Does Hugh Chatham Memorial Hospital have an emergency room?

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

Where is Hugh Chatham Memorial Hospital?

180 Parkwood Dr, Elkin, NC 28621, in Surry County, North Carolina.

What is the phone number of Hugh Chatham Memorial Hospital?

(336) 527-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Hugh Chatham Memorial Hospital?

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

Hugh Chatham Memorial Hospital — Elkin, NC

Quick answers

Does Hugh Chatham Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Hugh Chatham Memorial Hospital. In a medical emergency, call 911.
Where is Hugh Chatham Memorial Hospital?: 180 Parkwood Dr, Elkin, NC 28621, in Surry County, North Carolina.
What is the phone number of Hugh Chatham Memorial Hospital?: (336) 527-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Hugh Chatham Memorial Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][14][15][16][17]}

Conditions treated^{[7][8][13][15][16]}

Treatments^[12][14][15]

Chemotherapy
Radiation therapy
Infusion therapy
Blood transfusion
Epidural pain management

Procedures^{[12][15][16][17]}

Echocardiogram
Electrocardiogram (EKG)
Exercise treadmill test
Nuclear stress test
Pharmacological stress test
Mobile telemetry monitoring
CT scan
MRI
Mammography
Breast ultrasound
Stereotactic breast biopsy
Breast MRI
Low-dose CT lung screening
Fluoroscopy
SPECT imaging
Port-a-cath access and maintenance
Outpatient PICC placement
Outpatient midline placement
Mastectomy

Programs and centers^{[13][14][15][17]}

Primary Stroke Center
The Birthplace
Mastectomy program
Breast Imaging Center

Emergency care (hospital website)^{[5][6][16][17]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Joint Commission certified stroke program

Visiting and practical information

Visiting	Regular visitor hours 7:00am to 8:00pm; some restrictions for Critical Care and The Birthplace^[9]
Parking	Park only in designated visitor parking areas; campus map available for download^[9]

Recognition^{[5][6][7][8][13][15][17]}

Women's Choice Award, Best Hospital for Stroke Care 2026
Women's Choice Award, Best Hospital for Emergency Care 2026
American Heart Association Get With The Guidelines Stroke Gold Plus 2026
American Heart Association Target: Type 2 Diabetes Honor Roll 2026
AORN Center of Excellence in Surgical Safety (smoke evacuation) 2026
ACR accreditation, MRI facility and ultrasound lab
ACR accreditation, Radiation Oncology (three-year term)

Doctors and clinicians (181)

181 doctors and other clinicians list Hugh Chatham Memorial 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 (181)

Abel H. Gimisso, MDHospitalist
Aerika N. Hutchens, PAPhysician Assistant
Alan Casciola, DOInternal Medicine
Aleksandra A. Krokhmal, MDDiagnostic Radiology
Alexandria S. Hart, MDAnesthesiology
Allison Spagnoletti, PAPhysician Assistant
Alvaro Castillejo, DOFamily Practice
Amanze O. Ugoji, MDHospitalist
Andras NeumarkInternal Medicine
Andrew S. Bostick, DOHospitalist
Anish M. Nadkarni, MDCardiovascular Disease (Cardiology)
Anna L. Sobol, MDMedical Oncology
Anna Sparks, DOFamily Practice
Arthur R. Halliday Jr., MDHospitalist
Ashton V. Molai, DOFamily Practice
Augustine N. Onwukwe, MDHospitalist
Bart A. Frizzell, MDRadiation Oncology
Benjamin N. Morris, MDAnesthesiology
Beverly A. Byrd, MDObstetrics/Gynecology
Bob I. Wodecki, MDRheumatology
Bobbi J. HurstPhysician Assistant
Bree FleckNurse Practitioner
Brian M. Carroll, CNACertified Registered Nurse Anesthetist (CRNA)
Brianna M. Hitchner, DOFamily Practice

And 157 more: the button below opens the full list.

Other emergency rooms nearby

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

Wilkes Regional Medical Center19 mi · North Wilkesboro, NC · Acute Care Hospital
Northern Regional Hospital20 mi · Mount Airy, NC · Acute Care Hospital
Alleghany Memorial Hospital23 mi · Sparta, NC · Critical Access Hospital
Twin County Regional Hospital29 mi · Galax, VA · Acute Care Hospital
Iredell Davis Behavioral Health Hospital32 mi · Statesville, NC · Psychiatric Hospital

Other hospitals nearby

Old Vineyard Youth Services32 mi · Winston-Salem, NC · Psychiatric Hospital
Novant Health Rehabilitation Hospital32 mi · Winston-Salem, NC · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

PruittHealth-Elkin0.3 mi · Elkin, NC · 4 of 5 stars
Chatham Nursing & Rehabilitation3.9 mi · Elkin, NC · 5 of 5 stars
Yadkin Nursing and Care Center13 mi · Yadkinville, NC · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Mountain Valley Hospice & Palliative Care9.4 mi · Dobson, NC · 5 of 5 stars
Wake Forest Baptist Health Care at Home Hospice-Wi20 mi · Wilkesboro, NC

All hospice providers in the state →

Home health agencies

Yadkin Valley Home Health2.9 mi · Jonesville, NC · 3 of 5 stars
Liberty Home Care V, LLC20 mi · Mount Airy, NC · 3 of 5 stars
Wake Forest Baptist Health Care at Home, LLC20 mi · Wilkesboro, NC · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Elkin Dialysis Center3.1 mi · Elkin, NC · 2 of 5 stars
Yadkin Dialysis Center15 mi · Yadkinville, NC · 3 of 5 stars
Wilkes Dialysis Center of Wake Forest University18 mi · North Wilkesboro, NC · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Rockford Digestive Health Endoscopy Center PA20 mi · Mount Airy, NC

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

High Country Community Health Surry County1.0 mi · Elkin, NC · Community health center
Kintegra at Jonesville Elementary2.1 mi · Jonesville, NC · Community health center
Kintegra at Starmount Middle6.5 mi · Boonville, NC · Community health center

Clinics and urgent care

Fast Pace Health3.1 mi · Elkin, NC · Rural health clinic
Northern Hospital District of Surry County20 mi · Mount Airy, NC · Urgent care center
Northern Obstetrics & Gynecology20 mi · Mount Airy, NC · Rural health clinic

Pharmacies

D-Rex Drugs of Jonesville Inc2.9 mi · Jonesville, NC · Community/retail pharmacy
Alliedrx Pharmacy3.1 mi · Elkin, NC · Community/retail pharmacy
High Country Community Health3.1 mi · Elkin, NC · Community/retail pharmacy

Assisted living nearby

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

The Cardinal Assisted Living3.1 mi · Elkin, NC
Dunmore Plantation9.4 mi · Dobson, NC
Riverwood Assisted Living Facility9.4 mi · Dobson, NC

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	78%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	378Response rate: 18%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.669No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13.5%
Deaths within 30 days: pneumonia patients	18%
Deaths within 30 days: COPD patients	10%
Deaths within 30 days: stroke patients	17.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Complications after hip or knee replacement	3.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.4%
Readmitted within 30 days: pneumonia	16.1%
Readmitted within 30 days: COPD	21.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.2%

