Does HCA Florida Putnam Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at HCA Florida Putnam Hospital. In a medical emergency, call 911.

Where is HCA Florida Putnam Hospital?

611 Zeagler Dr, Palatka, FL 32177, in Putnam County, Florida.

What is the phone number of HCA Florida Putnam Hospital?

(386) 328-5711, as listed by Medicare (CMS).

What is the Medicare star rating of HCA Florida Putnam Hospital?

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

HCA Florida Putnam Hospital — Palatka, FL

Quick answers

Does HCA Florida Putnam Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at HCA Florida Putnam Hospital. In a medical emergency, call 911.
Where is HCA Florida Putnam Hospital?: 611 Zeagler Dr, Palatka, FL 32177, in Putnam County, Florida.
What is the phone number of HCA Florida Putnam Hospital?: (386) 328-5711, as listed by Medicare (CMS).
What is the Medicare star rating of HCA Florida Putnam Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cardiology
Diagnostics and Laboratory
Emergency Care
Gastroenterology
Imaging Services
Orthopedic Care
Outpatient Physical Rehabilitation
Pulmonary Care
Surgery
Women's Care

Conditions treated^{[7][9][10][12][15]}

Aortic aneurysm
Congenital heart abnormalities
Coronary artery disease
Heart arrhythmia
Heart failure
Heart infection
High blood pressure
Unstable angina
Valvular heart disease
Broken bones
Chest pain
Concussion
Trouble breathing
Acute and chronic pain
Amputation recovery needs
Arthritis
Burns
Cognitive dysfunction and head injuries
Dysarthria
Dysphagia
Joint injuries
Low back pain
Lymphedema
Musculoskeletal injuries
Muscle weakness and deconditioning
Osteoporosis
Neck pain
Parkinson's disease
Plantar fasciitis
Tendinitis
Urinary incontinence
Temporomandibular joint dysfunction
Acute fractures
Degenerative bone diseases
Ligament damage
Sports-related injuries
Work-related injuries
Breast cancer

Treatments^{[8][9][10][13][15][16]}

Angioplasty
Cardioverter-defibrillator implantation
Fractional flow reserve
Intravascular ultrasound
Pacemaker insertion
Peripheral arterial disease intervention
Peripheral atherectomy
Stenting
Computed tomography (CT) scan
Magnetic resonance imaging (MRI)
Nuclear medicine
X-ray
Digital mammography
Occupational therapy
Physical therapy
Speech therapy
Breast biopsy
Chemotherapy
Radiation therapy
Nutritional counseling
Complete blood count
Cholesterol testing
Glucose testing
Lipid panel
Liver panel
Arterial blood gas test
Noninvasive ventilation studies
Pulmonary function studies
Sleep disorder testing

Procedures^[4][12][13]

Cardiac catheterization
Orthopedic surgery of shoulders, hands and wrists, hips, knees, feet and ankles
Appendectomy
Biopsies
Cholecystectomy
Colectomy
Debridement of wound, burn or infection
Hemorrhoidectomy
Hernia repair
Hysterectomy
Tonsillectomy
Hip health assessment
Knee health assessment

Programs and centers^{[6][7][9][10][11][14]}

24/7 emergency department
10-bed intensive care unit
Step-down care unit
Inpatient and outpatient rehabilitation
Heart health assessment
Pediatric emergency care
Pediatric rehabilitation
Stroke rehabilitation
Vestibular rehabilitation
Wound care
Patient surgery text updates

Emergency care (hospital website)^[4][6][7]

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

Visiting and practical information

Visiting	Visiting hours 7 a.m. to 7 p.m., if the patient consents to guests^[5]
Patient portal	MyHealthONE

Recognition^[4][6]

Primary Stroke Center (Joint Commission)
Joint Commission hospital accreditation
Leapfrog Group A grade
Healthgrades Coronary Intervention Excellence Award (2024-2025)
Accredited by The Joint Commission
Accredited in CT, MRI, nuclear medicine and ultrasound by the American College of Radiology

Doctors and clinicians (249)

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

Main specialties

And 225 more: the button below opens the full list.

Other emergency rooms nearby

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

Flagler Hospital27 mi · Saint Augustine, FL · Acute Care Hospital
AdventHealth Palm Coast Parkway28 mi · Palm Coast, FL · Acute Care Hospital
Ascension St Vincent's St Johns County31 mi · St. Johns, FL · Acute Care Hospital
AdventHealth Palm Coast32 mi · Palm Coast, FL · Acute Care Hospital
Ascension St Vincent's Clay County33 mi · Middleburg, FL · Acute Care Hospital

Other hospitals nearby

Kindred Hospital-North Florida24 mi · Green Cove Springs, FL · Long-Term Acute Care Hospital
Encompass Health Rehabilitation Hospital of St Aug…26 mi · Saint Augustine, 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

Palatka Center for Rehabilitation and Healing0.5 mi · Palatka, FL · 2 of 5 stars
Radiant Nursing and Rehab at Palatka1.9 mi · Palatka, FL · 4 of 5 stars
The Pavilion at Crescent Lake18 mi · Crescent City, FL · 3 of 5 stars

All nursing homes in the state →

Home health agencies

Brooks Rehabilitation Home Health3.9 mi · Palatka, FL
Legacy Home Health Care Inc20 mi · Keystone Heights, FL
Bravery Home Healthcare25 mi · St Augustine, FL

All home health agencies in the state →

Dialysis facilities

BMA - Palatka3.9 mi · Palatka, FL · 1 of 5 stars
DaVita Palatka Dialysis3.9 mi · Palatka, FL · 1 of 5 stars
DaVita St Augustine Dialysis25 mi · Saint Augustine, 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.

Old Moultrie Surgical Center25 mi · Saint Augustine, FL
St Augustine Ambulatory Surgery Center LLC25 mi · Saint Augustine, FL
St Augustine Endoscopy Center25 mi · Saint Augustine, 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

Aza Health2.3 mi · Palatka, FL · Community health center
Aza Health3.0 mi · Palatka, FL · Community health center
Aza Health Mobile Medical3.2 mi · Palatka, FL · Community health center

Clinics and urgent care

Acute Care Pediatrics, PA3.9 mi · Palatka, FL · Rural health clinic
Better Health and Wellness Clinic3.9 mi · Palatka, FL · Rural health clinic
Express Urgent Care, LLC3.9 mi · Palatka, FL · Urgent care center

Pharmacies

Pinnacle Pharmaceutical Services3.9 mi · Palatka, FL · Community/retail pharmacy
Publix Super Markets, Inc3.9 mi · Palatka, FL · Community/retail pharmacy
Rural Health Care, Inc.3.9 mi · Palatka, FL · Community/retail pharmacy

Assisted living nearby

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

Kiva of Palatka3.9 mi · Palatka, FL
Putnam Caregivers LLC3.9 mi · Palatka, FL
The Arc of Putnam County Inc3.9 mi · Palatka, FL
The Arc of Putnam County, Inc3.9 mi · Palatka, 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 Putnam Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	60%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	83%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	478Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
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	0.111Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.5%
Deaths within 30 days: heart failure patients	11.9%
Deaths within 30 days: pneumonia patients	20.9%
Deaths within 30 days: COPD patients	11.2%
Deaths within 30 days: stroke patients	16.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Complications after hip or knee replacement	3.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.5%
Readmitted within 30 days: heart failure	21.6%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	18.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	126 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	58%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Florida Best hospitals in Florida

