Does Henry Ford Health West Bloomfield Hospital have an emergency room?

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

Where is Henry Ford Health West Bloomfield Hospital?

6777 West Maple Road, W Bloomfield, MI 48322, in Oakland County, Michigan.

What is the phone number of Henry Ford Health West Bloomfield Hospital?

(248) 325-1000, as listed by Medicare (CMS).

What is the Medicare star rating of Henry Ford Health West Bloomfield Hospital?

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

Henry Ford Health West Bloomfield Hospital

Quick answers

Does Henry Ford Health West Bloomfield Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Henry Ford Health West Bloomfield Hospital. In a medical emergency, call 911.
Where is Henry Ford Health West Bloomfield Hospital?: 6777 West Maple Road, W Bloomfield, MI 48322, in Oakland County, Michigan.
What is the phone number of Henry Ford Health West Bloomfield Hospital?: (248) 325-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Henry Ford Health West Bloomfield Hospital?: 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
Neurology
Neurosurgery
Orthopedics
Obstetrics
Pediatrics
Urology
Nephrology
Endocrinology
Pulmonary
Infectious Diseases
Radiation Oncology
Behavioral Health
Plastic Surgery
Vascular Surgery
Heart Surgery
Bariatric Surgery
Women's Health
Pain Management
Reproductive Medicine
ENT
Anesthesiology
Family Medicine
Hospital Medicine
Advanced Heart Failure
Audiology
Electrophysiology

Conditions treated^[4][7][8]

Breast cancer
Brain tumors
Cervical cancer
Ovarian cancer
Uterine cancer
Epilepsy
Movement disorders
Advanced heart failure
Structural heart disease
Back pain and spine conditions
Stroke
Heart attack
Traumatic injuries

Treatments^[4][7][9]

Cardiac rehabilitation
Physical therapy
Occupational therapy
Speech-language pathology
Weight loss program
Acupuncture
Mechanical thrombectomy
Joint replacement
Bariatric surgery

Procedures^[4]

Cardiac catheterization
Joint replacement
Cancer surgery
Heart surgery
Bariatric surgery
Mammography
Interventional radiology

Programs and centers^[4]

Stroke care
Cancer care
Vein Center

Emergency care (hospital website)^[4][7][8]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Regular visiting hours 5 a.m.-8 p.m.; after-hours visits need care team approval; two visitors at a time, age 12 and up^[5]
Parking	Self-parking is free (parking structure, main entrance, cancer entrance); valet at main entrance is $6 cash on weekdays^[6]

Recognition^[8]

State-certified heart attack treatment center
Trauma certification verified by the American College of Surgeons

Doctors and clinicians (1,348)

1,348 doctors and other clinicians list Henry Ford Health West Bloomfield Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,324 more: the button below opens the full list.

Other emergency rooms nearby

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

Huron Valley-Sinai Hospital5.7 mi · Commerce Township, MI · Acute Care Hospital
Beaumont Hospital - Farmington Hills8.0 mi · Farmington Hills, MI · Acute Care Hospital
Trinity Health Oakland Hospital8.5 mi · Pontiac, MI · Acute Care Hospital
McLaren Oakland9.0 mi · Pontiac, MI · Acute Care Hospital
St Joe Mercy Hospital System Livonia10 mi · Livonia, MI · Acute Care Hospital

Other hospitals nearby

Henry Ford Health Behavioral Health Hospital0.6 mi · West Bloomfield, MI · Psychiatric Hospital
Pontiac General Hospital8.2 mi · Pontiac, MI · Psychiatric 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

Marvin & Betty Danto Health Care Center0.0 mi · West Bloomfield, MI · 3 of 5 stars
Notting Hill of West Bloomfield0.4 mi · West Bloomfield, MI · 1 of 5 stars
West Bloomfield Health and Rehabilitation Center0.5 mi · West Bloomfield, MI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Oakland Hospice1.2 mi · West Bloomfield, MI
Tone Hospice and Palliative Care, Inc2.7 mi · Farmington Hills, MI
Caretenders Hospice3.9 mi · Farmington Hills, MI

All hospice providers in the state →

Home health agencies

M&Y Care1.2 mi · West Bloomfield, MI
Maple Home Health Care, LLC1.2 mi · West Bloomfield, MI
Oakland Home Care1.2 mi · West Bloomfield, MI · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita West Bloomfield Dialysis1.2 mi · West Bloomfield, MI · 4 of 5 stars
GHS Western Regional Home Dialysis4.2 mi · Novi, MI
DaVita Orchard Square Dialysis6.0 mi · Bloomfield Hills, MI · 4 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.

American Surgical Centers1.2 mi · West Bloomfield, MI
Lakes Surgery Center2.5 mi · West Bloomfield, MI
Michigan Endoscopy Center, LLC3.9 mi · Farmington Hills, 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

Waterford School Health Center7.7 mi · Waterford, MI · Community health center
Family Medicine Center8.0 mi · Pontiac, MI · Community health center
Webster Community Health Center8.0 mi · Pontiac, MI · Community health center

Clinics and urgent care

Beaumont Medical Group- Specialty Services1.2 mi · West Bloomfield, MI · Urgent care center
Healthy Urgent Care1.2 mi · W Bloomfield, MI · Urgent care center
Wellstreet Urgent Care of Michigan1.2 mi · West Bloomfield, MI · Urgent care center

Pharmacies

BMC Pharmacy West Bloomfield, LLC1.2 mi · West Bloomfield, MI · Community/retail pharmacy
Bormans Inc1.2 mi · West Bloomfield, MI · Community/retail pharmacy
Busch's Inc1.2 mi · West Bloomfield, MI · Pharmacy

Assisted living nearby

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

Absolute 41.2 mi · West Bloomfield, MI
Arcadia Living1.2 mi · West Bloomfield, MI
Camelot1.2 mi · West Bloomfield, MI
Chamberlain House 21.2 mi · West Bloomfield, 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 Health West Bloomfield Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	65%National average: 74%
Area around the room “always” quiet at night	65%National average: 60%
Completed surveys	1,021Response rate: 26%