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	168 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	58%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 North Carolina Best hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Hugh Chatham Memorial 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30-44 MIN	Not listed in the file	Not listed in the file	$111.70 – $115.61
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — Medicare Advantage: $115.61 Alignment — Medicare Advantage: $112.82 Apex — Medicare Advantage: $111.70 Blue Cross Blue Shield — Medicare Advantage: $111.70 Cigna Healthsprings — Medicare Advantage: $111.70 Devoted — Medicare Advantage: $111.70 HealthTeam — Medicare Advantage: $115.05 Humana — Medicare Advantage: $111.70 United Healthcare — Medicare Advantage: $111.70 Wellcare — Medicare Advantage: $111.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN	Not listed in the file	Not listed in the file	$168.94 – $174.85
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — Medicare Advantage: $174.85 Alignment — Medicare Advantage: $170.63 Apex — Medicare Advantage: $168.94 Blue Cross Blue Shield — Medicare Advantage: $168.94 Cigna Healthsprings — Medicare Advantage: $168.94 Devoted — Medicare Advantage: $168.94 HealthTeam — Medicare Advantage: $174.01 Humana — Medicare Advantage: $168.94 United Healthcare — Medicare Advantage: $168.94 Wellcare — Medicare Advantage: $168.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN	Not listed in the file	Not listed in the file	$225.24 – $233.13
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — Medicare Advantage: $233.13 Alignment — Medicare Advantage: $227.50 Apex — Medicare Advantage: $225.24 Blue Cross Blue Shield — Medicare Advantage: $225.24 Cigna Healthsprings — Medicare Advantage: $225.24 Devoted — Medicare Advantage: $225.24 HealthTeam — Medicare Advantage: $232 Humana — Medicare Advantage: $225.24 United Healthcare — Medicare Advantage: $225.24 Wellcare — Medicare Advantage: $225.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20-29 MIN	Not listed in the file	Not listed in the file	$90.84 – $94.02
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Medicare Advantage: $94.02 Alignment — Medicare Advantage: $91.75 Apex — Medicare Advantage: $90.84 Blue Cross Blue Shield — Medicare Advantage: $90.84 Cigna Healthsprings — Medicare Advantage: $90.84 Devoted — Medicare Advantage: $90.84 HealthTeam — Medicare Advantage: $93.57 Humana — Medicare Advantage: $90.84 United Healthcare — Medicare Advantage: $90.84 Wellcare — Medicare Advantage: $90.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30-39 MIN	Not listed in the file	Not listed in the file	$129.44 – $133.97
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Medicare Advantage: $133.97 Alignment — Medicare Advantage: $130.74 Apex — Medicare Advantage: $129.44 Blue Cross Blue Shield — Medicare Advantage: $129.44 Cigna Healthsprings — Medicare Advantage: $129.44 Devoted — Medicare Advantage: $129.44 HealthTeam — Medicare Advantage: $133.33 Humana — Medicare Advantage: $129.44 United Healthcare — Medicare Advantage: $129.44 Wellcare — Medicare Advantage: $129.44
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$107.97 – $111.75
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Medicare Advantage: $111.75 Alignment — Medicare Advantage: $109.05 Apex — Medicare Advantage: $107.97 Blue Cross Blue Shield — Medicare Advantage: $107.97 Cigna Healthsprings — Medicare Advantage: $107.97 Devoted — Medicare Advantage: $107.97 HealthTeam — Medicare Advantage: $111.21 Humana — Medicare Advantage: $107.97 United Healthcare — Medicare Advantage: $107.97 Wellcare — Medicare Advantage: $107.97
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$154.56 – $159.97
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Medicare Advantage: $159.97 Alignment — Medicare Advantage: $156.10 Apex — Medicare Advantage: $154.56 Blue Cross Blue Shield — Medicare Advantage: $154.56 Cigna Healthsprings — Medicare Advantage: $154.56 Devoted — Medicare Advantage: $154.56 HealthTeam — Medicare Advantage: $159.19 Humana — Medicare Advantage: $154.56 United Healthcare — Medicare Advantage: $154.56 Wellcare — Medicare Advantage: $154.56
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$128.71 – $133.21
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans Aetna — Medicare Advantage: $133.21 Alignment — Medicare Advantage: $129.99 Apex — Medicare Advantage: $128.71 Blue Cross Blue Shield — Medicare Advantage: $128.71 Cigna Healthsprings — Medicare Advantage: $128.71 Devoted — Medicare Advantage: $128.71 HealthTeam — Medicare Advantage: $132.57 Humana — Medicare Advantage: $128.71 United Healthcare — Medicare Advantage: $128.71 Wellcare — Medicare Advantage: $128.71
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW PREVT 40-64 YRS	$220	$110	$41.76 – $202.40
Preventive checkup, new patient, age 40–64: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $98.78 Aetna — Medicare Advantage: $154.17 Aetna — NC+ Preferred Managed Care: $83.16 Alignment — Medicare Advantage: $150.45 Alliance — Medicaid Tailored Plan: $42.59 Ambetter — Managed Care: $92.18 Amerihealth — Managed Care: $88.04 Amerihealth — Medicaid Managed Care: $41.76 Apex — Medicare Advantage: $148.96 Blue Cross Blue Shield — Blue Local Individual: $80.76
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW PREVT 40-64 YRS	$220	$110	$97.02 – $202.40
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $117.92 Aetna — NC+ Preferred Managed Care: $97.02 Ambetter — Managed Care: $132.88 Amerihealth — Managed Care: $126.70 Blue Cross Blue Shield — Blue Local Individual: $121.88 Blue Cross Blue Shield — Blue Value: $121.09 Blue Cross Blue Shield — HMO/PPO: $127.47 Blue Cross Blue Shield — HPN: $107.21 Cigna — Managed Care: $113.08 DirectNet — Managed Care: $130.02
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 3 VISIT MODERATE SEVERITY	$1,645	$822.50	$263.18 – $1,513.40
Emergency room visit (moderate): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $738.61 Aetna — Medicare Advantage: $272.39 Aetna — NC+ Preferred Managed Care: $621.81 Alignment — Medicare Advantage: $265.81 Alliance — Medicaid Tailored Plan: $318.47 Ambetter — Managed Care: $689.26 Amerihealth — Managed Care: $658.33 Amerihealth — Medicaid Managed Care: $312.22 Apex — Medicare Advantage: $263.18 Blue Cross Blue Shield — Blue Local Individual: $480.83
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER LEVEL 3 VISIT MODERATE SEVERITY	$1,645	$822.50	$725.45 – $1,513.40
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $881.72 Aetna — NC+ Preferred Managed Care: $725.45 Ambetter — Managed Care: $993.58 Amerihealth — Managed Care: $947.36 Blue Cross Blue Shield — Blue Local Individual: $911.33 Blue Cross Blue Shield — Blue Value: $905.41 Blue Cross Blue Shield — HMO/PPO: $953.11 Blue Cross Blue Shield — HPN: $801.61 Cigna — Managed Care: $845.53 DirectNet — Managed Care: $972.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,743	$871.50	$330.82 – $1,603.56
Emergency room visit (moderately high): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $782.61 Aetna — Medicare Advantage: $416.36 Aetna — NC+ Preferred Managed Care: $658.85 Alignment — Medicare Advantage: $406.31 Alliance — Medicaid Tailored Plan: $337.44 Ambetter — Managed Care: $730.32 Amerihealth — Managed Care: $697.55 Amerihealth — Medicaid Managed Care: $330.82 Apex — Medicare Advantage: $402.28 Blue Cross Blue Shield — Blue Local Individual: $509.48
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,743	$871.50	$768.66 – $1,603.56
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $934.25 Aetna — NC+ Preferred Managed Care: $768.66 Ambetter — Managed Care: $1,052.77 Amerihealth — Managed Care: $1,003.79 Blue Cross Blue Shield — Blue Local Individual: $965.62 Blue Cross Blue Shield — Blue Value: $959.35 Blue Cross Blue Shield — HMO/PPO: $1,009.89 Blue Cross Blue Shield — HPN: $849.36 Cigna — Managed Care: $895.90 DirectNet — Managed Care: $1,030.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,845	$922.50	$350.18 – $1,697.40
Emergency room visit (high): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $828.41 Aetna — Medicare Advantage: $594.25 Aetna — NC+ Preferred Managed Care: $697.41 Alignment — Medicare Advantage: $579.89 Alliance — Medicaid Tailored Plan: $357.19 Ambetter — Managed Care: $773.06 Amerihealth — Managed Care: $738.37 Amerihealth — Medicaid Managed Care: $350.18 Apex — Medicare Advantage: $574.15 Blue Cross Blue Shield — Blue Local Individual: $539.29
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,845	$922.50	$813.65 – $1,697.40
Emergency room visit (high): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $988.92 Aetna — NC+ Preferred Managed Care: $813.65 Ambetter — Managed Care: $1,114.38 Amerihealth — Managed Care: $1,062.54 Blue Cross Blue Shield — Blue Local Individual: $1,022.13 Blue Cross Blue Shield — Blue Value: $1,015.49 Blue Cross Blue Shield — HMO/PPO: $1,068.99 Blue Cross Blue Shield — HPN: $899.07 Cigna — Managed Care: $948.33 DirectNet — Managed Care: $1,090.40