Prices

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

What the prices mean

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

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

Office and emergency visits

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: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$237.63 – $250.14
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $250.14 CorVel Corporation — WORKERSCOMP: $237.63 Prime Health — WC: $242.64
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$253.90 – $267.26
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $267.26 CorVel Corporation — WORKERSCOMP: $253.90 Prime Health — WC: $259.24
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$212.33 – $223.51
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $223.51 CorVel Corporation — WORKERSCOMP: $212.33 Prime Health — WC: $216.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$55.10 – $58
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $58 CorVel Corporation — WORKERSCOMP: $55.10 Prime Health — WC: $56.26
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$167.15 – $175.95
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $175.95 CorVel Corporation — WORKERSCOMP: $167.15 Prime Health — WC: $170.67
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$321.21 – $338.12
Office consultation with a specialist (moderate): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $338.12 CorVel Corporation — WORKERSCOMP: $321.21 Prime Health — WC: $327.98
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$168.15 – $177
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $177 CorVel Corporation — WORKERSCOMP: $168.15 Prime Health — WC: $171.69
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
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan 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
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan 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	$5,298.50	$5,298.50	$1,643 – $7,257
Emergency room visit (moderate): 10 of 21 insurance plan rates AvMed — ASOEO: $7,257 AvMed — HMOFI: $6,543 BCBS — BSL: $1,810 BCBS — HMO: $2,291 BCBS — MBN: $1,810 BCBS — NWB: $2,495 BCBS — PHS: $4,801 BCBS — PPO: $2,495 BCBS — SBN: $1,810 Careworks (Rockport Community) — WORKERSCOMP: $74
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$5,298.50	$5,298.50	$996.12 – $4,503.73
Emergency room visit (moderate): rates for 10 insurance plans Aetna — ASA: $1,589.55 Aetna — HMO/PPO: $996.12 AvMed — HIXOON: $2,649.25 Multiplan — Complementary: $4,503.73 Multiplan — Primary: $4,132.83 Plotkin Health — COMM: $2,649.25 Prime Health Sheriff — COMM: $2,649.25 Prime Health Sheriff — WORKERSCOMP: $2,649.25 United — GlobalBenefitPlan: $2,384.32 United — OptionsPPO: $1,737.91
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	$7,707.75	$7,707.75	$130.15 – $137
Emergency room visit (moderately high): 10 of 21 insurance plan rates AvMed — ASOEO: $8,474 AvMed — HMOFI: $7,642 BCBS — BSL: $1,810 BCBS — HMO: $2,291 BCBS — MBN: $1,810 BCBS — NWB: $2,671 BCBS — PHS: $4,801 BCBS — PPO: $2,671 BCBS — SBN: $1,810 Careworks (Rockport Community) — WORKERSCOMP: $137
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$7,707.75	$7,707.75	$1,449.06 – $6,551.59
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — ASA: $2,312.32 Aetna — HMO/PPO: $1,449.06 AvMed — HIXOON: $3,853.88 Multiplan — Complementary: $6,551.59 Multiplan — Primary: $6,012.05 Plotkin Health — COMM: $3,853.88 Prime Health Sheriff — COMM: $3,853.88 Prime Health Sheriff — WORKERSCOMP: $3,853.88 United — GlobalBenefitPlan: $3,468.49 United — OptionsPPO: $2,528.14
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	$9,269.75	$9,269.75	$1,206.23 – $1,269.72
Emergency room visit (high): 10 of 21 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSL: $1,810 BCBS — HMO: $2,291 BCBS — MBN: $1,810 BCBS — NWB: $2,671 BCBS — PHS: $4,801 BCBS — PPO: $2,671 BCBS — SBN: $1,810 Careworks (Rockport Community) — WORKERSCOMP: $1,269.72
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$9,269.75	$9,269.75	$1,742.71 – $7,879.29
Emergency room visit (high): rates for 10 insurance plans Aetna — ASA: $2,780.93 Aetna — HMO/PPO: $1,742.71 AvMed — HIXOON: $4,634.88 Multiplan — Complementary: $7,879.29 Multiplan — Primary: $7,230.40 Plotkin Health — COMM: $4,634.88 Prime Health Sheriff — COMM: $4,634.88 Prime Health Sheriff — WORKERSCOMP: $4,634.88 United — GlobalBenefitPlan: $4,171.39 United — OptionsPPO: $3,040.48