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)	1.541No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	1.537No different from the national benchmark
Surgical site infections after abdominal hysterectomy	2.292No different from the national benchmark
MRSA bloodstream infections	0.575No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.13Better 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	10.6%
Deaths within 30 days: heart failure patients	11.1%
Deaths within 30 days: pneumonia patients	14.6%
Deaths within 30 days: COPD patients	9%
Deaths within 30 days: stroke patients	12.3%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.71No different from the national rate
Complications after hip or knee replacement	3.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	21.7%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	6.5%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	242 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	68%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 Health West Bloomfield Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 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	$195	$103.09	$45.58 – $173.49
New patient office visit (about 30–44 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $142.51 Aetna — Medicare Advantage-FAC: $74.70 Aetna — Medicare Advantage-NONFAC: $119.18 Aetna Better Health — Medicaid HMO-Adult-FAC: $46.49 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $76.48 Aetna Better Health — Medicaid HMO-Child-FAC: $46.49 Aetna Better Health — Medicaid HMO-Child-NONFAC: $76.48 Amerihealth Caritas — Dual Products-FAC: $73.21 Amerihealth Caritas — Dual Products-NONFAC: $116.80 Blue Cross — BCBSM Commercial: $117.35
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 (MD/SA)	$195	$103.09	$45.58 – $173.49
New patient office visit (about 30–44 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $142.51 Aetna — Medicare Advantage-FAC: $74.70 Aetna — Medicare Advantage-NONFAC: $119.18 Aetna Better Health — Medicaid HMO-Adult-FAC: $46.49 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $76.48 Aetna Better Health — Medicaid HMO-Child-FAC: $46.49 Aetna Better Health — Medicaid HMO-Child-NONFAC: $76.48 Amerihealth Caritas — Dual Products-FAC: $73.21 Amerihealth Caritas — Dual Products-NONFAC: $116.80 Blue Cross — BCBSM Commercial: $117.35
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)	$195	$103.09	$45.58 – $173.49
New patient office visit (about 30–44 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $142.51 Aetna — Medicare Advantage-FAC: $74.70 Aetna — Medicare Advantage-NONFAC: $119.18 Aetna Better Health — Medicaid HMO-Adult-FAC: $46.49 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $76.48 Aetna Better Health — Medicaid HMO-Child-FAC: $46.49 Aetna Better Health — Medicaid HMO-Child-NONFAC: $76.48 Amerihealth Caritas — Dual Products-FAC: $73.21 Amerihealth Caritas — Dual Products-NONFAC: $116.80 Blue Cross — BCBSM Commercial: $117.35
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	$167.85	$74.55 – $265.66
New patient office visit (about 45–59 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $212.14 Aetna — Medicare Advantage-FAC: $121.63 Aetna — Medicare Advantage-NONFAC: $179.97 Aetna Better Health — Medicaid HMO-Adult-FAC: $76.04 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $115.36 Aetna Better Health — Medicaid HMO-Child-FAC: $76.04 Aetna Better Health — Medicaid HMO-Child-NONFAC: $115.36 Amerihealth Caritas — Dual Products-FAC: $119.20 Amerihealth Caritas — Dual Products-NONFAC: $176.37 Blue Cross — BCBSM Commercial: $179.33
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 (MD/SA)	$283	$167.85	$74.55 – $265.66
New patient office visit (about 45–59 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $212.14 Aetna — Medicare Advantage-FAC: $121.63 Aetna — Medicare Advantage-NONFAC: $179.97 Aetna Better Health — Medicaid HMO-Adult-FAC: $76.04 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $115.36 Aetna Better Health — Medicaid HMO-Child-FAC: $76.04 Aetna Better Health — Medicaid HMO-Child-NONFAC: $115.36 Amerihealth Caritas — Dual Products-FAC: $119.20 Amerihealth Caritas — Dual Products-NONFAC: $176.37 Blue Cross — BCBSM Commercial: $179.33
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	$167.85	$74.55 – $265.66
New patient office visit (about 45–59 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $212.14 Aetna — Medicare Advantage-FAC: $121.63 Aetna — Medicare Advantage-NONFAC: $179.97 Aetna Better Health — Medicaid HMO-Adult-FAC: $76.04 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $115.36 Aetna Better Health — Medicaid HMO-Child-FAC: $76.04 Aetna Better Health — Medicaid HMO-Child-NONFAC: $115.36 Amerihealth Caritas — Dual Products-FAC: $119.20 Amerihealth Caritas — Dual Products-NONFAC: $176.37 Blue Cross — BCBSM Commercial: $179.33
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	$231.11	$102.24 – $329.17
New patient office visit (about 60–74 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $280.31 Aetna — Medicare Advantage-FAC: $167.47 Aetna — Medicare Advantage-NONFAC: $241.29 Aetna Better Health — Medicaid HMO-Adult-FAC: $104.28 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $154.04 Aetna Better Health — Medicaid HMO-Child-FAC: $104.28 Aetna Better Health — Medicaid HMO-Child-NONFAC: $154.04 Amerihealth Caritas — Dual Products-FAC: $164.12 Amerihealth Caritas — Dual Products-NONFAC: $236.46 Blue Cross — BCBSM Commercial: $226.59
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 SA (MD/SA)	$368	$231.11	$102.24 – $329.17
New patient office visit (about 60–74 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $280.31 Aetna — Medicare Advantage-FAC: $167.47 Aetna — Medicare Advantage-NONFAC: $241.29 Aetna Better Health — Medicaid HMO-Adult-FAC: $104.28 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $154.04 Aetna Better Health — Medicaid HMO-Child-FAC: $104.28 Aetna Better Health — Medicaid HMO-Child-NONFAC: $154.04 Amerihealth Caritas — Dual Products-FAC: $164.12 Amerihealth Caritas — Dual Products-NONFAC: $236.46 Blue Cross — BCBSM Commercial: $226.59
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	$231.11	$102.24 – $329.17
New patient office visit (about 60–74 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $280.31 Aetna — Medicare Advantage-FAC: $167.47 Aetna — Medicare Advantage-NONFAC: $241.29 Aetna Better Health — Medicaid HMO-Adult-FAC: $104.28 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $154.04 Aetna Better Health — Medicaid HMO-Child-FAC: $104.28 Aetna Better Health — Medicaid HMO-Child-NONFAC: $154.04 Amerihealth Caritas — Dual Products-FAC: $164.12 Amerihealth Caritas — Dual Products-NONFAC: $236.46 Blue Cross — BCBSM Commercial: $226.59
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 SA (MD/SA)	$146	$81.60	$36.64 – $115.22
Established patient office visit (about 20–29 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $114.48 Aetna — Medicare Advantage-FAC: $59.13 Aetna — Medicare Advantage-NONFAC: $95.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $37.37 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $61.92 Aetna Better Health — Medicaid HMO-Child-FAC: $37.37 Aetna Better Health — Medicaid HMO-Child-NONFAC: $61.92 Amerihealth Caritas — Dual Products-FAC: $57.95 Amerihealth Caritas — Dual Products-NONFAC: $93.64 Blue Cross — BCBSM Commercial: $85.82
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	$146	$81.60	$36.64 – $115.22
Established patient office visit (about 20–29 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $114.48 Aetna — Medicare Advantage-FAC: $59.13 Aetna — Medicare Advantage-NONFAC: $95.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $37.37 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $61.92 Aetna Better Health — Medicaid HMO-Child-FAC: $37.37 Aetna Better Health — Medicaid HMO-Child-NONFAC: $61.92 Amerihealth Caritas — Dual Products-FAC: $57.95 Amerihealth Caritas — Dual Products-NONFAC: $93.64 Blue Cross — BCBSM Commercial: $85.82
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)	$146	$81.60	$36.64 – $115.22
Established patient office visit (about 20–29 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $114.48 Aetna — Medicare Advantage-FAC: $59.13 Aetna — Medicare Advantage-NONFAC: $95.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $37.37 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $61.92 Aetna Better Health — Medicaid HMO-Child-FAC: $37.37 Aetna Better Health — Medicaid HMO-Child-NONFAC: $61.92 Amerihealth Caritas — Dual Products-FAC: $57.95 Amerihealth Caritas — Dual Products-NONFAC: $93.64 Blue Cross — BCBSM Commercial: $85.82
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 SA (MD/SA)	$207	$120.28	$53.89 – $170.17
Established patient office visit (about 30–39 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $162.19 Aetna — Medicare Advantage-FAC: $87.16 Aetna — Medicare Advantage-NONFAC: $136.48 Aetna Better Health — Medicaid HMO-Adult-FAC: $54.97 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $88.21 Aetna Better Health — Medicaid HMO-Child-FAC: $54.97 Aetna Better Health — Medicaid HMO-Child-NONFAC: $88.21 Amerihealth Caritas — Dual Products-FAC: $85.42 Amerihealth Caritas — Dual Products-NONFAC: $133.75 Blue Cross — BCBSM Commercial: $124.45
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	$207	$120.28	$53.89 – $170.17
Established patient office visit (about 30–39 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $162.19 Aetna — Medicare Advantage-FAC: $87.16 Aetna — Medicare Advantage-NONFAC: $136.48 Aetna Better Health — Medicaid HMO-Adult-FAC: $54.97 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $88.21 Aetna Better Health — Medicaid HMO-Child-FAC: $54.97 Aetna Better Health — Medicaid HMO-Child-NONFAC: $88.21 Amerihealth Caritas — Dual Products-FAC: $85.42 Amerihealth Caritas — Dual Products-NONFAC: $133.75 Blue Cross — BCBSM Commercial: $124.45
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)	$207	$120.28	$53.89 – $170.17
Established patient office visit (about 30–39 minutes): 10 of 88 insurance plan rates Aetna — All Products-NONFAC: $162.19 Aetna — Medicare Advantage-FAC: $87.16 Aetna — Medicare Advantage-NONFAC: $136.48 Aetna Better Health — Medicaid HMO-Adult-FAC: $54.97 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $88.21 Aetna Better Health — Medicaid HMO-Child-FAC: $54.97 Aetna Better Health — Medicaid HMO-Child-NONFAC: $88.21 Amerihealth Caritas — Dual Products-FAC: $85.42 Amerihealth Caritas — Dual Products-NONFAC: $133.75 Blue Cross — BCBSM Commercial: $124.45
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULTATION LVL 3	$216	$111	$55.81 – $186.57
Office consultation with a specialist (moderate): 10 of 58 insurance plan rates Aetna — All Products-NONFAC: $151.36 Aetna Better Health — Medicaid HMO-Adult-FAC: $56.93 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $73.22 Aetna Better Health — Medicaid HMO-Child-FAC: $56.93 Aetna Better Health — Medicaid HMO-Child-NONFAC: $73.22 Amerihealth Caritas — Dual Products-FAC: $86.40 Amerihealth Caritas — Dual Products-NONFAC: $86.40 Blue Cross — BCBSM Commercial: $179.49 Blue Cross — BCN Commercial-FAC: $140.07 Blue Cross — BCN Commercial-NONFAC: $180.02
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CONSULT OPD, DETAILED	$108	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.) Amerihealth Caritas — Dual Products: $43.20 Cofinity — Commercial: $83.27 HAP — HAP HMO_AHL_Fully Insured: $55.98 HAP — Self-Funded: $72.78 Humana Military — Tricare: $75.60 Molina — Dual MI Coordinated Health: $32.40 Multiplan — All Products: $72.36 NFL Cigna — All Products: $56.16 Priority Health — Commercial: $108
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier P In the file: PR OFFICE CONSULTATION LVL 3	$108	Not listed in the file	$43.20 – $75.60
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates Amerihealth Caritas — Dual Products-FAC: $43.20 Amerihealth Caritas — Dual Products-NONFAC: $43.20 Blue Cross — BCN Medicare Advantage -FAC: $70.20 Blue Cross — BCN Medicare Advantage -NONFAC: $70.20 Blue Cross — Medicare Plus Blue-FAC: $70.20 Blue Cross — Medicare Plus Blue-NONFAC: $70.20 HAP — HAP HMO_AHL_Fully-Insured: $54 HAP — Medicare Advantage HMO/PPO-NonPhysician-FAC: $54 HAP — Medicare Advantage HMO/PPO-NonPhysician-NONFAC: $54 HAP — Self-Funded: $54
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 – $273.80
Office consultation with a specialist (moderate to high): 10 of 58 insurance plan rates Aetna — All Products-NONFAC: $217.06 Aetna Better Health — Medicaid HMO-Adult-FAC: $86.90 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $104.72 Aetna Better Health — Medicaid HMO-Child-FAC: $86.90 Aetna Better Health — Medicaid HMO-Child-NONFAC: $104.72 Amerihealth Caritas — Dual Products-FAC: $115.20 Amerihealth Caritas — Dual Products-NONFAC: $115.20 Blue Cross — BCBSM Commercial: $256.18 Blue Cross — BCN Commercial-FAC: $212.51 Blue Cross — BCN Commercial-NONFAC: $256.18
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.) Amerihealth Caritas — Dual Products: $49.20 Cofinity — Commercial: $94.83 HAP — HAP HMO_AHL_Fully Insured: $63.75 HAP — Self-Funded: $82.89 Humana Military — Tricare: $86.10 Molina — Dual MI Coordinated Health: $36.90 Multiplan — All Products: $82.41 NFL Cigna — All Products: $63.96 Priority Health — Commercial: $123
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier P In the file: PR OFFICE CONSULTATION LVL 4	$165	Not listed in the file	$66 – $115.50
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates Amerihealth Caritas — Dual Products-FAC: $66 Amerihealth Caritas — Dual Products-NONFAC: $66 Blue Cross — BCN Medicare Advantage -FAC: $107.25 Blue Cross — BCN Medicare Advantage -NONFAC: $107.25 Blue Cross — Medicare Plus Blue-FAC: $107.25 Blue Cross — Medicare Plus Blue-NONFAC: $107.25 HAP — HAP HMO_AHL_Fully-Insured: $82.50 HAP — Medicare Advantage HMO/PPO-NonPhysician-FAC: $82.50 HAP — Medicare Advantage HMO/PPO-NonPhysician-NONFAC: $82.50 HAP — Self-Funded: $82.50
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 – $197.35
Preventive checkup, new patient, age 18–39: 10 of 57 insurance plan rates Aetna — All Products-NONFAC: $166.79 Aetna Better Health — Medicaid HMO-Adult-FAC: $70.38 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $101.36 Aetna Better Health — Medicaid HMO-Child-FAC: $70.38 Aetna Better Health — Medicaid HMO-Child-NONFAC: $101.36 Amerihealth Caritas — Dual Products-FAC: $99.20 Amerihealth Caritas — Dual Products-NONFAC: $99.20 Blue Cross — BCBSM Commercial: $150.35 Blue Cross — BCN Commercial-FAC: $151.52 Blue Cross — BCN Commercial-NONFAC: $151.52
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 19 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.) Amerihealth Caritas — Dual Products: $53.20 BCN — HMO: $133 Blue Cross — BCBSM Commercial: $133 Blue Cross — BCBSM GM Connected Care: $133 Blue Cross — BCN Commercial: $133 Cofinity — Commercial: $102.54 HAP — HAP HMO_AHL_Fully Insured: $68.93 HAP — Self-Funded: $89.63 Humana Military — Tricare: $85.96
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier P In the file: PR PREVENTIVE NEW PATIENT 18-39 YRS	$115	Not listed in the file	$46 – $80.50
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates Amerihealth Caritas — Dual Products-FAC: $46 Amerihealth Caritas — Dual Products-NONFAC: $46 Blue Cross — BCN Medicare Advantage -FAC: $74.75 Blue Cross — BCN Medicare Advantage -NONFAC: $74.75 Blue Cross — Medicare Plus Blue-FAC: $74.75 Blue Cross — Medicare Plus Blue-NONFAC: $74.75 HAP — HAP HMO_AHL_Fully-Insured: $57.50 HAP — Medicare Advantage HMO/PPO-NonPhysician-FAC: $57.50 HAP — Medicare Advantage HMO/PPO-NonPhysician-NONFAC: $57.50 HAP — Self-Funded: $57.50
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 – $228.71
Preventive checkup, new patient, age 40–64: 10 of 56 insurance plan rates Aetna — All Products-NONFAC: $192.54 Aetna Better Health — Medicaid HMO-Adult-FAC: $86.20 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $119.44 Aetna Better Health — Medicaid HMO-Child-FAC: $86.20 Aetna Better Health — Medicaid HMO-Child-NONFAC: $119.44 Amerihealth Caritas — Dual Products-FAC: $114.40 Amerihealth Caritas — Dual Products-NONFAC: $114.40 Blue Cross — BCBSM Commercial: $173.27 Blue Cross — BCN Commercial-FAC: $174.44 Blue Cross — BCN Commercial-NONFAC: $174.44
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 19 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.) Amerihealth Caritas — Dual Products: $68.40 BCN — HMO: $157.45 Blue Cross — BCBSM Commercial: $157.45 Blue Cross — BCBSM GM Connected Care: $171 Blue Cross — BCN Commercial: $157.45 Cofinity — Commercial: $131.84 HAP — HAP HMO_AHL_Fully Insured: $88.63 HAP — Self-Funded: $115.24 Humana Military — Tricare: $103.91
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier P In the file: PR PREVENTIVE NEW PATIENT 40-64 YRS	$115	Not listed in the file	$46 – $80.50
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates Amerihealth Caritas — Dual Products-FAC: $46 Amerihealth Caritas — Dual Products-NONFAC: $46 Blue Cross — BCN Medicare Advantage -FAC: $74.75 Blue Cross — BCN Medicare Advantage -NONFAC: $74.75 Blue Cross — Medicare Plus Blue-FAC: $74.75 Blue Cross — Medicare Plus Blue-NONFAC: $74.75 HAP — HAP HMO_AHL_Fully-Insured: $57.50 HAP — Medicare Advantage HMO/PPO-NonPhysician-FAC: $57.50 HAP — Medicare Advantage HMO/PPO-NonPhysician-NONFAC: $57.50 HAP — Self-Funded: $57.50
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 76 insurance plan rates Aetna — All Products-NONFAC: $93.96 Aetna — Medicare Advantage-FAC: $73.73 Aetna — Medicare Advantage-NONFAC: $73.73 Aetna Better Health — Medicaid HMO-Adult-FAC: $45.19 Aetna Better Health — Medicaid HMO-Child-FAC: $45.19 Amerihealth Caritas — Dual Products-FAC: $72.26 Amerihealth Caritas — Dual Products-NONFAC: $72.26 Blue Cross — BCBSM Commercial: $112.38 Blue Cross — BCN Commercial-FAC: $112.38 Blue Cross — BCN Commercial-NONFAC: $112.38
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 76 insurance plan rates Aetna — All Products-NONFAC: $93.96 Aetna — Medicare Advantage-FAC: $73.73 Aetna — Medicare Advantage-NONFAC: $73.73 Aetna Better Health — Medicaid HMO-Adult-FAC: $45.19 Aetna Better Health — Medicaid HMO-Child-FAC: $45.19 Amerihealth Caritas — Dual Products-FAC: $72.26 Amerihealth Caritas — Dual Products-NONFAC: $72.26 Blue Cross — BCBSM Commercial: $112.38 Blue Cross — BCN Commercial-FAC: $112.38 Blue Cross — BCN Commercial-NONFAC: $112.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY ROOM VISIT LEVEL 3	$1,068	$375.36	$66.20 – $1,478
Emergency room visit (moderate): 10 of 44 insurance plan rates Aetna — Commercial: $676.26 Aetna — Dual Products: $299.20 Aetna — Medicare Advantage: $272 Aetna Better Health — Medicaid HMO: $148.78 Amerihealth Caritas — Dual Products: $266.56 BCN — HMO: $561.22 Blue Cross — BCBSM Commercial: $561.22 Blue Cross — BCBSM GM Connected Care: $576.68 Blue Cross — BCN Advantage: $272 Blue Cross — BCN Commercial: $561.22
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 76 insurance plan rates Aetna — All Products-NONFAC: $157.89 Aetna — Medicare Advantage-FAC: $125.73 Aetna — Medicare Advantage-NONFAC: $125.73 Aetna Better Health — Medicaid HMO-Adult-FAC: $76.91 Aetna Better Health — Medicaid HMO-Child-FAC: $76.91 Amerihealth Caritas — Dual Products-FAC: $123.22 Amerihealth Caritas — Dual Products-NONFAC: $123.22 Blue Cross — BCBSM Commercial: $191.20 Blue Cross — BCN Commercial-FAC: $191.74 Blue Cross — BCN Commercial-NONFAC: $191.74
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 76 insurance plan rates Aetna — All Products-NONFAC: $157.89 Aetna — Medicare Advantage-FAC: $125.73 Aetna — Medicare Advantage-NONFAC: $125.73 Aetna Better Health — Medicaid HMO-Adult-FAC: $76.91 Aetna Better Health — Medicaid HMO-Child-FAC: $76.91 Amerihealth Caritas — Dual Products-FAC: $123.22 Amerihealth Caritas — Dual Products-NONFAC: $123.22 Blue Cross — BCBSM Commercial: $191.20 Blue Cross — BCN Commercial-FAC: $191.74 Blue Cross — BCN Commercial-NONFAC: $191.74
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	$573.75	$113.33 – $1,478
Emergency room visit (moderately high): 10 of 44 insurance plan rates Aetna — Commercial: $1,096.07 Aetna — Dual Products: $457.34 Aetna — Medicare Advantage: $415.76 Aetna Better Health — Medicaid HMO: $227.41 Amerihealth Caritas — Dual Products: $407.44 BCN — HMO: $962.87 Blue Cross — BCBSM Commercial: $962.87 Blue Cross — BCBSM GM Connected Care: $989.41 Blue Cross — BCN Advantage: $415.76 Blue Cross — BCN Commercial: $962.87
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 76 insurance plan rates Aetna — All Products-NONFAC: $230.01 Aetna — Medicare Advantage-FAC: $181.58 Aetna — Medicare Advantage-NONFAC: $181.58 Aetna Better Health — Medicaid HMO-Adult-FAC: $111.46 Aetna Better Health — Medicaid HMO-Child-FAC: $111.46 Amerihealth Caritas — Dual Products-FAC: $177.95 Amerihealth Caritas — Dual Products-NONFAC: $177.95 Blue Cross — BCBSM Commercial: $276.95 Blue Cross — BCN Commercial-FAC: $278.02 Blue Cross — BCN Commercial-NONFAC: $278.02
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 76 insurance plan rates Aetna — All Products-NONFAC: $230.01 Aetna — Medicare Advantage-FAC: $181.58 Aetna — Medicare Advantage-NONFAC: $181.58 Aetna Better Health — Medicaid HMO-Adult-FAC: $111.46 Aetna Better Health — Medicaid HMO-Child-FAC: $111.46 Amerihealth Caritas — Dual Products-FAC: $177.95 Amerihealth Caritas — Dual Products-NONFAC: $177.95 Blue Cross — BCBSM Commercial: $276.95 Blue Cross — BCN Commercial-FAC: $278.02 Blue Cross — BCN Commercial-NONFAC: $278.02
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY ROOM VISIT LEVEL 5	$2,639	$818.88	$164.56 – $1,478
Emergency room visit (high): 10 of 44 insurance plan rates Aetna — Commercial: $1,671.01 Aetna — Dual Products: $652.73 Aetna — Medicare Advantage: $593.39 Aetna Better Health — Medicaid HMO: $324.57 Amerihealth Caritas — Dual Products: $581.52 BCN — HMO: $1,389.43 Blue Cross — BCBSM Commercial: $1,389.43 Blue Cross — BCBSM GM Connected Care: $1,427.73 Blue Cross — BCN Advantage: $593.39 Blue Cross — BCN Commercial: $1,389.43

