Does Holland Hospital have an emergency room?

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

Where is Holland Hospital?

602 Michigan Ave, Holland, MI 49423, in Ottawa County, Michigan.

What is the phone number of Holland Hospital?

(616) 392-5141, as listed by Medicare (CMS).

What is the Medicare star rating of Holland Hospital?

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

Holland Hospital — Holland, MI

Quick answers

Does Holland Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Holland Hospital. In a medical emergency, call 911.
Where is Holland Hospital?: 602 Michigan Ave, Holland, MI 49423, in Ottawa County, Michigan.
What is the phone number of Holland Hospital?: (616) 392-5141, as listed by Medicare (CMS).
What is the Medicare star rating of Holland Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[8][10]

Cardiology & Vascular Services
Orthopedic Services
Urology
Women's Health
Breast Care
Bariatric Services
Interventional Radiology
Sports Medicine
Neurosurgery
Ophthalmology
Podiatry surgery
Gynecology surgery
Plastic cosmetic surgery
Ear, Nose and Throat surgery

Conditions treated^[7][8]

Arthritis
Diabetes
Edema & Lymphedema
Back, Neck & Spine conditions
Alcohol & substance use
Fever, cold, cough or flu (urgent care)
Respiratory infections (urgent care)
Minor burns (urgent care)
Sprains or strains (urgent care)
Animal bites (urgent care)
Urinary tract infections (urgent care)

Treatments^[5][6][8]

Infusion therapy
Cardiac and pulmonary rehab
Hyperbaric medicine
Sleep center services
Lab services
Radiology services
Mammograms
Physical therapy
Rehabilitation services
Endoscopy

Procedures^{[4][5][6][9][10][11]}

Joint replacement
Robotic-assisted surgery
Endoscopy
Mammography
Radiology (CT, MRI, ultrasound, nuclear medicine)
Robot-assisted surgery (da Vinci 5)
Laparoscopic surgery
Bariatric surgery
Urological surgery
Gynecological surgery
General surgery
Breast cancer surgery
Orthopedic surgery
Colorectal surgery
Cardiac catheterization (cath lab)

Programs and centers^{[4][5][6][7][8][13]}

Boven Birth Center
Joint Replacement Center
Corewell Health Heart & Vascular Center
Reflux Center
Intensive Care Unit (ICU)
Midwife services
Urgent care
School Nurse Program
Healthcare Ethics Committee
Special Care Nursery
6 West Behavioral Health

Emergency care (hospital website)^[6][14]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting hours 6 a.m.-9 p.m.; children under 16 must be supervised by an adult visitor^[6]
Parking	Main campus uses numbered lots 1, 2 and 3; Emergency and Radiology lots unchanged^[6]
Interpreters and languages	Free clinical interpretation for patients with limited English or sensory limitations, available 24 hours at all locations^[6]

Recognition^[11]

Outpatient Joint Replacement Excellence Award (2024-2027)
Five-Star in Colorectal Surgeries Award 2026
ISO 9001 certification

Doctors and clinicians (426)

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

Main specialties

And 402 more: the button below opens the full list.

Other emergency rooms nearby

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

Corewell Health Zeeland Hospital7.1 mi · Zeeland, MI · Acute Care Hospital
Trinity Health Grand Haven Hospital20 mi · Grand Haven, MI · Acute Care Hospital
University of Michigan Health - West21 mi · Wyoming, MI · Acute Care Hospital
Beacon Allegan22 mi · Allegan, MI · Critical Access Hospital
Mercy Health Saint Mary's26 mi · Grand Rapids, MI · Acute Care Hospital

Other hospitals nearby

Pine Rest Christian Mental Health Services24 mi · Grand Rapids, MI · Psychiatric Hospital
Mary Free Bed Rehabilitation Hospital26 mi · Grand Rapids, MI · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Resthaven Care Center1.0 mi · Holland, MI · 3 of 5 stars
The Inn at Freedom Village1.4 mi · Holland, MI · 5 of 5 stars
Medilodge of Holland2.9 mi · Holland, MI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Holland2.8 mi · Holland, MI · 5 of 5 stars
Trinity Health at Home - Grand Haven16 mi · Grand Haven, MI · 4 of 5 stars
Faith Hospice at Trillium Woods19 mi · Byron Center, MI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Atrio Home Health Lakeshore2.8 mi · Holland, MI
Holland Community Hospital2.8 mi · Holland, MI
At Home Rehab17 mi · Jenison, MI · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC Hastings Ave - Holland2.8 mi · Holland, MI · 4 of 5 stars
FMC Royal Park - Zeeland8.1 mi · Zeeland, MI · 3 of 5 stars
DaVita PDI-Grand Haven16 mi · Grand Haven, MI · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Holland Eye Surgery & Laser Center2.8 mi · Holland, MI
West Michigan Surgical Center8.1 mi · Zeeland, MI
Westpark Surgery Center8.1 mi · Zeeland, MI

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Lakeside Clubhouse1.4 mi · Holland, MI · Community health center
Intercare Holland2.7 mi · Holland, MI · Community health center
Intercare Pullman20 mi · Pullman, MI · Community health center

Clinics and urgent care

American Current Care of Michigan, P.C4.2 mi · Holland, MI · Urgent care center
Patient One Care PLLC4.2 mi · Holland, MI · Urgent care center
Advantage Health/Saint Mary's Medical Group13 mi · Hudsonville, MI · Urgent care center