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	$286.75	$286.75	$8.46
Basic metabolic panel (blood test): 10 of 33 insurance plan rates Aetna — MCR: $8.97 Align Senior Care — MGMCR: $9.05 American Health Plan — MCR: $8.97 BCBS — MCRHMO: $8.63 BCBS — MCRPPO: $8.63 Careworks (Rockport Community) — WORKERSCOMP: $209.24 Centurion — GVT: $9.31 Cigna Healthspring — MCR: $9.05 Clear Spring Health — MCR: $9.31 CorVel Corporation — WORKERSCOMP: $198.78
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$286.75	$286.75	$37.28 – $243.74
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — ASA: $86.03 AvMed — ASOEO: $43.01 AvMed — HIXOON: $143.38 AvMed — HMOFI: $37.28 Evolutions — TieredNetwork: $65.95 Molina Healthcare — HIX: $91.76 Molina Healthcare — MGMCR: $54.48 Multiplan — Complementary: $243.74 Multiplan — Primary: $223.66 Plotkin Health — COMM: $143.38
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	$47.50	$47.50	$10.56
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates Aetna — MCR: $11.19 Align Senior Care — MGMCR: $11.30 American Health Plan — MCR: $11.19 BCBS — MCRHMO: $10.77 BCBS — MCRPPO: $10.77 Careworks (Rockport Community) — WORKERSCOMP: $311.01 Centurion — GVT: $11.62 Cigna Healthspring — MCR: $11.30 Clear Spring Health — MCR: $11.62 CorVel Corporation — WORKERSCOMP: $295.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$47.50	$47.50	$6.17 – $40.38
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — ASA: $14.25 AvMed — ASOEO: $7.13 AvMed — HIXOON: $23.75 AvMed — HMOFI: $6.17 Evolutions — TieredNetwork: $10.93 Molina Healthcare — HIX: $15.20 Molina Healthcare — MGMCR: $9.03 Multiplan — Complementary: $40.38 Multiplan — Primary: $37.05 Plotkin Health — COMM: $23.75
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	$143	$143	$47.81
Obstetric blood test panel: 10 of 33 insurance plan rates Aetna — MCR: $50.68 Align Senior Care — MGMCR: $51.16 American Health Plan — MCR: $50.68 BCBS — MCRHMO: $48.77 BCBS — MCRPPO: $48.77 Careworks (Rockport Community) — WORKERSCOMP: $234.92 Centurion — GVT: $52.59 Cigna Healthspring — MCR: $51.16 Clear Spring Health — MCR: $52.59 CorVel Corporation — WORKERSCOMP: $223.17
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OB PANEL	$143	$143	$18.59 – $121.55
Obstetric blood test panel: 10 of 16 insurance plan rates Aetna — ASA: $42.90 AvMed — ASOEO: $21.45 AvMed — HIXOON: $71.50 AvMed — HMOFI: $18.59 Evolutions — TieredNetwork: $32.89 Molina Healthcare — HIX: $45.76 Molina Healthcare — MGMCR: $27.17 Multiplan — Complementary: $121.55 Multiplan — Primary: $111.54 Plotkin Health — COMM: $71.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$16.25	$16.25	$2.11 – $13.81
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — ASA: $4.88 AvMed — ASOEO: $2.44 AvMed — HIXOON: $8.13 AvMed — HMOFI: $2.11 Evolutions — TieredNetwork: $3.74 Molina Healthcare — HIX: $5.20 Molina Healthcare — MGMCR: $3.09 Multiplan — Complementary: $13.81 Multiplan — Primary: $12.68 Plotkin Health — COMM: $8.13
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 33 insurance plan rates Aetna — MCR: $14.19 Align Senior Care — MGMCR: $14.33 American Health Plan — MCR: $14.19 BCBS — MCRHMO: $13.66 BCBS — MCRPPO: $13.66 Careworks (Rockport Community) — WORKERSCOMP: $212.10 Centurion — GVT: $14.73 Cigna Healthspring — MCR: $14.33 Clear Spring Health — MCR: $14.73 CorVel Corporation — WORKERSCOMP: $201.49
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	$696	$696	$8.68
Kidney function panel: 10 of 33 insurance plan rates Aetna — MCR: $9.20 Align Senior Care — MGMCR: $9.29 American Health Plan — MCR: $9.20 BCBS — MCRHMO: $8.85 BCBS — MCRPPO: $8.85 Careworks (Rockport Community) — WORKERSCOMP: $155.98 Centurion — GVT: $9.55 Cigna Healthspring — MCR: $9.29 Clear Spring Health — MCR: $9.55 CorVel Corporation — WORKERSCOMP: $148.18
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$696	$696	$90.48 – $591.60
Kidney function panel: 10 of 16 insurance plan rates Aetna — ASA: $208.80 AvMed — ASOEO: $104.40 AvMed — HIXOON: $348 AvMed — HMOFI: $90.48 Evolutions — TieredNetwork: $160.08 Molina Healthcare — HIX: $222.72 Molina Healthcare — MGMCR: $132.24 Multiplan — Complementary: $591.60 Multiplan — Primary: $542.88 Plotkin Health — COMM: $348
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$847.50	$847.50	$110.17 – $720.38
Liver function panel: 10 of 16 insurance plan rates Aetna — ASA: $254.25 AvMed — ASOEO: $127.13 AvMed — HIXOON: $423.75 AvMed — HMOFI: $110.17 Evolutions — TieredNetwork: $194.93 Molina Healthcare — HIX: $271.20 Molina Healthcare — MGMCR: $161.03 Multiplan — Complementary: $720.38 Multiplan — Primary: $661.05 Plotkin Health — COMM: $423.75
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 33 insurance plan rates Aetna — MCR: $8.66 Align Senior Care — MGMCR: $8.74 American Health Plan — MCR: $8.66 BCBS — MCRHMO: $8.33 BCBS — MCRPPO: $8.33 Careworks (Rockport Community) — WORKERSCOMP: $252.04 Centurion — GVT: $8.99 Cigna Healthspring — MCR: $8.74 Clear Spring Health — MCR: $8.99 CorVel Corporation — WORKERSCOMP: $239.44
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,	$808.75	$808.75	$3.17
Urine test (automated, with microscope): 10 of 33 insurance plan rates Aetna — MCR: $3.36 Align Senior Care — MGMCR: $3.39 American Health Plan — MCR: $3.36 BCBS — MCRHMO: $3.23 BCBS — MCRPPO: $3.23 Careworks (Rockport Community) — WORKERSCOMP: $108.43 Centurion — GVT: $3.49 Cigna Healthspring — MCR: $3.39 Clear Spring Health — MCR: $3.49 CorVel Corporation — WORKERSCOMP: $103.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$808.75	$808.75	$105.14 – $687.44
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — ASA: $242.63 AvMed — ASOEO: $121.31 AvMed — HIXOON: $404.38 AvMed — HMOFI: $105.14 Evolutions — TieredNetwork: $186.01 Molina Healthcare — HIX: $258.80 Molina Healthcare — MGMCR: $153.66 Multiplan — Complementary: $687.44 Multiplan — Primary: $630.83 Plotkin Health — COMM: $404.38
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PROTEIN UR QUAL MAN	$24	$24	$3.12 – $20.40
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — ASA: $7.20 AvMed — ASOEO: $3.60 AvMed — HIXOON: $12 AvMed — HMOFI: $3.12 Evolutions — TieredNetwork: $5.52 Molina Healthcare — HIX: $7.68 Molina Healthcare — MGMCR: $4.56 Multiplan — Complementary: $20.40 Multiplan — Primary: $18.72 Plotkin Health — COMM: $12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: KETONES UR MANUAL	$24	$24	$3.12 – $20.40
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — ASA: $7.20 AvMed — ASOEO: $3.60 AvMed — HIXOON: $12 AvMed — HMOFI: $3.12 Evolutions — TieredNetwork: $5.52 Molina Healthcare — HIX: $7.68 Molina Healthcare — MGMCR: $4.56 Multiplan — Complementary: $20.40 Multiplan — Primary: $18.72 Plotkin Health — COMM: $12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: GLUC UR QUAL MANUAL	$24	$24	$3.12 – $20.40
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — ASA: $7.20 AvMed — ASOEO: $3.60 AvMed — HIXOON: $12 AvMed — HMOFI: $3.12 Evolutions — TieredNetwork: $5.52 Molina Healthcare — HIX: $7.68 Molina Healthcare — MGMCR: $4.56 Multiplan — Complementary: $20.40 Multiplan — Primary: $18.72 Plotkin Health — COMM: $12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: NITRITES UR AUTO	$60.50	$60.50	$7.87 – $51.42
