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Acute Care Hospital

Holy Cross Hospital

Ft Lauderdale, Florida · Broward County · Emergency services listed

Summary

Holy Cross Hospital is an acute care hospital in Ft Lauderdale, Florida. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 50 services, specialties and programs. Medicare lists 863 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(954) 771‑8000 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
4 of 5 stars4 of 5 stars · Medicare rating
863Doctors and clinicians
50Services listed

Quick answers

Does Holy Cross Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Holy Cross Hospital. In a medical emergency, call 911.
Where is Holy Cross Hospital?
4725 N Federal Hwy, Ft Lauderdale, FL 33308, in Broward County, Florida.
What is the phone number of Holy Cross Hospital?
(954) 771-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Holy Cross Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][6][10][11][13][16][17][24][25]

Conditions treated[5][6][11][14][21][24][25]

Treatments[11][16][18][19]

  • Stroke treatment
  • Stroke telemedicine
  • Endovascular thrombectomy
  • Intravenous thrombolytic therapy
  • Lung cancer screening

Procedures[5][13][15][17][25]

Programs and centers[5][6][11][13][14][17][22][24][25]

  • Michael and Dianne Bienes Comprehensive Cancer Center
  • Chest Pain Center
  • Geriatric Emergency Department
  • Stroke Program
  • Neuro Intensive Care
  • Stroke Prevention & Clinic
  • STRIVE stroke support group
  • Advanced heart failure program
  • Breast center (NAPBC accredited)
  • Comprehensive cancer center (Michael and Dianne Bienes)
  • Breast imaging center of excellence
  • ALS clinic (Phil Smith Neuroscience Institute)
  • Level 3 epilepsy center
  • Maternity care (Blue Distinction)

Emergency care (hospital website)[4][5][19]

Emergency roomYes
Open 24/7Yes
Stroke designationThrombectomy-Capable Stroke Center

Visiting and practical information

VisitingVisitors are asked to show a photo ID; the campus is smoke-free and weapon-free[8]
ParkingFree self-parking in front of the main entrance and across campus; complimentary valet for patients and visitors[7]
Patient portalMyChart

Recognition[5][15][20][22][24]

  • Geriatric Emergency Department Accreditation (ACEP)
  • Thrombectomy-Capable Stroke Center
  • Get With The Guidelines-Stroke Gold Plus, Target: Stroke Honor Roll Elite Plus (AHA/ASA)
  • IAC Echocardiography accreditation (adult transthoracic)
  • Commission on Cancer accreditation
  • NAPBC accreditation (National Accreditation Program for Breast Centers)
  • ALS Association Certified Treatment Center of Excellence

Doctors and clinicians (863)

863 doctors and other clinicians list Holy Cross 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

Doctors with a page on this site (863)

And 839 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 Holy Cross 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well70%National average: 80%
Doctors “always” communicated well70%National average: 80%
Staff “always” explained medicines before giving them47%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean62%National average: 74%
Area around the room “always” quiet at night40%National average: 60%
Completed surveys1,092Response rate: 26%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.499No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.63No different from the national benchmark
Surgical site infections after colon surgery0Better than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.207Better 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 patients10.9%
Deaths within 30 days: heart failure patients10.1%
Deaths within 30 days: pneumonia patients14.4%
Deaths within 30 days: COPD patients7.5%
Deaths within 30 days: stroke patients12.8%
Deaths within 30 days: coronary bypass surgery (CABG)2.7%
Serious complications (patient safety indicator PSI-90)1.14No different from the national rate
Complications after hip or knee replacement3.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack13.2%
Readmitted within 30 days: heart failure19.1%
Readmitted within 30 days: pneumonia18.5%
Readmitted within 30 days: COPD19.7%
Readmitted within 30 days: coronary bypass surgery12.4%
Readmitted within 30 days: hip or knee replacement5.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)159 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)67%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 FloridaBest hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Holy Cross 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 →

$ 3 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $305 $305 $52.19 – $295.85
New patient office visit (about 30–44 minutes): 10 of 771 insurance plan rates
  • AETNA — AETNA: $100.82
  • AETNA — AETNA GLOBAL: $100.82
  • AETNA DOMESTIC — AETNA: $100.82
  • AETNA MEDICAID — MEDICAID: $62.55
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $74.44
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $62.55
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $74.44
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $62.55
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $62.55
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $74.44
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $305 $305 $63.27 – $96.39
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • BLUE CROSS - FL — BCBS TRULI FOR HEALTH: $74.44
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $63.27
  • HUMANA — HUMANA: $96.39
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $305 $305 $74.44 – $95.56
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • BLUE CROSS - FL — BCBS TRULI FOR HEALTH: $85.83
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $74.44
  • HUMANA — HUMANA: $95.56
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level $490 $490 $84.99 – $475.30
New patient office visit (about 45–59 minutes): 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $172.35
  • AETNA MEDICAID — MEDICAID: $101.87
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $101.87
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $101.87
  • ALIGN SENIOR CARE — MEDICARE: $121.20
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $121.20
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $101.87
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $101.87
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $121.20
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $121.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit New Mod Pro 45-59 Mins (Restricted Method II CAH) Not listed in the file $2,314.92 $108 – $3,059.77
New patient office visit (about 45–59 minutes): 10 of 115 insurance plan rates
  • AETNA — AETNA COVENTRY: $2,795.14
  • AETNA — AETNA MARKETPLACE: $2,123.65
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $121.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $2,795.14
  • AMBETTER — AMBETTER MARKETPLACE: $654.32
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $227.55
  • AVMED HEALTH PLAN — AVMED HMO: $3,059.77
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $129.85
  • BCBS GENERIC — BCBS PPC: $183
  • BCN DOMESTIC — BCBS PPC: $183
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $665 $665 $115.66 – $645.05
New patient office visit (about 60–74 minutes): 10 of 769 insurance plan rates
  • AETNA DOMESTIC — AETNA: $224.82
  • AETNA MEDICAID — MEDICAID: $138.64
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $138.64
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $138.64
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $167.04
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $532
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $138.64
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $138.64
  • ALLY ALIGN CARE ADV — MEDICARE: $167.04
  • AMBETTER — AMBETTER: $210.82
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $665 $665 $167.04 – $215.82
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • AVMED HEALTH PLAN — AVMED: $215.82
  • AVMED HEALTH PLAN — AVMED MARKETPLACE: $208.86
  • AVMED HEALTH PLAN — AVMED SELECT: $208.86
  • BLUE CROSS - FL — BCBS TRULI FOR HEALTH: $167.04
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $167.04
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $665 $665 $141.98 – $233.23
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • AVMED HEALTH PLAN — AVMED: $233.23
  • AVMED HEALTH PLAN — AVMED MARKETPLACE: $224.52
  • AVMED HEALTH PLAN — AVMED SELECT: $224.52
  • BLUE CROSS - FL — BCBS TRULI FOR HEALTH: $161.93
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $141.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $241 $241 $32.58 – $233.77
Established patient office visit (about 20–29 minutes): 10 of 688 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $58.82
  • AETNA — AETNA: $68.02
  • AETNA — AETNA GLOBAL: $68.02
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $58.82
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $58.82
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $32.58
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $32.58
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $58.82
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $192.80
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $58.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $241 $241 $34.21 – $76.17
Established patient office visit (about 20–29 minutes): 10 of 86 insurance plan rates
  • AMBETTER — AMBETTER: $62.82
  • AVMED HEALTH PLAN — AVMED: $65.42
  • AVMED HEALTH PLAN — AVMED MARKETPLACE: $63.31
  • AVMED HEALTH PLAN — AVMED SELECT: $63.31
  • BCBS GENERIC — BCBS PPO TRAD: $71.66
  • BCN DOMESTIC — BCBS PPO TRAD: $71.66
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO TRAD: $71.66
  • BLUE CARE NETWORK — BCBS PPO TRAD: $71.66
  • BLUE CROSS - AK (PREMERA) — BCBS PPO TRAD: $71.66
  • BLUE CROSS - AL — BCBS PPO TRAD: $71.66
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $241 $241 $33.56 – $75.51
Established patient office visit (about 20–29 minutes): 10 of 86 insurance plan rates
  • AMBETTER — AMBETTER: $52.52
  • AVMED HEALTH PLAN — AVMED: $64.37
  • AVMED HEALTH PLAN — AVMED MARKETPLACE: $62.26
  • AVMED HEALTH PLAN — AVMED SELECT: $62.26
  • BCBS GENERIC — BCBS PPO TRAD: $69.59
  • BCN DOMESTIC — BCBS PPO TRAD: $69.59
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO TRAD: $69.59
  • BLUE CARE NETWORK — BCBS PPO TRAD: $69.59
  • BLUE CROSS - AK (PREMERA) — BCBS PPO TRAD: $69.59
  • BLUE CROSS - AL — BCBS PPO TRAD: $69.59
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $355 $355 $50.77 – $344.35
Established patient office visit (about 30–39 minutes): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $86.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.72
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $86.72
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $86.72
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $50.77
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $86.72
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $86.72
  • AMBETTER — AMBETTER: $97.20
  • AMERICAN HEALTH PLAN — MEDICARE: $86.72
  • AMERIGROUP MEDICAID — MEDICAID: $50.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Mod Pro 30-39 Mins (Restricted Method II CAH) Not listed in the file $5,303.25 $86.72 – $3,079
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.72
  • AMBETTER — AMBETTER MARKETPLACE: $157.51
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $162.82
  • AVMED HEALTH PLAN — AVMED HMO: $538.80
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $92.91
  • BLUE CROSS - FL — TRULI FOR HEALTH: $135.39
  • BLUE CROSS - FL MEDICARE ADVANTAGE — BCBS MEDICARE ADVANTAGE: $88.49
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $88.71
  • CATHOLIC HOSPICE — CATHOLIC HOSPICE: $88.49
  • CENTIVO — CENTIVO: $190.25
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $128 $128 $57.19 – $128
Preventive checkup, new patient, age 18–39: 10 of 529 insurance plan rates
  • AETNA — AETNA: $120.28
  • AETNA — AETNA GLOBAL: $120.28
  • AETNA DOMESTIC — AETNA: $120.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $71.30
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $57.19
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $57.19
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $57.19
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $57.19
  • AMISH MENNONITE — MEDICAID: $57.19
  • AVMED HEALTH PLAN — AVMED: $106.37
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $128 $128 $71.49 – $128
Preventive checkup, new patient, age 18–39: 10 of 529 insurance plan rates
  • AETNA — AETNA: $128
  • AETNA — AETNA GLOBAL: $128
  • AETNA DOMESTIC — AETNA: $128
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.88
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $71.49
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $71.49
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $71.49
  • AMERIGROUP MEDICAID — MEDICAID: $71.49
  • AMISH MENNONITE — MEDICAID: $71.49
  • ANDRIE INC — WORKERS COMP: $128
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $591 $384.15 $102.24 – $776
Preventive checkup, new patient, age 18–39: 10 of 146 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $296.68
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $176.40
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $354.60
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $106.38
  • AVMED HEALTH PLAN — AVMED HMO: $206.85
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $189
  • AXA ASSISTANCE US — INTERNATIONAL: $354.60
  • AXIS SERVICES — INTERNATIONAL: $354.60
  • BCBS GENERIC — BCBS PPC: $763
  • BCN DOMESTIC — BCBS PPC: $763
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $361 $361 $69.24 – $171.70
Preventive checkup, new patient, age 40–64: 10 of 525 insurance plan rates
  • AETNA — AETNA: $120.28
  • AETNA — AETNA GLOBAL: $120.28
  • AETNA DOMESTIC — AETNA: $120.28
  • AETNA MEDICAID — MEDICAID: $69.24
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $69.24
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $69.24
  • AMBETTER — AMBETTER: $124.43
  • AMERIGROUP MEDICAID — MEDICAID: $69.24
  • AMISH MENNONITE — MEDICAID: $69.24
  • ANDRIE INC — WORKERS COMP: $171.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $361 $361 $86.55 – $202
Preventive checkup, new patient, age 40–64: 10 of 525 insurance plan rates
  • AETNA — AETNA: $141.50
  • AETNA — AETNA GLOBAL: $141.50
  • AETNA DOMESTIC — AETNA: $141.50
  • AETNA MEDICAID — MEDICAID: $86.55
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.06
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $86.55
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $86.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $86.55
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $86.55
  • AMBETTER — AMBETTER: $148.83
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $591 $384.15 $102.24 – $776
Preventive checkup, new patient, age 40–64: 10 of 146 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $296.68
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $176.40
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $354.60
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $106.38
  • AVMED HEALTH PLAN — AVMED HMO: $206.85
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $189
  • AXA ASSISTANCE US — INTERNATIONAL: $354.60
  • AXIS SERVICES — INTERNATIONAL: $354.60
  • BCBS GENERIC — BCBS PPC: $763
  • BCN DOMESTIC — BCBS PPC: $763
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $266 $266 $44.94 – $258.02
Emergency room visit (moderate): 10 of 774 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $53.87
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $73.49
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $53.87
  • ALIGN SENIOR CARE — MEDICARE: $73.49
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $212.80
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $53.87
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $53.87
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $73.49
  • ALLY ALIGN CARE ADV — MEDICARE: $73.49
  • AMBETTER — AMBETTER: $77.87
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $148 $148 $44.94 – $143.56
Emergency room visit (moderate): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $73.49
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $73.49
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $73.49
  • ALIGN SENIOR CARE — MEDICARE: $73.49
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $73.49
  • AMBETTER — AMBETTER: $65.11
  • AMERIGROUP MEDICAID — MEDICAID: $53.87
  • AMERIHEALTH MEDICARE — MEDICARE: $73.49
  • AMISH MENNONITE — MEDICAID: $53.87
  • ANDRIE INC — WORKERS COMP: $130
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 OB Triage $1,623 $1,054.95 $253.09 – $2,019
Emergency room visit (moderate): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $1,880
  • AETNA — AETNA GLOBAL BENEFITS: $814.75
  • AETNA — AETNA MARKETPLACE: $1,409
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $279.36
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $973.80
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $1,880
  • AMBETTER — AMBETTER MARKETPLACE: $498.30
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $524.52
  • AVMED HEALTH PLAN — AVMED HMO: $1,146
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $405.75
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $448 $448 $76.68 – $434.56
Emergency room visit (moderately high): 10 of 774 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $91.92
  • ALIGN SENIOR CARE — MEDICARE: $125.32
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $125.32
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $358.40
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $91.92
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $125.32
  • ALLY ALIGN CARE ADV — MEDICARE: $125.32
  • AMBETTER — AMBETTER: $148.36
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $125.32
  • AMERICAN HEALTH PLAN — MEDICARE: $125.32
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $253 $253 $76.68 – $245.41
Emergency room visit (moderately high): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $125.32
  • AETNA — AETNA: $161.53
  • AETNA — AETNA GLOBAL: $161.53
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $125.32
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $125.32
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $91.92
  • ALIGN SENIOR CARE — MEDICARE: $125.32
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $125.32
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $202.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $125.32
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe $2,102 $1,366.30 $427.02 – $4,995
Emergency room visit (moderately high): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $1,880
  • AETNA — AETNA GLOBAL BENEFITS: $1,055.20
  • AETNA — AETNA MARKETPLACE: $1,409
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $427.02
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $1,261.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $1,880
  • AMBETTER — AMBETTER MARKETPLACE: $761.68
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $801.76
  • AVMED HEALTH PLAN — AVMED HMO: $1,146
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $525.50
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $656 $656 $111.19 – $636.32
Emergency room visit (high): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $180.89
  • AETNA — AETNA: $234.93
  • AETNA — AETNA GLOBAL: $234.93
  • AETNA DOMESTIC — AETNA: $234.93
  • AETNA MEDICAID — MEDICAID: $133.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $180.89
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $180.89
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $133.28
  • ALIGN SENIOR CARE — MEDICARE: $180.89
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $180.89
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $367 $367 $111.19 – $355.99
Emergency room visit (high): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $180.89
  • AETNA — AETNA: $234.93
  • AETNA — AETNA GLOBAL: $234.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $180.89
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $180.89
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $133.28
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $133.28
  • ALIGN SENIOR CARE — MEDICARE: $180.89
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $293.60
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $180.89
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 OB Triage $2,587 $1,681.55 $103.48 – $5,146
Emergency room visit (high): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $1,880
  • AETNA — AETNA GLOBAL BENEFITS: $1,298.67
  • AETNA — AETNA MARKETPLACE: $1,409
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $609.46
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $1,552.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $1,880
  • AMBETTER — AMBETTER MARKETPLACE: $1,087.10
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $1,144.30
  • AVMED HEALTH PLAN — AVMED HMO: $1,146
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $646.75

