Hospital type: Critical Access Hospital · Ownership: Government - Hospital District or Authority
Hermann Area District Hospital is a critical access hospital at 509 W 18th St, Hermann, MO 65041. Phone: (573) 486-2191. It has an emergency department.
Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).
Summary
Hermann Area District Hospital is a critical access hospital in Hermann, Missouri. Medicare data lists emergency services. Its official website lists 71 services, specialties and programs. Medicare lists 44 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Does Hermann Area District Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Hermann Area District Hospital. In a medical emergency, call 911.
Where is Hermann Area District Hospital?
509 W 18th St, Hermann, MO 65041, in Gasconade County, Missouri.
What is the phone number of Hermann Area District Hospital?
(573) 486-2191, as listed by Medicare (CMS).
What is the Medicare star rating of Hermann Area District Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
44 doctors and other clinicians list Hermann Area District Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 20 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Hermann Area District 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.
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)
16.1%
Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery
Too few cases to report
Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement
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.
Average (median) time patients spent in the emergency room before leaving (OP-18b)
89 minutesNational average: 162 minutes
Not reported to Medicare
Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)
Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Hermann Area District 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.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$212
$127.20
$40 – $190.80
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $75.97
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $99.91
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $99.91
ANTHEM MCAID — ANTHEM MCAID: $184.50
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $99.91
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $122.51
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $97.43
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$357.50
$214.50
$40 – $321.75
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $123.62
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $150.36
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $150.36
ANTHEM MCAID — ANTHEM MCAID: $312.30
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $150.36
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $141.90
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $159.11
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$451
$270.60
$171.82 – $428.45
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $428.45
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $300.82
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $300.82
ANTHEM MCAID — ANTHEM MCAID: $405.90
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $367.11
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $270.60
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $305.46
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$138
$82.80
$53.82 – $305.46
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $131.10
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $92.05
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $92.05
ANTHEM MCAID — ANTHEM MCAID: $124.20
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $112.33
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $82.80
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $305.46
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$216.50
$129.90
$40 – $194.85
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $89.89
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $114.92
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $114.92
ANTHEM MCAID — ANTHEM MCAID: $189
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $114.92
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $102.08
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $115.11
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more
$332
$199.20
$122.55 – $315.40
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $315.40
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $221.44
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $221.44
ANTHEM MCAID — ANTHEM MCAID: $298.80
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $270.25
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $199.20
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $305.46
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more
$445.50
$267.30
$173.75 – $423.23
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $423.23
AETNA MCR ADV — AETNA MCR ADV: $209.03
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $204.93
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $297.15
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $297.15
ANTHEM MCAID — ANTHEM MCAID: $193.96
ANTHEM MCR ADV — ANTHEM MCR ADV: $204.93
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $362.64
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $267.30
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $327.89
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)
$342.50
$205.50
$141.12
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $325.38
AETNA MCR ADV — AETNA MCR ADV: $160.70
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $157.55
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $228.45
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $228.45
ANTHEM MCAID — ANTHEM MCAID: $38.72
ANTHEM MCR ADV — ANTHEM MCR ADV: $157.55
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $278.80
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $205.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $252.08
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$373.50
$224.10
$53.47 – $354.83
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $354.83
AETNA MCR ADV — AETNA MCR ADV: $175.25
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $171.81
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $249.12
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $249.12
ANTHEM MCAID — ANTHEM MCAID: $57.66
ANTHEM MCR ADV — ANTHEM MCR ADV: $171.81
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $304.03
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $224.10
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $274.90
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$533.50
$320.10
$103.50 – $962.83
Emergency room visit (moderate): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $506.83
AETNA MCR ADV — AETNA MCR ADV: $250.32
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $245.41
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $355.84
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $355.84
ANTHEM MCAID — ANTHEM MCAID: $65.78
ANTHEM MCR ADV — ANTHEM MCR ADV: $245.41
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $434.27
