Does Henry Ford Allegiance Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Henry Ford Allegiance Health. In a medical emergency, call 911.

Where is Henry Ford Allegiance Health?

205 N East Ave, Jackson, MI 49201, in Jackson County, Michigan.

What is the phone number of Henry Ford Allegiance Health?

(517) 788-4800, as listed by Medicare (CMS).

What is the Medicare star rating of Henry Ford Allegiance Health?

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

Henry Ford Allegiance Health — Jackson, MI

Quick answers

Does Henry Ford Allegiance Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Henry Ford Allegiance Health. In a medical emergency, call 911.
Where is Henry Ford Allegiance Health?: 205 N East Ave, Jackson, MI 49201, in Jackson County, Michigan.
What is the phone number of Henry Ford Allegiance Health?: (517) 788-4800, as listed by Medicare (CMS).
What is the Medicare star rating of Henry Ford Allegiance Health?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7]

Cardiology
Hematology Oncology
Radiation Oncology
Maternal Fetal Medicine
Pediatrics
Obstetrics
Neurosurgery
Behavioral Health
Sleep Disorders
Inpatient Rehabilitation
Pulmonary
Women's Health
Emergency Care
Vascular surgery

Conditions treated^[4]

Advanced heart failure

Treatments^[4]

Procedures^[4][5][7]

Cardiac catheterization
Bariatric surgery
Joint replacement
Heart surgery
Angioplasty
Minimally invasive vascular procedures
Aneurysm repair
Mammography

Programs and centers^[7]

Cardiac rehabilitation
Vascular and pulmonary rehabilitation

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

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	Free visitor parking deck and campus lots; free valet at the ED and main entrance on set weekday hours^[6]

Doctors and clinicians (862)

862 doctors and other clinicians list Henry Ford Allegiance Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (862)

Aaron J. Iuppa, MDPsychiatry
Aaron M. Vanwagnen, MDInternal Medicine
Abby L. Anderson, PAPhysician Assistant
Abdul K. Uduman, MDPulmonary Disease
Abdul Kader Tabbara, MDAnesthesiology
Abdulbaset M. Salim, MDInternal Medicine
Abdullah Adnan, DOPhysical Medicine and Rehabilitation
Abedelkarim K. Abushmaies, MDVascular Surgery
Adam B. Stein, MDCardiovascular Disease (Cardiology)
Adam D. Marks, MDHospice/Palliative Care
Adam J. ColdenNurse Practitioner
Adam J. Rubinstein, MDAnesthesiology
Adam J. Storts, PAPhysician Assistant
Adam J. Traud, CNACertified Registered Nurse Anesthetist (CRNA)
Adhnan Mohamed, MDGeneral Surgery
Aditya Pandey, MDNeurosurgery
Aela P. Vely, MDCritical Care (Intensivists)
Ahmad Murad, MDInternal Medicine
Ajovi B. Scott Emuakpor, MDHematology/Oncology
Akhil Rahman, MDInternal Medicine
Alan A. Lazzara Jr., MDEmergency Medicine
Alan Meinke, CNACertified Registered Nurse Anesthetist (CRNA)
Alanna B. Van Hooser, MDDiagnostic Radiology
Alexander L. Brown, MDAnesthesiology

And 838 more: the button below opens the full list.

Other emergency rooms nearby

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

Chelsea Hospital19 mi · Chelsea, MI · Acute Care Hospital
Eaton Rapids Medical Center22 mi · Eaton Rapids, MI · Critical Access Hospital
Hillsdale Hospital26 mi · Hillsdale, MI · Acute Care Hospital
ProMedica Charles and Virginia Hickman Hospital28 mi · Adrian, MI · Acute Care Hospital
Oaklawn Hospital29 mi · Marshall, MI · Acute Care Hospital

Other hospitals nearby

University of Michigan Health - Sparrow Eaton31 mi · Charlotte, MI · Critical Access 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

Jackson County Medical Care Facility1.0 mi · Jackson, MI · 4 of 5 stars
Regency at Jackson1.2 mi · Jackson, MI · 1 of 5 stars
Vista Grande Villa3.0 mi · Jackson, MI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Elara Caring1.4 mi · Jackson, MI · 3 of 5 stars
Gentiva II1.4 mi · Jackson, MI · 4 of 5 stars
Optimal Care Hospice1.4 mi · Jackson, MI · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Optimal Care Home Health1.4 mi · Jackson, MI
Elara Caring5.3 mi · Jackson, MI
Henry Ford Allegiance Home Care5.3 mi · Jackson, MI

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Care - Jackson Oaks1.4 mi · Jackson, MI · 2 of 5 stars
DaVita Jackson Dialysis5.3 mi · Jackson, MI · 2 of 5 stars
Fresenius Kidney Care Jackson Home5.3 mi · Jackson, MI · 1 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.

Blake Woods Medical Park Surgery Center5.3 mi · Jackson, MI
Grass Lake Surgery Center11 mi · Grass Lake, MI

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

CFH - Downtown Site0.8 mi · Jackson, MI · Community health center
Center for Family Health Dental0.8 mi · Jackson, MI · Community health center
CFH - Northeast Health Center1.1 mi · Jackson, MI · Community health center

Clinics and urgent care

Doctors Urgent Care Walk in Clinic Jackson1.4 mi · Jackson, MI · Urgent care center
Jackson Urgent Care PLLC1.4 mi · Jackson, MI · Urgent care center
Medplus P C1.4 mi · Jackson, MI · Urgent care center

Pharmacies

G and R Felpausch Company1.4 mi · Jackson, MI · Community/retail pharmacy
Kroger Co of Michigan1.4 mi · Jackson, MI · Community/retail pharmacy
Sams East Inc1.4 mi · Jackson, MI · Community/retail pharmacy

Assisted living nearby

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

Highland Home for the Aged1.4 mi · Jackson, MI
John George Home1.4 mi · Jackson, MI
LifeWays Crisis Residential1.4 mi · Jackson, MI
Plymouth Street Home1.4 mi · Jackson, MI

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 Henry Ford Allegiance Health 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	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	57%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	56%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	2,071Response rate: 21%

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)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0.749No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.374Better 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	13.2%
Deaths within 30 days: heart failure patients	11.2%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	8.5%
Deaths within 30 days: stroke patients	9.5%
Deaths within 30 days: coronary bypass surgery (CABG)	1.7%
Serious complications (patient safety indicator PSI-90)	0.75No different from the national rate
Complications after hip or knee replacement	3.8%

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	15.3%
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	16.2%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	12.5%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	213 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)	73%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 Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Henry Ford Allegiance Health 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 →

$ 12 amounts are marked with “!”: they are 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. They are shown exactly as listed; ask the hospital before relying on them.