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE	$57	$28.50	$8.46 – $52.44
Basic metabolic panel (blood test): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $25.59 Aetna — Medicare Advantage: $8.76 Aetna — NC+ Preferred Managed Care: $21.55 Alignment — Medicare Advantage: $8.54 Alliance — Medicaid Tailored Plan: $14.88 Ambetter — Managed Care: $27.70 Amerihealth — Managed Care: $26.14 Amerihealth — Medicaid Managed Care: $14.59 Apex — Medicare Advantage: $8.46 Blue Cross Blue Shield — Blue Local Individual: $25.92
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE	$57	$28.50	$25.14 – $52.44
Basic metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $30.55 Aetna — NC+ Preferred Managed Care: $25.14 Ambetter — Managed Care: $34.43 Amerihealth — Managed Care: $32.83 Blue Cross Blue Shield — Blue Local Individual: $31.58 Blue Cross Blue Shield — Blue Value: $31.37 Blue Cross Blue Shield — HMO/PPO: $33.03 Blue Cross Blue Shield — HPN: $27.78 Cigna — Managed Care: $29.30 DirectNet — Managed Care: $33.69
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE	$113	$56.50	$10.56 – $103.96
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $50.74 Aetna — Medicare Advantage: $10.93 Aetna — NC+ Preferred Managed Care: $42.71 Alignment — Medicare Advantage: $10.67 Alliance — Medicaid Tailored Plan: $15.68 Ambetter — Managed Care: $54.92 Amerihealth — Managed Care: $51.82 Amerihealth — Medicaid Managed Care: $15.37 Apex — Medicare Advantage: $10.56 Blue Cross Blue Shield — Blue Local Individual: $51.39
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE	$113	$56.50	$49.83 – $103.96
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $60.57 Aetna — NC+ Preferred Managed Care: $49.83 Ambetter — Managed Care: $68.25 Amerihealth — Managed Care: $65.08 Blue Cross Blue Shield — Blue Local Individual: $62.60 Blue Cross Blue Shield — Blue Value: $62.20 Blue Cross Blue Shield — HMO/PPO: $65.47 Blue Cross Blue Shield — HPN: $55.06 Cigna — Managed Care: $58.08 DirectNet — Managed Care: $66.78
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$41.03 – $49.48
Obstetric blood test panel: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $49.48 Alignment — Medicare Advantage: $48.29 Alliance — Medicaid Tailored Plan: $41.85 Amerihealth — Medicaid Managed Care: $41.03 Apex — Medicare Advantage: $47.81 Blue Cross Blue Shield — Medicare Advantage: $47.81 Carolina Complete — Medicaid Managed Care: $41.03 Cigna Healthsprings — Medicare Advantage: $47.81 Devoted — Medicare Advantage: $47.81 HealthBlue — Medicaid Managed Care: $41.03
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL BUNDLED CHARGE	$141	$70.50	$13.39 – $129.72
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $63.31 Aetna — Medicare Advantage: $13.86 Aetna — NC+ Preferred Managed Care: $53.30 Alignment — Medicare Advantage: $13.52 Alliance — Medicaid Tailored Plan: $24.87 Ambetter — Managed Care: $68.53 Amerihealth — Managed Care: $64.66 Amerihealth — Medicaid Managed Care: $24.38 Apex — Medicare Advantage: $13.39 Blue Cross Blue Shield — Blue Local Individual: $64.13
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL BUNDLED CHARGE	$141	$70.50	$62.18 – $129.72
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $75.58 Aetna — NC+ Preferred Managed Care: $62.18 Ambetter — Managed Care: $85.16 Amerihealth — Managed Care: $81.20 Blue Cross Blue Shield — Blue Local Individual: $78.11 Blue Cross Blue Shield — Blue Value: $77.61 Blue Cross Blue Shield — HMO/PPO: $81.70 Blue Cross Blue Shield — HPN: $68.71 Cigna — Managed Care: $72.47 DirectNet — Managed Care: $83.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL BUNDLED CHARGE	$57	$28.50	$8.68 – $52.44
Kidney function panel: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $25.59 Aetna — Medicare Advantage: $8.98 Aetna — NC+ Preferred Managed Care: $21.55 Alignment — Medicare Advantage: $8.77 Alliance — Medicaid Tailored Plan: $14.88 Ambetter — Managed Care: $27.70 Amerihealth — Managed Care: $26.14 Amerihealth — Medicaid Managed Care: $14.59 Apex — Medicare Advantage: $8.68 Blue Cross Blue Shield — Blue Local Individual: $25.92
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL BUNDLED CHARGE	$57	$28.50	$25.14 – $52.44
Kidney function panel: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $30.55 Aetna — NC+ Preferred Managed Care: $25.14 Ambetter — Managed Care: $34.43 Amerihealth — Managed Care: $32.83 Blue Cross Blue Shield — Blue Local Individual: $31.58 Blue Cross Blue Shield — Blue Value: $31.37 Blue Cross Blue Shield — HMO/PPO: $33.03 Blue Cross Blue Shield — HPN: $27.78 Cigna — Managed Care: $29.30 DirectNet — Managed Care: $33.69
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL BUNDLED CHARGE	$104	$52	$8.17 – $95.68
Liver function panel: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $46.70 Aetna — Medicare Advantage: $8.46 Aetna — NC+ Preferred Managed Care: $39.31 Alignment — Medicare Advantage: $8.25 Alliance — Medicaid Tailored Plan: $14.88 Ambetter — Managed Care: $50.54 Amerihealth — Managed Care: $47.69 Amerihealth — Medicaid Managed Care: $14.59 Apex — Medicare Advantage: $8.17 Blue Cross Blue Shield — Blue Local Individual: $47.30
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL BUNDLED CHARGE	$104	$52	$45.86 – $95.68
Liver function panel: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $55.74 Aetna — NC+ Preferred Managed Care: $45.86 Ambetter — Managed Care: $62.82 Amerihealth — Managed Care: $59.89 Blue Cross Blue Shield — Blue Local Individual: $57.62 Blue Cross Blue Shield — Blue Value: $57.24 Blue Cross Blue Shield — HMO/PPO: $60.26 Blue Cross Blue Shield — HPN: $50.68 Cigna — Managed Care: $53.46 DirectNet — Managed Care: $61.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE MICRO	$54	$27	$3.17 – $49.68
Urine test (automated, with microscope): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $24.25 Aetna — Medicare Advantage: $3.28 Aetna — NC+ Preferred Managed Care: $20.41 Alignment — Medicare Advantage: $3.20 Alliance — Medicaid Tailored Plan: $5.88 Ambetter — Managed Care: $26.24 Amerihealth — Managed Care: $24.76 Amerihealth — Medicaid Managed Care: $5.77 Apex — Medicare Advantage: $3.17 Blue Cross Blue Shield — Blue Local Individual: $24.56
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE MICRO	$54	$27	$23.81 – $49.68
Urine test (automated, with microscope): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $28.94 Aetna — NC+ Preferred Managed Care: $23.81 Ambetter — Managed Care: $32.62 Amerihealth — Managed Care: $31.10 Blue Cross Blue Shield — Blue Local Individual: $29.92 Blue Cross Blue Shield — Blue Value: $29.72 Blue Cross Blue Shield — HMO/PPO: $31.29 Blue Cross Blue Shield — HPN: $26.31 Cigna — Managed Care: $27.76 DirectNet — Managed Care: $31.91
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48 – $4.80
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — Medicare Advantage: $3.60 Alignment — Medicare Advantage: $3.51 Alliance — Medicaid Tailored Plan: $4.75 Amerihealth — Medicaid Managed Care: $4.66 Apex — Medicare Advantage: $3.48 Blue Cross Blue Shield — Medicare Advantage: $3.48 Carolina Complete — Medicaid Managed Care: $4.66 Cigna Healthsprings — Medicare Advantage: $3.48 Devoted — Medicare Advantage: $3.48 HealthBlue — Medicaid Managed Care: $4.66
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$41	$20.50	$2.25 – $37.72
Urine test (automated, without microscope): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $18.41 Aetna — Medicare Advantage: $2.33 Aetna — NC+ Preferred Managed Care: $15.50 Alignment — Medicare Advantage: $2.27 Alliance — Medicaid Tailored Plan: $4.17 Ambetter — Managed Care: $19.93 Amerihealth — Managed Care: $18.80 Amerihealth — Medicaid Managed Care: $4.09 Apex — Medicare Advantage: $2.25 Blue Cross Blue Shield — Blue Local Individual: $18.65
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$41	$20.50	$18.08 – $37.72
Urine test (automated, without microscope): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $21.98 Aetna — NC+ Preferred Managed Care: $18.08 Ambetter — Managed Care: $24.76 Amerihealth — Managed Care: $23.61 Blue Cross Blue Shield — Blue Local Individual: $22.71 Blue Cross Blue Shield — Blue Value: $22.57 Blue Cross Blue Shield — HMO/PPO: $23.76 Blue Cross Blue Shield — HPN: $19.98 Cigna — Managed Care: $21.07 DirectNet — Managed Care: $24.23
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN TOTAL	$71	$35.50	$18.39 – $65.32
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $31.88 Aetna — Medicare Advantage: $19.03 Aetna — NC+ Preferred Managed Care: $26.84 Alignment — Medicare Advantage: $18.57 Alliance — Medicaid Tailored Plan: $34.13 Ambetter — Managed Care: $34.51 Amerihealth — Managed Care: $32.56 Amerihealth — Medicaid Managed Care: $33.46 Apex — Medicare Advantage: $18.39 Blue Cross Blue Shield — Blue Local Individual: $32.29
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN TOTAL	$71	$35.50	$31.31 – $65.32
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $38.06 Aetna — NC+ Preferred Managed Care: $31.31 Ambetter — Managed Care: $42.88 Amerihealth — Managed Care: $40.89 Blue Cross Blue Shield — Blue Local Individual: $39.33 Blue Cross Blue Shield — Blue Value: $39.08 Blue Cross Blue Shield — HMO/PPO: $41.14 Blue Cross Blue Shield — HPN: $34.60 Cigna — Managed Care: $36.49 DirectNet — Managed Care: $41.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIMULATING HORMONE	$135	$67.50	$16.80 – $124.20
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $60.62 Aetna — Medicare Advantage: $17.39 Aetna — NC+ Preferred Managed Care: $51.03 Alignment — Medicare Advantage: $16.97 Alliance — Medicaid Tailored Plan: $30.25 Ambetter — Managed Care: $65.61 Amerihealth — Managed Care: $61.91 Amerihealth — Medicaid Managed Care: $29.65 Apex — Medicare Advantage: $16.80 Blue Cross Blue Shield — Blue Local Individual: $61.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIMULATING HORMONE	$135	$67.50	$59.54 – $124.20
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $72.36 Aetna — NC+ Preferred Managed Care: $59.54 Ambetter — Managed Care: $81.54 Amerihealth — Managed Care: $77.75 Blue Cross Blue Shield — Blue Local Individual: $74.79 Blue Cross Blue Shield — Blue Value: $74.30 Blue Cross Blue Shield — HMO/PPO: $78.22 Blue Cross Blue Shield — HPN: $65.79 Cigna — Managed Care: $69.39 DirectNet — Managed Care: $79.79
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTO DIFF WBC	$147	$73.50	$7.77 – $135.24
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $66 Aetna — Medicare Advantage: $8.04 Aetna — NC+ Preferred Managed Care: $55.57 Alignment — Medicare Advantage: $7.85 Alliance — Medicaid Tailored Plan: $14.42 Ambetter — Managed Care: $71.44 Amerihealth — Managed Care: $67.41 Amerihealth — Medicaid Managed Care: $14.13 Apex — Medicare Advantage: $7.77 Blue Cross Blue Shield — Blue Local Individual: $66.86
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTO DIFF WBC	$147	$73.50	$64.83 – $135.24
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $78.79 Aetna — NC+ Preferred Managed Care: $64.83 Ambetter — Managed Care: $88.79 Amerihealth — Managed Care: $84.66 Blue Cross Blue Shield — Blue Local Individual: $81.44 Blue Cross Blue Shield — Blue Value: $80.91 Blue Cross Blue Shield — HMO/PPO: $85.17 Blue Cross Blue Shield — HPN: $71.63 Cigna — Managed Care: $75.56 DirectNet — Managed Care: $86.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC	$64	$32	$6.47 – $58.88
Complete blood count (CBC), automated: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $28.74 Aetna — Medicare Advantage: $6.70 Aetna — NC+ Preferred Managed Care: $24.19 Alignment — Medicare Advantage: $6.53 Alliance — Medicaid Tailored Plan: $12.02 Ambetter — Managed Care: $31.10 Amerihealth — Managed Care: $29.35 Amerihealth — Medicaid Managed Care: $11.78 Apex — Medicare Advantage: $6.47 Blue Cross Blue Shield — Blue Local Individual: $29.11
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC	$64	$32	$28.22 – $58.88
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $34.30 Aetna — NC+ Preferred Managed Care: $28.22 Ambetter — Managed Care: $38.66 Amerihealth — Managed Care: $36.86 Blue Cross Blue Shield — Blue Local Individual: $35.46 Blue Cross Blue Shield — Blue Value: $35.23 Blue Cross Blue Shield — HMO/PPO: $37.08 Blue Cross Blue Shield — HPN: $31.19 Cigna — Managed Care: $32.90 DirectNet — Managed Care: $37.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$26	$13	$4.29 – $23.92
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $11.67 Aetna — Medicare Advantage: $4.44 Aetna — NC+ Preferred Managed Care: $9.83 Alignment — Medicare Advantage: $4.33 Alliance — Medicaid Tailored Plan: $7.30 Ambetter — Managed Care: $12.64 Amerihealth — Managed Care: $11.92 Amerihealth — Medicaid Managed Care: $7.15 Apex — Medicare Advantage: $4.29 Blue Cross Blue Shield — Blue Local Individual: $11.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$26	$13	$11.47 – $23.92
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $13.94 Aetna — NC+ Preferred Managed Care: $11.47 Ambetter — Managed Care: $15.70 Amerihealth — Managed Care: $14.97 Blue Cross Blue Shield — Blue Local Individual: $14.40 Blue Cross Blue Shield — Blue Value: $14.31 Blue Cross Blue Shield — HMO/PPO: $15.06 Blue Cross Blue Shield — HPN: $12.67 Cigna — Managed Care: $13.36 DirectNet — Managed Care: $15.37
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL	$50	$25	$6.01 – $46
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $22.45 Aetna — Medicare Advantage: $6.22 Aetna — NC+ Preferred Managed Care: $18.90 Alignment — Medicare Advantage: $6.07 Alliance — Medicaid Tailored Plan: $11.14 Ambetter — Managed Care: $24.30 Amerihealth — Managed Care: $22.93 Amerihealth — Medicaid Managed Care: $10.92 Apex — Medicare Advantage: $6.01 Blue Cross Blue Shield — Blue Local Individual: $22.74
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL	$50	$25	$22.05 – $46
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $26.80 Aetna — NC+ Preferred Managed Care: $22.05 Ambetter — Managed Care: $30.20 Amerihealth — Managed Care: $28.80 Blue Cross Blue Shield — Blue Local Individual: $27.70 Blue Cross Blue Shield — Blue Value: $27.52 Blue Cross Blue Shield — HMO/PPO: $28.97 Blue Cross Blue Shield — HPN: $24.37 Cigna — Managed Care: $25.70 DirectNet — Managed Care: $29.55

