Does Henrico Doctors' Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Henrico Doctors' Hospital. In a medical emergency, call 911.

Where is Henrico Doctors' Hospital?

1602 Skipwith Road, Richmond, VA 23229, in Henrico County, Virginia.

What is the phone number of Henrico Doctors' Hospital?

(804) 289-4500, as listed by Medicare (CMS).

What is the Medicare star rating of Henrico Doctors' Hospital?

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

Henrico Doctors' Hospital — Richmond, VA

Quick answers

Does Henrico Doctors' Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Henrico Doctors' Hospital. In a medical emergency, call 911.
Where is Henrico Doctors' Hospital?: 1602 Skipwith Road, Richmond, VA 23229, in Henrico County, Virginia.
What is the phone number of Henrico Doctors' Hospital?: (804) 289-4500, as listed by Medicare (CMS).
What is the Medicare star rating of Henrico Doctors' Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][11][14]}

Conditions treated^{[5][7][8][10][11][12][13][14][15][16][17][18][19]}

Treatments^{[7][10][11][13][19]}

Transcatheter aortic valve replacement (TAVR)
Coronary artery bypass graft (CABG)
Cardiac ablation
Pacemaker and ICD implantation
Deep brain stimulation (DBS)
Chemotherapy
Stereotactic radiosurgery
Infusion therapy
Cardiac rehabilitation
Stroke rehabilitation

Procedures^{[8][10][11][12][14][15][16][17][18][19]}

Kidney transplant
Living kidney donation
Paired kidney exchange transplant
Robotic surgery
Laparoscopic anti-reflux surgery
Nissen fundoplication
Transoral incisionless fundoplication (TIF)
Heller myotomy
Magnetic sphincter augmentation
Hernia repair
Endoscopy and colonoscopy
Spinal fusion
Microdiscectomy
Kyphoplasty and vertebroplasty
3D mammography
Breast MRI
Breast ultrasound
Breast biopsy
Angioplasty and coronary stenting
Intraoperative MRI (iMRI) brain surgery
Trauma surgery

Programs and centers^{[5][8][10][11][12][13][14][15][16][17][18][19]}

Virginia Transplant Center
The Heart Center
Heartburn and Reflux Center of Richmond
Hernia Center
Advanced Diagnostic Breast Center
High-risk breast program
Virginia Gynecologic Oncology
Sarah Cannon Cancer Institute at Henrico Doctors' Hospital
Neonatal intensive care unit (Level III NICU)
FastTrack ER
Neurosciences intensive care unit
Center for Pelvic Excellence
Safe Circle RVA maternal addiction program
Spine program preoperative classes

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	ICU visiting typically 11am-1pm and 4pm-8:30pm; nurses may restrict visits at their discretion^[5]
Parking	ER offers complimentary valet parking^[5]

Recognition^{[5][6][9][14][19]}

Primary Stroke Center (The Joint Commission)
Primary Stroke Center accredited by The Joint Commission
Level II Trauma Center
U.S. News & World Report Best Hospitals 2026
NAPBC accreditation (American College of Surgeons) for breast centers

Doctors and clinicians (1,094)

1,094 doctors and other clinicians list Henrico Doctors' Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,070 more: the button below opens the full list.

Other emergency rooms nearby

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

Bon Secours St Marys Hospital1.9 mi · Richmond, VA · Acute Care Hospital
CJW Medical Center6.1 mi · Richmond, VA · Acute Care Hospital
Medical College of Virginia Hospitals7.4 mi · Richmond, VA · Acute Care Hospital
Bon Secours Memorial Regional Medical Center8.4 mi · Mechanicsville, VA · Acute Care Hospital
Bon Secours Richmond Community Hospital8.4 mi · Richmond, VA · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehab Hospital of Richmond1.9 mi · Richmond, VA · Inpatient Rehabilitation Hospital
Select Speciality Hospital - Richmond Inc2.8 mi · Richmond, VA · Long-Term Acute Care Hospital
Sheltering Arms Institute5.7 mi · Richmond, VA · 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

Westport Rehabilitation and Nursing Center0.2 mi · Richmond, VA · 1 of 5 stars
August Healthcare at Richmond0.7 mi · Richmond, VA · 3 of 5 stars
Glenburnie Rehab & Nursing Center2.1 mi · Richmond, VA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Enlight Hospice of VA1.9 mi · Richmond, VA
Suncrest Hospice Richmond1.9 mi · Richmond, VA · 4 of 5 stars
Serenity First LLC2.9 mi · Richmond, VA

All hospice providers in the state →

Home health agencies

Centerwell Home Health1.9 mi · Richmond, VA · 5 of 5 stars
Enhabit Home Health (Richmond)2.1 mi · Richmond, VA
VCU Health at Home Health by Bayada2.9 mi · Richmond, VA

All home health agencies in the state →

Dialysis facilities

DaVita Glenside Dialysis1.9 mi · Richmond, VA · 3 of 5 stars
Westhampton Dialysis Center LLC1.9 mi · Richmond, VA · 1 of 5 stars
BMA - West End2.1 mi · Richmond, VA · 3 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.

Cataract and Refractive Surgery Center1.9 mi · Richmond, VA
Saint Mary's Ambulatory Surgery Center1.9 mi · Richmond, VA
Virginia Eye Institute Surgery Pavilion1.9 mi · Richmond, VA

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

Pediatric Medical Center1.9 mi · Richmond, VA · Community health center
HAMHDS Woodman Center4.2 mi · Glen Allen, VA · Community health center
Henderson Health Services (VUU)5.6 mi · Richmond, VA · Community health center

Clinics and urgent care

Alyphyr Inc1.9 mi · Richmond, VA · Urgent care center
Apexcare Medical Supplies Inc1.9 mi · Richmond, VA · Urgent care center
Authifypay Inc1.9 mi · Richmond, VA · Urgent care center

Pharmacies

Comprehensive Hand Surgery Center1.9 mi · Richmond, VA · Clinic pharmacy
Henrico RX LLC1.9 mi · Henrico, VA · Community/retail pharmacy
Sams East Inc1.9 mi · Richmond, VA · Community/retail pharmacy

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 Henrico Doctors' 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)	2 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	69%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	54%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	54%National average: 60%
Completed surveys	1,459Response rate: 23%

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)	0.151Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.144Better than the national benchmark
Surgical site infections after colon surgery	0.733No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.849No different from the national benchmark
MRSA bloodstream infections	0.818No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.119Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.3%
Deaths within 30 days: heart failure patients	11.3%
Deaths within 30 days: pneumonia patients	18.1%
Deaths within 30 days: COPD patients	10.2%
Deaths within 30 days: stroke patients	12.2%
Deaths within 30 days: coronary bypass surgery (CABG)	2.6%
Serious complications (patient safety indicator PSI-90)	0.6Better than the national rate
Complications after hip or knee replacement	3.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	16.1%
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	16.6%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	12.7%
Readmitted within 30 days: hip or knee replacement	6.6%

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)	148 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)	50%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 Richmond Best hospitals in Richmond

