Does HCA Florida West Hospital have an emergency room?

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

Where is HCA Florida West Hospital?

8383 N Davis Hwy, Pensacola, FL 32514, in Escambia County, Florida.

What is the phone number of HCA Florida West Hospital?

(850) 494-4000, as listed by Medicare (CMS).

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

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

HCA Florida West Hospital — Pensacola, FL

Quick answers

Does HCA Florida West Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at HCA Florida West Hospital. In a medical emergency, call 911.
Where is HCA Florida West Hospital?: 8383 N Davis Hwy, Pensacola, FL 32514, in Escambia County, Florida.
What is the phone number of HCA Florida West Hospital?: (850) 494-4000, as listed by Medicare (CMS).
What is the Medicare star rating of HCA Florida West Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6][8][9]

Cardiology
Emergency Care
Gastroenterology
Imaging Services
Inpatient and Outpatient Physical Rehabilitation
Mental Health and Wellness
Neurological Care
Oncology
Orthopedic Care
Surgery
Urology
Women's Care
Obstetrics
Rehabilitation medicine

Conditions treated^{[8][9][10][11][13][14][15][16][18]}

Stroke
Brain injury
Spinal cord injury
Heart disease
Peripheral arterial disease
Abdominal aortic aneurysm
Osteoporosis
Prostate cancer
Uterine fibroids
Endometriosis
Pelvic organ prolapse
Dysphagia
Benign paroxysmal positional vertigo

Treatments^{[6][8][9][10][11][14][17][18]}

Coronary artery bypass grafting (CABG)
Coronary stenting and balloon angioplasty
Cardiac device implantation (ICD, pacemaker)
Carotid endarterectomy
Abdominal aortic aneurysm repair
Prostatectomy
Hysterectomy
Robot-assisted myomectomy
Sacrocolpopexy
Total joint replacement
Direct anterior hip replacement
Robotic surgery
Labor and delivery
Swallowing therapy
Vestibular rehabilitation
Aquatic rehabilitation
Wheelchair seating clinic
Driving evaluation

Procedures^{[4][5][10][13]}

Cardiovascular surgery
Neurosurgery
Robotic-assisted surgery
Cardiac catheterization
Echocardiogram
Electrocardiogram (ECG)
Holter monitoring
Stress testing
Nuclear cardiology
Mammography (screening)
Low-dose CT lung cancer screening
Bone density testing
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Ultrasound
Interventional radiology
Nuclear medicine

Programs and centers^{[4][5][8][10][11][13][15][16][19]}

Obstetrics
Mobile mammography
West Florida Rehabilitation Institute
Brain injury rehabilitation program
Spinal Cord Injury Program
Stroke support group
Total Joint Program
HerHeart program
Virtual nursery
Lung Cancer Screening Center
Accredited Chest Pain Center with PCI
Patient surgery text updates

Emergency care (hospital website)^[4][7][16]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Comprehensive Stroke Center (DNV)

Visiting and practical information

Parking	Complimentary valet parking at the hospital's main entrance^[5]

Recognition^{[4][5][8][9][12][13]}

Comprehensive Stroke Center (DNV)
Advanced Primary Stroke Center (The Joint Commission)
Get With The Guidelines Stroke Gold Award (American Heart Association)
Joint Commission Top Performer Award
Advanced Primary Stroke Center certified by The Joint Commission
Accredited Chest Pain Center with PCI (American College of Cardiology)
Accredited Breast Imaging Center of Excellence (American College of Radiology)
ACR accreditation in Breast MRI, CT, Mammography, MRI and Ultrasound
Cancer Program Accreditation with Commendation (Commission on Cancer)
Rehabilitation facility accreditation (CARF International)
Association for the Advancement of Blood & Biotherapies (AABB) accreditation
The Joint Commission accredited laboratory services
American Academy of Sleep Medicine accreditation (sleep disorders center)
Certified in Brain Injury and Spinal Cord Injury by the State of Florida
Accredited Lung Cancer Screening Center (American College of Radiology)

Doctors and clinicians (456)

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

Main specialties

Doctors with a page on this site (456)

Aaron P. Noles, MDNeurology
Abaseen Afghan, MDInfectious Disease
Abeer A. Abutaleb, MDInternal Medicine
Adam M. Holdt, MDOtolaryngology
Adam N. CheckverInterventional Radiology
Adam P. Tarnosky, MDFamily Practice
Aimee L. DinwoodieNurse Practitioner
Aimy L. Scroggins, CNACertified Registered Nurse Anesthetist (CRNA)
Alejandro Inclan, MDHematology/Oncology
Alexander G. Liu, MDUrology
Alexander M. Spence, MDFamily Practice
Alexander Sousa, MDInternal Medicine
Alexey Minevskiy, MDPhysical Medicine and Rehabilitation
Ali Tariq, MDInternal Medicine
Alicia Chen, MDInternal Medicine
Alisha WatsonNurse Practitioner
Amira A. Noles, MDPhysical Medicine and Rehabilitation
Amit Sharma, MDGeneral Surgery
Amy BeardNurse Practitioner
Amy J. Villachica, NPNurse Practitioner
Andrew Hasebroock, MDEmergency Medicine
Andrew J. Alsterda, MDInternal Medicine
Andrew J. Van Brocklin, DOInterventional Pain Management
Andrew J. Vincent, MDDiagnostic Radiology

And 432 more: the button below opens the full list.

Other emergency rooms nearby

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

Sacred Heart Hospital2.9 mi · Pensacola, FL · Acute Care Hospital
Baptist Hospital3.9 mi · Pensacola, FL · Acute Care Hospital
Gulf Breeze Hospital11 mi · Gulf Breeze, FL · Acute Care Hospital
Santa Rosa Medical Center12 mi · Milton, FL · Acute Care Hospital
Baldwin Health29 mi · Foley, AL · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital Pensacola2.6 mi · Pensacola, FL · Long-Term Acute Care Hospital
Encompass Health Rehabilitation Hospital of Pensac…3.1 mi · Pensacola, 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

Solaris Healthcare Pensacola0.3 mi · Pensacola, FL · 5 of 5 stars
Olive Branch Health and Rehabilitation Center0.3 mi · Pensacola, FL · 4 of 5 stars
Life Care Center of Pensacola1.2 mi · Pensacola, FL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Gentiva I3.5 mi · Pensacola, FL · 3 of 5 stars
Peoples Hospice and Palliative Care of Florida LLC6.1 mi · Pensacola, FL · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Adoration Home Health1.2 mi · Pensacola, FL
Medi Home Health Agency1.2 mi · Pensacola, FL · 4 of 5 stars
Ascension at Home3.5 mi · Pensacola, FL · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita West Florida Dialysis1.2 mi · Pensacola, FL · 1 of 5 stars
RCG - Baptist North1.2 mi · Pensacola, FL · 2 of 5 stars
RCG - Sacred Heart - Adult Dialysis3.5 mi · Pensacola, 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.

Baptist Medical Park Surgery Center1.2 mi · Pensacola, FL
West Florida Medical Center Clinic Ambulatory Surgical Center1.2 mi · Pensacola, FL
Azura Surgery Center Renalus Pensacola3.5 mi · Pensacola, 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

Trinity Pediatrics2.7 mi · Pensacola, FL · Community health center
Waterfront Rescue Mission4.8 mi · Pensacola, FL · Community health center
Fairfield5.1 mi · Pensacola, FL · Community health center

Clinics and urgent care

American Current Care P.A.3.5 mi · Pensacola, FL · Urgent care center
Baptist Urgent Care, LLC3.5 mi · Pensacola, FL · Urgent care center
Sacred Heart Health System, Inc.3.5 mi · Pensacola, FL · Urgent care center

Pharmacies

Covenant Hospice, Inc.1.2 mi · Pensacola, FL · Pharmacy
Publix Super Markets Inc1.2 mi · Pensacola, FL · Community/retail pharmacy
The Towers Pharmacy, Inc1.2 mi · Pensacola, FL · Community/retail pharmacy