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — ASA: $18.15 AvMed — ASOEO: $9.07 AvMed — HIXOON: $30.25 AvMed — HMOFI: $7.87 Evolutions — TieredNetwork: $13.91 Molina Healthcare — HIX: $19.36 Molina Healthcare — MGMCR: $11.49 Multiplan — Complementary: $51.42 Multiplan — Primary: $47.19 Plotkin Health — COMM: $30.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BILIRUBIN UR AUTO	$60.50	$60.50	$7.87 – $51.42
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — ASA: $18.15 AvMed — ASOEO: $9.07 AvMed — HIXOON: $30.25 AvMed — HMOFI: $7.87 Evolutions — TieredNetwork: $13.91 Molina Healthcare — HIX: $19.36 Molina Healthcare — MGMCR: $11.49 Multiplan — Complementary: $51.42 Multiplan — Primary: $47.19 Plotkin Health — COMM: $30.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: LEUK EST UR AUTO	$60.50	$60.50	$7.87 – $51.42
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — ASA: $18.15 AvMed — ASOEO: $9.07 AvMed — HIXOON: $30.25 AvMed — HMOFI: $7.87 Evolutions — TieredNetwork: $13.91 Molina Healthcare — HIX: $19.36 Molina Healthcare — MGMCR: $11.49 Multiplan — Complementary: $51.42 Multiplan — Primary: $47.19 Plotkin Health — COMM: $30.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$256.25	$256.25	$33.31 – $217.81
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — ASA: $76.88 AvMed — ASOEO: $38.44 AvMed — HIXOON: $128.13 AvMed — HMOFI: $33.31 Evolutions — TieredNetwork: $58.94 Molina Healthcare — HIX: $82 Molina Healthcare — MGMCR: $48.69 Multiplan — Complementary: $217.81 Multiplan — Primary: $199.88 Plotkin Health — COMM: $128.13
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 30 insurance plan rates Aetna — MCR: $19.49 Align Senior Care — MGMCR: $19.68 American Health Plan — MCR: $19.49 BCBS — MCRHMO: $18.76 BCBS — MCRPPO: $18.76 Centurion — GVT: $20.23 Cigna Healthspring — MCR: $19.68 Clear Spring Health — MCR: $20.23 FL Health Care Plan — MCR: $18.76 Florida Complete Care — MCR: $19.68
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total UNSCHEDULED	Not listed in the file	Not listed in the file	$140.05 – $147.42
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $147.42 CorVel Corporation — WORKERSCOMP: $140.05 Prime Health — WC: $143
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	$1,410.75	$1,410.75	$15.23 – $21
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Aetna — MCR: $17.81 Align Senior Care — MGMCR: $17.98 American Health Plan — MCR: $17.81 BCBS — MCRHMO: $17.14 BCBS — MCRPPO: $17.14 Centurion — GVT: $18.48 Cigna Healthspring — MCR: $17.98 Clear Spring Health — MCR: $18.48 FL Health Care Plan — MCR: $17.14 Florida Complete Care — MCR: $17.98
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$1,410.75	$1,410.75	$183.40 – $1,199.14
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — ASA: $423.23 AvMed — ASOEO: $211.61 AvMed — HIXOON: $705.38 AvMed — HMOFI: $183.40 Evolutions — TieredNetwork: $324.47 Molina Healthcare — HIX: $451.44 Molina Healthcare — MGMCR: $268.04 Multiplan — Complementary: $1,199.14 Multiplan — Primary: $1,100.38 Plotkin Health — COMM: $705.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) UNSCHEDULED	$1,410.75	$1,410.75	$163.54 – $172.15
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $172.15 CorVel Corporation — WORKERSCOMP: $163.54 Prime Health — WC: $166.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$7.77
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates Aetna — MCR: $8.24 Align Senior Care — MGMCR: $8.31 American Health Plan — MCR: $8.24 BCBS — MCRHMO: $7.93 BCBS — MCRPPO: $7.93 Careworks (Rockport Community) — WORKERSCOMP: $150.27 Centurion — GVT: $8.55 Cigna Healthspring — MCR: $8.31 Clear Spring Health — MCR: $8.55 CorVel Corporation — WORKERSCOMP: $142.76
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)	$610	$610	$6.47
Complete blood count (CBC), automated: 10 of 30 insurance plan rates Aetna — MCR: $6.86 Align Senior Care — MGMCR: $6.92 American Health Plan — MCR: $6.86 BCBS — MCRHMO: $6.60 BCBS — MCRPPO: $6.60 Centurion — GVT: $7.12 Cigna Healthspring — MCR: $6.92 Clear Spring Health — MCR: $7.12 FL Health Care Plan — MCR: $6.60 Florida Complete Care — MCR: $6.92
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$610	$610	$79.30 – $518.50
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — ASA: $183 AvMed — ASOEO: $91.50 AvMed — HIXOON: $305 AvMed — HMOFI: $79.30 Evolutions — TieredNetwork: $140.30 Molina Healthcare — HIX: $195.20 Molina Healthcare — MGMCR: $115.90 Multiplan — Complementary: $518.50 Multiplan — Primary: $475.80 Plotkin Health — COMM: $305
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED	$610	$610	$112.04 – $117.94
Complete blood count (CBC), automated: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $117.94 CorVel Corporation — WORKERSCOMP: $112.04 Prime Health — WC: $114.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	$124.75	$124.75	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — MCR: $4.55 Align Senior Care — MGMCR: $4.59 American Health Plan — MCR: $4.55 BCBS — MCRHMO: $4.38 BCBS — MCRPPO: $4.38 Centurion — GVT: $4.72 Cigna Healthspring — MCR: $4.59 Clear Spring Health — MCR: $4.72 FL Health Care Plan — MCR: $4.38 Florida Complete Care — MCR: $4.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$124.75	$124.75	$16.22 – $106.04
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — ASA: $37.42 AvMed — ASOEO: $18.71 AvMed — HIXOON: $62.38 AvMed — HMOFI: $16.22 Evolutions — TieredNetwork: $28.69 Molina Healthcare — HIX: $39.92 Molina Healthcare — MGMCR: $23.70 Multiplan — Complementary: $106.04 Multiplan — Primary: $97.31 Plotkin Health — COMM: $62.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; UNSCHEDULED	$124.75	$124.75	$92.16 – $97.01
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $97.01 CorVel Corporation — WORKERSCOMP: $92.16 Prime Health — WC: $94.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$483.25	$483.25	$62.82 – $410.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — ASA: $144.97 AvMed — ASOEO: $72.49 AvMed — HIXOON: $241.63 AvMed — HMOFI: $62.82 Evolutions — TieredNetwork: $111.15 Molina Healthcare — HIX: $154.64 Molina Healthcare — MGMCR: $91.82 Multiplan — Complementary: $410.76 Multiplan — Primary: $376.94 Plotkin Health — COMM: $241.63
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 30 insurance plan rates Aetna — MCR: $6.37 Align Senior Care — MGMCR: $6.43 American Health Plan — MCR: $6.37 BCBS — MCRHMO: $6.13 BCBS — MCRPPO: $6.13 Centurion — GVT: $6.61 Cigna Healthspring — MCR: $6.43 Clear Spring Health — MCR: $6.61 FL Health Care Plan — MCR: $6.13 Florida Complete Care — MCR: $6.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood UNSCHEDULED	Not listed in the file	Not listed in the file	$116.56 – $122.69
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $122.69 CorVel Corporation — WORKERSCOMP: $116.56 Prime Health — WC: $119.01