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Henrico Doctors' 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$296	$296	$44.40 – $296
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates 4Most Health Nework — COMM: $266.40 Aetna — Broad: $94.72 Aetna — MGMCR: $44.40 Aetna — SharedSavings: $97.68 CorVel — WorkersComp: $213.12 Greenvbrier Sporting Club — COMM: $177.60 Lifeworks — MCR: $56.24 Multiplan — PHCS: $266.40 OccuNet Workers Comp — WorkersComp: $236.80 Optum Transplant — COMM: $266.40
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	Not listed in the file
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$561	$561	$84.15 – $561
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates 4Most Health Nework — COMM: $504.90 Aetna — Broad: $179.52 Aetna — MGMCR: $84.15 Aetna — SharedSavings: $185.13 CorVel — WorkersComp: $403.92 Greenvbrier Sporting Club — COMM: $336.60 Lifeworks — MCR: $106.59 Multiplan — PHCS: $504.90 OccuNet Workers Comp — WorkersComp: $448.80 Optum Transplant — COMM: $504.90
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	Not listed in the file
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$716	$716	$107.40 – $716
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates 4Most Health Nework — COMM: $644.40 Aetna — Broad: $229.12 Aetna — MGMCR: $107.40 Aetna — SharedSavings: $236.28 CorVel — WorkersComp: $515.52 Greenvbrier Sporting Club — COMM: $429.60 Lifeworks — MCR: $136.04 Multiplan — PHCS: $644.40 OccuNet Workers Comp — WorkersComp: $572.80 Optum Transplant — COMM: $644.40
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	Not listed in the file
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$309	$309	$46.35 – $309
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates 4Most Health Nework — COMM: $278.10 Aetna — Broad: $98.88 Aetna — MGMCR: $46.35 Aetna — SharedSavings: $101.97 CorVel — WorkersComp: $222.48 Greenvbrier Sporting Club — COMM: $185.40 Lifeworks — MCR: $58.71 Multiplan — PHCS: $278.10 OccuNet Workers Comp — WorkersComp: $247.20 Optum Transplant — COMM: $278.10
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	Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$342	$342	$51.30 – $342
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates 4Most Health Nework — COMM: $307.80 Aetna — Broad: $109.44 Aetna — MGMCR: $51.30 Aetna — SharedSavings: $112.86 CorVel — WorkersComp: $246.24 Greenvbrier Sporting Club — COMM: $205.20 Lifeworks — MCR: $64.98 Multiplan — PHCS: $307.80 OccuNet Workers Comp — WorkersComp: $273.60 Optum Transplant — COMM: $307.80
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	Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Office consultation with a specialist (moderate): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
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	$58.34 – $68.64
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Health Net — TRICR: $61.78 Humana Military — TRCR: $66.58 Johns Hopkins — UniformedServicesFamilyHealthPlan: $68.64 TriAtlantic — TRICR: $58.34 Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
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	$70.88 – $83.39
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Health Net — TRICR: $75.05 Humana Military — TRCR: $80.89 Johns Hopkins — UniformedServicesFamilyHealthPlan: $83.39 TriAtlantic — TRICR: $70.88 Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$3,686	$3,686	$766.69 – $3,317.40
Emergency room visit (moderate): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $3,317.40 CorVel — WorkersComp: $2,653.92 Greenvbrier Sporting Club — COMM: $2,211.60 Multiplan — PHCS: $3,317.40 OccuNet Workers Comp — WorkersComp: $2,948.80 Optum Transplant — COMM: $3,317.40 United — GlobalBenefitPlan: $1,658.70 United — OptionsPPO: $766.69 Virginia Health Network — COMM: $2,395.90 Virginia Health Network — ULTRA: $1,290.10
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	$829 – $2,758
Emergency room visit (moderate): 10 of 19 insurance plan rates Aetna — Broad: $2,144 Aetna — SharedSavings: $1,617 Anthem — HIX: $829 Anthem — HMO: $1,140 Anthem — HPN: $1,052 Anthem — PPO: $1,140 Bright Health — COMM: $705 Cigna — HMO: $2,997 Cigna — IFP: $2,025 Cigna — PPO: $2,997
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT	$3,686	$3,686	$766.69 – $3,317.40
Emergency room visit (moderate): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $3,317.40 CorVel — WorkersComp: $2,653.92 Greenvbrier Sporting Club — COMM: $2,211.60 Multiplan — PHCS: $3,317.40 OccuNet Workers Comp — WorkersComp: $2,948.80 Optum Transplant — COMM: $3,317.40 United — GlobalBenefitPlan: $1,658.70 United — OptionsPPO: $766.69 Virginia Health Network — COMM: $2,395.90 Virginia Health Network — ULTRA: $1,290.10
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$4,337	$4,337	$902.10 – $3,903.30
Emergency room visit (moderately high): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $3,903.30 CorVel — WorkersComp: $3,122.64 Greenvbrier Sporting Club — COMM: $2,602.20 Multiplan — PHCS: $3,903.30 OccuNet Workers Comp — WorkersComp: $3,469.60 Optum Transplant — COMM: $3,903.30 United — GlobalBenefitPlan: $1,951.65 United — OptionsPPO: $902.10 Virginia Health Network — COMM: $2,819.05 Virginia Health Network — ULTRA: $1,517.95
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	$500 – $3,614
Emergency room visit (moderately high): 10 of 19 insurance plan rates Aetna — Broad: $4,113 Aetna — SharedSavings: $3,045 Anthem — HIX: $2,396 Anthem — HMO: $3,295 Anthem — HPN: $3,039 Anthem — PPO: $3,295 Bright Health — COMM: $1,961 Cigna — HMO: $3,806 Cigna — IFP: $2,360 Cigna — PPO: $3,806
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT	$4,337	$4,337	$902.10 – $3,903.30
Emergency room visit (moderately high): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $3,903.30 CorVel — WorkersComp: $3,122.64 Greenvbrier Sporting Club — COMM: $2,602.20 Multiplan — PHCS: $3,903.30 OccuNet Workers Comp — WorkersComp: $3,469.60 Optum Transplant — COMM: $3,903.30 United — GlobalBenefitPlan: $1,951.65 United — OptionsPPO: $902.10 Virginia Health Network — COMM: $2,819.05 Virginia Health Network — ULTRA: $1,517.95
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$5,023	$5,023	$1,044.78 – $4,520.70
Emergency room visit (high): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $4,520.70 CorVel — WorkersComp: $3,616.56 Greenvbrier Sporting Club — COMM: $3,013.80 Multiplan — PHCS: $4,520.70 OccuNet Workers Comp — WorkersComp: $4,018.40 Optum Transplant — COMM: $4,520.70 United — GlobalBenefitPlan: $2,260.35 United — OptionsPPO: $1,044.78 Virginia Health Network — COMM: $3,264.95 Virginia Health Network — ULTRA: $1,758.05
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	$2,765 – $6,011
Emergency room visit (high): 10 of 19 insurance plan rates Aetna — Broad: $4,635 Aetna — SharedSavings: $3,500 Anthem — HIX: $2,765 Anthem — HMO: $3,803 Anthem — HPN: $3,509 Anthem — PPO: $3,803 Bright Health — COMM: $2,329 Cigna — HMO: $5,823 Cigna — IFP: $4,734 Cigna — PPO: $5,823
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT	$5,023	$5,023	$1,044.78 – $4,520.70
Emergency room visit (high): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $4,520.70 CorVel — WorkersComp: $3,616.56 Greenvbrier Sporting Club — COMM: $3,013.80 Multiplan — PHCS: $4,520.70 OccuNet Workers Comp — WorkersComp: $4,018.40 Optum Transplant — COMM: $4,520.70 United — GlobalBenefitPlan: $2,260.35 United — OptionsPPO: $1,044.78 Virginia Health Network — COMM: $3,264.95 Virginia Health Network — ULTRA: $1,758.05