Assisted living nearby

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

Brookdale Pensacola1.2 mi · Pensacola, FL
Grandview Retirement Center1.2 mi · Pensacola, FL
Inspiritas of Pensacola1.2 mi · Pensacola, FL
Oakbridge Terrace at Azalea Trace1.2 mi · Pensacola, 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 West 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	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	73%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	763Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.526No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.506No different from the national benchmark
Surgical site infections after colon surgery	0.972No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.501No different from the national benchmark
MRSA bloodstream infections	0.582No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.025Better 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	12%
Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	17%
Deaths within 30 days: COPD patients	10.2%
Deaths within 30 days: stroke patients	16.3%
Deaths within 30 days: coronary bypass surgery (CABG)	3.3%
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	4.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.6%
Readmitted within 30 days: heart failure	21%
Readmitted within 30 days: pneumonia	16.3%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	11%
Readmitted within 30 days: hip or knee replacement	7%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	117 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	71%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 Pensacola Best hospitals in Pensacola

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 West 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	$242.72 – $255.50
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $255.50 CorVel Corporation — WORKERSCOMP: $242.72 Prime Health — WC: $247.83
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	$259.34 – $272.99
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $272.99 CorVel Corporation — WORKERSCOMP: $259.34 Prime Health — WC: $264.80
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	$181.45 – $191
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $191 CorVel Corporation — WORKERSCOMP: $181.45 Prime Health — WC: $185.27
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	$129.21 – $136.01
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $136.01 CorVel Corporation — WORKERSCOMP: $129.21 Prime Health — WC: $131.93
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	$170.74 – $179.73
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $179.73 CorVel Corporation — WORKERSCOMP: $170.74 Prime Health — WC: $174.34
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	$328.10 – $345.37
Office consultation with a specialist (moderate): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $345.37 CorVel Corporation — WORKERSCOMP: $328.10 Prime Health — WC: $335.01
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 – $71.04
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans Humana — TRICARE: $68.91 Value Options — TRICARE: $71.04
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$83.80 – $86.39
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans Humana — TRICARE: $83.80 Value Options — TRICARE: $86.39
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$4,627.30	$4,627.30	$587.67 – $4,164.57
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — ASA: $1,388.19 Aetna — HMO/PPO: $1,027.26 AvMed — HIXOON: $2,313.65 Evolutions Healthcare — MANAGEDCAREPPO: $3,007.74 Evolutions Healthcare — TRADITIONALPPO: $3,933.20 Freedom Health — MCR: $587.67 Multiplan — Complementary: $3,933.20 Multiplan — Primary: $3,609.29 NovaNet — COMM: $4,164.57 Plotkin Health — COMM: $2,313.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$573.13 – $603.30
Emergency room visit (moderate): 10 of 20 insurance plan rates AvMed — ASOEO: $6,046 AvMed — HMOFI: $5,453 BCBS — BSLNON-PAR: $4,756 BCBS — HMO: $1,821 BCBS — MBN: $1,483 BCBS — NWB: $1,955 BCBS — PHS: $4,756 BCBS — PPO: $1,955 BCBS — SBN: $1,925 Careworks (Rockport Community) — WORKERSCOMP: $603.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT	$4,205.05	$4,205.05	$534.04 – $3,784.55
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — ASA: $1,261.52 Aetna — HMO/PPO: $933.52 AvMed — HIXOON: $2,102.53 Evolutions Healthcare — MANAGEDCAREPPO: $2,733.28 Evolutions Healthcare — TRADITIONALPPO: $3,574.29 Freedom Health — MCR: $534.04 Multiplan — Complementary: $3,574.29 Multiplan — Primary: $3,279.94 NovaNet — COMM: $3,784.55 Plotkin Health — COMM: $2,102.53
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$8,506.40	$8,506.40	$1,080.31 – $7,655.76
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — ASA: $2,551.92 Aetna — HMO/PPO: $1,888.42 AvMed — HIXOON: $4,253.20 Evolutions Healthcare — MANAGEDCAREPPO: $5,529.16 Evolutions Healthcare — TRADITIONALPPO: $7,230.44 Freedom Health — MCR: $1,080.31 Multiplan — Complementary: $7,230.44 Multiplan — Primary: $6,634.99 NovaNet — COMM: $7,655.76 Plotkin Health — COMM: $4,253.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$960 – $2,649
Emergency room visit (moderately high): 10 of 20 insurance plan rates AvMed — ASOEO: $7,774 AvMed — HMOFI: $7,010 BCBS — BSLNON-PAR: $4,756 BCBS — HMO: $1,821 BCBS — MBN: $1,483 BCBS — NWB: $2,044 BCBS — PHS: $4,756 BCBS — PPO: $2,044 BCBS — SBN: $1,925 Careworks (Rockport Community) — WORKERSCOMP: $137
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT	$7,733.30	$7,733.30	$982.13 – $6,959.97
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — ASA: $2,319.99 Aetna — HMO/PPO: $1,716.79 AvMed — HIXOON: $3,866.65 Evolutions Healthcare — MANAGEDCAREPPO: $5,026.65 Evolutions Healthcare — TRADITIONALPPO: $6,573.31 Freedom Health — MCR: $982.13 Multiplan — Complementary: $6,573.31 Multiplan — Primary: $6,031.97 NovaNet — COMM: $6,959.97 Plotkin Health — COMM: $3,866.65
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$8,529.10	$8,529.10	$1,083.20 – $7,676.19
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — ASA: $2,558.73 Aetna — HMO/PPO: $1,893.46 AvMed — HIXOON: $4,264.55 Evolutions Healthcare — MANAGEDCAREPPO: $5,543.91 Evolutions Healthcare — TRADITIONALPPO: $7,249.73 Freedom Health — MCR: $1,083.20 Multiplan — Complementary: $7,249.73 Multiplan — Primary: $6,652.70 NovaNet — COMM: $7,676.19 Plotkin Health — COMM: $4,264.55
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$1,232.10 – $1,296.95
Emergency room visit (high): 10 of 20 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $4,756 BCBS — HMO: $1,821 BCBS — MBN: $1,483 BCBS — NWB: $2,044 BCBS — PHS: $4,756 BCBS — PPO: $2,044 BCBS — SBN: $1,925 Careworks (Rockport Community) — WORKERSCOMP: $1,296.95
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT	$7,751.25	$7,751.25	$984.41 – $6,976.13
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — ASA: $2,325.38 Aetna — HMO/PPO: $1,720.78 AvMed — HIXOON: $3,875.63 Evolutions Healthcare — MANAGEDCAREPPO: $5,038.31 Evolutions Healthcare — TRADITIONALPPO: $6,588.56 Freedom Health — MCR: $984.41 Multiplan — Complementary: $6,588.56 Multiplan — Primary: $6,045.98 NovaNet — COMM: $6,976.13 Plotkin Health — COMM: $3,875.63