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) · Doctor (professional) fee In the file: PR OFFICE/OP VISIT NEW LVL 3	$207	$98.06	$45.58 – $142.51
New patient office visit (about 30–44 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $106.85 Aetna — All Products-NONFAC: $142.51 Aetna — Medicare Advantage/Dual Products-FAC: $71.06 Aetna — Medicare Advantage/Dual Products-NONFAC: $113.15 Aetna Better Health — Medicaid HMO-FAC: $47.86 Aetna Better Health — Medicaid HMO-NONFAC: $78.73 Blue Cross — BCBSM Commercial: $117.35 Blue Cross — BCN Commercial-FAC: $117.35 Blue Cross — BCN Commercial-NONFAC: $117.35 Blue Cross — BCN Medicare Advantage -FAC: $71.06
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 3 (TELHLTH)	$207	$98.06	$45.58 – $142.51
New patient office visit (about 30–44 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $106.85 Aetna — All Products-NONFAC: $142.51 Aetna — Medicare Advantage/Dual Products-FAC: $71.06 Aetna — Medicare Advantage/Dual Products-NONFAC: $113.15 Aetna Better Health — Medicaid HMO-FAC: $47.86 Aetna Better Health — Medicaid HMO-NONFAC: $78.73 Blue Cross — BCBSM Commercial: $117.35 Blue Cross — BCN Commercial-FAC: $117.35 Blue Cross — BCN Commercial-NONFAC: $117.35 Blue Cross — BCN Medicare Advantage -FAC: $71.06
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 3 (VIDEO)	$207	$98.06	$45.58 – $142.51
New patient office visit (about 30–44 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $106.85 Aetna — All Products-NONFAC: $142.51 Aetna — Medicare Advantage/Dual Products-FAC: $71.06 Aetna — Medicare Advantage/Dual Products-NONFAC: $113.15 Aetna Better Health — Medicaid HMO-FAC: $47.86 Aetna Better Health — Medicaid HMO-NONFAC: $78.73 Blue Cross — BCBSM Commercial: $117.35 Blue Cross — BCN Commercial-FAC: $117.35 Blue Cross — BCN Commercial-NONFAC: $117.35 Blue Cross — BCN Medicare Advantage -FAC: $71.06
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 4	$283	$160.11	$74.55 – $212.14
New patient office visit (about 45–59 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $171.63 Aetna — All Products-NONFAC: $212.14 Aetna — Medicare Advantage/Dual Products-FAC: $116.02 Aetna — Medicare Advantage/Dual Products-NONFAC: $171.22 Aetna Better Health — Medicaid HMO-FAC: $78.28 Aetna Better Health — Medicaid HMO-NONFAC: $118.76 Blue Cross — BCBSM Commercial: $179.33 Blue Cross — BCN Commercial-FAC: $179.33 Blue Cross — BCN Commercial-NONFAC: $179.33 Blue Cross — BCN Medicare Advantage -FAC: $116.02
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 4 (TELHLTH)	$283	$160.11	$74.55 – $212.14
New patient office visit (about 45–59 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $171.63 Aetna — All Products-NONFAC: $212.14 Aetna — Medicare Advantage/Dual Products-FAC: $116.02 Aetna — Medicare Advantage/Dual Products-NONFAC: $171.22 Aetna Better Health — Medicaid HMO-FAC: $78.28 Aetna Better Health — Medicaid HMO-NONFAC: $118.76 Blue Cross — BCBSM Commercial: $179.33 Blue Cross — BCN Commercial-FAC: $179.33 Blue Cross — BCN Commercial-NONFAC: $179.33 Blue Cross — BCN Medicare Advantage -FAC: $116.02
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 4 (VIDEO)	$283	$160.11	$74.55 – $212.14
New patient office visit (about 45–59 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $171.63 Aetna — All Products-NONFAC: $212.14 Aetna — Medicare Advantage/Dual Products-FAC: $116.02 Aetna — Medicare Advantage/Dual Products-NONFAC: $171.22 Aetna Better Health — Medicaid HMO-FAC: $78.28 Aetna Better Health — Medicaid HMO-NONFAC: $118.76 Blue Cross — BCBSM Commercial: $179.33 Blue Cross — BCN Commercial-FAC: $179.33 Blue Cross — BCN Commercial-NONFAC: $179.33 Blue Cross — BCN Medicare Advantage -FAC: $116.02
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP VISIT NEW LVL 5	$368	$219.61	$102.24 – $280.31
New patient office visit (about 60–74 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $232.90 Aetna — All Products-NONFAC: $280.31 Aetna — Medicare Advantage/Dual Products-FAC: $159.14 Aetna — Medicare Advantage/Dual Products-NONFAC: $228.98 Aetna Better Health — Medicaid HMO-FAC: $107.35 Aetna Better Health — Medicaid HMO-NONFAC: $158.57 Blue Cross — BCBSM Commercial: $226.59 Blue Cross — BCN Commercial-FAC: $226.59 Blue Cross — BCN Commercial-NONFAC: $226.59 Blue Cross — BCN Medicare Advantage -FAC: $159.14
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 5 (TELHLTH)	$368	$219.61	$102.24 – $280.31
New patient office visit (about 60–74 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $232.90 Aetna — All Products-NONFAC: $280.31 Aetna — Medicare Advantage/Dual Products-FAC: $159.14 Aetna — Medicare Advantage/Dual Products-NONFAC: $228.98 Aetna Better Health — Medicaid HMO-FAC: $107.35 Aetna Better Health — Medicaid HMO-NONFAC: $158.57 Blue Cross — BCBSM Commercial: $226.59 Blue Cross — BCN Commercial-FAC: $226.59 Blue Cross — BCN Commercial-NONFAC: $226.59 Blue Cross — BCN Medicare Advantage -FAC: $159.14
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT NEW LVL 5 (VIDEO)	$368	$219.61	$102.24 – $280.31
New patient office visit (about 60–74 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $232.90 Aetna — All Products-NONFAC: $280.31 Aetna — Medicare Advantage/Dual Products-FAC: $159.14 Aetna — Medicare Advantage/Dual Products-NONFAC: $228.98 Aetna Better Health — Medicaid HMO-FAC: $107.35 Aetna Better Health — Medicaid HMO-NONFAC: $158.57 Blue Cross — BCBSM Commercial: $226.59 Blue Cross — BCN Commercial-FAC: $226.59 Blue Cross — BCN Commercial-NONFAC: $226.59 Blue Cross — BCN Medicare Advantage -FAC: $159.14
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP VISIT EST LVL 3	$189	$78.49	$36.64 – $114.48
Established patient office visit (about 20–29 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $84.89 Aetna — All Products-NONFAC: $114.48 Aetna — Medicare Advantage/Dual Products-FAC: $56.88 Aetna — Medicare Advantage/Dual Products-NONFAC: $91.34 Aetna Better Health — Medicaid HMO-FAC: $38.47 Aetna Better Health — Medicaid HMO-NONFAC: $63.75 Blue Cross — BCBSM Commercial: $85.82 Blue Cross — BCN Commercial-FAC: $85.82 Blue Cross — BCN Commercial-NONFAC: $85.82 Blue Cross — BCN Medicare Advantage -FAC: $56.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT EST LVL 3 (TELHLTH)	$189	$78.49	$36.64 – $114.48
Established patient office visit (about 20–29 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $84.89 Aetna — All Products-NONFAC: $114.48 Aetna — Medicare Advantage/Dual Products-FAC: $56.88 Aetna — Medicare Advantage/Dual Products-NONFAC: $91.34 Aetna Better Health — Medicaid HMO-FAC: $38.47 Aetna Better Health — Medicaid HMO-NONFAC: $63.75 Blue Cross — BCBSM Commercial: $85.82 Blue Cross — BCN Commercial-FAC: $85.82 Blue Cross — BCN Commercial-NONFAC: $85.82 Blue Cross — BCN Medicare Advantage -FAC: $56.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT EST LVL 3 (AUDIO)	$189	$78.49	$36.64 – $114.48
Established patient office visit (about 20–29 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $84.89 Aetna — All Products-NONFAC: $114.48 Aetna — Medicare Advantage/Dual Products-FAC: $56.88 Aetna — Medicare Advantage/Dual Products-NONFAC: $91.34 Aetna Better Health — Medicaid HMO-FAC: $38.47 Aetna Better Health — Medicaid HMO-NONFAC: $63.75 Blue Cross — BCBSM Commercial: $85.82 Blue Cross — BCN Commercial-FAC: $85.82 Blue Cross — BCN Commercial-NONFAC: $85.82 Blue Cross — BCN Medicare Advantage -FAC: $56.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP VISIT EST LVL 4	$224	$115.56	$53.89 – $162.19
Established patient office visit (about 30–39 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $125.33 Aetna — All Products-NONFAC: $162.19 Aetna — Medicare Advantage/Dual Products-FAC: $83.74 Aetna — Medicare Advantage/Dual Products-NONFAC: $130.40 Aetna Better Health — Medicaid HMO-FAC: $56.58 Aetna Better Health — Medicaid HMO-NONFAC: $90.80 Blue Cross — BCBSM Commercial: $124.45 Blue Cross — BCN Commercial-FAC: $124.45 Blue Cross — BCN Commercial-NONFAC: $124.45 Blue Cross — BCN Medicare Advantage -FAC: $83.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT EST LVL 4 (TELHLTH)	$224	$115.56	$53.89 – $162.19
Established patient office visit (about 30–39 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $125.33 Aetna — All Products-NONFAC: $162.19 Aetna — Medicare Advantage/Dual Products-FAC: $83.74 Aetna — Medicare Advantage/Dual Products-NONFAC: $130.40 Aetna Better Health — Medicaid HMO-FAC: $56.58 Aetna Better Health — Medicaid HMO-NONFAC: $90.80 Blue Cross — BCBSM Commercial: $124.45 Blue Cross — BCN Commercial-FAC: $124.45 Blue Cross — BCN Commercial-NONFAC: $124.45 Blue Cross — BCN Medicare Advantage -FAC: $83.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFC/OP VISIT EST LVL 4 (AUDIO)	$224	$115.56	$53.89 – $162.19
Established patient office visit (about 30–39 minutes): 10 of 80 insurance plan rates Aetna — All Products-FAC: $125.33 Aetna — All Products-NONFAC: $162.19 Aetna — Medicare Advantage/Dual Products-FAC: $83.74 Aetna — Medicare Advantage/Dual Products-NONFAC: $130.40 Aetna Better Health — Medicaid HMO-FAC: $56.58 Aetna Better Health — Medicaid HMO-NONFAC: $90.80 Blue Cross — BCBSM Commercial: $124.45 Blue Cross — BCN Commercial-FAC: $124.45 Blue Cross — BCN Commercial-NONFAC: $124.45 Blue Cross — BCN Medicare Advantage -FAC: $83.74
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULTATION LVL 3	$225	$111	$55.81 – $180.02
Office consultation with a specialist (moderate): 10 of 54 insurance plan rates Aetna — All Products-FAC: $119.53 Aetna — All Products-NONFAC: $151.36 Aetna Better Health — Medicaid HMO-FAC: $58.60 Aetna Better Health — Medicaid HMO-NONFAC: $75.37 Blue Cross — BCBSM Commercial: $179.49 Blue Cross — BCN Commercial-FAC: $140.07 Blue Cross — BCN Commercial-NONFAC: $180.02 Blue Cross — Blue Cross Complete-Adult-FAC: $58.60 Blue Cross — Blue Cross Complete-Adult-NONFAC: $75.37 Blue Cross — Blue Cross Complete-Child-FAC: $58.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CONSULT OPD, DETAILED	$117	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 15 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross — Blue Cross Complete: $52.65 Cofinity — Commercial: $105.30 FrontPath — All Products: $105.30 HAP — Commercial: $72.54 Humana Military — Tricare: $79.52 Immergrun Inc — ALL PRODUCTS: $70.20 Jackson County Sheriff — Jackson County Jail: $60.84 McLaren — Commercial: $58.76 Molina — Dual MI Coordinated Health: $35.10
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CONSULT OPD, DETAILED	$117	Not listed in the file	$35.10 – $105.30
Office consultation with a specialist (moderate): rates for 1 insurance plan United Healthcare — UHC Commercial: $86.23
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULTATION LVL 4	$288	$189	$85.20 – $256.18
Office consultation with a specialist (moderate to high): 10 of 54 insurance plan rates Aetna — All Products-FAC: $182.25 Aetna — All Products-NONFAC: $217.06 Aetna Better Health — Medicaid HMO-FAC: $89.46 Aetna Better Health — Medicaid HMO-NONFAC: $107.80 Blue Cross — BCBSM Commercial: $256.18 Blue Cross — BCN Commercial-FAC: $212.51 Blue Cross — BCN Commercial-NONFAC: $256.18 Blue Cross — Blue Cross Complete-Adult-FAC: $89.46 Blue Cross — Blue Cross Complete-Adult-NONFAC: $107.80 Blue Cross — Blue Cross Complete-Child-FAC: $89.46
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CONSULT OPD, COMPLEX DETAILED	$123	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross — Blue Cross Complete: $55.35 Cofinity — Commercial: $110.70 FrontPath — All Products: $110.70 HAP — Commercial: $76.26 Humana Military — Tricare: $86.10 Immergrun Inc — ALL PRODUCTS: $73.80 Jackson County Sheriff — Jackson County Jail: $63.96 McLaren — Commercial: $61.77 Molina — Dual MI Coordinated Health: $36.90
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CONSULT OPD, COMPLEX DETAILED	$123	Not listed in the file	$36.90 – $110.70
Office consultation with a specialist (moderate to high): rates for 1 insurance plan United Healthcare — UHC Commercial: $90.65
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PREVENTIVE NEW PATIENT 18-39 YRS	$248	$154	$69 – $174.26
Preventive checkup, new patient, age 18–39: 10 of 53 insurance plan rates Aetna — All Products-FAC: $123.43 Aetna — All Products-NONFAC: $166.79 Aetna Better Health — Medicaid HMO-FAC: $72.45 Aetna Better Health — Medicaid HMO-NONFAC: $104.34 Blue Cross — BCBSM Commercial: $150.35 Blue Cross — BCN Commercial-FAC: $151.52 Blue Cross — BCN Commercial-NONFAC: $151.52 Blue Cross — Blue Cross Complete-Adult-FAC: $72.45 Blue Cross — Blue Cross Complete-Adult-NONFAC: $104.34 Blue Cross — Blue Cross Complete-Child-FAC: $72.45
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PREVENTIVE NEW PATIENT 18-39 YRS	$133	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCN — HMO: $133 Blue Cross — BCBSM Commercial: $133 Blue Cross — BCN Commercial: $133 Blue Cross — Blue Cross Complete: $59.85 Cofinity — Commercial: $119.70 FrontPath — All Products: $119.70 HAP — Commercial: $82.46 Humana Military — Tricare: $84.68 Immergrun Inc — ALL PRODUCTS: $79.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PREVENTIVE NEW PATIENT 18-39 YRS	$133	Not listed in the file	$39.90 – $119.70
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan United Healthcare — UHC Commercial: $98.02
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PREVENTIVE NEW PATIENT 40-64 YRS	$286	$172	$84.51 – $217.22
Preventive checkup, new patient, age 40–64: 10 of 52 insurance plan rates Aetna — All Products-FAC: $149.60 Aetna — All Products-NONFAC: $192.54 Aetna Better Health — Medicaid HMO-FAC: $88.74 Aetna Better Health — Medicaid HMO-NONFAC: $122.96 Blue Cross — BCBSM Commercial: $173.27 Blue Cross — BCN Commercial-FAC: $174.44 Blue Cross — BCN Commercial-NONFAC: $174.44 Blue Cross — Blue Cross Complete-Adult-FAC: $88.74 Blue Cross — Blue Cross Complete-Adult-NONFAC: $122.96 Blue Cross — Blue Cross Complete-Child-FAC: $88.74
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PREVENTIVE NEW PATIENT 40-64 YRS	$171	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCN — HMO: $171 Blue Cross — BCBSM Commercial: $171 Blue Cross — BCN Commercial: $171 Blue Cross — Blue Cross Complete: $76.95 Cofinity — Commercial: $153.90 FrontPath — All Products: $153.90 HAP — Commercial: $106.02 Humana Military — Tricare: $102.48 Immergrun Inc — ALL PRODUCTS: $102.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PREVENTIVE NEW PATIENT 40-64 YRS	$171	Not listed in the file	$51.30 – $153.90
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan United Healthcare — UHC Commercial: $126.03
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPT VISIT LVL III	$211	$105	$44.30 – $146.91
Emergency room visit (moderate): 10 of 68 insurance plan rates Aetna — All Products-FAC: $93.96 Aetna — All Products-NONFAC: $93.96 Aetna — Medicare Advantage/Dual Products-FAC: $69.52 Aetna — Medicare Advantage/Dual Products-NONFAC: $69.52 Aetna Better Health — Medicaid HMO-FAC: $46.52 Blue Cross — BCBSM Commercial: $112.38 Blue Cross — BCN Commercial-FAC: $112.38 Blue Cross — BCN Commercial-NONFAC: $112.38 Blue Cross — BCN Medicare Advantage -FAC: $69.52 Blue Cross — BCN Medicare Advantage -NONFAC: $69.52
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPT VISIT LEVEL III (TELHLTH)	$211	$105	$44.30 – $146.91
Emergency room visit (moderate): 10 of 68 insurance plan rates Aetna — All Products-FAC: $93.96 Aetna — All Products-NONFAC: $93.96 Aetna — Medicare Advantage/Dual Products-FAC: $69.52 Aetna — Medicare Advantage/Dual Products-NONFAC: $69.52 Aetna Better Health — Medicaid HMO-FAC: $46.52 Blue Cross — BCBSM Commercial: $112.38 Blue Cross — BCN Commercial-FAC: $112.38 Blue Cross — BCN Commercial-NONFAC: $112.38 Blue Cross — BCN Medicare Advantage -FAC: $69.52 Blue Cross — BCN Medicare Advantage -NONFAC: $69.52
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY ROOM VISIT LEVEL 3	$1,068	Not listed in the file	$60.42 – $972.57
Emergency room visit (moderate): 10 of 39 insurance plan rates Aetna — Commercial: $707.66 Aetna — Medicare Advantage: $273.25 Aetna Better Health — Medicaid HMO: $153.15 BCN — HMO: $972.57 Blue Cross — BCBSM Commercial: $972.57 Blue Cross — BCN Advantage: $273.25 Blue Cross — BCN Commercial: $972.57 Blue Cross — Blue Cross Complete: $145.86 Blue Cross — Medicare Plus Blue: $273.25 Cascade Thome Pace — All Products: $273.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPT VISIT LVL IV	$401	$179	$75.40 – $224.46
Emergency room visit (moderately high): 10 of 68 insurance plan rates Aetna — All Products-FAC: $157.89 Aetna — All Products-NONFAC: $157.89 Aetna — Medicare Advantage/Dual Products-FAC: $118.44 Aetna — Medicare Advantage/Dual Products-NONFAC: $118.44 Aetna Better Health — Medicaid HMO-FAC: $79.17 Blue Cross — BCBSM Commercial: $191.20 Blue Cross — BCN Commercial-FAC: $191.74 Blue Cross — BCN Commercial-NONFAC: $191.74 Blue Cross — BCN Medicare Advantage -FAC: $118.44 Blue Cross — BCN Medicare Advantage -NONFAC: $118.44
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPT VISIT LEVEL IV (TELHLTH)	$401	$179	$75.40 – $224.46
Emergency room visit (moderately high): 10 of 68 insurance plan rates Aetna — All Products-FAC: $157.89 Aetna — All Products-NONFAC: $157.89 Aetna — Medicare Advantage/Dual Products-FAC: $118.44 Aetna — Medicare Advantage/Dual Products-NONFAC: $118.44 Aetna Better Health — Medicaid HMO-FAC: $79.17 Blue Cross — BCBSM Commercial: $191.20 Blue Cross — BCN Commercial-FAC: $191.74 Blue Cross — BCN Commercial-NONFAC: $191.74 Blue Cross — BCN Medicare Advantage -FAC: $118.44 Blue Cross — BCN Medicare Advantage -NONFAC: $118.44
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY ROOM VISIT LEVEL 4	$1,731	Not listed in the file	$115.79 – $1,668.62
Emergency room visit (moderately high): 10 of 39 insurance plan rates Aetna — Commercial: $1,146.96 Aetna — Medicare Advantage: $417.68 Aetna Better Health — Medicaid HMO: $234.10 BCN — HMO: $1,668.62 Blue Cross — BCBSM Commercial: $1,668.62 Blue Cross — BCN Advantage: $417.68 Blue Cross — BCN Commercial: $1,668.62 Blue Cross — Blue Cross Complete: $222.95 Blue Cross — Medicare Plus Blue: $417.68 Cascade Thome Pace — All Products: $417.68
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPT VISIT LVL V	$590	$262	$109.27 – $332.94
Emergency room visit (high): 10 of 68 insurance plan rates Aetna — All Products-FAC: $230.01 Aetna — All Products-NONFAC: $230.01 Aetna — Medicare Advantage/Dual Products-FAC: $171.53 Aetna — Medicare Advantage/Dual Products-NONFAC: $171.53 Aetna Better Health — Medicaid HMO-FAC: $114.73 Blue Cross — BCBSM Commercial: $276.95 Blue Cross — BCN Commercial-FAC: $278.02 Blue Cross — BCN Commercial-NONFAC: $278.02 Blue Cross — BCN Medicare Advantage -FAC: $171.53 Blue Cross — BCN Medicare Advantage -NONFAC: $171.53
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPT VISIT LEVEL V (TELHLTH)	$590	$262	$109.27 – $332.94
Emergency room visit (high): 10 of 68 insurance plan rates Aetna — All Products-FAC: $230.01 Aetna — All Products-NONFAC: $230.01 Aetna — Medicare Advantage/Dual Products-FAC: $171.53 Aetna — Medicare Advantage/Dual Products-NONFAC: $171.53 Aetna Better Health — Medicaid HMO-FAC: $114.73 Blue Cross — BCBSM Commercial: $276.95 Blue Cross — BCN Commercial-FAC: $278.02 Blue Cross — BCN Commercial-NONFAC: $278.02 Blue Cross — BCN Medicare Advantage -FAC: $171.53 Blue Cross — BCN Medicare Advantage -NONFAC: $171.53
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY ROOM VISIT LEVEL 5	$2,639	Not listed in the file	$169.16 – $2,407.84
Emergency room visit (high): 10 of 39 insurance plan rates Aetna — Commercial: $1,748.60 Aetna — Medicare Advantage: $596.13 Aetna Better Health — Medicaid HMO: $334.12 BCN — HMO: $2,407.84 Blue Cross — BCBSM Commercial: $2,407.84 Blue Cross — BCN Advantage: $596.13 Blue Cross — BCN Commercial: $2,407.84 Blue Cross — Blue Cross Complete: $318.21 Blue Cross — Medicare Plus Blue: $596.13 Cascade Thome Pace — All Products: $596.13