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,878	$939	$100.79 – $1,727.76
CT scan of the head or brain, without contrast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $843.22 Aetna — Medicare Advantage: $104.32 Aetna — NC+ Preferred Managed Care: $709.88 Alignment — Medicare Advantage: $101.80 Alliance — Medicaid Tailored Plan: $363.58 Ambetter — Managed Care: $786.88 Amerihealth — Managed Care: $751.58 Amerihealth — Medicaid Managed Care: $356.44 Apex — Medicare Advantage: $100.79 Blue Cross Blue Shield — Blue Local Individual: $775.24
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,878	$939	$828.20 – $1,727.76
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,006.61 Aetna — NC+ Preferred Managed Care: $828.20 Ambetter — Managed Care: $1,134.31 Amerihealth — Managed Care: $1,081.54 Blue Cross Blue Shield — Blue Local Individual: $1,040.41 Blue Cross Blue Shield — Blue Value: $1,033.65 Blue Cross Blue Shield — HMO/PPO: $1,088.11 Blue Cross Blue Shield — HPN: $915.15 Cigna — Managed Care: $965.29 DirectNet — Managed Care: $1,109.90
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & W/O CONTRAST	$5,001	$2,500.50	$336.35 – $4,600.92
MRI of the brain, before and after contrast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $2,245.45 Aetna — Medicare Advantage: $348.12 Aetna — NC+ Preferred Managed Care: $1,890.38 Alignment — Medicare Advantage: $339.71 Alliance — Medicaid Tailored Plan: $968.19 Ambetter — Managed Care: $2,095.42 Amerihealth — Managed Care: $2,001.40 Amerihealth — Medicaid Managed Care: $949.19 Apex — Medicare Advantage: $336.35 Blue Cross Blue Shield — Blue Local Individual: $2,049.91
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & W/O CONTRAST	$5,001	$2,500.50	$2,205.44 – $4,600.92
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $2,680.54 Aetna — NC+ Preferred Managed Care: $2,205.44 Ambetter — Managed Care: $3,020.60 Amerihealth — Managed Care: $2,880.08 Blue Cross Blue Shield — Blue Local Individual: $2,770.55 Blue Cross Blue Shield — Blue Value: $2,752.55 Blue Cross Blue Shield — HMO/PPO: $2,897.58 Blue Cross Blue Shield — HPN: $2,436.99 Cigna — Managed Care: $2,570.51 DirectNet — Managed Care: $2,955.59
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX EXAM CHEST 2 VIEWS	$459	$229.50	$83.90 – $422.28
Chest X-ray, 2 views: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $206.09 Aetna — Medicare Advantage: $86.84 Aetna — NC+ Preferred Managed Care: $173.50 Alignment — Medicare Advantage: $84.74 Alliance — Medicaid Tailored Plan: $88.86 Ambetter — Managed Care: $192.32 Amerihealth — Managed Care: $183.69 Amerihealth — Medicaid Managed Care: $87.12 Apex — Medicare Advantage: $83.90 Blue Cross Blue Shield — Blue Local Individual: $208.25
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX EXAM CHEST 2 VIEWS	$459	$229.50	$202.42 – $422.28
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $246.02 Aetna — NC+ Preferred Managed Care: $202.42 Ambetter — Managed Care: $277.24 Amerihealth — Managed Care: $264.34 Blue Cross Blue Shield — Blue Local Individual: $254.29 Blue Cross Blue Shield — Blue Value: $252.63 Blue Cross Blue Shield — HMO/PPO: $265.94 Blue Cross Blue Shield — HPN: $223.67 Cigna — Managed Care: $235.93 DirectNet — Managed Care: $271.27
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX SPINE LUMBAR MIN 4 VIEWS	$672	$336	$100.79 – $618.24
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $301.73 Aetna — Medicare Advantage: $104.32 Aetna — NC+ Preferred Managed Care: $254.02 Alignment — Medicare Advantage: $101.80 Alliance — Medicaid Tailored Plan: $130.10 Ambetter — Managed Care: $281.57 Amerihealth — Managed Care: $268.93 Amerihealth — Medicaid Managed Care: $127.55 Apex — Medicare Advantage: $100.79 Blue Cross Blue Shield — Blue Local Individual: $304.89
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX SPINE LUMBAR MIN 4 VIEWS	$672	$336	$296.35 – $618.24
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $360.19 Aetna — NC+ Preferred Managed Care: $296.35 Ambetter — Managed Care: $405.89 Amerihealth — Managed Care: $387 Blue Cross Blue Shield — Blue Local Individual: $372.29 Blue Cross Blue Shield — Blue Value: $369.87 Blue Cross Blue Shield — HMO/PPO: $389.36 Blue Cross Blue Shield — HPN: $327.47 Cigna — Managed Care: $345.41 DirectNet — Managed Care: $397.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$3,811	$1,905.50	$230.04 – $3,506.12
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,711.14 Aetna — Medicare Advantage: $238.09 Aetna — NC+ Preferred Managed Care: $1,440.56 Alignment — Medicare Advantage: $232.34 Alliance — Medicaid Tailored Plan: $737.81 Ambetter — Managed Care: $1,596.81 Amerihealth — Managed Care: $1,525.16 Amerihealth — Medicaid Managed Care: $723.33 Apex — Medicare Advantage: $230.04 Blue Cross Blue Shield — Blue Local Individual: $1,562.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$3,811	$1,905.50	$1,680.65 – $3,506.12
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $2,042.70 Aetna — NC+ Preferred Managed Care: $1,680.65 Ambetter — Managed Care: $2,301.84 Amerihealth — Managed Care: $2,194.75 Blue Cross Blue Shield — Blue Local Individual: $2,111.29 Blue Cross Blue Shield — Blue Value: $2,097.57 Blue Cross Blue Shield — HMO/PPO: $2,208.09 Blue Cross Blue Shield — HPN: $1,857.10 Cigna — Managed Care: $1,958.85 DirectNet — Managed Care: $2,252.30
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST	$3,052	$1,526	$169.10 – $2,807.84
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,370.35 Aetna — Medicare Advantage: $175.02 Aetna — NC+ Preferred Managed Care: $1,153.66 Alignment — Medicare Advantage: $170.79 Alliance — Medicaid Tailored Plan: $590.87 Ambetter — Managed Care: $1,278.79 Amerihealth — Managed Care: $1,221.41 Amerihealth — Medicaid Managed Care: $579.27 Apex — Medicare Advantage: $169.10 Blue Cross Blue Shield — Blue Local Individual: $1,259.87
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST	$3,052	$1,526	$1,345.93 – $2,807.84
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,635.87 Aetna — NC+ Preferred Managed Care: $1,345.93 Ambetter — Managed Care: $1,843.41 Amerihealth — Managed Care: $1,757.65 Blue Cross Blue Shield — Blue Local Individual: $1,690.81 Blue Cross Blue Shield — Blue Value: $1,679.82 Blue Cross Blue Shield — HMO/PPO: $1,768.33 Blue Cross Blue Shield — HPN: $1,487.24 Cigna — Managed Care: $1,568.73 DirectNet — Managed Care: $1,803.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREM JT W/O CONTRAST	$3,645	$1,822.50	$230.04 – $3,353.40
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,636.61 Aetna — Medicare Advantage: $238.09 Aetna — NC+ Preferred Managed Care: $1,377.81 Alignment — Medicare Advantage: $232.34 Alliance — Medicaid Tailored Plan: $705.67 Ambetter — Managed Care: $1,527.26 Amerihealth — Managed Care: $1,458.73 Amerihealth — Medicaid Managed Care: $691.82 Apex — Medicare Advantage: $230.04 Blue Cross Blue Shield — Blue Local Individual: $1,494.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREM JT W/O CONTRAST	$3,645	$1,822.50	$1,607.45 – $3,353.40
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,953.72 Aetna — NC+ Preferred Managed Care: $1,607.45 Ambetter — Managed Care: $2,201.58 Amerihealth — Managed Care: $2,099.16 Blue Cross Blue Shield — Blue Local Individual: $2,019.33 Blue Cross Blue Shield — Blue Value: $2,006.21 Blue Cross Blue Shield — HMO/PPO: $2,111.91 Blue Cross Blue Shield — HPN: $1,776.21 Cigna — Managed Care: $1,873.53 DirectNet — Managed Care: $2,154.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN ABDOMEN AND PELVIS W CONTRAST	$6,039	$3,019.50	$336.35 – $5,555.88