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)	$56	$11.67	$4.42 – $29.75
Basic metabolic panel (blood test): 10 of 42 insurance plan rates Aetna — Commercial: $14.77 Aetna — Dual Products: $9.31 Aetna — Medicare Advantage: $8.46 Aetna Better Health — Medicaid HMO: $4.51 Amerihealth Caritas — Dual Products: $22.40 BCN — HMO: $13.19 Blue Cross — BCBSM Commercial: $13.19 Blue Cross — BCBSM GM Connected Care: $12.78 Blue Cross — BCN Advantage: $8.46 Blue Cross — BCN Commercial: $13.19
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	$11.67	$8.46 – $11.67
Basic metabolic panel (blood test): rates for 3 insurance plans Meridian — Ambetter From Meridian: $11.42 WellCare — Medicare Advantage: $8.46 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB COMP METABOLIC PROFILE	$72	$14.57	$5.52 – $37.14
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates Aetna — Commercial: $18.43 Aetna — Dual Products: $11.62 Aetna — Medicare Advantage: $10.56 Aetna Better Health — Medicaid HMO: $5.63 Amerihealth Caritas — Dual Products: $28.80 BCN — HMO: $23.09 Blue Cross — BCBSM Commercial: $23.09 Blue Cross — BCBSM GM Connected Care: $22.36 Blue Cross — BCN Advantage: $10.56 Blue Cross — BCN Commercial: $23.09
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	$14.57	$10.56 – $14.57
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Meridian — Ambetter From Meridian: $14.26 WellCare — Medicare Advantage: $10.56 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	$65.98	$45.42 – $65.98
Obstetric blood test panel: 10 of 37 insurance plan rates Aetna — Commercial: $83.46 Aetna — Dual Products: $52.59 Aetna — Medicare Advantage: $47.81 Aetna Better Health — Medicaid HMO: $25.50 BCN — HMO: $65.79 Blue Cross — BCBSM Commercial: $65.79 Blue Cross — BCBSM GM Connected Care: $63.71 Blue Cross — BCN Advantage: $47.81 Blue Cross — BCN Commercial: $65.79 Blue Cross — Medicare Plus Blue: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB LIPID PROFILE	$81	$18.48	$7 – $47.08
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — Commercial: $23.37 Aetna — Dual Products: $14.73 Aetna — Medicare Advantage: $13.39 Aetna Better Health — Medicaid HMO: $7.14 Amerihealth Caritas — Dual Products: $32.40 BCN — HMO: $17.60 Blue Cross — BCBSM Commercial: $17.60 Blue Cross — BCBSM GM Connected Care: $17.05 Blue Cross — BCN Advantage: $13.39 Blue Cross — BCN Commercial: $17.60
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	$18.48	$13.39 – $18.48
Cholesterol panel (lipid panel): rates for 3 insurance plans Meridian — Ambetter From Meridian: $18.08 WellCare — Medicare Advantage: $13.39 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB RENAL FUNCTION PANEL	$57	$11.98	$4.54 – $30.53
Kidney function panel: 10 of 42 insurance plan rates Aetna — Commercial: $15.16 Aetna — Dual Products: $9.55 Aetna — Medicare Advantage: $8.68 Aetna Better Health — Medicaid HMO: $4.63 Amerihealth Caritas — Dual Products: $22.80 BCN — HMO: $16.48 Blue Cross — BCBSM Commercial: $16.48 Blue Cross — BCBSM GM Connected Care: $15.96 Blue Cross — BCN Advantage: $8.68 Blue Cross — BCN Commercial: $16.48
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	$11.98	$8.68 – $11.98
Kidney function panel: rates for 3 insurance plans Meridian — Ambetter From Meridian: $11.72 WellCare — Medicare Advantage: $8.68 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB HEPATIC FUNCTN PANEL	$54	$11.27	$4.27 – $28.74
Liver function panel: 10 of 42 insurance plan rates Aetna — Commercial: $14.26 Aetna — Dual Products: $8.99 Aetna — Medicare Advantage: $8.17 Aetna Better Health — Medicaid HMO: $4.36 Amerihealth Caritas — Dual Products: $21.60 BCN — HMO: $11.54 Blue Cross — BCBSM Commercial: $11.54 Blue Cross — BCBSM GM Connected Care: $11.17 Blue Cross — BCN Advantage: $8.17 Blue Cross — BCN Commercial: $11.54
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB URINALYSIS AUTO W/ MICROSCOPE	$21	$4.37	$1.66 – $11.14
Urine test (automated, with microscope): 10 of 42 insurance plan rates Aetna — Commercial: $5.53 Aetna — Dual Products: $3.49 Aetna — Medicare Advantage: $3.17 Aetna Better Health — Medicaid HMO: $1.69 Amerihealth Caritas — Dual Products: $8.40 BCN — HMO: $3.62 Blue Cross — BCBSM Commercial: $3.62 Blue Cross — BCBSM GM Connected Care: $3.50 Blue Cross — BCN Advantage: $3.17 Blue Cross — BCN Commercial: $3.62
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB URINALYS NONAUTO W/O MICROSCOPE	$18	$4.80	$1.82 – $12.22
Urine test (manual, without microscope): 10 of 42 insurance plan rates Aetna — Commercial: $6.08 Aetna — Dual Products: $3.83 Aetna — Medicare Advantage: $3.48 Aetna Better Health — Medicaid HMO: $1.86 Amerihealth Caritas — Dual Products: $7.20 BCN — HMO: $3.97 Blue Cross — BCBSM Commercial: $3.97 Blue Cross — BCBSM GM Connected Care: $3.84 Blue Cross — BCN Advantage: $3.48 Blue Cross — BCN Commercial: $3.97
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB URINALYSIS MACRO AUTO	$17	$3.11	$1.18 – $7.92
Urine test (automated, without microscope): 10 of 42 insurance plan rates Aetna — Commercial: $3.93 Aetna — Dual Products: $2.48 Aetna — Medicare Advantage: $2.25 Aetna Better Health — Medicaid HMO: $1.20 Amerihealth Caritas — Dual Products: $6.80 BCN — HMO: $2.57 Blue Cross — BCBSM Commercial: $2.57 Blue Cross — BCBSM GM Connected Care: $2.49 Blue Cross — BCN Advantage: $2.25 Blue Cross — BCN Commercial: $2.57
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	$3.11	$2.25 – $3.11
Urine test (automated, without microscope): rates for 3 insurance plans Meridian — Ambetter From Meridian: $3.04 WellCare — Medicare Advantage: $2.25 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PSA TOTAL	$124	$25.38	$9.62 – $64.68
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — Commercial: $32.10 Aetna — Dual Products: $20.23 Aetna — Medicare Advantage: $18.39 Aetna Better Health — Medicaid HMO: $9.81 Amerihealth Caritas — Dual Products: $49.60 BCN — HMO: $20.96 Blue Cross — BCBSM Commercial: $20.96 Blue Cross — BCBSM GM Connected Care: $20.30 Blue Cross — BCN Advantage: $18.39 Blue Cross — BCN Commercial: $20.96
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PSA TOTAL, SO	$18	$25.38	$9.62 – $54.81
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — Commercial: $32.10 Aetna — Dual Products: $20.23 Aetna — Medicare Advantage: $18.39 Aetna Better Health — Medicaid HMO: $9.81 Amerihealth Caritas — Dual Products: $7.20 BCN — HMO: $18 Blue Cross — BCBSM Commercial: $18 Blue Cross — BCBSM GM Connected Care: $18 Blue Cross — BCN Advantage: $18.39 Blue Cross — BCN Commercial: $18
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB THYROID STIM HORMONE-TSH	$113	$23.18	$8.79 – $59.08
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Aetna — Commercial: $29.33 Aetna — Dual Products: $18.48 Aetna — Medicare Advantage: $16.80 Aetna Better Health — Medicaid HMO: $8.96 Amerihealth Caritas — Dual Products: $45.20 BCN — HMO: $19.15 Blue Cross — BCBSM Commercial: $19.15 Blue Cross — BCBSM GM Connected Care: $18.55 Blue Cross — BCN Advantage: $16.80 Blue Cross — BCN Commercial: $19.15
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	$23.18	$16.80 – $23.18
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Meridian — Ambetter From Meridian: $22.68 WellCare — Medicare Advantage: $16.80 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $16.80
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	$52	$10.72	$4.06 – $27.33
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates Aetna — Commercial: $13.56 Aetna — Dual Products: $8.55 Aetna — Medicare Advantage: $7.77 Aetna Better Health — Medicaid HMO: $4.14 Amerihealth Caritas — Dual Products: $20.80 BCN — HMO: $8.86 Blue Cross — BCBSM Commercial: $8.86 Blue Cross — BCBSM GM Connected Care: $8.58 Blue Cross — BCN Advantage: $7.77 Blue Cross — BCN Commercial: $8.86
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	$10.72	$7.77 – $10.72
Complete blood count (CBC) with differential: rates for 3 insurance plans Meridian — Ambetter From Meridian: $10.49 WellCare — Medicare Advantage: $7.77 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB CBC INCL PLATELETS	$43	$8.93	$3.38 – $22.75
Complete blood count (CBC), automated: 10 of 42 insurance plan rates Aetna — Commercial: $11.30 Aetna — Dual Products: $7.12 Aetna — Medicare Advantage: $6.47 Aetna Better Health — Medicaid HMO: $3.45 Amerihealth Caritas — Dual Products: $17.20 BCN — HMO: $7.37 Blue Cross — BCBSM Commercial: $7.37 Blue Cross — BCBSM GM Connected Care: $7.14 Blue Cross — BCN Advantage: $6.47 Blue Cross — BCN Commercial: $7.37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PROTHROMBIN TIME	$25	$5.92	$2.24 – $15.41
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Aetna — Commercial: $7.50 Aetna — Dual Products: $4.72 Aetna — Medicare Advantage: $4.29 Aetna Better Health — Medicaid HMO: $2.29 Amerihealth Caritas — Dual Products: $10 BCN — HMO: $4.89 Blue Cross — BCBSM Commercial: $4.89 Blue Cross — BCBSM GM Connected Care: $4.74 Blue Cross — BCN Advantage: $4.29 Blue Cross — BCN Commercial: $4.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: PROTHROMBIN TIME	Not listed in the file	$5.92	$4.29 – $5.92
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Meridian — Ambetter From Meridian: $5.79 WellCare — Medicare Advantage: $4.29 WellCare — Wellcare Meridian Dual Align (HMO D-SNP): $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LAB PART THROMBOPLASTIN (PTT)	$57	$8.29	$3.14 – $22.54
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates Aetna — Commercial: $10.49 Aetna — Dual Products: $6.61 Aetna — Medicare Advantage: $6.01 Aetna Better Health — Medicaid HMO: $3.21 Amerihealth Caritas — Dual Products: $22.80 BCN — HMO: $6.86 Blue Cross — BCBSM Commercial: $6.86 Blue Cross — BCBSM GM Connected Care: $6.64 Blue Cross — BCN Advantage: $6.01 Blue Cross — BCN Commercial: $6.86

