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Acute Care Hospital

HMHP St Elizabeth Boardman Health Center

Boardman, Ohio · Mahoning County · Emergency services listed

Summary

HMHP St Elizabeth Boardman Health Center is an acute care hospital in Boardman, Ohio. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 19 services, specialties and programs. Medicare lists 787 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(330) 729‑2929 Directions Website Medicare profile
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Profile from official sources

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.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
224Beds (hospital website)
787Doctors and clinicians
19Services listed

Quick answers

Does HMHP St Elizabeth Boardman Health Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at HMHP St Elizabeth Boardman Health Center. In a medical emergency, call 911.
Where is HMHP St Elizabeth Boardman Health Center?
8401 Market Street, Boardman, OH 44512, in Mahoning County, Ohio.
What is the phone number of HMHP St Elizabeth Boardman Health Center?
(330) 729-2929, as listed by Medicare (CMS).
What is the Medicare star rating of HMHP St Elizabeth Boardman Health Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[6][8]

Procedures[6]

  • Robotic-assisted surgery

Programs and centers[4][6][7][8]

  • Congestive heart failure clinic
  • Birthing center
  • Cancer center
  • Maternal fetal medicine

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes

Doctors and clinicians (787)

787 doctors and other clinicians list HMHP St Elizabeth Boardman Health Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (787)

And 763 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 HMHP St Elizabeth Boardman Health Center 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 hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1067%National average: 72%
Would definitely recommend the hospital66%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys907Response rate: 22%

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)1.088No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.546No different from the national benchmark
Surgical site infections after colon surgery2.007Worse than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.543No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.221Better 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 patients12.1%
Deaths within 30 days: heart failure patients9%
Deaths within 30 days: pneumonia patients16.3%
Deaths within 30 days: COPD patients10.1%
Deaths within 30 days: stroke patients9.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.78No different from the national rate
Complications after hip or knee replacement4.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.1%
Readmitted within 30 days: heart failure24.4%
Readmitted within 30 days: pneumonia18.6%
Readmitted within 30 days: COPD21.6%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.5%

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)274 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)51%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 OhioBest hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 45 common services exactly as HMHP St Elizabeth Boardman Health Center 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 →