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	$507	$507	$8.46 – $49.19
Basic metabolic panel (blood test): 10 of 37 insurance plan rates Aetna — MGMCR: $8.56 Align Senior Care — MGMCR: $9.05 Anthem — HIX: $35.76 Anthem — HMO: $49.19 Anthem — HPN: $45.37 Anthem — PPO: $49.19 Bright Health — COMM: $18.10 Cigna — HMO: $36.34 Cigna — IFP: $38.18 Cigna — PPO: $36.34
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$507	$507	$96.33 – $456.30
Basic metabolic panel (blood test): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $456.30 CorVel — WorkersComp: $365.04 Greenvbrier Sporting Club — COMM: $304.20 Lifeworks — MCR: $96.33 Multiplan — PHCS: $456.30 OccuNet Workers Comp — WorkersComp: $405.60 Optum Transplant — COMM: $456.30 United — GlobalBenefitPlan: $228.15 United — OptionsPPO: $105.46 Universal Healthcare Group — MCR: $111.54
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$880	$880	$167.20 – $792
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $792 CorVel — WorkersComp: $633.60 Greenvbrier Sporting Club — COMM: $528 Lifeworks — MCR: $167.20 Multiplan — PHCS: $792 OccuNet Workers Comp — WorkersComp: $704 Optum Transplant — COMM: $792 United — GlobalBenefitPlan: $396 United — OptionsPPO: $183.04 Universal Healthcare Group — MCR: $193.60
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	$10.98
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates Aetna — MGMCR: $10.68 Align Senior Care — MGMCR: $11.30 Anthem — HIX: $44.64 Anthem — HMO: $61.41 Anthem — HPN: $56.63 Anthem — PPO: $61.41 Bright Health — COMM: $22.60 Cigna — HMO: $45.31 Cigna — IFP: $47.60 Cigna — PPO: $45.31
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 – $278.02
Obstetric blood test panel: 10 of 37 insurance plan rates Aetna — MGMCR: $48.36 Align Senior Care — MGMCR: $51.16 Anthem — HIX: $202.09 Anthem — HMO: $278.02 Anthem — HPN: $256.41 Anthem — PPO: $278.02 Bright Health — COMM: $102.31 Cigna — HMO: $205.29 Cigna — IFP: $215.68 Cigna — PPO: $205.29
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	$580	$580	$13.39 – $77.86
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates Aetna — MGMCR: $13.54 Align Senior Care — MGMCR: $14.33 Anthem — HIX: $56.60 Anthem — HMO: $77.86 Anthem — HPN: $71.81 Anthem — PPO: $77.86 Bright Health — COMM: $28.65 Cigna — HMO: $57.47 Cigna — IFP: $60.37 Cigna — PPO: $57.47
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$580	$580	$110.20 – $522
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $522 CorVel — WorkersComp: $417.60 Greenvbrier Sporting Club — COMM: $348 Lifeworks — MCR: $110.20 Multiplan — PHCS: $522 OccuNet Workers Comp — WorkersComp: $464 Optum Transplant — COMM: $522 United — GlobalBenefitPlan: $261 United — OptionsPPO: $120.64 Universal Healthcare Group — MCR: $127.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	$549	$549	$8.68 – $50.47
Kidney function panel: 10 of 37 insurance plan rates Aetna — MGMCR: $8.78 Align Senior Care — MGMCR: $9.29 Anthem — HIX: $36.69 Anthem — HMO: $50.47 Anthem — HPN: $46.55 Anthem — PPO: $50.47 Bright Health — COMM: $18.58 Cigna — HMO: $37.24 Cigna — IFP: $39.12 Cigna — PPO: $37.24
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$549	$549	$104.31 – $494.10
Kidney function panel: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $494.10 CorVel — WorkersComp: $395.28 Greenvbrier Sporting Club — COMM: $329.40 Lifeworks — MCR: $104.31 Multiplan — PHCS: $494.10 OccuNet Workers Comp — WorkersComp: $439.20 Optum Transplant — COMM: $494.10 United — GlobalBenefitPlan: $247.05 United — OptionsPPO: $114.19 Universal Healthcare Group — MCR: $120.78
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	$478	$478	$8.50
Liver function panel: 10 of 37 insurance plan rates Aetna — MGMCR: $8.26 Align Senior Care — MGMCR: $8.74 Anthem — HIX: $34.53 Anthem — HMO: $47.51 Anthem — HPN: $43.82 Anthem — PPO: $47.51 Bright Health — COMM: $17.48 Cigna — HMO: $35.08 Cigna — IFP: $36.86 Cigna — PPO: $35.08
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$478	$478	$90.82 – $430.20
Liver function panel: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $430.20 CorVel — WorkersComp: $344.16 Greenvbrier Sporting Club — COMM: $286.80 Lifeworks — MCR: $90.82 Multiplan — PHCS: $430.20 OccuNet Workers Comp — WorkersComp: $382.40 Optum Transplant — COMM: $430.20 United — GlobalBenefitPlan: $215.10 United — OptionsPPO: $99.42 Universal Healthcare Group — MCR: $105.16
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,	$277	$277	$3.30
Urine test (automated, with microscope): 10 of 37 insurance plan rates Aetna — MGMCR: $3.21 Align Senior Care — MGMCR: $3.39 Anthem — HIX: $13.40 Anthem — HMO: $18.43 Anthem — HPN: $17 Anthem — PPO: $18.43 Bright Health — COMM: $6.78 Cigna — HMO: $13.60 Cigna — IFP: $14.28 Cigna — PPO: $13.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$277	$277	$52.63 – $249.30
Urine test (automated, with microscope): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $249.30 CorVel — WorkersComp: $199.44 Greenvbrier Sporting Club — COMM: $166.20 Lifeworks — MCR: $52.63 Multiplan — PHCS: $249.30 OccuNet Workers Comp — WorkersComp: $221.60 Optum Transplant — COMM: $249.30 United — GlobalBenefitPlan: $124.65 United — OptionsPPO: $57.62 Universal Healthcare Group — MCR: $60.94
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	$3.62
Urine test (manual, without microscope): 10 of 37 insurance plan rates Aetna — MGMCR: $3.52 Align Senior Care — MGMCR: $3.72 Anthem — HIX: $14.71 Anthem — HMO: $20.24 Anthem — HPN: $18.66 Anthem — PPO: $20.24 Bright Health — COMM: $7.45 Cigna — HMO: $14.93 Cigna — IFP: $15.69 Cigna — PPO: $14.93
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO	$216	$216	$41.04 – $194.40
Urine test (automated, without microscope): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $194.40 CorVel — WorkersComp: $155.52 Greenvbrier Sporting Club — COMM: $129.60 Lifeworks — MCR: $41.04 Multiplan — PHCS: $194.40 OccuNet Workers Comp — WorkersComp: $172.80 Optum Transplant — COMM: $194.40 United — GlobalBenefitPlan: $97.20 United — OptionsPPO: $44.93 Universal Healthcare Group — MCR: $47.52
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$2.25 – $13.08
Urine test (automated, without microscope): 10 of 37 insurance plan rates Aetna — MGMCR: $2.28 Align Senior Care — MGMCR: $2.41 Anthem — HIX: $9.51 Anthem — HMO: $13.08 Anthem — HPN: $12.07 Anthem — PPO: $13.08 Bright Health — COMM: $4.82 Cigna — HMO: $9.64 Cigna — IFP: $10.13 Cigna — PPO: $9.64
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	$636	$636	$18.39 – $106.94
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates Aetna — MGMCR: $18.60 Align Senior Care — MGMCR: $19.68 Anthem — HIX: $77.73 Anthem — HMO: $106.94 Anthem — HPN: $98.63 Anthem — PPO: $106.94 Bright Health — COMM: $39.35 Cigna — HMO: $78.92 Cigna — IFP: $82.92 Cigna — PPO: $78.92
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$636	$636	$120.84 – $572.40
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $572.40 CorVel — WorkersComp: $457.92 Greenvbrier Sporting Club — COMM: $381.60 Lifeworks — MCR: $120.84 Multiplan — PHCS: $572.40 OccuNet Workers Comp — WorkersComp: $508.80 Optum Transplant — COMM: $572.40 United — GlobalBenefitPlan: $286.20 United — OptionsPPO: $132.29 Universal Healthcare Group — MCR: $139.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	$632	$632	$16.80 – $97.69
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates Aetna — MGMCR: $16.99 Align Senior Care — MGMCR: $17.98 Anthem — HIX: $71.01 Anthem — HMO: $97.69 Anthem — HPN: $90.10 Anthem — PPO: $97.69 Bright Health — COMM: $35.95 Cigna — HMO: $72.11 Cigna — IFP: $75.76 Cigna — PPO: $72.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$632	$632	$120.08 – $568.80
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $568.80 CorVel — WorkersComp: $455.04 Greenvbrier Sporting Club — COMM: $379.20 Lifeworks — MCR: $120.08 Multiplan — PHCS: $568.80 OccuNet Workers Comp — WorkersComp: $505.60 Optum Transplant — COMM: $568.80 United — GlobalBenefitPlan: $284.40 United — OptionsPPO: $131.46 Universal Healthcare Group — MCR: $139.04
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 – $45.18
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates Aetna — MGMCR: $7.86 Align Senior Care — MGMCR: $8.31 Anthem — HIX: $32.84 Anthem — HMO: $45.18 Anthem — HPN: $41.67 Anthem — PPO: $45.18 Bright Health — COMM: $16.63 Cigna — HMO: $33.36 Cigna — IFP: $35.05 Cigna — PPO: $33.36
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$421	$421	$79.99 – $378.90
Complete blood count (CBC), automated: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $378.90 CorVel — WorkersComp: $303.12 Greenvbrier Sporting Club — COMM: $252.60 Lifeworks — MCR: $79.99 Multiplan — PHCS: $378.90 OccuNet Workers Comp — WorkersComp: $336.80 Optum Transplant — COMM: $378.90 United — GlobalBenefitPlan: $189.45 United — OptionsPPO: $87.57 Universal Healthcare Group — MCR: $92.62
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	$6.47 – $37.62
Complete blood count (CBC), automated: 10 of 37 insurance plan rates Aetna — MGMCR: $6.54 Align Senior Care — MGMCR: $6.92 Anthem — HIX: $27.35 Anthem — HMO: $37.62 Anthem — HPN: $34.70 Anthem — PPO: $37.62 Bright Health — COMM: $13.85 Cigna — HMO: $27.81 Cigna — IFP: $29.21 Cigna — PPO: $27.81
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$212	$212	$40.28 – $190.80
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $190.80 CorVel — WorkersComp: $152.64 Greenvbrier Sporting Club — COMM: $127.20 Lifeworks — MCR: $40.28 Multiplan — PHCS: $190.80 OccuNet Workers Comp — WorkersComp: $169.60 Optum Transplant — COMM: $190.80 United — GlobalBenefitPlan: $95.40 United — OptionsPPO: $44.10 Universal Healthcare Group — MCR: $46.64
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 – $24.95
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates Aetna — MGMCR: $4.34 Align Senior Care — MGMCR: $4.59 Anthem — HIX: $18.13 Anthem — HMO: $24.95 Anthem — HPN: $23.01 Anthem — PPO: $24.95 Bright Health — COMM: $9.18 Cigna — HMO: $18.43 Cigna — IFP: $19.36 Cigna — PPO: $18.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$409	$409	$77.71 – $368.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $368.10 CorVel — WorkersComp: $294.48 Greenvbrier Sporting Club — COMM: $245.40 Lifeworks — MCR: $77.71 Multiplan — PHCS: $368.10 OccuNet Workers Comp — WorkersComp: $327.20 Optum Transplant — COMM: $368.10 United — GlobalBenefitPlan: $184.05 United — OptionsPPO: $85.07 Universal Healthcare Group — MCR: $89.98
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	$6.25
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates Aetna — MGMCR: $6.08 Align Senior Care — MGMCR: $6.43 Anthem — HIX: $25.40 Anthem — HMO: $34.95 Anthem — HPN: $32.23 Anthem — PPO: $34.95 Bright Health — COMM: $12.86 Cigna — HMO: $25.83 Cigna — IFP: $27.14 Cigna — PPO: $25.83