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB BASIC METABOLIC PANEL (TOT CA)	$102	Not listed in the file	$4.42 – $29.75
Basic metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial: $14.77 Aetna — Medicare Advantage: $8.46 Aetna Better Health — Medicaid HMO: $4.64 BCN — HMO: $16.03 Blue Cross — BCBSM Commercial: $16.03 Blue Cross — BCN Advantage: $8.46 Blue Cross — BCN Commercial: $16.03 Blue Cross — Blue Cross Complete: $4.42 Blue Cross — Medicare Plus Blue: $8.46 Cascade Thome Pace — All Products: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB BASIC METABOLIC PANEL (TOT CA)	$102	Not listed in the file	$51 – $91.80
Basic metabolic panel (blood test): rates for 1 insurance plan United Healthcare — UHC Commercial: $75.17
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$4.64
Basic metabolic panel (blood test): rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $4.64
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB COMP METABOLIC PROFILE	$123	Not listed in the file	$5.52 – $37.14
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial: $18.43 Aetna — Medicare Advantage: $10.56 Aetna Better Health — Medicaid HMO: $5.80 BCN — HMO: $28.05 Blue Cross — BCBSM Commercial: $28.05 Blue Cross — BCN Advantage: $10.56 Blue Cross — BCN Commercial: $28.05 Blue Cross — Blue Cross Complete: $5.52 Blue Cross — Medicare Plus Blue: $10.56 Cascade Thome Pace — All Products: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB COMP METABOLIC PROFILE	$123	Not listed in the file	$61.50 – $110.70
Comprehensive metabolic panel (blood test): rates for 1 insurance plan United Healthcare — UHC Commercial: $90.65
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$5.80
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $5.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL	$461	Not listed in the file	$25 – $168.13
Obstetric blood test panel: 10 of 40 insurance plan rates Aetna — Commercial: $83.46 Aetna — Medicare Advantage: $47.81 Aetna Better Health — Medicaid HMO: $26.25 BCN — HMO: $79.91 Blue Cross — BCBSM Commercial: $79.91 Blue Cross — BCN Advantage: $47.81 Blue Cross — BCN Commercial: $79.91 Blue Cross — Blue Cross Complete: $25 Blue Cross — Medicare Plus Blue: $47.81 Cascade Thome Pace — All Products: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL	$461	Not listed in the file	$230.50 – $414.90
Obstetric blood test panel: rates for 1 insurance plan United Healthcare — UHC Commercial: $339.76
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB LIPID PROFILE	$99	Not listed in the file	$7 – $47.08
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates Aetna — Commercial: $23.37 Aetna — Medicare Advantage: $13.39 Aetna Better Health — Medicaid HMO: $7.35 BCN — HMO: $21.38 Blue Cross — BCBSM Commercial: $21.38 Blue Cross — BCN Advantage: $13.39 Blue Cross — BCN Commercial: $21.38 Blue Cross — Blue Cross Complete: $7 Blue Cross — Medicare Plus Blue: $13.39 Cascade Thome Pace — All Products: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB LIPID PROFILE	$99	Not listed in the file	$49.50 – $89.10
Cholesterol panel (lipid panel): rates for 1 insurance plan United Healthcare — UHC Commercial: $72.96
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$7.35
Cholesterol panel (lipid panel): rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $7.35
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB RENAL FUNCTION PANEL	$114	Not listed in the file	$4.54 – $30.53
Kidney function panel: 10 of 40 insurance plan rates Aetna — Commercial: $15.16 Aetna — Medicare Advantage: $8.68 Aetna Better Health — Medicaid HMO: $4.77 BCN — HMO: $20.01 Blue Cross — BCBSM Commercial: $20.01 Blue Cross — BCN Advantage: $8.68 Blue Cross — BCN Commercial: $20.01 Blue Cross — Blue Cross Complete: $4.54 Blue Cross — Medicare Plus Blue: $8.68 Cascade Thome Pace — All Products: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB RENAL FUNCTION PANEL	$114	Not listed in the file	$57 – $102.60
Kidney function panel: rates for 1 insurance plan United Healthcare — UHC Commercial: $84.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$4.77
Kidney function panel: rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $4.77
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB HEPATIC FUNCTN PANEL	$116	Not listed in the file	$4.27 – $28.74
Liver function panel: 10 of 40 insurance plan rates Aetna — Commercial: $14.26 Aetna — Medicare Advantage: $8.17 Aetna Better Health — Medicaid HMO: $4.48 BCN — HMO: $14.01 Blue Cross — BCBSM Commercial: $14.01 Blue Cross — BCN Advantage: $8.17 Blue Cross — BCN Commercial: $14.01 Blue Cross — Blue Cross Complete: $4.27 Blue Cross — Medicare Plus Blue: $8.17 Cascade Thome Pace — All Products: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB HEPATIC FUNCTN PANEL	$116	Not listed in the file	$58 – $104.40
Liver function panel: rates for 1 insurance plan United Healthcare — UHC Commercial: $85.49
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB URINALYSIS AUTO W/ MICROSCOPE	$53	Not listed in the file	$1.66 – $11.14
Urine test (automated, with microscope): 10 of 40 insurance plan rates Aetna — Commercial: $5.53 Aetna — Medicare Advantage: $3.17 Aetna Better Health — Medicaid HMO: $1.74 BCN — HMO: $4.39 Blue Cross — BCBSM Commercial: $4.39 Blue Cross — BCN Advantage: $3.17 Blue Cross — BCN Commercial: $4.39 Blue Cross — Blue Cross Complete: $1.66 Blue Cross — Medicare Plus Blue: $3.17 Cascade Thome Pace — All Products: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB URINALYSIS AUTO W/ MICROSCOPE	$53	Not listed in the file	$26.50 – $47.70
Urine test (automated, with microscope): rates for 1 insurance plan United Healthcare — UHC Commercial: $39.06
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB URINALYS NONAUTO W/O MICROSCOPE	$25	Not listed in the file	$1.82 – $12.22
Urine test (manual, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $6.08 Aetna — Medicare Advantage: $3.48 Aetna Better Health — Medicaid HMO: $1.91 BCN — HMO: $4.82 Blue Cross — BCBSM Commercial: $4.82 Blue Cross — BCN Advantage: $3.48 Blue Cross — BCN Commercial: $4.82 Blue Cross — Blue Cross Complete: $1.82 Blue Cross — Medicare Plus Blue: $3.48 Cascade Thome Pace — All Products: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB URINALYS NONAUTO W/O MICROSCOPE	$25	Not listed in the file	$12.50 – $22.50
Urine test (manual, without microscope): rates for 1 insurance plan United Healthcare — UHC Commercial: $18.43
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB URINALYSIS MACRO AUTO	$53	Not listed in the file	$1.18 – $7.92
Urine test (automated, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $3.93 Aetna — Medicare Advantage: $2.25 Aetna Better Health — Medicaid HMO: $1.24 BCN — HMO: $3.12 Blue Cross — BCBSM Commercial: $3.12 Blue Cross — BCN Advantage: $2.25 Blue Cross — BCN Commercial: $3.12 Blue Cross — Blue Cross Complete: $1.18 Blue Cross — Medicare Plus Blue: $2.25 Cascade Thome Pace — All Products: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB URINALYSIS MACRO AUTO	$53	Not listed in the file	$26.50 – $47.70
Urine test (automated, without microscope): rates for 1 insurance plan United Healthcare — UHC Commercial: $39.06
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.24
Urine test (automated, without microscope): rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $1.24
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PSA TOTAL	$130	Not listed in the file	$9.62 – $64.68
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna — Commercial: $32.10 Aetna — Medicare Advantage: $18.39 Aetna Better Health — Medicaid HMO: $10.10 BCN — HMO: $25.46 Blue Cross — BCBSM Commercial: $25.46 Blue Cross — BCN Advantage: $18.39 Blue Cross — BCN Commercial: $25.46 Blue Cross — Blue Cross Complete: $9.62 Blue Cross — Medicare Plus Blue: $18.39 Cascade Thome Pace — All Products: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PSA TOTAL, SO	$18	Not listed in the file	$9.62 – $64.68
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna — Commercial: $32.10 Aetna — Medicare Advantage: $18.39 Aetna Better Health — Medicaid HMO: $10.10 BCN — HMO: $18 Blue Cross — BCBSM Commercial: $18 Blue Cross — BCN Advantage: $18.39 Blue Cross — BCN Commercial: $18 Blue Cross — Blue Cross Complete: $9.62 Blue Cross — Medicare Plus Blue: $18.39 Cascade Thome Pace — All Products: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB PSA TOTAL	$130	Not listed in the file	$65 – $117
PSA (prostate specific antigen) blood test: rates for 1 insurance plan United Healthcare — UHC Commercial: $95.81
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB THYROID STIM HORMONE-TSH	$113	Not listed in the file	$8.79 – $59.08
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates Aetna — Commercial: $29.33 Aetna — Medicare Advantage: $16.80 Aetna Better Health — Medicaid HMO: $9.23 BCN — HMO: $23.26 Blue Cross — BCBSM Commercial: $23.26 Blue Cross — BCN Advantage: $16.80 Blue Cross — BCN Commercial: $23.26 Blue Cross — Blue Cross Complete: $8.79 Blue Cross — Medicare Plus Blue: $16.80 Cascade Thome Pace — All Products: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB THYROID STIM HORMONE-TSH	$113	Not listed in the file	$56.50 – $101.70
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan United Healthcare — UHC Commercial: $83.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$9.23
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $9.23
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB CBC AUTO & AUTO DIFF WBC	$63	Not listed in the file	$4.06 – $27.33
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates Aetna — Commercial: $13.56 Aetna — Medicare Advantage: $7.77 Aetna Better Health — Medicaid HMO: $4.26 BCN — HMO: $10.76 Blue Cross — BCBSM Commercial: $10.76 Blue Cross — BCN Advantage: $7.77 Blue Cross — BCN Commercial: $10.76 Blue Cross — Blue Cross Complete: $4.06 Blue Cross — Medicare Plus Blue: $7.77 Cascade Thome Pace — All Products: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB CBC AUTO & AUTO DIFF WBC	$63	Not listed in the file	$31.50 – $56.70
Complete blood count (CBC) with differential: rates for 1 insurance plan United Healthcare — UHC Commercial: $46.43
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$4.26
Complete blood count (CBC) with differential: rates for 1 insurance plan Aetna Better Health — Medicaid HMO: $4.26
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB CBC INCL PLATELETS	$46	Not listed in the file	$3.38 – $22.75
Complete blood count (CBC), automated: 10 of 40 insurance plan rates Aetna — Commercial: $11.30 Aetna — Medicare Advantage: $6.47 Aetna Better Health — Medicaid HMO: $3.55 BCN — HMO: $8.96 Blue Cross — BCBSM Commercial: $8.96 Blue Cross — BCN Advantage: $6.47 Blue Cross — BCN Commercial: $8.96 Blue Cross — Blue Cross Complete: $3.38 Blue Cross — Medicare Plus Blue: $6.47 Cascade Thome Pace — All Products: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB CBC INCL PLATELETS	$46	Not listed in the file	$23 – $41.40
Complete blood count (CBC), automated: rates for 1 insurance plan United Healthcare — UHC Commercial: $33.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAB PROTHROMBIN TIME	$35	$5.92	$3.55 – $10.02
Blood clotting time test (prothrombin time, PT): 10 of 64 insurance plan rates Aetna — All Products-FAC: $5.10 Aetna — All Products-NONFAC: $5.10 Aetna — Medicare Advantage/Dual Products-FAC: $4.29 Aetna — Medicare Advantage/Dual Products-NONFAC: $4.29 Aetna Better Health — Medicaid HMO-NONFAC: $3.73 Blue Cross — BCBSM Commercial: $4.29 Blue Cross — BCN Commercial-FAC: $4.29 Blue Cross — BCN Commercial-NONFAC: $4.29 Blue Cross — BCN Medicare Advantage -FAC: $4.29 Blue Cross — BCN Medicare Advantage -NONFAC: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PROTHROMBIN TIME	$39	Not listed in the file	$2.24 – $15.08
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates Aetna — Commercial: $7.50 Aetna — Medicare Advantage: $4.29 Aetna Better Health — Medicaid HMO: $2.35 BCN — HMO: $5.95 Blue Cross — BCBSM Commercial: $5.95 Blue Cross — BCN Advantage: $4.29 Blue Cross — BCN Commercial: $5.95 Blue Cross — Blue Cross Complete: $2.24 Blue Cross — Medicare Plus Blue: $4.29 Cascade Thome Pace — All Products: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB PROTHROMBIN TIME	$39	Not listed in the file	$19.50 – $35.10
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan United Healthcare — UHC Commercial: $28.74
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PART THROMBOPLASTIN (PTT)	$87	Not listed in the file	$3.14 – $21.13
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates Aetna — Commercial: $10.49 Aetna — Medicare Advantage: $6.01 Aetna Better Health — Medicaid HMO: $3.30 BCN — HMO: $8.33 Blue Cross — BCBSM Commercial: $8.33 Blue Cross — BCN Advantage: $6.01 Blue Cross — BCN Commercial: $8.33 Blue Cross — Blue Cross Complete: $3.14 Blue Cross — Medicare Plus Blue: $6.01 Cascade Thome Pace — All Products: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LAB PART THROMBOPLASTIN (PTT)	$87	Not listed in the file	$43.50 – $78.30
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan United Healthcare — UHC Commercial: $64.12