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Basic Metabolic Panel (Calcium Total) $67 $67 $2.96 – $67
Basic metabolic panel (blood test): 10 of 622 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $8.29
  • AETNA — AETNA: $9.60
  • AETNA — AETNA GLOBAL: $9.60
  • AETNA DOMESTIC — AETNA: $9.60
  • AETNA MEDICAID — MEDICAID: $5.27
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.05
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $8.29
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $8.29
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $53.60
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total) $539 $350.35 $8.29 – $539
Basic metabolic panel (blood test): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $29.20
  • AETNA — AETNA GLOBAL BENEFITS: $270.58
  • AETNA — AETNA MARKETPLACE: $22.19
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $323.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $29.20
  • AMBETTER — AMBETTER MARKETPLACE: $15.06
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $15.57
  • AVMED HEALTH PLAN — AVMED HMO: $47.73
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $134.75
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Basic Metabolic Panel (Calcium Total) Not listed in the file $67 $2.96 – $67
Basic metabolic panel (blood test): 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $8.29
  • AETNA DOMESTIC — AETNA: $11.30
  • AETNA MEDICAID — MEDICAID: $5.27
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $5.27
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $8.29
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $8.29
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALLY ALIGN CARE ADV — MEDICARE: $8.29
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel $775 $503.75 $10.35 – $775
Comprehensive metabolic panel (blood test): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $36.48
  • AETNA — AETNA GLOBAL BENEFITS: $389.05
  • AETNA — AETNA MARKETPLACE: $27.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $465
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $36.48
  • AMBETTER — AMBETTER MARKETPLACE: $18.80
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $19.43
  • AVMED HEALTH PLAN — AVMED HMO: $59.57
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $193.75
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel Not listed in the file $1,260.15 $10.35 – $244
Comprehensive metabolic panel (blood test): 10 of 115 insurance plan rates
  • AETNA — AETNA COVENTRY: $36.48
  • AETNA — AETNA MARKETPLACE: $27.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $36.48
  • AMBETTER — AMBETTER MARKETPLACE: $18.80
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $19.43
  • AVMED HEALTH PLAN — AVMED HMO: $59.57
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $11.09
  • BCBS GENERIC — BCBS PPC: $183
  • BCN DOMESTIC — BCBS PPC: $183
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: HC Comprehensive Metabolic Panel|CLIA WAIVED TEST Not listed in the file $1,616.40 $10.35 – $244
Comprehensive metabolic panel (blood test): 10 of 114 insurance plan rates
  • AETNA — AETNA COVENTRY: $36.48
  • AETNA — AETNA MARKETPLACE: $27.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $136.25
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $36.48
  • AMBETTER — AMBETTER MARKETPLACE: $243.03
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $19.43
  • AVMED HEALTH PLAN — AVMED HMO: $59.57
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $145.98
  • BCBS GENERIC — BCBS PPC: $183
  • BCN DOMESTIC — BCBS PPC: $183
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Lipid Panel $47 $47 $4.69 – $47
Cholesterol panel (lipid panel): 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $13.12
  • AETNA — AETNA: $17.89
  • AETNA — AETNA GLOBAL: $17.89
  • AETNA DOMESTIC — AETNA: $17.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $13.12
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $8.03
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $13.12
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $8.03
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 92145 Lipid Panel $6.20 $4.03 $1.55 – $216
Cholesterol panel (lipid panel): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $46.24
  • AETNA — AETNA GLOBAL BENEFITS: $3.11
  • AETNA — AETNA MARKETPLACE: $35.13
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3.72
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $46.24
  • AMBETTER — AMBETTER MARKETPLACE: $23.83
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $24.64
  • AVMED HEALTH PLAN — AVMED HMO: $75.51
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1.55
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Lipid Panel $6.20 $4.03 $1.55 – $216
Cholesterol panel (lipid panel): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $46.24
  • AETNA — AETNA GLOBAL BENEFITS: $3.11
  • AETNA — AETNA MARKETPLACE: $35.13
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3.72
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $46.24
  • AMBETTER — AMBETTER MARKETPLACE: $23.83
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $24.64
  • AVMED HEALTH PLAN — AVMED HMO: $75.51
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Renal Function Panel $50 $50 $3.04 – $50
Kidney function panel: 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $8.51
  • AETNA — AETNA: $11.68
  • AETNA — AETNA GLOBAL: $11.68
  • AETNA DOMESTIC — AETNA: $11.68
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $8.51
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $8.51
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $8.51
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel $89 $57.85 $8.51 – $216
Kidney function panel: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $29.99
  • AETNA — AETNA GLOBAL BENEFITS: $44.68
  • AETNA — AETNA MARKETPLACE: $22.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $53.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $29.99
  • AMBETTER — AMBETTER MARKETPLACE: $15.45
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $15.97
  • AVMED HEALTH PLAN — AVMED HMO: $48.93
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $22.25
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Renal Function Panel Not listed in the file $50 $3.04 – $50
Kidney function panel: 10 of 629 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $5.27
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $8.51
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $8.51
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $40
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $5.27
  • ALLY ALIGN CARE ADV — MEDICARE: $8.51
  • AMBETTER — AMBETTER: $8.85
  • AMERICAN HEALTH PLAN — MEDICARE: $8.51
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel $100 $65 $8.01 – $216
Liver function panel: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $28.21
  • AETNA — AETNA GLOBAL BENEFITS: $50.20
  • AETNA — AETNA MARKETPLACE: $21.44
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $28.21
  • AMBETTER — AMBETTER MARKETPLACE: $14.54
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $15.03
  • AVMED HEALTH PLAN — AVMED HMO: $46.11
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $25
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Urinalysis by Dipstick or Tablet Reagent With Microscopy Automated $28 $28 $1.30 – $28
Urine test (automated, with microscope): 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $3.11
  • AETNA MEDICAID — MEDICAID: $2.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $3.11
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $2.15
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $2.15
  • ALIGN SENIOR CARE — MEDICARE: $3.11
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $2.15
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $3.11
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $2.15
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated $379 $246.35 $3.11 – $379
Urine test (automated, with microscope): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $10.95
  • AETNA — AETNA GLOBAL BENEFITS: $190.26
  • AETNA — AETNA MARKETPLACE: $8.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $227.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $10.95
  • AMBETTER — AMBETTER MARKETPLACE: $5.64
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $5.83
  • AVMED HEALTH PLAN — AVMED HMO: $17.91
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $94.75
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Urinalysis by Dipstick or Tablet Reagent With Microscopy Automated Not listed in the file $28 $1.30 – $28
Urine test (automated, with microscope): 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $3.11
  • AETNA — AETNA: $4.24
  • AETNA — AETNA GLOBAL: $4.24
  • AETNA DOMESTIC — AETNA: $4.24
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $3.11
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $2.15
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $2.15
  • ALIGN SENIOR CARE — MEDICARE: $3.11
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $22.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $3.11
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated $352 $228.80 $2.21 – $352
Urine test (automated, without microscope): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $7.76
  • AETNA — AETNA GLOBAL BENEFITS: $176.70
  • AETNA — AETNA MARKETPLACE: $5.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $211.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $7.76
  • AMBETTER — AMBETTER MARKETPLACE: $4.01
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $4.14
  • AVMED HEALTH PLAN — AVMED HMO: $12.69
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Automated $23 $23 $23
Urine test (automated, without microscope): 10 of 628 insurance plan rates
  • AETNA — AETNA: $3
  • AETNA — AETNA GLOBAL: $3
  • AETNA DOMESTIC — AETNA: $3
  • AETNA MEDICAID — MEDICAID: $1.65
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $2.21
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1.65
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1.65
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $2.21
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $18.40
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated Not listed in the file $1,355.25 $2.21 – $298.92
Urine test (automated, without microscope): 10 of 115 insurance plan rates
  • AETNA — AETNA COVENTRY: $7.76
  • AETNA — AETNA MARKETPLACE: $5.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $7.76
  • AMBETTER — AMBETTER MARKETPLACE: $4.01
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $4.14
  • AVMED HEALTH PLAN — AVMED HMO: $12.69
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $2.36
  • BCBS GENERIC — BCBS PPC: $183
  • BCN DOMESTIC — BCBS PPC: $183
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Prostate Specific Antigen Total $105 $105 $6.44 – $105
PSA (prostate specific antigen) blood test: 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $18.02
  • AETNA DOMESTIC — AETNA: $24.57
  • AETNA MEDICAID — MEDICAID: $12.74
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $18.02
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $18.02
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $12.74
  • ALIGN SENIOR CARE — MEDICARE: $18.02
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $84
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $12.74
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total Ultrasensitive $12.60 $8.19 $3.15 – $216
PSA (prostate specific antigen) blood test: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $63.53
  • AETNA — AETNA GLOBAL BENEFITS: $6.33
  • AETNA — AETNA MARKETPLACE: $48.27
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $7.56
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $63.53
  • AMBETTER — AMBETTER MARKETPLACE: $32.73
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $33.84
  • AVMED HEALTH PLAN — AVMED HMO: $103.71
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $3.15
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total $12.60 $8.19 $3.15 – $216
PSA (prostate specific antigen) blood test: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $63.53
  • AETNA — AETNA GLOBAL BENEFITS: $6.33
  • AETNA — AETNA MARKETPLACE: $48.27
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $7.56
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $63.53
  • AMBETTER — AMBETTER MARKETPLACE: $32.73
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $33.84
  • AVMED HEALTH PLAN — AVMED HMO: $103.71
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $3.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Quest Thyroid Stimulating Hormone $3.50 $3.50 $1.23 – $3.50
Thyroid stimulating hormone (TSH) test: 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $3.50
  • AETNA — AETNA: $3.50
  • AETNA — AETNA GLOBAL: $3.50
  • AETNA DOMESTIC — AETNA: $3.50
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.50
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $3.50
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $3.50
  • ALIGN SENIOR CARE — MEDICARE: $3.50
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $3.50
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $3.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Thyroid Stimulating Hormone $58 $58 $5.88 – $58
Thyroid stimulating hormone (TSH) test: 10 of 629 insurance plan rates
  • AETNA — AETNA: $22.45
  • AETNA — AETNA GLOBAL: $22.45
  • AETNA MEDICAID — MEDICAID: $10.38
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $16.46
  • ALIGN SENIOR CARE — MEDICARE: $16.46
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $16.46
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $46.40
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $10.38
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $10.38
  • ALLY ALIGN CARE ADV — MEDICARE: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone $71 $46.15 $16.46 – $216
Thyroid stimulating hormone (TSH) test: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $58.03
  • AETNA — AETNA GLOBAL BENEFITS: $35.64
  • AETNA — AETNA MARKETPLACE: $44.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $42.60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $58.03
  • AMBETTER — AMBETTER MARKETPLACE: $29.90
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $30.91
  • AVMED HEALTH PLAN — AVMED HMO: $94.75
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $17.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Cbc Automated/Differential Wbc Automated $47 $47 $2.72 – $47
Complete blood count (CBC) with differential: 10 of 534 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $7.61
  • AETNA MEDICAID — MEDICAID: $4.73
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $7.61
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $7.61
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $4.73
  • ALIGN SENIOR CARE — MEDICARE: $7.61
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $4.73
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $7.61
  • ALLY ALIGN CARE ADV — MEDICARE: $7.61
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $7.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated $528 $343.20 $7.61 – $528
Complete blood count (CBC) with differential: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $26.85
  • AETNA — AETNA GLOBAL BENEFITS: $265.06
  • AETNA — AETNA MARKETPLACE: $20.40
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $316.80
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $26.85
  • AMBETTER — AMBETTER MARKETPLACE: $13.83
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $14.30
  • AVMED HEALTH PLAN — AVMED HMO: $43.85
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $132
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Cbc Automated/Differential Wbc Automated $47 $47 $6.68 – $13.44
Complete blood count (CBC) with differential: 10 of 95 insurance plan rates
  • AETNA — AETNA: $10.39
  • AETNA — AETNA GLOBAL: $10.39
  • AETNA DOMESTIC — AETNA: $10.39
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61
  • AVMED HEALTH PLAN — AVMED: $13.44
  • AVMED HEALTH PLAN — AVMED MARKETPLACE: $13
  • AVMED HEALTH PLAN — AVMED SELECT: $13
  • BCBS GENERIC — BCBS PPO TRAD: $6.68
  • BCN DOMESTIC — BCBS PPO TRAD: $6.68
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO TRAD: $6.68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Cbc Automated $25 $25 $2.26 – $25
Complete blood count (CBC), automated: 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $6.34
  • AETNA — AETNA: $8.63
  • AETNA — AETNA GLOBAL: $8.63
  • AETNA DOMESTIC — AETNA: $8.63
  • AETNA MEDICAID — MEDICAID: $3.88
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $6.34
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $6.34
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $3.88
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $3.88
  • ALIGN SENIOR CARE — MEDICARE: $6.34
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated $42 $27.30 $6.34 – $216
Complete blood count (CBC), automated: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $22.33
  • AETNA — AETNA GLOBAL BENEFITS: $21.08
  • AETNA — AETNA MARKETPLACE: $16.97
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $25.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $22.33
  • AMBETTER — AMBETTER MARKETPLACE: $11.52
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $11.90
  • AVMED HEALTH PLAN — AVMED HMO: $36.52
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $10.50
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Cbc Automated Not listed in the file $25 $2.26 – $25
Complete blood count (CBC), automated: 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $6.34
  • AETNA DOMESTIC — AETNA: $8.63
  • AETNA MEDICAID — MEDICAID: $3.88
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $6.34
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $3.88
  • ALIGN SENIOR CARE — MEDICARE: $6.34
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $6.34
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $15.35
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $3.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Prothrombin Time $26 $26 $1.77 – $26
Blood clotting time test (prothrombin time, PT): 10 of 622 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $2.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.57
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $4.20
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $2.57
  • ALIGN SENIOR CARE — MEDICARE: $4.20
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $4.20
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $20.80
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $2.57
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $2.57
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3514930 Prothrombin Time $8 $5.20 $2 – $216
Blood clotting time test (prothrombin time, PT): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $13.59
  • AETNA — AETNA GLOBAL BENEFITS: $4.02
  • AETNA — AETNA MARKETPLACE: $10.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $4.80
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $13.59
  • AMBETTER — AMBETTER MARKETPLACE: $7.64
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $7.89
  • AVMED HEALTH PLAN — AVMED HMO: $24.18
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $2
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3500044 Prothrombin Time $129 $83.85 $3.80 – $216
Blood clotting time test (prothrombin time, PT): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $13.59
  • AETNA — AETNA GLOBAL BENEFITS: $64.76
  • AETNA — AETNA MARKETPLACE: $10.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $77.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $13.59
  • AMBETTER — AMBETTER MARKETPLACE: $7.64
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $7.89
  • AVMED HEALTH PLAN — AVMED HMO: $24.18
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $32.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Quest 90271 Thromboplastin Time Partial (Ptt) $3.20 $3.20 $1.12 – $3.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 629 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $3.20
  • AETNA — AETNA: $3.20
  • AETNA — AETNA GLOBAL: $3.20
  • AETNA DOMESTIC — AETNA: $3.20
  • AETNA MEDICAID — MEDICAID: $3.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.20
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $3.20
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $3.20
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $2.56
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $3.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Thromboplastin Time Partial (Ptt) Plasma or Whole Blood $21 $21 $2.10 – $21
Blood clotting test (partial thromboplastin time, PTT): 10 of 622 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $5.89
  • AETNA — AETNA: $6.82
  • AETNA — AETNA GLOBAL: $6.82
  • AETNA DOMESTIC — AETNA: $6.82
  • AETNA MEDICAID — MEDICAID: $3.61
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $5.89
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $3.61
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $3.61
  • ALIGN SENIOR CARE — MEDICARE: $5.89
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 2500780 Thromboplastin Time Partial (Ptt) $5.53 $3.59 $1.38 – $216
Blood clotting test (partial thromboplastin time, PTT): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $20.74
  • AETNA — AETNA GLOBAL BENEFITS: $2.78
  • AETNA — AETNA MARKETPLACE: $15.75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3.32
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $20.74
  • AMBETTER — AMBETTER MARKETPLACE: $10.70
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $11.06
  • AVMED HEALTH PLAN — AVMED HMO: $33.91
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1.38