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: BMP TOTAL CALCIUM	$1,012	$1,012	$128.52 – $1,012
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — ASA: $303.60 AvMed — ASOEO: $303.60 AvMed — HIXOON: $506 AvMed — HMOFI: $253 Beacon Health Options — MCR: $1,012 Evernorth — BHCOMM: $809.60 Evolutions Healthcare — MANAGEDCAREPPO: $657.80 Evolutions Healthcare — TRADITIONALPPO: $860.20 Freedom Health — MCR: $128.52 Molina Healthcare — HIX: $323.84
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	Not listed in the file	Not listed in the file	$8.46
Basic metabolic panel (blood test): 10 of 34 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: $213.73 Centurion — GVT: $9.31 Clear Spring Health — MCR: $9.31 CorVel Corporation — WORKERSCOMP: $203.04 Florida Complete Care — MCR: $9.05
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$2,644	$2,644	$335.79 – $2,644
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — ASA: $793.20 AvMed — ASOEO: $793.20 AvMed — HIXOON: $1,322 AvMed — HMOFI: $661 Beacon Health Options — MCR: $2,644 Evernorth — BHCOMM: $2,115.20 Evolutions Healthcare — MANAGEDCAREPPO: $1,718.60 Evolutions Healthcare — TRADITIONALPPO: $2,247.40 Freedom Health — MCR: $335.79 Molina Healthcare — HIX: $846.08
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	Not listed in the file	Not listed in the file	$10.56
Comprehensive metabolic panel (blood test): 10 of 34 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: $317.68 Centurion — GVT: $11.62 Clear Spring Health — MCR: $11.62 CorVel Corporation — WORKERSCOMP: $301.80 Florida Complete Care — MCR: $11.30
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or	Not listed in the file	Not listed in the file	$47.81
Obstetric blood test panel: 10 of 34 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: $239.96 Centurion — GVT: $52.59 Clear Spring Health — MCR: $52.59 CorVel Corporation — WORKERSCOMP: $227.96 Florida Complete Care — MCR: $51.16
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	$1,215	$1,215	$13.39
Cholesterol panel (lipid panel): 10 of 34 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: $216.64 Centurion — GVT: $14.73 Clear Spring Health — MCR: $14.73 CorVel Corporation — WORKERSCOMP: $205.81 Florida Complete Care — MCR: $14.33
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$1,215	$1,215	$154.31 – $1,215
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna — ASA: $364.50 AvMed — ASOEO: $364.50 AvMed — HIXOON: $607.50 AvMed — HMOFI: $303.75 Beacon Health Options — MCR: $1,215 Evernorth — BHCOMM: $972 Evolutions Healthcare — MANAGEDCAREPPO: $789.75 Evolutions Healthcare — TRADITIONALPPO: $1,032.75 Freedom Health — MCR: $154.31 Molina Healthcare — HIX: $388.80
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	$1,533	$1,533	$20.83
Kidney function panel: 10 of 34 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: $159.33 Centurion — GVT: $9.55 Clear Spring Health — MCR: $9.55 CorVel Corporation — WORKERSCOMP: $151.36 Florida Complete Care — MCR: $9.29
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$1,533	$1,533	$194.69 – $1,533
Kidney function panel: 10 of 23 insurance plan rates Aetna — ASA: $459.90 AvMed — ASOEO: $459.90 AvMed — HIXOON: $766.50 AvMed — HMOFI: $383.25 Beacon Health Options — MCR: $1,533 Evernorth — BHCOMM: $1,226.40 Evolutions Healthcare — MANAGEDCAREPPO: $996.45 Evolutions Healthcare — TRADITIONALPPO: $1,303.05 Freedom Health — MCR: $194.69 Molina Healthcare — HIX: $490.56
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$1,632	$1,632	$207.26 – $1,632
Liver function panel: 10 of 23 insurance plan rates Aetna — ASA: $489.60 AvMed — ASOEO: $489.60 AvMed — HIXOON: $816 AvMed — HMOFI: $408 Beacon Health Options — MCR: $1,632 Evernorth — BHCOMM: $1,305.60 Evolutions Healthcare — MANAGEDCAREPPO: $1,060.80 Evolutions Healthcare — TRADITIONALPPO: $1,387.20 Freedom Health — MCR: $207.26 Molina Healthcare — HIX: $522.24
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 34 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: $257.45 Centurion — GVT: $8.99 Clear Spring Health — MCR: $8.99 CorVel Corporation — WORKERSCOMP: $244.58 Florida Complete Care — MCR: $8.74
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$215	$215	$27.30 – $215
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna — ASA: $64.50 AvMed — ASOEO: $64.50 AvMed — HIXOON: $107.50 AvMed — HMOFI: $53.75 Beacon Health Options — MCR: $215 Evernorth — BHCOMM: $172 Evolutions Healthcare — MANAGEDCAREPPO: $139.75 Evolutions Healthcare — TRADITIONALPPO: $182.75 Freedom Health — MCR: $27.30 Molina Healthcare — HIX: $68.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$7.61
Urine test (automated, with microscope): 10 of 34 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: $110.75 Centurion — GVT: $3.49 Clear Spring Health — MCR: $3.49 CorVel Corporation — WORKERSCOMP: $105.21 Florida Complete Care — MCR: $3.39
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$34.15 – $35.95
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — MCR: $3.69 Align Senior Care — MGMCR: $3.72 American Health Plan — MCR: $3.69 BCBS — MCRHMO: $3.55 BCBS — MCRPPO: $3.55 Careworks (Rockport Community) — WORKERSCOMP: $35.95 Centurion — GVT: $3.83 Clear Spring Health — MCR: $3.83 CorVel Corporation — WORKERSCOMP: $34.15 Florida Complete Care — MCR: $3.72
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO	$288	$288	$36.58 – $288
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna — ASA: $86.40 AvMed — ASOEO: $86.40 AvMed — HIXOON: $144 AvMed — HMOFI: $72 Beacon Health Options — MCR: $288 Evernorth — BHCOMM: $230.40 Evolutions Healthcare — MANAGEDCAREPPO: $187.20 Evolutions Healthcare — TRADITIONALPPO: $244.80 Freedom Health — MCR: $36.58 Molina Healthcare — HIX: $92.16
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$2.04 – $4.73
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — MCR: $2.39 Align Senior Care — MGMCR: $2.41 American Health Plan — MCR: $2.39 BCBS — MCRHMO: $2.29 BCBS — MCRPPO: $2.29 Careworks (Rockport Community) — WORKERSCOMP: $83.55 Centurion — GVT: $2.48 Clear Spring Health — MCR: $2.48 CorVel Corporation — WORKERSCOMP: $79.37 Florida Complete Care — MCR: $2.41
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	$816	$816	$18.39
PSA (prostate specific antigen) blood test: 10 of 31 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 Clear Spring Health — MCR: $20.23 Florida Complete Care — MCR: $19.68 Gold Kidney of Florida — MCR: $20.05 Healthspring of Florida — MGMGR: $19.68
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$816	$816	$103.63 – $816
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna — ASA: $244.80 AvMed — ASOEO: $244.80 AvMed — HIXOON: $408 AvMed — HMOFI: $204 Beacon Health Options — MCR: $816 Evernorth — BHCOMM: $652.80 Evolutions Healthcare — MANAGEDCAREPPO: $530.40 Evolutions Healthcare — TRADITIONALPPO: $693.60 Freedom Health — MCR: $103.63 Molina Healthcare — HIX: $261.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total UNSCHEDULED	$816	$816	$143.05 – $150.58
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $150.58 CorVel Corporation — WORKERSCOMP: $143.05 Prime Health — WC: $146.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	$1,542.35	$1,542.35	$16.80
Thyroid stimulating hormone (TSH) test: 10 of 31 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 Clear Spring Health — MCR: $18.48 Florida Complete Care — MCR: $17.98 Gold Kidney of Florida — MCR: $18.31 Healthspring of Florida — MGMGR: $17.98
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$1,542.35	$1,542.35	$195.88 – $1,542.35
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Aetna — ASA: $462.70 AvMed — ASOEO: $462.70 AvMed — HIXOON: $771.17 AvMed — HMOFI: $385.59 Beacon Health Options — MCR: $1,542.35 Evernorth — BHCOMM: $1,233.88 Evolutions Healthcare — MANAGEDCAREPPO: $1,002.53 Evolutions Healthcare — TRADITIONALPPO: $1,311 Freedom Health — MCR: $195.88 Molina Healthcare — HIX: $493.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) UNSCHEDULED	$1,542.35	$1,542.35	$167.05 – $175.84
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $175.84 CorVel Corporation — WORKERSCOMP: $167.05 Prime Health — WC: $170.56
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 34 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: $153.50 Centurion — GVT: $8.55 Clear Spring Health — MCR: $8.55 CorVel Corporation — WORKERSCOMP: $145.82 Florida Complete Care — MCR: $8.31
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$325	$325	$41.27 – $325
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna — ASA: $97.50 AvMed — ASOEO: $97.50 AvMed — HIXOON: $162.50 AvMed — HMOFI: $81.25 Beacon Health Options — MCR: $325 Evernorth — BHCOMM: $260 Evolutions Healthcare — MANAGEDCAREPPO: $211.25 Evolutions Healthcare — TRADITIONALPPO: $276.25 Freedom Health — MCR: $41.27 Molina Healthcare — HIX: $104
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)	Not listed in the file	Not listed in the file	$5.87 – $13.59
Complete blood count (CBC), automated: 10 of 31 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 Clear Spring Health — MCR: $7.12 Florida Complete Care — MCR: $6.92 Gold Kidney of Florida — MCR: $7.05 Healthspring of Florida — MGMGR: $6.92
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	Not listed in the file	Not listed in the file	$114.45 – $120.47
Complete blood count (CBC), automated: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $120.47 CorVel Corporation — WORKERSCOMP: $114.45 Prime Health — WC: $116.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$337	$337	$42.80 – $337
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna — ASA: $101.10 AvMed — ASOEO: $101.10 AvMed — HIXOON: $168.50 AvMed — HMOFI: $84.25 Beacon Health Options — MCR: $337 Evernorth — BHCOMM: $269.60 Evolutions Healthcare — MANAGEDCAREPPO: $219.05 Evolutions Healthcare — TRADITIONALPPO: $286.45 Freedom Health — MCR: $42.80 Molina Healthcare — HIX: $107.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 31 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 Clear Spring Health — MCR: $4.72 Florida Complete Care — MCR: $4.59 Gold Kidney of Florida — MCR: $4.68 Healthspring of Florida — MGMGR: $4.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; UNSCHEDULED	Not listed in the file	Not listed in the file	$94.14 – $99.09
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $99.09 CorVel Corporation — WORKERSCOMP: $94.14 Prime Health — WC: $96.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$496	$496	$62.99 – $496
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna — ASA: $148.80 AvMed — ASOEO: $148.80 AvMed — HIXOON: $248 AvMed — HMOFI: $124 Beacon Health Options — MCR: $496 Evernorth — BHCOMM: $396.80 Evolutions Healthcare — MANAGEDCAREPPO: $322.40 Evolutions Healthcare — TRADITIONALPPO: $421.60 Freedom Health — MCR: $62.99 Molina Healthcare — HIX: $158.72
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 31 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 Clear Spring Health — MCR: $6.61 Florida Complete Care — MCR: $6.43 Gold Kidney of Florida — MCR: $6.55 Healthspring of Florida — MGMGR: $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	$119.05 – $125.32
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $125.32 CorVel Corporation — WORKERSCOMP: $119.05 Prime Health — WC: $121.56