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) · Hospital (facility) fee In the file: HB CT HEAD / BRAIN W/O CONTRST	$2,321	Not listed in the file	$55.86 – $264.44
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates Aetna — Commercial: $264.44 Aetna — Medicare Advantage: $104.65 Aetna Better Health — Medicaid HMO: $58.65 BCN — HMO: $201.59 Blue Cross — BCBSM Commercial: $201.59 Blue Cross — BCN Advantage: $104.65 Blue Cross — BCN Commercial: $201.59 Blue Cross — Blue Cross Complete: $55.86 Blue Cross — Medicare Plus Blue: $104.65 Cascade Thome Pace — All Products: $104.65
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT HEAD / BRAIN W/O CONTRST	$2,321	Not listed in the file	$1,165.61 – $2,088.90
CT scan of the head or brain, without contrast: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,710.58
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR CT HEAD/BRAIN W/O CONTRAST	$157	$53.49	$25.13 – $81.44
CT scan of the head or brain, without contrast: 10 of 74 insurance plan rates Aetna — All Products-FAC: $64.73 Aetna — All Products-NONFAC: $64.73 Aetna — Medicare Advantage/Dual Products-FAC: $38.76 Aetna — Medicare Advantage/Dual Products-NONFAC: $38.76 Aetna Better Health — Medicaid HMO-FAC: $26.39 Aetna Better Health — Medicaid HMO-NONFAC: $26.39 Blue Cross — BCBSM Commercial: $63.38 Blue Cross — BCN Commercial-FAC: $63.91 Blue Cross — BCN Commercial-NONFAC: $63.91 Blue Cross — BCN Medicare Advantage -FAC: $38.76
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI BRAIN/STEM W&W/O CONTRST	$4,982	Not listed in the file	$186.41 – $889.67
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates Aetna — Commercial: $850.44 Aetna — Medicare Advantage: $349.22 Aetna Better Health — Medicaid HMO: $195.73 BCN — HMO: $636.25 Blue Cross — BCBSM Commercial: $636.25 Blue Cross — BCN Advantage: $349.22 Blue Cross — BCN Commercial: $636.25 Blue Cross — Blue Cross Complete: $186.41 Blue Cross — Medicare Plus Blue: $349.22 Cascade Thome Pace — All Products: $349.22
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI BRAIN/STEM W&W/O CONTRST	$4,982	Not listed in the file	$2,501.96 – $4,483.80
MRI of the brain, before and after contrast: rates for 1 insurance plan United Healthcare — UHC Commercial: $3,671.73
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR MRI BRAIN STEM COMBO	$420	$142.80	$67.10 – $226.76
MRI of the brain, before and after contrast: 10 of 74 insurance plan rates Aetna — All Products-FAC: $174.85 Aetna — All Products-NONFAC: $174.85 Aetna — Medicare Advantage/Dual Products-FAC: $103.48 Aetna — Medicare Advantage/Dual Products-NONFAC: $103.48 Aetna Better Health — Medicaid HMO-FAC: $70.46 Aetna Better Health — Medicaid HMO-NONFAC: $70.46 Blue Cross — BCBSM Commercial: $170.96 Blue Cross — BCN Commercial-FAC: $172.56 Blue Cross — BCN Commercial-NONFAC: $172.56 Blue Cross — BCN Medicare Advantage -FAC: $103.48
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB X-RAY CHEST 2 VWS	$323	Not listed in the file	$14.77 – $187.29
Chest X-ray, 2 views: 10 of 40 insurance plan rates Aetna — Commercial: $61.43 Aetna — Medicare Advantage: $87.11 Aetna Better Health — Medicaid HMO: $48.83 BCN — HMO: $68.83 Blue Cross — BCBSM Commercial: $68.83 Blue Cross — BCN Advantage: $87.11 Blue Cross — BCN Commercial: $68.83 Blue Cross — Blue Cross Complete: $46.50 Blue Cross — Medicare Plus Blue: $87.11 Cascade Thome Pace — All Products: $87.11
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB X-RAY CHEST 2 VWS	$323	Not listed in the file	$162.21 – $290.70
Chest X-ray, 2 views: rates for 1 insurance plan United Healthcare — UHC Commercial: $238.05
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR X-RAY CHEST EXAM 2 VIEWS	$40	$13.57	$6.39 – $17.12
Chest X-ray, 2 views: 10 of 73 insurance plan rates Aetna — All Products-FAC: $15.44 Aetna — All Products-NONFAC: $15.44 Aetna — Medicare Advantage/Dual Products-FAC: $9.83 Aetna — Medicare Advantage/Dual Products-NONFAC: $9.83 Aetna Better Health — Medicaid HMO-FAC: $6.71 Aetna Better Health — Medicaid HMO-NONFAC: $6.71 Blue Cross — BCBSM Commercial: $16.51 Blue Cross — BCN Commercial-FAC: $16.51 Blue Cross — BCN Commercial-NONFAC: $16.51 Blue Cross — BCN Medicare Advantage -FAC: $9.83
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB X-RAY SPINE LUMBOSACRAL 4+ VWS	$348	Not listed in the file	$27.99 – $225.01
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates Aetna — Commercial: $102.56 Aetna — Medicare Advantage: $104.65 Aetna Better Health — Medicaid HMO: $58.65 BCN — HMO: $116.05 Blue Cross — BCBSM Commercial: $116.05 Blue Cross — BCN Advantage: $104.65 Blue Cross — BCN Commercial: $116.05 Blue Cross — Blue Cross Complete: $55.86 Blue Cross — Medicare Plus Blue: $104.65 Cascade Thome Pace — All Products: $104.65
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB X-RAY SPINE LUMBOSACRAL 4+ VWS	$348	Not listed in the file	$174.77 – $313.20
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan United Healthcare — UHC Commercial: $256.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O CONTRAST	$3,200	Not listed in the file	$127.49 – $513.52
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates Aetna — Commercial: $488.44 Aetna — Medicare Advantage: $238.84 Aetna Better Health — Medicaid HMO: $133.86 BCN — HMO: $366.81 Blue Cross — BCBSM Commercial: $366.81 Blue Cross — BCN Advantage: $238.84 Blue Cross — BCN Commercial: $366.81 Blue Cross — Blue Cross Complete: $127.49 Blue Cross — Medicare Plus Blue: $238.84 Cascade Thome Pace — All Products: $238.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O CONTRAST	$3,200	Not listed in the file	$1,607.04 – $2,880
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan United Healthcare — UHC Commercial: $2,358.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR MRI LUMBAR SPINE W/O CONTRAST	$275	$92.85	$43.67 – $142.13
MRI of the lower back (lumbar spine), without contrast: 10 of 74 insurance plan rates Aetna — All Products-FAC: $113.33 Aetna — All Products-NONFAC: $113.33 Aetna — Medicare Advantage/Dual Products-FAC: $67.28 Aetna — Medicare Advantage/Dual Products-NONFAC: $67.28 Aetna Better Health — Medicaid HMO-FAC: $45.85 Aetna Better Health — Medicaid HMO-NONFAC: $45.85 Blue Cross — BCBSM Commercial: $111.31 Blue Cross — BCN Commercial-FAC: $111.31 Blue Cross — BCN Commercial-NONFAC: $111.31 Blue Cross — BCN Medicare Advantage -FAC: $67.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT PELVIS W/ CONTRAST	$2,627	Not listed in the file	$93.72 – $673
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial: $673 Aetna — Medicare Advantage: $175.58 Aetna Better Health — Medicaid HMO: $98.41 BCN — HMO: $518.25 Blue Cross — BCBSM Commercial: $518.25 Blue Cross — BCN Advantage: $175.58 Blue Cross — BCN Commercial: $518.25 Blue Cross — Blue Cross Complete: $93.72 Blue Cross — Medicare Plus Blue: $175.58 Cascade Thome Pace — All Products: $175.58
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT PELVIS W/ CONTRAST	$2,627	Not listed in the file	$1,319.28 – $2,364.30
CT scan of the pelvis, with contrast: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,936.10
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR CT PELVIS W/CONTRAST	$215	$72.56	$34.08 – $110.19
CT scan of the pelvis, with contrast: 10 of 74 insurance plan rates Aetna — All Products-FAC: $88.50 Aetna — All Products-NONFAC: $88.50 Aetna — Medicare Advantage/Dual Products-FAC: $52.58 Aetna — Medicare Advantage/Dual Products-NONFAC: $52.58 Aetna Better Health — Medicaid HMO-FAC: $35.78 Aetna Better Health — Medicaid HMO-NONFAC: $35.78 Blue Cross — BCBSM Commercial: $86.81 Blue Cross — BCN Commercial-FAC: $86.81 Blue Cross — BCN Commercial-NONFAC: $86.81 Blue Cross — BCN Medicare Advantage -FAC: $52.58
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI JNT LOW EXTRM W/O CONTRAST	$4,220	Not listed in the file	$127.49 – $572.86
MRI of a leg joint (such as the knee), without contrast: 10 of 40 insurance plan rates Aetna — Commercial: $555.44 Aetna — Medicare Advantage: $238.84 Aetna Better Health — Medicaid HMO: $133.86 BCN — HMO: $420.89 Blue Cross — BCBSM Commercial: $420.89 Blue Cross — BCN Advantage: $238.84 Blue Cross — BCN Commercial: $420.89 Blue Cross — Blue Cross Complete: $127.49 Blue Cross — Medicare Plus Blue: $238.84 Cascade Thome Pace — All Products: $238.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI JNT LOW EXTRM W/O CONTRAST	$4,220	Not listed in the file	$2,119.28 – $3,798
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan United Healthcare — UHC Commercial: $3,110.14
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR MRI LOWER EXTREM JT	$251	$85.10	$40.04 – $119.77
MRI of a leg joint (such as the knee), without contrast: 10 of 74 insurance plan rates Aetna — All Products-FAC: $103.58 Aetna — All Products-NONFAC: $103.58 Aetna — Medicare Advantage/Dual Products-FAC: $61.67 Aetna — Medicare Advantage/Dual Products-NONFAC: $61.67 Aetna Better Health — Medicaid HMO-FAC: $42.04 Aetna Better Health — Medicaid HMO-NONFAC: $42.04 Blue Cross — BCBSM Commercial: $101.73 Blue Cross — BCN Commercial-FAC: $101.73 Blue Cross — BCN Commercial-NONFAC: $101.73 Blue Cross — BCN Medicare Advantage -FAC: $61.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT ABDOMEN & PELVIS W/CONTRAST	$4,402	Not listed in the file	$186.41 – $877.81
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial: $877.81 Aetna — Medicare Advantage: $349.22 Aetna Better Health — Medicaid HMO: $195.73 BCN — HMO: $650.03 Blue Cross — BCBSM Commercial: $650.03 Blue Cross — BCN Advantage: $349.22 Blue Cross — BCN Commercial: $650.03 Blue Cross — Blue Cross Complete: $186.41 Blue Cross — Medicare Plus Blue: $349.22 Cascade Thome Pace — All Products: $349.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT ABDOMEN & PELVIS W/CONTRAST	$4,402	Not listed in the file	$2,210.68 – $3,961.80
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan United Healthcare — UHC Commercial: $3,244.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR CT ABDOMEN & PELVIS W/CONTRAST	$530	$113.82	$53.46 – $142.38
CT scan of the abdomen and pelvis, with contrast: 10 of 73 insurance plan rates Aetna — All Products-FAC: $139.25 Aetna — All Products-NONFAC: $139.25 Aetna — Medicare Advantage/Dual Products-FAC: $82.48 Aetna — Medicare Advantage/Dual Products-NONFAC: $82.48 Aetna Better Health — Medicaid HMO-FAC: $56.13 Aetna Better Health — Medicaid HMO-NONFAC: $56.13 Blue Cross — BCBSM Commercial: $135.81 Blue Cross — BCN Commercial-FAC: $137.41 Blue Cross — BCN Commercial-NONFAC: $137.41 Blue Cross — BCN Medicare Advantage -FAC: $82.48
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE	$1,136	Not listed in the file	$55.86 – $292.76
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates Aetna — Commercial: $207.57 Aetna — Medicare Advantage: $104.65 Aetna Better Health — Medicaid HMO: $58.65 BCN — HMO: $228.14 Blue Cross — BCBSM Commercial: $228.14 Blue Cross — BCN Advantage: $104.65 Blue Cross — BCN Commercial: $228.14 Blue Cross — Blue Cross Complete: $55.86 Blue Cross — Medicare Plus Blue: $104.65 Cascade Thome Pace — All Products: $104.65
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE	$1,136	Not listed in the file	$570.50 – $1,022.40
Ultrasound of the abdomen, complete: rates for 1 insurance plan United Healthcare — UHC Commercial: $837.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR US ABDOMEN B-SCAN &/OR REAL TIME COMPLETE	$148	$50.70	$23.86 – $78.24
Ultrasound of the abdomen, complete: 10 of 74 insurance plan rates Aetna — All Products-FAC: $56.79 Aetna — All Products-NONFAC: $56.79 Aetna — Medicare Advantage/Dual Products-FAC: $36.74 Aetna — Medicare Advantage/Dual Products-NONFAC: $36.74 Aetna Better Health — Medicaid HMO-FAC: $25.05 Aetna Better Health — Medicaid HMO-NONFAC: $25.05 Blue Cross — BCBSM Commercial: $60.18 Blue Cross — BCN Commercial-FAC: $60.72 Blue Cross — BCN Commercial-NONFAC: $60.72 Blue Cross — BCN Medicare Advantage -FAC: $36.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US >= 14 WKS COMPLETE	$827	Not listed in the file	$55.86 – $321.92
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates Aetna — Commercial: $234.01 Aetna — Medicare Advantage: $104.65 Aetna Better Health — Medicaid HMO: $58.65 BCN — HMO: $256.67 Blue Cross — BCBSM Commercial: $256.67 Blue Cross — BCN Advantage: $104.65 Blue Cross — BCN Commercial: $256.67 Blue Cross — Blue Cross Complete: $55.86 Blue Cross — Medicare Plus Blue: $104.65 Cascade Thome Pace — All Products: $104.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US >= 14 WKS COMPLETE	$827	Not listed in the file	$415.32 – $744.30
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan United Healthcare — UHC Commercial: $609.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR US OB =>14 WKS SINGLE FETUS	$186	$63.73	$30.03 – $95.82
Pregnancy ultrasound (after the first trimester): 10 of 74 insurance plan rates Aetna — All Products-FAC: $70.11 Aetna — All Products-NONFAC: $70.11 Aetna — Medicare Advantage/Dual Products-FAC: $46.18 Aetna — Medicare Advantage/Dual Products-NONFAC: $46.18 Aetna Better Health — Medicaid HMO-FAC: $31.53 Aetna Better Health — Medicaid HMO-NONFAC: $31.53 Blue Cross — BCBSM Commercial: $74.56 Blue Cross — BCN Commercial-FAC: $75.10 Blue Cross — BCN Commercial-NONFAC: $75.10 Blue Cross — BCN Medicare Advantage -FAC: $46.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL	$787	Not listed in the file	$55.86 – $315.58
Transvaginal ultrasound: 10 of 40 insurance plan rates Aetna — Commercial: $229.47 Aetna — Medicare Advantage: $104.65 Aetna Better Health — Medicaid HMO: $58.65 BCN — HMO: $250.76 Blue Cross — BCBSM Commercial: $250.76 Blue Cross — BCN Advantage: $104.65 Blue Cross — BCN Commercial: $250.76 Blue Cross — Blue Cross Complete: $55.86 Blue Cross — Medicare Plus Blue: $104.65 Cascade Thome Pace — All Products: $104.65
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL	$787	Not listed in the file	$395.23 – $708.30
Transvaginal ultrasound: rates for 1 insurance plan United Healthcare — UHC Commercial: $580.02
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR US TRANSVAGINAL NON-OB	$128	$43.91	$20.66 – $73.77
Transvaginal ultrasound: 10 of 74 insurance plan rates Aetna — All Products-FAC: $49.30 Aetna — All Products-NONFAC: $49.30 Aetna — Medicare Advantage/Dual Products-FAC: $31.82 Aetna — Medicare Advantage/Dual Products-NONFAC: $31.82 Aetna Better Health — Medicaid HMO-FAC: $21.69 Aetna Better Health — Medicaid HMO-NONFAC: $21.69 Blue Cross — BCBSM Commercial: $51.66 Blue Cross — BCN Commercial-FAC: $52.19 Blue Cross — BCN Commercial-NONFAC: $52.19 Blue Cross — BCN Medicare Advantage -FAC: $31.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAM CAD UNILAT	$527	Not listed in the file	$41.19 – $332.03
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates Aetna — Commercial: $229.47 Aetna — Medicare Advantage: $168.11 Aetna Better Health — Medicaid HMO: $43.25 BCN — HMO: $258.63 Blue Cross — BCBSM Commercial: $258.63 Blue Cross — BCN Advantage: $168.11 Blue Cross — BCN Commercial: $258.63 Blue Cross — Blue Cross Complete: $41.19 Blue Cross — Medicare Plus Blue: $78.75 Cascade Thome Pace — All Products: $168.11
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAM CAD UNILAT	$527	Not listed in the file	$263.50 – $474.30
Diagnostic mammogram, one breast: rates for 1 insurance plan United Healthcare — UHC Commercial: $388.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR DIAGNOSTIC MAMMOGRAM CAD UNILAT	$120	$51.23	$24.07 – $62.93
Diagnostic mammogram, one breast: 10 of 73 insurance plan rates Aetna — All Products-FAC: $56.79 Aetna — All Products-NONFAC: $56.79 Aetna — Medicare Advantage/Dual Products-FAC: $37.12 Aetna — Medicare Advantage/Dual Products-NONFAC: $37.12 Aetna Better Health — Medicaid HMO-FAC: $25.27 Aetna Better Health — Medicaid HMO-NONFAC: $25.27 Blue Cross — BCBSM Commercial: $60.72 Blue Cross — BCN Commercial-FAC: $60.72 Blue Cross — BCN Commercial-NONFAC: $60.72 Blue Cross — BCN Medicare Advantage -FAC: $37.12
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAPM CAD BILAT	$682	Not listed in the file	$52.86 – $423.30
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates Aetna — Commercial: $292.48 Aetna — Medicare Advantage: $213.08 Aetna Better Health — Medicaid HMO: $55.50 BCN — HMO: $329.43 Blue Cross — BCBSM Commercial: $329.43 Blue Cross — BCN Advantage: $213.08 Blue Cross — BCN Commercial: $329.43 Blue Cross — Blue Cross Complete: $52.86 Blue Cross — Medicare Plus Blue: $101.08 Cascade Thome Pace — All Products: $213.08
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAPM CAD BILAT	$682	Not listed in the file	$341 – $613.80
Diagnostic mammogram, both breasts: rates for 1 insurance plan United Healthcare — UHC Commercial: $502.63
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR DIAGNOSTIC MAMMOGRAPM CAD BILAT	$185	$63.02	$29.61 – $77.28
Diagnostic mammogram, both breasts: 10 of 73 insurance plan rates Aetna — All Products-FAC: $69.69 Aetna — All Products-NONFAC: $69.69 Aetna — Medicare Advantage/Dual Products-FAC: $45.67 Aetna — Medicare Advantage/Dual Products-NONFAC: $45.67 Aetna Better Health — Medicaid HMO-FAC: $31.09 Aetna Better Health — Medicaid HMO-NONFAC: $31.09 Blue Cross — BCBSM Commercial: $74.56 Blue Cross — BCN Commercial-FAC: $74.56 Blue Cross — BCN Commercial-NONFAC: $74.56 Blue Cross — BCN Medicare Advantage -FAC: $45.67
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB SCREEN MAMMOGRAM CAD BILAT 2-VWS EA BREAST	$497	Not listed in the file	$43.58 – $351.06
Screening mammogram, both breasts: 10 of 39 insurance plan rates Aetna — Commercial: $242.58 Aetna — Medicare Advantage: $172.34 Aetna Better Health — Medicaid HMO: $45.76 BCN — HMO: $272.40 Blue Cross — BCBSM Commercial: $272.40 Blue Cross — BCN Advantage: $172.34 Blue Cross — BCN Commercial: $272.40 Blue Cross — Blue Cross Complete: $43.58 Blue Cross — Medicare Plus Blue: $83.32 Cascade Thome Pace — All Products: $172.34
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB SCREEN MAMMOGRAM UNILAT INCL CAD WHEN PERFORMED (MOD52)	$374	Not listed in the file	$43.58 – $351.06
Screening mammogram, both breasts: 10 of 39 insurance plan rates Aetna — Commercial: $242.58 Aetna — Medicare Advantage: $172.34 Aetna Better Health — Medicaid HMO: $45.76 BCN — HMO: $272.40 Blue Cross — BCBSM Commercial: $272.40 Blue Cross — BCN Advantage: $172.34 Blue Cross — BCN Commercial: $272.40 Blue Cross — Blue Cross Complete: $43.58 Blue Cross — Medicare Plus Blue: $83.32 Cascade Thome Pace — All Products: $172.34
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB SCREEN MAMMOGRAM CAD BILAT 2-VWS EA BREAST	$497	Not listed in the file	$248.50 – $447.30
Screening mammogram, both breasts: rates for 1 insurance plan United Healthcare — UHC Commercial: $366.29