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 · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast $4,307 $2,799.55 $78.85 – $4,307
CT scan of the head or brain, without contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $2,162.11
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.99
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $2,584.20
  • AMBETTER — AMBETTER MARKETPLACE: $190.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $200.88
  • AVMED HEALTH PLAN — AVMED HMO: $676
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,076.75
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $114.63
  • AXA ASSISTANCE US — INTERNATIONAL: $2,584.20
  • AXIS SERVICES — INTERNATIONAL: $2,584.20
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast Not listed in the file $2,799.55 $78.85 – $3,623
CT scan of the head or brain, without contrast: 10 of 116 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.99
  • AMBETTER — AMBETTER MARKETPLACE: $190.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $200.88
  • AVMED HEALTH PLAN — AVMED HMO: $676
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $114.63
  • BCBS GENERIC — BCBS PPC: $1,839
  • BCN DOMESTIC — BCBS PPC: $1,839
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $1,839
  • BLUE CARE NETWORK — BCBS PPC: $1,839
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $1,839
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier NC In the file: HC CT Head/Brain W/O Contrast|NC Not listed in the file $5,937.10 $78.85 – $3,623
CT scan of the head or brain, without contrast: 10 of 85 insurance plan rates
  • AVMED HEALTH PLAN — AVMED HMO: $676
  • BCBS GENERIC — BCBS PPC: $1,839
  • BCN DOMESTIC — BCBS PPC: $1,839
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $1,839
  • BLUE CARE NETWORK — BCBS PPC: $1,839
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $1,839
  • BLUE CROSS - AL — BCBS PPC: $1,839
  • BLUE CROSS - AR — BCBS PPC: $1,839
  • BLUE CROSS - AZ — BCBS PPC: $1,839
  • BLUE CROSS - CA (ANTHEM) — BCBS PPC: $1,839
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast $6,837 $4,444.05 $284.05 – $6,837
MRI of the brain, before and after contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $3,432.17
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $357.03
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $4,102.20
  • AMBETTER — AMBETTER MARKETPLACE: $636.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $670.35
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,709.25
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $382.54
  • AXA ASSISTANCE US — INTERNATIONAL: $4,102.20
  • AXIS SERVICES — INTERNATIONAL: $4,102.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast Not listed in the file $4,833.01 $284.05 – $3,353
MRI of the brain, before and after contrast: 10 of 116 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $357.03
  • AMBETTER — AMBETTER MARKETPLACE: $636.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $670.35
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $382.54
  • BCBS GENERIC — BCBS PPC: $2,137
  • BCN DOMESTIC — BCBS PPC: $2,137
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $2,137
  • BLUE CARE NETWORK — BCBS PPC: $2,137
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $2,137
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier NC In the file: HC MRI Brain W/O & W/Contrast|NC Not listed in the file $2,839.46 $284.05 – $3,353
MRI of the brain, before and after contrast: 10 of 116 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $357.03
  • AMBETTER — AMBETTER MARKETPLACE: $636.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $670.35
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $382.54
  • BCBS GENERIC — BCBS PPC: $2,137
  • BCN DOMESTIC — BCBS PPC: $2,137
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $2,137
  • BLUE CARE NETWORK — BCBS PPC: $2,137
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $2,137
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Xr Chest 2 Views $120 $120 $20.11 – $120
Chest X-ray, 2 views: 10 of 767 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $33.26
  • AETNA DOMESTIC — AETNA: $42.47
  • AETNA MEDICAID — MEDICAID: $20.11
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $33.26
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $33.26
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $20.11
  • ALIGN SENIOR CARE — MEDICARE: $33.26
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $96
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $20.11
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $33.26
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views $553 $359.45 $89.06 – $799
Chest X-ray, 2 views: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $376.59
  • AETNA — AETNA GLOBAL BENEFITS: $277.61
  • AETNA — AETNA MARKETPLACE: $285.90
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $89.06
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $331.80
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $376.59
  • AMBETTER — AMBETTER MARKETPLACE: $158.86
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $167.22
  • AVMED HEALTH PLAN — AVMED HMO: $132.61
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $138.25
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Xr Chest 2 Views $120 $120 $6.17 – $120
Chest X-ray, 2 views: rates for 4 insurance plans
  • BLUE CROSS - FL — BCBS TRULI FOR HEALTH: $30.89
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $33.26
  • SUNSHINE STATE HEALTH PLAN — SUNSHINE STATE HEALTH MEDICAID: $20.71
  • WELLCARE MEDICAID — SUNSHINE STATE HEALTH MEDICAID: $20.71
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Xr Lumbosacral Spine >= 4 Views $182 $182 $7.78 – $182
X-ray of the lower spine, at least 4 views: 10 of 773 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $53.72
  • AETNA — AETNA: $62.44
  • AETNA — AETNA GLOBAL: $62.44
  • AETNA DOMESTIC — AETNA: $62.44
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $53.72
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $53.72
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $31.94
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $53.72
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $53.72
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $31.94
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views $1,340 $871 $36.10 – $1,340
X-ray of the lower spine, at least 4 views: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $912.54
  • AETNA — AETNA GLOBAL BENEFITS: $672.68
  • AETNA — AETNA MARKETPLACE: $692.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.99
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $804
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $912.54
  • AMBETTER — AMBETTER MARKETPLACE: $190.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $200.88
  • AVMED HEALTH PLAN — AVMED HMO: $224.40
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $335
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR Xr Lumbosacral Spine >= 4 Views|PROFESSIONAL COMPONENT $171 $171 $7.78 – $182
X-ray of the lower spine, at least 4 views: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $13.01
  • AETNA — AETNA: $17.10
  • AETNA — AETNA GLOBAL: $17.10
  • AETNA DOMESTIC — AETNA: $17.10
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.01
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $13.01
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $7.78
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $7.78
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $13.01
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $13.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast $5,131 $3,335.15 $160.55 – $5,131
MRI of the lower back (lumbar spine), without contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $2,575.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $244.18
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3,078.60
  • AMBETTER — AMBETTER MARKETPLACE: $435.55
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $458.47
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,282.75
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $261.63
  • AXA ASSISTANCE US — INTERNATIONAL: $3,078.60
  • AXIS SERVICES — INTERNATIONAL: $3,078.60
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast $5,828 $3,788.20 $179.50 – $5,828
CT scan of the pelvis, with contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $2,925.66
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $179.50
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3,496.80
  • AMBETTER — AMBETTER MARKETPLACE: $320.18
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $337.03
  • AVMED HEALTH PLAN — AVMED HMO: $676
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,457
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $192.33
  • AXA ASSISTANCE US — INTERNATIONAL: $3,496.80
  • AXIS SERVICES — INTERNATIONAL: $3,496.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt $4,268 $2,774.20 $182.40 – $4,268
MRI of a leg joint (such as the knee), without contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $2,142.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $244.18
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $2,560.80
  • AMBETTER — AMBETTER MARKETPLACE: $435.55
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $458.47
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,067
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $261.63
  • AXA ASSISTANCE US — INTERNATIONAL: $2,560.80
  • AXIS SERVICES — INTERNATIONAL: $2,560.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl $6,402 $4,161.30 $182.40 – $6,402
MRI of a leg joint (such as the knee), without contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $3,213.80
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $244.18
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3,841.20
  • AMBETTER — AMBETTER MARKETPLACE: $435.55
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $458.47
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,600.50
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $261.63
  • AXA ASSISTANCE US — INTERNATIONAL: $3,841.20
  • AXIS SERVICES — INTERNATIONAL: $3,841.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt $4,268 $2,774.20 $182.40 – $4,268
MRI of a leg joint (such as the knee), without contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $2,142.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $244.18
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $2,560.80
  • AMBETTER — AMBETTER MARKETPLACE: $435.55
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $458.47
  • AVMED HEALTH PLAN — AVMED HMO: $893
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,067
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $261.63
  • AXA ASSISTANCE US — INTERNATIONAL: $2,560.80
  • AXIS SERVICES — INTERNATIONAL: $2,560.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast $10,760 $6,994 $237.50 – $10,760
CT scan of the abdomen and pelvis, with contrast: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $5,401.52
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $357.03
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $6,456
  • AMBETTER — AMBETTER MARKETPLACE: $636.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $670.35
  • AVMED HEALTH PLAN — AVMED HMO: $676
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $2,690
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $382.54
  • AXA ASSISTANCE US — INTERNATIONAL: $6,456
  • AXIS SERVICES — INTERNATIONAL: $6,456
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast Not listed in the file $7,196.80 $237.50 – $3,623
CT scan of the abdomen and pelvis, with contrast: 10 of 116 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $357.03
  • AMBETTER — AMBETTER MARKETPLACE: $636.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $670.35
  • AVMED HEALTH PLAN — AVMED HMO: $676
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $382.54
  • BCBS GENERIC — BCBS PPC: $1,839
  • BCN DOMESTIC — BCBS PPC: $1,839
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $1,839
  • BLUE CARE NETWORK — BCBS PPC: $1,839
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $1,839
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete $683 $443.95 $89.30 – $1,009
Ultrasound of the abdomen, complete: 10 of 157 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $342.87
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.99
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $409.80
  • AMBETTER — AMBETTER MARKETPLACE: $190.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $200.88
  • AVMED HEALTH PLAN — AVMED HMO: $445.14
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $170.75
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $114.63
  • AXA ASSISTANCE US — INTERNATIONAL: $409.80
  • AXIS SERVICES — INTERNATIONAL: $409.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation $1,229 $798.85 $99.75 – $1,229
Pregnancy ultrasound (after the first trimester): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $887.34
  • AETNA — AETNA GLOBAL BENEFITS: $616.96
  • AETNA — AETNA MARKETPLACE: $635.39
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.99
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $737.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $887.34
  • AMBETTER — AMBETTER MARKETPLACE: $190.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $200.88
  • AVMED HEALTH PLAN — AVMED HMO: $503.16
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $307.25
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric $436 $436 $20.87 – $436
Transvaginal ultrasound: 10 of 773 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $117.99
  • AETNA — AETNA: $158.90
  • AETNA — AETNA GLOBAL: $158.90
  • AETNA MEDICAID — MEDICAID: $80.56
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $117.99
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $117.99
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $80.56
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $117.99
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $80.56
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $117.99
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric $1,510 $981.50 $95 – $1,510
Transvaginal ultrasound: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $1,090.22
  • AETNA — AETNA GLOBAL BENEFITS: $758.02
  • AETNA — AETNA MARKETPLACE: $780.67
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.99
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $906
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $1,090.22
  • AMBETTER — AMBETTER MARKETPLACE: $190.84
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $200.88
  • AVMED HEALTH PLAN — AVMED HMO: $491.95
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $377.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR US Transvaginal Non Obstetric|PROFESSIONAL COMPONENT $431 $431 $20.87 – $436
Transvaginal ultrasound: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $32.92
  • AETNA — AETNA: $45.44
  • AETNA — AETNA GLOBAL: $45.44
  • AETNA DOMESTIC — AETNA: $45.44
  • AETNA MEDICAID — MEDICAID: $22.37
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $32.92
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $32.92
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $22.37
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $32.92
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $22.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt $624 $405.60 $85.81 – $624
Diagnostic mammogram, one breast: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $424.94
  • AETNA — AETNA GLOBAL BENEFITS: $313.25
  • AETNA — AETNA MARKETPLACE: $322.61
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $85.81
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $374.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $424.94
  • AMBETTER — AMBETTER MARKETPLACE: $155.86
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $161.11
  • AVMED HEALTH PLAN — AVMED HMO: $492.37
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $156
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt $624 $405.60 $85.81 – $624
Diagnostic mammogram, one breast: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $424.94
  • AETNA — AETNA GLOBAL BENEFITS: $313.25
  • AETNA — AETNA MARKETPLACE: $322.61
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $85.81
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $374.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $424.94
  • AMBETTER — AMBETTER MARKETPLACE: $155.86
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $161.11
  • AVMED HEALTH PLAN — AVMED HMO: $492.37
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $156
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt Not listed in the file $948.35 $85.81 – $1,009
Diagnostic mammogram, one breast: 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $85.81
  • AMBETTER — AMBETTER MARKETPLACE: $155.86
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $161.11
  • AVMED HEALTH PLAN — AVMED HMO: $492.37
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $91.94
  • BCBS GENERIC — BCBS PPC: $788
  • BCN DOMESTIC — BCBS PPC: $788
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $788
  • BLUE CARE NETWORK — BCBS PPC: $788
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $788
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral $936 $608.40 $110.28 – $936
Diagnostic mammogram, both breasts: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $637.42
  • AETNA — AETNA GLOBAL BENEFITS: $469.87
  • AETNA — AETNA MARKETPLACE: $483.91
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.28
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $561.60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $637.42
  • AMBETTER — AMBETTER MARKETPLACE: $200.30
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $207.06
  • AVMED HEALTH PLAN — AVMED HMO: $632.46
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $234
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed $824 $535.60 $90.79 – $824
Screening mammogram, both breasts: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $561.14
  • AETNA — AETNA GLOBAL BENEFITS: $413.65
  • AETNA — AETNA MARKETPLACE: $426.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.79
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $494.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $561.14
  • AMBETTER — AMBETTER MARKETPLACE: $164.90
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $170.46
  • AVMED HEALTH PLAN — AVMED HMO: $520.43
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $206
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral $824 $535.60 $90.79 – $824
Screening mammogram, both breasts: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $561.14
  • AETNA — AETNA GLOBAL BENEFITS: $413.65
  • AETNA — AETNA MARKETPLACE: $426.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.79
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $494.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $561.14
  • AMBETTER — AMBETTER MARKETPLACE: $164.90
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $170.46
  • AVMED HEALTH PLAN — AVMED HMO: $520.43
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $206
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammography Screen Bilateral Not listed in the file $672.10 $90.79 – $520.43
Screening mammogram, both breasts: 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.79
  • AMBETTER — AMBETTER MARKETPLACE: $164.90
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $170.46
  • AVMED HEALTH PLAN — AVMED HMO: $520.43
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $97.27
  • BCBS GENERIC — BCBS PPC: $477
  • BCN DOMESTIC — BCBS PPC: $477
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $477
  • BLUE CARE NETWORK — BCBS PPC: $477
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $477