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $2,711.51 Aetna — Medicare Advantage: $348.12 Aetna — NC+ Preferred Managed Care: $2,282.74 Alignment — Medicare Advantage: $339.71 Alliance — Medicaid Tailored Plan: $1,169.15 Ambetter — Managed Care: $2,530.34 Amerihealth — Managed Care: $2,416.81 Amerihealth — Medicaid Managed Care: $1,146.20 Apex — Medicare Advantage: $336.35 Blue Cross Blue Shield — Blue Local Individual: $2,492.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN ABDOMEN AND PELVIS W CONTRAST	$6,039	$3,019.50	$2,663.20 – $5,555.88
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $3,236.90 Aetna — NC+ Preferred Managed Care: $2,663.20 Ambetter — Managed Care: $3,647.56 Amerihealth — Managed Care: $3,477.86 Blue Cross Blue Shield — Blue Local Individual: $3,345.61 Blue Cross Blue Shield — Blue Value: $3,323.87 Blue Cross Blue Shield — HMO/PPO: $3,499 Blue Cross Blue Shield — HPN: $2,942.80 Cigna — Managed Care: $3,104.05 DirectNet — Managed Care: $3,569.05
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE	$1,180	$590	$100.79 – $1,085.60
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $529.82 Aetna — Medicare Advantage: $104.32 Aetna — NC+ Preferred Managed Care: $446.04 Alignment — Medicare Advantage: $101.80 Alliance — Medicaid Tailored Plan: $228.45 Ambetter — Managed Care: $494.42 Amerihealth — Managed Care: $472.24 Amerihealth — Medicaid Managed Care: $223.96 Apex — Medicare Advantage: $100.79 Blue Cross Blue Shield — Blue Local Individual: $533.24
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE	$1,180	$590	$520.38 – $1,085.60
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $632.48 Aetna — NC+ Preferred Managed Care: $520.38 Ambetter — Managed Care: $712.72 Amerihealth — Managed Care: $679.56 Blue Cross Blue Shield — Blue Local Individual: $653.72 Blue Cross Blue Shield — Blue Value: $649.47 Blue Cross Blue Shield — HMO/PPO: $683.69 Blue Cross Blue Shield — HPN: $575.01 Cigna — Managed Care: $606.52 DirectNet — Managed Care: $697.38
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB >/= 14 WKS SNGL FETUS	$368	$184	$69.85 – $338.56
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $165.23 Aetna — Medicare Advantage: $104.32 Aetna — NC+ Preferred Managed Care: $139.10 Alignment — Medicare Advantage: $101.80 Alliance — Medicaid Tailored Plan: $71.24 Ambetter — Managed Care: $154.19 Amerihealth — Managed Care: $147.27 Amerihealth — Medicaid Managed Care: $69.85 Apex — Medicare Advantage: $100.79 Blue Cross Blue Shield — Blue Local Individual: $166.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB >/= 14 WKS SNGL FETUS	$368	$184	$162.29 – $338.56
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $197.25 Aetna — NC+ Preferred Managed Care: $162.29 Ambetter — Managed Care: $222.27 Amerihealth — Managed Care: $211.93 Blue Cross Blue Shield — Blue Local Individual: $203.87 Blue Cross Blue Shield — Blue Value: $202.55 Blue Cross Blue Shield — HMO/PPO: $213.22 Blue Cross Blue Shield — HPN: $179.33 Cigna — Managed Care: $189.15 DirectNet — Managed Care: $217.49
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRANSVAGINAL ULTRASOUND	$933	$466.50	$100.79 – $858.36
Transvaginal ultrasound: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $418.92 Aetna — Medicare Advantage: $104.32 Aetna — NC+ Preferred Managed Care: $352.67 Alignment — Medicare Advantage: $101.80 Alliance — Medicaid Tailored Plan: $180.63 Ambetter — Managed Care: $390.93 Amerihealth — Managed Care: $373.39 Amerihealth — Medicaid Managed Care: $177.08 Apex — Medicare Advantage: $100.79 Blue Cross Blue Shield — Blue Local Individual: $421.62
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TRANSVAGINAL ULTRASOUND	$933	$466.50	$411.45 – $858.36
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $500.09 Aetna — NC+ Preferred Managed Care: $411.45 Ambetter — Managed Care: $563.53 Amerihealth — Managed Care: $537.31 Blue Cross Blue Shield — Blue Local Individual: $516.88 Blue Cross Blue Shield — Blue Value: $513.52 Blue Cross Blue Shield — HMO/PPO: $540.58 Blue Cross Blue Shield — HPN: $454.65 Cigna — Managed Care: $479.56 DirectNet — Managed Care: $551.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$940	$470	$116.79 – $864.80
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $422.06 Aetna — Medicare Advantage: $120.88 Aetna — NC+ Preferred Managed Care: $355.32 Alignment — Medicare Advantage: $117.96 Alliance — Medicaid Tailored Plan: $181.98 Ambetter — Managed Care: $393.86 Amerihealth — Managed Care: $376.19 Amerihealth — Medicaid Managed Care: $178.41 Apex — Medicare Advantage: $116.79 Blue Cross Blue Shield — Blue Local Individual: $409.93
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$940	$470	$414.54 – $864.80
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $503.84 Aetna — NC+ Preferred Managed Care: $414.54 Ambetter — Managed Care: $567.76 Amerihealth — Managed Care: $541.35 Blue Cross Blue Shield — Blue Local Individual: $520.76 Blue Cross Blue Shield — Blue Value: $517.38 Blue Cross Blue Shield — HMO/PPO: $544.64 Blue Cross Blue Shield — HPN: $458.06 Cigna — Managed Care: $483.16 DirectNet — Managed Care: $555.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$1,418	$709	$147.87 – $1,304.56
Diagnostic mammogram, both breasts: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $636.68 Aetna — Medicare Advantage: $153.05 Aetna — NC+ Preferred Managed Care: $536 Alignment — Medicare Advantage: $149.35 Alliance — Medicaid Tailored Plan: $274.52 Ambetter — Managed Care: $594.14 Amerihealth — Managed Care: $567.48 Amerihealth — Medicaid Managed Care: $269.14 Apex — Medicare Advantage: $147.87 Blue Cross Blue Shield — Blue Local Individual: $618.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$1,418	$709	$625.34 – $1,304.56
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $760.05 Aetna — NC+ Preferred Managed Care: $625.34 Ambetter — Managed Care: $856.47 Amerihealth — Managed Care: $816.63 Blue Cross Blue Shield — Blue Local Individual: $785.57 Blue Cross Blue Shield — Blue Value: $780.47 Blue Cross Blue Shield — HMO/PPO: $821.59 Blue Cross Blue Shield — HPN: $690.99 Cigna — Managed Care: $728.85 DirectNet — Managed Care: $838.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$530	$265	$100.59 – $487.60
Screening mammogram, both breasts: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $237.97 Aetna — Medicare Advantage: $123.12 Aetna — NC+ Preferred Managed Care: $200.34 Alignment — Medicare Advantage: $120.15 Alliance — Medicaid Tailored Plan: $102.61 Ambetter — Managed Care: $222.07 Amerihealth — Managed Care: $212.11 Amerihealth — Medicaid Managed Care: $100.59 Apex — Medicare Advantage: $118.96 Blue Cross Blue Shield — Blue Local Individual: $217.78
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$530	$265	$233.73 – $487.60
Screening mammogram, both breasts: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $284.08 Aetna — NC+ Preferred Managed Care: $233.73 Ambetter — Managed Care: $320.12 Amerihealth — Managed Care: $305.23 Blue Cross Blue Shield — Blue Local Individual: $293.62 Blue Cross Blue Shield — Blue Value: $291.71 Blue Cross Blue Shield — HMO/PPO: $307.08 Blue Cross Blue Shield — HPN: $258.27 Cigna — Managed Care: $272.42 DirectNet — Managed Care: $313.23