Pharmacies

Family Fare, LLC2.8 mi · Holland, MI · Community/retail pharmacy
Holland Community Hospital2.8 mi · Holland, MI · Community/retail pharmacy
Kwonwoo Pharmacy LLC2.8 mi · Holland, MI · Community/retail pharmacy

Assisted living nearby

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

Addington Place of LakeSide Vista Amsterdam Haus2.8 mi · Holland, MI
Addington Place of LakeSide Vista Delph Haus2.8 mi · Holland, MI
Addington Place of LakeSide Vista Friesland Haus2.8 mi · Holland, MI
Addington Place of LakeSide Vista Rotterdam Haus2.8 mi · Holland, MI

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Holland Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	81%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	320Response rate: 17%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	6.891Worse than the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.253Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.9%
Deaths within 30 days: heart failure patients	12.9%
Deaths within 30 days: pneumonia patients	15.8%
Deaths within 30 days: COPD patients	9.6%
Deaths within 30 days: stroke patients	11.6%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.11No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.8%
Readmitted within 30 days: heart failure	19%
Readmitted within 30 days: pneumonia	15.6%
Readmitted within 30 days: COPD	18.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	160 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	85%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Holland Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$240	$144	$50 – $313.59
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $148.21 AETNA MCR ADV — AETNA MCR ADV: $73.19 AETNA NEW BUS — AETNA NEW BUS: $148.21 ASR - ALL PLANS — ASR - ALL PLANS: $168.14 BCBS - ALL PLANS — BCBS - ALL PLANS: $117.35 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $192 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $109.72 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $85.26 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $148.21 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $92.38
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	$315	$189	$50 – $419.58
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $220.62 AETNA MCR ADV — AETNA MCR ADV: $119.50 AETNA NEW BUS — AETNA NEW BUS: $220.62 ASR - ALL PLANS — ASR - ALL PLANS: $255.23 BCBS - ALL PLANS — BCBS - ALL PLANS: $179.33 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $252 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $167.67 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $137.12 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $220.62 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $150.83
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	$390	$234	$50 – $501.53
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $291.53 AETNA MCR ADV — AETNA MCR ADV: $163.91 AETNA NEW BUS — AETNA NEW BUS: $291.53 ASR - ALL PLANS — ASR - ALL PLANS: $320.83 BCBS - ALL PLANS — BCBS - ALL PLANS: $226.59 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $312 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $211.86 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $186.19 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $291.53 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $206.88
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	$220	$132	$54.04 – $221.81
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $176 AETNA MCR ADV — AETNA MCR ADV: $58.59 AETNA NEW BUS — AETNA NEW BUS: $154 ASR - ALL PLANS — ASR - ALL PLANS: $134.75 BCBS - ALL PLANS — BCBS - ALL PLANS: $168.80 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $198 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $80.24 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $108.31 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $154 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $198
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	$295	$177	$79.55 – $308.13
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $236 AETNA MCR ADV — AETNA MCR ADV: $86.25 AETNA NEW BUS — AETNA NEW BUS: $206.50 ASR - ALL PLANS — ASR - ALL PLANS: $198.38 BCBS - ALL PLANS — BCBS - ALL PLANS: $230.90 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $265.50 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $116.36 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $148.15 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $206.50 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $265.50
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	$250	$150	$50 – $225
Office consultation with a specialist (moderate): 10 of 22 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $145.31 AETNA NEW BUS — AETNA NEW BUS: $145.31 ASR - ALL PLANS — ASR - ALL PLANS: $97.85 BCBS - ALL PLANS — BCBS - ALL PLANS: $140.07 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $200 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $168.32 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $112.21 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $145.31 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $212.50 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $97.85
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	$350	$210	$50 – $315
Office consultation with a specialist (moderate to high): 10 of 22 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $208.38 AETNA NEW BUS — AETNA NEW BUS: $208.38 ASR - ALL PLANS — ASR - ALL PLANS: $97.85 BCBS - ALL PLANS — BCBS - ALL PLANS: $212.51 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $280 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $239.53 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $171.33 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $208.38 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $297.50 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $97.85
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)	$275	$165	$50 – $355.79
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $160.12 AETNA NEW BUS — AETNA NEW BUS: $160.12 ASR - ALL PLANS — ASR - ALL PLANS: $97.85 BCBS - ALL PLANS — BCBS - ALL PLANS: $151.52 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $220 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $141.67 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $121.44 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $160.12 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $233.75 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $97.85
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)	$320	$192	$50 – $389.50
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $184.84 AETNA NEW BUS — AETNA NEW BUS: $184.84 ASR - ALL PLANS — ASR - ALL PLANS: $97.85 BCBS - ALL PLANS — BCBS - ALL PLANS: $174.44 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $256 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $163.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $147.21 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $184.84 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $272 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $97.85
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$210	$126	$44.94 – $227.27
Emergency room visit (moderate): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $90.20 AETNA MCR ADV — AETNA MCR ADV: $71.61 AETNA NEW BUS — AETNA NEW BUS: $90.20 ASR - ALL PLANS — ASR - ALL PLANS: $126.38 BCBS - ALL PLANS — BCBS - ALL PLANS: $112.38 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $168 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $105.08 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $108.57 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $90.20 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $90.38
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$574	$344.40	$183.68 – $1,578.50
Emergency room visit (moderate): 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $459.20 AETNA MCR ADV — AETNA MCR ADV: $280.16 AETNA NEW BUS — AETNA NEW BUS: $401.80 ASR - ALL PLANS — ASR - ALL PLANS: $644.36 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $516.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $370.40 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $401.80 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $516.60 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $644.36 HEALTH ALLIANCE HMO — HEALTH ALLIANCE HMO: $616.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$350	$210	$50 – $348.56
Emergency room visit (moderately high): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $151.57 AETNA MCR ADV — AETNA MCR ADV: $121.99 AETNA NEW BUS — AETNA NEW BUS: $151.57 ASR - ALL PLANS — ASR - ALL PLANS: $240.46 BCBS - ALL PLANS — BCBS - ALL PLANS: $191.74 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $280 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $179.28 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $193.43 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $151.57 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $153.97
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$861	$516.60	$275.52 – $2,367.75
Emergency room visit (moderately high): 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $688.80 AETNA MCR ADV — AETNA MCR ADV: $428.23 AETNA NEW BUS — AETNA NEW BUS: $602.70 ASR - ALL PLANS — ASR - ALL PLANS: $984.94 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $774.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $583.47 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $602.70 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $774.90 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $984.94 HEALTH ALLIANCE HMO — HEALTH ALLIANCE HMO: $942.12
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$510	$306	$50 – $522.29
Emergency room visit (high): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $220.81 AETNA MCR ADV — AETNA MCR ADV: $176.68 AETNA NEW BUS — AETNA NEW BUS: $220.81 ASR - ALL PLANS — ASR - ALL PLANS: $356.01 BCBS - ALL PLANS — BCBS - ALL PLANS: $278.02 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $408 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $259.95 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $284.90 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $220.81 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $222.99
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$1,752	$1,051.20	$560.64 – $4,818
Emergency room visit (high): 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,401.60 AETNA MCR ADV — AETNA MCR ADV: $611.19 AETNA NEW BUS — AETNA NEW BUS: $1,226.40 ASR - ALL PLANS — ASR - ALL PLANS: $1,405.74 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,576.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $836.74 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $1,226.40 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,576.80 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $1,405.74 HEALTH ALLIANCE HMO — HEALTH ALLIANCE HMO: $1,344.62