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel Calcium Total $139 $83.40 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier ADJ In the file: HC Basic Metabolic Panel Calcium Total|ADJ $139 $83.40 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: HC Basic Metabolic Panel Calcium Total|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $139 $83.40 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Metabolic Panel $211 $126.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier XU In the file: HC Comprehensive Metabolic Panel|UNUSUAL NON-OVERLAPPING SERVICE $211 $126.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: HC Comprehensive Metabolic Panel|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $211 $126.60 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel $128 $76.80 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC So Lipid Panel $114 $68.40 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC So Lipid Panel $114 $68.40 Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel $228 $136.80 Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 91 In the file: HC Renal Function Panel|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $228 $136.80 Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel $211 $126.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis W/ Microscopy $71 $42.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 91 In the file: HC Urinalysis W/ Microscopy|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $71 $42.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier ADJ In the file: HC Urinalysis W/ Microscopy|ADJ $71 $42.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Non-Auto,Urine W/O Microscopy $26 $15.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier 91|PBB|XU In the file: HC Non-Auto,Urine W/O Microscopy|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST|PBB CHARGE|UNUSUAL NON-OVERLAPPING SERVICE $26 $15.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier PBB In the file: HC Non-Auto,Urine W/O Microscopy|PBB CHARGE $26 $15.60 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis, Auto, W/O Scope $57 $34.20 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 91 In the file: HC Urinalysis, Auto, W/O Scope|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $57 $34.20 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier XU In the file: HC Urinalysis, Auto, W/O Scope|UNUSUAL NON-OVERLAPPING SERVICE $57 $34.20 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Assay of Prostate Specific Antigen Total $117 $70.20 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC So Assay of Psa Total $40 $24 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC So1 Assay of Psa Total $66 $39.60 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stimulating Hormone $158 $94.80 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC So Tsh 3rd Generation $70 $42 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC So Tsh 3rd Generation $70 $42 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc $190 $114 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier GZ In the file: HC Cbc|NOT REASONABLE AND NECESSARY $190 $114 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 91 In the file: HC Cbc|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $190 $114 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc (Hemogram) $111 $66.60 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier GZ In the file: HC Cbc (Hemogram)|NOT REASONABLE AND NECESSARY $111 $66.60 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier ADJ In the file: HC Cbc (Hemogram)|ADJ $111 $66.60 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time $88 $52.80 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC So Prothrombin Time $72 $43.20 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier GZ In the file: HC Prothrombin Time|NOT REASONABLE AND NECESSARY $88 $52.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC So Ptt $68 $40.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC So1 Ptt $48 $28.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC So Ptt $68 $40.80 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Brain W/O Contrast $1,424 $854.40 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier XU In the file: HC CT Brain W/O Contrast|UNUSUAL NON-OVERLAPPING SERVICE $1,424 $854.40 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC X-Ray Exam Chest 2 Views $206 $123.60 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC X-Ray Exam Chest 2 Views $744 $446.40 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC L-Spine Min 4 Views $1,374 $824.40 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W/ Contrast $1,948 $1,168.80 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT Abd/Pel W Cont $3,235 $1,941 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT Abd/Pel W Cont $2,920 $1,752 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete $1,634 $980.40 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC Fetal Eval 2-3 Trim Sgl Gest $1,937 $1,162.20 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Mammo Dgx Unilateral Incl Cad if Perf $408 $244.80 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Mammo Dgx Bilateral Incl Cad if Perf $525 $315 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier RT In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|RIGHT SIDE $16,195.60 $9,717.36 $3,704.30
Removal of breast growth (open surgery): rates for 4 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $3,704.30
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,704.30
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $3,704.30
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,704.30
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier RT In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT SIDE $77,917.43 $46,750.46 $12,146.38
Total hip replacement: rates for 5 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $12,146.38
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $12,146.38
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $12,146.38
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $12,146.38
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $12,146.38
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier LT In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT SIDE $77,082.57 $46,249.54 $12,146.38
Total hip replacement: rates for 2 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $12,146.38
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $12,146.38
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments|BILATERAL PROCEDURE $135,694.85 $81,416.91 $12,146.38
Total knee replacement: rates for 4 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $12,146.38
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $12,146.38
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $12,146.38
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $12,146.38
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier LT In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT SIDE $77,339.42 $46,403.65 $12,146.38 – $12,389.31
Total knee replacement: rates for 4 insurance plans
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $12,389.31
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $12,146.38
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $12,146.38
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $12,146.38
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier RT In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT SIDE $77,070.53 $46,242.32 $12,146.38
Total knee replacement: rates for 2 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $12,146.38
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $12,146.38
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier RT In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|RIGHT SIDE $41,692.98 $25,015.79 $6,864.94 – $7,002.24
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $6,864.94
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $6,864.94
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $7,002.24
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $6,864.94
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $6,864.94
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $6,864.94
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $6,864.94
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $6,864.94
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier LT In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|LEFT SIDE $47,648.17 $28,588.90 $6,864.94 – $7,002.24
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $6,864.94
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $7,002.24
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $6,864.94
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $6,864.94
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $6,864.94
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $6,864.94
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier RT In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|RIGHT SIDE $22,250.20 $13,350.12 $3,095.56 – $3,157.48
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $3,095.56
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,095.56
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $3,157.48
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $3,095.56
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,095.56
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $3,095.56
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,095.56
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier XS|LT In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|SEPARATE STRUCTURE|LEFT SIDE $78,501 $47,100.60 $12,146.38 – $12,389.31
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $12,146.38
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $12,389.31
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $12,146.38
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier LT In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT SIDE $21,003.80 $12,602.28 $3,095.56 – $3,157.48
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $3,157.48
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,095.56
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $3,095.56
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy & Adenoidectomy <Age 12 $18,962.83 $11,377.70 $5,600.62
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $5,600.62
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $5,600.62
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $5,600.62
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $5,600.62
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $5,600.62
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $5,600.62
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC Egd Diagnostic Brush Wash $7,232.40 $4,339.44 $858.08 – $875.24
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $858.08
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $858.08
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $875.24
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $858.08
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $858.08
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $858.08
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $858.08
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $858.08
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: HC Egd Diagnostic Brush Wash|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $7,005 $4,203 $858.08 – $875.24
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $858.08
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $858.08
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $875.24
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $858.08
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $858.08
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $858.08
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple $9,803 $5,881.80 $858.08 – $875.24
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $858.08
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $858.08
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $875.24
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $858.08
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $858.08
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $858.08
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $858.08
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $858.08
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XU In the file: Egd Transoral Biopsy Single/Multiple|UNUSUAL NON-OVERLAPPING SERVICE $9,394.77 $5,636.86 $1,815.43 – $1,851.74
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,815.43
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,815.43
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,851.74
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,815.43
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,815.43
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,815.43
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,815.43
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,815.43
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XS In the file: Egd Transoral Biopsy Single/Multiple|SEPARATE STRUCTURE $9,514.57 $5,708.74 $1,815.43 – $1,851.74
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,815.43
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,815.43
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,851.74
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,815.43
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,815.43
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,815.43
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,815.43
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,815.43
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $8,722 $5,233.20 $879.81 – $897.41
Colonoscopy (diagnostic): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $879.81
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $879.81
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $897.41
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $879.81
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $879.81
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $879.81
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $879.81
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $879.81
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 74 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION $7,249.20 $4,349.52 $879.81 – $897.41
Colonoscopy (diagnostic): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $879.81
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $879.81
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $897.41
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $879.81