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.52 – $15.03
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — Medicare Advantage: $15.03 Alignment — Medicare Advantage: $14.66 Apex — Medicare Advantage: $14.52 Blue Cross Blue Shield — Medicare Advantage: $14.52 Cigna Healthsprings — Medicare Advantage: $14.52 Devoted — Medicare Advantage: $14.52 HealthTeam — Medicare Advantage: $14.95 Humana — Medicare Advantage: $14.52 United Healthcare — Medicare Advantage: $14.52 Wellcare — Medicare Advantage: $14.52
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,125.54 – $3,234.94
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — Medicare Advantage: $3,234.94 Alignment — Medicare Advantage: $3,156.80 Apex — Medicare Advantage: $3,125.54 Blue Cross Blue Shield — Medicare Advantage: $3,125.54 Cigna Healthsprings — Medicare Advantage: $3,125.54 Devoted — Medicare Advantage: $3,125.54 HealthTeam — Medicare Advantage: $3,219.31 Humana — Medicare Advantage: $3,125.54 United Healthcare — Medicare Advantage: $3,125.54 Wellcare — Medicare Advantage: $3,125.54
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,519.65 – $7,782.84
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans Aetna — Medicare Advantage: $7,782.84 Alignment — Medicare Advantage: $7,594.85 Apex — Medicare Advantage: $7,519.65 Blue Cross Blue Shield — Medicare Advantage: $7,519.65 Cigna Healthsprings — Medicare Advantage: $7,519.65 Devoted — Medicare Advantage: $7,519.65 HealthTeam — Medicare Advantage: $7,745.24 Humana — Medicare Advantage: $7,519.65 United Healthcare — Medicare Advantage: $7,519.65 Wellcare — Medicare Advantage: $7,519.65
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$25,199.49 – $26,081.47
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans Aetna — Medicare Advantage: $26,081.47 Alignment — Medicare Advantage: $25,451.48 Apex — Medicare Advantage: $25,199.49 Blue Cross Blue Shield — Medicare Advantage: $25,199.49 Cigna Healthsprings — Medicare Advantage: $25,199.49 Devoted — Medicare Advantage: $25,199.49 HealthTeam — Medicare Advantage: $25,955.47 Humana — Medicare Advantage: $25,199.49 United Healthcare — Medicare Advantage: $25,199.49 Wellcare — Medicare Advantage: $25,199.49
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,164	$2,082	$790.33 – $3,830.88
Sleep study (overnight, in a sleep lab): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,869.64 Aetna — Medicare Advantage: $856.89 Aetna — NC+ Preferred Managed Care: $1,573.99 Alignment — Medicare Advantage: $836.19 Alliance — Medicaid Tailored Plan: $806.15 Ambetter — Managed Care: $1,744.72 Amerihealth — Managed Care: $1,666.43 Amerihealth — Medicaid Managed Care: $790.33 Apex — Medicare Advantage: $827.91 Blue Cross Blue Shield — Blue Local Individual: $1,698.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,164	$2,082	$1,836.32 – $3,830.88
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $2,231.90 Aetna — NC+ Preferred Managed Care: $1,836.32 Ambetter — Managed Care: $2,515.06 Amerihealth — Managed Care: $2,398.05 Blue Cross Blue Shield — Blue Local Individual: $2,306.86 Blue Cross Blue Shield — Blue Value: $2,291.87 Blue Cross Blue Shield — HMO/PPO: $2,412.62 Blue Cross Blue Shield — HPN: $2,029.12 Cigna — Managed Care: $2,140.30 DirectNet — Managed Care: $2,460.92