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	$11,125.50	$11,125.50	$1,713.33 – $9,456.67
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — ASA: $3,337.65 AvMed — HIXOON: $5,562.75 Molina Healthcare — HIX: $3,560.16 Molina Healthcare — MGMCR: $2,113.84 Multiplan — Complementary: $9,456.67 Multiplan — Primary: $8,677.89 Plotkin Health — COMM: $5,562.75 Prime Health Sheriff — COMM: $5,562.75 Prime Health Sheriff — WORKERSCOMP: $5,562.75 Simply — MGMCR: $1,713.33
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	$11,125.50	$11,125.50	$245.18 – $1,975
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — HMO: $1,266 Aetna — HMO/PPO: $1,332 Aetna — PPO: $1,266 Aetna — QHP: $968 AvMed — ASOEO: $1,975 AvMed — HMOFI: $1,780 United — AllPayerAppendix: $245.18
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material UNSCHEDULED	$11,125.50	$11,125.50	$1,922.74 – $2,023.94
CT scan of the head or brain, without contrast: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,023.94 CorVel Corporation — WORKERSCOMP: $1,922.74 Prime Health — WC: $1,963.22
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$10,076.25	$10,076.25	$1,551.74 – $8,564.81
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — ASA: $3,022.88 AvMed — HIXOON: $5,038.13 Molina Healthcare — HIX: $3,224.40 Molina Healthcare — MGMCR: $1,914.49 Multiplan — Complementary: $8,564.81 Multiplan — Primary: $7,859.48 Plotkin Health — COMM: $5,038.13 Prime Health Sheriff — COMM: $5,038.13 Prime Health Sheriff — WORKERSCOMP: $5,038.13 Simply — MGMCR: $1,551.74
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	Not listed in the file	Not listed in the file	$828.27 – $3,623
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna — HMO: $1,816 Aetna — HMO/PPO: $1,911 Aetna — PPO: $1,816 Aetna — QHP: $1,392 AvMed — ASOEO: $3,623 AvMed — HMOFI: $3,266 Careworks (Rockport Community) — WORKERSCOMP: $3,544.75 CorVel Corporation — WORKERSCOMP: $3,367.51 Prime Health — WC: $3,438.41 United — AllPayerAppendix: $828.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$354	$354	$46.02 – $300.90
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — ASA: $106.20 AvMed — ASOEO: $53.10 AvMed — HIXOON: $177 AvMed — HMOFI: $46.02 Evolutions — TieredNetwork: $81.42 Molina Healthcare — HIX: $113.28 Molina Healthcare — MGMCR: $67.26 Multiplan — Complementary: $300.90 Multiplan — Primary: $276.12 Plotkin Health — COMM: $177
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	$354	$354	$182.03
Chest X-ray, 2 views: rates for 5 insurance plans United — AllPayerAppendix: $182.03 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views UNSCHEDULED	$354	$354	$413.82 – $435.60
Chest X-ray, 2 views: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $435.60 CorVel Corporation — WORKERSCOMP: $413.82 Prime Health — WC: $422.53
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$4,161.25	$4,161.25	$540.96 – $3,537.06
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — ASA: $1,248.38 AvMed — ASOEO: $624.19 AvMed — HIXOON: $2,080.63 AvMed — HMOFI: $540.96 Evolutions — TieredNetwork: $957.09 Molina Healthcare — HIX: $1,331.60 Molina Healthcare — MGMCR: $790.64 Multiplan — Complementary: $3,537.06 Multiplan — Primary: $3,245.78 Plotkin Health — COMM: $2,080.63
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	$4,161.25	$4,161.25	$245.18
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans United — AllPayerAppendix: $245.18 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED	$4,161.25	$4,161.25	$728.26 – $766.59
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $766.59 CorVel Corporation — WORKERSCOMP: $728.26 Prime Health — WC: $743.59
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$8,199.75	$8,199.75	$1,262.76 – $6,969.79
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — ASA: $2,459.93 AvMed — HIXOON: $4,099.88 Molina Healthcare — HIX: $2,623.92 Molina Healthcare — MGMCR: $1,557.95 Multiplan — Complementary: $6,969.79 Multiplan — Primary: $6,395.81 Plotkin Health — COMM: $4,099.88 Prime Health Sheriff — COMM: $4,099.88 Prime Health Sheriff — WORKERSCOMP: $4,099.88 Simply — MGMCR: $1,262.76
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	Not listed in the file	Not listed in the file	$517.79 – $3,623
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna — HMO: $1,816 Aetna — HMO/PPO: $1,911 Aetna — PPO: $1,816 Aetna — QHP: $1,392 AvMed — ASOEO: $3,623 AvMed — HMOFI: $3,266 Careworks (Rockport Community) — WORKERSCOMP: $2,468.10 CorVel Corporation — WORKERSCOMP: $2,344.69 Prime Health — WC: $2,394.06 United — AllPayerAppendix: $517.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$11,792.50	$11,792.50	$1,816.05 – $10,023.63
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — ASA: $3,537.75 AvMed — HIXOON: $5,896.25 Molina Healthcare — HIX: $3,773.60 Molina Healthcare — MGMCR: $2,240.57 Multiplan — Complementary: $10,023.63 Multiplan — Primary: $9,198.15 Plotkin Health — COMM: $5,896.25 Prime Health Sheriff — COMM: $5,896.25 Prime Health Sheriff — WORKERSCOMP: $5,896.25 Simply — MGMCR: $1,816.05
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	$11,792.50	$11,792.50	$401.74 – $1,975
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — HMO: $1,266 Aetna — HMO/PPO: $1,332 Aetna — PPO: $1,266 Aetna — QHP: $968 AvMed — ASOEO: $1,975 AvMed — HMOFI: $1,780 United — AllPayerAppendix: $401.74
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) UNSCHEDULED	$11,792.50	$11,792.50	$2,642.87 – $2,781.97
CT scan of the pelvis, with contrast: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,781.97 CorVel Corporation — WORKERSCOMP: $2,642.87 Prime Health — WC: $2,698.51
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 10 insurance plans Aetna — HMO: $1,816 Aetna — HMO/PPO: $1,911 Aetna — PPO: $1,816 Aetna — QHP: $1,392 AvMed — ASOEO: $3,623 AvMed — HMOFI: $3,266 Careworks (Rockport Community) — WORKERSCOMP: $2,339.71 CorVel Corporation — WORKERSCOMP: $2,222.72 Prime Health — WC: $2,269.52 United — AllPayerAppendix: $517.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT	$8,199.75	$8,199.75	$1,262.76 – $6,969.79
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — ASA: $2,459.93 AvMed — HIXOON: $4,099.88 Molina Healthcare — HIX: $2,623.92 Molina Healthcare — MGMCR: $1,557.95 Multiplan — Complementary: $6,969.79 Multiplan — Primary: $6,395.81 Plotkin Health — COMM: $4,099.88 Prime Health Sheriff — COMM: $4,099.88 Prime Health Sheriff — WORKERSCOMP: $4,099.88 Simply — MGMCR: $1,262.76
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	$7,557.25	$7,557.25	$1,163.82 – $6,423.66
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — ASA: $2,267.18 AvMed — HIXOON: $3,778.63 Molina Healthcare — HIX: $2,418.32 Molina Healthcare — MGMCR: $1,435.88 Multiplan — Complementary: $6,423.66 Multiplan — Primary: $5,894.65 Plotkin Health — COMM: $3,778.63 Prime Health Sheriff — COMM: $3,778.63 Prime Health Sheriff — WORKERSCOMP: $3,778.63 Simply — MGMCR: $1,163.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$23,577.75	$23,577.75	$3,630.97 – $20,041.09
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — ASA: $7,073.32 AvMed — HIXOON: $11,788.88 Molina Healthcare — HIX: $7,544.88 Molina Healthcare — MGMCR: $4,479.77 Multiplan — Complementary: $20,041.09 Multiplan — Primary: $18,390.65 Plotkin Health — COMM: $11,788.88 Prime Health Sheriff — COMM: $11,788.88 Prime Health Sheriff — WORKERSCOMP: $11,788.88 Simply — MGMCR: $3,630.97
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)	$23,577.75	$23,577.75	$968 – $1,332
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — HMO: $1,266 Aetna — HMO/PPO: $1,332 Aetna — PPO: $1,266 Aetna — QHP: $968 AvMed — ASOEO: $1,975 AvMed — HMOFI: $1,780 United — AllPayerAppendix: $828.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED	$23,577.75	$23,577.75	$4,262.93 – $4,487.29
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,487.29 CorVel Corporation — WORKERSCOMP: $4,262.93 Prime Health — WC: $4,352.67
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$3,966.75	$3,966.75	$515.68 – $3,371.74
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Aetna — ASA: $1,190.03 AvMed — ASOEO: $595.01 AvMed — HIXOON: $1,983.38 AvMed — HMOFI: $515.68 Molina Healthcare — HIX: $1,269.36 Molina Healthcare — MGMCR: $753.68 Multiplan — Complementary: $3,371.74 Multiplan — Primary: $3,094.07 Plotkin Health — COMM: $1,983.38 Prime Health Sheriff — COMM: $1,983.38
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 5 insurance plans United — AllPayerAppendix: $245.18 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED	Not listed in the file	Not listed in the file	$1,286.65 – $1,354.37
Ultrasound of the abdomen, complete: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $1,354.37 CorVel Corporation — WORKERSCOMP: $1,286.65 Prime Health — WC: $1,313.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$4,123.25	$4,123.25	$536.02 – $3,504.76
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Aetna — ASA: $1,236.97 AvMed — ASOEO: $618.49 AvMed — HIXOON: $2,061.63 AvMed — HMOFI: $536.02 Molina Healthcare — HIX: $1,319.44 Molina Healthcare — MGMCR: $783.42 Multiplan — Complementary: $3,504.76 Multiplan — Primary: $3,216.14 Plotkin Health — COMM: $2,061.63 Prime Health Sheriff — COMM: $2,061.63
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	$4,123.25	$4,123.25	$850.24 – $894.99
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $894.99 CorVel Corporation — WORKERSCOMP: $850.24 Prime Health — WC: $868.14 United — AllPayerAppendix: $245.18 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$829	$829	$107.77 – $704.65
Transvaginal ultrasound: 10 of 15 insurance plan rates Aetna — ASA: $248.70 AvMed — ASOEO: $124.35 AvMed — HIXOON: $414.50 AvMed — HMOFI: $107.77 Molina Healthcare — HIX: $265.28 Molina Healthcare — MGMCR: $157.51 Multiplan — Complementary: $704.65 Multiplan — Primary: $646.62 Plotkin Health — COMM: $414.50 Prime Health Sheriff — COMM: $414.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	$829	$829	$245.18
Transvaginal ultrasound: rates for 5 insurance plans United — AllPayerAppendix: $245.18 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal UNSCHEDULED	$829	$829	$874.63 – $920.66
Transvaginal ultrasound: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $920.66 CorVel Corporation — WORKERSCOMP: $874.63 Prime Health — WC: $893.04
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	$80.09 – $99.08
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates Aetna — MCR: $87.52 Align Senior Care — MGMCR: $88.35 American Health Plan — MCR: $87.52 BCBS — MCRHMO: $84.22 BCBS — MCRPPO: $84.22 Centurion — GVT: $90.83 Cigna Healthspring — MCR: $88.35 Clear Spring Health — MCR: $90.83 FL Health Care Plan — MCR: $84.22 Florida Complete Care — MCR: $88.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$729.25	$729.25	$94.80 – $619.86
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — ASA: $218.78 AvMed — ASOEO: $109.39 AvMed — HIXOON: $364.63 AvMed — HMOFI: $94.80 Molina Healthcare — HIX: $233.36 Molina Healthcare — MGMCR: $138.56 Multiplan — Complementary: $619.86 Multiplan — Primary: $568.82 Plotkin Health — COMM: $364.63 Prime Health Sheriff — COMM: $364.63
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$729.25	$729.25	$94.80 – $619.86
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — ASA: $218.78 AvMed — ASOEO: $109.39 AvMed — HIXOON: $364.63 AvMed — HMOFI: $94.80 Molina Healthcare — HIX: $233.36 Molina Healthcare — MGMCR: $138.56 Multiplan — Complementary: $619.86 Multiplan — Primary: $568.82 Plotkin Health — COMM: $364.63 Prime Health Sheriff — COMM: $364.63
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$929.25	$929.25	$263
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates Aetna — MCR: $112.42 Align Senior Care — MGMCR: $113.48 American Health Plan — MCR: $112.42 BCBS — MCRHMO: $108.18 BCBS — MCRPPO: $108.18 Centurion — GVT: $116.67 Cigna Healthspring — MCR: $113.48 Clear Spring Health — MCR: $116.67 FL Health Care Plan — MCR: $108.18 Florida Complete Care — MCR: $113.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$929.25	$929.25	$120.80 – $789.86
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — ASA: $278.77 AvMed — ASOEO: $139.39 AvMed — HIXOON: $464.63 AvMed — HMOFI: $120.80 Molina Healthcare — HIX: $297.36 Molina Healthcare — MGMCR: $176.56 Multiplan — Complementary: $789.86 Multiplan — Primary: $724.82 Plotkin Health — COMM: $464.63 Prime Health Sheriff — COMM: $464.63
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	$759	$759	$217.46
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — MCR: $92.60 Align Senior Care — MGMCR: $93.48 American Health Plan — MCR: $92.60 BCBS — MCRHMO: $89.11 BCBS — MCRPPO: $89.11 Centurion — GVT: $96.10 Cigna Healthspring — MCR: $93.48 Clear Spring Health — MCR: $96.10 FL Health Care Plan — MCR: $89.11 Florida Complete Care — MCR: $93.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$759	$759	$98.67 – $645.15
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — ASA: $227.70 AvMed — ASOEO: $113.85 AvMed — HIXOON: $379.50 AvMed — HMOFI: $98.67 Molina Healthcare — HIX: $242.88 Molina Healthcare — MGMCR: $144.21 Multiplan — Complementary: $645.15 Multiplan — Primary: $592.02 Plotkin Health — COMM: $379.50 Prime Health Sheriff — COMM: $379.50