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $879.81
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $879.81
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $879.81
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 52 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|REDUCED SERVICES $8,918.30 $5,350.98 $879.81 – $897.41
Colonoscopy (diagnostic): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $879.81
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $897.41
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $879.81
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $879.81
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $879.81
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $879.81
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $879.81
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple $9,893.90 $5,936.34 $1,132.12 – $1,154.76
Colonoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,132.12
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,132.12
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,154.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,132.12
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,132.12
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,132.12
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,132.12
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,132.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PT|XU In the file: Colonoscopy W/Biopsy Single/Multiple|COLORECTAL CANCER SCREEN|UNUSUAL NON-OVERLAPPING SERVICE $9,385.90 $5,631.54 $1,132.12 – $1,154.76
Colonoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,132.12
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,132.12
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,154.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,132.12
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,132.12
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,132.12
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,132.12
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,132.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PT|XU|KX In the file: Colonoscopy W/Biopsy Single/Multiple|COLORECTAL CANCER SCREEN|UNUSUAL NON-OVERLAPPING SERVICE|DOCUMENTATION ON FILE $8,882 $5,329.20 $1,132.12 – $1,154.76
Colonoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,132.12
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,132.12
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,154.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,132.12
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,132.12
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,132.12
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,132.12
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,132.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $9,963.37 $5,978.02 $1,132.12 – $1,154.76
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,132.12
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,132.12
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,154.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,132.12
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,132.12
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,132.12
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,132.12
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,132.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|COLORECTAL CANCER SCREEN $9,291.70 $5,575.02 $1,132.12 – $1,154.76
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,132.12
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,132.12
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,154.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,132.12
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,132.12
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,132.12
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,132.12
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,132.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 33 In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|PREVENTIVE SERVICES $8,984 $5,390.40 $1,132.12 – $1,154.76
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,132.12
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,132.12
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,154.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,132.12
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,132.12
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,132.12
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,132.12
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,132.12
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon Ca Scrn Not Hi Rsk Ind $7,295.70 $4,377.42 $879.81 – $897.41
Screening colonoscopy (not high risk): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $879.81
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $879.81
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $897.41
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $879.81
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $879.81
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $879.81
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $879.81
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier KX In the file: Colon Ca Scrn Not Hi Rsk Ind|DOCUMENTATION ON FILE $7,582.60 $4,549.56 $879.81 – $897.41
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $879.81
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $879.81
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $897.41
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $879.81
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $879.81
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $879.81
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $879.81
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $879.81
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy $28,277.72 $16,966.63 $5,719.53 – $5,833.93
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $5,719.53
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $5,833.93
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $5,719.53
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $5,719.53
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $5,719.53
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $5,719.53
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $5,719.53
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 74 In the file: Laparoscopy Surg Cholecystectomy|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHE $27,750.23 $16,650.14 $5,719.53 – $5,833.93
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $5,719.53
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $5,719.53
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $5,833.93
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $5,719.53
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $5,719.53
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $5,719.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier RT In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|RIGHT SIDE $23,067.92 $13,840.75 $3,387.33
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,387.33
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $3,387.33
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,387.33
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $3,387.33
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,387.33
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC Biopsy Prostate Needle or Punc $12,963.40 $7,778.04 $120.13 – $124.53
Prostate biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $122.09
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $122.09
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $124.53
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $120.13
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $120.13
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $122.09
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $122.09
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $122.09
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $18,422.90 $11,053.74 $3,062.57 – $3,123.82
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,062.57
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $3,123.82
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $3,062.57
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $3,062.57
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,062.57
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $3,062.57
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,062.57
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $4,296.90 $2,578.14 $667.82 – $681.17
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $667.82
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $667.82
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $681.17
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $667.82
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $667.82
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $667.82
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $667.82
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $667.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $2,897 $1,738.20 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $2,897 $1,738.20 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC Inj a/S Transforam Lumbar $4,244.50 $2,546.70 $836.78 – $853.52
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $836.78
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $836.78
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $853.52
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $836.78
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $836.78
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $836.78
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $836.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50|XU In the file: HC Inj a/S Transforam Lumbar|BILATERAL PROCEDURE|UNUSUAL NON-OVERLAPPING SERVICE $6,618.30 $3,970.98 $836.78 – $853.52
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $836.78
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $836.78
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $853.52
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $836.78
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $836.78
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $836.78
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $836.78
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $836.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier LT|XU In the file: HC Inj a/S Transforam Lumbar|LEFT SIDE|UNUSUAL NON-OVERLAPPING SERVICE $8,260.20 $4,956.12 $836.78 – $853.52
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $836.78
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $836.78
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $853.52
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $836.78
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $836.78
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $836.78
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $836.78
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $836.78
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|BILATERAL PROCEDURE $11,542.60 $6,925.56 $1,847.43 – $1,884.38
Carpal tunnel release: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,847.43
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,847.43
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,884.38
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,847.43
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,847.43
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,847.43
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,847.43
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier RT In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|RIGHT SIDE $10,531.50 $6,318.90 $1,847.43 – $1,884.38
Carpal tunnel release: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,847.43
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,847.43
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,884.38
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,847.43
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,847.43
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,847.43
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,847.43
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier LT In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT SIDE $12,928.60 $7,757.16 $1,847.43 – $1,884.38
Carpal tunnel release: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,847.43
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,847.43
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,884.38
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,847.43
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,847.43
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,847.43
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,847.43
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier RT In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp|RIGHT SIDE $13,420.05 $8,052.03 $2,183.38 – $2,227.05
Cataract removal with lens implant: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $2,183.38
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $2,183.38
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $2,227.05
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $2,183.38
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $2,183.38
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $2,183.38
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $2,183.38
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $2,183.38
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier LT In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp|LEFT SIDE $13,934.92 $8,360.95 $2,183.38 – $2,227.05
Cataract removal with lens implant: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $2,183.38
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $2,183.38
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $2,227.05
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $2,183.38
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $2,183.38
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $2,183.38
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $2,183.38
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp|BILATERAL PROCEDURE $18,738.40 $11,243.04 $2,183.38 – $2,227.05
Cataract removal with lens implant: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $2,183.38
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $2,227.05
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $2,183.38
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $2,183.38
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $2,183.38
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $2,183.38