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	$9,132.70	$9,132.70	$1,159.85 – $9,132.70
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Aetna — ASA: $2,739.81 AvMed — HIXOON: $4,566.35 Beacon Health Options — MCR: $9,132.70 Evernorth — BHCOMM: $7,306.16 Evolutions Healthcare — MANAGEDCAREPPO: $5,936.26 Evolutions Healthcare — TRADITIONALPPO: $7,762.80 Freedom Health — MCR: $1,159.85 Molina Healthcare — HIX: $2,922.46 Molina Healthcare — MGMCR: $1,735.21 Multiplan — Complementary: $7,762.80
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	Not listed in the file	Not listed in the file	$1,258 – $1,987
CT scan of the head or brain, without contrast: rates for 5 insurance plans Aetna — HMO/PPO: $1,987 Aetna — QHP: $1,258 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	Not listed in the file	Not listed in the file	$1,963.98 – $2,067.35
CT scan of the head or brain, without contrast: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,067.35 CorVel Corporation — WORKERSCOMP: $1,963.98 Prime Health — WC: $2,005.33
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$7,899.80	$7,899.80	$1,003.27 – $7,899.80
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna — ASA: $2,369.94 AvMed — HIXOON: $3,949.90 Beacon Health Options — MCR: $7,899.80 Evernorth — BHCOMM: $6,319.84 Evolutions Healthcare — MANAGEDCAREPPO: $5,134.87 Evolutions Healthcare — TRADITIONALPPO: $6,714.83 Freedom Health — MCR: $1,003.27 Molina Healthcare — HIX: $2,527.94 Molina Healthcare — MGMCR: $1,500.96 Multiplan — Complementary: $6,714.83
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	$7,899.80	$7,899.80	$828.27 – $3,623
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — HMO/PPO: $1,984 Aetna — QHP: $1,256 AvMed — ASOEO: $3,623 AvMed — HMOFI: $3,266 Careworks (Rockport Community) — WORKERSCOMP: $3,620.78 CorVel Corporation — WORKERSCOMP: $3,439.74 Prime Health — WC: $3,512.16 United — AllPayerAppendix: $828.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$1,841.75	$1,841.75	$233.90 – $1,841.75
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — ASA: $552.52 AvMed — ASOEO: $552.52 AvMed — HIXOON: $920.88 AvMed — HMOFI: $460.44 Beacon Health Options — MCR: $1,841.75 Evernorth — BHCOMM: $1,473.40 Evolutions Healthcare — MANAGEDCAREPPO: $1,197.14 Evolutions Healthcare — TRADITIONALPPO: $1,565.49 Freedom Health — MCR: $233.90 Molina Healthcare — HIX: $589.36
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$182.03
Chest X-ray, 2 views: rates for 3 insurance plans United — AllPayerAppendix: $182.03 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (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	Not listed in the file	Not listed in the file	$422.70 – $444.95
Chest X-ray, 2 views: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $444.95 CorVel Corporation — WORKERSCOMP: $422.70 Prime Health — WC: $431.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$4,420.70	$4,420.70	$561.43 – $4,420.70
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — ASA: $1,326.21 AvMed — ASOEO: $1,326.21 AvMed — HIXOON: $2,210.35 AvMed — HMOFI: $1,105.17 Beacon Health Options — MCR: $4,420.70 Evernorth — BHCOMM: $3,536.56 Evolutions Healthcare — MANAGEDCAREPPO: $2,873.45 Evolutions Healthcare — TRADITIONALPPO: $3,757.59 Freedom Health — MCR: $561.43 Molina Healthcare — HIX: $1,414.62
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$245.18
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans United — AllPayerAppendix: $245.18 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (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	Not listed in the file	Not listed in the file	$743.88 – $783.03
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $783.03 CorVel Corporation — WORKERSCOMP: $743.88 Prime Health — WC: $759.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$6,956.60	$6,956.60	$883.49 – $6,956.60
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Aetna — ASA: $2,086.98 AvMed — HIXOON: $3,478.30 Beacon Health Options — MCR: $6,956.60 Evernorth — BHCOMM: $5,565.28 Evolutions Healthcare — MANAGEDCAREPPO: $4,521.79 Evolutions Healthcare — TRADITIONALPPO: $5,913.11 Freedom Health — MCR: $883.49 Molina Healthcare — HIX: $2,226.11 Molina Healthcare — MGMCR: $1,321.75 Multiplan — Complementary: $5,913.11
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	$6,956.60	$6,956.60	$517.79 – $3,623
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — HMO/PPO: $1,984 Aetna — QHP: $1,256 AvMed — ASOEO: $3,623 AvMed — HMOFI: $3,266 Careworks (Rockport Community) — WORKERSCOMP: $2,521.04 CorVel Corporation — WORKERSCOMP: $2,394.99 Prime Health — WC: $2,445.41 United — AllPayerAppendix: $517.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$15,416.55	$15,416.55	$1,957.90 – $15,416.55
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Aetna — ASA: $4,624.97 AvMed — HIXOON: $7,708.27 Beacon Health Options — MCR: $15,416.55 Evernorth — BHCOMM: $12,333.24 Evolutions Healthcare — MANAGEDCAREPPO: $10,020.76 Evolutions Healthcare — TRADITIONALPPO: $13,104.07 Freedom Health — MCR: $1,957.90 Molina Healthcare — HIX: $4,933.30 Molina Healthcare — MGMCR: $2,929.14 Multiplan — Complementary: $13,104.07
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$401.74 – $1,975
CT scan of the pelvis, with contrast: rates for 5 insurance plans Aetna — HMO/PPO: $1,987 Aetna — QHP: $1,258 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	Not listed in the file	Not listed in the file	$2,699.56 – $2,841.64
CT scan of the pelvis, with contrast: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,841.64 CorVel Corporation — WORKERSCOMP: $2,699.56 Prime Health — WC: $2,756.39
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 8 insurance plans Aetna — HMO/PPO: $1,984 Aetna — QHP: $1,256 AvMed — ASOEO: $3,623 AvMed — HMOFI: $3,266 Careworks (Rockport Community) — WORKERSCOMP: $2,389.89 CorVel Corporation — WORKERSCOMP: $2,270.40 Prime Health — WC: $2,318.19 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	$6,165.35	$6,165.35	$783 – $6,165.35
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna — ASA: $1,849.61 AvMed — HIXOON: $3,082.68 Beacon Health Options — MCR: $6,165.35 Evernorth — BHCOMM: $4,932.28 Evolutions Healthcare — MANAGEDCAREPPO: $4,007.48 Evolutions Healthcare — TRADITIONALPPO: $5,240.55 Freedom Health — MCR: $783 Molina Healthcare — HIX: $1,972.91 Molina Healthcare — MGMCR: $1,171.42 Multiplan — Complementary: $5,240.55
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	$6,165.35	$6,165.35	$783 – $6,165.35
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna — ASA: $1,849.61 AvMed — HIXOON: $3,082.68 Beacon Health Options — MCR: $6,165.35 Evernorth — BHCOMM: $4,932.28 Evolutions Healthcare — MANAGEDCAREPPO: $4,007.48 Evolutions Healthcare — TRADITIONALPPO: $5,240.55 Freedom Health — MCR: $783 Molina Healthcare — HIX: $1,972.91 Molina Healthcare — MGMCR: $1,171.42 Multiplan — Complementary: $5,240.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$18,532.40	$18,532.40	$2,353.61 – $18,532.40
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Aetna — ASA: $5,559.72 AvMed — HIXOON: $9,266.20 Beacon Health Options — MCR: $18,532.40 Evernorth — BHCOMM: $14,825.92 Evolutions Healthcare — MANAGEDCAREPPO: $12,046.06 Evolutions Healthcare — TRADITIONALPPO: $15,752.54 Freedom Health — MCR: $2,353.61 Molina Healthcare — HIX: $5,930.37 Molina Healthcare — MGMCR: $3,521.16 Multiplan — Complementary: $15,752.54
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)	Not listed in the file	Not listed in the file	$1,258 – $1,987
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Aetna — HMO/PPO: $1,987 Aetna — QHP: $1,258 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	Not listed in the file	Not listed in the file	$4,354.36 – $4,583.54
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,583.54 CorVel Corporation — WORKERSCOMP: $4,354.36 Prime Health — WC: $4,446.03
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$4,492.95	$4,492.95	$570.60 – $4,492.95
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Aetna — ASA: $1,347.88 AvMed — ASOEO: $1,347.88 AvMed — HIXOON: $2,246.47 AvMed — HMOFI: $1,123.24 Beacon Health Options — MCR: $4,492.95 Evernorth — BHCOMM: $3,594.36 Evolutions Healthcare — MANAGEDCAREPPO: $2,920.42 Evolutions Healthcare — TRADITIONALPPO: $3,819.01 Freedom Health — MCR: $570.60 Molina Healthcare — HIX: $1,437.74
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	$1,314.25 – $1,383.42
Ultrasound of the abdomen, complete: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $1,383.42 CorVel Corporation — WORKERSCOMP: $1,314.25 Prime Health — WC: $1,341.92
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 3 insurance plans United — AllPayerAppendix: $245.18 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$3,094.70	$3,094.70	$393.03 – $3,094.70
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — ASA: $928.41 AvMed — ASOEO: $928.41 AvMed — HIXOON: $1,547.35 AvMed — HMOFI: $773.67 Beacon Health Options — MCR: $3,094.70 Evernorth — BHCOMM: $2,475.76 Evolutions Healthcare — MANAGEDCAREPPO: $2,011.56 Evolutions Healthcare — TRADITIONALPPO: $2,630.49 Freedom Health — MCR: $393.03 Molina Healthcare — HIX: $990.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$245.18
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $914.18 CorVel Corporation — WORKERSCOMP: $868.47 Prime Health — WC: $886.75 United — AllPayerAppendix: $245.18 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$2,431.30	$2,431.30	$308.78 – $2,431.30
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna — ASA: $729.39 AvMed — ASOEO: $729.39 AvMed — HIXOON: $1,215.65 AvMed — HMOFI: $607.83 Beacon Health Options — MCR: $2,431.30 Evernorth — BHCOMM: $1,945.04 Evolutions Healthcare — MANAGEDCAREPPO: $1,580.35 Evolutions Healthcare — TRADITIONALPPO: $2,066.61 Freedom Health — MCR: $308.78 Molina Healthcare — HIX: $778.02
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$245.18
Transvaginal ultrasound: rates for 3 insurance plans United — AllPayerAppendix: $245.18 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal UNSCHEDULED	Not listed in the file	Not listed in the file	$893.39 – $940.41
Transvaginal ultrasound: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $940.41 CorVel Corporation — WORKERSCOMP: $893.39 Prime Health — WC: $912.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$205.70
Diagnostic mammogram, one breast: 10 of 29 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 Clear Spring Health — MCR: $90.83 Florida Complete Care — MCR: $88.35 Gold Kidney of Florida — MCR: $90 Healthspring of Florida — MGMGR: $88.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$681.60	$681.60	$86.56 – $681.60
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna — ASA: $204.48 AvMed — ASOEO: $204.48 AvMed — HIXOON: $340.80 AvMed — HMOFI: $170.40 Beacon Health Options — MCR: $681.60 Evernorth — BHCOMM: $545.28 Evolutions Healthcare — MANAGEDCAREPPO: $443.04 Evolutions Healthcare — TRADITIONALPPO: $579.36 Freedom Health — MCR: $86.56 Molina Healthcare — HIX: $218.11
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$681.60	$681.60	$86.56 – $681.60
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna — ASA: $204.48 AvMed — ASOEO: $204.48 AvMed — HIXOON: $340.80 AvMed — HMOFI: $170.40 Beacon Health Options — MCR: $681.60 Evernorth — BHCOMM: $545.28 Evolutions Healthcare — MANAGEDCAREPPO: $443.04 Evolutions Healthcare — TRADITIONALPPO: $579.36 Freedom Health — MCR: $86.56 Molina Healthcare — HIX: $218.11
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Trauma	$827.90	$827.90	$254.54
Diagnostic mammogram, both breasts: 10 of 29 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 Clear Spring Health — MCR: $116.67 Florida Complete Care — MCR: $113.48 Gold Kidney of Florida — MCR: $115.61 Healthspring of Florida — MGMGR: $113.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$827.90	$827.90	$105.14 – $827.90
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna — ASA: $248.37 AvMed — ASOEO: $248.37 AvMed — HIXOON: $413.95 AvMed — HMOFI: $206.97 Beacon Health Options — MCR: $827.90 Evernorth — BHCOMM: $662.32 Evolutions Healthcare — MANAGEDCAREPPO: $538.13 Evolutions Healthcare — TRADITIONALPPO: $703.72 Freedom Health — MCR: $105.14 Molina Healthcare — HIX: $264.93
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	$768.80	$768.80	$217.46
Screening mammogram, both breasts: 10 of 29 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 Clear Spring Health — MCR: $96.10 Florida Complete Care — MCR: $93.48 Gold Kidney of Florida — MCR: $95.22 Healthspring of Florida — MGMGR: $93.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$768.80	$768.80	$97.64 – $768.80
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna — ASA: $230.64 AvMed — ASOEO: $230.64 AvMed — HIXOON: $384.40 AvMed — HMOFI: $192.20 Beacon Health Options — MCR: $768.80 Evernorth — BHCOMM: $615.04 Evolutions Healthcare — MANAGEDCAREPPO: $499.72 Evolutions Healthcare — TRADITIONALPPO: $653.48 Freedom Health — MCR: $97.64 Molina Healthcare — HIX: $246.02