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 SCHEDULED	Not listed in the file	Not listed in the file	$24.70 – $26
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $26 CorVel Corporation — WORKERSCOMP: $24.70 Humana — TRICARE: $12.61 Prime Health — WC: $25.22 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (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	$8,376
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates Aetna — HMO: $16,255 Aetna — HMO/PPO: $17,108 Aetna — PPO: $16,255 Aetna — QHP: $12,440 AvMed — ASOEO: $23,233 AvMed — HMOFI: $20,950 Careworks (Rockport Community) — WORKERSCOMP: $717 Cigna — ManagedCareHMO: $12,840 Cigna — NBN: $5,368 Cigna — PPO: $12,840
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	$17,045
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates Aetna — HMO: $16,195 Aetna — HMO/PPO: $17,045 Aetna — PPO: $16,195 Aetna — QHP: $12,393 BCBS — BSL: $18,393 BCBS — HMO: $24,011 BCBS — MBN: $18,393 BCBS — NWB: $24,125 BCBS — PHS: $17,978 BCBS — PPO: $24,125
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	$38,578 – $42,781
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans AvMed — ASOEO: $42,781 AvMed — HMOFI: $38,578
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	$5,226 – $17,045
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Aetna — HMO: $16,195 Aetna — HMO/PPO: $17,045 Aetna — PPO: $16,195 Aetna — QHP: $12,393 BCBS — BSL: $18,393 BCBS — HMO: $24,011 BCBS — MBN: $18,393 BCBS — NWB: $24,125 BCBS — PHS: $17,978 BCBS — PPO: $24,125
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	$38,578 – $42,781
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans AvMed — ASOEO: $42,781 AvMed — HMOFI: $38,578
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	Not listed in the file	Not listed in the file	$903
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $519 CorVel Corporation — WORKERSCOMP: $493.05 Prime Health — WC: $503.43 United — AllPayerAppendix: $903 Aetna — HMO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — HMO/PPO: 18.8% (a percentage in the contract, not a dollar amount) Aetna — PPO: 17.9% (a percentage in the contract, not a dollar amount) Aetna — QHP: 14.6% (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	$32.30 – $34
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — MCR: $30.34 Align Senior Care — MGMCR: $30.62 American Health Plan — MCR: $30.34 BCBS — MCRHMO: $29.19 BCBS — MCRPPO: $29.19 Careworks (Rockport Community) — WORKERSCOMP: $34 Centurion — GVT: $31.48 Cigna Healthspring — MCR: $30.62 Clear Spring Health — MCR: $31.48 CorVel Corporation — WORKERSCOMP: $32.30
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: THER EXERCIS 15 MIN PTCQ	$491.25	$491.25	$31.44 – $417.56
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — ASA: $147.38 AvMed — ASOEO: $73.69 AvMed — HIXOON: $245.63 AvMed — HMOFI: $63.86 Cigna — ManagedCareHMO: $74.67 Cigna — NBN: $31.44 Cigna — PPO: $74.67 Evolutions — TieredNetwork: $112.99 Molina Healthcare — HIX: $157.20 Molina Healthcare — MGMCR: $93.34
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT	$452.50	$452.50	$28.96 – $384.63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — ASA: $135.75 AvMed — ASOEO: $67.88 AvMed — HIXOON: $226.25 AvMed — HMOFI: $58.83 Cigna — ManagedCareHMO: $68.78 Cigna — NBN: $28.96 Cigna — PPO: $68.78 Evolutions — TieredNetwork: $104.08 Molina Healthcare — HIX: $144.80 Molina Healthcare — MGMCR: $85.97
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	$387	$387	$93.12 – $115.20
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna — MCR: $101.76 Align Senior Care — MGMCR: $102.72 American Health Plan — MCR: $101.76 BCBS — MCRHMO: $97.92 BCBS — MCRPPO: $97.92 Careworks (Rockport Community) — WORKERSCOMP: $95 Centurion — GVT: $105.60 Cigna Healthspring — MCR: $102.72 Clear Spring Health — MCR: $105.60 CorVel Corporation — WORKERSCOMP: $90.25
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	$387	$387	$84.48 – $101.38
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — MCR: $89.55 Align Senior Care — MGMCR: $90.39 American Health Plan — MCR: $89.55 BCBS — MCRHMO: $86.17 BCBS — MCRPPO: $86.17 Centurion — GVT: $92.93 Cigna Healthspring — MCR: $90.39 Clear Spring Health — MCR: $92.93 FL Health Care Plan — MCR: $86.17 Florida Complete Care — MCR: $90.39
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$387	$387	$24.77 – $328.95
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — ASA: $116.10 AvMed — ASOEO: $58.05 AvMed — HIXOON: $193.50 AvMed — HMOFI: $50.31 Cigna — ManagedCareHMO: $58.82 Cigna — NBN: $24.77 Cigna — PPO: $58.82 Evolutions — TieredNetwork: $89.01 Molina Healthcare — HIX: $123.84 Molina Healthcare — MGMCR: $73.53
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	$387	$387	$93.12 – $115.20
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna — MCR: $101.76 Align Senior Care — MGMCR: $102.72 American Health Plan — MCR: $101.76 BCBS — MCRHMO: $97.92 BCBS — MCRPPO: $97.92 Careworks (Rockport Community) — WORKERSCOMP: $95 Centurion — GVT: $105.60 Cigna Healthspring — MCR: $102.72 Clear Spring Health — MCR: $105.60 CorVel Corporation — WORKERSCOMP: $90.25
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	$387	$387	$84.48 – $101.38
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — MCR: $89.55 Align Senior Care — MGMCR: $90.39 American Health Plan — MCR: $89.55 BCBS — MCRHMO: $86.17 BCBS — MCRPPO: $86.17 Centurion — GVT: $92.93 Cigna Healthspring — MCR: $90.39 Clear Spring Health — MCR: $92.93 FL Health Care Plan — MCR: $86.17 Florida Complete Care — MCR: $90.39
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$387	$387	$24.77 – $328.95
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Aetna — ASA: $116.10 AvMed — ASOEO: $58.05 AvMed — HIXOON: $193.50 AvMed — HMOFI: $50.31 Cigna — ManagedCareHMO: $58.82 Cigna — NBN: $24.77 Cigna — PPO: $58.82 Evolutions — TieredNetwork: $89.01 Molina Healthcare — HIX: $123.84 Molina Healthcare — MGMCR: $73.53
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	$387	$387	$93.12 – $115.20
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna — MCR: $101.76 Align Senior Care — MGMCR: $102.72 American Health Plan — MCR: $101.76 BCBS — MCRHMO: $97.92 BCBS — MCRPPO: $97.92 Careworks (Rockport Community) — WORKERSCOMP: $95 Centurion — GVT: $105.60 Cigna Healthspring — MCR: $102.72 Clear Spring Health — MCR: $105.60 CorVel Corporation — WORKERSCOMP: $90.25
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	$387	$387	$84.48 – $101.38
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — MCR: $89.55 Align Senior Care — MGMCR: $90.39 American Health Plan — MCR: $89.55 BCBS — MCRHMO: $86.17 BCBS — MCRPPO: $86.17 Centurion — GVT: $92.93 Cigna Healthspring — MCR: $90.39 Clear Spring Health — MCR: $92.93 FL Health Care Plan — MCR: $86.17 Florida Complete Care — MCR: $90.39
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$387	$387	$24.77 – $328.95
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna — ASA: $116.10 AvMed — ASOEO: $58.05 AvMed — HIXOON: $193.50 AvMed — HMOFI: $50.31 Cigna — ManagedCareHMO: $58.82 Cigna — NBN: $24.77 Cigna — PPO: $58.82 Evolutions — TieredNetwork: $89.01 Molina Healthcare — HIX: $123.84 Molina Healthcare — MGMCR: $73.53
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient SCHEDULED	Not listed in the file	Not listed in the file	$67.45 – $71
Psychotherapy, 30 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $71 CorVel Corporation — WORKERSCOMP: $67.45 Prime Health — WC: $68.87
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient UNSCHEDULED	Not listed in the file	Not listed in the file	$211.43 – $222.56
Psychotherapy, 30 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $222.56 CorVel Corporation — WORKERSCOMP: $211.43 Prime Health — WC: $215.88
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient SCHEDULED	Not listed in the file	Not listed in the file	$89.30 – $94
Psychotherapy, 45 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $94 CorVel Corporation — WORKERSCOMP: $89.30 Prime Health — WC: $91.18
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient UNSCHEDULED	Not listed in the file	Not listed in the file	$211.43 – $222.56
Psychotherapy, 45 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $222.56 CorVel Corporation — WORKERSCOMP: $211.43 Prime Health — WC: $215.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient UNSCHEDULED	Not listed in the file	Not listed in the file	$211.43 – $222.56
Psychotherapy, 60 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $222.56 CorVel Corporation — WORKERSCOMP: $211.43 Prime Health — WC: $215.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient SCHEDULED	Not listed in the file	Not listed in the file	$133.95 – $141
Psychotherapy, 60 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $141 CorVel Corporation — WORKERSCOMP: $133.95 Prime Health — WC: $136.77
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes SCHEDULED	Not listed in the file	Not listed in the file	$108.30 – $114
Family psychotherapy, without the patient: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $114 CorVel Corporation — WORKERSCOMP: $108.30 Prime Health — WC: $110.58
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes UNSCHEDULED	Not listed in the file	Not listed in the file	$211.43 – $222.56
Family psychotherapy, without the patient: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $222.56 CorVel Corporation — WORKERSCOMP: $211.43 Prime Health — WC: $215.88
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes SCHEDULED	Not listed in the file	Not listed in the file	$112.10 – $118
Family psychotherapy, with the patient: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $118 CorVel Corporation — WORKERSCOMP: $112.10 Prime Health — WC: $114.46
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) SCHEDULED	Not listed in the file	Not listed in the file	$30.40 – $32
Group psychotherapy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $32 CorVel Corporation — WORKERSCOMP: $30.40 Prime Health — WC: $31.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) UNSCHEDULED	Not listed in the file	Not listed in the file	$211.43 – $222.56
Group psychotherapy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $222.56 CorVel Corporation — WORKERSCOMP: $211.43 Prime Health — WC: $215.88