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report $62 $62 $8.78 – $24.62
Electrocardiogram (ECG/EKG) with reading: 10 of 748 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $13.34
  • AETNA DOMESTIC — AETNA: $23.84
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.34
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $13.34
  • ALIGN SENIOR CARE — MEDICARE: $13.34
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $13.34
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $8.78
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $13.34
  • AMERIHEALTH MEDICARE — MEDICARE: $13.34
  • AMISH MENNONITE — MEDICAID: $8.78
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report $62 $62 $10.98 – $30.46
Electrocardiogram (ECG/EKG) with reading: 10 of 748 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $15.70
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15.70
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $15.70
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $15.70
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $10.98
  • ALIGN SENIOR CARE — MEDICARE: $15.70
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $15.70
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $10.98
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $15.70
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $10.98
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ecg 12 Lead Interpretation & Report $174 $113.10 $15.70 – $487
Electrocardiogram (ECG/EKG) with reading: 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $118.49
  • AETNA — AETNA GLOBAL BENEFITS: $87.35
  • AETNA — AETNA MARKETPLACE: $89.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15.70
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $104.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $118.49
  • AMBETTER — AMBETTER MARKETPLACE: $28.52
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $29.48
  • AVMED HEALTH PLAN — AVMED HMO: $60.90
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $43.50
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram $16,981 $11,037.65 $3,317.77 – $21,757
Left heart catheterization (diagnostic): 10 of 155 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $8,524.46
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,317.77
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $10,188.60
  • AMBETTER — AMBETTER MARKETPLACE: $5,917.91
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $6,229.29
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $4,245.25
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $3,554.76
  • AXA ASSISTANCE US — INTERNATIONAL: $10,188.60
  • AXIS SERVICES — INTERNATIONAL: $10,188.60
  • BCBS GENERIC — BCBS PPC: $21,757
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Comprehensive Rt Atrial/Ventricular Pacing/Record W/O Arrhythmia $22,162 $14,405.30 $5,540.50 – $54,514
Heart rhythm study (electrophysiology evaluation): 10 of 156 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $11,125.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,982.12
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $13,297.20
  • AMBETTER — AMBETTER MARKETPLACE: $14,237.72
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $14,986.85
  • AVMED HEALTH PLAN — AVMED HMO: $35,616.11
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $5,540.50
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $8,552.28
  • AXA ASSISTANCE US — INTERNATIONAL: $13,297.20
  • AXIS SERVICES — INTERNATIONAL: $13,297.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath $4,436 $4,436 $295.22 – $4,302.92
Heart rhythm study with ablation for atrial fibrillation: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $447.74
  • AETNA — AETNA: $930.73
  • AETNA — AETNA GLOBAL: $930.73
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $353.88
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $353.88
  • ALIGN SENIOR CARE — MEDICARE: $447.74
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $447.74
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $353.88
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $447.74
  • AMERICAN HEALTH PLAN — MEDICARE: $447.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation $62,677 $40,740.05 $15,669.25 – $62,677
Heart rhythm study with ablation for atrial fibrillation: 10 of 156 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $31,463.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $26,749.31
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $37,606.20
  • AMBETTER — AMBETTER MARKETPLACE: $47,712.78
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $50,223.20
  • AVMED HEALTH PLAN — AVMED HMO: $21,936.95
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $15,669.25
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $28,659.98
  • AXA ASSISTANCE US — INTERNATIONAL: $37,606.20
  • AXIS SERVICES — INTERNATIONAL: $37,606.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath Not listed in the file $4,436 $295.22 – $4,302.92
Heart rhythm study with ablation for atrial fibrillation: 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $930.73
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $447.74
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $447.74
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $353.88
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $353.88
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $447.74
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $3,548.80
  • ALLY ALIGN CARE ADV — MEDICARE: $447.74
  • AMBETTER — AMBETTER: $1,244.45
  • AMERICAN HEALTH PLAN — MEDICARE: $447.74
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $7,962 $5,175.30 $573 – $7,962
Sleep study (overnight, in a sleep lab): 10 of 162 insurance plan rates
  • AETNA — AETNA COVENTRY: $1,208
  • AETNA — AETNA GLOBAL BENEFITS: $3,996.92
  • AETNA — AETNA MARKETPLACE: $918
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $878.83
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $4,777.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $1,208
  • AMBETTER — AMBETTER MARKETPLACE: $1,567.57
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $1,650.05
  • AVMED HEALTH PLAN — AVMED HMO: $2,879.08
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $1,990.50