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	Not listed in the file	Not listed in the file	$12.61 – $13
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $372.08 CorVel Corporation — WORKERSCOMP: $353.48 Humana — TRICARE: $12.61 Prime Health — WC: $360.92 Value Options — TRICARE: $13 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (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	$8,205
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates Aetna — HMO/PPO: $18,251 Aetna — QHP: $11,555 AvMed — ASOEO: $23,233 AvMed — HMOFI: $20,950 Careworks (Rockport Community) — WORKERSCOMP: $14,181.96 Cigna — ManagedCareHMO: $44,936 Cigna — NBN: $18,786 Cigna — PPO: $44,936 CorVel Corporation — WORKERSCOMP: $13,472.86 Molina Healthcare — HIX: $4,632
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	$25,292.65	$25,292.65	$10,254 – $47,578
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates Aetna — HMO/PPO: $15,493 Aetna — QHP: $9,809 BCBS — BSLNON-PAR: $17,671 BCBS — HMO: $24,758 BCBS — MBN: $19,937 BCBS — NWB: $24,426 BCBS — PHS: $17,765 BCBS — PPO: $24,426 BCBS — SBN: $25,416 Careworks (Rockport Community) — WORKERSCOMP: $14,588.04
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA	$25,292.65	$25,292.65	$3,212.17 – $25,292.65
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates Aetna — ASA: $7,587.80 AvMed — ASOEO: $7,587.80 AvMed — HIXOON: $12,646.33 AvMed — HMOFI: $6,323.16 Beacon Health Options — MCR: $25,292.65 Evernorth — BHCOMM: $20,234.12 Evolutions Healthcare — MANAGEDCAREPPO: $16,440.22 Evolutions Healthcare — TRADITIONALPPO: $21,498.75 Freedom Health — MCR: $3,212.17 Multiplan — Complementary: $21,498.75
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,	$89,154.90	$89,154.90	$1,278.70 – $1,346
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates Aetna — HMO/PPO: $15,493 Aetna — QHP: $9,809 BCBS — BSLNON-PAR: $17,671 BCBS — HMO: $24,758 BCBS — MBN: $19,937 BCBS — NWB: $24,426 BCBS — PHS: $17,765 BCBS — PPO: $24,426 BCBS — SBN: $25,416 Careworks (Rockport Community) — WORKERSCOMP: $1,346
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB	$89,154.90	$89,154.90	$11,322.67 – $89,154.90
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates Aetna — ASA: $26,746.47 AvMed — ASOEO: $26,746.47 AvMed — HIXOON: $44,577.45 AvMed — HMOFI: $22,288.72 Beacon Health Options — MCR: $89,154.90 Evernorth — BHCOMM: $71,323.92 Evolutions Healthcare — MANAGEDCAREPPO: $57,950.68 Evolutions Healthcare — TRADITIONALPPO: $75,781.66 Freedom Health — MCR: $11,322.67 Molina Healthcare — MGMCR: $16,939.43
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 UNSCHEDULED	Not listed in the file	Not listed in the file	$5,125 – $5,394.74
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $5,394.74 CorVel Corporation — WORKERSCOMP: $5,125 Prime Health — WC: $5,232.90 United — AllPayerAppendix: $1,040 Aetna — HMO/PPO: 22.2% (a percentage in the contract, not a dollar amount) Aetna — QHP: 15.2% (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	$68.69
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 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 Clear Spring Health — MCR: $31.48 CorVel Corporation — WORKERSCOMP: $32.30 Florida Complete Care — MCR: $30.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT	$219.10	$219.10	$24.10 – $219.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — ASA: $65.73 AvMed — ASOEO: $65.73 AvMed — HIXOON: $109.55 AvMed — HMOFI: $54.77 Beacon Health Options — MCR: $219.10 Cigna — ManagedCareHMO: $90.93 Cigna — NBN: $38.12 Cigna — PPO: $90.93 Evernorth — BHCOMM: $175.28 Evolutions Healthcare — MANAGEDCAREPPO: $142.41
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT	$219.10	$219.10	$24.10 – $219.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — ASA: $65.73 AvMed — ASOEO: $65.73 AvMed — HIXOON: $109.55 AvMed — HMOFI: $54.77 Beacon Health Options — MCR: $219.10 Cigna — ManagedCareHMO: $90.93 Cigna — NBN: $38.12 Cigna — PPO: $90.93 Evernorth — BHCOMM: $175.28 Evolutions Healthcare — MANAGEDCAREPPO: $142.41
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	Not listed in the file	Not listed in the file	$230.40
Physical therapy evaluation (low complexity): 10 of 31 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 Clear Spring Health — MCR: $105.60 CorVel Corporation — WORKERSCOMP: $90.25 Florida Complete Care — MCR: $102.72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$560.95	$560.95	$61.70 – $560.95
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — ASA: $168.28 AvMed — ASOEO: $168.28 AvMed — HIXOON: $280.48 AvMed — HMOFI: $140.24 Beacon Health Options — MCR: $560.95 Cigna — ManagedCareHMO: $232.79 Cigna — NBN: $97.61 Cigna — PPO: $232.79 Evernorth — BHCOMM: $448.76 Evolutions Healthcare — MANAGEDCAREPPO: $364.62
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	Not listed in the file	Not listed in the file	$202.75
Physical therapy evaluation (low complexity): 10 of 24 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 Clear Spring Health — MCR: $92.93 Florida Complete Care — MCR: $90.39 Gold Kidney of Florida — MCR: $92.08 Healthspring of Florida — MGMGR: $90.39
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	Not listed in the file	Not listed in the file	$93.12 – $201.60
Physical therapy evaluation (moderate complexity): 10 of 31 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 Clear Spring Health — MCR: $105.60 CorVel Corporation — WORKERSCOMP: $90.25 Florida Complete Care — MCR: $102.72
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$573.25	$573.25	$63.06 – $573.25
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — ASA: $171.97 AvMed — ASOEO: $171.97 AvMed — HIXOON: $286.63 AvMed — HMOFI: $143.31 Beacon Health Options — MCR: $573.25 Cigna — ManagedCareHMO: $237.90 Cigna — NBN: $99.75 Cigna — PPO: $237.90 Evernorth — BHCOMM: $458.60 Evolutions Healthcare — MANAGEDCAREPPO: $372.61
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	Not listed in the file	Not listed in the file	$202.75
Physical therapy evaluation (moderate complexity): 10 of 24 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 Clear Spring Health — MCR: $92.93 Florida Complete Care — MCR: $90.39 Gold Kidney of Florida — MCR: $92.08 Healthspring of Florida — MGMGR: $90.39
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$230.40
Physical therapy evaluation (high complexity): 10 of 31 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 Clear Spring Health — MCR: $105.60 CorVel Corporation — WORKERSCOMP: $90.25 Florida Complete Care — MCR: $102.72
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$583.95	$583.95	$64.23 – $583.95
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — ASA: $175.19 AvMed — ASOEO: $175.19 AvMed — HIXOON: $291.98 AvMed — HMOFI: $145.99 Beacon Health Options — MCR: $583.95 Cigna — ManagedCareHMO: $242.34 Cigna — NBN: $101.61 Cigna — PPO: $242.34 Evernorth — BHCOMM: $467.16 Evolutions Healthcare — MANAGEDCAREPPO: $379.57
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$202.75
Physical therapy evaluation (high complexity): 10 of 24 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 Clear Spring Health — MCR: $92.93 Florida Complete Care — MCR: $90.39 Gold Kidney of Florida — MCR: $92.08 Healthspring of Florida — MGMGR: $90.39
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	$215.96 – $227.33
Psychotherapy, 30 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $227.33 CorVel Corporation — WORKERSCOMP: $215.96 Prime Health — WC: $220.51
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIV SESSION 45MIN	$579.10	$579.10	$63.70 – $579.10
Psychotherapy, 45 minutes: 10 of 37 insurance plan rates Aetna — ASA: $173.73 Aetna — HMO/PPO: $128.56 Aetna — QHP: $88.02 AvMed — ASOEO: $173.73 AvMed — HIXOON: $289.55 AvMed — HMOFI: $144.78 BCBS — BSLNON-PAR: $148.83 BCBS — HMO: $87.44 BCBS — MBN: $71.23 BCBS — NWB: $86.29
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient UNSCHEDULED	$579.10	$579.10	$215.96 – $227.33
Psychotherapy, 45 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $227.33 CorVel Corporation — WORKERSCOMP: $215.96 Prime Health — WC: $220.51
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient SCHEDULED	$579.10	$579.10	$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, 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
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	$215.96 – $227.33
Psychotherapy, 60 minutes: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $227.33 CorVel Corporation — WORKERSCOMP: $215.96 Prime Health — WC: $220.51
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	$215.96 – $227.33
Family psychotherapy, without the patient: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $227.33 CorVel Corporation — WORKERSCOMP: $215.96 Prime Health — WC: $220.51
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM W PT 50 MIN	$830.05	$830.05	$91.31 – $830.05
Family psychotherapy, with the patient: 10 of 37 insurance plan rates Aetna — ASA: $249.01 Aetna — HMO/PPO: $184.27 Aetna — QHP: $126.17 AvMed — ASOEO: $249.01 AvMed — HIXOON: $415.02 AvMed — HMOFI: $207.51 BCBS — BSLNON-PAR: $213.32 BCBS — HMO: $125.34 BCBS — MBN: $102.10 BCBS — NWB: $123.68
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes UNSCHEDULED	$830.05	$830.05	$215.96 – $227.33
Family psychotherapy, with the patient: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $227.33 CorVel Corporation — WORKERSCOMP: $215.96 Prime Health — WC: $220.51
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP CD GRP (NOT FAMILY)	$812.95	$812.95	$89.42 – $731.65
Group psychotherapy: 10 of 28 insurance plan rates Aetna — ASA: $243.88 Aetna — HMO/PPO: $180.47 Aetna — QHP: $123.57 AvMed — ASOEO: $243.88 AvMed — HIXOON: $406.48 AvMed — HMOFI: $203.24 Cigna — ManagedCareHMO: $337.37 Cigna — NBN: $141.45 Cigna — PPO: $337.37 Evernorth — BHCOMM: $650.36
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PSY GRP (NOT FAMILY)	$812.95	$812.95	$89.42 – $731.65
Group psychotherapy: 10 of 27 insurance plan rates Aetna — ASA: $243.88 Aetna — HMO/PPO: $180.47 Aetna — QHP: $123.57 AvMed — ASOEO: $243.88 AvMed — HIXOON: $406.48 AvMed — HMOFI: $203.24 Cigna — ManagedCareHMO: $337.37 Cigna — NBN: $141.45 Cigna — PPO: $337.37 Evolutions Healthcare — MANAGEDCAREPPO: $528.42
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	$215.96 – $227.33
Group psychotherapy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $227.33 CorVel Corporation — WORKERSCOMP: $215.96 Prime Health — WC: $220.51