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	$5,253 – $20,055
Removal of breast growth (open surgery): 10 of 27 insurance plan rates Aetna — HMO: $9,824 Aetna — HMO/PPO: $10,340 Aetna — PPO: $9,824 Aetna — QHP: $7,519 AvMed — ASOEO: $24,385 AvMed — HMOFI: $21,989 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574
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	$3,242
Total hip replacement: 10 of 32 insurance plan rates Aetna — HMO: $29,564 Aetna — HMO/PPO: $31,116 Aetna — PPO: $29,564 Aetna — QHP: $22,627 Align Senior Care — MGMCR: $12,000 American Health Plan — MCR: $17,429.32 AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,978 BCBS — HMO: $5,181
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	$40,030 – $41,380
Total hip replacement: rates for 2 insurance plans AvMed — ASOEO: $41,380 AvMed — HMOFI: $40,030
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) UNSCH	Not listed in the file	Not listed in the file	$5,505.30 – $5,795.05
Total knee replacement: 10 of 35 insurance plan rates Aetna — HMO: $29,564 Aetna — HMO/PPO: $31,116 Aetna — PPO: $29,564 Aetna — QHP: $22,627 Align Senior Care — MGMCR: $12,000 American Health Plan — MCR: $17,429.32 AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,978 BCBS — HMO: $5,181
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	$40,030 – $41,380
Total knee replacement: rates for 2 insurance plans AvMed — ASOEO: $41,380 AvMed — HMOFI: $40,030
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	$6,641 – $10,340
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates Aetna — HMO: $9,824 Aetna — HMO/PPO: $10,340 Aetna — PPO: $9,824 Aetna — QHP: $7,519 AvMed — ASOEO: $24,385 AvMed — HMOFI: $21,989 Careworks (Rockport Community) — WORKERSCOMP: $3,696.93 Cigna — ManagedCareHMO: $20,055 Cigna — NBN: $8,384 Cigna — PPO: $20,055
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	$6,641 – $10,340
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates Aetna — HMO: $9,824 Aetna — HMO/PPO: $10,340 Aetna — PPO: $9,824 Aetna — QHP: $7,519 AvMed — ASOEO: $24,385 AvMed — HMOFI: $21,989 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$2,250 – $10,061
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574 BCBS — PHS: $8,714 BCBS — PPO: $5,574 BCBS — SBN: $3,978 Cigna — ManagedCareHMO: $10,061
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	$2,762 – $10,061
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $2,671 BCBS — HMO: $3,487 BCBS — MBN: $2,671 BCBS — NWB: $3,469 BCBS — PHS: $3,196 BCBS — PPO: $3,469 BCBS — SBN: $2,671 Careworks (Rockport Community) — WORKERSCOMP: $1,820.41
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	$3,242
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $2,671 BCBS — HMO: $3,487 BCBS — MBN: $2,671 BCBS — NWB: $3,469 BCBS — PHS: $3,196 BCBS — PPO: $3,469 BCBS — SBN: $2,671 Careworks (Rockport Community) — WORKERSCOMP: $2,606.97
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	$2,250 – $10,061
Colonoscopy (diagnostic): 10 of 23 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $2,671 BCBS — HMO: $3,487 BCBS — MBN: $2,671 BCBS — NWB: $3,469 BCBS — PHS: $3,196 BCBS — PPO: $3,469 BCBS — SBN: $2,671 Careworks (Rockport Community) — WORKERSCOMP: $1,214.55
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	$3,242
Colonoscopy with biopsy: 10 of 20 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,480 BCBS — HMO: $4,540 BCBS — MBN: $3,480 BCBS — NWB: $4,466 BCBS — PHS: $2,425 BCBS — PPO: $4,466 BCBS — SBN: $3,480 Cigna — ManagedCareHMO: $10,061
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple SCHEDULED	Not listed in the file	Not listed in the file	$2,218.20 – $2,334.95
Colonoscopy with biopsy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,334.95 CorVel Corporation — WORKERSCOMP: $2,218.20 Prime Health — WC: $2,264.90
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple UNSCHEDULED	Not listed in the file	Not listed in the file	$3,002.48 – $3,160.51
Colonoscopy with biopsy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $3,160.51 CorVel Corporation — WORKERSCOMP: $3,002.48 Prime Health — WC: $3,065.69
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	$3,242
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,480 BCBS — HMO: $4,540 BCBS — MBN: $3,480 BCBS — NWB: $4,466 BCBS — PHS: $2,425 BCBS — PPO: $4,466 BCBS — SBN: $3,480 Careworks (Rockport Community) — WORKERSCOMP: $1,716.74
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	$3,242
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,480 BCBS — HMO: $4,540 BCBS — MBN: $3,480 BCBS — NWB: $4,466 BCBS — PHS: $2,425 BCBS — PPO: $4,466 BCBS — SBN: $3,480 Careworks (Rockport Community) — WORKERSCOMP: $2,334.95
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	$1,943 – $2,707
Screening colonoscopy (not high risk): rates for 6 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $216 CorVel Corporation — WORKERSCOMP: $205.20 Oscar — HIX: $2,707 Prime Health — WC: $209.52 Simply Healthcare — HIX: $1,943 United — AllPayerAppendix: $6,388
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	$3,242 – $18,266
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates Aetna — HMO: $17,355 Aetna — HMO/PPO: $18,266 Aetna — PPO: $17,355 Aetna — QHP: $13,282 AvMed — ASOEO: $23,233 AvMed — HMOFI: $20,950 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy UNSCHEDULED	Not listed in the file	Not listed in the file	$1,228.37 – $1,293.02
Gallbladder removal by laparoscope: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $1,293.02 CorVel Corporation — WORKERSCOMP: $1,228.37 Prime Health — WC: $1,254.23
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy SCHEDULED	Not listed in the file	Not listed in the file	$221.37 – $233.02
Gallbladder removal by laparoscope: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $233.02 CorVel Corporation — WORKERSCOMP: $221.37 Prime Health — WC: $226.03
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	$3,242
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574 BCBS — PHS: $8,714 BCBS — PPO: $5,574 BCBS — SBN: $3,978 Cigna — ManagedCareHMO: $10,061
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible SCHEDULED	Not listed in the file	Not listed in the file	$4,176.18 – $4,395.98
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,395.98 CorVel Corporation — WORKERSCOMP: $4,176.18 Prime Health — WC: $4,264.10
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible UNSCHEDULED	Not listed in the file	Not listed in the file	$11,882.52 – $12,507.92
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $12,507.92 CorVel Corporation — WORKERSCOMP: $11,882.52 Prime Health — WC: $12,132.68
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach SCHEDULED	Not listed in the file	Not listed in the file	$4,430.08 – $4,663.24
Prostate biopsy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,663.24 CorVel Corporation — WORKERSCOMP: $4,430.08 Prime Health — WC: $4,523.34
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$2,762 – $3,370
Prostate biopsy: rates for 2 insurance plans Oscar — HIX: $3,370 Simply Healthcare — HIX: $2,762
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	$3,242
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates AvMed — ASOEO: $25,915 AvMed — HMOFI: $23,372 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574 BCBS — PHS: $8,714 BCBS — PPO: $5,574 BCBS — SBN: $3,978 Careworks (Rockport Community) — WORKERSCOMP: $5,595.32
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	$5,253 – $20,055
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates Aetna — HMO: $9,824 Aetna — HMO/PPO: $10,340 Aetna — PPO: $9,824 Aetna — QHP: $7,519 AvMed — ASOEO: $25,915 AvMed — HMOFI: $23,372 BCBS — BSL: $3,978 BCBS — HMO: $5,181 BCBS — MBN: $3,978 BCBS — NWB: $5,574
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	$1,943 – $10,061
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $2,671 BCBS — HMO: $3,487 BCBS — MBN: $2,671 BCBS — NWB: $3,469 BCBS — PHS: $3,196 BCBS — PPO: $3,469 BCBS — SBN: $2,671 Careworks (Rockport Community) — WORKERSCOMP: $1,987.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$1,943 – $10,061
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates BCBS — BSL: $2,671 BCBS — HMO: $3,487 BCBS — MBN: $2,671 BCBS — NWB: $3,469 BCBS — PHS: $3,196 BCBS — PPO: $3,469 BCBS — SBN: $2,671 Careworks (Rockport Community) — WORKERSCOMP: $3,406.84 Cigna — ManagedCareHMO: $10,061 Cigna — NBN: $4,207
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	$3,242 – $10,061
Carpal tunnel release: 10 of 18 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $5,148 BCBS — HMO: $6,717 BCBS — MBN: $5,148 BCBS — NWB: $6,686 BCBS — PHS: $10,196 BCBS — PPO: $6,686 BCBS — SBN: $5,148 Cigna — ManagedCareHMO: $10,061
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel SCHEDULED	Not listed in the file	Not listed in the file	$2,761.23 – $2,906.56
Carpal tunnel release: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,906.56 CorVel Corporation — WORKERSCOMP: $2,761.23 Prime Health — WC: $2,819.36
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel UNSCHEDULED	Not listed in the file	Not listed in the file	$3,761.46 – $3,959.43
Carpal tunnel release: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $3,959.43 CorVel Corporation — WORKERSCOMP: $3,761.46 Prime Health — WC: $3,840.65
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$448.16 – $471.75
Laser treatment of clouding after cataract surgery: 10 of 22 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $2,340 BCBS — HMO: $3,055 BCBS — MBN: $2,340 BCBS — NWB: $3,069 BCBS — PHS: $2,075 BCBS — PPO: $3,069 BCBS — SBN: $2,340 Careworks (Rockport Community) — WORKERSCOMP: $471.75
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	$3,242
Cataract removal with lens implant: 10 of 22 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 BCBS — BSL: $5,148 BCBS — HMO: $6,717 BCBS — MBN: $5,148 BCBS — NWB: $6,686 BCBS — PHS: $10,196 BCBS — PPO: $6,686 BCBS — SBN: $5,148 Careworks (Rockport Community) — WORKERSCOMP: $4,279

