCR: $96 Gold Kidney of Florida — Medicare: $104.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$362.03	$362.03	$17.02 – $333.07
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $26.07 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $17.02 Aetna — ASA: $108.61 AmeriHealth Caritas — HIX: $159.29 AvMed — ASOEO: $97.75 AvMed — HIX: $28.96 AvMed — HMOFI: $83.27 Cigna — HMO: $65.17 Cigna — PPO: $65.17 Evolutions Healthcare Systems — ADVANTAGENETWORK: $271.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ 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	$84.48
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates Aetna — MCR: $89.55 BayCare Health Plans — MCR: $88.70 BCBS — MCRPPO: $86.17 BCBS — MGMCRHMO: $86.17 Centurion — LOGOV: $92.93 Cigna HealthSpring — MCR: $90.39 Clear Spring Health — MCR: $92.93 Devoted Health — MCR: $84.48 Gold Kidney of Florida — Medicare: $92.08 HUMANA — MGMCRHMO: $92.93
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	$93.12 – $129.60
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates Aetna — MCR: $101.76 BayCare Health Plans — MCR: $100.80 BCBS — MCRPPO: $97.92 BCBS — MGMCRHMO: $97.92 CareSource — Tricare: $96 Centurion — LOGOV: $105.60 Cigna HealthSpring — MCR: $102.72 Clear Spring Health — MCR: $105.60 Devoted Health — MCR: $96 Gold Kidney of Florida — Medicare: $104.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$426.93	$426.93	$20.07 – $392.78
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $30.74 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $20.07 Aetna — ASA: $128.08 AmeriHealth Caritas — HIX: $187.85 AvMed — ASOEO: $115.27 AvMed — HIX: $34.15 AvMed — HMOFI: $98.19 Cigna — HMO: $76.85 Cigna — PPO: $76.85 Evolutions Healthcare Systems — ADVANTAGENETWORK: $320.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ 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	$84.48
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates Aetna — MCR: $89.55 BayCare Health Plans — MCR: $88.70 BCBS — MCRPPO: $86.17 BCBS — MGMCRHMO: $86.17 Centurion — LOGOV: $92.93 Cigna HealthSpring — MCR: $90.39 Clear Spring Health — MCR: $92.93 Devoted Health — MCR: $84.48 Gold Kidney of Florida — Medicare: $92.08 HUMANA — MGMCRHMO: $92.93

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: 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	$14,716
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 Aetna — GatedCOMM: $14,716 Aetna — NonGatedCOMM: $14,716 AvMed — ASOEO: $30,392 AvMed — HIX: $12,410 AvMed — HMOFI: $27,406 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $11,502
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	Not listed in the file	Not listed in the file	$7,480
Total hip replacement: 10 of 26 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 Aetna — GatedCOMM: $31,455 Aetna — NonGatedCOMM: $31,455 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $7,480
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$23,245 – $41,379
Total hip replacement: rates for 3 insurance plans AvMed — ASOEO: $41,379 AvMed — HIX: $23,245 AvMed — HMOFI: $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	$975 – $46,469
Total knee replacement: 10 of 28 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 Aetna — GatedCOMM: $31,455 Aetna — NonGatedCOMM: $31,455 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $7,480
Total knee replacement CPT 27447 · Inpatient (hospital 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	$23,245 – $41,379
Total knee replacement: rates for 3 insurance plans AvMed — ASOEO: $41,379 AvMed — HIX: $23,245 AvMed — HMOFI: $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	$3,843 – $30,392
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $4,575 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $3,843 Aetna — GatedCOMM: $14,716 Aetna — NonGatedCOMM: $14,716 AvMed — ASOEO: $30,392 AvMed — HIX: $12,410 AvMed — HMOFI: $27,406 Cigna — HMO: $11,502 Cigna — PPO: $11,502 Evolutions Healthcare Systems — PrimeTier1: $14,791
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	$14,716
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $4,575 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $3,843 Aetna — GatedCOMM: $14,716 Aetna — NonGatedCOMM: $14,716 AvMed — ASOEO: $30,392 AvMed — HIX: $12,410 AvMed — HMOFI: $27,406 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $11,502
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	$975 – $7,522
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$2,000 – $7,480
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $2,505 BCBS — PHS: $5,509 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,638 – $7,480
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $2,505 BCBS — PHS: $5,509 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$2,000 – $7,480
Colonoscopy (diagnostic): 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $2,505 BCBS — PHS: $5,509 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$7,480
Colonoscopy with biopsy: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $3,196 BCBS — PHS: $6,649 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,950 – $13,164
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $3,196 BCBS — PHS: $6,649 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,500 – $7,480
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $3,196 BCBS — PHS: $6,649 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,824 – $3,178
Screening colonoscopy (not high risk): rates for 3 insurance plans Oscar — HIX: $3,178 Simply Healthcare — HIX: $1,824 United — AllPayerAppendix: $2,821
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	$2,702 – $26,723
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $4,575 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $3,843 Aetna — GatedCOMM: $17,747 Aetna — NonGatedCOMM: $17,747 AvMed — ASOEO: $26,723 AvMed — HIX: $13,550 AvMed — HMOFI: $24,098 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $14,220
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	$975 – $9,467
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $4,575 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $3,843 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,250 – $3,955
Prostate biopsy: rates for 3 insurance plans Oscar — HIX: $3,955 Simply Healthcare — HIX: $2,594 Suncoast Neighborly Care — MedicarePACE: $1,250
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;	Not listed in the file	Not listed in the file	$14,220 – $17,918
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $29,371 AvMed — HIX: $12,269 AvMed — HMOFI: $26,489 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $14,220 Cigna — PPO: $14,220 Evolutions Healthcare Systems — PrimeTier1: $17,918
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	Not listed in the file	Not listed in the file	$14,716
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $4,575 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $3,843 Aetna — GatedCOMM: $14,716 Aetna — NonGatedCOMM: $14,716 AvMed — ASOEO: $29,371 AvMed — HIX: $12,269 AvMed — HMOFI: $26,489 BCBS — HMO: $10,327 BCBS — PHS: $14,680 Cigna — HMO: $11,502
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	$1,824 – $7,480
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $2,505 BCBS — PHS: $5,509 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$7,480
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 BCBS — HMO: $2,505 BCBS — PHS: $5,509 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702 Molina — MGMCR: $1,950 Optimum Healthcare — MCRHMO: $1,950 Optimum Healthcare — PFFS: $1,950
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	$1,250 – $7,522
Carpal tunnel release: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $4,575 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $3,843 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $5,164 BCBS — PHS: $8,547 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,824 – $7,480
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $2,257 BCBS — PHS: $5,223 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702
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	$1,250 – $7,522
Cataract removal with lens implant: 10 of 19 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 BCBS — HMO: $5,164 BCBS — PHS: $8,547 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: 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	$7,480
Vaginal delivery, with care before and after: 10 of 16 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702 Molina — MGMCR: $1,950 Optimum Healthcare — MCRHMO: $1,950
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	$7,480
Cesarean delivery (C-section), with care before and after: 10 of 16 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702 Molina — MGMCR: $1,950 Optimum Healthcare — MCRHMO: $1,950
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	$7,480
Vaginal delivery after a previous C-section, with care before and after: 10 of 16 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $1,950 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $1,638 AvMed — ASOEO: $13,164 AvMed — HIX: $5,119 AvMed — HMOFI: $11,869 Cigna — HMO: $7,480 Cigna — PPO: $7,480 Molina — HIX: $2,702 Molina — MGMCR: $1,950 Optimum Healthcare — MCRHMO: $1,950