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	$6,673 – $8,074
Removal of breast growth (open surgery): 10 of 24 insurance plan rates Aetna — HMO/PPO: $8,074 Aetna — QHP: $5,112 AvMed — ASOEO: $24,385 AvMed — HMOFI: $21,989 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752
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 28 insurance plan rates Aetna — HMO/PPO: $31,455 Aetna — QHP: $19,913 Align Senior Care — MGMCR: $12,000 American Health Plan — MCR: $17,429.32 AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752
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)	Not listed in the file	Not listed in the file	$2,250 – $45,365
Total knee replacement: 10 of 31 insurance plan rates Aetna — HMO/PPO: $31,455 Aetna — QHP: $19,913 Align Senior Care — MGMCR: $12,000 American Health Plan — MCR: $17,429.32 AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752
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	$3,587.41 – $3,776.22
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates Aetna — HMO/PPO: $8,074 Aetna — QHP: $5,112 AvMed — ASOEO: $24,385 AvMed — HMOFI: $21,989 Careworks (Rockport Community) — WORKERSCOMP: $3,776.22 Cigna — ManagedCareHMO: $54,447 Cigna — NBN: $22,763 Cigna — PPO: $54,447 CorVel Corporation — WORKERSCOMP: $3,587.41 Molina Healthcare — HIX: $6,243
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	$6,673 – $54,447
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Aetna — HMO/PPO: $8,074 Aetna — QHP: $5,112 AvMed — ASOEO: $24,385 AvMed — HMOFI: $21,989 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752
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	$3,242 – $40,673
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752 BCBS — SBN: $21,192 Cigna — ManagedCareHMO: $40,673
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	$3,182 – $40,673
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $3,142 BCBS — HMO: $3,689 BCBS — MBN: $3,055 BCBS — NWB: $3,702 BCBS — PHS: $3,159 BCBS — PPO: $3,702 BCBS — SBN: $3,917 Careworks (Rockport Community) — WORKERSCOMP: $1,859.45
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	$3,182 – $40,673
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $3,142 BCBS — HMO: $3,689 BCBS — MBN: $3,055 BCBS — NWB: $3,702 BCBS — PHS: $3,159 BCBS — PPO: $3,702 BCBS — SBN: $3,917 Careworks (Rockport Community) — WORKERSCOMP: $1,422.28
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) SCHEDULED	Not listed in the file	Not listed in the file	$1,916.92 – $2,017.81
Colonoscopy (diagnostic): 10 of 22 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $3,142 BCBS — HMO: $3,689 BCBS — MBN: $3,055 BCBS — NWB: $3,702 BCBS — PHS: $3,159 BCBS — PPO: $3,702 BCBS — SBN: $3,917 Careworks (Rockport Community) — WORKERSCOMP: $2,017.81
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	$3,182 – $40,673
Colonoscopy with biopsy: 10 of 19 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $2,384 BCBS — HMO: $4,576 BCBS — MBN: $3,786 BCBS — NWB: $4,475 BCBS — PHS: $2,397 BCBS — PPO: $4,475 BCBS — SBN: $4,770 Cigna — ManagedCareHMO: $40,673
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	$2,265.78 – $2,385.03
Colonoscopy with biopsy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,385.03 CorVel Corporation — WORKERSCOMP: $2,265.78 Prime Health — WC: $2,313.48
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	$3,066.88 – $3,228.29
Colonoscopy with biopsy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $3,228.29 CorVel Corporation — WORKERSCOMP: $3,066.88 Prime Health — WC: $3,131.44
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	$3,182 – $40,673
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $2,384 BCBS — HMO: $4,576 BCBS — MBN: $3,786 BCBS — NWB: $4,475 BCBS — PHS: $2,397 BCBS — PPO: $4,475 BCBS — SBN: $4,770 Careworks (Rockport Community) — WORKERSCOMP: $1,753.56
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	$3,182 – $40,673
Ultrasound of the lower bowel by endoscope: 10 of 22 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $2,384 BCBS — HMO: $4,576 BCBS — MBN: $3,786 BCBS — NWB: $4,475 BCBS — PHS: $2,397 BCBS — PPO: $4,475 BCBS — SBN: $4,770 Careworks (Rockport Community) — WORKERSCOMP: $1,873.05
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	$2,419 – $4,106
Screening colonoscopy (not high risk): rates for 6 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $216 CorVel Corporation — WORKERSCOMP: $205.20 Oscar — HIX: $2,556 Prime Health — WC: $209.52 Simply Healthcare — HIX: $2,419 United — AllPayerAppendix: $4,106
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 – $52,873
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates Aetna — HMO/PPO: $13,127 Aetna — QHP: $8,311 AvMed — ASOEO: $23,233 AvMed — HMOFI: $20,950 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752
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	$226.12 – $238.02
Gallbladder removal by laparoscope: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $238.02 CorVel Corporation — WORKERSCOMP: $226.12 Prime Health — WC: $230.88
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	$1,254.71 – $1,320.75
Gallbladder removal by laparoscope: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $1,320.75 CorVel Corporation — WORKERSCOMP: $1,254.71 Prime Health — WC: $1,281.13
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 – $40,673
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752 BCBS — SBN: $21,192 Cigna — ManagedCareHMO: $40,673
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	$12,137.39 – $12,776.20
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $12,776.20 CorVel Corporation — WORKERSCOMP: $12,137.39 Prime Health — WC: $12,392.91
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	$4,265.76 – $4,490.27
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,490.27 CorVel Corporation — WORKERSCOMP: $4,265.76 Prime Health — WC: $4,355.56
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	$4,525.10 – $4,763.26
Prostate biopsy: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,763.26 CorVel Corporation — WORKERSCOMP: $4,525.10 Prime Health — WC: $4,620.36
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	$3,182 – $3,440
Prostate biopsy: rates for 2 insurance plans Oscar — HIX: $3,182 Simply Healthcare — HIX: $3,440
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 21 insurance plan rates AvMed — ASOEO: $25,915 AvMed — HMOFI: $23,372 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752 BCBS — SBN: $21,192 Careworks (Rockport Community) — WORKERSCOMP: $5,715.33
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	$3,950 – $38,826
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates Aetna — HMO/PPO: $8,074 Aetna — QHP: $5,112 AvMed — ASOEO: $25,915 AvMed — HMOFI: $23,372 BCBS — BSLNON-PAR: $36,714 BCBS — HMO: $20,393 BCBS — MBN: $17,546 BCBS — NWB: $26,752 BCBS — PHS: $38,826 BCBS — PPO: $26,752
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$2,250 – $40,673
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $3,142 BCBS — HMO: $3,689 BCBS — MBN: $3,055 BCBS — NWB: $3,702 BCBS — PHS: $3,159 BCBS — PPO: $3,702 BCBS — SBN: $3,917 Careworks (Rockport Community) — WORKERSCOMP: $2,030.44
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	$3,242
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates BCBS — BSLNON-PAR: $3,142 BCBS — HMO: $3,689 BCBS — MBN: $3,055 BCBS — NWB: $3,702 BCBS — PHS: $3,159 BCBS — PPO: $3,702 BCBS — SBN: $3,917 Careworks (Rockport Community) — WORKERSCOMP: $3,479.91 Cigna — ManagedCareHMO: $40,673 Cigna — NBN: $17,004
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 – $40,673
Carpal tunnel release: 10 of 17 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $10,023 BCBS — HMO: $6,074 BCBS — MBN: $5,095 BCBS — NWB: $5,944 BCBS — PHS: $10,075 BCBS — PPO: $5,944 BCBS — SBN: $6,492 Cigna — ManagedCareHMO: $40,673
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	$2,820.45 – $2,968.90
Carpal tunnel release: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $2,968.90 CorVel Corporation — WORKERSCOMP: $2,820.45 Prime Health — WC: $2,879.83
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	$3,842.13 – $4,044.35
Carpal tunnel release: rates for 3 insurance plans Careworks (Rockport Community) — WORKERSCOMP: $4,044.35 CorVel Corporation — WORKERSCOMP: $3,842.13 Prime Health — WC: $3,923.02
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$1,950 – $9,509
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $2,040 BCBS — HMO: $3,131 BCBS — MBN: $2,705 BCBS — NWB: $3,220 BCBS — PHS: $2,051 BCBS — PPO: $3,220 BCBS — SBN: $3,371 Careworks (Rockport Community) — WORKERSCOMP: $481.86
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 – $40,673
Cataract removal with lens implant: 10 of 21 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 BCBS — BSLNON-PAR: $10,023 BCBS — HMO: $6,074 BCBS — MBN: $5,095 BCBS — NWB: $5,944 BCBS — PHS: $10,075 BCBS — PPO: $5,944 BCBS — SBN: $6,492 Careworks (Rockport Community) — WORKERSCOMP: $4,082.24