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	$4,660	$4,660	$885.40 – $4,194
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $4,194 CorVel — WorkersComp: $3,355.20 Greenvbrier Sporting Club — COMM: $2,796 Lifeworks — MCR: $885.40 Multiplan — PHCS: $4,194 OccuNet Workers Comp — WorkersComp: $3,728 Optum Transplant — COMM: $4,194 United — GlobalBenefitPlan: $2,097 United — OptionsPPO: $969.28 Universal Healthcare Group — MCR: $1,025.20
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	$245.18
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Broad: $1,705 Aetna — SharedSavings: $1,408 Anthem — HIX: $349.45 Anthem — HMO: $480.85 Anthem — HPN: $443.55 Anthem — PPO: $480.85 UNITED — AllPayerAppendix: $245.18 UNITED — NavigateCorePayer: $245.18 UNITED — NewBusiness: $245.18 UNITED — SmallBusiness: $245.18
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$125.58 – $172.81
CT scan of the head or brain, without contrast: rates for 4 insurance plans Anthem — HIX: $125.58 Anthem — HMO: $172.81 Anthem — HPN: $159.40 Anthem — PPO: $172.81
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	$8,058	$8,058	$828.27
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Broad: $1,866 Aetna — SharedSavings: $1,387 Anthem — HIX: $1,041.44 Anthem — HMO: $1,433.06 Anthem — HPN: $1,321.88 Anthem — PPO: $1,433.06 UNITED — AllPayerAppendix: $828.27 UNITED — NavigateCorePayer: $828.27 UNITED — NewBusiness: $828.27 UNITED — SmallBusiness: $828.27
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$8,058	$8,058	$1,531.02 – $7,252.20
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $7,252.20 CorVel — WorkersComp: $5,801.76 Greenvbrier Sporting Club — COMM: $4,834.80 Lifeworks — MCR: $1,531.02 Multiplan — PHCS: $7,252.20 OccuNet Workers Comp — WorkersComp: $6,446.40 Optum Transplant — COMM: $7,252.20 United — GlobalBenefitPlan: $3,626.10 United — OptionsPPO: $1,676.06 Universal Healthcare Group — MCR: $1,772.76
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	Not listed in the file	Not listed in the file	$706.14 – $971.68
MRI of the brain, before and after contrast: rates for 4 insurance plans Anthem — HIX: $706.14 Anthem — HMO: $971.68 Anthem — HPN: $896.29 Anthem — PPO: $971.68
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$1,119	$1,119	$212.61 – $1,007.10
Chest X-ray, 2 views: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $1,007.10 CorVel — WorkersComp: $805.68 Greenvbrier Sporting Club — COMM: $671.40 Lifeworks — MCR: $212.61 Multiplan — PHCS: $1,007.10 OccuNet Workers Comp — WorkersComp: $895.20 Optum Transplant — COMM: $1,007.10 United — GlobalBenefitPlan: $503.55 United — OptionsPPO: $232.75 Universal Healthcare Group — MCR: $246.18
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: 10 of 16 insurance plan rates Anthem — HIX: $108.67 Anthem — HMO: $149.53 Anthem — HPN: $137.93 Anthem — PPO: $149.53 Cigna — HMO: $150.94 Cigna — IFP: $158.57 Cigna — PPO: $150.94 UNITED — AllPayerAppendix: $182.03 UNITED — NavigateCorePayer: $182.03 UNITED — NewBusiness: $182.03
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$76.66 – $105.49
Chest X-ray, 2 views: rates for 4 insurance plans Anthem — HIX: $76.66 Anthem — HMO: $105.49 Anthem — HPN: $97.30 Anthem — PPO: $105.49
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$2,089	$2,089	$396.91 – $1,880.10
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $1,880.10 CorVel — WorkersComp: $1,504.08 Greenvbrier Sporting Club — COMM: $1,253.40 Lifeworks — MCR: $396.91 Multiplan — PHCS: $1,880.10 OccuNet Workers Comp — WorkersComp: $1,671.20 Optum Transplant — COMM: $1,880.10 United — GlobalBenefitPlan: $940.05 United — OptionsPPO: $434.51 Universal Healthcare Group — MCR: $459.58
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: 10 of 16 insurance plan rates Anthem — HIX: $176.17 Anthem — HMO: $242.41 Anthem — HPN: $223.61 Anthem — PPO: $242.41 Cigna — HMO: $256.95 Cigna — IFP: $269.95 Cigna — PPO: $256.95 UNITED — AllPayerAppendix: $245.18 UNITED — NavigateCorePayer: $245.18 UNITED — NewBusiness: $245.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$40.42 – $55.62
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans Anthem — HIX: $40.42 Anthem — HMO: $55.62 Anthem — HPN: $51.30 Anthem — PPO: $55.62
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	$7,811	$7,811	$629.33 – $865.97
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Broad: $1,866 Aetna — SharedSavings: $1,387 Anthem — HIX: $629.33 Anthem — HMO: $865.97 Anthem — HPN: $798.79 Anthem — PPO: $865.97 UNITED — AllPayerAppendix: $517.79 UNITED — NavigateCorePayer: $517.79 UNITED — NewBusiness: $517.79 UNITED — SmallBusiness: $517.79
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$7,811	$7,811	$1,484.09 – $7,029.90
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $7,029.90 CorVel — WorkersComp: $5,623.92 Greenvbrier Sporting Club — COMM: $4,686.60 Lifeworks — MCR: $1,484.09 Multiplan — PHCS: $7,029.90 OccuNet Workers Comp — WorkersComp: $6,248.80 Optum Transplant — COMM: $7,029.90 United — GlobalBenefitPlan: $3,514.95 United — OptionsPPO: $1,624.69 Universal Healthcare Group — MCR: $1,718.42
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	Not listed in the file	Not listed in the file	$218.40 – $300.53
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans Anthem — HIX: $218.40 Anthem — HMO: $300.53 Anthem — HPN: $277.22 Anthem — PPO: $300.53
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$7,883	$7,883	$1,497.77 – $7,094.70
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $7,094.70 CorVel — WorkersComp: $5,675.76 Greenvbrier Sporting Club — COMM: $4,729.80 Lifeworks — MCR: $1,497.77 Multiplan — PHCS: $7,094.70 OccuNet Workers Comp — WorkersComp: $6,306.40 Optum Transplant — COMM: $7,094.70 United — GlobalBenefitPlan: $3,547.35 United — OptionsPPO: $1,639.66 Universal Healthcare Group — MCR: $1,734.26
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	$745.06 – $1,025.22
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Broad: $1,705 Aetna — SharedSavings: $1,408 Anthem — HIX: $745.06 Anthem — HMO: $1,025.22 Anthem — HPN: $945.68 Anthem — PPO: $1,025.22 UNITED — AllPayerAppendix: $401.74 UNITED — NavigateCorePayer: $401.74 UNITED — NewBusiness: $401.74 UNITED — SmallBusiness: $401.74
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$574.85 – $791.01
CT scan of the pelvis, with contrast: rates for 4 insurance plans Anthem — HIX: $574.85 Anthem — HMO: $791.01 Anthem — HPN: $729.65 Anthem — PPO: $791.01
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	$672.63 – $925.56
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Broad: $1,866 Aetna — SharedSavings: $1,387 Anthem — HIX: $672.63 Anthem — HMO: $925.56 Anthem — HPN: $853.76 Anthem — PPO: $925.56 UNITED — AllPayerAppendix: $517.79 UNITED — NavigateCorePayer: $517.79 UNITED — NewBusiness: $517.79 UNITED — SmallBusiness: $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	$7,584	$7,584	$1,440.96 – $6,825.60
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $6,825.60 CorVel — WorkersComp: $5,460.48 Greenvbrier Sporting Club — COMM: $4,550.40 Lifeworks — MCR: $1,440.96 Multiplan — PHCS: $6,825.60 OccuNet Workers Comp — WorkersComp: $6,067.20 Optum Transplant — COMM: $6,825.60 United — GlobalBenefitPlan: $3,412.80 United — OptionsPPO: $1,577.47 Universal Healthcare Group — MCR: $1,668.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT	$7,584	$7,584	$1,440.96 – $6,825.60
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $6,825.60 CorVel — WorkersComp: $5,460.48 Greenvbrier Sporting Club — COMM: $4,550.40 Lifeworks — MCR: $1,440.96 Multiplan — PHCS: $6,825.60 OccuNet Workers Comp — WorkersComp: $6,067.20 Optum Transplant — COMM: $6,825.60 United — GlobalBenefitPlan: $3,412.80 United — OptionsPPO: $1,577.47 Universal Healthcare Group — MCR: $1,668.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$16,308	$16,308	$3,098.52 – $14,677.20
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $14,677.20 CorVel — WorkersComp: $11,741.76 Greenvbrier Sporting Club — COMM: $9,784.80 Lifeworks — MCR: $3,098.52 Multiplan — PHCS: $14,677.20 OccuNet Workers Comp — WorkersComp: $13,046.40 Optum Transplant — COMM: $14,677.20 United — GlobalBenefitPlan: $7,338.60 United — OptionsPPO: $3,392.06 Universal Healthcare Group — MCR: $3,587.76
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	$828.27
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Broad: $1,705 Aetna — SharedSavings: $1,408 Anthem — HIX: $989.07 Anthem — HMO: $1,360.99 Anthem — HPN: $1,255.40 Anthem — PPO: $1,360.99 UNITED — AllPayerAppendix: $828.27 UNITED — NavigateCorePayer: $828.27 UNITED — NewBusiness: $828.27 UNITED — SmallBusiness: $828.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$722.05 – $993.57
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans Anthem — HIX: $722.05 Anthem — HMO: $993.57 Anthem — HPN: $916.49 Anthem — PPO: $993.57
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$2,465	$2,465	$468.35 – $2,218.50
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $2,218.50 CorVel — WorkersComp: $1,774.80 Greenvbrier Sporting Club — COMM: $1,479 Lifeworks — MCR: $468.35 Multiplan — PHCS: $2,218.50 OccuNet Workers Comp — WorkersComp: $1,972 Optum Transplant — COMM: $2,218.50 United — GlobalBenefitPlan: $1,109.25 United — OptionsPPO: $512.72 Universal Healthcare Group — MCR: $542.30
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	$375.30 – $516.43
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Anthem — HIX: $375.30 Anthem — HMO: $516.43 Anthem — HPN: $476.37 Anthem — PPO: $516.43 Cigna — HMO: $509.55 Cigna — IFP: $535.33 Cigna — PPO: $509.55 UNITED — AllPayerAppendix: $245.18 UNITED — NavigateCorePayer: $245.18 UNITED — NewBusiness: $245.18
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$119.40 – $164.30
Ultrasound of the abdomen, complete: rates for 4 insurance plans Anthem — HIX: $119.40 Anthem — HMO: $164.30 Anthem — HPN: $151.55 Anthem — PPO: $164.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$1,633	$1,633	$310.27 – $1,469.70
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates 4Most Health Nework — COMM: $1,469.70 CorVel — WorkersComp: $1,175.76 Greenvbrier Sporting Club — COMM: $979.80 Lifeworks — MCR: $310.27 Multiplan — PHCS: $1,469.70 OccuNet Workers Comp — WorkersComp: $1,306.40 Optum Transplant — COMM: $1,469.70 United — GlobalBenefitPlan: $734.85 United — OptionsPPO: $339.66 Universal Healthcare Group — MCR: $359.26
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$446.54 – $614.45
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Anthem — HIX: $446.54 Anthem — HMO: $614.45 Anthem — HPN: $566.78 Anthem — PPO: $614.45 Cigna — HMO: $576.63 Cigna — IFP: $605.80 Cigna — PPO: $576.63 UNITED — AllPayerAppendix: $245.18 UNITED — NavigateCorePayer: $245.18 UNITED — NewBusiness: $245.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 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	$150.47 – $207.05
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans Anthem — HIX: $150.47 Anthem — HMO: $207.05 Anthem — HPN: $190.98 Anthem — PPO: $207.05
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$1,578	$1,578	$299.82 – $1,420.20
Transvaginal ultrasound: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $1,420.20 CorVel — WorkersComp: $1,136.16 Greenvbrier Sporting Club — COMM: $946.80 Lifeworks — MCR: $299.82 Multiplan — PHCS: $1,420.20 OccuNet Workers Comp — WorkersComp: $1,262.40 Optum Transplant — COMM: $1,420.20 United — GlobalBenefitPlan: $710.10 United — OptionsPPO: $328.22 Universal Healthcare Group — MCR: $347.16
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 – $532.67
Transvaginal ultrasound: 10 of 16 insurance plan rates Anthem — HIX: $387.10 Anthem — HMO: $532.67 Anthem — HPN: $491.34 Anthem — PPO: $532.67 Cigna — HMO: $563.65 Cigna — IFP: $592.16 Cigna — PPO: $563.65 UNITED — AllPayerAppendix: $245.18 UNITED — NavigateCorePayer: $245.18 UNITED — NewBusiness: $245.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$103.33 – $142.19
Transvaginal ultrasound: rates for 4 insurance plans Anthem — HIX: $103.33 Anthem — HMO: $142.19 Anthem — HPN: $131.16 Anthem — PPO: $142.19
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	$88
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates Aetna — MGMCR: $85.58 Align Senior Care — MGMCR: $90.54 Anthem — HIX: $407.66 Anthem — HMO: $560.95 Anthem — HPN: $517.43 Anthem — PPO: $560.95 Cigna — HMO: $566.33 Cigna — IFP: $594.97 Cigna — PPO: $566.33 Cigna HealthSpring — MCR: $88
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$750	$750	$142.50 – $675
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $675 CorVel — WorkersComp: $540 Greenvbrier Sporting Club — COMM: $450 Lifeworks — MCR: $142.50 Multiplan — PHCS: $675 OccuNet Workers Comp — WorkersComp: $600 Optum Transplant — COMM: $675 United — GlobalBenefitPlan: $337.50 United — OptionsPPO: $156 Universal Healthcare Group — MCR: $165
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$750	$750	$142.50 – $675
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $675 CorVel — WorkersComp: $540 Greenvbrier Sporting Club — COMM: $450 Lifeworks — MCR: $142.50 Multiplan — PHCS: $675 OccuNet Workers Comp — WorkersComp: $600 Optum Transplant — COMM: $675 United — GlobalBenefitPlan: $337.50 United — OptionsPPO: $156 Universal Healthcare Group — MCR: $165
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$750	$750	$516.42 – $710.61
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates Aetna — MGMCR: $109.73 Align Senior Care — MGMCR: $116.08 Anthem — HIX: $516.42 Anthem — HMO: $710.61 Anthem — HPN: $655.48 Anthem — PPO: $710.61 Cigna — HMO: $725.90 Cigna — IFP: $762.62 Cigna — PPO: $725.90 Cigna HealthSpring — MCR: $112.83
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$750	$750	$142.50 – $675
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $675 CorVel — WorkersComp: $540 Greenvbrier Sporting Club — COMM: $450 Lifeworks — MCR: $142.50 Multiplan — PHCS: $675 OccuNet Workers Comp — WorkersComp: $600 Optum Transplant — COMM: $675 United — GlobalBenefitPlan: $337.50 United — OptionsPPO: $156 Universal Healthcare Group — MCR: $165
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	Not listed in the file	Not listed in the file	$147.89 – $203.51
Diagnostic mammogram, both breasts: rates for 4 insurance plans Anthem — HIX: $147.89 Anthem — HMO: $203.51 Anthem — HPN: $187.72 Anthem — PPO: $203.51
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$750	$750	$142.50 – $675
Screening mammogram, both breasts: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $675 CorVel — WorkersComp: $540 Greenvbrier Sporting Club — COMM: $450 Lifeworks — MCR: $142.50 Multiplan — PHCS: $675 OccuNet Workers Comp — WorkersComp: $600 Optum Transplant — COMM: $675 United — GlobalBenefitPlan: $337.50 United — OptionsPPO: $156 Universal Healthcare Group — MCR: $165
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	Not listed in the file	Not listed in the file	$93.12
Screening mammogram, both breasts: 10 of 35 insurance plan rates Aetna — MGMCR: $90.56 Align Senior Care — MGMCR: $95.81 Anthem — HIX: $416.04 Anthem — HMO: $572.48 Anthem — HPN: $528.07 Anthem — PPO: $572.48 Cigna — HMO: $598.76 Cigna — IFP: $629.05 Cigna — PPO: $598.76 Cigna HealthSpring — MCR: $93.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: MAMMO SCR CAD 1BRST	$750	$750	$142.50 – $675
Screening mammogram, both breasts: 10 of 13 insurance plan rates 4Most Health Nework — COMM: $675 CorVel — WorkersComp: $540 Greenvbrier Sporting Club — COMM: $450 Lifeworks — MCR: $142.50 Multiplan — PHCS: $675 OccuNet Workers Comp — WorkersComp: $600 Optum Transplant — COMM: $675 United — GlobalBenefitPlan: $337.50 United — OptionsPPO: $156 Universal Healthcare Group — MCR: $165