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	$1,327	$143.75	$44.21 – $1,592
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates Aetna — Commercial: $264.44 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $165.96 Blue Cross — BCBSM Commercial: $165.96 Blue Cross — BCBSM GM Connected Care: $160.71 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $165.96
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	$55.49	$25.13 – $81.44
CT scan of the head or brain, without contrast: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $64.73 Aetna — Medicare Advantage-FAC: $40.21 Aetna — Medicare Advantage-NONFAC: $40.21 Aetna Better Health — Medicaid HMO-Adult-FAC: $25.63 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $25.63 Aetna Better Health — Medicaid HMO-Child-FAC: $25.63 Aetna Better Health — Medicaid HMO-Child-NONFAC: $25.63 Amerihealth Caritas — Dual Products-FAC: $39.41 Amerihealth Caritas — Dual Products-NONFAC: $39.41 Blue Cross — BCBSM Commercial: $63.38
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	$479.72	$139.43 – $2,304
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Aetna — Commercial: $850.44 Aetna — Dual Products: $382.38 Aetna — Medicare Advantage: $347.62 Aetna Better Health — Medicaid HMO: $190.14 Amerihealth Caritas — Dual Products: $340.67 BCN — HMO: $523.81 Blue Cross — BCBSM Commercial: $523.81 Blue Cross — BCBSM GM Connected Care: $507.24 Blue Cross — BCN Advantage: $347.62 Blue Cross — BCN Commercial: $523.81
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	$148.03	$67.10 – $226.76
MRI of the brain, before and after contrast: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $174.85 Aetna — Medicare Advantage-FAC: $107.27 Aetna — Medicare Advantage-NONFAC: $107.27 Aetna Better Health — Medicaid HMO-Adult-FAC: $68.44 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $68.44 Aetna Better Health — Medicaid HMO-Child-FAC: $68.44 Aetna Better Health — Medicaid HMO-Child-NONFAC: $68.44 Amerihealth Caritas — Dual Products-FAC: $105.12 Amerihealth Caritas — Dual Products-NONFAC: $105.12 Blue Cross — BCBSM Commercial: $170.96
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB X-RAY CHEST 2 VWS	$258	$119.66	$20.76 – $199.43
Chest X-ray, 2 views: 10 of 44 insurance plan rates Aetna — Commercial: $61.43 Aetna — Dual Products: $95.38 Aetna — Medicare Advantage: $86.71 Aetna Better Health — Medicaid HMO: $47.43 Amerihealth Caritas — Dual Products: $84.98 BCN — HMO: $56.67 Blue Cross — BCBSM Commercial: $56.67 Blue Cross — BCBSM GM Connected Care: $54.88 Blue Cross — BCN Advantage: $86.71 Blue Cross — BCN Commercial: $56.67
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB X-RAY CHEST EXAM 2 VIEWS IN HOME	$308	$119.66	$20.76 – $199.43
Chest X-ray, 2 views: 10 of 44 insurance plan rates Aetna — Commercial: $61.43 Aetna — Dual Products: $95.38 Aetna — Medicare Advantage: $86.71 Aetna Better Health — Medicaid HMO: $47.43 Amerihealth Caritas — Dual Products: $84.98 BCN — HMO: $56.67 Blue Cross — BCBSM Commercial: $56.67 Blue Cross — BCBSM GM Connected Care: $54.88 Blue Cross — BCN Advantage: $86.71 Blue Cross — BCN Commercial: $56.67
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	$14.02	$6.39 – $17.12
Chest X-ray, 2 views: 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $15.44 Aetna — Medicare Advantage-FAC: $10.16 Aetna — Medicare Advantage-NONFAC: $10.16 Aetna Better Health — Medicaid HMO-Adult-FAC: $6.52 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $6.52 Aetna Better Health — Medicaid HMO-Child-FAC: $6.52 Aetna Better Health — Medicaid HMO-Child-NONFAC: $6.52 Amerihealth Caritas — Dual Products-FAC: $9.96 Amerihealth Caritas — Dual Products-NONFAC: $9.96 Blue Cross — BCBSM Commercial: $16.51
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	$143.75	$26.90 – $191.67
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates Aetna — Commercial: $102.56 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $95.54 Blue Cross — BCBSM Commercial: $95.54 Blue Cross — BCBSM GM Connected Care: $92.52 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $95.54
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 IN HOME	$398	$143.75	$26.90 – $191.67
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates Aetna — Commercial: $102.56 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $95.54 Blue Cross — BCBSM Commercial: $95.54 Blue Cross — BCBSM GM Connected Care: $92.52 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $95.54
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR X-RAY LUMBAR SPINE 4 VW	$58	$17.97	$8.09 – $30.32
X-ray of the lower spine, at least 4 views: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $18.39 Aetna — Medicare Advantage-FAC: $13.02 Aetna — Medicare Advantage-NONFAC: $13.02 Aetna Better Health — Medicaid HMO-Adult-FAC: $8.25 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $8.25 Aetna Better Health — Medicaid HMO-Child-FAC: $8.25 Aetna Better Health — Medicaid HMO-Child-NONFAC: $8.25 Amerihealth Caritas — Dual Products-FAC: $12.76 Amerihealth Caritas — Dual Products-NONFAC: $12.76 Blue Cross — BCBSM Commercial: $19.71
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	$2,834	$328.08	$109.89 – $546.80
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates Aetna — Commercial: $488.44 Aetna — Dual Products: $261.52 Aetna — Medicare Advantage: $237.74 Aetna Better Health — Medicaid HMO: $130.04 Amerihealth Caritas — Dual Products: $232.99 BCN — HMO: $301.98 Blue Cross — BCBSM Commercial: $301.98 Blue Cross — BCBSM GM Connected Care: $292.43 Blue Cross — BCN Advantage: $237.74 Blue Cross — BCN Commercial: $301.98
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	$96.17	$43.67 – $142.13
MRI of the lower back (lumbar spine), without contrast: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $113.33 Aetna — Medicare Advantage-FAC: $69.69 Aetna — Medicare Advantage-NONFAC: $69.69 Aetna Better Health — Medicaid HMO-Adult-FAC: $44.54 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $44.54 Aetna Better Health — Medicaid HMO-Child-FAC: $44.54 Aetna Better Health — Medicaid HMO-Child-NONFAC: $44.54 Amerihealth Caritas — Dual Products-FAC: $68.30 Amerihealth Caritas — Dual Products-NONFAC: $68.30 Blue Cross — BCBSM Commercial: $111.31
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT PELVIS W/ CONTRAST	$2,278	$241.18	$93.72 – $1,592
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates Aetna — Commercial: $673 Aetna — Dual Products: $192.25 Aetna — Medicare Advantage: $174.77 Aetna Better Health — Medicaid HMO: $95.59 Amerihealth Caritas — Dual Products: $171.27 BCN — HMO: $426.66 Blue Cross — BCBSM Commercial: $426.66 Blue Cross — BCBSM GM Connected Care: $413.16 Blue Cross — BCN Advantage: $174.77 Blue Cross — BCN Commercial: $426.66
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	$75.32	$34.08 – $110.19
CT scan of the pelvis, with contrast: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $88.50 Aetna — Medicare Advantage-FAC: $54.58 Aetna — Medicare Advantage-NONFAC: $54.58 Aetna Better Health — Medicaid HMO-Adult-FAC: $34.76 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $34.76 Aetna Better Health — Medicaid HMO-Child-FAC: $34.76 Aetna Better Health — Medicaid HMO-Child-NONFAC: $34.76 Amerihealth Caritas — Dual Products-FAC: $53.49 Amerihealth Caritas — Dual Products-NONFAC: $53.49 Blue Cross — BCBSM Commercial: $86.81
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	$2,940	$328.08	$93.24 – $2,304
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates Aetna — Commercial: $555.44 Aetna — Dual Products: $261.52 Aetna — Medicare Advantage: $237.74 Aetna Better Health — Medicaid HMO: $130.04 Amerihealth Caritas — Dual Products: $232.99 BCN — HMO: $346.51 Blue Cross — BCBSM Commercial: $346.51 Blue Cross — BCBSM GM Connected Care: $335.54 Blue Cross — BCN Advantage: $237.74 Blue Cross — BCN Commercial: $346.51
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	$88.07	$40.04 – $119.77
MRI of a leg joint (such as the knee), without contrast: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $103.58 Aetna — Medicare Advantage-FAC: $63.82 Aetna — Medicare Advantage-NONFAC: $63.82 Aetna Better Health — Medicaid HMO-Adult-FAC: $40.84 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $40.84 Aetna Better Health — Medicaid HMO-Child-FAC: $40.84 Aetna Better Health — Medicaid HMO-Child-NONFAC: $40.84 Amerihealth Caritas — Dual Products-FAC: $62.54 Amerihealth Caritas — Dual Products-NONFAC: $62.54 Blue Cross — BCBSM Commercial: $101.73
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	$3,981	$479.72	$194.39 – $799.53
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates Aetna — Commercial: $877.81 Aetna — Dual Products: $382.38 Aetna — Medicare Advantage: $347.62 Aetna Better Health — Medicaid HMO: $190.14 Amerihealth Caritas — Dual Products: $340.67 BCN — HMO: $535.15 Blue Cross — BCBSM Commercial: $535.15 Blue Cross — BCBSM GM Connected Care: $518.22 Blue Cross — BCN Advantage: $347.62 Blue Cross — BCN Commercial: $535.15
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	$118.16	$53.46 – $142.38
CT scan of the abdomen and pelvis, with contrast: 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $139.25 Aetna — Medicare Advantage-FAC: $85.62 Aetna — Medicare Advantage-NONFAC: $85.62 Aetna Better Health — Medicaid HMO-Adult-FAC: $54.53 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $54.53 Aetna Better Health — Medicaid HMO-Child-FAC: $54.53 Aetna Better Health — Medicaid HMO-Child-NONFAC: $54.53 Amerihealth Caritas — Dual Products-FAC: $83.91 Amerihealth Caritas — Dual Products-NONFAC: $83.91 Blue Cross — BCBSM Commercial: $135.81
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE	$783	$143.75	$58.84 – $239.59
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates Aetna — Commercial: $207.57 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $187.82 Blue Cross — BCBSM Commercial: $187.82 Blue Cross — BCBSM GM Connected Care: $181.88 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $187.82
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE IN HOME	$833	$143.75	$58.84 – $239.59
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates Aetna — Commercial: $207.57 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $187.82 Blue Cross — BCBSM Commercial: $187.82 Blue Cross — BCBSM GM Connected Care: $181.88 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $187.82
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	$52.43	$23.86 – $78.24
Ultrasound of the abdomen, complete: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $56.79 Aetna — Medicare Advantage-FAC: $37.99 Aetna — Medicare Advantage-NONFAC: $37.99 Aetna Better Health — Medicaid HMO-Adult-FAC: $24.34 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $24.34 Aetna Better Health — Medicaid HMO-Child-FAC: $24.34 Aetna Better Health — Medicaid HMO-Child-NONFAC: $24.34 Amerihealth Caritas — Dual Products-FAC: $37.23 Amerihealth Caritas — Dual Products-NONFAC: $37.23 Blue Cross — BCBSM Commercial: $60.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US >= 14 WKS COMPLETE	$827	$143.75	$58.84 – $239.59
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates Aetna — Commercial: $234.01 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $211.31 Blue Cross — BCBSM Commercial: $211.31 Blue Cross — BCBSM GM Connected Care: $204.62 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $211.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US >= 14 WKS COMPLETE IN HOME	$877	$143.75	$58.84 – $239.59
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates Aetna — Commercial: $234.01 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $211.31 Blue Cross — BCBSM Commercial: $211.31 Blue Cross — BCBSM GM Connected Care: $204.62 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $211.31
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	$65.94	$30.03 – $95.82
Pregnancy ultrasound (after the first trimester): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $70.11 Aetna — Medicare Advantage-FAC: $47.78 Aetna — Medicare Advantage-NONFAC: $47.78 Aetna Better Health — Medicaid HMO-Adult-FAC: $30.63 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $30.63 Aetna Better Health — Medicaid HMO-Child-FAC: $30.63 Aetna Better Health — Medicaid HMO-Child-NONFAC: $30.63 Amerihealth Caritas — Dual Products-FAC: $46.82 Amerihealth Caritas — Dual Products-NONFAC: $46.82 Blue Cross — BCBSM Commercial: $74.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL	$739	$143.75	$58.84 – $239.59
Transvaginal ultrasound: 10 of 44 insurance plan rates Aetna — Commercial: $229.47 Aetna — Dual Products: $114.59 Aetna — Medicare Advantage: $104.17 Aetna Better Health — Medicaid HMO: $56.98 Amerihealth Caritas — Dual Products: $102.09 BCN — HMO: $206.44 Blue Cross — BCBSM Commercial: $206.44 Blue Cross — BCBSM GM Connected Care: $199.91 Blue Cross — BCN Advantage: $104.17 Blue Cross — BCN Commercial: $206.44
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR US TRANSVAGINAL NON-OB	$128	$45.55	$20.66 – $73.77
Transvaginal ultrasound: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $49.30 Aetna — Medicare Advantage-FAC: $33.01 Aetna — Medicare Advantage-NONFAC: $33.01 Aetna Better Health — Medicaid HMO-Adult-FAC: $21.07 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $21.07 Aetna Better Health — Medicaid HMO-Child-FAC: $21.07 Aetna Better Health — Medicaid HMO-Child-NONFAC: $21.07 Amerihealth Caritas — Dual Products-FAC: $32.35 Amerihealth Caritas — Dual Products-NONFAC: $32.35 Blue Cross — BCBSM Commercial: $51.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAM CAD UNILAT	$410	$115.09	$43.62 – $332.03
Diagnostic mammogram, one breast: 10 of 41 insurance plan rates Aetna — Commercial: $229.47 Aetna — Dual Products: $184.92 Aetna — Medicare Advantage: $168.11 Aetna Better Health — Medicaid HMO: $44.49 Amerihealth Caritas — Dual Products: $164 BCN — HMO: $212.92 Blue Cross — BCBSM Commercial: $212.92 Blue Cross — BCBSM GM Connected Care: $206.18 Blue Cross — BCN Advantage: $168.11 Blue Cross — BCN Commercial: $212.92
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR DIAGNOSTIC MAMMOGRAM CAD UNILAT	$120	$53.20	$24.07 – $62.93
Diagnostic mammogram, one breast: 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $56.79 Aetna — Medicare Advantage-FAC: $38.55 Aetna — Medicare Advantage-NONFAC: $38.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $24.55 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $24.55 Aetna Better Health — Medicaid HMO-Child-FAC: $24.55 Aetna Better Health — Medicaid HMO-Child-NONFAC: $24.55 Amerihealth Caritas — Dual Products-FAC: $37.78 Amerihealth Caritas — Dual Products-NONFAC: $37.78 Blue Cross — BCBSM Commercial: $60.72
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAPM CAD BILAT	$469	$147.89	$56.05 – $423.30
Diagnostic mammogram, both breasts: 10 of 41 insurance plan rates Aetna — Commercial: $292.48 Aetna — Dual Products: $234.39 Aetna — Medicare Advantage: $213.08 Aetna Better Health — Medicaid HMO: $57.17 Amerihealth Caritas — Dual Products: $187.60 BCN — HMO: $271.22 Blue Cross — BCBSM Commercial: $271.22 Blue Cross — BCBSM GM Connected Care: $262.63 Blue Cross — BCN Advantage: $213.08 Blue Cross — BCN Commercial: $271.22
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR DIAGNOSTIC MAMMOGRAPM CAD BILAT	$185	$65.40	$29.61 – $77.28
Diagnostic mammogram, both breasts: 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $69.69 Aetna — Medicare Advantage-FAC: $47.39 Aetna — Medicare Advantage-NONFAC: $47.39 Aetna Better Health — Medicaid HMO-Adult-FAC: $30.20 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $30.20 Aetna Better Health — Medicaid HMO-Child-FAC: $30.20 Aetna Better Health — Medicaid HMO-Child-NONFAC: $30.20 Amerihealth Caritas — Dual Products-FAC: $46.44 Amerihealth Caritas — Dual Products-NONFAC: $46.44 Blue Cross — BCBSM Commercial: $74.56
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	$393	$121.76	$46.14 – $351.06
Screening mammogram, both breasts: 10 of 41 insurance plan rates Aetna — Commercial: $242.58 Aetna — Dual Products: $189.57 Aetna — Medicare Advantage: $172.34 Aetna Better Health — Medicaid HMO: $47.06 Amerihealth Caritas — Dual Products: $157.20 BCN — HMO: $224.26 Blue Cross — BCBSM Commercial: $224.26 Blue Cross — BCBSM GM Connected Care: $217.16 Blue Cross — BCN Advantage: $172.34 Blue Cross — BCN Commercial: $224.26
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	$121.76	$46.14 – $351.06
Screening mammogram, both breasts: 10 of 41 insurance plan rates Aetna — Commercial: $242.58 Aetna — Dual Products: $189.57 Aetna — Medicare Advantage: $172.34 Aetna Better Health — Medicaid HMO: $47.06 Amerihealth Caritas — Dual Products: $149.60 BCN — HMO: $224.26 Blue Cross — BCBSM Commercial: $224.26 Blue Cross — BCBSM GM Connected Care: $217.16 Blue Cross — BCN Advantage: $172.34 Blue Cross — BCN Commercial: $224.26
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR SCREEN MAMMOGRAM CAD BILAT 2-VWS EA BREAST	$139	$49.22	$22.37 – $59.60
Screening mammogram, both breasts: 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $53.79 Aetna — Medicare Advantage-FAC: $35.67 Aetna — Medicare Advantage-NONFAC: $35.67 Aetna Better Health — Medicaid HMO-Adult-FAC: $22.82 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $22.82 Aetna Better Health — Medicaid HMO-Child-FAC: $22.82 Aetna Better Health — Medicaid HMO-Child-NONFAC: $22.82 Amerihealth Caritas — Dual Products-FAC: $34.96 Amerihealth Caritas — Dual Products-NONFAC: $34.96 Blue Cross — BCBSM Commercial: $56.99