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $116 $75.40 $28.82 – $324
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 161 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA GLOBAL BENEFITS: $58.23
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.06
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $69.60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $52.78
  • AVMED HEALTH PLAN — AVMED HMO: $231
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $29
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $31.13
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $116 $75.40 $28.82 – $324
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 161 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA GLOBAL BENEFITS: $58.23
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.06
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $69.60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $52.78
  • AVMED HEALTH PLAN — AVMED HMO: $231
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $29
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $31.13
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Tr Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $86 $55.90 $21.50 – $776
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 161 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA GLOBAL BENEFITS: $43.17
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.06
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $51.60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $52.78
  • AVMED HEALTH PLAN — AVMED HMO: $30.10
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $21.50
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $31.13
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family $472 $306.80 $97.07 – $472
Physical therapy evaluation (low complexity): 10 of 161 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA GLOBAL BENEFITS: $236.94
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.25
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $283.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $176.63
  • AVMED HEALTH PLAN — AVMED HMO: $231
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $118
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $104.19
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family Not listed in the file $1,027 $97.07 – $324
Physical therapy evaluation (low complexity): 10 of 117 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.25
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $176.63
  • AVMED HEALTH PLAN — AVMED HMO: $231
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $104.19
  • BCBS GENERIC — BCBS PPC: $309
  • BCN DOMESTIC — BCBS PPC: $309
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $309
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family $489 $317.85 $97.07 – $489
Physical therapy evaluation (moderate complexity): 10 of 161 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA GLOBAL BENEFITS: $245.48
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.25
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $293.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $176.63
  • AVMED HEALTH PLAN — AVMED HMO: $231
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $122.25
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $104.19
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family $507 $329.55 $97.07 – $507
Physical therapy evaluation (high complexity): 10 of 161 insurance plan rates
  • AETNA — AETNA COVENTRY: $222
  • AETNA — AETNA GLOBAL BENEFITS: $254.51
  • AETNA — AETNA MARKETPLACE: $163
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.25
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $304.20
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $222
  • AMBETTER — AMBETTER MARKETPLACE: $176.63
  • AVMED HEALTH PLAN — AVMED HMO: $231
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $126.75
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $104.19
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 60 Minutes $419 $272.35 $104.75 – $776
Psychotherapy, 60 minutes: 10 of 134 insurance plan rates
  • AETNA — AETNA COVENTRY: $285.34
  • AETNA — AETNA GLOBAL BENEFITS: $210.34
  • AETNA — AETNA MARKETPLACE: $216.62
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $251.40
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $285.34
  • AVMED HEALTH PLAN — AVMED HMO: $146.65
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $104.75
  • AXA ASSISTANCE US — INTERNATIONAL: $251.40
  • AXIS SERVICES — INTERNATIONAL: $251.40
  • BCBS GENERIC — BCBS PPC: $763