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$200	$100	$28.02 – $184
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $89.80 Aetna — Medicare Advantage: $29 Aetna — NC+ Preferred Managed Care: $75.60 Alignment — Medicare Advantage: $28.30 Alliance — Medicaid Tailored Plan: $38.72 Ambetter — Managed Care: $83.80 Amerihealth — Managed Care: $80.04 Amerihealth — Medicaid Managed Care: $37.96 Apex — Medicare Advantage: $28.02 Blue Cross Blue Shield — Blue Local Individual: $68.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$298	$149	$28.02 – $274.16
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $133.80 Aetna — Medicare Advantage: $29 Aetna — NC+ Preferred Managed Care: $112.64 Alignment — Medicare Advantage: $28.30 Alliance — Medicaid Tailored Plan: $57.69 Ambetter — Managed Care: $124.86 Amerihealth — Managed Care: $119.26 Amerihealth — Medicaid Managed Care: $56.56 Apex — Medicare Advantage: $28.02 Blue Cross Blue Shield — Blue Local Individual: $101.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$200	$100	$88.20 – $184
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $107.20 Aetna — NC+ Preferred Managed Care: $88.20 Ambetter — Managed Care: $120.80 Amerihealth — Managed Care: $115.18 Blue Cross Blue Shield — Blue Local Individual: $110.80 Blue Cross Blue Shield — Blue Value: $110.08 Blue Cross Blue Shield — HMO/PPO: $115.88 Blue Cross Blue Shield — HPN: $97.46 Cigna — Managed Care: $102.80 DirectNet — Managed Care: $118.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$491	$245.50	$93.19 – $451.72
Physical therapy evaluation (low complexity): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $220.46 Aetna — Medicare Advantage: $97.97 Aetna — NC+ Preferred Managed Care: $185.60 Alignment — Medicare Advantage: $95.60 Alliance — Medicaid Tailored Plan: $95.06 Ambetter — Managed Care: $205.73 Amerihealth — Managed Care: $196.50 Amerihealth — Medicaid Managed Care: $93.19 Apex — Medicare Advantage: $94.66 Blue Cross Blue Shield — Blue Local Individual: $167.43
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$491	$245.50	$216.53 – $451.72
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $263.18 Aetna — NC+ Preferred Managed Care: $216.53 Ambetter — Managed Care: $296.56 Amerihealth — Managed Care: $282.77 Blue Cross Blue Shield — Blue Local Individual: $272.01 Blue Cross Blue Shield — Blue Value: $270.25 Blue Cross Blue Shield — HMO/PPO: $284.49 Blue Cross Blue Shield — HPN: $239.26 Cigna — Managed Care: $252.37 DirectNet — Managed Care: $290.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$490	$245	$93 – $450.80
Physical therapy evaluation (moderate complexity): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $220.01 Aetna — Medicare Advantage: $97.97 Aetna — NC+ Preferred Managed Care: $185.22 Alignment — Medicare Advantage: $95.60 Alliance — Medicaid Tailored Plan: $94.86 Ambetter — Managed Care: $205.31 Amerihealth — Managed Care: $196.10 Amerihealth — Medicaid Managed Care: $93 Apex — Medicare Advantage: $94.66 Blue Cross Blue Shield — Blue Local Individual: $167.09
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$490	$245	$216.09 – $450.80
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $262.64 Aetna — NC+ Preferred Managed Care: $216.09 Ambetter — Managed Care: $295.96 Amerihealth — Managed Care: $282.19 Blue Cross Blue Shield — Blue Local Individual: $271.46 Blue Cross Blue Shield — Blue Value: $269.70 Blue Cross Blue Shield — HMO/PPO: $283.91 Blue Cross Blue Shield — HPN: $238.78 Cigna — Managed Care: $251.86 DirectNet — Managed Care: $289.59
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$490	$245	$93 – $450.80
Physical therapy evaluation (high complexity): 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $220.01 Aetna — Medicare Advantage: $97.97 Aetna — NC+ Preferred Managed Care: $185.22 Alignment — Medicare Advantage: $95.60 Alliance — Medicaid Tailored Plan: $94.86 Ambetter — Managed Care: $205.31 Amerihealth — Managed Care: $196.10 Amerihealth — Medicaid Managed Care: $93 Apex — Medicare Advantage: $94.66 Blue Cross Blue Shield — Blue Local Individual: $167.09
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$490	$245	$216.09 – $450.80
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $262.64 Aetna — NC+ Preferred Managed Care: $216.09 Ambetter — Managed Care: $295.96 Amerihealth — Managed Care: $282.19 Blue Cross Blue Shield — Blue Local Individual: $271.46 Blue Cross Blue Shield — Blue Value: $269.70 Blue Cross Blue Shield — HMO/PPO: $283.91 Blue Cross Blue Shield — HPN: $238.78 Cigna — Managed Care: $251.86 DirectNet — Managed Care: $289.59
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$171.12 – $177.11
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Medicare Advantage: $177.11 Alignment — Medicare Advantage: $172.83 Apex — Medicare Advantage: $171.12 Blue Cross Blue Shield — Medicare Advantage: $171.12 Cigna Healthsprings — Medicare Advantage: $171.12 Devoted — Medicare Advantage: $171.12 HealthTeam — Medicare Advantage: $176.26 Humana — Medicare Advantage: $171.12 United Healthcare — Medicare Advantage: $171.12 Wellcare — Medicare Advantage: $171.12
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$171.12 – $177.11
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Medicare Advantage: $177.11 Alignment — Medicare Advantage: $172.83 Apex — Medicare Advantage: $171.12 Blue Cross Blue Shield — Medicare Advantage: $171.12 Cigna Healthsprings — Medicare Advantage: $171.12 Devoted — Medicare Advantage: $171.12 HealthTeam — Medicare Advantage: $176.26 Humana — Medicare Advantage: $171.12 United Healthcare — Medicare Advantage: $171.12 Wellcare — Medicare Advantage: $171.12
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$171.12 – $177.11
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Medicare Advantage: $177.11 Alignment — Medicare Advantage: $172.83 Apex — Medicare Advantage: $171.12 Blue Cross Blue Shield — Medicare Advantage: $171.12 Cigna Healthsprings — Medicare Advantage: $171.12 Devoted — Medicare Advantage: $171.12 HealthTeam — Medicare Advantage: $176.26 Humana — Medicare Advantage: $171.12 United Healthcare — Medicare Advantage: $171.12 Wellcare — Medicare Advantage: $171.12
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$171.12 – $177.11
Family psychotherapy, without the patient: rates for 10 insurance plans Aetna — Medicare Advantage: $177.11 Alignment — Medicare Advantage: $172.83 Apex — Medicare Advantage: $171.12 Blue Cross Blue Shield — Medicare Advantage: $171.12 Cigna Healthsprings — Medicare Advantage: $171.12 Devoted — Medicare Advantage: $171.12 HealthTeam — Medicare Advantage: $176.26 Humana — Medicare Advantage: $171.12 United Healthcare — Medicare Advantage: $171.12 Wellcare — Medicare Advantage: $171.12
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$171.12 – $177.11
Family psychotherapy, with the patient: rates for 10 insurance plans Aetna — Medicare Advantage: $177.11 Alignment — Medicare Advantage: $172.83 Apex — Medicare Advantage: $171.12 Blue Cross Blue Shield — Medicare Advantage: $171.12 Cigna Healthsprings — Medicare Advantage: $171.12 Devoted — Medicare Advantage: $171.12 HealthTeam — Medicare Advantage: $176.26 Humana — Medicare Advantage: $171.12 United Healthcare — Medicare Advantage: $171.12 Wellcare — Medicare Advantage: $171.12
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$97.94 – $101.37
Group psychotherapy: rates for 10 insurance plans Aetna — Medicare Advantage: $101.37 Alignment — Medicare Advantage: $98.92 Apex — Medicare Advantage: $97.94 Blue Cross Blue Shield — Medicare Advantage: $97.94 Cigna Healthsprings — Medicare Advantage: $97.94 Devoted — Medicare Advantage: $97.94 HealthTeam — Medicare Advantage: $100.88 Humana — Medicare Advantage: $97.94 United Healthcare — Medicare Advantage: $97.94 Wellcare — Medicare Advantage: $97.94