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	$21.40	$20.32 – $60.83
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — Commercial: $44.32 BCN — HMO: $20.32 Blue Cross — BCBSM Commercial: $20.32 Blue Cross — BCBSM GM Connected Care: $27.99 Blue Cross — BCN Commercial: $20.32 Cofinity — Commercial: $60.15 HAP — HAP HMO_AHL_Fully Insured: $29 HAP — Self-Funded: $42.13 Humana Military — Tricare: $13.14 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	$4,457.77	$551.61 – $10,648
Left heart catheterization (diagnostic): 10 of 44 insurance plan rates Aetna — Commercial: $6,853 Aetna — Dual Products: $3,553.30 Aetna — Medicare Advantage: $3,230.27 Aetna Better Health — Medicaid HMO: $1,766.90 Amerihealth Caritas — Dual Products: $3,165.66 BCN — HMO: $2,015.67 Blue Cross — BCBSM Commercial: $2,015.67 Blue Cross — BCBSM GM Connected Care: $2,775.54 Blue Cross — BCN Advantage: $3,230.27 Blue Cross — BCN Commercial: $2,015.67
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	$343.14	$147.40 – $680.70
Left heart catheterization (diagnostic): 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $387.83 Aetna — Medicare Advantage-FAC: $248.65 Aetna — Medicare Advantage-NONFAC: $248.65 Aetna Better Health — Medicaid HMO-Adult-FAC: $150.35 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $150.35 Aetna Better Health — Medicaid HMO-Child-FAC: $150.35 Aetna Better Health — Medicaid HMO-Child-NONFAC: $150.35 Amerihealth Caritas — Dual Products-FAC: $243.68 Amerihealth Caritas — Dual Products-NONFAC: $243.68 Blue Cross — BCBSM Commercial: $366.96
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	$12,683	$10,724.84	$3,688 – $17,874.73
Heart rhythm study (electrophysiology evaluation): 10 of 43 insurance plan rates Aetna — Commercial: $6,853 Aetna — Dual Products: $8,548.78 Aetna — Medicare Advantage: $7,771.62 Aetna Better Health — Medicaid HMO: $4,250.93 Amerihealth Caritas — Dual Products: $7,616.19 BCN — HMO: $12,683 Blue Cross — BCBSM Commercial: $12,683 Blue Cross — BCBSM GM Connected Care: $12,683 Blue Cross — BCN Advantage: $7,771.62 Blue Cross — BCN Commercial: $12,683
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	$555.70	$239.63 – $1,117.72
Heart rhythm study (electrophysiology evaluation): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $636.16 Aetna — Medicare Advantage-FAC: $402.68 Aetna — Medicare Advantage-NONFAC: $402.68 Aetna Better Health — Medicaid HMO-Adult-FAC: $244.42 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $244.42 Aetna Better Health — Medicaid HMO-Child-FAC: $244.42 Aetna Better Health — Medicaid HMO-Child-NONFAC: $244.42 Amerihealth Caritas — Dual Products-FAC: $394.63 Amerihealth Caritas — Dual Products-NONFAC: $394.63 Blue Cross — BCBSM Commercial: $596.51
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	$1,230.88	$514.40 – $2,736.83
Heart rhythm study with ablation for atrial fibrillation: 10 of 70 insurance plan rates Aetna — All Products-NONFAC: $1,581.38 Aetna — Medicare Advantage-FAC: $891.94 Aetna — Medicare Advantage-NONFAC: $891.94 Aetna Better Health — Medicaid HMO-Adult-FAC: $524.69 Aetna Better Health — Medicaid HMO-Child-FAC: $524.69 Amerihealth Caritas — Dual Products-FAC: $874.10 Amerihealth Caritas — Dual Products-NONFAC: $874.10 Blue Cross — BCBSM Commercial: $1,474.77 Blue Cross — BCN Commercial-FAC: $1,476.37 Blue Cross — BCN Commercial-NONFAC: $1,476.37
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	$35,940.54	$904.96 – $59,900.90
Heart rhythm study with ablation for atrial fibrillation: 10 of 44 insurance plan rates Aetna — Commercial: $6,853 Aetna — Dual Products: $28,648.25 Aetna — Medicare Advantage: $26,043.87 Aetna Better Health — Medicaid HMO: $14,245.51 Amerihealth Caritas — Dual Products: $25,522.99 BCN — HMO: $742.06 Blue Cross — BCBSM Commercial: $742.06 Blue Cross — BCBSM GM Connected Care: $1,021.80 Blue Cross — BCN Advantage: $26,043.87 Blue Cross — BCN Commercial: $742.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POLYSMGM 4+ PARMTR ATTNDED	$3,173	$1,180.80	$366.02 – $1,788.78
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates Aetna — Commercial: $959.30 Aetna — Dual Products: $941.22 Aetna — Medicare Advantage: $855.65 Aetna Better Health — Medicaid HMO: $468.03 Amerihealth Caritas — Dual Products: $838.54 BCN — HMO: $1,299.06 Blue Cross — BCBSM Commercial: $1,299.06 Blue Cross — BCBSM GM Connected Care: $1,788.78 Blue Cross — BCN Advantage: $855.65 Blue Cross — BCN Commercial: $1,299.06
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	$166.83	$76.25 – $289.46
Sleep study (overnight, in a sleep lab): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $165.64 Aetna — Medicare Advantage-FAC: $120.89 Aetna — Medicare Advantage-NONFAC: $120.89 Aetna Better Health — Medicaid HMO-Adult-FAC: $77.78 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $77.78 Aetna Better Health — Medicaid HMO-Child-FAC: $77.78 Aetna Better Health — Medicaid HMO-Child-NONFAC: $77.78 Amerihealth Caritas — Dual Products-FAC: $118.47 Amerihealth Caritas — Dual Products-NONFAC: $118.47 Blue Cross — BCBSM Commercial: $145.74

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	$111	$39.76	$18.53 – $46.27
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 69 insurance plan rates Aetna — All Products-NONFAC: $27.86 Aetna — Medicare Advantage-FAC: $28.81 Aetna — Medicare Advantage-NONFAC: $28.81 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $18.90 Aetna Better Health — Medicaid HMO-Child-NONFAC: $18.90 Amerihealth Caritas — Dual Products-FAC: $28.23 Amerihealth Caritas — Dual Products-NONFAC: $28.23 Blue Cross — BCBSM Commercial: $31.42 Blue Cross — BCN Commercial-FAC: $31.77 Blue Cross — BCN Commercial-NONFAC: $31.77
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	$118	$39.76	$47.20 – $93.11
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — Commercial: $74.72 Aetna — Dual Products: $41.04 Aetna — Medicare Advantage: $37.31 Aetna Better Health — Medicaid HMO: $15.37 Amerihealth Caritas — Dual Products: $47.20 BCN — HMO: $48.18 Blue Cross — BCBSM Commercial: $48.18 Blue Cross — BCBSM GM Connected Care: $44.97 Blue Cross — BCN Advantage: $37.31 Blue Cross — BCN Commercial: $48.18
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	$118	$39.76	$26.56 – $44.77
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — Commercial: $74.72 Aetna — Dual Products: $41.04 Aetna — Medicare Advantage: $37.31 Aetna Better Health — Medicaid HMO: $15.37 Amerihealth Caritas — Dual Products: $47.20 BCN — HMO: $48.18 Blue Cross — BCBSM Commercial: $48.18 Blue Cross — BCBSM GM Connected Care: $44.97 Blue Cross — BCN Advantage: $37.31 Blue Cross — BCN Commercial: $48.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL/LOW COMPLEXITY	$300	$133.14	$120 – $236.73
Physical therapy evaluation (low complexity): 10 of 41 insurance plan rates Aetna — Commercial: $189.96 Aetna — Dual Products: $139.07 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.47 Amerihealth Caritas — Dual Products: $120 BCN — HMO: $142.35 Blue Cross — BCBSM Commercial: $142.35 Blue Cross — BCBSM GM Connected Care: $132.85 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.35
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	$133.14	$90.56 – $151.72
Physical therapy evaluation (low complexity): 10 of 41 insurance plan rates Aetna — Commercial: $189.96 Aetna — Dual Products: $139.07 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.47 Amerihealth Caritas — Dual Products: $120 BCN — HMO: $142.35 Blue Cross — BCBSM Commercial: $142.35 Blue Cross — BCBSM GM Connected Care: $132.85 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL/ MOD COMPLEXITY	$338	$133.14	$90.56 – $151.72
Physical therapy evaluation (moderate complexity): 10 of 41 insurance plan rates Aetna — Commercial: $214.02 Aetna — Dual Products: $139.07 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.47 Amerihealth Caritas — Dual Products: $135.20 BCN — HMO: $142.35 Blue Cross — BCBSM Commercial: $142.35 Blue Cross — BCBSM GM Connected Care: $132.85 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.35
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)	$338	$133.14	$90.56 – $151.72
Physical therapy evaluation (moderate complexity): 10 of 41 insurance plan rates Aetna — Commercial: $214.02 Aetna — Dual Products: $139.07 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.47 Amerihealth Caritas — Dual Products: $135.20 BCN — HMO: $142.35 Blue Cross — BCBSM Commercial: $142.35 Blue Cross — BCBSM GM Connected Care: $132.85 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL/ HIGH COMPLEXITY	$377	$133.14	$90.56 – $151.72
Physical therapy evaluation (high complexity): 10 of 41 insurance plan rates Aetna — Commercial: $238.72 Aetna — Dual Products: $139.07 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.47 Amerihealth Caritas — Dual Products: $150.80 BCN — HMO: $142.35 Blue Cross — BCBSM Commercial: $142.35 Blue Cross — BCBSM GM Connected Care: $132.85 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.35
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)	$377	$133.14	$90.56 – $151.72
Physical therapy evaluation (high complexity): 10 of 41 insurance plan rates Aetna — Commercial: $238.72 Aetna — Dual Products: $139.07 Aetna — Medicare Advantage: $126.43 Aetna Better Health — Medicaid HMO: $51.47 Amerihealth Caritas — Dual Products: $150.80 BCN — HMO: $142.35 Blue Cross — BCBSM Commercial: $142.35 Blue Cross — BCBSM GM Connected Care: $132.85 Blue Cross — BCN Advantage: $126.43 Blue Cross — BCN Commercial: $142.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY PATIENT 30 MINUTES	$112	$95.98	$44.30 – $150.45
Psychotherapy, 30 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $107.84 Aetna — Medicare Advantage-FAC: $69.55 Aetna — Medicare Advantage-NONFAC: $85.34 Aetna Better Health — Medicaid HMO-Adult-FAC: $45.19 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $55.83 Aetna Better Health — Medicaid HMO-Child-FAC: $47.77 Aetna Better Health — Medicaid HMO-Child-NONFAC: $58.09 Amerihealth Caritas — Dual Products-FAC: $68.16 Amerihealth Caritas — Dual Products-NONFAC: $83.63 Blue Cross — BCBSM Commercial: $98.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY PATIENT 30 MIN (HFWY)	$112	$95.98	$44.30 – $150.45
Psychotherapy, 30 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $107.84 Aetna — Medicare Advantage-FAC: $69.55 Aetna — Medicare Advantage-NONFAC: $85.34 Aetna Better Health — Medicaid HMO-Adult-FAC: $45.19 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $55.83 Aetna Better Health — Medicaid HMO-Child-FAC: $47.77 Aetna Better Health — Medicaid HMO-Child-NONFAC: $58.09 Amerihealth Caritas — Dual Products-FAC: $68.16 Amerihealth Caritas — Dual Products-NONFAC: $83.63 Blue Cross — BCBSM Commercial: $98.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SA PSYCH THERAPY PATIENT 30 MIN	$112	$95.98	$44.30 – $150.45
Psychotherapy, 30 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $107.84 Aetna — Medicare Advantage-FAC: $69.55 Aetna — Medicare Advantage-NONFAC: $85.34 Aetna Better Health — Medicaid HMO-Adult-FAC: $45.19 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $55.83 Aetna Better Health — Medicaid HMO-Child-FAC: $47.77 Aetna Better Health — Medicaid HMO-Child-NONFAC: $58.09 Amerihealth Caritas — Dual Products-FAC: $68.16 Amerihealth Caritas — Dual Products-NONFAC: $83.63 Blue Cross — BCBSM Commercial: $98.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY PATIENT 45 MINUTES	$163	$127.11	$58.58 – $199.92
Psychotherapy, 45 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $142.88 Aetna — Medicare Advantage-FAC: $92.11 Aetna — Medicare Advantage-NONFAC: $113.39 Aetna Better Health — Medicaid HMO-Adult-FAC: $59.75 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $74.08 Aetna Better Health — Medicaid HMO-Child-FAC: $63.17 Aetna Better Health — Medicaid HMO-Child-NONFAC: $77.08 Amerihealth Caritas — Dual Products-FAC: $90.27 Amerihealth Caritas — Dual Products-NONFAC: $111.12 Blue Cross — BCBSM Commercial: $130.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY PATIENT 45 MIN (HFWY)	$163	$127.11	$58.58 – $199.92
Psychotherapy, 45 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $142.88 Aetna — Medicare Advantage-FAC: $92.11 Aetna — Medicare Advantage-NONFAC: $113.39 Aetna Better Health — Medicaid HMO-Adult-FAC: $59.75 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $74.08 Aetna Better Health — Medicaid HMO-Child-FAC: $63.17 Aetna Better Health — Medicaid HMO-Child-NONFAC: $77.08 Amerihealth Caritas — Dual Products-FAC: $90.27 Amerihealth Caritas — Dual Products-NONFAC: $111.12 Blue Cross — BCBSM Commercial: $130.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SA PSYCH THERAPY W/PATIENT 45 MIN	$163	$127.11	$58.58 – $199.92
Psychotherapy, 45 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $142.88 Aetna — Medicare Advantage-FAC: $92.11 Aetna — Medicare Advantage-NONFAC: $113.39 Aetna Better Health — Medicaid HMO-Adult-FAC: $59.75 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $74.08 Aetna Better Health — Medicaid HMO-Child-FAC: $63.17 Aetna Better Health — Medicaid HMO-Child-NONFAC: $77.08 Amerihealth Caritas — Dual Products-FAC: $90.27 Amerihealth Caritas — Dual Products-NONFAC: $111.12 Blue Cross — BCBSM Commercial: $130.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY PATIENT 60 MINUTES	$306	$186.91	$86.27 – $293.32
Psychotherapy, 60 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $209.94 Aetna — Medicare Advantage-FAC: $135.44 Aetna — Medicare Advantage-NONFAC: $166.06 Aetna Better Health — Medicaid HMO-Adult-FAC: $88 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $108.63 Aetna Better Health — Medicaid HMO-Child-FAC: $93 Aetna Better Health — Medicaid HMO-Child-NONFAC: $113.03 Amerihealth Caritas — Dual Products-FAC: $132.73 Amerihealth Caritas — Dual Products-NONFAC: $162.74 Blue Cross — BCBSM Commercial: $191.94
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY PATIENT 60 MIN (HFWY)	$306	$186.91	$86.27 – $293.32
Psychotherapy, 60 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $209.94 Aetna — Medicare Advantage-FAC: $135.44 Aetna — Medicare Advantage-NONFAC: $166.06 Aetna Better Health — Medicaid HMO-Adult-FAC: $88 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $108.63 Aetna Better Health — Medicaid HMO-Child-FAC: $93 Aetna Better Health — Medicaid HMO-Child-NONFAC: $113.03 Amerihealth Caritas — Dual Products-FAC: $132.73 Amerihealth Caritas — Dual Products-NONFAC: $162.74 Blue Cross — BCBSM Commercial: $191.94
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SA PSYCH THERAPY PATIENT 60 MIN	$225	$186.91	$86.27 – $293.32
Psychotherapy, 60 minutes: 10 of 94 insurance plan rates Aetna — All Products-NONFAC: $209.94 Aetna — Medicare Advantage-FAC: $135.44 Aetna — Medicare Advantage-NONFAC: $166.06 Aetna Better Health — Medicaid HMO-Adult-FAC: $88 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $108.63 Aetna Better Health — Medicaid HMO-Child-FAC: $93 Aetna Better Health — Medicaid HMO-Child-NONFAC: $113.03 Amerihealth Caritas — Dual Products-FAC: $132.73 Amerihealth Caritas — Dual Products-NONFAC: $162.74 Blue Cross — BCBSM Commercial: $191.94
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	$193	$137.52	$68.87 – $216.31
Family psychotherapy, without the patient: 10 of 68 insurance plan rates Aetna — All Products-NONFAC: $137.09 Aetna — Medicare Advantage-FAC: $99.65 Aetna — Medicare Advantage-NONFAC: $106.10 Amerihealth Caritas — Dual Products-FAC: $97.66 Amerihealth Caritas — Dual Products-NONFAC: $103.98 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: $99.65 Blue Cross — BCN Medicare Advantage -NONFAC: $106.10
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCH THERAPY W/O PTNT 50 MIN (HFWY)	$193	$137.52	$68.87 – $216.31
Family psychotherapy, without the patient: 10 of 68 insurance plan rates Aetna — All Products-NONFAC: $137.09 Aetna — Medicare Advantage-FAC: $99.65 Aetna — Medicare Advantage-NONFAC: $106.10 Amerihealth Caritas — Dual Products-FAC: $97.66 Amerihealth Caritas — Dual Products-NONFAC: $103.98 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: $99.65 Blue Cross — BCN Medicare Advantage -NONFAC: $106.10
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SA FAMILY PSYCHOTHERAPY W/O PT 50 MINS	$193	$137.52	$68.87 – $216.31
Family psychotherapy, without the patient: 10 of 68 insurance plan rates Aetna — All Products-NONFAC: $137.09 Aetna — Medicare Advantage-FAC: $99.65 Aetna — Medicare Advantage-NONFAC: $106.10 Amerihealth Caritas — Dual Products-FAC: $97.66 Amerihealth Caritas — Dual Products-NONFAC: $103.98 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: $99.65 Blue Cross — BCN Medicare Advantage -NONFAC: $106.10
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	$142.28	$65.60 – $225.39
Family psychotherapy, with the patient: 10 of 95 insurance plan rates Aetna — All Products-NONFAC: $142.83 Aetna — Medicare Advantage-FAC: $103.10 Aetna — Medicare Advantage-NONFAC: $109.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $66.91 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $71.26 Aetna Better Health — Medicaid HMO-Child-FAC: $70.73 Aetna Better Health — Medicaid HMO-Child-NONFAC: $74.94 Amerihealth Caritas — Dual Products-FAC: $101.04 Amerihealth Caritas — Dual Products-NONFAC: $107.36 Blue Cross — BCBSM Commercial: $128.94
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCH THERAPY W/ PTNT 50 MIN (HFWY)	$195	$142.28	$65.60 – $225.39
Family psychotherapy, with the patient: 10 of 95 insurance plan rates Aetna — All Products-NONFAC: $142.83 Aetna — Medicare Advantage-FAC: $103.10 Aetna — Medicare Advantage-NONFAC: $109.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $66.91 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $71.26 Aetna Better Health — Medicaid HMO-Child-FAC: $70.73 Aetna Better Health — Medicaid HMO-Child-NONFAC: $74.94 Amerihealth Caritas — Dual Products-FAC: $101.04 Amerihealth Caritas — Dual Products-NONFAC: $107.36 Blue Cross — BCBSM Commercial: $128.94
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SA FAMILY PSYCH THERAPY W/PATIENT 50 MIN	$195	$142.28	$65.60 – $225.39
Family psychotherapy, with the patient: 10 of 95 insurance plan rates Aetna — All Products-NONFAC: $142.83 Aetna — Medicare Advantage-FAC: $103.10 Aetna — Medicare Advantage-NONFAC: $109.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $66.91 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $71.26 Aetna Better Health — Medicaid HMO-Child-FAC: $70.73 Aetna Better Health — Medicaid HMO-Child-NONFAC: $74.94 Amerihealth Caritas — Dual Products-FAC: $101.04 Amerihealth Caritas — Dual Products-NONFAC: $107.36 Blue Cross — BCBSM Commercial: $128.94
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$103	$33.88	$15.55 – $58.76
Group psychotherapy: 10 of 95 insurance plan rates Aetna — All Products-NONFAC: $38.39 Aetna — Medicare Advantage-FAC: $24.55 Aetna — Medicare Advantage-NONFAC: $30.36 Aetna Better Health — Medicaid HMO-Adult-FAC: $15.86 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $19.77 Aetna Better Health — Medicaid HMO-Child-FAC: $16.77 Aetna Better Health — Medicaid HMO-Child-NONFAC: $20.56 Amerihealth Caritas — Dual Products-FAC: $24.06 Amerihealth Caritas — Dual Products-NONFAC: $29.75 Blue Cross — BCBSM Commercial: $34.86
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR DIDACTIC GROUP PSYCHIATRY	$103	$33.88	$15.55 – $58.76
Group psychotherapy: 10 of 95 insurance plan rates Aetna — All Products-NONFAC: $38.39 Aetna — Medicare Advantage-FAC: $24.55 Aetna — Medicare Advantage-NONFAC: $30.36 Aetna Better Health — Medicaid HMO-Adult-FAC: $15.86 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $19.77 Aetna Better Health — Medicaid HMO-Child-FAC: $16.77 Aetna Better Health — Medicaid HMO-Child-NONFAC: $20.56 Amerihealth Caritas — Dual Products-FAC: $24.06 Amerihealth Caritas — Dual Products-NONFAC: $29.75 Blue Cross — BCBSM Commercial: $34.86
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCH THERAPY (HFWY)	$103	$33.88	$15.55 – $58.76
Group psychotherapy: 10 of 95 insurance plan rates Aetna — All Products-NONFAC: $38.39 Aetna — Medicare Advantage-FAC: $24.55 Aetna — Medicare Advantage-NONFAC: $30.36 Aetna Better Health — Medicaid HMO-Adult-FAC: $15.86 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $19.77 Aetna Better Health — Medicaid HMO-Child-FAC: $16.77 Aetna Better Health — Medicaid HMO-Child-NONFAC: $20.56 Amerihealth Caritas — Dual Products-FAC: $24.06 Amerihealth Caritas — Dual Products-NONFAC: $29.75 Blue Cross — BCBSM Commercial: $34.86