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $1,610 $1,610 $135.90 – $3,123.40
Removal of breast growth (open surgery): 10 of 774 insurance plan rates
  • AETNA — AETNA: $337.94
  • AETNA — AETNA GLOBAL: $337.94
  • AETNA DOMESTIC — AETNA: $337.94
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $220.07
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $162.90
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $1,288
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $162.90
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $162.90
  • AMBETTER — AMBETTER: $529.99
  • AMERICAN HEALTH PLAN — MEDICARE: $220.07
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $930 $930 $135.90 – $1,804.20
Removal of breast growth (open surgery): 10 of 774 insurance plan rates
  • AETNA — AETNA: $337.94
  • AETNA — AETNA GLOBAL: $337.94
  • AETNA DOMESTIC — AETNA: $337.94
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $220.07
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $162.90
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $744
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $162.90
  • ALLY ALIGN CARE ADV — MEDICARE: $220.07
  • AMBETTER — AMBETTER: $443.11
  • AMERICAN HEALTH PLAN — MEDICARE: $220.07
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt $11,069 $7,194.85 $1,745 – $20,380
Removal of breast growth (open surgery): 10 of 151 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $5,556.64
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,007.03
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $6,641.40
  • AMBETTER — AMBETTER MARKETPLACE: $7,147.34
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $7,523.40
  • AVMED HEALTH PLAN — AVMED HMO: $2,909
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $2,767.25
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $4,293.25
  • AXA ASSISTANCE US — INTERNATIONAL: $6,641.40
  • AXIS SERVICES — INTERNATIONAL: $6,641.40
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $7,826 $7,826 $414.61 – $7,591.22
Total hip replacement: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $625.12
  • AETNA MEDICAID — MEDICAID: $496.99
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $625.12
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $625.12
  • ALIGN SENIOR CARE — MEDICARE: $625.12
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $625.12
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $625.12
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $625.12
  • ALLY ALIGN CARE ADV — MEDICARE: $625.12
  • AMBETTER — AMBETTER: $1,749.04
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $2,825 $2,825 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,740.25
Total hip replacement: 10 of 774 insurance plan rates
  • AETNA — AETNA: $1,094.88
  • AETNA — AETNA GLOBAL: $1,094.88
  • AETNA DOMESTIC — AETNA: $1,094.88
  • AETNA MEDICAID — MEDICAID: $496.99
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $625.12
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $496.99
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $496.99
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $625.12
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $2,260
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $496.99
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Replacement Lt $43,913 $28,543.45 $1,250.84 – $43,913
Total hip replacement: 10 of 83 insurance plan rates
  • AETNA — AETNA COVENTRY: $29,904.75
  • AETNA — AETNA GLOBAL BENEFITS: $22,044.33
  • AETNA — AETNA MARKETPLACE: $22,703.02
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,139.02
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $26,347.80
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $29,904.75
  • AMBETTER — AMBETTER MARKETPLACE: $23,436.09
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $24,669.18
  • AVMED HEALTH PLAN — AVMED HMO: $25,809
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $14,077.52
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $5,210 $5,210 $414.07 – $5,053.70
Total knee replacement: 10 of 774 insurance plan rates
  • AETNA — AETNA: $1,133.94
  • AETNA — AETNA GLOBAL: $1,133.94
  • AETNA DOMESTIC — AETNA: $1,133.94
  • AETNA MEDICAID — MEDICAID: $496.35
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $623.87
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $496.35
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $496.35
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $623.87
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $4,168
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $496.35
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $2,821 $2,821 $414.07 – $2,821
Total knee replacement: 10 of 774 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $623.87
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $496.35
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $496.35
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $2,256.80
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $496.35
  • AMBETTER — AMBETTER: $1,461.97
  • AMERICAN HEALTH PLAN — MEDICARE: $623.87
  • AMERIGROUP MEDICAID — MEDICAID: $496.35
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $496.35
  • AMERIHEALTH MEDICARE — MEDICARE: $623.87
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) Not listed in the file $51,865.78 $3,655 – $28,825.40
Total knee replacement: 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,139.02
  • AMBETTER — AMBETTER MARKETPLACE: $23,436.09
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $24,669.18
  • AVMED HEALTH PLAN — AVMED HMO: $25,809
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $14,077.52
  • BCBS GENERIC — BCBS PPC: $15,595
  • BCN DOMESTIC — BCBS PPC: $15,595
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $15,595
  • BLUE CARE NETWORK — BCBS PPC: $15,595
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $15,595
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty $1,976 $1,976 $109.70 – $1,976
Shoulder arthroscopy: shaving of shoulder bone: 10 of 774 insurance plan rates
  • AETNA — AETNA: $294.23
  • AETNA — AETNA GLOBAL: $294.23
  • AETNA DOMESTIC — AETNA: $294.23
  • AETNA MEDICAID — MEDICAID: $131.49
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $160.41
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $131.49
  • ALIGN SENIOR CARE — MEDICARE: $160.41
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $1,580.80
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $131.49
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $131.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty $370 $370 $109.70 – $370
Shoulder arthroscopy: shaving of shoulder bone: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $160.41
  • AETNA MEDICAID — MEDICAID: $131.49
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $160.41
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $160.41
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $131.49
  • ALIGN SENIOR CARE — MEDICARE: $160.41
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $296
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $131.49
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $160.41
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $131.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH) Not listed in the file $49,805.29 $1,454 – $20,380
Shoulder arthroscopy: shaving of shoulder bone: 10 of 109 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,425.96
  • AMBETTER — AMBETTER MARKETPLACE: $13,245.70
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $13,942.62
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $7,956.39
  • BCBS GENERIC — BCBS PPC: $15,595
  • BCN DOMESTIC — BCBS PPC: $15,595
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $15,595
  • BLUE CARE NETWORK — BCBS PPC: $15,595
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $15,595
  • BLUE CROSS - AL — BCBS PPC: $15,595
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage $2,050 $2,050 $177.22 – $1,988.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $272.91
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $272.91
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $272.91
  • ALIGN SENIOR CARE — MEDICARE: $272.91
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $272.91
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $272.91
  • AMBETTER — AMBETTER: $689.91
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $272.91
  • AMERIGROUP MEDICAID — MEDICAID: $212.43
  • AMERIHEALTH MEDICARE — MEDICARE: $272.91
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage $1,220 $1,220 $28.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,220
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 774 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $272.91
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $272.91
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $212.43
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $976
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $272.91
  • AMBETTER — AMBETTER: $576.81
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $272.91
  • AMERICAN HEALTH PLAN — MEDICARE: $272.91
  • AMERIGROUP MEDICAID — MEDICAID: $212.43
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $212.43
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) Not listed in the file $23,437.63 $3,348.54 – $20,380
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 109 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,348.54
  • AMBETTER — AMBETTER MARKETPLACE: $5,972.80
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $6,287.06
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $3,587.73
  • BCBS GENERIC — BCBS PPC: $15,595
  • BCN DOMESTIC — BCBS PPC: $15,595
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $15,595
  • BLUE CARE NETWORK — BCBS PPC: $15,595
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $15,595
  • BLUE CROSS - AL — BCBS PPC: $15,595
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $1,091 $1,091 $38.88 – $1,058.27
Upper GI endoscopy (diagnostic): 10 of 774 insurance plan rates
  • AETNA — AETNA: $96.47
  • AETNA — AETNA GLOBAL: $96.47
  • AETNA DOMESTIC — AETNA: $96.47
  • AETNA MEDICAID — MEDICAID: $46.60
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $57.57
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $46.60
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $46.60
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $57.57
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $872.80
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $46.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $267 $267 $38.88 – $258.99
Upper GI endoscopy (diagnostic): 10 of 774 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $46.60
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $57.57
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $46.60
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $46.60
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $213.60
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $46.60
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $46.60
  • AMBETTER — AMBETTER: $141.91
  • AMERICAN HEALTH PLAN — MEDICARE: $57.57
  • AMERIGROUP MEDICAID — MEDICAID: $46.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing Not listed in the file $4,609.02 $928.20 – $12,317
Upper GI endoscopy (diagnostic): 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $928.20
  • AMBETTER — AMBETTER MARKETPLACE: $1,655.64
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $1,742.75
  • AVMED HEALTH PLAN — AVMED HMO: $1,899
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $994.50
  • BCBS GENERIC — BCBS PPC: $7,541
  • BCN DOMESTIC — BCBS PPC: $7,541
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $7,541
  • BLUE CARE NETWORK — BCBS PPC: $7,541
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $7,541
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $517 $517 $43.67 – $501.49
Upper GI endoscopy with biopsy: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $64.36
  • AETNA MEDICAID — MEDICAID: $52.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $64.36
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $64.36
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $52.34
  • ALIGN SENIOR CARE — MEDICARE: $64.36
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $413.60
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $64.36
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $64.36
  • ALLY ALIGN CARE ADV — MEDICARE: $64.36
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $301 $301 $43.67 – $291.97
Upper GI endoscopy with biopsy: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $64.36
  • AETNA — AETNA: $108.46
  • AETNA — AETNA GLOBAL: $108.46
  • AETNA DOMESTIC — AETNA: $108.46
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $64.36
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $64.36
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $64.36
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $64.36
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $64.36
  • ALLY ALIGN CARE ADV — MEDICARE: $64.36
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) Not listed in the file $9,550.22 $928.20 – $10,114
Upper GI endoscopy with biopsy: 10 of 110 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $928.20
  • AMBETTER — AMBETTER MARKETPLACE: $1,655.64
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $1,742.75
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $994.50
  • BCBS GENERIC — BCBS PPC: $7,541
  • BCN DOMESTIC — BCBS PPC: $7,541
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $7,541
  • BLUE CARE NETWORK — BCBS PPC: $7,541
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $7,541
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing $698 $698 $58.36 – $677.06
Colonoscopy (diagnostic): 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $146.15
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $86.39
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $86.39
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $86.39
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $86.39
  • ALLY ALIGN CARE ADV — MEDICARE: $86.39
  • AMERICAN HEALTH PLAN — MEDICARE: $86.39
  • AMERIGROUP MEDICAID — MEDICAID: $69.96
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $69.96
  • AMERIHEALTH MEDICARE — MEDICARE: $86.39
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing Not listed in the file $698 $58.36 – $677.06
Colonoscopy (diagnostic): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $86.39
  • AETNA — AETNA: $146.15
  • AETNA — AETNA GLOBAL: $146.15
  • AETNA DOMESTIC — AETNA: $146.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.39
  • ALIGN SENIOR CARE — MEDICARE: $86.39
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $86.39
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $86.39
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $69.96
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $86.39
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) Not listed in the file $3,799.57 $951.71 – $10,114
Colonoscopy (diagnostic): 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $951.71
  • AMBETTER — AMBETTER MARKETPLACE: $1,697.57
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $1,786.89
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $1,019.69
  • BCBS GENERIC — BCBS PPC: $7,541
  • BCN DOMESTIC — BCBS PPC: $7,541
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $7,541
  • BLUE CARE NETWORK — BCBS PPC: $7,541
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $7,541
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple $765 $765 $63.48 – $742.05
Colonoscopy with biopsy: 10 of 774 insurance plan rates
  • AETNA — AETNA: $157.45
  • AETNA — AETNA GLOBAL: $157.45
  • AETNA DOMESTIC — AETNA: $157.45
  • AETNA MEDICAID — MEDICAID: $76.09
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $92.93
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $92.93
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $76.09
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $76.09
  • ALIGN SENIOR CARE — MEDICARE: $92.93
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $76.09
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple Not listed in the file $765 $63.48 – $742.05
Colonoscopy with biopsy: 10 of 774 insurance plan rates
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $92.93
  • ALIGN SENIOR CARE — MEDICARE: $92.93
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $612
  • AMBETTER — AMBETTER: $275.46
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $92.93
  • AMERICAN HEALTH PLAN — MEDICARE: $92.93
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $76.09
  • AMERIHEALTH MEDICARE — MEDICARE: $92.93
  • ANDRIE INC — WORKERS COMP: $218.50
  • AURORA SPECIAL NEEDS — MEDICARE: $92.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) Not listed in the file $6,934.82 $1,224.63 – $12,317
Colonoscopy with biopsy: 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,224.63
  • AMBETTER — AMBETTER MARKETPLACE: $2,184.38
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $2,299.31
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $1,312.11
  • BCBS GENERIC — BCBS PPC: $9,199
  • BCN DOMESTIC — BCBS PPC: $9,199
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $9,199
  • BLUE CARE NETWORK — BCBS PPC: $9,199
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $9,199
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $953 $953 $79.98 – $924.41
Colonoscopy with removal of polyps (snare): 10 of 774 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $95.88
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $95.88
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $95.88
  • AMERIGROUP MEDICAID — MEDICAID: $95.88
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $95.88
  • AMERIHEALTH MEDICARE — MEDICARE: $116.60
  • ANDRIE INC — WORKERS COMP: $276.50
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $95.88
  • AURORA SPECIAL NEEDS — MEDICARE: $116.60
  • AXIS SERVICES — INTERNATIONAL: $762.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $551 $551 $79.98 – $534.47
Colonoscopy with removal of polyps (snare): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $116.60
  • AETNA DOMESTIC — AETNA: $199.86
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $116.60
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $116.60
  • ALIGN SENIOR CARE — MEDICARE: $116.60
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $116.60
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $116.60
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $116.60
  • ALLY ALIGN CARE ADV — MEDICARE: $116.60
  • AMBETTER — AMBETTER: $326.98
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) Not listed in the file $6,108.34 $1,224.63 – $12,317
Colonoscopy with removal of polyps (snare): 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,224.63
  • AMBETTER — AMBETTER MARKETPLACE: $2,184.38
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $2,299.31
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $1,312.11
  • BCBS GENERIC — BCBS PPC: $9,199
  • BCN DOMESTIC — BCBS PPC: $9,199
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $9,199
  • BLUE CARE NETWORK — BCBS PPC: $9,199
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $9,199
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible W Endo US Exam Ltd to Rectum/Sigmoid/Colon/Cecum $936 $936 $81.05 – $907.92
Ultrasound of the lower bowel by endoscope: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $117.49
  • AETNA MEDICAID — MEDICAID: $97.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $117.49
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $117.49
  • ALIGN SENIOR CARE — MEDICARE: $117.49
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $117.49
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $748.80
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $117.49
  • ALLY ALIGN CARE ADV — MEDICARE: $117.49
  • AMBETTER — AMBETTER: $374.91
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible W Endo US Exam Ltd to Rectum/Sigmoid/Colon/Cecum Not listed in the file $698.40 $81.05 – $677.45
Ultrasound of the lower bowel by endoscope: 10 of 774 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $117.49
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $97.15
  • ALIGN SENIOR CARE — MEDICARE: $117.49
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $117.49
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $558.72
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $117.49
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $97.15
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $117.49
  • ALLY ALIGN CARE ADV — MEDICARE: $117.49
  • AMBETTER — AMBETTER: $313.45
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Colonoscopy Flexible W Endo US Exam Ltd to Rectum/Sigmoid/Colon/Cecum Not listed in the file $8,974.97 $1,224.63 – $12,317
Ultrasound of the lower bowel by endoscope: 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,224.63
  • AMBETTER — AMBETTER MARKETPLACE: $2,184.38
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $2,299.31
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $1,312.11
  • BCBS GENERIC — BCBS PPC: $9,199
  • BCN DOMESTIC — BCBS PPC: $9,199
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $9,199
  • BLUE CARE NETWORK — BCBS PPC: $9,199
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $9,199
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient $700 $700 $58.47 – $679
Screening colonoscopy (not high risk): 10 of 506 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $86.69
  • AETNA — AETNA: $146.61
  • AETNA — AETNA GLOBAL: $146.61
  • AETNA DOMESTIC — AETNA: $146.61
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.69
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $86.69
  • ALIGN SENIOR CARE — MEDICARE: $86.69
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $86.69
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $86.69
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $86.69
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient Not listed in the file $700 $58.47 – $679
Screening colonoscopy (not high risk): 10 of 506 insurance plan rates
  • AETNA — AETNA: $146.61
  • AETNA — AETNA GLOBAL: $146.61
  • AETNA DOMESTIC — AETNA: $146.61
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.69
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $86.69
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $86.69
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $86.69
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $86.69
  • ALLY ALIGN CARE ADV — MEDICARE: $86.69
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $86.69
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH) Not listed in the file $3,446.46 $161 – $2,544
Screening colonoscopy (not high risk): 10 of 107 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $951.71
  • AMBETTER — AMBETTER MARKETPLACE: $1,697.57
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $1,786.89
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $1,019.69
  • BCBS GENERIC — BCBS PPC: $763
  • BCN DOMESTIC — BCBS PPC: $763
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $763
  • BLUE CARE NETWORK — BCBS PPC: $763
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $763
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $2,603 $2,603 $213.64 – $2,524.91
Gallbladder removal by laparoscope: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $345.95
  • AETNA — AETNA: $546.10
  • AETNA — AETNA GLOBAL: $546.10
  • AETNA DOMESTIC — AETNA: $546.10
  • AETNA MEDICAID — MEDICAID: $256.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $345.95
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $345.95
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $256.09
  • ALIGN SENIOR CARE — MEDICARE: $345.95
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $345.95
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $1,451 $1,451 $34.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,407.47
Gallbladder removal by laparoscope: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $345.95
  • AETNA MEDICAID — MEDICAID: $256.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $345.95
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $345.95
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $345.95
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $256.09
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $256.09
  • ALIGN SENIOR CARE — MEDICARE: $345.95
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $345.95
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $345.95
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) Not listed in the file $45,193.12 $6,186.95 – $20,380
Gallbladder removal by laparoscope: 10 of 106 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,186.95
  • AMBETTER — AMBETTER MARKETPLACE: $11,035.67
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $11,616.32
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $6,628.88
  • BCBS GENERIC — BCBS PPC: $15,595
  • BCN DOMESTIC — BCBS PPC: $15,595
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $15,595
  • BLUE CARE NETWORK — BCBS PPC: $15,595
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $15,595
  • BLUE CROSS - AL — BCBS PPC: $15,595
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) Not listed in the file $31,981.03 $2,045 – $20,380
Groin (inguinal) hernia repair, age 5 or older: 10 of 110 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,664.16
  • AMBETTER — AMBETTER MARKETPLACE: $6,535.76
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $6,879.64
  • AVMED HEALTH PLAN — AVMED HMO: $3,593
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $3,925.88
  • BCBS GENERIC — BCBS PPC: $15,595
  • BCN DOMESTIC — BCBS PPC: $15,595
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $15,595
  • BLUE CARE NETWORK — BCBS PPC: $15,595
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $15,595
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach $2,261 $2,261 $43.23 – $2,193.17
Prostate biopsy: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,130.50
  • AETNA — AETNA: $188.41
  • AETNA — AETNA GLOBAL: $188.41
  • AETNA DOMESTIC — AETNA: $188.41
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $1,130.50
  • ALIGN SENIOR CARE — MEDICARE: $1,130.50
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,130.50
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,130.50
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,130.50
  • ALLY ALIGN CARE ADV — MEDICARE: $1,130.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach Not listed in the file $12,836.20 $108 – $15,548
Prostate biopsy: 10 of 102 insurance plan rates
  • AETNA — AETNA COVENTRY: $1,174.85
  • AETNA — AETNA MARKETPLACE: $892.60
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $1,174.85
  • AMBETTER — AMBETTER MARKETPLACE: $1,288.53
  • BCBS GENERIC — BCBS PPC: $13,250
  • BCN DOMESTIC — BCBS PPC: $13,250
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $13,250
  • BLUE CARE NETWORK — BCBS PPC: $13,250
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $13,250
  • BLUE CROSS - AL — BCBS PPC: $13,250
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst $5,415 $5,415 $380.85 – $5,252.55
Prostate removal by laparoscope (radical prostatectomy): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $568.87
  • AETNA — AETNA: $1,136.43
  • AETNA — AETNA GLOBAL: $1,136.43
  • AETNA MEDICAID — MEDICAID: $456.52
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $568.87
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $456.52
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $456.52
  • ALIGN SENIOR CARE — MEDICARE: $568.87
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $456.52
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $568.87
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst $2,557 $2,557 $380.85 – $2,480.29
Prostate removal by laparoscope (radical prostatectomy): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $568.87
  • AETNA MEDICAID — MEDICAID: $456.52
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $568.87
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $568.87
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $456.52
  • ALIGN SENIOR CARE — MEDICARE: $568.87
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $568.87
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $568.87
  • ALLY ALIGN CARE ADV — MEDICARE: $568.87
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $568.87
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst Not listed in the file $63,951.99 $3,655 – $27,397
Prostate removal by laparoscope (radical prostatectomy): 10 of 106 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10,878.50
  • AMBETTER — AMBETTER MARKETPLACE: $19,404
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $20,424.94
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $11,655.54
  • BCBS GENERIC — BCBS PPC: $15,595
  • BCN DOMESTIC — BCBS PPC: $15,595
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $15,595
  • BLUE CARE NETWORK — BCBS PPC: $15,595
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $15,595
  • BLUE CROSS - AL — BCBS PPC: $15,595
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $891 $891 $73.91 – $864.27
Hysteroscopy with biopsy of the uterus lining: 10 of 770 insurance plan rates
  • AETNA DOMESTIC — AETNA: $186.71
  • AETNA MEDICAID — MEDICAID: $88.60
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.97
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $109.97
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $88.60
  • ALIGN SENIOR CARE — MEDICARE: $109.97
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $109.97
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $88.60
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $109.97
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $88.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $8,210 $5,336.50 $1,745 – $17,579
Hysteroscopy with biopsy of the uterus lining: 10 of 151 insurance plan rates
  • AETNA — AETNA GLOBAL BENEFITS: $4,121.42
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,312.85
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $4,926
  • AMBETTER — AMBETTER MARKETPLACE: $5,909.14
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $6,220.05
  • AVMED HEALTH PLAN — AVMED HMO: $2,909
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $2,052.50
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $3,549.49
  • AXA ASSISTANCE US — INTERNATIONAL: $4,926
  • AXIS SERVICES — INTERNATIONAL: $4,926
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $891 $891 $93.03 – $98.97
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $93.47
  • HUMANA MEDICARE ADVANTAGE — HUMANA MEDICARE ADVANTAGE: $93.47
  • PREFERRED CARE PARTNERS — PREFERRED CARE PARTNERS MEDICARE ADV: $98.97
  • SUNSHINE STATE HEALTH PLAN — SUNSHINE STATE HEALTH MEDICAID: $93.03
  • WELLCARE MEDICAID — SUNSHINE STATE HEALTH MEDICAID: $93.03
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance $369 $369 $31.63 – $357.93
Spinal injection, lower back (epidural), with imaging guidance: 10 of 773 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $46.11
  • AETNA DOMESTIC — AETNA: $80.78
  • AETNA MEDICAID — MEDICAID: $37.92
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $46.11
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $37.92
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $46.11
  • ALLY ALIGN CARE ADV — MEDICARE: $46.11
  • AMERICAN HEALTH PLAN — MEDICARE: $46.11
  • ANDRIE INC — WORKERS COMP: $108
  • ANTHEM MYCARE OHIO — MEDICARE: $46.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $413 $413 $25.81 – $801.22
Nerve root injection, lower back, with imaging guidance: 10 of 774 insurance plan rates
  • AETNA — AETNA: $90.19
  • AETNA — AETNA GLOBAL: $90.19
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $51.23
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $51.23
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $51.23
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $42.51
  • ALIGN SENIOR CARE — MEDICARE: $51.23
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $51.23
  • ALLY ALIGN CARE ADV — MEDICARE: $51.23
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $51.23
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level|BILATERAL PROCEDURE $826 $826 $25.81 – $801.22
Nerve root injection, lower back, with imaging guidance: 10 of 774 insurance plan rates
  • AETNA — AETNA: $135.29
  • AETNA — AETNA GLOBAL: $135.29
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $76.84
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $76.84
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $76.84
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $63.77
  • ALIGN SENIOR CARE — MEDICARE: $76.84
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $76.84
  • ALLY ALIGN CARE ADV — MEDICARE: $76.84
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $76.84
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel $1,748 $1,748 $122.01 – $1,695.56
Carpal tunnel release: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $221.91
  • AETNA MEDICAID — MEDICAID: $172.22
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $172.22
  • ALLIANZ GLOBAL ASSISTANCE — INTERNATIONAL: $1,398.40
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $172.22
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $221.91
  • AMBETTER — AMBETTER: $539.87
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $221.91
  • AMERICAN HEALTH PLAN — MEDICARE: $221.91
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $172.22
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel $995 $995 $122.01 – $965.15
Carpal tunnel release: 10 of 774 insurance plan rates
  • AETNA — AETNA: $338.56
  • AETNA — AETNA GLOBAL: $338.56
  • AETNA DOMESTIC — AETNA: $338.56
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $221.91
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $172.22
  • ALIGN SENIOR CARE — MEDICARE: $221.91
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $172.22
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $221.91
  • ALLY ALIGN CARE ADV — MEDICARE: $221.91
  • AMERICAN HEALTH PLAN — MEDICARE: $221.91
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt Not listed in the file $21,812.88 $1,522 – $15,548
Carpal tunnel release: 10 of 110 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,998.41
  • AMBETTER — AMBETTER MARKETPLACE: $3,564.56
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $3,752.11
  • AVMED HEALTH PLAN — AVMED HMO: $2,544
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $2,141.15
  • BCBS GENERIC — BCBS PPC: $13,250
  • BCN DOMESTIC — BCBS PPC: $13,250
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPC: $13,250
  • BLUE CARE NETWORK — BCBS PPC: $13,250
  • BLUE CROSS - AK (PREMERA) — BCBS PPC: $13,250