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) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$18.83 – $60.83
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans Aetna — Commercial: $44.32 BCN — HMO: $52.44 Blue Cross — BCBSM Commercial: $52.44 Blue Cross — BCN Commercial: $52.44 HAP — Commercial: $18.83 Humana Military — Tricare: $12.66 Priority Health — Commercial: $60.83
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CATH LT HEART W/INJ FOR LV GRAM	$6,388	Not listed in the file	$525.78 – $7,463.91
Left heart catheterization (diagnostic): 10 of 40 insurance plan rates Aetna — Commercial: $4,797 Aetna — Medicare Advantage: $3,245.18 Aetna Better Health — Medicaid HMO: $1,818.86 BCN — HMO: $5,201.19 Blue Cross — BCBSM Commercial: $5,201.19 Blue Cross — BCN Advantage: $3,245.18 Blue Cross — BCN Commercial: $5,201.19 Blue Cross — Blue Cross Complete: $1,732.25 Blue Cross — Medicare Plus Blue: $3,245.18 Cascade Thome Pace — All Products: $3,245.18
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CATH LT HEART W/INJ FOR LV GRAM	$6,388	Not listed in the file	$3,208.05 – $5,749.20
Left heart catheterization (diagnostic): rates for 1 insurance plan United Healthcare — UHC Commercial: $4,707.96
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR LEFT HEART CATH W/VENTRICULOGRAPHY	$810	$317.28	$147.40 – $387.83
Left heart catheterization (diagnostic): 10 of 73 insurance plan rates Aetna — All Products-FAC: $387.83 Aetna — All Products-NONFAC: $387.83 Aetna — Medicare Advantage/Dual Products-FAC: $229.91 Aetna — Medicare Advantage/Dual Products-NONFAC: $229.91 Aetna Better Health — Medicaid HMO-FAC: $154.77 Aetna Better Health — Medicaid HMO-NONFAC: $154.77 Blue Cross — BCBSM Commercial: $366.96 Blue Cross — BCN Commercial-FAC: $366.96 Blue Cross — BCN Commercial-NONFAC: $366.96 Blue Cross — BCN Medicare Advantage -FAC: $229.91
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EP COMP RT AV W/O ARRHYTHMIA	$15,701	Not listed in the file	$4,409.66 – $17,957.18
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates Aetna — Commercial: $9,594 Aetna — Medicare Advantage: $7,807.47 Aetna Better Health — Medicaid HMO: $4,375.96 BCN — HMO: $15,701 Blue Cross — BCBSM Commercial: $15,701 Blue Cross — BCN Advantage: $7,807.47 Blue Cross — BCN Commercial: $15,701 Blue Cross — Blue Cross Complete: $4,167.58 Blue Cross — Medicare Plus Blue: $7,807.47 Cascade Thome Pace — All Products: $7,807.47
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EP COMP RT AV W/O ARRHYTHMIA	$15,701	Not listed in the file	$7,885.04 – $14,130.90
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan United Healthcare — UHC Commercial: $11,571.64
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$1,553	$514.27	$239.63 – $644.28
Heart rhythm study (electrophysiology evaluation): 10 of 74 insurance plan rates Aetna — All Products-FAC: $636.16 Aetna — All Products-NONFAC: $636.16 Aetna — Medicare Advantage/Dual Products-FAC: $372.66 Aetna — Medicare Advantage/Dual Products-NONFAC: $372.66 Aetna Better Health — Medicaid HMO-FAC: $251.61 Aetna Better Health — Medicaid HMO-NONFAC: $251.61 Blue Cross — BCBSM Commercial: $596.51 Blue Cross — BCN Commercial-FAC: $595.45 Blue Cross — BCN Commercial-NONFAC: $595.45 Blue Cross — BCN Medicare Advantage -FAC: $372.66
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CMPRHENSV EP EVAL INCL TRANSEPT CATH ATRIAL FIB W/PULM VEIN	$3,870	$1,121.72	$514.40 – $1,581.38
Heart rhythm study with ablation for atrial fibrillation: 10 of 63 insurance plan rates Aetna — All Products-FAC: $1,581.38 Aetna — All Products-NONFAC: $1,581.38 Aetna — Medicare Advantage/Dual Products-FAC: $812.84 Aetna — Medicare Advantage/Dual Products-NONFAC: $812.84 Aetna Better Health — Medicaid HMO-FAC: $540.12 Blue Cross — BCBSM Commercial: $1,474.77 Blue Cross — BCN Commercial-FAC: $1,476.37 Blue Cross — BCN Commercial-NONFAC: $1,476.37 Blue Cross — BCN Medicare Advantage -FAC: $812.84 Blue Cross — BCN Medicare Advantage -NONFAC: $812.84
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPREHENSIVE EPHYS EVAL TRNSPTL TX ATRIAL FIB W/ISOLATED PUL	$19,889	Not listed in the file	$1,165.77 – $45,055.90
Heart rhythm study with ablation for atrial fibrillation: 10 of 40 insurance plan rates Aetna — Commercial: $9,594 Aetna — Medicare Advantage: $26,164.04 Aetna Better Health — Medicaid HMO: $14,664.50 BCN — HMO: $1,914.79 Blue Cross — BCBSM Commercial: $1,914.79 Blue Cross — BCN Advantage: $26,164.04 Blue Cross — BCN Commercial: $1,914.79 Blue Cross — Blue Cross Complete: $13,966.19 Blue Cross — Medicare Plus Blue: $26,164.04 Cascade Thome Pace — All Products: $26,164.04
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPREHENSIVE EPHYS EVAL TRNSPTL TX ATRIAL FIB W/ISOLATED PUL	$19,889	Not listed in the file	$9,988.26 – $17,900.10
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan United Healthcare — UHC Commercial: $14,658.19
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POLYSMGM 4+ PARMTR ATTNDED	$5,253	Not listed in the file	$458.85 – $3,352.06
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates Aetna — Commercial: $959.30 Aetna — Medicare Advantage: $859.60 Aetna Better Health — Medicaid HMO: $481.79 BCN — HMO: $3,352.06 Blue Cross — BCBSM Commercial: $3,352.06 Blue Cross — BCN Advantage: $859.60 Blue Cross — BCN Commercial: $3,352.06 Blue Cross — Blue Cross Complete: $458.85 Blue Cross — Medicare Plus Blue: $859.60 Cascade Thome Pace — All Products: $859.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB POLYSMGM 4+ PARMTR ATTNDED	$5,253	Not listed in the file	$2,638.06 – $4,727.70
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan United Healthcare — UHC Commercial: $3,871.46
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR POLYSOMNOGRAPHY =>PARAM	$380	$161.54	$76.25 – $289.46
Sleep study (overnight, in a sleep lab): 10 of 74 insurance plan rates Aetna — All Products-FAC: $165.64 Aetna — All Products-NONFAC: $165.64 Aetna — Medicare Advantage/Dual Products-FAC: $117.06 Aetna — Medicare Advantage/Dual Products-NONFAC: $117.06 Aetna Better Health — Medicaid HMO-FAC: $80.06 Aetna Better Health — Medicaid HMO-NONFAC: $80.06 Blue Cross — BCBSM Commercial: $145.74 Blue Cross — BCN Commercial-FAC: $145.74 Blue Cross — BCN Commercial-NONFAC: $145.74 Blue Cross — BCN Medicare Advantage -FAC: $117.06

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) · Doctor (professional) fee In the file: PR THERAPEUTIC EXERCISE EA 15 MIN	$157	$38.52	$18.53 – $39.46
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates Aetna — All Products-FAC: $27.86 Aetna — All Products-NONFAC: $27.86 Aetna — Medicare Advantage/Dual Products-FAC: $27.91 Aetna — Medicare Advantage/Dual Products-NONFAC: $27.91 Aetna Better Health — Medicaid HMO-NONFAC: $19.46 Blue Cross — BCBSM Commercial: $31.42 Blue Cross — BCN Commercial-FAC: $31.77 Blue Cross — BCN Commercial-NONFAC: $31.77 Blue Cross — BCN Medicare Advantage -FAC: $27.91 Blue Cross — BCN Medicare Advantage -NONFAC: $27.91
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT THERAPEUTIC EXERCISE EA 15 MIN	$166	Not listed in the file	$83 – $149.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates Aetna — Commercial: $109.99 Aetna — Medicare Advantage: $37.31 Aetna Better Health — Medicaid HMO: $15.33 BCN — HMO: $48.27 Blue Cross — BCBSM Commercial: $48.27 Blue Cross — BCN Advantage: $37.31 Blue Cross — BCN Commercial: $48.27 Blue Cross — Blue Cross Complete: $14.60 Blue Cross — Medicare Plus Blue: $27.91 Cascade Thome Pace — All Products: $37.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OT THERAPEUTIC EXERCISE EA 15 MIN	$166	Not listed in the file	$83 – $149.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates Aetna — Commercial: $109.99 Aetna — Medicare Advantage: $37.31 Aetna Better Health — Medicaid HMO: $15.33 BCN — HMO: $48.27 Blue Cross — BCBSM Commercial: $48.27 Blue Cross — BCN Advantage: $37.31 Blue Cross — BCN Commercial: $48.27 Blue Cross — Blue Cross Complete: $14.60 Blue Cross — Medicare Plus Blue: $27.91 Cascade Thome Pace — All Products: $37.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL/LOW COMPLEXITY	$300	Not listed in the file	$150 – $270
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — Commercial: $198.78 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.57 BCN — HMO: $142.61 Blue Cross — BCBSM Commercial: $142.61 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.61 Blue Cross — Blue Cross Complete: $49.11 Blue Cross — Medicare Plus Blue: $93.90 Cascade Thome Pace — All Products: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLEX 20 MIN (VIDEO)	$300	Not listed in the file	$89.21 – $151.72
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — Commercial: $198.78 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.57 BCN — HMO: $142.61 Blue Cross — BCBSM Commercial: $142.61 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.61 Blue Cross — Blue Cross Complete: $49.11 Blue Cross — Medicare Plus Blue: $93.90 Cascade Thome Pace — All Products: $126.43
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL/LOW COMPLEXITY	$300	Not listed in the file	$150 – $270
Physical therapy evaluation (low complexity): rates for 1 insurance plan United Healthcare — UHC Commercial: $221.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL/ MOD COMPLEXITY	$404	Not listed in the file	$202 – $363.60
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Aetna — Commercial: $267.69 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.57 BCN — HMO: $142.61 Blue Cross — BCBSM Commercial: $142.61 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.61 Blue Cross — Blue Cross Complete: $49.11 Blue Cross — Medicare Plus Blue: $93.90 Cascade Thome Pace — All Products: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL MOD COMPLEX 30 MIN (VIDEO)	$404	Not listed in the file	$89.21 – $151.72
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Aetna — Commercial: $267.69 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.57 BCN — HMO: $142.61 Blue Cross — BCBSM Commercial: $142.61 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.61 Blue Cross — Blue Cross Complete: $49.11 Blue Cross — Medicare Plus Blue: $93.90 Cascade Thome Pace — All Products: $126.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL/ MOD COMPLEXITY	$404	Not listed in the file	$202 – $363.60
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan United Healthcare — UHC Commercial: $297.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL/ HIGH COMPLEXITY	$529	Not listed in the file	$264.50 – $476.10
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Aetna — Commercial: $350.52 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.57 BCN — HMO: $142.61 Blue Cross — BCBSM Commercial: $142.61 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.61 Blue Cross — Blue Cross Complete: $49.11 Blue Cross — Medicare Plus Blue: $93.90 Cascade Thome Pace — All Products: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL HIGH COMPLEX 45 MIN (VIDEO)	$529	Not listed in the file	$89.21 – $151.72
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Aetna — Commercial: $350.52 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.57 BCN — HMO: $142.61 Blue Cross — BCBSM Commercial: $142.61 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.61 Blue Cross — Blue Cross Complete: $49.11 Blue Cross — Medicare Plus Blue: $93.90 Cascade Thome Pace — All Products: $126.43
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL/ HIGH COMPLEXITY	$529	Not listed in the file	$264.50 – $476.10
Physical therapy evaluation (high complexity): rates for 1 insurance plan United Healthcare — UHC Commercial: $389.87
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY PATIENT 30 MINUTES	$199	$95.41	$44.30 – $107.84
Psychotherapy, 30 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $95.01 Aetna — All Products-NONFAC: $107.84 Aetna — Medicare Advantage/Dual Products-FAC: $69.14 Aetna — Medicare Advantage/Dual Products-NONFAC: $84.08 Aetna Better Health — Medicaid HMO-FAC: $46.52 Aetna Better Health — Medicaid HMO-NONFAC: $57.48 Blue Cross — BCBSM Commercial: $98.70 Blue Cross — BCN Commercial-FAC: $89.46 Blue Cross — BCN Commercial-NONFAC: $102.48 Blue Cross — BCN Medicare Advantage -FAC: $69.14
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MH PSYCHOTHERAPY 30 MINS W/PT (AUDIO)	$199	$95.41	$44.30 – $107.84
Psychotherapy, 30 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $95.01 Aetna — All Products-NONFAC: $107.84 Aetna — Medicare Advantage/Dual Products-FAC: $69.14 Aetna — Medicare Advantage/Dual Products-NONFAC: $84.08 Aetna Better Health — Medicaid HMO-FAC: $46.52 Aetna Better Health — Medicaid HMO-NONFAC: $57.48 Blue Cross — BCBSM Commercial: $98.70 Blue Cross — BCN Commercial-FAC: $89.46 Blue Cross — BCN Commercial-NONFAC: $102.48 Blue Cross — BCN Medicare Advantage -FAC: $69.14
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY 30 MIN (VIDEO)	$199	$95.41	$44.30 – $107.84
Psychotherapy, 30 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $95.01 Aetna — All Products-NONFAC: $107.84 Aetna — Medicare Advantage/Dual Products-FAC: $69.14 Aetna — Medicare Advantage/Dual Products-NONFAC: $84.08 Aetna Better Health — Medicaid HMO-FAC: $46.52 Aetna Better Health — Medicaid HMO-NONFAC: $57.48 Blue Cross — BCBSM Commercial: $98.70 Blue Cross — BCN Commercial-FAC: $89.46 Blue Cross — BCN Commercial-NONFAC: $102.48 Blue Cross — BCN Medicare Advantage -FAC: $69.14
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY PATIENT 45 MINUTES	$287	$126.19	$58.58 – $142.88
Psychotherapy, 45 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $126.26 Aetna — All Products-NONFAC: $142.88 Aetna — Medicare Advantage/Dual Products-FAC: $91.44 Aetna — Medicare Advantage/Dual Products-NONFAC: $111.57 Aetna Better Health — Medicaid HMO-FAC: $61.51 Aetna Better Health — Medicaid HMO-NONFAC: $76.26 Blue Cross — BCBSM Commercial: $130.20 Blue Cross — BCN Commercial-FAC: $118.02 Blue Cross — BCN Commercial-NONFAC: $135.24 Blue Cross — BCN Medicare Advantage -FAC: $91.44
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MH PSYCHOTHERAPY 45 MINS W/PT (AUDIO)	$287	$126.19	$58.58 – $142.88
Psychotherapy, 45 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $126.26 Aetna — All Products-NONFAC: $142.88 Aetna — Medicare Advantage/Dual Products-FAC: $91.44 Aetna — Medicare Advantage/Dual Products-NONFAC: $111.57 Aetna Better Health — Medicaid HMO-FAC: $61.51 Aetna Better Health — Medicaid HMO-NONFAC: $76.26 Blue Cross — BCBSM Commercial: $130.20 Blue Cross — BCN Commercial-FAC: $118.02 Blue Cross — BCN Commercial-NONFAC: $135.24 Blue Cross — BCN Medicare Advantage -FAC: $91.44
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SA PSYCHOTHERAPY W/PT 45 MINS MD (AUDIO)	$287	$126.19	$58.58 – $142.88
Psychotherapy, 45 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $126.26 Aetna — All Products-NONFAC: $142.88 Aetna — Medicare Advantage/Dual Products-FAC: $91.44 Aetna — Medicare Advantage/Dual Products-NONFAC: $111.57 Aetna Better Health — Medicaid HMO-FAC: $61.51 Aetna Better Health — Medicaid HMO-NONFAC: $76.26 Blue Cross — BCBSM Commercial: $130.20 Blue Cross — BCN Commercial-FAC: $118.02 Blue Cross — BCN Commercial-NONFAC: $135.24 Blue Cross — BCN Medicare Advantage -FAC: $91.44
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY PATIENT 60 MINUTES	$405	$185.79	$86.27 – $209.94
Psychotherapy, 60 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $185.25 Aetna — All Products-NONFAC: $209.94 Aetna — Medicare Advantage/Dual Products-FAC: $134.63 Aetna — Medicare Advantage/Dual Products-NONFAC: $163.60 Aetna Better Health — Medicaid HMO-FAC: $90.58 Aetna Better Health — Medicaid HMO-NONFAC: $111.83 Blue Cross — BCBSM Commercial: $191.94 Blue Cross — BCN Commercial-FAC: $174.72 Blue Cross — BCN Commercial-NONFAC: $200.34 Blue Cross — BCN Medicare Advantage -FAC: $134.63
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MH PSYCHOTHERAPY 60 MINS W/PT (AUDIO)	$405	$185.79	$86.27 – $209.94
Psychotherapy, 60 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $185.25 Aetna — All Products-NONFAC: $209.94 Aetna — Medicare Advantage/Dual Products-FAC: $134.63 Aetna — Medicare Advantage/Dual Products-NONFAC: $163.60 Aetna Better Health — Medicaid HMO-FAC: $90.58 Aetna Better Health — Medicaid HMO-NONFAC: $111.83 Blue Cross — BCBSM Commercial: $191.94 Blue Cross — BCN Commercial-FAC: $174.72 Blue Cross — BCN Commercial-NONFAC: $200.34 Blue Cross — BCN Medicare Advantage -FAC: $134.63
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY PT 60 MIN (VIDEO)	$405	$185.79	$86.27 – $209.94
Psychotherapy, 60 minutes: 10 of 87 insurance plan rates Aetna — All Products-FAC: $185.25 Aetna — All Products-NONFAC: $209.94 Aetna — Medicare Advantage/Dual Products-FAC: $134.63 Aetna — Medicare Advantage/Dual Products-NONFAC: $163.60 Aetna Better Health — Medicaid HMO-FAC: $90.58 Aetna Better Health — Medicaid HMO-NONFAC: $111.83 Blue Cross — BCBSM Commercial: $191.94 Blue Cross — BCN Commercial-FAC: $174.72 Blue Cross — BCN Commercial-NONFAC: $200.34 Blue Cross — BCN Medicare Advantage -FAC: $134.63
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PT 50 MINS	$250	$136.28	$66.31 – $162.44
Family psychotherapy, without the patient: 10 of 64 insurance plan rates Aetna — All Products-FAC: $136.61 Aetna — All Products-NONFAC: $137.09 Aetna — Medicare Advantage/Dual Products-FAC: $98.75 Aetna — Medicare Advantage/Dual Products-NONFAC: $104.85 Blue Cross — BCBSM Commercial: $156.05 Blue Cross — BCN Commercial-FAC: $161.91 Blue Cross — BCN Commercial-NONFAC: $162.44 Blue Cross — BCN Medicare Advantage -FAC: $98.75 Blue Cross — BCN Medicare Advantage -NONFAC: $104.85 Blue Cross — Blue Cross Complete-Adult-FAC: $100
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PT 50 MINS (VIDEO)	$250	$136.28	$66.31 – $162.44
Family psychotherapy, without the patient: 10 of 64 insurance plan rates Aetna — All Products-FAC: $136.61 Aetna — All Products-NONFAC: $137.09 Aetna — Medicare Advantage/Dual Products-FAC: $98.75 Aetna — Medicare Advantage/Dual Products-NONFAC: $104.85 Blue Cross — BCBSM Commercial: $156.05 Blue Cross — BCN Commercial-FAC: $161.91 Blue Cross — BCN Commercial-NONFAC: $162.44 Blue Cross — BCN Medicare Advantage -FAC: $98.75 Blue Cross — BCN Medicare Advantage -NONFAC: $104.85 Blue Cross — Blue Cross Complete-Adult-FAC: $100
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PT 50 MINS (TELHLTH)	$250	$136.28	$66.31 – $162.44
Family psychotherapy, without the patient: 10 of 64 insurance plan rates Aetna — All Products-FAC: $136.61 Aetna — All Products-NONFAC: $137.09 Aetna — Medicare Advantage/Dual Products-FAC: $98.75 Aetna — Medicare Advantage/Dual Products-NONFAC: $104.85 Blue Cross — BCBSM Commercial: $156.05 Blue Cross — BCN Commercial-FAC: $161.91 Blue Cross — BCN Commercial-NONFAC: $162.44 Blue Cross — BCN Medicare Advantage -FAC: $98.75 Blue Cross — BCN Medicare Advantage -NONFAC: $104.85 Blue Cross — Blue Cross Complete-Adult-FAC: $100
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W PT 50 MINS	$195	$141.28	$65.60 – $151.64
Family psychotherapy, with the patient: 10 of 88 insurance plan rates Aetna — All Products-FAC: $142.35 Aetna — All Products-NONFAC: $142.83 Aetna — Medicare Advantage/Dual Products-FAC: $102.38 Aetna — Medicare Advantage/Dual Products-NONFAC: $108.48 Aetna Better Health — Medicaid HMO-FAC: $68.88 Aetna Better Health — Medicaid HMO-NONFAC: $73.35 Blue Cross — BCBSM Commercial: $128.94 Blue Cross — BCN Commercial-FAC: $133.14 Blue Cross — BCN Commercial-NONFAC: $133.56 Blue Cross — BCN Medicare Advantage -FAC: $102.38
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MH FAMILY PSYCHOTHERAPY W/PT 50 MINS (AUDIO)	$195	$141.28	$65.60 – $151.64
Family psychotherapy, with the patient: 10 of 88 insurance plan rates Aetna — All Products-FAC: $142.35 Aetna — All Products-NONFAC: $142.83 Aetna — Medicare Advantage/Dual Products-FAC: $102.38 Aetna — Medicare Advantage/Dual Products-NONFAC: $108.48 Aetna Better Health — Medicaid HMO-FAC: $68.88 Aetna Better Health — Medicaid HMO-NONFAC: $73.35 Blue Cross — BCBSM Commercial: $128.94 Blue Cross — BCN Commercial-FAC: $133.14 Blue Cross — BCN Commercial-NONFAC: $133.56 Blue Cross — BCN Medicare Advantage -FAC: $102.38
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCH THERAPY W/ PT 50 MIN (VIDEO)	$195	$141.28	$65.60 – $151.64
Family psychotherapy, with the patient: 10 of 88 insurance plan rates Aetna — All Products-FAC: $142.35 Aetna — All Products-NONFAC: $142.83 Aetna — Medicare Advantage/Dual Products-FAC: $102.38 Aetna — Medicare Advantage/Dual Products-NONFAC: $108.48 Aetna Better Health — Medicaid HMO-FAC: $68.88 Aetna Better Health — Medicaid HMO-NONFAC: $73.35 Blue Cross — BCBSM Commercial: $128.94 Blue Cross — BCN Commercial-FAC: $133.14 Blue Cross — BCN Commercial-NONFAC: $133.56 Blue Cross — BCN Medicare Advantage -FAC: $102.38
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$103	$33.51	$15.55 – $47.65
Group psychotherapy: 10 of 88 insurance plan rates Aetna — All Products-FAC: $33.64 Aetna — All Products-NONFAC: $38.39 Aetna — Medicare Advantage/Dual Products-FAC: $24.28 Aetna — Medicare Advantage/Dual Products-NONFAC: $29.77 Aetna Better Health — Medicaid HMO-FAC: $16.33 Aetna Better Health — Medicaid HMO-NONFAC: $20.35 Blue Cross — BCBSM Commercial: $34.86 Blue Cross — BCN Commercial-FAC: $31.50 Blue Cross — BCN Commercial-NONFAC: $36.54 Blue Cross — BCN Medicare Advantage -FAC: $24.28
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY (VIDEO)	$103	$33.51	$15.55 – $47.65
Group psychotherapy: 10 of 88 insurance plan rates Aetna — All Products-FAC: $33.64 Aetna — All Products-NONFAC: $38.39 Aetna — Medicare Advantage/Dual Products-FAC: $24.28 Aetna — Medicare Advantage/Dual Products-NONFAC: $29.77 Aetna Better Health — Medicaid HMO-FAC: $16.33 Aetna Better Health — Medicaid HMO-NONFAC: $20.35 Blue Cross — BCBSM Commercial: $34.86 Blue Cross — BCN Commercial-FAC: $31.50 Blue Cross — BCN Commercial-NONFAC: $36.54 Blue Cross — BCN Medicare Advantage -FAC: $24.28
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY (TELHLTH)	$103	$33.51	$15.55 – $47.65
Group psychotherapy: 10 of 88 insurance plan rates Aetna — All Products-FAC: $33.64 Aetna — All Products-NONFAC: $38.39 Aetna — Medicare Advantage/Dual Products-FAC: $24.28 Aetna — Medicare Advantage/Dual Products-NONFAC: $29.77 Aetna Better Health — Medicaid HMO-FAC: $16.33 Aetna Better Health — Medicaid HMO-NONFAC: $20.35 Blue Cross — BCBSM Commercial: $34.86 Blue Cross — BCN Commercial-FAC: $31.50 Blue Cross — BCN Commercial-NONFAC: $36.54 Blue Cross — BCN Medicare Advantage -FAC: $24.28