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $320.10
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $392.66
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$219.50
$131.70
$37.63 – $197.55
Emergency room visit (moderate): 10 of 21 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $66.52
AETNA MCR ADV — AETNA MCR ADV: $78.21
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $68.01
ANTHEM MCR ADV — ANTHEM MCR ADV: $68.01
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $95.21
CENTENE MCAID — CENTENE MCAID: $37.63
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $68.01
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $61.26
COMP RESULTS - ALL PLANS — COMP RESULTS - ALL PLANS: $197.55
COVENTRY - ALL PLANS — COVENTRY - ALL PLANS: $81.61
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$1,013.50
$608.10
$103.01 – $1,500
Emergency room visit (moderately high): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $962.83
AETNA MCR ADV — AETNA MCR ADV: $475.53
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $466.21
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $676
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $676
ANTHEM MCAID — ANTHEM MCAID: $111.09
ANTHEM MCR ADV — ANTHEM MCR ADV: $466.21
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $824.99
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $608.10
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $745.94
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$418
$250.80
$40 – $376.20
Emergency room visit (moderately high): 10 of 23 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $113.60
AETNA MCR ADV — AETNA MCR ADV: $133.24
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $115.86
ANTHEM MCR ADV — ANTHEM MCR ADV: $115.86
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $100.99
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $162.20
CENTENE MCAID — CENTENE MCAID: $100.99
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $115.86
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $112.55
COMP RESULTS - ALL PLANS — COMP RESULTS - ALL PLANS: $376.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$1,495.50
$897.30
$149.57 – $2,000
Emergency room visit (high): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,420.73
AETNA MCR ADV — AETNA MCR ADV: $701.69
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $687.93
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $956
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $744
ANTHEM MCAID — ANTHEM MCAID: $161.30
ANTHEM MCR ADV — ANTHEM MCR ADV: $687.93
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,217.34
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $897.30
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,100.69
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$546.50
$327.90
$40 – $491.85
Emergency room visit (high): 10 of 18 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $164.88
AETNA MCR ADV — AETNA MCR ADV: $193.12
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $167.93
ANTHEM MCR ADV — ANTHEM MCR ADV: $167.93
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $235.10
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $167.93
CIGNA - ALL PLANS — CIGNA - ALL PLANS: $163.62
COMP RESULTS - ALL PLANS — COMP RESULTS - ALL PLANS: $491.85
COVENTRY - ALL PLANS — COVENTRY - ALL PLANS: $201.52
HARMONY HP MCAID- ALL PLANS — HARMONY HP MCAID- ALL PLANS: $146.64
Lab tests
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)
$131
$78.60
$54.61 – $56.33
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $124.45
AETNA MCR ADV — AETNA MCR ADV: $61.47
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $60.26
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $87.38
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $87.38
ANTHEM MCR ADV — ANTHEM MCR ADV: $60.26
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $106.63
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $131
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $96.42
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $55.02
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$191.50
$114.90
$79.98 – $181.93
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $181.93
AETNA MCR ADV — AETNA MCR ADV: $89.85
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $88.09
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $127.73
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $127.73
ANTHEM MCR ADV — ANTHEM MCR ADV: $88.09
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $155.88
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $191.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $140.94
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $80.43
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel
$16.50
$9.90
$6.44 – $70.82
Obstetric blood test panel: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $15.68
AETNA MCR ADV — AETNA MCR ADV: $7.74
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $7.59
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $11.01
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $11.01
ANTHEM MCR ADV — ANTHEM MCR ADV: $7.59
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $13.43
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $16.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $12.14
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $6.93
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$161.50
$96.90
$69.45
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $153.43
AETNA MCR ADV — AETNA MCR ADV: $75.78
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $74.29
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $107.72
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $107.72
ANTHEM MCR ADV — ANTHEM MCR ADV: $74.29
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $131.46
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $161.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $118.86
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $67.83
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$148.50
$89.10
$12.86 – $148.50
Kidney function panel: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $141.08
AETNA MCR ADV — AETNA MCR ADV: $69.68
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $68.31
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $99.05
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $99.05
ANTHEM MCR ADV — ANTHEM MCR ADV: $68.31
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $120.88
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $148.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $109.30
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $62.37
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$115.50
$69.30
$49.67
Liver function panel: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $109.73
AETNA MCR ADV — AETNA MCR ADV: $54.19
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $53.13
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $77.04
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $77.04
ANTHEM MCR ADV — ANTHEM MCR ADV: $53.13
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $94.02
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $115.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $85.01