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	$600.60	$260.07 – $1,150.45
Removal of breast growth (open surgery): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $761.71 Aetna — Medicare Advantage-FAC: $435.22 Aetna — Medicare Advantage-NONFAC: $594.76 Aetna Better Health — Medicaid HMO-Adult-FAC: $265.27 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $372.82 Aetna Better Health — Medicaid HMO-Child-FAC: $265.27 Aetna Better Health — Medicaid HMO-Child-NONFAC: $372.82 Amerihealth Caritas — Dual Products-FAC: $426.52 Amerihealth Caritas — Dual Products-NONFAC: $582.86 Blue Cross — BCBSM Commercial: $837.78
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EXCISE BREAST CYST	$3,528	$5,383.86	$409.21 – $8,973.11
Removal of breast growth (open surgery): 10 of 44 insurance plan rates Aetna — Commercial: $4,112 Aetna — Dual Products: $4,291.49 Aetna — Medicare Advantage: $3,901.35 Aetna Better Health — Medicaid HMO: $2,133.97 Amerihealth Caritas — Dual Products: $3,823.32 BCN — HMO: $3,528 Blue Cross — BCBSM Commercial: $3,528 Blue Cross — BCBSM GM Connected Care: $3,528 Blue Cross — BCN Advantage: $3,901.35 Blue Cross — BCN Commercial: $3,528
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TOTAL HIP ARTHROPLASTY	$4,510	$1,712.88	$741.03 – $3,349.72
Total hip replacement: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $2,136.86 Aetna — Medicare Advantage-FAC: $1,241.22 Aetna — Medicare Advantage-NONFAC: $1,241.22 Aetna Better Health — Medicaid HMO-Adult-FAC: $755.85 Aetna Better Health — Medicaid HMO-Child-FAC: $755.85 Amerihealth Caritas — Dual Products-FAC: $1,216.40 Amerihealth Caritas — Dual Products-NONFAC: $1,216.40 Blue Cross — BCBSM Commercial: $2,260.24 Blue Cross — BCN Commercial-FAC: $2,277.79 Blue Cross — BCN Commercial-NONFAC: $2,277.79
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	$17,653.66	$1,239.12 – $29,422.77
Total hip replacement: 10 of 40 insurance plan rates Aetna — Commercial: $5,757 Aetna — Dual Products: $14,071.77 Aetna — Medicare Advantage: $12,792.51 Aetna Better Health — Medicaid HMO: $6,997.27 Amerihealth Caritas — Dual Products: $12,536.66 BCN — HMO: $30,184.28 Blue Cross — BCBSM Commercial: $30,184.28 Blue Cross — BCBSM GM Connected Care: $29,537.06 Blue Cross — BCN Advantage: $12,792.51 Blue Cross — BCN Commercial: $30,184.28
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TOTAL KNEE ARTHROPLASTY	$4,510	$1,708.33	$739.32 – $3,345.91
Total knee replacement: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $2,134.69 Aetna — Medicare Advantage-FAC: $1,237.92 Aetna — Medicare Advantage-NONFAC: $1,237.92 Aetna Better Health — Medicaid HMO-Adult-FAC: $754.11 Aetna Better Health — Medicaid HMO-Child-FAC: $754.11 Amerihealth Caritas — Dual Products-FAC: $1,213.16 Amerihealth Caritas — Dual Products-NONFAC: $1,213.16 Blue Cross — BCBSM Commercial: $2,256.73 Blue Cross — BCN Commercial-FAC: $2,274.87 Blue Cross — BCN Commercial-NONFAC: $2,274.87
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	$17,653.66	$1,237.44 – $29,422.77
Total knee replacement: 10 of 39 insurance plan rates Aetna — Commercial: $5,757 Aetna — Dual Products: $14,071.77 Aetna — Medicare Advantage: $12,792.51 Aetna Better Health — Medicaid HMO: $6,997.27 Amerihealth Caritas — Dual Products: $12,536.66 BCN — HMO: $29,434.36 Blue Cross — BCBSM Commercial: $29,434.36 Blue Cross — BCBSM GM Connected Care: $28,803.22 Blue Cross — BCN Advantage: $12,792.51 Blue Cross — BCN Commercial: $29,434.36
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHROSCOPY SHLDR PART ACROMIOPLASTY	$590	$220.61	$94.15 – $1,424.81
Shoulder arthroscopy: shaving of shoulder bone: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $286.95 Aetna — Medicare Advantage-FAC: $159.86 Aetna — Medicare Advantage-NONFAC: $159.86 Aetna Better Health — Medicaid HMO-Adult-FAC: $96.03 Aetna Better Health — Medicaid HMO-Child-FAC: $96.03 Amerihealth Caritas — Dual Products-FAC: $156.66 Amerihealth Caritas — Dual Products-NONFAC: $156.66 Blue Cross — BCBSM Commercial: $214.20 Blue Cross — BCN Commercial-FAC: $216.30 Blue Cross — BCN Commercial-NONFAC: $216.30
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	$220.61	$187.58 – $5,742.20
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans BCN — HMO: $5,339.22 Blue Cross — BCBSM Commercial: $5,742.20 Blue Cross — BCBSM GM Connected Care: $5,224.74 Blue Cross — BCN Commercial: $5,742.20 HAP — HAP HMO_AHL_Fully Insured: $287 HAP — Self-Funded: $416.90 Humana Military — Tricare: $165.48 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	$744.34	$328.87 – $1,406.47
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $899.33 Aetna — Medicare Advantage-FAC: $539.38 Aetna — Medicare Advantage-NONFAC: $539.38 Aetna Better Health — Medicaid HMO-Adult-FAC: $335.45 Aetna Better Health — Medicaid HMO-Child-FAC: $335.45 Amerihealth Caritas — Dual Products-FAC: $528.59 Amerihealth Caritas — Dual Products-NONFAC: $528.59 Blue Cross — BCBSM Commercial: $965.42 Blue Cross — BCN Commercial-FAC: $973.61 Blue Cross — BCN Commercial-NONFAC: $973.61
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	$4,499.12	$522.09 – $8,514
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 38 insurance plan rates Aetna — Dual Products: $3,586.26 Aetna — Medicare Advantage: $3,260.23 Aetna Better Health — Medicaid HMO: $1,783.29 Amerihealth Caritas — Dual Products: $3,195.03 BCN — HMO: $5,348.95 Blue Cross — BCBSM Commercial: $5,752.67 Blue Cross — BCBSM GM Connected Care: $5,234.26 Blue Cross — BCN Advantage: $3,260.23 Blue Cross — BCN Commercial: $5,752.67 Blue Cross — Medicare Plus Blue: $3,260.23
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	$373.62	$166.35 – $831.73
Removal of tonsils and adenoids (under age 12): 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $465.50 Aetna — Medicare Advantage-FAC: $270.74 Aetna — Medicare Advantage-NONFAC: $270.74 Aetna Better Health — Medicaid HMO-Adult-FAC: $169.68 Aetna Better Health — Medicaid HMO-Child-FAC: $169.68 Amerihealth Caritas — Dual Products-FAC: $265.33 Amerihealth Caritas — Dual Products-NONFAC: $265.33 Blue Cross — BCBSM Commercial: $471.35 Blue Cross — BCN Commercial-FAC: $473.48 Blue Cross — BCN Commercial-NONFAC: $473.48
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	$8,139.99	$276.28 – $13,566.64
Removal of tonsils and adenoids (under age 12): 10 of 39 insurance plan rates Aetna — Commercial: $4,112 Aetna — Dual Products: $6,488.40 Aetna — Medicare Advantage: $5,898.54 Aetna Better Health — Medicaid HMO: $3,226.39 Amerihealth Caritas — Dual Products: $5,780.57 BCN — HMO: $4,690.47 Blue Cross — BCBSM Commercial: $5,044.48 Blue Cross — BCBSM GM Connected Care: $4,589.89 Blue Cross — BCN Advantage: $5,898.54 Blue Cross — BCN Commercial: $5,044.48
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EGD TRANSORAL DIAGNOSTIC	$410	$158.49	$70.50 – $471.03
Upper GI endoscopy (diagnostic): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $447.04 Aetna — Medicare Advantage-FAC: $114.85 Aetna — Medicare Advantage-NONFAC: $319.52 Aetna Better Health — Medicaid HMO-Adult-FAC: $71.91 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $209.88 Aetna Better Health — Medicaid HMO-Child-FAC: $71.91 Aetna Better Health — Medicaid HMO-Child-NONFAC: $209.88 Amerihealth Caritas — Dual Products-FAC: $112.55 Amerihealth Caritas — Dual Products-NONFAC: $313.13 Blue Cross — BCBSM Commercial: $459.63
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EGD, FLEX. TRANSORAL ; DIAGNOSTIC	$2,148	$1,247.13	$114.03 – $2,078.56
Upper GI endoscopy (diagnostic): 10 of 44 insurance plan rates Aetna — Commercial: $2,056 Aetna — Dual Products: $994.10 Aetna — Medicare Advantage: $903.72 Aetna Better Health — Medicaid HMO: $494.32 Amerihealth Caritas — Dual Products: $885.65 BCN — HMO: $1,158.63 Blue Cross — BCBSM Commercial: $1,158.63 Blue Cross — BCBSM GM Connected Care: $1,133.78 Blue Cross — BCN Advantage: $903.72 Blue Cross — BCN Commercial: $1,158.63
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	$177.30	$78.81 – $600.77
Upper GI endoscopy with biopsy: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $583.23 Aetna — Medicare Advantage-FAC: $128.48 Aetna — Medicare Advantage-NONFAC: $413.41 Aetna Better Health — Medicaid HMO-Adult-FAC: $80.39 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $272.44 Aetna Better Health — Medicaid HMO-Child-FAC: $80.39 Aetna Better Health — Medicaid HMO-Child-NONFAC: $272.44 Amerihealth Caritas — Dual Products-FAC: $125.91 Amerihealth Caritas — Dual Products-NONFAC: $405.14 Blue Cross — BCBSM Commercial: $600.77
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	$1,247.13	$127.82 – $2,877
Upper GI endoscopy with biopsy: 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $994.10 Aetna — Medicare Advantage: $903.72 Aetna Better Health — Medicaid HMO: $494.32 Amerihealth Caritas — Dual Products: $885.65 BCN — HMO: $1,406.10 Blue Cross — BCBSM Commercial: $1,406.10 Blue Cross — BCBSM GM Connected Care: $1,375.95 Blue Cross — BCN Advantage: $903.72 Blue Cross — BCN Commercial: $1,406.10
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLEXIBLE DIAGNOSTIC	$620	$238.04	$105.01 – $626.56
Colonoscopy (diagnostic): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $530.99 Aetna — Medicare Advantage-FAC: $172.49 Aetna — Medicare Advantage-NONFAC: $378.46 Aetna Better Health — Medicaid HMO-Adult-FAC: $107.11 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $245.94 Aetna Better Health — Medicaid HMO-Child-FAC: $107.11 Aetna Better Health — Medicaid HMO-Child-NONFAC: $245.94 Amerihealth Caritas — Dual Products-FAC: $169.04 Amerihealth Caritas — Dual Products-NONFAC: $370.89 Blue Cross — BCBSM Commercial: $542.72
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY, FLEXIBLE DIAGNOSTIC	$1,756	$1,278.72	$171.81 – $2,877
Colonoscopy (diagnostic): 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $1,019.27 Aetna — Medicare Advantage: $926.61 Aetna Better Health — Medicaid HMO: $506.84 Amerihealth Caritas — Dual Products: $908.08 BCN — HMO: $1,312.36 Blue Cross — BCBSM Commercial: $1,312.36 Blue Cross — BCBSM GM Connected Care: $1,284.22 Blue Cross — BCN Advantage: $926.61 Blue Cross — BCN Commercial: $1,312.36
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SGL/MULTI	$670	$256.18	$113.32 – $746.49
Colonoscopy with biopsy: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $675.61 Aetna — Medicare Advantage-FAC: $185.64 Aetna — Medicare Advantage-NONFAC: $477.34 Aetna Better Health — Medicaid HMO-Adult-FAC: $115.59 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $312.20 Aetna Better Health — Medicaid HMO-Child-FAC: $115.59 Aetna Better Health — Medicaid HMO-Child-NONFAC: $312.20 Amerihealth Caritas — Dual Products-FAC: $181.93 Amerihealth Caritas — Dual Products-NONFAC: $467.79 Blue Cross — BCBSM Commercial: $691.85
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/BIOPSY SGL/MULTI	$2,184	$1,645.43	$186.93 – $2,877
Colonoscopy with biopsy: 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $1,311.57 Aetna — Medicare Advantage: $1,192.34 Aetna Better Health — Medicaid HMO: $652.19 Amerihealth Caritas — Dual Products: $1,168.49 BCN — HMO: $1,439.85 Blue Cross — BCBSM Commercial: $1,439.85 Blue Cross — BCBSM GM Connected Care: $1,408.97 Blue Cross — BCN Advantage: $1,192.34 Blue Cross — BCN Commercial: $1,439.85
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	$321.72	$142.50 – $841.87
Colonoscopy with removal of polyps (snare): 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $710.15 Aetna — Medicare Advantage-FAC: $233.13 Aetna — Medicare Advantage-NONFAC: $500.01 Aetna Better Health — Medicaid HMO-Adult-FAC: $145.35 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $325.24 Aetna Better Health — Medicaid HMO-Child-FAC: $145.35 Aetna Better Health — Medicaid HMO-Child-NONFAC: $325.24 Amerihealth Caritas — Dual Products-FAC: $228.47 Amerihealth Caritas — Dual Products-NONFAC: $490.01 Blue Cross — BCBSM Commercial: $724.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W SNARE	$2,204	$1,645.43	$234.87 – $2,877
Colonoscopy with removal of polyps (snare): 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $1,311.57 Aetna — Medicare Advantage: $1,192.34 Aetna Better Health — Medicaid HMO: $652.19 Amerihealth Caritas — Dual Products: $1,168.49 BCN — HMO: $1,439.85 Blue Cross — BCBSM Commercial: $1,439.85 Blue Cross — BCBSM GM Connected Care: $1,408.97 Blue Cross — BCN Advantage: $1,192.34 Blue Cross — BCN Commercial: $1,439.85
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	$324.70	$144.20 – $720.41
Ultrasound of the lower bowel by endoscope: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $406.90 Aetna — Medicare Advantage-FAC: $235.29 Aetna — Medicare Advantage-NONFAC: $235.29 Aetna Better Health — Medicaid HMO-Adult-FAC: $147.08 Aetna Better Health — Medicaid HMO-Child-FAC: $147.08 Amerihealth Caritas — Dual Products-FAC: $230.58 Amerihealth Caritas — Dual Products-NONFAC: $230.58 Blue Cross — BCBSM Commercial: $404.24 Blue Cross — BCN Commercial-FAC: $405.31 Blue Cross — BCN Commercial-NONFAC: $405.31