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EXCISE BREAST CYST	$1,390	$551.41	$260.07 – $840.44
Removal of breast growth (open surgery): 10 of 76 insurance plan rates Aetna — All Products-FAC: $619.55 Aetna — All Products-NONFAC: $761.71 Aetna — Medicare Advantage/Dual Products-FAC: $399.57 Aetna — Medicare Advantage/Dual Products-NONFAC: $550.52 Aetna Better Health — Medicaid HMO-FAC: $273.07 Aetna Better Health — Medicaid HMO-NONFAC: $383.79 Blue Cross — BCBSM Commercial: $837.78 Blue Cross — BCN Commercial-FAC: $679.60 Blue Cross — BCN Commercial-NONFAC: $840.44 Blue Cross — BCN Medicare Advantage -FAC: $399.57
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EXCISE BREAST CYST	$3,769	Not listed in the file	$385.15 – $9,014.53
Removal of breast growth (open surgery): 10 of 40 insurance plan rates Aetna — Commercial: $5,756 Aetna — Medicare Advantage: $3,919.36 Aetna Better Health — Medicaid HMO: $2,196.74 BCN — HMO: $3,769 Blue Cross — BCBSM Commercial: $3,769 Blue Cross — BCN Advantage: $3,919.36 Blue Cross — BCN Commercial: $3,769 Blue Cross — Blue Cross Complete: $2,092.13 Blue Cross — Medicare Plus Blue: $3,919.36 Cascade Thome Pace — All Products: $3,919.36
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EXCISE BREAST CYST	$3,769	Not listed in the file	$1,892.79 – $3,392.10
Removal of breast growth (open surgery): rates for 1 insurance plan United Healthcare — UHC Commercial: $2,777.75
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TOTAL HIP ARTHROPLASTY	$4,510	$1,581.02	$741.03 – $3,079.88
Total hip replacement: 10 of 64 insurance plan rates Aetna — All Products-FAC: $2,136.86 Aetna — All Products-NONFAC: $2,136.86 Aetna — Medicare Advantage/Dual Products-FAC: $1,145.67 Aetna — Medicare Advantage/Dual Products-NONFAC: $1,145.67 Aetna Better Health — Medicaid HMO-FAC: $778.08 Blue Cross — BCBSM Commercial: $2,260.24 Blue Cross — BCN Commercial-FAC: $2,277.79 Blue Cross — BCN Commercial-NONFAC: $2,277.79 Blue Cross — BCN Medicare Advantage -FAC: $1,145.67 Blue Cross — BCN Medicare Advantage -NONFAC: $1,145.67
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,175.55 – $29,558.54
Total hip replacement: 10 of 32 insurance plan rates Aetna — Commercial: $8,060 Aetna — Medicare Advantage: $12,851.54 Aetna Better Health — Medicaid HMO: $7,203.07 BCN — HMO: $38,153.78 Blue Cross — BCBSM Commercial: $38,153.78 Blue Cross — BCN Advantage: $12,851.54 Blue Cross — BCN Commercial: $38,153.78 Blue Cross — Blue Cross Complete: $6,860.07 Blue Cross — Medicare Plus Blue: $12,851.54 Cascade Thome Pace — All Products: $12,851.54
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TOTAL KNEE ARTHROPLASTY	$4,510	$1,577.37	$739.32 – $3,345.09
Total knee replacement: 10 of 64 insurance plan rates Aetna — All Products-FAC: $2,134.69 Aetna — All Products-NONFAC: $2,134.69 Aetna — Medicare Advantage/Dual Products-FAC: $1,143.02 Aetna — Medicare Advantage/Dual Products-NONFAC: $1,143.02 Aetna Better Health — Medicaid HMO-FAC: $776.29 Blue Cross — BCBSM Commercial: $2,256.73 Blue Cross — BCN Commercial-FAC: $2,274.87 Blue Cross — BCN Commercial-NONFAC: $2,274.87 Blue Cross — BCN Medicare Advantage -FAC: $1,143.02 Blue Cross — BCN Medicare Advantage -NONFAC: $1,143.02
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,174.07 – $29,558.54
Total knee replacement: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $12,851.54 Aetna Better Health — Medicaid HMO: $7,203.07 BCN — HMO: $37,205.86 Blue Cross — BCBSM Commercial: $37,205.86 Blue Cross — BCN Advantage: $12,851.54 Blue Cross — BCN Commercial: $37,205.86 Blue Cross — Blue Cross Complete: $6,860.07 Blue Cross — Medicare Plus Blue: $12,851.54 Cascade Thome Pace — All Products: $12,851.54 HAP — Commercial: $1,599.93
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHROSCOPY SHLDR PART ACROMIOPLASTY	$590	$203.54	$94.15 – $1,424.81
Shoulder arthroscopy: shaving of shoulder bone: 10 of 64 insurance plan rates Aetna — All Products-FAC: $286.95 Aetna — All Products-NONFAC: $286.95 Aetna — Medicare Advantage/Dual Products-FAC: $147.49 Aetna — Medicare Advantage/Dual Products-NONFAC: $147.49 Aetna Better Health — Medicaid HMO-FAC: $98.86 Blue Cross — BCBSM Commercial: $214.20 Blue Cross — BCN Commercial-FAC: $216.30 Blue Cross — BCN Commercial-NONFAC: $216.30 Blue Cross — BCN Medicare Advantage -FAC: $147.49 Blue Cross — BCN Medicare Advantage -NONFAC: $147.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$157.12 – $5,756
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — Commercial: $5,756 BCN — HMO: $6,748.93 Blue Cross — BCBSM Commercial: $6,748.93 Blue Cross — BCN Commercial: $6,748.93 HAP — Commercial: $186.35 Humana Military — Tricare: $157.12 Priority Health — Commercial: $187.58
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHROSCOPY KNEE W/MENISCECTOMY MED OR LAT W/SHAVE	$1,780	$691.17	$328.87 – $1,246.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 64 insurance plan rates Aetna — All Products-FAC: $899.33 Aetna — All Products-NONFAC: $899.33 Aetna — Medicare Advantage/Dual Products-FAC: $500.85 Aetna — Medicare Advantage/Dual Products-NONFAC: $500.85 Aetna Better Health — Medicaid HMO-FAC: $345.31 Blue Cross — BCBSM Commercial: $965.42 Blue Cross — BCN Commercial-FAC: $973.61 Blue Cross — BCN Commercial-NONFAC: $973.61 Blue Cross — BCN Medicare Advantage -FAC: $500.85 Blue Cross — BCN Medicare Advantage -NONFAC: $500.85
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$496.24 – $7,533.14
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $3,275.28 Aetna Better Health — Medicaid HMO: $1,835.74 BCN — HMO: $6,761.23 Blue Cross — BCBSM Commercial: $6,761.23 Blue Cross — BCN Advantage: $3,275.28 Blue Cross — BCN Commercial: $6,761.23 Blue Cross — Blue Cross Complete: $1,748.32 Blue Cross — Medicare Plus Blue: $3,275.28 Cascade Thome Pace — All Products: $3,275.28 HAP — Commercial: $563.38
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REMOVE TONSILS & ADENOIDS <12 Y/O	$940	$351.03	$166.35 – $593.35
Removal of tonsils and adenoids (under age 12): 10 of 64 insurance plan rates Aetna — All Products-FAC: $465.50 Aetna — All Products-NONFAC: $465.50 Aetna — Medicare Advantage/Dual Products-FAC: $254.37 Aetna — Medicare Advantage/Dual Products-NONFAC: $254.37 Aetna Better Health — Medicaid HMO-FAC: $174.67 Blue Cross — BCBSM Commercial: $471.35 Blue Cross — BCN Commercial-FAC: $473.48 Blue Cross — BCN Commercial-NONFAC: $473.48 Blue Cross — BCN Medicare Advantage -FAC: $254.37 Blue Cross — BCN Medicare Advantage -NONFAC: $254.37
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$265.33 – $13,629.25
Removal of tonsils and adenoids (under age 12): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $5,925.76 Aetna Better Health — Medicaid HMO: $3,321.29 BCN — HMO: $5,928.88 Blue Cross — BCBSM Commercial: $5,928.88 Blue Cross — BCN Advantage: $5,925.76 Blue Cross — BCN Commercial: $5,928.88 Blue Cross — Blue Cross Complete: $3,163.13 Blue Cross — Medicare Plus Blue: $5,925.76 Cascade Thome Pace — All Products: $5,925.76 HAP — Commercial: $300.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EGD TRANSORAL DIAGNOSTIC	$410	$149.87	$70.50 – $459.63
Upper GI endoscopy (diagnostic): 10 of 76 insurance plan rates Aetna — All Products-FAC: $193.20 Aetna — All Products-NONFAC: $447.04 Aetna — Medicare Advantage/Dual Products-FAC: $108.60 Aetna — Medicare Advantage/Dual Products-NONFAC: $302.24 Aetna Better Health — Medicaid HMO-FAC: $74.03 Aetna Better Health — Medicaid HMO-NONFAC: $216.05 Blue Cross — BCBSM Commercial: $459.63 Blue Cross — BCN Commercial-FAC: $194.40 Blue Cross — BCN Commercial-NONFAC: $454.84 Blue Cross — BCN Medicare Advantage -FAC: $108.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EGD, FLEX. TRANSORAL ; DIAGNOSTIC	$2,148	Not listed in the file	$302.23 – $1,563.44
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates Aetna — Commercial: $2,878 Aetna — Medicare Advantage: $907.89 Aetna Better Health — Medicaid HMO: $508.86 BCN — HMO: $1,464.54 Blue Cross — BCBSM Commercial: $1,464.54 Blue Cross — BCN Advantage: $907.89 Blue Cross — BCN Commercial: $1,464.54 Blue Cross — Blue Cross Complete: $484.63 Blue Cross — Medicare Plus Blue: $907.89 Cascade Thome Pace — All Products: $907.89
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EGD, FLEX. TRANSORAL ; DIAGNOSTIC	$2,148	Not listed in the file	$1,078.73 – $1,933.20
Upper GI endoscopy (diagnostic): rates for 1 insurance plan United Healthcare — UHC Commercial: $1,583.08
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EGD FLEXI TRANSORAL W/BIOPSY SINGLE/MULTIPLE	$460	$167.74	$78.81 – $600.77
Upper GI endoscopy with biopsy: 10 of 76 insurance plan rates Aetna — All Products-FAC: $218.03 Aetna — All Products-NONFAC: $583.23 Aetna — Medicare Advantage/Dual Products-FAC: $121.55 Aetna — Medicare Advantage/Dual Products-NONFAC: $391.13 Aetna Better Health — Medicaid HMO-FAC: $82.75 Aetna Better Health — Medicaid HMO-NONFAC: $280.46 Blue Cross — BCBSM Commercial: $600.77 Blue Cross — BCN Commercial-FAC: $218.37 Blue Cross — BCN Commercial-NONFAC: $587.99 Blue Cross — BCN Medicare Advantage -FAC: $121.55
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EGD TRANSORAL BIOPSY SINGLE/MUTIPLE	$2,016	Not listed in the file	$348.66 – $1,777.35
Upper GI endoscopy with biopsy: 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $907.89 Aetna Better Health — Medicaid HMO: $508.86 BCN — HMO: $1,777.35 Blue Cross — BCBSM Commercial: $1,777.35 Blue Cross — BCN Advantage: $907.89 Blue Cross — BCN Commercial: $1,777.35 Blue Cross — Blue Cross Complete: $484.63 Blue Cross — Medicare Plus Blue: $907.89 Cascade Thome Pace — All Products: $907.89
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EGD TRANSORAL BIOPSY SINGLE/MUTIPLE	$2,016	Not listed in the file	$1,012.44 – $1,814.40
Upper GI endoscopy with biopsy: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,485.79
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLEXIBLE DIAGNOSTIC	$620	$224.31	$105.01 – $542.72
Colonoscopy (diagnostic): 10 of 76 insurance plan rates Aetna — All Products-FAC: $291.69 Aetna — All Products-NONFAC: $530.99 Aetna — Medicare Advantage/Dual Products-FAC: $162.54 Aetna — Medicare Advantage/Dual Products-NONFAC: $357.40 Aetna Better Health — Medicaid HMO-FAC: $110.26 Aetna Better Health — Medicaid HMO-NONFAC: $253.18 Blue Cross — BCBSM Commercial: $542.72 Blue Cross — BCN Commercial-FAC: $291.86 Blue Cross — BCN Commercial-NONFAC: $539.52 Blue Cross — BCN Medicare Advantage -FAC: $162.54
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY, FLEXIBLE DIAGNOSTIC	$1,756	Not listed in the file	$402.03 – $1,658.86
Colonoscopy (diagnostic): 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $930.89 Aetna Better Health — Medicaid HMO: $521.75 BCN — HMO: $1,658.86 Blue Cross — BCBSM Commercial: $1,658.86 Blue Cross — BCN Advantage: $930.89 Blue Cross — BCN Commercial: $1,658.86 Blue Cross — Blue Cross Complete: $496.90 Blue Cross — Medicare Plus Blue: $930.89 Cascade Thome Pace — All Products: $930.89
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY, FLEXIBLE DIAGNOSTIC	$1,756	Not listed in the file	$881.86 – $1,580.40
Colonoscopy (diagnostic): rates for 1 insurance plan United Healthcare — UHC Commercial: $1,294.17
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SGL/MULTI	$670	$241.98	$113.32 – $691.85
Colonoscopy with biopsy: 10 of 76 insurance plan rates Aetna — All Products-FAC: $316.93 Aetna — All Products-NONFAC: $675.61 Aetna — Medicare Advantage/Dual Products-FAC: $175.35 Aetna — Medicare Advantage/Dual Products-NONFAC: $451.33 Aetna Better Health — Medicaid HMO-FAC: $118.99 Aetna Better Health — Medicaid HMO-NONFAC: $321.38 Blue Cross — BCBSM Commercial: $691.85 Blue Cross — BCN Commercial-FAC: $317.43 Blue Cross — BCN Commercial-NONFAC: $682.79 Blue Cross — BCN Medicare Advantage -FAC: $175.35
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/BIOPSY SGL/MULTI	$2,184	Not listed in the file	$478.98 – $2,062.75
Colonoscopy with biopsy: 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $1,197.84 Aetna Better Health — Medicaid HMO: $671.37 BCN — HMO: $1,820.01 Blue Cross — BCBSM Commercial: $1,820.01 Blue Cross — BCN Advantage: $1,197.84 Blue Cross — BCN Commercial: $1,820.01 Blue Cross — Blue Cross Complete: $639.40 Blue Cross — Medicare Plus Blue: $1,197.84 Cascade Thome Pace — All Products: $1,197.84
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/BIOPSY SGL/MULTI	$2,184	Not listed in the file	$1,096.80 – $1,965.60
Colonoscopy with biopsy: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,609.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W RMVL LESION BY SNARE	$850	$304.50	$142.50 – $725.12
Colonoscopy with removal of polyps (snare): 10 of 76 insurance plan rates Aetna — All Products-FAC: $401.13 Aetna — All Products-NONFAC: $710.15 Aetna — Medicare Advantage/Dual Products-FAC: $220.65 Aetna — Medicare Advantage/Dual Products-NONFAC: $473.15 Aetna Better Health — Medicaid HMO-FAC: $149.63 Aetna Better Health — Medicaid HMO-NONFAC: $334.80 Blue Cross — BCBSM Commercial: $724.34 Blue Cross — BCN Commercial-FAC: $399.98 Blue Cross — BCN Commercial-NONFAC: $716.88 Blue Cross — BCN Medicare Advantage -FAC: $220.65
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W SNARE	$2,204	Not listed in the file	$540.18 – $2,062.75
Colonoscopy with removal of polyps (snare): 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $1,197.84 Aetna Better Health — Medicaid HMO: $671.37 BCN — HMO: $1,820.01 Blue Cross — BCBSM Commercial: $1,820.01 Blue Cross — BCN Advantage: $1,197.84 Blue Cross — BCN Commercial: $1,820.01 Blue Cross — Blue Cross Complete: $639.40 Blue Cross — Medicare Plus Blue: $1,197.84 Cascade Thome Pace — All Products: $1,197.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W SNARE	$2,204	Not listed in the file	$1,106.85 – $1,983.60
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan United Healthcare — UHC Commercial: $1,624.35
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W/ENDOSCOPE ULSO EXAM	$860	$307.91	$144.20 – $507.93
Ultrasound of the lower bowel by endoscope: 10 of 64 insurance plan rates Aetna — All Products-FAC: $406.90 Aetna — All Products-NONFAC: $406.90 Aetna — Medicare Advantage/Dual Products-FAC: $223.12 Aetna — Medicare Advantage/Dual Products-NONFAC: $223.12 Aetna Better Health — Medicaid HMO-FAC: $151.41 Blue Cross — BCBSM Commercial: $404.24 Blue Cross — BCN Commercial-FAC: $405.31 Blue Cross — BCN Commercial-NONFAC: $405.31 Blue Cross — BCN Medicare Advantage -FAC: $223.12 Blue Cross — BCN Medicare Advantage -NONFAC: $223.12
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$230.08 – $2,755.03
Ultrasound of the lower bowel by endoscope: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $1,197.84 Aetna Better Health — Medicaid HMO: $671.37 BCN — HMO: $1,820.76 Blue Cross — BCBSM Commercial: $1,820.76 Blue Cross — BCN Advantage: $1,197.84 Blue Cross — BCN Commercial: $1,820.76 Blue Cross — Blue Cross Complete: $639.40 Blue Cross — Medicare Plus Blue: $1,197.84 Cascade Thome Pace — All Products: $1,197.84 HAP — Commercial: $306.68
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLORECTAL CA SCREEN COLONOSCOPY NOT HI RISK	$620	$224.83	$105.22 – $580.69
Screening colonoscopy (not high risk): 10 of 75 insurance plan rates Aetna — All Products-FAC: $231.58 Aetna — All Products-NONFAC: $421.18 Aetna — Medicare Advantage/Dual Products-FAC: $162.92 Aetna — Medicare Advantage/Dual Products-NONFAC: $357.78 Aetna Better Health — Medicaid HMO-FAC: $110.48 Aetna Better Health — Medicaid HMO-NONFAC: $253.40 Blue Cross — BCBSM Commercial: $543.25 Blue Cross — BCN Commercial-FAC: $292.40 Blue Cross — BCN Commercial-NONFAC: $540.06 Blue Cross — BCN Medicare Advantage -FAC: $162.92
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CA SCREEN COLONOSCOPY - NOT HIGH RISK	$1,535	Not listed in the file	$402.03 – $1,603.04
Screening colonoscopy (not high risk): 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $930.89 Aetna Better Health — Medicaid HMO: $521.75 BCN — HMO: $1,535 Blue Cross — BCBSM Commercial: $1,535 Blue Cross — BCN Advantage: $930.89 Blue Cross — BCN Commercial: $1,535 Blue Cross — Blue Cross Complete: $496.90 Blue Cross — Medicare Plus Blue: $930.89 Cascade Thome Pace — All Products: $930.89
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CA SCREEN COLONOSCOPY - NOT HIGH RISK	$1,535	Not listed in the file	$770.88 – $1,381.50
Screening colonoscopy (not high risk): rates for 1 insurance plan United Healthcare — UHC Commercial: $1,131.30
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPAROSCOPIC CHOLECYSTECTOMY	$2,240	$863.74	$403 – $1,338.87
Gallbladder removal by laparoscope: 10 of 64 insurance plan rates Aetna — All Products-FAC: $1,065.85 Aetna — All Products-NONFAC: $1,065.85 Aetna — Medicare Advantage/Dual Products-FAC: $625.90 Aetna — Medicare Advantage/Dual Products-NONFAC: $625.90 Aetna Better Health — Medicaid HMO-FAC: $423.15 Blue Cross — BCBSM Commercial: $1,060.94 Blue Cross — BCN Commercial-FAC: $1,068.40 Blue Cross — BCN Commercial-NONFAC: $1,068.40 Blue Cross — BCN Medicare Advantage -FAC: $625.90 Blue Cross — BCN Medicare Advantage -NONFAC: $625.90
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$611.30 – $13,918.63
Gallbladder removal by laparoscope: 10 of 32 insurance plan rates Aetna — Commercial: $8,060 Aetna — Medicare Advantage: $6,051.58 Aetna Better Health — Medicaid HMO: $3,391.80 BCN — HMO: $10,662.51 Blue Cross — BCBSM Commercial: $10,662.51 Blue Cross — BCN Advantage: $6,051.58 Blue Cross — BCN Commercial: $10,662.51 Blue Cross — Blue Cross Complete: $3,230.29 Blue Cross — Medicare Plus Blue: $6,051.58 Cascade Thome Pace — All Products: $6,051.58
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REPAIR INGUINAL HERNIA 5+Y/O REDUCIBLE	$1,760	$691.61	$323.97 – $1,063.89
Groin (inguinal) hernia repair, age 5 or older: 10 of 64 insurance plan rates Aetna — All Products-FAC: $845.01 Aetna — All Products-NONFAC: $845.01 Aetna — Medicare Advantage/Dual Products-FAC: $501.17 Aetna — Medicare Advantage/Dual Products-NONFAC: $501.17 Aetna Better Health — Medicaid HMO-FAC: $340.17 Blue Cross — BCBSM Commercial: $842.57 Blue Cross — BCN Commercial-FAC: $848.96 Blue Cross — BCN Commercial-NONFAC: $848.96 Blue Cross — BCN Medicare Advantage -FAC: $501.17 Blue Cross — BCN Medicare Advantage -NONFAC: $501.17
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$484.02 – $8,243.18
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates Aetna — Commercial: $6,907 Aetna — Medicare Advantage: $3,583.99 Aetna Better Health — Medicaid HMO: $2,008.77 BCN — HMO: $8,062.89 Blue Cross — BCBSM Commercial: $8,062.89 Blue Cross — BCN Advantage: $3,583.99 Blue Cross — BCN Commercial: $8,062.89 Blue Cross — Blue Cross Complete: $1,913.11 Blue Cross — Medicare Plus Blue: $3,583.99 Cascade Thome Pace — All Products: $3,583.99
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$222.20 – $3,280.96
Prostate biopsy: rates for 7 insurance plans BCN — HMO: $3,280.96 Blue Cross — BCBSM Commercial: $3,280.96 Blue Cross — BCN Commercial: $3,280.96 HAP — Commercial: $222.20 Humana Military — Tricare: $117.23 Priority Health — Commercial: $2,777.09 Veterans Evaluation Services — All Products: $1,697.03
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAP PROSTATECTOMY W NERVE SPARING ROBOTIC	$16,000	$1,479.07	$689.91 – $11,108.71
Prostate removal by laparoscope (radical prostatectomy): 10 of 64 insurance plan rates Aetna — All Products-FAC: $1,899.26 Aetna — All Products-NONFAC: $1,899.26 Aetna — Medicare Advantage/Dual Products-FAC: $1,071.79 Aetna — Medicare Advantage/Dual Products-NONFAC: $1,071.79 Aetna Better Health — Medicaid HMO-FAC: $724.41 Blue Cross — BCBSM Commercial: $1,892.33 Blue Cross — BCN Commercial-FAC: $1,904.58 Blue Cross — BCN Commercial-NONFAC: $1,904.58 Blue Cross — BCN Medicare Advantage -FAC: $1,071.79 Blue Cross — BCN Medicare Advantage -NONFAC: $1,071.79
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,084.56 – $24,473.10
Prostate removal by laparoscope (radical prostatectomy): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $10,640.48 Aetna Better Health — Medicaid HMO: $5,963.81 BCN — HMO: $29,622.50 Blue Cross — BCBSM Commercial: $29,622.50 Blue Cross — BCN Advantage: $10,640.48 Blue Cross — BCN Commercial: $29,622.50 Blue Cross — Blue Cross Complete: $5,679.82 Blue Cross — Medicare Plus Blue: $10,640.48 Cascade Thome Pace — All Products: $10,640.48 HAP — Commercial: $1,760.86
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPECTOMY W/WO D&C	$750	$281.04	$130.36 – $2,106.43
Hysteroscopy with biopsy of the uterus lining: 10 of 76 insurance plan rates Aetna — All Products-FAC: $358.03 Aetna — All Products-NONFAC: $1,979.25 Aetna — Medicare Advantage/Dual Products-FAC: $203.65 Aetna — Medicare Advantage/Dual Products-NONFAC: $1,176.44 Aetna Better Health — Medicaid HMO-FAC: $136.88 Aetna Better Health — Medicaid HMO-NONFAC: $850.32 Blue Cross — BCBSM Commercial: $2,106.43 Blue Cross — BCN Commercial-FAC: $369.62 Blue Cross — BCN Commercial-NONFAC: $1,987.66 Blue Cross — BCN Medicare Advantage -FAC: $203.65
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HYSTEROSCOPY BX ENDOMETRIUM AND/OR POLYPC W/WO D&C	$2,385	Not listed in the file	$211.39 – $7,452.85
Hysteroscopy with biopsy of the uterus lining: 10 of 40 insurance plan rates Aetna — Commercial: $5,756 Aetna — Medicare Advantage: $3,240.37 Aetna Better Health — Medicaid HMO: $1,816.17 BCN — HMO: $2,385 Blue Cross — BCBSM Commercial: $2,385 Blue Cross — BCN Advantage: $3,240.37 Blue Cross — BCN Commercial: $2,385 Blue Cross — Blue Cross Complete: $1,729.69 Blue Cross — Medicare Plus Blue: $3,240.37 Cascade Thome Pace — All Products: $3,240.37
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB HYSTEROSCOPY BX ENDOMETRIUM AND/OR POLYPC W/WO D&C	$2,385	Not listed in the file	$1,197.75 – $2,146.50
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,757.75
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INJ DX/TX EPIDURAL/SUBARACH LUMB/SACRAL W/IMG GDN	$320	$121.11	$56.87 – $414.08
Spinal injection, lower back (epidural), with imaging guidance: 10 of 75 insurance plan rates Aetna — All Products-FAC: $162.98 Aetna — All Products-NONFAC: $414.08 Aetna — Medicare Advantage/Dual Products-FAC: $87.76 Aetna — Medicare Advantage/Dual Products-NONFAC: $255.79 Aetna Better Health — Medicaid HMO-FAC: $59.71 Aetna Better Health — Medicaid HMO-NONFAC: $182.94 Blue Cross — BCBSM Commercial: $413.30 Blue Cross — BCN Commercial-FAC: $158.18 Blue Cross — BCN Commercial-NONFAC: $406.37 Blue Cross — BCN Medicare Advantage -FAC: $87.76
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ DX/TX EPIDURAL/SUBARACH LUM/SACRAL W/IMAGE GDN	$1,561	Not listed in the file	$236.10 – $1,248.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial: $2,878 Aetna — Medicare Advantage: $706.59 Aetna Better Health — Medicaid HMO: $396.03 BCN — HMO: $1,248.62 Blue Cross — BCBSM Commercial: $1,248.62 Blue Cross — BCN Advantage: $706.59 Blue Cross — BCN Commercial: $1,248.62 Blue Cross — Blue Cross Complete: $377.17 Blue Cross — Medicare Plus Blue: $706.59 Cascade Thome Pace — All Products: $706.59
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB INJ DX/TX EPIDURAL/SUBARACH LUM/SACRAL W/IMAGE GDN	$1,561	Not listed in the file	$783.93 – $1,404.90
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,150.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INJ(S) NERVE BLOCK FORAMEN LUMB/SACR W/IMG GDN 1 LVL	$350	$134.52	$63.47 – $394.79
Nerve root injection, lower back, with imaging guidance: 10 of 76 insurance plan rates Aetna — All Products-FAC: $181.73 Aetna — All Products-NONFAC: $394.79 Aetna — Medicare Advantage/Dual Products-FAC: $97.48 Aetna — Medicare Advantage/Dual Products-NONFAC: $248.43 Aetna Better Health — Medicaid HMO-FAC: $66.64 Aetna Better Health — Medicaid HMO-NONFAC: $177.36 Blue Cross — BCBSM Commercial: $394.12 Blue Cross — BCN Commercial-FAC: $177.36 Blue Cross — BCN Commercial-NONFAC: $388.80 Blue Cross — BCN Medicare Advantage -FAC: $97.48
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ ANES TRANSFORM LUMB/SAC	$4,130	Not listed in the file	$99.70 – $2,878
Nerve root injection, lower back, with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial: $2,878 Aetna — Medicare Advantage: $885.36 Aetna Better Health — Medicaid HMO: $496.23 BCN — HMO: $1,762.56 Blue Cross — BCBSM Commercial: $1,762.56 Blue Cross — BCN Advantage: $885.36 Blue Cross — BCN Commercial: $1,762.56 Blue Cross — Blue Cross Complete: $472.60 Blue Cross — Medicare Plus Blue: $885.36 Cascade Thome Pace — All Products: $885.36
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB INJ ANES TRANSFORM LUMB/SAC	$4,130	Not listed in the file	$2,074.09 – $3,717
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan United Healthcare — UHC Commercial: $3,043.81
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REVISE MEDIAN NERVE AT CARPAL TUNNEL	$1,400	$562.50	$269.87 – $858.28
Carpal tunnel release: 10 of 76 insurance plan rates Aetna — All Products-FAC: $722.10 Aetna — All Products-NONFAC: $734.61 Aetna — Medicare Advantage/Dual Products-FAC: $407.61 Aetna — Medicare Advantage/Dual Products-NONFAC: $461.89 Aetna Better Health — Medicaid HMO-FAC: $283.36 Aetna Better Health — Medicaid HMO-NONFAC: $323.18 Blue Cross — BCBSM Commercial: $724.34 Blue Cross — BCN Commercial-FAC: $718.48 Blue Cross — BCN Commercial-NONFAC: $730.73 Blue Cross — BCN Medicare Advantage -FAC: $407.61
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB REVISE MEDIAN N/CARPAL TUNNEL SURG	$3,543	Not listed in the file	$436.08 – $3,543
Carpal tunnel release: 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $1,954.68 Aetna Better Health — Medicaid HMO: $1,095.57 BCN — HMO: $3,543 Blue Cross — BCBSM Commercial: $3,543 Blue Cross — BCN Advantage: $1,954.68 Blue Cross — BCN Commercial: $3,543 Blue Cross — Blue Cross Complete: $1,043.40 Blue Cross — Medicare Plus Blue: $1,954.68 Cascade Thome Pace — All Products: $1,954.68
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB REVISE MEDIAN N/CARPAL TUNNEL SURG	$3,543	Not listed in the file	$1,779.29 – $3,188.70
Carpal tunnel release: rates for 1 insurance plan United Healthcare — UHC Commercial: $2,611.19
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DISCISSION 2ND CATARACT LASER SURGERY	$2,211	Not listed in the file	$293.88 – $1,079.30
Laser treatment of clouding after cataract surgery: 10 of 40 insurance plan rates Aetna — Commercial: $4,029 Aetna — Medicare Advantage: $550.55 Aetna Better Health — Medicaid HMO: $308.57 BCN — HMO: $1,079.30 Blue Cross — BCBSM Commercial: $1,079.30 Blue Cross — BCN Advantage: $550.55 Blue Cross — BCN Commercial: $1,079.30 Blue Cross — Blue Cross Complete: $293.88 Blue Cross — Medicare Plus Blue: $550.55 Cascade Thome Pace — All Products: $550.55
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB DISCISSION 2ND CATARACT LASER SURGERY	$2,211	Not listed in the file	$1,110.36 – $1,989.90
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan United Healthcare — UHC Commercial: $1,629.51
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR RMVL CAT EXTRACAP/INSRT LENS W/O ENDO	$2,000	$616.98	$295.01 – $1,034.96
Cataract removal with lens implant: 10 of 64 insurance plan rates Aetna — All Products-FAC: $908.03 Aetna — All Products-NONFAC: $908.03 Aetna — Medicare Advantage/Dual Products-FAC: $447.09 Aetna — Medicare Advantage/Dual Products-NONFAC: $447.09 Aetna Better Health — Medicaid HMO-FAC: $309.76 Blue Cross — BCBSM Commercial: $859.62 Blue Cross — BCN Commercial-FAC: $859.08 Blue Cross — BCN Commercial-NONFAC: $859.08 Blue Cross — BCN Medicare Advantage -FAC: $447.09 Blue Cross — BCN Medicare Advantage -NONFAC: $447.09
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$476.07 – $5,313.32
Cataract removal with lens implant: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,310.14 Aetna Better Health — Medicaid HMO: $1,294.79 BCN — HMO: $6,861.42 Blue Cross — BCBSM Commercial: $6,861.42 Blue Cross — BCN Advantage: $2,310.14 Blue Cross — BCN Commercial: $6,861.42 Blue Cross — Blue Cross Complete: $1,233.13 Blue Cross — Medicare Plus Blue: $2,310.14 Cascade Thome Pace — All Products: $2,310.14 HAP — Commercial: $772.96