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $48.51
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$144
$86.40
$25.80 – $61.92
Urine test (automated, with microscope): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $136.80
AETNA MCR ADV — AETNA MCR ADV: $67.56
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $66.24
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $96.05
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $96.05
ANTHEM MCR ADV — ANTHEM MCR ADV: $66.24
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $117.22
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $144
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $105.98
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $60.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test
$23.50
$14.10
$0.82 – $23.50
Urine test (manual, without microscope): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $22.33
AETNA MCR ADV — AETNA MCR ADV: $11.03
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $10.81
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $15.67
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $15.67
ANTHEM MCR ADV — ANTHEM MCR ADV: $10.81
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $19.13
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $23.50
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $17.30
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $9.87
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$69
$41.40
$1.55 – $69
Urine test (automated, without microscope): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $65.55
AETNA MCR ADV — AETNA MCR ADV: $32.37
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $31.74
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $46.02
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $46.02
ANTHEM MCR ADV — ANTHEM MCR ADV: $31.74
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $56.17
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $69
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $50.78
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $28.98
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$102
$61.20
$18.76 – $102
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $96.90
AETNA MCR ADV — AETNA MCR ADV: $47.86
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $46.92
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $68.03
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $68.03
ANTHEM MCR ADV — ANTHEM MCR ADV: $46.92
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $83.03
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $102
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $75.07
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $42.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$198
$118.80
$85.14 – $168.30
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $188.10
AETNA MCR ADV — AETNA MCR ADV: $92.90
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $91.08
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $132.07
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $132.07
ANTHEM MCR ADV — ANTHEM MCR ADV: $91.08
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $161.17
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $198
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $145.73
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $83.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$110
$66
$69.23 – $70.07
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $104.50
AETNA MCR ADV — AETNA MCR ADV: $51.61
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $50.60
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $73.37
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $73.37
ANTHEM MCR ADV — ANTHEM MCR ADV: $50.60
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $89.54
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $110
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $80.96
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $46.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$110
$66
$47.30
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $104.50
AETNA MCR ADV — AETNA MCR ADV: $51.61
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $50.60
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $73.37
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $73.37
ANTHEM MCR ADV — ANTHEM MCR ADV: $50.60
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $89.54
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $110
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $80.96
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $46.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$61
$36.60
$26.23
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $57.95
AETNA MCR ADV — AETNA MCR ADV: $28.62
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $28.06
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $40.69
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $40.69
ANTHEM MCR ADV — ANTHEM MCR ADV: $28.06
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $49.65
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $61
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $44.90
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $25.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$71
$42.60
$4.27 – $71
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $67.45
AETNA MCR ADV — AETNA MCR ADV: $33.31
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $32.66
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $47.36
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $47.36
ANTHEM MCR ADV — ANTHEM MCR ADV: $32.66
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $57.79
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $71
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $52.26
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $29.82
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast
$1,257.50
$754.50
$540.73
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,194.63
AETNA MCR ADV — AETNA MCR ADV: $590.02
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $578.45
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $838.75
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $838.75
ANTHEM MCAID — ANTHEM MCAID: $150.25
ANTHEM MCR ADV — ANTHEM MCR ADV: $578.45
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,023.61
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $925.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$3,467
$2,080.20
$386.08 – $3,293.65
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $3,293.65
AETNA MCR ADV — AETNA MCR ADV: $1,626.72
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $1,594.82
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,063
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $744
ANTHEM MCAID — ANTHEM MCAID: $416.36
ANTHEM MCR ADV — ANTHEM MCR ADV: $1,594.82
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $2,322.89
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $2,551.71
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$361.50
$216.90
$155.45 – $163.55
Chest X-ray, 2 views: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $343.43