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY COLONOSCOPY W/ENDOSCOPE US EXAM	$2,446	$1,645.43	$237.41 – $6,624
Ultrasound of the lower bowel by endoscope: 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $1,311.57 Aetna — Medicare Advantage: $1,192.34 Aetna Better Health — Medicaid HMO: $652.19 Amerihealth Caritas — Dual Products: $1,168.49 BCN — HMO: $1,440.45 Blue Cross — BCBSM Commercial: $1,440.45 Blue Cross — BCBSM GM Connected Care: $1,409.56 Blue Cross — BCN Advantage: $1,192.34 Blue Cross — BCN Commercial: $1,440.45
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	$238.82	$105.22 – $626.56
Screening colonoscopy (not high risk): 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $421.18 Aetna — Medicare Advantage-FAC: $173.06 Aetna — Medicare Advantage-NONFAC: $379.02 Aetna Better Health — Medicaid HMO-Adult-FAC: $107.32 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $246.16 Aetna Better Health — Medicaid HMO-Child-FAC: $107.32 Aetna Better Health — Medicaid HMO-Child-NONFAC: $246.16 Amerihealth Caritas — Dual Products-FAC: $169.60 Amerihealth Caritas — Dual Products-NONFAC: $371.44 Blue Cross — BCBSM Commercial: $543.25
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CA SCREEN COLONOSCOPY - NOT HIGH RISK	$1,392	$1,278.72	$117.66 – $1,704.96
Screening colonoscopy (not high risk): 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $1,019.27 Aetna — Medicare Advantage: $926.61 Aetna Better Health — Medicaid HMO: $506.84 Amerihealth Caritas — Dual Products: $908.08 BCN — HMO: $1,312.36 Blue Cross — BCBSM Commercial: $1,312.36 Blue Cross — BCBSM GM Connected Care: $1,284.22 Blue Cross — BCN Advantage: $926.61 Blue Cross — BCN Commercial: $1,312.36
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPAROSCOPIC CHOLECYSTECTOMY	$2,240	$946.76	$403 – $1,952.77
Gallbladder removal by laparoscope: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $1,065.85 Aetna — Medicare Advantage-FAC: $686.06 Aetna — Medicare Advantage-NONFAC: $686.06 Aetna Better Health — Medicaid HMO-Adult-FAC: $411.06 Aetna Better Health — Medicaid HMO-Child-FAC: $411.06 Amerihealth Caritas — Dual Products-FAC: $672.34 Amerihealth Caritas — Dual Products-NONFAC: $672.34 Blue Cross — BCBSM Commercial: $1,060.94 Blue Cross — BCN Commercial-FAC: $1,068.40 Blue Cross — BCN Commercial-NONFAC: $1,068.40
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	$8,312.83	$650.97 – $13,854.72
Gallbladder removal by laparoscope: 10 of 39 insurance plan rates Aetna — Commercial: $5,757 Aetna — Dual Products: $6,626.17 Aetna — Medicare Advantage: $6,023.79 Aetna Better Health — Medicaid HMO: $3,294.90 Amerihealth Caritas — Dual Products: $5,903.31 BCN — HMO: $8,435.34 Blue Cross — BCBSM Commercial: $9,072 Blue Cross — BCBSM GM Connected Care: $8,254.47 Blue Cross — BCN Advantage: $6,023.79 Blue Cross — BCN Commercial: $9,072
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	$757.19	$323.97 – $1,548.23
Groin (inguinal) hernia repair, age 5 or older: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $845.01 Aetna — Medicare Advantage-FAC: $548.69 Aetna — Medicare Advantage-NONFAC: $548.69 Aetna Better Health — Medicaid HMO-Adult-FAC: $330.45 Aetna Better Health — Medicaid HMO-Child-FAC: $330.45 Amerihealth Caritas — Dual Products-FAC: $537.72 Amerihealth Caritas — Dual Products-NONFAC: $537.72 Blue Cross — BCBSM Commercial: $842.57 Blue Cross — BCN Commercial-FAC: $848.96 Blue Cross — BCN Commercial-NONFAC: $848.96
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	$4,923.19	$515.09 – $8,514
Groin (inguinal) hernia repair, age 5 or older: 10 of 38 insurance plan rates Aetna — Dual Products: $3,924.28 Aetna — Medicare Advantage: $3,567.53 Aetna Better Health — Medicaid HMO: $1,951.37 Amerihealth Caritas — Dual Products: $3,496.18 BCN — HMO: $6,378.73 Blue Cross — BCBSM Commercial: $6,860.16 Blue Cross — BCBSM GM Connected Care: $6,241.95 Blue Cross — BCN Advantage: $3,567.53 Blue Cross — BCN Commercial: $6,860.16 Blue Cross — Medicare Plus Blue: $3,567.53
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	$342.21 – $2,791.55
Prostate biopsy: rates for 8 insurance plans BCN — HMO: $2,595.64 Blue Cross — BCBSM Commercial: $2,791.55 Blue Cross — BCBSM GM Connected Care: $2,539.99 Blue Cross — BCN Commercial: $2,791.55 HAP — HAP HMO_AHL_Fully Insured: $342.21 HAP — Self-Funded: $497.11 Humana Military — Tricare: $120.84 Priority Health — Commercial: $2,777.09
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	$1,570.08	$689.91 – $11,108.71
Prostate removal by laparoscope (radical prostatectomy): 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $1,899.26 Aetna — Medicare Advantage-FAC: $1,137.74 Aetna — Medicare Advantage-NONFAC: $1,137.74 Aetna Better Health — Medicaid HMO-Adult-FAC: $703.71 Aetna Better Health — Medicaid HMO-Child-FAC: $703.71 Amerihealth Caritas — Dual Products-FAC: $1,114.99 Amerihealth Caritas — Dual Products-NONFAC: $1,114.99 Blue Cross — BCBSM Commercial: $1,892.33 Blue Cross — BCN Commercial-FAC: $1,904.58 Blue Cross — BCN Commercial-NONFAC: $1,904.58
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	$14,616.42	$1,120.32 – $24,360.70
Prostate removal by laparoscope (radical prostatectomy): 10 of 37 insurance plan rates Aetna — Dual Products: $11,650.77 Aetna — Medicare Advantage: $10,591.61 Aetna Better Health — Medicaid HMO: $5,793.42 Amerihealth Caritas — Dual Products: $10,379.78 BCN — HMO: $23,435 Blue Cross — BCBSM Commercial: $23,435 Blue Cross — BCBSM GM Connected Care: $22,932.50 Blue Cross — BCN Advantage: $10,591.61 Blue Cross — BCN Commercial: $23,435 Blue Cross — Medicare Plus Blue: $10,591.61
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	$302.72	$130.36 – $2,106.43
Hysteroscopy with biopsy of the uterus lining: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $1,979.25 Aetna — Medicare Advantage-FAC: $219.36 Aetna — Medicare Advantage-NONFAC: $1,247.55 Aetna Better Health — Medicaid HMO-Adult-FAC: $132.97 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $826.03 Aetna Better Health — Medicaid HMO-Child-FAC: $132.97 Aetna Better Health — Medicaid HMO-Child-NONFAC: $826.03 Amerihealth Caritas — Dual Products-FAC: $214.97 Amerihealth Caritas — Dual Products-NONFAC: $1,222.60 Blue Cross — BCBSM Commercial: $2,106.43
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	$4,451.18	$221.20 – $7,418.63
Hysteroscopy with biopsy of the uterus lining: 10 of 44 insurance plan rates Aetna — Commercial: $4,112 Aetna — Dual Products: $3,548.03 Aetna — Medicare Advantage: $3,225.49 Aetna Better Health — Medicaid HMO: $1,764.28 Amerihealth Caritas — Dual Products: $3,160.98 BCN — HMO: $2,385 Blue Cross — BCBSM Commercial: $2,385 Blue Cross — BCBSM GM Connected Care: $2,385 Blue Cross — BCN Advantage: $3,225.49 Blue Cross — BCN Commercial: $2,385
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	$127.25	$56.87 – $414.08
Spinal injection, lower back (epidural), with imaging guidance: 10 of 83 insurance plan rates Aetna — All Products-NONFAC: $414.08 Aetna — Medicare Advantage-FAC: $92.21 Aetna — Medicare Advantage-NONFAC: $269.81 Aetna Better Health — Medicaid HMO-Adult-FAC: $58.01 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $177.71 Aetna Better Health — Medicaid HMO-Child-FAC: $58.01 Aetna Better Health — Medicaid HMO-Child-NONFAC: $177.71 Amerihealth Caritas — Dual Products-FAC: $90.37 Amerihealth Caritas — Dual Products-NONFAC: $264.41 Blue Cross — BCBSM Commercial: $413.30
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	$1,186	$970.61	$91.76 – $2,056
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $2,056 Aetna — Dual Products: $773.68 Aetna — Medicare Advantage: $703.34 Aetna Better Health — Medicaid HMO: $384.71 Amerihealth Caritas — Dual Products: $689.27 BCN — HMO: $987.81 Blue Cross — BCBSM Commercial: $987.81 Blue Cross — BCBSM GM Connected Care: $966.63 Blue Cross — BCN Advantage: $703.34 Blue Cross — BCN Commercial: $987.81
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	$141.19	$63.47 – $394.79
Nerve root injection, lower back, with imaging guidance: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $394.79 Aetna — Medicare Advantage-FAC: $102.31 Aetna — Medicare Advantage-NONFAC: $261.86 Aetna Better Health — Medicaid HMO-Adult-FAC: $64.74 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $172.29 Aetna Better Health — Medicaid HMO-Child-FAC: $64.74 Aetna Better Health — Medicaid HMO-Child-NONFAC: $172.29 Amerihealth Caritas — Dual Products-FAC: $100.26 Amerihealth Caritas — Dual Products-NONFAC: $256.62 Blue Cross — BCBSM Commercial: $394.12
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	$991	$1,216.18	$69.56 – $1,621.57
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $2,056 Aetna — Dual Products: $969.42 Aetna — Medicare Advantage: $881.29 Aetna Better Health — Medicaid HMO: $482.05 Amerihealth Caritas — Dual Products: $863.66 BCN — HMO: $991 Blue Cross — BCBSM Commercial: $991 Blue Cross — BCBSM GM Connected Care: $991 Blue Cross — BCN Advantage: $881.29 Blue Cross — BCN Commercial: $991
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REVISE MEDIAN NERVE AT CARPAL TUNNEL	$1,400	$604.29	$269.87 – $1,192.45
Carpal tunnel release: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $734.61 Aetna — Medicare Advantage-FAC: $437.89 Aetna — Medicare Advantage-NONFAC: $495.26 Aetna Better Health — Medicaid HMO-Adult-FAC: $275.27 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $313.95 Aetna Better Health — Medicaid HMO-Child-FAC: $275.27 Aetna Better Health — Medicaid HMO-Child-NONFAC: $313.95 Amerihealth Caritas — Dual Products-FAC: $429.13 Amerihealth Caritas — Dual Products-NONFAC: $485.35 Blue Cross — BCBSM Commercial: $724.34
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB REVISE MEDIAN N/CARPAL TUNNEL SURG	$3,543	$2,685.07	$419.90 – $4,475.11
Carpal tunnel release: 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $2,140.27 Aetna — Medicare Advantage: $1,945.70 Aetna Better Health — Medicaid HMO: $1,064.27 Amerihealth Caritas — Dual Products: $1,906.79 BCN — HMO: $3,342.36 Blue Cross — BCBSM Commercial: $3,342.36 Blue Cross — BCBSM GM Connected Care: $3,270.69 Blue Cross — BCN Advantage: $1,945.70 Blue Cross — BCN Commercial: $3,342.36
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR DISCISSION 2ND CATARACT LASER SURGERY	$970	$380.19	$175.51 – $987.17
Laser treatment of clouding after cataract surgery: 10 of 84 insurance plan rates Aetna — All Products-NONFAC: $554.80 Aetna — Medicare Advantage-FAC: $275.50 Aetna — Medicare Advantage-NONFAC: $333.52 Aetna Better Health — Medicaid HMO-Adult-FAC: $179.02 Aetna Better Health — Medicaid HMO-Adult-NONFAC: $218.13 Aetna Better Health — Medicaid HMO-Child-FAC: $179.02 Aetna Better Health — Medicaid HMO-Child-NONFAC: $218.13 Amerihealth Caritas — Dual Products-FAC: $269.99 Amerihealth Caritas — Dual Products-NONFAC: $326.85 Blue Cross — BCBSM Commercial: $531.53
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	$1,107	$756.27	$187.32 – $1,008.36
Laser treatment of clouding after cataract surgery: 10 of 44 insurance plan rates Aetna — Commercial: $2,877 Aetna — Dual Products: $602.82 Aetna — Medicare Advantage: $548.02 Aetna Better Health — Medicaid HMO: $299.76 Amerihealth Caritas — Dual Products: $537.06 BCN — HMO: $853.86 Blue Cross — BCBSM Commercial: $853.86 Blue Cross — BCBSM GM Connected Care: $835.55 Blue Cross — BCN Advantage: $548.02 Blue Cross — BCN Commercial: $853.86
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	$645.56	$295.01 – $1,727.07
Cataract removal with lens implant: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $908.03 Aetna — Medicare Advantage-FAC: $467.80 Aetna — Medicare Advantage-NONFAC: $467.80 Aetna Better Health — Medicaid HMO-Adult-FAC: $300.91 Aetna Better Health — Medicaid HMO-Child-FAC: $300.91 Amerihealth Caritas — Dual Products-FAC: $458.44 Amerihealth Caritas — Dual Products-NONFAC: $458.44 Blue Cross — BCBSM Commercial: $859.62 Blue Cross — BCN Commercial-FAC: $859.08 Blue Cross — BCN Commercial-NONFAC: $859.08
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	$3,173.34	$488.99 – $7,103
Cataract removal with lens implant: 10 of 38 insurance plan rates Aetna — Dual Products: $2,529.48 Aetna — Medicare Advantage: $2,299.52 Aetna Better Health — Medicaid HMO: $1,257.79 Amerihealth Caritas — Dual Products: $2,253.53 BCN — HMO: $5,428.22 Blue Cross — BCBSM Commercial: $5,428.22 Blue Cross — BCBSM GM Connected Care: $5,311.83 Blue Cross — BCN Advantage: $2,299.52 Blue Cross — BCN Commercial: $5,428.22 Blue Cross — Medicare Plus Blue: $2,299.52