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $155,562.09 $937.13 – $155,771.52
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 41 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $71,568.90
  • AMBETTER — AMBETTER MARKETPLACE: $128,417.80
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $134,374.26
  • AVMED HEALTH PLAN — AVMED HMO: $155,771.52
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $144,315.87
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $76,680.96
  • BLUE CROSS - FL — TRULI FOR HEALTH: $111,004.82
  • BLUE CROSS - FL MEDICARE ADVANTAGE — BCBS MEDICARE ADVANTAGE: $73,029.49
  • CAREPLUS HEALTH PLANS — CAREPLUS MEDICARE ADVANTAGE: $73,212.06
  • CATHOLIC HOSPICE — CATHOLIC HOSPICE: $1,058.82
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $54,144.97 $937.13 – $48,021.89
Hip or knee replacement (major joint of the leg), without major complications: 10 of 123 insurance plan rates
  • AETNA — AETNA COVENTRY: $12,893
  • AETNA — AETNA MARKETPLACE: $9,704
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14,111.42
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $12,893
  • AMBETTER — AMBETTER MARKETPLACE: $25,320.46
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $26,494.91
  • AVMED HEALTH PLAN — AVMED HMO: $30,771.74
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $28,455.13
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $15,119.38
  • BCBS GENERIC — BCBS PPC: $31,415.99
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $63,886.65 $937.13 – $69,176.68
Neck (cervical) spinal fusion, without complications: 10 of 122 insurance plan rates
  • AETNA — AETNA COVENTRY: $31,004.51
  • AETNA — AETNA MARKETPLACE: $23,336.39
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17,860.04
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $31,004.51
  • AMBETTER — AMBETTER MARKETPLACE: $32,046.69
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $33,533.14
  • AVMED HEALTH PLAN — AVMED HMO: $38,946.06
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $36,014.06
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $19,135.76
  • BCBS GENERIC — BCBS PPC: $39,761.45
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $39,192.63 $937.13 – $35,156.48
Uterus and ovary surgery (not for cancer), without complications: 10 of 122 insurance plan rates
  • AETNA — AETNA COVENTRY: $15,756.89
  • AETNA — AETNA MARKETPLACE: $11,859.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,076.70
  • ALLIED BENEFIT SYSTEMS — AETNA COVENTRY: $15,756.89
  • AMBETTER — AMBETTER MARKETPLACE: $16,286.54
  • AVMED HEALTH PLAN — AVMED ENTRUST MARKETPLACE: $17,041.97
  • AVMED HEALTH PLAN — AVMED HMO: $19,792.89
  • AVMED HEALTH PLAN — AVMED SELECT NETWORK: $18,302.81
  • AVMED MEDICARE — AVMED MEDICARE ADVANTAGE: $9,725.04
  • BCBS GENERIC — BCBS PPC: $20,207.28