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	$2,250 – $10,061
Vaginal delivery, with care before and after: 10 of 16 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 Cigna — ManagedCareHMO: $10,061 Cigna — NBN: $4,207 Cigna — PPO: $10,061 Evolutions — TieredNetwork: $4,121 Molina Healthcare — HIX: $3,242 Molina Healthcare — MGMCR: $1,950 Simply — MGMCR: $2,250 BCBS — BSL: 5.4% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	Not listed in the file	Not listed in the file	$1,950 – $16,238
Cesarean delivery (C-section), with care before and after: 10 of 16 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 Cigna — ManagedCareHMO: $10,061 Cigna — NBN: $4,207 Cigna — PPO: $10,061 Evolutions — TieredNetwork: $4,121 Molina Healthcare — HIX: $3,242 Molina Healthcare — MGMCR: $1,950 Simply — MGMCR: $2,250 BCBS — BSL: 5.4% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p	Not listed in the file	Not listed in the file	$2,250 – $10,061
Vaginal delivery after a previous C-section, with care before and after: 10 of 16 insurance plan rates AvMed — ASOEO: $16,238 AvMed — HMOFI: $14,644 Cigna — ManagedCareHMO: $10,061 Cigna — NBN: $4,207 Cigna — PPO: $10,061 Evolutions — TieredNetwork: $4,121 Molina Healthcare — HIX: $3,242 Molina Healthcare — MGMCR: $1,950 Simply — MGMCR: $2,250 BCBS — BSL: 5.4% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Trauma	Not listed in the file	Not listed in the file	$71,905.35
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 56 insurance plan rates Aetna — HMO: $123,055 Aetna — HMO/PPO: $129,515 Aetna — MCR: $78,576.98 Aetna — PPO: $123,055 Aetna — QHP: $94,182 Align Senior Care — MGMCR: $77,835.69 American Health Plan — MCR: $78,576.98 AvMed — ASOEO: $141,669 AvMed — HMOFI: $127,754 BCBS — BSL: $89,485.62
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 – $78,075
Hip or knee replacement (major joint of the leg), without major complications: 10 of 55 insurance plan rates Aetna — HMO: $32,806 Aetna — HMO/PPO: $34,528 Aetna — MCR: $16,437.29 Aetna — PPO: $32,806 Aetna — QHP: $25,109 Align Senior Care — MGMCR: $16,282.22 American Health Plan — MCR: $16,437.29 AvMed — ASOEO: $51,831 AvMed — HMOFI: $46,739 BCBS — BSL: $31,178
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	$15,041.67
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan Humana — MGMCRPPO: $15,041.67
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	$1,050 – $70,836
Neck (cervical) spinal fusion, without complications: 10 of 55 insurance plan rates Aetna — HMO: $30,472 Aetna — HMO/PPO: $32,072 Aetna — MCR: $20,491.38 Aetna — PPO: $30,472 Aetna — QHP: $23,323 Align Senior Care — MGMCR: $20,298.06 American Health Plan — MCR: $20,491.38 AvMed — ASOEO: $70,836 AvMed — HMOFI: $63,878 BCBS — BSL: $27,365
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	$18,751.55
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Humana — MGMCRPPO: $18,751.55
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	$1,275 – $6,123
Uterus and ovary surgery (not for cancer), without complications: 10 of 55 insurance plan rates Aetna — HMO: $24,723 Aetna — HMO/PPO: $26,021 Aetna — MCR: $10,992.30 Aetna — PPO: $24,723 Aetna — QHP: $18,922 Align Senior Care — MGMCR: $1,275 American Health Plan — MCR: $1,275 AvMed — ASOEO: $3,453 AvMed — HMOFI: $3,116 BCBS — BSL: $27,570
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	$10,058.99
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Humana — MGMCRPPO: $10,058.99

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

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

Hospital information

Hospital type	Acute Care Hospital
Address	611 Zeagler Dr, Palatka, FL 32177
County	Putnam County
State	Florida
Phone	(386) 328‑5711
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
CMS Certification Number	100232
Name in Medicare records	HCA FLORIDA PUTNAM HOSPITAL
Profile level	Medicare data + hospital website
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 Putnam Hospital — hcafloridahealthcare.com
Visitor Policy — hcafloridahealthcare.com
Putnam Hospital | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Emergency care | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Imaging services | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Cardiology | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Outpatient Physical Rehabilitation | HCA Florida Putnam Hospital — hcafloridahealthcare.com
For Visitors | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Orthopedic care | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Surgery | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Patient SMS Updates | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Women's care | HCA Florida Putnam Hospital — hcafloridahealthcare.com
Diagnostics and laboratory | HCA Florida Putnam Hospital — hcafloridahealthcare.com

HCA Florida Putnam Hospital

Summary

Profile from official sources

At a glance