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	$3,358.99	$2,018.37 – $4,519.83
Vaginal delivery, with care before and after: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $3,500 Aetna — Medicare Advantage-FAC: $2,434.05 Aetna — Medicare Advantage-NONFAC: $2,434.05 Aetna Better Health — Medicaid HMO-Adult-FAC: $2,136.65 Aetna Better Health — Medicaid HMO-Child-FAC: $2,136.65 Amerihealth Caritas — Dual Products-FAC: $2,385.37 Amerihealth Caritas — Dual Products-NONFAC: $2,385.37 Blue Cross — BCBSM Commercial: $3,504.67 Blue Cross — BCN Commercial-FAC: $3,504.67 Blue Cross — BCN Commercial-NONFAC: $3,504.67
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	$3,358.99	$2,691.86 – $12,730.83
Vaginal delivery, with care before and after: rates for 9 insurance plans BCN — HMO: $12,730.83 Blue Cross — BCBSM Commercial: $12,730.83 Blue Cross — BCBSM GM Connected Care: $12,457.85 Blue Cross — BCN Commercial: $12,730.83 Cofinity — Commercial: $4,404.62 HAP — HAP HMO_AHL_Fully Insured: $4,247.33 HAP — Self-Funded: $6,169.82 Humana Military — Tricare: $2,374.55 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	$3,792.01	$2,262.86 – $5,044.10
Cesarean delivery (C-section), with care before and after: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $3,500 Aetna — Medicare Advantage-FAC: $2,747.83 Aetna — Medicare Advantage-NONFAC: $2,747.83 Aetna Better Health — Medicaid HMO-Adult-FAC: $2,394.92 Aetna Better Health — Medicaid HMO-Child-FAC: $2,394.92 Amerihealth Caritas — Dual Products-FAC: $2,692.87 Amerihealth Caritas — Dual Products-NONFAC: $2,692.87 Blue Cross — BCBSM Commercial: $3,504.67 Blue Cross — BCN Commercial-FAC: $3,504.67 Blue Cross — BCN Commercial-NONFAC: $3,504.67
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	$3,792.01	$2,897.15 – $14,131.04
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans BCN — HMO: $14,131.04 Blue Cross — BCBSM Commercial: $14,131.04 Blue Cross — BCBSM GM Connected Care: $13,828.04 Blue Cross — BCN Commercial: $14,131.04 Cofinity — Commercial: $4,534.21 HAP — HAP HMO_AHL_Fully Insured: $4,763.27 HAP — Self-Funded: $6,919.28 Humana Military — Tricare: $2,662.19 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	$3,579.68	$2,136.51 – $4,778.66
Vaginal delivery after a previous C-section, with care before and after: 10 of 71 insurance plan rates Aetna — All Products-NONFAC: $3,500 Aetna — Medicare Advantage-FAC: $2,593.97 Aetna — Medicare Advantage-NONFAC: $2,593.97 Aetna Better Health — Medicaid HMO-Adult-FAC: $2,257.94 Aetna Better Health — Medicaid HMO-Child-FAC: $2,257.94 Amerihealth Caritas — Dual Products-FAC: $2,542.09 Amerihealth Caritas — Dual Products-NONFAC: $2,542.09 Blue Cross — BCBSM Commercial: $3,679.92 Blue Cross — BCN Commercial-FAC: $3,679.92 Blue Cross — BCN Commercial-NONFAC: $3,679.92
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	$3,579.68	$2,726.07 – $13,400.28
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans BCN — HMO: $13,400.28 Blue Cross — BCBSM Commercial: $13,400.28 Blue Cross — BCBSM GM Connected Care: $13,112.95 Blue Cross — BCN Commercial: $13,400.28 Cofinity — Commercial: $4,426.21 HAP — HAP HMO_AHL_Fully Insured: $4,499.99 HAP — Self-Funded: $6,536.83 Humana Military — Tricare: $2,513.54 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	$67,368.96 – $240,750.56
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 36 insurance plan rates Aetna — Commercial: $129,661.23 Aetna — Dual Products: $73,751.28 Aetna — Medicare Advantage: $70,914.69 Amerihealth Caritas — Dual Products: $69,496.40 BCN — HMO: $240,750.56 Blue Cross — BCBSM Commercial: $240,750.56 Blue Cross — BCBSM GM Connected Care: $209,025.78 Blue Cross — BCN Advantage: $70,914.69 Blue Cross — BCN Commercial: $240,750.56 Blue Cross — Medicare Plus Blue: $70,914.69
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	$13,530.96 – $71,699.30
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates Aetna — Dual Products: $14,812.84 Aetna — Medicare Advantage: $14,243.12 Amerihealth Caritas — Dual Products: $13,958.26 BCN — HMO: $43,828.04 Blue Cross — BCBSM Commercial: $43,828.04 Blue Cross — BCBSM GM Connected Care: $38,052.62 Blue Cross — BCN Advantage: $14,243.12 Blue Cross — BCN Commercial: $43,828.04 Blue Cross — Medicare Plus Blue: $14,243.12 HAP — HAP Dual Products: $14,243.12
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	$13,530.96 – $71,699.30
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans Aetna — Commercial: $25,565.64 Cofinity — Commercial: $27,378.81 HAP — HAP HMO_AHL_Fully Insured: $28,470.56 HAP — Self-Funded: $18,752.77 Nomi — All Products: $27,118.41 Multiplan — All Products: 67% (a percentage in the contract, not a dollar amount) Priority Health — Priority Cigna: 78.91% (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	$17,043.44 – $46,811.71
Neck (cervical) spinal fusion, without complications: 10 of 36 insurance plan rates Aetna — Commercial: $32,356.99 Aetna — Dual Products: $18,658.08 Aetna — Medicare Advantage: $17,940.46 Amerihealth Caritas — Dual Products: $17,581.65 BCN — HMO: $46,811.71 Blue Cross — BCBSM Commercial: $46,811.71 Blue Cross — BCBSM GM Connected Care: $40,643.12 Blue Cross — BCN Advantage: $17,940.46 Blue Cross — BCN Commercial: $46,811.71 Blue Cross — Medicare Plus Blue: $17,940.46
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	$8,813.40 – $27,612.93
Uterus and ovary surgery (not for cancer), without complications: 10 of 36 insurance plan rates Aetna — Commercial: $16,444.24 Aetna — Dual Products: $9,648.35 Aetna — Medicare Advantage: $9,277.26 Amerihealth Caritas — Dual Products: $9,091.71 BCN — HMO: $27,612.93 Blue Cross — BCBSM Commercial: $27,612.93 Blue Cross — BCBSM GM Connected Care: $23,974.25 Blue Cross — BCN Advantage: $9,277.26 Blue Cross — BCN Commercial: $27,612.93 Blue Cross — Medicare Plus Blue: $9,277.26

Source: Henry Ford Health West Bloomfield Hospital’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	6777 West Maple Road, W Bloomfield, MI 48322
County	Oakland County
State	Michigan
Phone	(248) 325‑1000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	230302
Name in Medicare records	HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Henry Ford West Bloomfield 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 West Bloomfield Hospital — henryford.com
Visiting Hours and Policy — henryford.com
Parking Information — henryford.com
Henry Ford West Bloomfield Hospital | Henry Ford Health — henryford.com
Emergency Medicine | Henry Ford West Bloomfield Hospital | Henry Ford Health — henryford.com
Acute Stroke Services | Henry Ford Health — henryford.com