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)	$72	$43.20	$6.09 – $72
Basic metabolic panel (blood test): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $11.58 AETNA MCR ADV — AETNA MCR ADV: $8.71 AETNA NEW BUS — AETNA NEW BUS: $11.58 ASR - ALL PLANS — ASR - ALL PLANS: $12.78 BCBS - ALL PLANS — BCBS - ALL PLANS: $13.69 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $64.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $24 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $10.05 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $64.80 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $12.78
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$83	$49.80	$8.76 – $83
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $14.44 AETNA MCR ADV — AETNA MCR ADV: $10.88 AETNA NEW BUS — AETNA NEW BUS: $14.44 ASR - ALL PLANS — ASR - ALL PLANS: $15.96 BCBS - ALL PLANS — BCBS - ALL PLANS: $23.95 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $74.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $25.61 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $12.54 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $74.70 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $15.96
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$53	$31.80	$7.10 – $84
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $15.26 AETNA MCR ADV — AETNA MCR ADV: $13.79 AETNA NEW BUS — AETNA NEW BUS: $15.26 ASR - ALL PLANS — ASR - ALL PLANS: $30.93 BCBS - ALL PLANS — BCBS - ALL PLANS: $16.58 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $42.40 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $16.58 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $14.05 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $15.26 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $17.41
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$100	$60	$8.25 – $100
Kidney function panel: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $11.88 AETNA MCR ADV — AETNA MCR ADV: $8.94 AETNA NEW BUS — AETNA NEW BUS: $11.88 ASR - ALL PLANS — ASR - ALL PLANS: $13.12 BCBS - ALL PLANS — BCBS - ALL PLANS: $17.09 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $24.61 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $10.31 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $90 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $13.12
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$78	$46.80	$6.37 – $78
Liver function panel: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $11.17 AETNA MCR ADV — AETNA MCR ADV: $8.42 AETNA NEW BUS — AETNA NEW BUS: $11.17 ASR - ALL PLANS — ASR - ALL PLANS: $12.35 BCBS - ALL PLANS — BCBS - ALL PLANS: $11.97 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $70.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $9.60 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $9.70 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $70.20 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $12.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$29	$17.40	$0.92 – $29
Urine test (automated, with microscope): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $4.33 AETNA MCR ADV — AETNA MCR ADV: $3.27 AETNA NEW BUS — AETNA NEW BUS: $4.33 ASR - ALL PLANS — ASR - ALL PLANS: $4.78 BCBS - ALL PLANS — BCBS - ALL PLANS: $3.75 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $26.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $8.98 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $3.76 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $26.10 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $4.78
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$5	$3	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5.92
Urine test (manual, without microscope): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $4.77 AETNA MCR ADV — AETNA MCR ADV: $3.58 AETNA NEW BUS — AETNA NEW BUS: $4.77 ASR - ALL PLANS — ASR - ALL PLANS: $4.74 BCBS - ALL PLANS — BCBS - ALL PLANS: $4.12 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $4.50 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $3.48 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5.34 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $4.14 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $4.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$22	$13.20	$0.50 – $22
Urine test (automated, without microscope): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $3.08 AETNA MCR ADV — AETNA MCR ADV: $2.32 AETNA NEW BUS — AETNA NEW BUS: $3.08 ASR - ALL PLANS — ASR - ALL PLANS: $3.39 BCBS - ALL PLANS — BCBS - ALL PLANS: $2.67 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $19.80 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $2.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $6.38 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $2.68 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $19.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$83	$49.80	$15.26 – $83
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $25.16 AETNA MCR ADV — AETNA MCR ADV: $18.94 AETNA NEW BUS — AETNA NEW BUS: $25.16 ASR - ALL PLANS — ASR - ALL PLANS: $27.79 BCBS - ALL PLANS — BCBS - ALL PLANS: $21.75 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $74.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $32.01 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $21.84 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $74.70 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $27.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$87	$52.20	$14.62 – $87
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $22.98 AETNA MCR ADV — AETNA MCR ADV: $17.30 AETNA NEW BUS — AETNA NEW BUS: $22.98 ASR - ALL PLANS — ASR - ALL PLANS: $25.38 BCBS - ALL PLANS — BCBS - ALL PLANS: $19.87 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $78.30 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $29.88 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $19.95 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $78.30 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $25.38
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	$63	$37.80	$4.90 – $63
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $10.63 AETNA MCR ADV — AETNA MCR ADV: $8 AETNA NEW BUS — AETNA NEW BUS: $10.63 ASR - ALL PLANS — ASR - ALL PLANS: $11.74 BCBS - ALL PLANS — BCBS - ALL PLANS: $9.19 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $56.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $17.07 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $9.23 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $56.70 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $11.74
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	$42	$25.20	$2.72 – $42
Complete blood count (CBC), automated: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $8.86 AETNA MCR ADV — AETNA MCR ADV: $6.66 AETNA NEW BUS — AETNA NEW BUS: $8.86 ASR - ALL PLANS — ASR - ALL PLANS: $9.77 BCBS - ALL PLANS — BCBS - ALL PLANS: $7.65 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $37.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.35 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $7.69 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $37.80 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $9.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$23	$13.80	$0.99 – $84
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $4.90 AETNA MCR ADV — AETNA MCR ADV: $4.42 AETNA NEW BUS — AETNA NEW BUS: $4.90 ASR - ALL PLANS — ASR - ALL PLANS: $7.40 BCBS - ALL PLANS — BCBS - ALL PLANS: $4.29 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $18.40 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $4.29 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4.57 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $4.90 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $5.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$51	$30.60	$3.07 – $51
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $8.22 AETNA MCR ADV — AETNA MCR ADV: $6.19 AETNA NEW BUS — AETNA NEW BUS: $8.22 ASR - ALL PLANS — ASR - ALL PLANS: $9.06 BCBS - ALL PLANS — BCBS - ALL PLANS: $7.11 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $45.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $11.74 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $7.14 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $45.90 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $9.06