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	$3,242
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 Cigna — ManagedCareHMO: $40,673 Cigna — NBN: $17,004 Cigna — PPO: $40,673 Molina Healthcare — HIX: $3,242 Molina Healthcare — MGMCR: $1,950 Simply — MGMCR: $2,250 BCBS — BSLNON-PAR: 26.6% (a percentage in the contract, not a dollar amount) BCBS — HMO: 15.7% (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	$3,242
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 Cigna — ManagedCareHMO: $40,673 Cigna — NBN: $17,004 Cigna — PPO: $40,673 Molina Healthcare — HIX: $3,242 Molina Healthcare — MGMCR: $1,950 Simply — MGMCR: $2,250 BCBS — BSLNON-PAR: 26.6% (a percentage in the contract, not a dollar amount) BCBS — HMO: 15.7% (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	$3,242
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates AvMed — ASOEO: $9,509 AvMed — HMOFI: $8,576 Cigna — ManagedCareHMO: $40,673 Cigna — NBN: $17,004 Cigna — PPO: $40,673 Molina Healthcare — HIX: $3,242 Molina Healthcare — MGMCR: $1,950 Simply — MGMCR: $2,250 BCBS — BSLNON-PAR: 26.6% (a percentage in the contract, not a dollar amount) BCBS — HMO: 15.7% (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	Not listed in the file	Not listed in the file	$1,050 – $201,355.44
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 62 insurance plan rates Aetna — HMO/PPO: $129,515 Aetna — MCR: $84,832.88 Aetna — QHP: $81,993 Align Senior Care — MGMCR: $92,035.67 American Health Plan — MCR: $84,832.88 AvMed — ASOEO: $141,669 AvMed — HMOFI: $127,754 BCBS — BSLNON-PAR: $195,349.75 BCBS — HMO: $164,801.89 BCBS — MBN: $99,770.65
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 60 insurance plan rates Aetna — HMO/PPO: $29,905 Aetna — MCR: $17,656.69 Aetna — QHP: $18,932 Align Senior Care — MGMCR: $19,155.84 American Health Plan — MCR: $17,656.69 AvMed — ASOEO: $51,831 AvMed — HMOFI: $46,739 BCBS — HMO: $43,299 BCBS — MBN: $32,402 BCBS — MCRHMO: $16,823.82
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	$16,157.53 – $39,977.40
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans Humana — MGMCRPPO: $16,157.53 Seven Corners — Prison: $39,977.40
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	$1,275 – $6,746
Neck (cervical) spinal fusion, without complications: 10 of 60 insurance plan rates Aetna — HMO/PPO: $36,420 Aetna — MCR: $22,039.36 Aetna — QHP: $23,057 Align Senior Care — MGMCR: $1,275 American Health Plan — MCR: $1,275 AvMed — ASOEO: $3,453 AvMed — HMOFI: $3,116 BCBS — HMO: $57,060 BCBS — MBN: $28,355 BCBS — MCRHMO: $20,999.77
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	$20,168.09 – $49,900.44
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans Humana — MGMCRPPO: $20,168.09 Seven Corners — Prison: $49,900.44
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 – $6,746
Uterus and ovary surgery (not for cancer), without complications: 10 of 60 insurance plan rates Aetna — HMO/PPO: $23,182 Aetna — MCR: $11,770.36 Aetna — QHP: $14,676 Align Senior Care — MGMCR: $1,275 American Health Plan — MCR: $1,275 AvMed — ASOEO: $3,453 AvMed — HMOFI: $3,116 BCBS — HMO: $47,356 BCBS — MBN: $28,355 BCBS — MCRHMO: $11,215.15
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	$10,770.99 – $26,649.86
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans Humana — MGMCRPPO: $10,770.99 Seven Corners — Prison: $26,649.86