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	$10.85 – $12.76
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans Health Net — TRICR: $11.48 Humana Military — TRCR: $12.38 Johns Hopkins — UniformedServicesFamilyHealthPlan: $12.76 TriAtlantic — TRICR: $10.85 Aetna — Broad: 33% (a percentage in the contract, not a dollar amount) Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (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	$11,524 – $17,377
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates Aetna — Broad: $19,488 Aetna — SharedSavings: $11,009 Anthem — HIX: $11,524 Anthem — HMO: $15,850 Anthem — HPN: $14,621 Anthem — PPO: $15,850 Bright Health — COMM: $14,915 Cigna — HMO: $10,124 Cigna — IFP: $6,713 Cigna — PPO: $10,124
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	$17,775	$17,775	$8,547 – $25,500
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates Aetna — Broad: $21,562 Aetna — SharedSavings: $5,571 Anthem — HIX: $18,539 Anthem — HMO: $25,500 Anthem — HPN: $23,524 Anthem — PPO: $25,500 Bright Health — COMM: $12,386 Lifeworks — MCR: $7,650 Oscar — COMM: $26,419 UNITED — AllPayerAppendix: $21,094
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA	$17,775	$17,775	$3,697.20 – $15,997.50
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates 4Most Health Nework — COMM: $15,997.50 CorVel — WorkersComp: $12,798 Greenvbrier Sporting Club — COMM: $10,665 Multiplan — PHCS: $15,997.50 OccuNet Workers Comp — WorkersComp: $14,220 Optum Transplant — COMM: $15,997.50 United — GlobalBenefitPlan: $7,998.75 United — OptionsPPO: $3,697.20 Virginia Health Network — COMM: $11,553.75 Virginia Health Network — ULTRA: $6,221.25
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,	$97,158	$97,158	$4,943 – $8,586
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates Aetna — Broad: $21,562 Aetna — SharedSavings: $5,571 Anthem — HIX: $18,175 Anthem — HMO: $25,000 Anthem — HPN: $23,063 Anthem — PPO: $25,000 Bright Health — COMM: $4,943 Lifeworks — MCR: $7,650 Oscar — COMM: $8,586 UNITED — AllPayerAppendix: $13,304
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB	$97,158	$97,158	$20,208.86 – $87,442.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates 4Most Health Nework — COMM: $87,442.20 CorVel — WorkersComp: $69,953.76 Greenvbrier Sporting Club — COMM: $58,294.80 Multiplan — PHCS: $87,442.20 OccuNet Workers Comp — WorkersComp: $77,726.40 Optum Transplant — COMM: $87,442.20 United — GlobalBenefitPlan: $43,721.10 United — OptionsPPO: $20,208.86 Virginia Health Network — COMM: $63,152.70 Virginia Health Network — ULTRA: $34,005.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR	$14,174	$14,174	$2,026.88 – $12,756.60
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates 4Most Health Nework — COMM: $12,756.60 Bright Health — COMM: $2,290.52 Cigna — HMO: $2,976.54 Cigna — IFP: $2,026.88 Cigna — PPO: $2,976.54 CorVel — WorkersComp: $10,205.28 Greenvbrier Sporting Club — COMM: $8,504.40 Lifeworks — MCR: $2,693.06 Multiplan — PHCS: $12,756.60 OccuNet Workers Comp — WorkersComp: $11,339.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	Not listed in the file	Not listed in the file	$1,807 – $2,621
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Anthem — HIX: $1,905 Anthem — HMO: $2,621 Anthem — HPN: $2,418 Anthem — PPO: $2,621 UNITED — AllPayerAppendix: $2,008 UNITED — NavigateCorePayer: $2,136 UNITED — NewBusiness: $1,807 UNITED — SmallBusiness: $1,807 Aetna — Broad: 44% (a percentage in the contract, not a dollar amount) Aetna — SharedSavings: 35% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 52 In the file: POLYSOM 1-3 PAR <6HRS	$8,510	$8,510	$1,216.93 – $7,659
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates 4Most Health Nework — COMM: $7,659 Bright Health — COMM: $1,375.22 Cigna — HMO: $1,787.10 Cigna — IFP: $1,216.93 Cigna — PPO: $1,787.10 CorVel — WorkersComp: $6,127.20 Greenvbrier Sporting Club — COMM: $5,106 Lifeworks — MCR: $1,616.90 Multiplan — PHCS: $7,659 OccuNet Workers Comp — WorkersComp: $6,808