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	$998	$598.80	$98.96 – $2,045.90
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $120.89 AETNA MCR ADV — AETNA MCR ADV: $107.30 AETNA NEW BUS — AETNA NEW BUS: $120.89 ASR - ALL PLANS — ASR - ALL PLANS: $246.78 BCBS - ALL PLANS — BCBS - ALL PLANS: $172.18 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $898.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $281.69 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $159.14 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $898.20 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $246.78
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	$2,468	$1,480.80	$330.24 – $5,059.40
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $388.77 AETNA MCR ADV — AETNA MCR ADV: $358.05 AETNA NEW BUS — AETNA NEW BUS: $388.77 ASR - ALL PLANS — ASR - ALL PLANS: $823.51 BCBS - ALL PLANS — BCBS - ALL PLANS: $543.42 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $2,221.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,125.69 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $652.77 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $2,221.20 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $823.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$171	$102.60	$37.44 – $563.22
Chest X-ray, 2 views: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $37.44 AETNA MCR ADV — AETNA MCR ADV: $89.31 AETNA NEW BUS — AETNA NEW BUS: $37.44 ASR - ALL PLANS — ASR - ALL PLANS: $205.42 BCBS - ALL PLANS — BCBS - ALL PLANS: $58.79 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $153.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $113.10 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $47.34 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $153.90 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $205.42
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	$113	$67.80	$8.72 – $276.44
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $17.65 AETNA MCR ADV — AETNA MCR ADV: $12.83 AETNA NEW BUS — AETNA NEW BUS: $17.65 ASR - ALL PLANS — ASR - ALL PLANS: $33.54 BCBS - ALL PLANS — BCBS - ALL PLANS: $20.24 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $90.40 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $18.92 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.95 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $17.65 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $16.20
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	$1,838	$1,102.80	$223.29 – $3,767.90
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $223.29 AETNA MCR ADV — AETNA MCR ADV: $244.88 AETNA NEW BUS — AETNA NEW BUS: $223.29 ASR - ALL PLANS — ASR - ALL PLANS: $563.22 BCBS - ALL PLANS — BCBS - ALL PLANS: $313.29 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,654.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $669.01 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $374.70 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,654.20 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $563.22
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$1,197	$718.20	$166.03 – $2,453.85
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $307.66 AETNA MCR ADV — AETNA MCR ADV: $180.01 AETNA NEW BUS — AETNA NEW BUS: $307.66 ASR - ALL PLANS — ASR - ALL PLANS: $414.03 BCBS - ALL PLANS — BCBS - ALL PLANS: $442.63 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,077.30 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $563.38 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $382.45 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,077.30 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $414.03
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	$1,838	$1,102.80	$225.86 – $3,767.90
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $253.92 AETNA MCR ADV — AETNA MCR ADV: $244.88 AETNA NEW BUS — AETNA NEW BUS: $253.92 ASR - ALL PLANS — ASR - ALL PLANS: $563.22 BCBS - ALL PLANS — BCBS - ALL PLANS: $359.48 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,654.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $669.01 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $422.17 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,654.20 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $563.22
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	$2,793	$1,675.80	$330.24 – $5,725.65
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $401.28 AETNA MCR ADV — AETNA MCR ADV: $358.05 AETNA NEW BUS — AETNA NEW BUS: $401.28 ASR - ALL PLANS — ASR - ALL PLANS: $823.51 BCBS - ALL PLANS — BCBS - ALL PLANS: $555.18 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $2,513.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $691.42 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $534.11 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $2,513.70 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $823.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$519	$311.40	$98.96 – $1,063.95
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $126.52 AETNA MCR ADV — AETNA MCR ADV: $107.30 AETNA NEW BUS — AETNA NEW BUS: $126.52 ASR - ALL PLANS — ASR - ALL PLANS: $246.78 BCBS - ALL PLANS — BCBS - ALL PLANS: $194.85 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $467.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $236.02 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $171.53 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $467.10 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $246.78
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	$462	$277.20	$98.96 – $947.10
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $142.63 AETNA MCR ADV — AETNA MCR ADV: $107.30 AETNA NEW BUS — AETNA NEW BUS: $142.63 ASR - ALL PLANS — ASR - ALL PLANS: $246.78 BCBS - ALL PLANS — BCBS - ALL PLANS: $219.22 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $415.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $181.39 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $190.59 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $415.80 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $246.78
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$261	$156.60	$22.27 – $208.80
Transvaginal ultrasound: 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $47.33 AETNA MCR ADV — AETNA MCR ADV: $32.77 AETNA NEW BUS — AETNA NEW BUS: $47.33 ASR - ALL PLANS — ASR - ALL PLANS: $72.89 BCBS - ALL PLANS — BCBS - ALL PLANS: $52.19 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $208.80 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $48.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $50.71 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $47.33 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $41.37
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$321	$192.60	$102.72 – $658.05
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $139.87 AETNA MCR ADV — AETNA MCR ADV: $119.35 AETNA NEW BUS — AETNA NEW BUS: $139.87 ASR - ALL PLANS — ASR - ALL PLANS: $274.50 BCBS - ALL PLANS — BCBS - ALL PLANS: $220.89 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $288.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $163.25 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $184.94 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $288.90 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $274.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$348	$208.80	$111.36 – $713.40
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $178.27 AETNA MCR ADV — AETNA MCR ADV: $151.15 AETNA NEW BUS — AETNA NEW BUS: $178.27 ASR - ALL PLANS — ASR - ALL PLANS: $347.65 BCBS - ALL PLANS — BCBS - ALL PLANS: $281.37 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $313.20 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $207 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $236.45 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $313.20 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $347.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$300	$180	$96 – $615
Screening mammogram, both breasts: 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $147.86 AETNA MCR ADV — AETNA MCR ADV: $121.31 AETNA NEW BUS — AETNA NEW BUS: $147.86 ASR - ALL PLANS — ASR - ALL PLANS: $279.02 BCBS - ALL PLANS — BCBS - ALL PLANS: $232.65 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $270 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $173.92 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $195.53 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $270 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $279.02