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) · Doctor (professional) fee In the file: PR VAGINAL DELIVERY W/FULL ROUTINE CARE	$5,120	$3,043.42	$1,793.23 – $3,765.55
Vaginal delivery, with care before and after: 10 of 64 insurance plan rates Aetna — All Products-FAC: $3,500 Aetna — All Products-NONFAC: $3,500 Aetna — Medicare Advantage/Dual Products-FAC: $2,205.38 Aetna — Medicare Advantage/Dual Products-NONFAC: $2,205.38 Aetna Better Health — Medicaid HMO-FAC: $2,199.49 Blue Cross — BCBSM Commercial: $3,504.67 Blue Cross — BCN Commercial-FAC: $3,504.67 Blue Cross — BCN Commercial-NONFAC: $3,504.67 Blue Cross — BCN Medicare Advantage -FAC: $2,205.38 Blue Cross — BCN Medicare Advantage -NONFAC: $2,205.38
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,691.86 – $16,092.13
Vaginal delivery, with care before and after: rates for 6 insurance plans BCN — HMO: $16,092.13 Blue Cross — BCBSM Commercial: $16,092.13 Blue Cross — BCN Commercial: $16,092.13 HAP — Commercial: $2,757.83 Humana Military — Tricare: $2,220.73 Priority Health — Commercial: $2,691.86
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CESAREAN DELIVERY W/FULL ROUTINE CARE	$5,520	$3,410.30	$1,999.17 – $4,182.87
Cesarean delivery (C-section), with care before and after: 10 of 64 insurance plan rates Aetna — All Products-FAC: $3,500 Aetna — All Products-NONFAC: $3,500 Aetna — Medicare Advantage/Dual Products-FAC: $2,471.23 Aetna — Medicare Advantage/Dual Products-NONFAC: $2,471.23 Aetna Better Health — Medicaid HMO-FAC: $2,465.36 Blue Cross — BCBSM Commercial: $3,504.67 Blue Cross — BCN Commercial-FAC: $3,504.67 Blue Cross — BCN Commercial-NONFAC: $3,504.67 Blue Cross — BCN Medicare Advantage -FAC: $2,471.23 Blue Cross — BCN Medicare Advantage -NONFAC: $2,471.23
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,897.15 – $17,862.04
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans BCN — HMO: $17,862.04 Blue Cross — BCBSM Commercial: $17,862.04 Blue Cross — BCN Commercial: $17,862.04 HAP — Commercial: $3,092.83 Humana Military — Tricare: $2,475.76 Priority Health — Commercial: $2,897.15
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR VAGINAL DELIVERY (VBAC) W/FULL ROUTINE CARE	$5,720	$3,215.65	$1,886.15 – $3,944.48
Vaginal delivery after a previous C-section, with care before and after: 10 of 64 insurance plan rates Aetna — All Products-FAC: $3,500 Aetna — All Products-NONFAC: $3,500 Aetna — Medicare Advantage/Dual Products-FAC: $2,330.18 Aetna — Medicare Advantage/Dual Products-NONFAC: $2,330.18 Aetna Better Health — Medicaid HMO-FAC: $2,324.35 Blue Cross — BCBSM Commercial: $3,679.92 Blue Cross — BCN Commercial-FAC: $3,679.92 Blue Cross — BCN Commercial-NONFAC: $3,679.92 Blue Cross — BCN Medicare Advantage -FAC: $2,330.18 Blue Cross — BCN Medicare Advantage -NONFAC: $2,330.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,726.07 – $16,938.34
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans BCN — HMO: $16,938.34 Blue Cross — BCBSM Commercial: $16,938.34 Blue Cross — BCN Commercial: $16,938.34 HAP — Commercial: $2,921.88 Humana Military — Tricare: $2,335.78 Priority Health — Commercial: $2,726.07