AETNA MCR ADV — AETNA MCR ADV: $169.62
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $166.29
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $241.12
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $241.12
ANTHEM MCAID — ANTHEM MCAID: $23.68
ANTHEM MCR ADV — ANTHEM MCR ADV: $166.29
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $294.26
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $216.90
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $266.06
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$579
$347.40
$248.97
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $550.05
AETNA MCR ADV — AETNA MCR ADV: $271.67
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $266.34
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $386.19
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $386.19
ANTHEM MCAID — ANTHEM MCAID: $45.18
ANTHEM MCR ADV — ANTHEM MCR ADV: $266.34
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $471.31
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $347.40
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $426.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$2,066
$1,239.60
$249.45 – $1,962.70
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,962.70
AETNA MCR ADV — AETNA MCR ADV: $969.37
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $950.36
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,063
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $744
ANTHEM MCAID — ANTHEM MCAID: $269.02
ANTHEM MCR ADV — ANTHEM MCR ADV: $950.36
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,384.22
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,520.58
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$1,663.50
$998.10
$220.61 – $1,580.33
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,580.33
AETNA MCR ADV — AETNA MCR ADV: $780.51
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $765.21
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,109.55
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $1,109.55
ANTHEM MCAID — ANTHEM MCAID: $237.91
ANTHEM MCR ADV — ANTHEM MCR ADV: $765.21
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,354.09
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,224.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast
$2,176.50
$1,305.90
$249.45 – $2,067.68
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $2,067.68
AETNA MCR ADV — AETNA MCR ADV: $1,021.21
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $1,001.19
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,063
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $744
ANTHEM MCAID — ANTHEM MCAID: $269.02
ANTHEM MCR ADV — ANTHEM MCR ADV: $1,001.19
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,458.26
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,601.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$3,355.50
$2,013.30
$515 – $3,187.73
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $3,187.73
AETNA MCR ADV — AETNA MCR ADV: $1,574.40
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $1,543.53
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $2,238.12
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $2,238.12
ANTHEM MCR ADV — ANTHEM MCR ADV: $1,543.53
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $2,731.38
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $2,469.65
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $1,409.31
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$998
$598.80
$70.07 – $948.10
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $948.10
AETNA MCR ADV — AETNA MCR ADV: $468.26
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $459.08
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $665.67
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $665.67
ANTHEM MCAID — ANTHEM MCAID: $75.57
ANTHEM MCR ADV — ANTHEM MCR ADV: $459.08
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $812.37
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $734.53
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$1,013.50
$608.10
$70.07 – $962.83
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $962.83
AETNA MCR ADV — AETNA MCR ADV: $475.53
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $466.21
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $676
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $676
ANTHEM MCAID — ANTHEM MCAID: $75.57
ANTHEM MCR ADV — ANTHEM MCR ADV: $466.21
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $824.99
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $745.94
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$993
$595.80
$70.07 – $943.35
Transvaginal ultrasound: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $943.35
AETNA MCR ADV — AETNA MCR ADV: $465.92
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $456.78
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $662.33
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $662.33
ANTHEM MCAID — ANTHEM MCAID: $75.57
ANTHEM MCR ADV — ANTHEM MCR ADV: $456.78
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $808.30
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $730.85
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast
$475
$285
$185.25 – $451.25
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $451.25
AETNA MCR ADV — AETNA MCR ADV: $222.87
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $218.50
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $316.83
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $316.83
ANTHEM MCR ADV — ANTHEM MCR ADV: $218.50
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $386.65
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $285
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $349.60
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $199.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts
$714
$428.40
$235 – $678.30
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $678.30
AETNA MCR ADV — AETNA MCR ADV: $335.01
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $328.44
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $476.24
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $476.24
ANTHEM MCR ADV — ANTHEM MCR ADV: $328.44
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $581.20
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $428.40
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $525.50
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $299.88
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography
$580
$348
$249.40
Screening mammogram, both breasts: 10 of 25 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $551
AETNA MCR ADV — AETNA MCR ADV: $272.14
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $266.80
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $386.86
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $386.86
ANTHEM MCR ADV — ANTHEM MCR ADV: $266.80
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $472.12
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $348
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $426.88
CHOICECARE MCR ADV- ALL PLANS — CHOICECARE MCR ADV- ALL PLANS: $243.60
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$126
$75.60
$19.13 – $305.46