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	$25	$15	$9.16 – $84
Electrocardiogram (ECG/EKG) with reading: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $22.51 AETNA MCR ADV — AETNA MCR ADV: $15.11 AETNA NEW BUS — AETNA NEW BUS: $22.51 ASR - ALL PLANS — ASR - ALL PLANS: $35.70 BCBS - ALL PLANS — BCBS - ALL PLANS: $18.06 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $20 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $16.89 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $20.33 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $22.51 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $19.07
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$6,689	$4,013.40	$1,947.45 – $7,652.51
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $5,351.20 AETNA MCR ADV — AETNA MCR ADV: $3,327.18 AETNA NEW BUS — AETNA NEW BUS: $4,682.30 ASR - ALL PLANS — ASR - ALL PLANS: $7,652.51 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $6,020.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,947.45 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $4,682.30 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $6,020.10 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $7,652.51 HEALTH ALLIANCE HMO — HEALTH ALLIANCE HMO: $7,319.79
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)	$5,151	$3,090.60	$812.87 – $5,151
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $4,120.80 AETNA MCR ADV — AETNA MCR ADV: $881.32 AETNA NEW BUS — AETNA NEW BUS: $3,605.70 ASR - ALL PLANS — ASR - ALL PLANS: $2,027.04 BCBS - ALL PLANS — BCBS - ALL PLANS: $2,522.74 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $4,635.90 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $136.27 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,535.41 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $3,605.70 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $4,635.90