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Trauma	Not listed in the file	Not listed in the file	$82,676.43
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 52 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $86,085.76 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $85,233.43 Aetna — GatedCOMM: $134,312 Aetna — MCR: $90,347.44 Aetna — NonGatedCOMM: $134,312 AvMed — ASOEO: $152,990 AvMed — HIX: $64,646 AvMed — HMOFI: $137,962 BayCare Health Plans — MCR: $96,313.78 BCBS — HMO: $90,860.86
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	$1,050 – $4,655
Hip or knee replacement (major joint of the leg), without major complications: 10 of 51 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $19,024.69 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $18,836.33 Aetna — GatedCOMM: $37,494 Aetna — MCR: $19,966.51 Aetna — NonGatedCOMM: $37,494 AvMed — ASOEO: $4,655 AvMed — HIX: $1,919 AvMed — HMOFI: $4,198 BayCare Health Plans — MCR: $21,285.05 BCBS — HMO: $44,275
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 Trauma	Not listed in the file	Not listed in the file	$18,271.24
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan HUMANA — MGMCRPPO: $18,271.24
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	$25,253.31
Neck (cervical) spinal fusion, without complications: 10 of 51 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $23,399.85 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $23,168.17 Aetna — GatedCOMM: $54,187 Aetna — MCR: $24,558.26 Aetna — NonGatedCOMM: $54,187 AvMed — ASOEO: $4,655 AvMed — HIX: $1,919 AvMed — HMOFI: $4,198 BayCare Health Plans — MCR: $26,180.03 BCBS — HMO: $44,275
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Trauma	Not listed in the file	Not listed in the file	$22,473.12
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan HUMANA — MGMCRPPO: $22,473.12
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	$1,050 – $4,655
Uterus and ovary surgery (not for cancer), without complications: 10 of 51 insurance plan rates Access 2 Healthcare Physicians Freedom Health — MGMCR: $13,148.44 Access 2 Healthcare Physicians Freedom Optimum Group Members — MGMCR: $13,018.26 Aetna — GatedCOMM: $23,771 Aetna — MCR: $13,799.36 Aetna — NonGatedCOMM: $23,771 AvMed — ASOEO: $4,655 AvMed — HIX: $1,919 AvMed — HMOFI: $4,198 BayCare Health Plans — MCR: $14,710.63 BCBS — HMO: $25,499
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 Trauma	Not listed in the file	Not listed in the file	$12,627.71
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan HUMANA — MGMCRPPO: $12,627.71

Source: HCA Florida Pasadena Hospital a Part of HCA Florid…’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 type	Acute Care Hospital
Address	1501 Pasadena Ave S, Saint Petersburg, FL 33707
County	Pinellas County
State	Florida
Phone	(727) 381‑1000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	Not rated by CMS
CMS Certification Number	100126
Name in Medicare records	HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile level	Medicare data + hospital website
Name on the hospital’s website	HCA Florida Pasadena Hospital
Official website	hcafloridahealthcare.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Visitor Policy — hcafloridahealthcare.com
Pasadena Hospital — hcafloridahealthcare.com
Imaging Center | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
ER Doctors in St. Petersburg | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Inpatient Physical Therapy | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Outpatient physical rehabilitation | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Awards and Recognition | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Weight loss surgery | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Neurological care | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Stroke Care in St. Petersburg | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Orthopedics in St. Petersburg | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
General Surgeons in St. Petersburg | HCA Florida Pasadena Hospital — hcafloridahealthcare.com
Women's care | HCA Florida Pasadena Hospital — hcafloridahealthcare.com