Source: HCA Florida West 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	8383 N Davis Hwy, Pensacola, FL 32514
County	Escambia County
State	Florida
Phone	(850) 494‑4000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	100231
Name in Medicare records	HCA FLORIDA WEST HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(850) 494‑3212^[5]
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 West Hospital — hcafloridahealthcare.com
Imaging services | HCA Florida West Hospital — hcafloridahealthcare.com
Labor and delivery | HCA Florida West Hospital — hcafloridahealthcare.com
Emergency care | HCA Florida West Hospital — hcafloridahealthcare.com
Inpatient physical rehabilitation care | HCA Florida West Hospital — hcafloridahealthcare.com
Outpatient Physical Rehab | HCA Florida West Hospital — hcafloridahealthcare.com
Women's care | HCA Florida West Hospital — hcafloridahealthcare.com
Orthopedic care | HCA Florida West Hospital — hcafloridahealthcare.com
Awards and Recognition | HCA Florida West Hospital — hcafloridahealthcare.com
Cardiology | HCA Florida West Hospital — hcafloridahealthcare.com
Heart and vascular surgery | HCA Florida West Hospital — hcafloridahealthcare.com
Neurological care | HCA Florida West Hospital — hcafloridahealthcare.com
Stroke | HCA Florida West Hospital — hcafloridahealthcare.com
Surgery | HCA Florida West Hospital — hcafloridahealthcare.com
Prostate cancer | HCA Florida West Hospital — hcafloridahealthcare.com
Patient SMS Updates | HCA Florida West Hospital — hcafloridahealthcare.com

HCA Florida West Hospital

Summary

Profile from official sources

At a glance