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	$117	$70.20	$26.51 – $135
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $93.60 AETNA MCR ADV — AETNA MCR ADV: $28.75 AETNA NEW BUS — AETNA NEW BUS: $81.90 ASR - ALL PLANS — ASR - ALL PLANS: $66.12 BCBS - ALL PLANS — BCBS - ALL PLANS: $55.06 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $105.30 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $115 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $81.90 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $105.30 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $66.12
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$273	$163.80	$87.36 – $273
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $218.40 AETNA MCR ADV — AETNA MCR ADV: $96.72 AETNA NEW BUS — AETNA NEW BUS: $191.10 ASR - ALL PLANS — ASR - ALL PLANS: $222.45 BCBS - ALL PLANS — BCBS - ALL PLANS: $162.67 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $245.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $105.63 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $191.10 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $245.70 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $222.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$293	$175.80	$89.21 – $293
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $234.40 AETNA MCR ADV — AETNA MCR ADV: $96.72 AETNA NEW BUS — AETNA NEW BUS: $205.10 ASR - ALL PLANS — ASR - ALL PLANS: $222.45 BCBS - ALL PLANS — BCBS - ALL PLANS: $162.67 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $263.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $120.57 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $205.10 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $263.70 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $222.45
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$310	$186	$89.21 – $310
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $248 AETNA MCR ADV — AETNA MCR ADV: $96.72 AETNA NEW BUS — AETNA NEW BUS: $217 ASR - ALL PLANS — ASR - ALL PLANS: $222.45 BCBS - ALL PLANS — BCBS - ALL PLANS: $162.67 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $279 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $120.57 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $217 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $279 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $222.45
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$130	$78	$50 – $131.37
Psychotherapy, 30 minutes: 10 of 32 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $112.85 AETNA MCR ADV — AETNA MCR ADV: $71.21 AETNA NEW BUS — AETNA NEW BUS: $112.85 ASR - ALL PLANS — ASR - ALL PLANS: $107.99 BCBS - ALL PLANS — BCBS - ALL PLANS: $89.46 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $104 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $95.82 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $66.97 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $112.85 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $89.88
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$170	$102	$50 – $173.74
Psychotherapy, 45 minutes: 10 of 32 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $149.31 AETNA MCR ADV — AETNA MCR ADV: $94.18 AETNA NEW BUS — AETNA NEW BUS: $149.31 ASR - ALL PLANS — ASR - ALL PLANS: $144.21 BCBS - ALL PLANS — BCBS - ALL PLANS: $118.02 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $136 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $126.45 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $103.96 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $149.31 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $118.87
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$250	$150	$50 – $255.80
Psychotherapy, 60 minutes: 10 of 32 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $202.75 AETNA MCR ADV — AETNA MCR ADV: $138.67 AETNA NEW BUS — AETNA NEW BUS: $202.75 ASR - ALL PLANS — ASR - ALL PLANS: $216.62 BCBS - ALL PLANS — BCBS - ALL PLANS: $174.72 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $200 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $187.32 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $151.60 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $202.75 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $175.02
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$250	$150	$75.06 – $418.97
Family psychotherapy, without the patient: 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $200 AETNA MCR ADV — AETNA MCR ADV: $182.16 AETNA NEW BUS — AETNA NEW BUS: $175 ASR - ALL PLANS — ASR - ALL PLANS: $418.97 BCBS - ALL PLANS — BCBS - ALL PLANS: $75.06 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $225 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $217.88 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $175 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $225 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $418.97
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$250	$150	$62.49 – $418.97
Family psychotherapy, with the patient: 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $200 AETNA MCR ADV — AETNA MCR ADV: $182.16 AETNA NEW BUS — AETNA NEW BUS: $175 ASR - ALL PLANS — ASR - ALL PLANS: $418.97 BCBS - ALL PLANS — BCBS - ALL PLANS: $62.49 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $225 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $217.88 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $175 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $225 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $418.97
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$300	$180	$27.32 – $285
Group psychotherapy: 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $240 AETNA MCR ADV — AETNA MCR ADV: $104.26 AETNA NEW BUS — AETNA NEW BUS: $210 ASR - ALL PLANS — ASR - ALL PLANS: $239.80 BCBS - ALL PLANS — BCBS - ALL PLANS: $32.89 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $270 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $130.27 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $210 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $270 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $239.80