Electrocardiogram (ECG/EKG) with reading: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $119.70
AETNA MCR ADV — AETNA MCR ADV: $194.73
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $190.91
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $84.04
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $84.04
ANTHEM MCAID — ANTHEM MCAID: $113.40
ANTHEM MCR ADV — ANTHEM MCR ADV: $190.91
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $102.56
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $52
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $305.46
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)
$3,686.50
$2,211.90
$50 – $3,502.18
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $3,502.18
AETNA MCR ADV — AETNA MCR ADV: $1,729.71
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $1,695.79
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $2,458.90
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $2,458.90
ANTHEM MCAID — ANTHEM MCAID: $559.93
ANTHEM MCR ADV — ANTHEM MCR ADV: $1,695.79
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $3,000.81
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $52
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $100
Physical therapy and mental health
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$119.50
$71.70
$49.88
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $113.53
AETNA MCR ADV — AETNA MCR ADV: $56.07
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $54.97
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $101
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $101
ANTHEM MCAID — ANTHEM MCAID: $27.12
ANTHEM MCR ADV — ANTHEM MCR ADV: $54.97
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $106
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $52
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $100
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$226.50
$135.90
$94.60 – $215.18
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $215.18
AETNA MCR ADV — AETNA MCR ADV: $106.27
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $104.19
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $101
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $101
ANTHEM MCAID — ANTHEM MCAID: $83.36
ANTHEM MCR ADV — ANTHEM MCR ADV: $104.19
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $106
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $52
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $100
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$318.50
$191.10
$63.70 – $136.96
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $302.58
AETNA MCR ADV — AETNA MCR ADV: $149.44
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $146.51
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $101
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $101
ANTHEM MCAID — ANTHEM MCAID: $83.36
ANTHEM MCR ADV — ANTHEM MCR ADV: $146.51
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $106
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $52
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $100
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$431.50
$258.90
$50 – $409.93
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $409.93
AETNA MCR ADV — AETNA MCR ADV: $202.46
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $198.49
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $101
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $101
ANTHEM MCAID — ANTHEM MCAID: $83.36
ANTHEM MCR ADV — ANTHEM MCR ADV: $198.49
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $106
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $52
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $100
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes
$170
$102
$66.30 – $161.50
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $161.50
AETNA MCR ADV — AETNA MCR ADV: $79.76
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $78.20
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $113.39
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $113.39
ANTHEM MCAID — ANTHEM MCAID: $84.92
ANTHEM MCR ADV — ANTHEM MCR ADV: $78.20
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $138.38
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $102
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $125.12
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes
$227
$136.20
$121
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $215.65
AETNA MCR ADV — AETNA MCR ADV: $106.51
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $104.42
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $151.41
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $151.41
ANTHEM MCAID — ANTHEM MCAID: $112.09
ANTHEM MCR ADV — ANTHEM MCR ADV: $104.42
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $184.78
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $136.20
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $167.07
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour
$340.50
$204.30
$132.80 – $323.48
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $323.48
AETNA MCR ADV — AETNA MCR ADV: $159.76
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $156.63
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $227.11
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $227.11
ANTHEM MCAID — ANTHEM MCAID: $164.65
ANTHEM MCR ADV — ANTHEM MCR ADV: $156.63
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $277.17
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $204.30
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $250.61
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes
$275
$165
$99.60 – $261.25
Family psychotherapy, without the patient: 10 of 28 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $261.25
AETNA MCR ADV — AETNA MCR ADV: $129.03
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $126.50
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $183.43
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $183.43
ANTHEM MCAID — ANTHEM MCAID: $107.42
ANTHEM MCR ADV — ANTHEM MCR ADV: $126.50
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $223.85
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $165
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $202.40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes
$285.50
$171.30
$103.13 – $271.23
Family psychotherapy, with the patient: 10 of 28 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $271.23
AETNA MCR ADV — AETNA MCR ADV: $133.96
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $131.33
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $190.43
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $190.43
ANTHEM MCAID — ANTHEM MCAID: $111.22
ANTHEM MCR ADV — ANTHEM MCR ADV: $131.33
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $232.40
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $171.30
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $210.13
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$1,633.50
$980.10
$322.58 – $1,551.83
Removal of breast growth (open surgery): 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,551.83
AETNA MCR ADV — AETNA MCR ADV: $766.44
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $751.41