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	$24.42 – $30.74
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates Aetna — MGMCR: $29.06 Align Senior Care — MGMCR: $30.74 Cigna HealthSpring — MCR: $29.88 DaVita Village Health — MCR: $29.88 Devoted — MCR: $28.73 Evernorth Behavioral Health — MCR: $29.88 Health Net — TRICR: $25.86 Humana — MCR: $28.73 Humana Military — TRCR: $27.87 Johns Hopkins — UniformedServicesFamilyHealthPlan: $28.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT	$368	$368	$59.47 – $331.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates 4Most Health Nework — COMM: $331.20 Bright Health — COMM: $59.47 CorVel — WorkersComp: $264.96 Greenvbrier Sporting Club — COMM: $220.80 Lifeworks — MCR: $69.92 Multiplan — PHCS: $331.20 OccuNet Workers Comp — WorkersComp: $294.40 Optum Transplant — COMM: $331.20 Oscar — COMM: $62.56 United — GlobalBenefitPlan: $165.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO\|CO In the file: THER EXERCIS 15 MIN OTCO	$368	$368	$59.47 – $331.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates 4Most Health Nework — COMM: $331.20 Bright Health — COMM: $59.47 CorVel — WorkersComp: $264.96 Greenvbrier Sporting Club — COMM: $220.80 Lifeworks — MCR: $69.92 Multiplan — PHCS: $331.20 OccuNet Workers Comp — WorkersComp: $294.40 Optum Transplant — COMM: $331.20 Oscar — COMM: $62.56 United — GlobalBenefitPlan: $165.60
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	$100.86
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates Aetna — MGMCR: $98.09 Align Senior Care — MGMCR: $103.77 Cigna HealthSpring — MCR: $100.86 DaVita Village Health — MCR: $100.86 Devoted — MCR: $96.98 Evernorth Behavioral Health — MCR: $100.86 Health Net — TRICR: $87.28 Humana — MCR: $96.98 Humana Military — TRCR: $94.07 Johns Hopkins — UniformedServicesFamilyHealthPlan: $96.98
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$914	$914	$147.70 – $822.60
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates 4Most Health Nework — COMM: $822.60 Bright Health — COMM: $147.70 CorVel — WorkersComp: $658.08 Greenvbrier Sporting Club — COMM: $548.40 Lifeworks — MCR: $173.66 Multiplan — PHCS: $822.60 OccuNet Workers Comp — WorkersComp: $731.20 Optum Transplant — COMM: $822.60 Oscar — COMM: $155.38 United — GlobalBenefitPlan: $411.30
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	$85.34 – $91.32
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — MGMCR: $86.31 Align Senior Care — MGMCR: $91.32 Cigna HealthSpring — MCR: $88.76 DaVita Village Health — MCR: $88.76 Devoted — MCR: $85.34 Evernorth Behavioral Health — MCR: $88.76 Humana — MCR: $85.34 Optum Transplant — OON: $85.34 OptumHealth Transplant — MCR: $87.90 Pyramid Life — MGMCR: $91.32
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	$100.86
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates Aetna — MGMCR: $98.09 Align Senior Care — MGMCR: $103.77 Cigna HealthSpring — MCR: $100.86 DaVita Village Health — MCR: $100.86 Devoted — MCR: $96.98 Evernorth Behavioral Health — MCR: $100.86 Health Net — TRICR: $87.28 Humana — MCR: $96.98 Humana Military — TRCR: $94.07 Johns Hopkins — UniformedServicesFamilyHealthPlan: $96.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$997	$997	$161.12 – $897.30
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates 4Most Health Nework — COMM: $897.30 Bright Health — COMM: $161.12 CorVel — WorkersComp: $717.84 Greenvbrier Sporting Club — COMM: $598.20 Lifeworks — MCR: $189.43 Multiplan — PHCS: $897.30 OccuNet Workers Comp — WorkersComp: $797.60 Optum Transplant — COMM: $897.30 Oscar — COMM: $169.49 United — GlobalBenefitPlan: $448.65
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	$88.76
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — MGMCR: $86.31 Align Senior Care — MGMCR: $91.32 Cigna HealthSpring — MCR: $88.76 DaVita Village Health — MCR: $88.76 Devoted — MCR: $85.34 Evernorth Behavioral Health — MCR: $88.76 Humana — MCR: $85.34 Optum Transplant — OON: $85.34 OptumHealth Transplant — MCR: $87.90 Pyramid Life — MGMCR: $91.32
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	$100.86
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates Aetna — MGMCR: $98.09 Align Senior Care — MGMCR: $103.77 Cigna HealthSpring — MCR: $100.86 DaVita Village Health — MCR: $100.86 Devoted — MCR: $96.98 Evernorth Behavioral Health — MCR: $100.86 Health Net — TRICR: $87.28 Humana — MCR: $96.98 Humana Military — TRCR: $94.07 Johns Hopkins — UniformedServicesFamilyHealthPlan: $96.98
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$1,045	$1,045	$168.87 – $940.50
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates 4Most Health Nework — COMM: $940.50 Bright Health — COMM: $168.87 CorVel — WorkersComp: $752.40 Greenvbrier Sporting Club — COMM: $627 Lifeworks — MCR: $198.55 Multiplan — PHCS: $940.50 OccuNet Workers Comp — WorkersComp: $836 Optum Transplant — COMM: $940.50 Oscar — COMM: $177.65 United — GlobalBenefitPlan: $470.25
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$88.76
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — MGMCR: $86.31 Align Senior Care — MGMCR: $91.32 Cigna HealthSpring — MCR: $88.76 DaVita Village Health — MCR: $88.76 Devoted — MCR: $85.34 Evernorth Behavioral Health — MCR: $88.76 Humana — MCR: $85.34 Optum Transplant — OON: $85.34 OptumHealth Transplant — MCR: $87.90 Pyramid Life — MGMCR: $91.32
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIV SESSION 30MIN	$497	$497	$71.07 – $447.30
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates 4Most Health Nework — COMM: $447.30 Aetna — Broad: $159.04 Aetna — SharedSavings: $164.01 Bright Health — COMM: $80.32 Cigna — HMO: $104.37 Cigna — IFP: $71.07 Cigna — PPO: $104.37 CorVel — WorkersComp: $357.84 Greenvbrier Sporting Club — COMM: $298.20 Lifeworks — MCR: $94.43
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient	$497	$497	Not listed in the file
Psychotherapy, 30 minutes: rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIV SESSION 45MIN	$783	$783	$111.97 – $704.70
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates 4Most Health Nework — COMM: $704.70 Aetna — Broad: $250.56 Aetna — SharedSavings: $258.39 Bright Health — COMM: $126.53 Cigna — HMO: $164.43 Cigna — IFP: $111.97 Cigna — PPO: $164.43 CorVel — WorkersComp: $563.76 Greenvbrier Sporting Club — COMM: $469.80 Lifeworks — MCR: $148.77
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient	$783	$783	Not listed in the file
Psychotherapy, 45 minutes: rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIV SESSION 60MIN	$1,012	$1,012	$144.72 – $910.80
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates 4Most Health Nework — COMM: $910.80 Aetna — Broad: $323.84 Aetna — SharedSavings: $333.96 Bright Health — COMM: $163.54 Cigna — HMO: $212.52 Cigna — IFP: $144.72 Cigna — PPO: $212.52 CorVel — WorkersComp: $728.64 Greenvbrier Sporting Club — COMM: $607.20 Lifeworks — MCR: $192.28
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient	$1,012	$1,012	Not listed in the file
Psychotherapy, 60 minutes: rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes	Not listed in the file	Not listed in the file	Not listed in the file
Family psychotherapy, without the patient: rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM W PT 50 MIN	$802	$802	$114.69 – $721.80
Family psychotherapy, with the patient: 10 of 20 insurance plan rates 4Most Health Nework — COMM: $721.80 Aetna — Broad: $256.64 Aetna — SharedSavings: $264.66 Bright Health — COMM: $129.60 Cigna — HMO: $168.42 Cigna — IFP: $114.69 Cigna — PPO: $168.42 CorVel — WorkersComp: $577.44 Greenvbrier Sporting Club — COMM: $481.20 Lifeworks — MCR: $152.38
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes	$802	$802	Not listed in the file
Family psychotherapy, with the patient: rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PSY GRP (NOT FAMILY)	$533	$533	$76.22 – $479.70
Group psychotherapy: 10 of 20 insurance plan rates 4Most Health Nework — COMM: $479.70 Aetna — Broad: $170.56 Aetna — SharedSavings: $175.89 Bright Health — COMM: $86.13 Cigna — HMO: $111.93 Cigna — IFP: $76.22 Cigna — PPO: $111.93 CorVel — WorkersComp: $383.76 Greenvbrier Sporting Club — COMM: $319.80 Lifeworks — MCR: $101.27
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group)	$533	$533	Not listed in the file
Group psychotherapy: rates for 3 insurance plans Sentara Optima Health — HMO: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — POS: 21.4% (a percentage in the contract, not a dollar amount) Sentara Optima Health — PPO: 21.4% (a percentage in the contract, not a dollar amount)