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	$412	$247.20	$50 – $6,577.75
Removal of breast growth (open surgery): 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $731.24 AETNA MCR ADV — AETNA MCR ADV: $411.56 AETNA NEW BUS — AETNA NEW BUS: $731.24 ASR - ALL PLANS — ASR - ALL PLANS: $917.99 BCBS - ALL PLANS — BCBS - ALL PLANS: $679.60 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $329.60 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $785.81 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $515.45 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $731.24 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $519.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$2,725	$1,635	$50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $26,468.06
Total hip replacement: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,975.42 AETNA MCR ADV — AETNA MCR ADV: $1,180.04 AETNA NEW BUS — AETNA NEW BUS: $1,975.42 ASR - ALL PLANS — ASR - ALL PLANS: $2,982.51 BCBS - ALL PLANS — BCBS - ALL PLANS: $2,277.79 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $2,180 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $2,129.73 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,960.39 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $1,975.42 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,489.37
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$2,725	$1,635	$50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $24,410.88
Total knee replacement: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,973.40 AETNA MCR ADV — AETNA MCR ADV: $1,177.31 AETNA NEW BUS — AETNA NEW BUS: $1,973.40 ASR - ALL PLANS — ASR - ALL PLANS: $2,981.76 BCBS - ALL PLANS — BCBS - ALL PLANS: $2,274.87 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $2,180 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $2,127 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,958.34 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $1,973.40 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,485.93
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$1,071	$642.60	$50 – $3,223.32
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $831.37 AETNA MCR ADV — AETNA MCR ADV: $515.88 AETNA NEW BUS — AETNA NEW BUS: $831.37 ASR - ALL PLANS — ASR - ALL PLANS: $1,186.76 BCBS - ALL PLANS — BCBS - ALL PLANS: $973.61 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $856.80 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $910.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $833.89 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $831.37 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $651.11
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$565	$339	$50 – $5,026.19
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $446.88 AETNA MCR ADV — AETNA MCR ADV: $262 AETNA NEW BUS — AETNA NEW BUS: $446.88 ASR - ALL PLANS — ASR - ALL PLANS: $617.20 BCBS - ALL PLANS — BCBS - ALL PLANS: $473.48 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $452 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $442.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $515.06 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $446.88 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $330.68
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	$220	$132	$50 – $2,283.64
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $429.16 AETNA MCR ADV — AETNA MCR ADV: $111.86 AETNA NEW BUS — AETNA NEW BUS: $429.16 ASR - ALL PLANS — ASR - ALL PLANS: $309.65 BCBS - ALL PLANS — BCBS - ALL PLANS: $194.40 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $176 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $425.28 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $211.66 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $429.16 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $141.18
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	$265	$159	$50 – $2,283.64
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $559.90 AETNA MCR ADV — AETNA MCR ADV: $125.20 AETNA NEW BUS — AETNA NEW BUS: $559.90 ASR - ALL PLANS — ASR - ALL PLANS: $348.24 BCBS - ALL PLANS — BCBS - ALL PLANS: $218.37 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $212 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $549.77 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $238.71 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $559.90 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $158.02
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$350	$210	$50 – $1,016.16
Colonoscopy (diagnostic): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $509.75 AETNA MCR ADV — AETNA MCR ADV: $167.42 AETNA NEW BUS — AETNA NEW BUS: $509.75 ASR - ALL PLANS — ASR - ALL PLANS: $466.62 BCBS - ALL PLANS — BCBS - ALL PLANS: $291.86 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $280 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $504.45 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $318.68 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $509.75 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $211.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$380	$228	$50 – $1,125.43
Colonoscopy with biopsy: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $648.59 AETNA MCR ADV — AETNA MCR ADV: $180.61 AETNA NEW BUS — AETNA NEW BUS: $648.59 ASR - ALL PLANS — ASR - ALL PLANS: $506.94 BCBS - ALL PLANS — BCBS - ALL PLANS: $317.43 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $304 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $638.41 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $346.32 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $648.59 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $227.96
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	$485	$291	$50 – $2,258.51
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $681.74 AETNA MCR ADV — AETNA MCR ADV: $227.27 AETNA NEW BUS — AETNA NEW BUS: $681.74 ASR - ALL PLANS — ASR - ALL PLANS: $641.61 BCBS - ALL PLANS — BCBS - ALL PLANS: $399.98 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $388 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $670.28 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $438.04 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $681.74 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $286.85
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	$325	$195	$50 – $1,712.18
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $400.40 AETNA MCR ADV — AETNA MCR ADV: $167.81 AETNA NEW BUS — AETNA NEW BUS: $400.40 ASR - ALL PLANS — ASR - ALL PLANS: $466.62 BCBS - ALL PLANS — BCBS - ALL PLANS: $292.40 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $260 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $504.96 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $318.68 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $400.40 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $211.80
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$1,275	$765	$50 – $9,641.03
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,023.22 AETNA MCR ADV — AETNA MCR ADV: $644.68 AETNA NEW BUS — AETNA NEW BUS: $1,023.22 ASR - ALL PLANS — ASR - ALL PLANS: $1,396.06 BCBS - ALL PLANS — BCBS - ALL PLANS: $1,068.40 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,020 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $998.95 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,161.83 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $1,023.22 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $813.67
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)	$900	$540	$50 – $7,020.27
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $811.21 AETNA MCR ADV — AETNA MCR ADV: $516.21 AETNA NEW BUS — AETNA NEW BUS: $811.21 ASR - ALL PLANS — ASR - ALL PLANS: $1,102.87 BCBS - ALL PLANS — BCBS - ALL PLANS: $848.96 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $720 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $793.78 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $923.71 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $811.21 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $651.52
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate gland	$465	$279	$50 – $4,088.69
Prostate biopsy: 10 of 24 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $361.61 AETNA NEW BUS — AETNA NEW BUS: $361.61 ASR - ALL PLANS — ASR - ALL PLANS: $296.10 BCBS - ALL PLANS — BCBS - ALL PLANS: $205.58 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $372 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $359.04 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $205.88 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $361.61 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $395.25 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $296.10
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$2,330	$1,398	$50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $18,316.08
Prostate removal by laparoscope (radical prostatectomy): 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,823.29 AETNA MCR ADV — AETNA MCR ADV: $1,103.94 AETNA NEW BUS — AETNA NEW BUS: $1,823.29 ASR - ALL PLANS — ASR - ALL PLANS: $3,594.02 BCBS - ALL PLANS — BCBS - ALL PLANS: $1,904.58 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,864 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $1,780.78 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,900.98 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $1,823.29 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,393.33
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	$2,275	$1,365	$50 – $3,758.71
Hysteroscopy with biopsy of the uterus lining: 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,824.07 AETNA MCR ADV — AETNA MCR ADV: $209.76 AETNA NEW BUS — AETNA NEW BUS: $1,824.07 ASR - ALL PLANS — ASR - ALL PLANS: $510.60 BCBS - ALL PLANS — BCBS - ALL PLANS: $369.62 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,820 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $1,858.46 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $326.19 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $1,824.07 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $264.75
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	$630	$378	$201.60 – $1,666.22
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $504 AETNA MCR ADV — AETNA MCR ADV: $724.44 AETNA NEW BUS — AETNA NEW BUS: $441 ASR - ALL PLANS — ASR - ALL PLANS: $1,666.22 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $567 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $895.39 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $441 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $567 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $1,666.22 HEALTH ALLIANCE HMO — HEALTH ALLIANCE HMO: $1,593.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$1,331	$798.60	$425.92 – $2,329.25
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $1,064.80 AETNA MCR ADV — AETNA MCR ADV: $907.73 AETNA NEW BUS — AETNA NEW BUS: $931.70 ASR - ALL PLANS — ASR - ALL PLANS: $2,087.78 BCBS - ALL PLANS — BCBS - ALL PLANS: $177.36 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $1,197.90 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $363.53 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,427.65 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $931.70 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $1,197.90