Source: Holy Cross Hospital’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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
Address4725 N Federal Hwy, Ft Lauderdale, FL 33308
CountyBroward County
StateFlorida
Phone(954) 771‑8000
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating4 of 5 stars
CMS Certification Number100073
Name in Medicare recordsHOLY CROSS HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteHoly Cross Health
Official websiteholy-cross.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. Holy Cross Health | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  2. Emergency Care - Find a Service | Holy Cross Health — holy-cross.com
  3. Cancer Treatment - Find a Service | Holy Cross Health — holy-cross.com
  4. Find Us - For Patients | Holy Cross Health — holy-cross.com
  5. For Guests - For Patients | Holy Cross Health — holy-cross.com
  6. Locations Search | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  7. Stroke Care - Neurosciences | Holy Cross Health — holy-cross.com
  8. ACR Breast Imaging Center Of Excellence Accreditation | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  9. Joint Commission Certified Advanced Heart Failure Program | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  10. IAC Echocardiography Accreditation | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  11. ACR Lung Cancer Screening Center | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  12. Blue Distinction Center Designation For Cardiac Surgery | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  13. Get With the Guidelines | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  14. Stroke Designation | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  15. The Commission On Cancer | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  16. Get With The Guidelines - Heart Failure | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  17. NAPBC Accreditation | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  18. ALS Center of Excellence | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com
  19. Level 3 Epilepsy Center | Holy Cross Health Fort Lauderdale, Florida (FL) Hospitals — holy-cross.com