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	$3,993 – $9,041
Removal of breast growth (open surgery): 10 of 20 insurance plan rates Aetna — Broad: $16,733 Aetna — SharedSavings: $9,620 Anthem — HIX: $5,032 Anthem — HMO: $6,922 Anthem — HPN: $6,385 Anthem — PPO: $6,922 Bright Health — COMM: $3,993 Cigna — HMO: $7,051 Cigna — IFP: $4,675 Cigna — PPO: $7,051
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	$1,995 – $41,240
Total hip replacement: 10 of 23 insurance plan rates Aetna — Broad: $30,682 Aetna — SharedSavings: $19,878 Align Senior Care — MGMCR: $12,000 Anthem — HIX: $22,046 Anthem — HMO: $30,324 Anthem — HPN: $27,975 Anthem — PPO: $30,324 Bright Health — COMM: $10,932 Cigna — HMO: $35,107 Cigna — IFP: $23,272
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	$1,995 – $41,240
Total knee replacement: 10 of 23 insurance plan rates Aetna — Broad: $30,682 Aetna — SharedSavings: $19,878 Align Senior Care — MGMCR: $12,000 Anthem — HIX: $22,046 Anthem — HMO: $30,324 Anthem — HPN: $27,975 Anthem — PPO: $30,324 Bright Health — COMM: $10,932 Cigna — HMO: $35,107 Cigna — IFP: $23,272
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$1,203 – $7,208
Shoulder arthroscopy: shaving of shoulder bone: 10 of 16 insurance plan rates Aetna — Broad: $16,733 Aetna — SharedSavings: $9,620 Bright Health — COMM: $3,993 Cigna — HMO: $7,051 Cigna — IFP: $4,675 Cigna — PPO: $7,051 Lifeworks — MCR: $4,950 Oscar — COMM: $2,651 Sentara Optima Health — HMO: $7,208 Sentara Optima Health — POS: $7,208
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	$4,278 – $11,128
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates Aetna — Broad: $16,733 Aetna — SharedSavings: $9,620 Anthem — HIX: $5,032 Anthem — HMO: $6,922 Anthem — HPN: $6,385 Anthem — PPO: $6,922 Bright Health — COMM: $4,278 Cigna — HMO: $18,167 Cigna — IFP: $12,044 Cigna — PPO: $18,167
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	$6,369 – $8,761
Removal of tonsils and adenoids (under age 12): 10 of 18 insurance plan rates Anthem — HIX: $6,369 Anthem — HMO: $8,761 Anthem — HPN: $8,081 Anthem — PPO: $8,761 Bright Health — COMM: $3,993 Cigna — HMO: $7,051 Cigna — IFP: $4,675 Cigna — PPO: $7,051 Lifeworks — MCR: $2,550 Oscar — COMM: $5,632
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	$1,597 – $4,872
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $1,687 Cigna — HMO: $3,591 Cigna — IFP: $2,380 Cigna — PPO: $3,591 Lifeworks — MCR: $2,550 Oscar — COMM: $4,872
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,597 – $5,051
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $2,550 Oscar — COMM: $4,872
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$1,597 – $5,051
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $2,550 Oscar — COMM: $4,872
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$2,377 – $5,051
Colonoscopy with biopsy: 10 of 18 insurance plan rates Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $2,550 Oscar — COMM: $4,872
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$1,995 – $5,051
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $2,550 Oscar — COMM: $4,872
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$1,995 – $5,051
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $2,550 Oscar — COMM: $4,872
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Not listed in the file	Not listed in the file	$1,597 – $4,816
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Oscar — COMM: $3,505 UNITED — AllPayerAppendix: $3,080
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	$4,278 – $15,417
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates Aetna — Broad: $17,046 Aetna — SharedSavings: $9,485 Anthem — HIX: $9,028 Anthem — HMO: $12,418 Anthem — HPN: $11,455 Anthem — PPO: $12,418 Bright Health — COMM: $4,278 Cigna — HMO: $10,695 Cigna — IFP: $7,091 Cigna — PPO: $10,695
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	$4,278 – $11,128
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Anthem — HIX: $5,032 Anthem — HMO: $6,922 Anthem — HPN: $6,385 Anthem — PPO: $6,922 Bright Health — COMM: $4,278 Cigna — HMO: $9,000 Cigna — IFP: $5,968 Cigna — PPO: $9,000 Lifeworks — MCR: $4,950 Oscar — COMM: $6,067
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$2,377 – $4,872
Prostate biopsy: rates for 6 insurance plans Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $2,377 Oscar — COMM: $4,872
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	$1,995 – $19,866
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates Anthem — HIX: $11,423 Anthem — HMO: $15,714 Anthem — HPN: $14,495 Anthem — PPO: $15,714 Bright Health — COMM: $8,609 Cigna — HMO: $24,085 Cigna — IFP: $15,966 Cigna — PPO: $24,085 Lifeworks — MCR: $2,550 Oscar — COMM: $11,228
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	$3,119 – $9,041
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates Aetna — Broad: $16,733 Aetna — SharedSavings: $9,620 Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $3,993 Cigna — HMO: $7,051 Cigna — IFP: $4,675 Cigna — PPO: $7,051
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	$2,380 – $3,591
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $1,687 Cigna — HMO: $3,591 Cigna — IFP: $2,380 Cigna — PPO: $3,591 Lifeworks — MCR: $2,550 Oscar — COMM: $3,505
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$1,597 – $3,701
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $1,687 Cigna — HMO: $3,591 Cigna — IFP: $2,380 Cigna — PPO: $3,591 Lifeworks — MCR: $2,550 Oscar — COMM: $3,505
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	$3,119 – $4,290
Carpal tunnel release: 10 of 18 insurance plan rates Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $4,950 Oscar — COMM: $5,632
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	$1,597 – $5,051
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates Anthem — HIX: $1,597 Anthem — HMO: $2,197 Anthem — HPN: $2,027 Anthem — PPO: $2,197 Bright Health — COMM: $2,377 Cigna — HMO: $4,816 Cigna — IFP: $3,194 Cigna — PPO: $4,816 Lifeworks — MCR: $2,550 Oscar — COMM: $3,505
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$1,995 – $11,102
Cataract removal with lens implant: 10 of 18 insurance plan rates Anthem — HIX: $3,119 Anthem — HMO: $4,290 Anthem — HPN: $3,957 Anthem — PPO: $4,290 Bright Health — COMM: $6,880 Cigna — HMO: $11,102 Cigna — IFP: $7,359 Cigna — PPO: $11,102 Lifeworks — MCR: $2,550 Oscar — COMM: $5,632