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$74,048.84 – $251,845.21
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 31 insurance plan rates Aetna — Commercial: $205,996.42 Aetna — Medicare Advantage: $74,048.84 BCN — HMO: $251,845.21 Blue Cross — BCBSM Commercial: $251,845.21 Blue Cross — BCN Advantage: $74,048.84 Blue Cross — BCN Commercial: $251,845.21 Blue Cross — Medicare Plus Blue: $74,048.84 Cascade Thome Pace — All Products: $74,048.84 HAP — HAP Dual Products: $74,789.33 HAP — Henry Ford Select -HPN commercial: $88,858.61
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$15,155.79 – $45,847.79
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates Aetna — Medicare Advantage: $15,155.79 BCN — HMO: $45,847.79 Blue Cross — BCBSM Commercial: $45,847.79 Blue Cross — BCN Advantage: $15,155.79 Blue Cross — BCN Commercial: $45,847.79 Blue Cross — Medicare Plus Blue: $15,155.79 Cascade Thome Pace — All Products: $15,155.79 HAP — HAP Dual Products: $15,307.35 HAP — Henry Ford Select -HPN commercial: $18,186.95 HAP — Medicare Advantage: $15,307.35
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$15,155.79 – $45,847.79
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans Aetna — Commercial: $40,616.85 Nomi — All Products: $34,421.22 Cofinity — Commercial: 90% (a percentage in the contract, not a dollar amount) FrontPath — All Products: 90% (a percentage in the contract, not a dollar amount) Jackson County Sheriff — Jackson County Jail: 52% (a percentage in the contract, not a dollar amount) McLaren — Commercial: 50.22% (a percentage in the contract, not a dollar amount) Multiplan — All Products: 90% (a percentage in the contract, not a dollar amount) Priority Health — Priority Cigna: 86.61% (a percentage in the contract, not a dollar amount) United Healthcare — UHC Commercial: 73.7% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$18,998.06 – $51,406.45
Neck (cervical) spinal fusion, without complications: 10 of 31 insurance plan rates Aetna — Commercial: $51,406.45 Aetna — Medicare Advantage: $18,998.06 BCN — HMO: $48,968.96 Blue Cross — BCBSM Commercial: $48,968.96 Blue Cross — BCN Advantage: $18,998.06 Blue Cross — BCN Commercial: $48,968.96 Blue Cross — Medicare Plus Blue: $18,998.06 Cascade Thome Pace — All Products: $18,998.06 HAP — HAP Dual Products: $19,188.04 HAP — Henry Ford Select -HPN commercial: $22,797.67
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,995.27 – $28,885.43
Uterus and ovary surgery (not for cancer), without complications: 10 of 31 insurance plan rates Aetna — Commercial: $26,125.42 Aetna — Medicare Advantage: $9,995.27 BCN — HMO: $28,885.43 Blue Cross — BCBSM Commercial: $28,885.43 Blue Cross — BCN Advantage: $9,995.27 Blue Cross — BCN Commercial: $28,885.43 Blue Cross — Medicare Plus Blue: $9,995.27 Cascade Thome Pace — All Products: $9,995.27 HAP — HAP Dual Products: $10,095.22 HAP — Henry Ford Select -HPN commercial: $11,994.32

Source: Henry Ford Allegiance Health’s standard charges file (henryford.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 28, 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	205 N East Ave, Jackson, MI 49201
County	Jackson County
State	Michigan
Phone	(517) 788‑4800
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	230092
Name in Medicare records	HENRY FORD ALLEGIANCE HEALTH
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(517) 205‑4800^[4]
Name on the hospital’s website	Henry Ford Jackson Hospital
Official website	henryford.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.

Henry Ford Jackson Hospital — henryford.com
Henry Ford Jackson Hospital | Henry Ford Health - Jackson, MI — henryford.com
Valet Service and Parking Options | Henry Ford Health – Jackson, MI — henryford.com
Henry Ford Heart & Vascular Center - Jackson | Henry Ford Health – Jackson, MI — henryford.com

Henry Ford Allegiance Health

Summary

Profile from official sources

At a glance