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery	$3,985	$2,391	$50 – $10,130.89
Vaginal delivery, with care before and after: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $3,360 AETNA MCR ADV — AETNA MCR ADV: $2,271.54 AETNA NEW BUS — AETNA NEW BUS: $3,360 ASR - ALL PLANS — ASR - ALL PLANS: $4,245.41 BCBS - ALL PLANS — BCBS - ALL PLANS: $3,504.67 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $3,188 BLUE CARE NETWORK - ALL PLANS — BLUE CARE NETWORK - ALL PLANS: $3,276.87 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,393.98 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $3,360 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $2,866.99

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$89,558.49	$53,735.09	$24,439.20 – $85,080.56
Spinal fusion (not neck), without major complications: 10 of 22 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $71,646.79 AETNA MCR ADV — AETNA MCR ADV: $27,969.33 AETNA NEW BUS — AETNA NEW BUS: $62,690.94 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $80,602.64 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $62,690.94 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $80,602.64 HEALTH ALLIANCE MCR ADV — HEALTH ALLIANCE MCR ADV: $27,154.68 INTEGRATED HEALTH PLANS-ALL PLANS — INTEGRATED HEALTH PLANS-ALL PLANS: $85,080.56 LIFE CIRCLES-ALL PLANS — LIFE CIRCLES-ALL PLANS: $24,439.20 LONGEVITY HEALTH PLAN-ALL PLANS — LONGEVITY HEALTH PLAN-ALL PLANS: $29,327.07
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	$48,847.91	$29,308.75	$12,887.39 – $46,405.52
Hip or knee replacement (major joint of the leg), without major complications: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $39,078.33 AETNA MCR ADV — AETNA MCR ADV: $14,748.91 AETNA NEW BUS — AETNA NEW BUS: $34,193.54 ASR - ALL PLANS — ASR - ALL PLANS: $31,205.61 BCBS - ALL PLANS — BCBS - ALL PLANS: $37,044.24 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $43,963.12 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $16,684.13 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $34,193.54 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $43,963.12 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $31,205.61
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$76,537.55	$45,922.53	$16,310.84 – $72,710.67
Neck (cervical) spinal fusion, without complications: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $61,230.04 AETNA MCR ADV — AETNA MCR ADV: $18,666.86 AETNA NEW BUS — AETNA NEW BUS: $53,576.28 ASR - ALL PLANS — ASR - ALL PLANS: $39,181.21 BCBS - ALL PLANS — BCBS - ALL PLANS: $39,566.09 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $68,883.79 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $33,869.90 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $53,576.28 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $68,883.79 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $39,181.21
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	$33,866.70	$20,320.02	$8,289.38 – $32,173.36
Uterus and ovary surgery (not for cancer), without complications: 10 of 28 insurance plan rates AETNA EXISTING BUS - ALL OTHER PLANS — AETNA EXISTING BUS - ALL OTHER PLANS: $27,093.36 AETNA MCR ADV — AETNA MCR ADV: $9,486.74 AETNA NEW BUS — AETNA NEW BUS: $23,706.69 ASR - ALL PLANS — ASR - ALL PLANS: $19,838.86 BCBS - ALL PLANS — BCBS - ALL PLANS: $23,338.94 BENEFIT SOURCE INC-ALL PLANS — BENEFIT SOURCE INC-ALL PLANS: $30,480.03 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $17,149.57 COFINITY -ALL PLANS — COFINITY -ALL PLANS: $23,706.69 FIRST HEALTH-ALL PLANS — FIRST HEALTH-ALL PLANS: $30,480.03 HEALTH ALLIANCE AHL - ALL OTHER PLANS — HEALTH ALLIANCE AHL - ALL OTHER PLANS: $19,838.86

Source: Holland Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 21, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	602 Michigan Ave, Holland, MI 49423
County	Ottawa County
State	Michigan
Phone	(616) 392‑5141
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	230072
Name in Medicare records	HOLLAND HOSPITAL
Profile level	Medicare data + hospital website
Official website	hollandhospital.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Holland Hospital — hollandhospital.org
Holland Hospital Main Campus — hollandhospital.org
Hospital Visitor Guide — hollandhospital.org
Holland Hospital Urgent Care: For When Life Happens | Holland Hospital — hollandhospital.org
Our Services and Specialties: Healthier Ahead | Holland Hospital — hollandhospital.org
da Vinci 5 Surgical System | Holland Hospital — hollandhospital.org
Surgical Services: Recognized for Superior Outcomes | Holland Hospital — hollandhospital.org
Awards & Recognition | Holland Hospital — hollandhospital.org
Treatment Decisions | Holland Hospital — hollandhospital.org
Find A Location | Holland Hospital — hollandhospital.org

Holland Hospital

Summary

Profile from official sources

At a glance