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	$5,032 – $6,922
Vaginal delivery, with care before and after: rates for 9 insurance plans Anthem — HIX: $5,032 Anthem — HMO: $6,922 Anthem — HPN: $6,385 Anthem — PPO: $6,922 Cigna — HMO: $11,680 Cigna — IFP: $7,743 Cigna — PPO: $11,680 Lifeworks — MCR: $2,550 Universal Healthcare Group — MCR: $1,995
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	$2,550
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans Anthem — HIX: $5,032 Anthem — HMO: $6,922 Anthem — HPN: $6,385 Anthem — PPO: $6,922 Cigna — HMO: $11,680 Cigna — IFP: $7,743 Cigna — PPO: $11,680 Lifeworks — MCR: $2,550 Universal Healthcare Group — MCR: $1,995
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	$1,995 – $11,680
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans Anthem — HIX: $5,032 Anthem — HMO: $6,922 Anthem — HPN: $6,385 Anthem — PPO: $6,922 Cigna — HMO: $11,680 Cigna — IFP: $7,743 Cigna — PPO: $11,680 Lifeworks — MCR: $2,550 Universal Healthcare Group — MCR: $1,995

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	$78,910.17
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 45 insurance plan rates Aetna — Broad: $124,259 Aetna — MGMCR: $73,271.68 Aetna — SharedSavings: $122,959 Align Senior Care — MGMCR: $73,888.62 Anthem — HIX: $151,163.83 Anthem — HMO: $207,933.41 Anthem — HPN: $191,821.14 Anthem — PPO: $207,933.41 BonSecours Hospice — COMM: $435 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Bright Health — COMM: $103,254.40
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$39,958.23
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Bright Health — COMM: $39,958.23
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	$16,041.95 – $41,054
Hip or knee replacement (major joint of the leg), without major complications: 10 of 45 insurance plan rates Aetna — Broad: $39,773 Aetna — MGMCR: $14,895.68 Aetna — SharedSavings: $13,270 Align Senior Care — MGMCR: $15,021.10 Anthem — HIX: $29,846 Anthem — HMO: $41,054 Anthem — HPN: $37,872 Anthem — PPO: $41,054 BonSecours Hospice — COMM: $435 Bright Health — COMM: $20,264.23
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	$20,143.56 – $36,743
Neck (cervical) spinal fusion, without complications: 10 of 45 insurance plan rates Aetna — Broad: $76,039 Aetna — MGMCR: $18,704.21 Aetna — SharedSavings: $11,627 Align Senior Care — MGMCR: $18,861.70 Anthem — HIX: $26,712 Anthem — HMO: $36,743 Anthem — HPN: $33,895 Anthem — PPO: $36,743 BonSecours Hospice — COMM: $435 Bright Health — COMM: $26,869.52
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	$10,533.10
Uterus and ovary surgery (not for cancer), without complications: 10 of 45 insurance plan rates Aetna — Broad: $24,045 Aetna — MGMCR: $9,780.47 Aetna — SharedSavings: $14,638 Align Senior Care — MGMCR: $1,275 Anthem — HIX: $19,171.30 Anthem — HMO: $26,371.08 Anthem — HPN: $24,327.65 Anthem — PPO: $26,371.08 BonSecours Hospice — COMM: $435 Bright Health — COMM: $12,407.19

Source: Henrico Doctors' 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	1602 Skipwith Road, Richmond, VA 23229
County	Henrico County
State	Virginia
Phone	(804) 289‑4500
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
CMS Certification Number	490118
Name in Medicare records	HENRICO DOCTORS' HOSPITAL
Profile level	Medicare data + hospital website
Official website	hcavirginia.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.

Henrico Doctors' Hospital - HCA Virginia — hcavirginia.com
Emergency Care - Henrico Doctors' Hospital — hcavirginia.com
Trauma Center in Richmond | Henrico Doctors' Hospital — hcavirginia.com
Cardiovascular Surgery in Richmond | Henrico Doctors' Hospital — hcavirginia.com
Transplant Services in Richmond, VA | Henrico Doctors' Hospital — hcavirginia.com
Awards & Recognition | Henrico Doctors' Hospital — hcavirginia.com
Cardiology in Richmond, VA | Henrico Doctors' Hospital — hcavirginia.com
Neurological Specialists in Richmond | Henrico Doctors' Hospital — hcavirginia.com
Surgical Care | Henrico Doctors' Hospital | Henrico Doctors' Hospital — hcavirginia.com
Rehabilitation Center in Richmond, VA | Henrico Doctors' Hospital — hcavirginia.com
Breast Health | Henrico Doctors' Hospital — hcavirginia.com
Women's Care in Richmond, VA | Henrico Doctors' Hospital — hcavirginia.com
GERD & Reflux Care | Henrico Doctors' Hospital — hcavirginia.com
Gastrointestinal Care | Henrico Doctors' Hospital — hcavirginia.com
Spine Doctors in Richmond, VA | Henrico Doctors' Hospital — hcavirginia.com
Cancer Care in Richmond, VA | Henrico Doctors' Hospital — hcavirginia.com

Henrico Doctors' Hospital

Summary

Profile from official sources

At a glance