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,089.54
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $1,089.54
ANTHEM MCAID — ANTHEM MCAID: $347.88
ANTHEM MCR ADV — ANTHEM MCR ADV: $751.41
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,329.67
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,202.26
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$1,012
$607.20
$234.60 – $961.40
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $961.40
AETNA MCR ADV — AETNA MCR ADV: $474.83
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $465.52
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $531
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $425
ANTHEM MCAID — ANTHEM MCAID: $253
ANTHEM MCR ADV — ANTHEM MCR ADV: $465.52
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $425
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $744.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$1,172
$703.20
$287.39 – $1,113.40
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,113.40
AETNA MCR ADV — AETNA MCR ADV: $549.90
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $539.12
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $531
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $425
ANTHEM MCAID — ANTHEM MCAID: $309.93
ANTHEM MCR ADV — ANTHEM MCR ADV: $539.12
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $425
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $862.59
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$1,383.50
$830.10
$425.80 – $1,314.33
Colonoscopy (diagnostic): 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,314.33
AETNA MCR ADV — AETNA MCR ADV: $649.14
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $636.41
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $922.79
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $922.79
ANTHEM MCAID — ANTHEM MCAID: $459.20
ANTHEM MCR ADV — ANTHEM MCR ADV: $636.41
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,126.17
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,018.26
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$1,450
$870
$285.38
Colonoscopy with biopsy: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,377.50
AETNA MCR ADV — AETNA MCR ADV: $680.34
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $667
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $967.15
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $967.15
ANTHEM MCAID — ANTHEM MCAID: $459.20
ANTHEM MCR ADV — ANTHEM MCR ADV: $667
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,180.30
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,067.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$1,960.50
$1,176.30
$231.60
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,862.48
AETNA MCR ADV — AETNA MCR ADV: $919.87
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $901.83
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,307.65
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $1,307.65
ANTHEM MCAID — ANTHEM MCAID: $459.20
ANTHEM MCR ADV — ANTHEM MCR ADV: $901.83
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,595.85
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,442.93
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$691.50
$414.90
$269.69 – $656.93
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $656.93
AETNA MCR ADV — AETNA MCR ADV: $324.45
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $318.09
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $461.23
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $461.23
ANTHEM MCAID — ANTHEM MCAID: $603.45
ANTHEM MCR ADV — ANTHEM MCR ADV: $318.09
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $562.88
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $414.90
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $508.94
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope
$4,205.50
$2,523.30
$562 – $3,995.23
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $3,995.23
AETNA MCR ADV — AETNA MCR ADV: $1,973.22
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $1,934.53
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $2,805.07
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $2,805.07
ANTHEM MCAID — ANTHEM MCAID: $2,384.60
ANTHEM MCR ADV — ANTHEM MCR ADV: $1,934.53
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $2,805.07
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $3,095.25
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)
$2,381
$1,428.60
$363.63 – $2,261.95
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $2,261.95
AETNA MCR ADV — AETNA MCR ADV: $1,117.17
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $1,095.26
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,588.13
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $1,588.13
ANTHEM MCAID — ANTHEM MCAID: $392.15
ANTHEM MCR ADV — ANTHEM MCR ADV: $1,095.26
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,938.13
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,752.42
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope
$2,029.50
$1,217.70
$551.46 – $1,928.03
Hysteroscopy with biopsy of the uterus lining: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $1,928.03
AETNA MCR ADV — AETNA MCR ADV: $952.24
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $933.57
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $1,353.68
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $1,353.68
ANTHEM MCAID — ANTHEM MCAID: $594.72
ANTHEM MCR ADV — ANTHEM MCR ADV: $933.57
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $1,652.01
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $562
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $1,493.71
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$681.50
$408.90
$265.79 – $647.43
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $647.43
AETNA MCR ADV — AETNA MCR ADV: $319.76
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $313.49
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $454.56
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $454.56
ANTHEM MCAID — ANTHEM MCAID: $305.35
ANTHEM MCR ADV — ANTHEM MCR ADV: $313.49
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $554.74
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $408.90
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $501.58
Hospital stays (whole stay, MS-DRG)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
$76,566.33
$45,939.80
$2,093.32 – $72,738.02
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates
AETNA - ALL OTHER PLANS — AETNA - ALL OTHER PLANS: $72,738.02
AETNA MCR ADV — AETNA MCR ADV: $12,990.72
AMERICAN HLTH MCR ADV- ALL PLANS — AMERICAN HLTH MCR ADV- ALL PLANS: $12,736
ANTHEM BLUE ACCESS ALLIANCE — ANTHEM BLUE ACCESS ALLIANCE: $4,676
ANTHEM BLUE PREFERRED — ANTHEM BLUE PREFERRED: $3,720
ANTHEM MCAID — ANTHEM MCAID: $10,390.36
ANTHEM MCR ADV — ANTHEM MCR ADV: $12,736
ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS — ANTHEM RIGHTCHOICE TRAD - ALL OTHER PLANS: $5,100
CARE PARTNERS MCAID- ALL PLANS — CARE PARTNERS MCAID- ALL PLANS: $2,248
CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS — CENTENE MARKETPLACE AMBETTER - ALL OTHER PLANS: $12,863.36
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.