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 Not listed in the file Not listed in the file $13,660.76 – $35,283.44
Hip or knee replacement (major joint of the leg), without major complications: 10 of 43 insurance plan rates
  • AETNA [3004] — AETNA [3004001]: $27,872
  • AETNA [3004] — AETNA NAP CHOICE POS II [3004025]: $27,872
  • AETNA BETTER HEALTH OF OHIO DUAL [4239] — AETNA BETTER HEALTH OF OHIO DUAL [4239001]: $13,660.76
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $13,660.76
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $13,660.76
  • BCBS [3123] — BCBS OUT OF STATE [3123021]: $34,662.33
  • BCBS MEDICARE [1006] — ANTHEM DUAL ADVANTAGE [1005003]: $13,660.76
  • BCBS MEDICARE [1006] — ANTHEM MEDIBLUE ESSENTIAL/PLUS [1005001]: $13,660.76
  • BUCKEYE [4178] — BUCKEYE AMBETTER ACA [4178001]: $30,851.22
  • BUCKEYE MYCARE BENEFITS [4237] — ALLWELL FROM BUCKEYE HEALTH PLAN [4237002]: $13,660.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $8,931.74 – $25,070.82
Uterus and ovary surgery (not for cancer), without complications: 10 of 43 insurance plan rates
  • AETNA [3004] — AETNA [3004001]: $25,070.82
  • AETNA [3004] — AETNA NAP CHOICE POS II [3004025]: $25,070.82
  • AETNA BETTER HEALTH OF OHIO DUAL [4239] — AETNA BETTER HEALTH OF OHIO DUAL [4239001]: $8,931.74
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $8,931.74
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $8,931.74
  • BCBS [3123] — BCBS OUT OF STATE [3123021]: $18,775.51
  • BCBS MEDICARE [1006] — ANTHEM DUAL ADVANTAGE [1005003]: $8,931.74
  • BCBS MEDICARE [1006] — ANTHEM MEDIBLUE ESSENTIAL/PLUS [1005001]: $8,931.74
  • BUCKEYE [4178] — BUCKEYE AMBETTER ACA [4178001]: $20,068.63
  • BUCKEYE MYCARE BENEFITS [4237] — ALLWELL FROM BUCKEYE HEALTH PLAN [4237002]: $8,931.74

Source: HMHP St Elizabeth Boardman Health Center’s standard charges file (mercy.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address8401 Market Street, Boardman, OH 44512
CountyMahoning County
StateOhio
Phone(330) 729‑2929
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number360276
Name in Medicare recordsHMHP ST ELIZABETH BOARDMAN HEALTH CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMercy Health - St. Elizabeth Boardman Hospital
Official websitemercy.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Mercy Health - St. Elizabeth Boardman Hospital — mercy.com
  2. Mercy Health - St. Elizabeth Boardman Hospital Emergency Department — mercy.com
  3. St. Elizabeth Boardman Hospital | Youngstown, OH | Mercy Health — mercy.com
  4. Mercy Health — Boardman Maternal Fetal Medicine | Mercy Health — mercy.com
  5. Mercy Health — St. Elizabeth Boardman Hospital Cancer Center | Mercy Health — mercy.com