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,774.87 – $3,906.99
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Medicare Advantage: $3,906.99 Alignment — Medicare Advantage: $3,812.62 Apex — Medicare Advantage: $3,774.87 Blue Cross Blue Shield — Medicare Advantage: $3,774.87 Cigna Healthsprings — Medicare Advantage: $3,774.87 Devoted — Medicare Advantage: $3,774.87 HealthTeam — Medicare Advantage: $3,888.11 Humana — Medicare Advantage: $3,774.87 United Healthcare — Medicare Advantage: $3,774.87 Wellcare — Medicare Advantage: $3,774.87
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,377.76 – $12,810.98
Total hip replacement: rates for 10 insurance plans Aetna — Medicare Advantage: $12,810.98 Alignment — Medicare Advantage: $12,501.54 Apex — Medicare Advantage: $12,377.76 Blue Cross Blue Shield — Medicare Advantage: $12,377.76 Cigna Healthsprings — Medicare Advantage: $12,377.76 Devoted — Medicare Advantage: $12,377.76 HealthTeam — Medicare Advantage: $12,749.09 Humana — Medicare Advantage: $12,377.76 United Healthcare — Medicare Advantage: $12,377.76 Wellcare — Medicare Advantage: $12,377.76
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,377.76 – $12,810.98
Total knee replacement: rates for 10 insurance plans Aetna — Medicare Advantage: $12,810.98 Alignment — Medicare Advantage: $12,501.54 Apex — Medicare Advantage: $12,377.76 Blue Cross Blue Shield — Medicare Advantage: $12,377.76 Cigna Healthsprings — Medicare Advantage: $12,377.76 Devoted — Medicare Advantage: $12,377.76 HealthTeam — Medicare Advantage: $12,749.09 Humana — Medicare Advantage: $12,377.76 United Healthcare — Medicare Advantage: $12,377.76 Wellcare — Medicare Advantage: $12,377.76
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$138.60 – $143.45
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna — Medicare Advantage: $143.45 Alignment — Medicare Advantage: $139.99 Apex — Medicare Advantage: $138.60 Blue Cross Blue Shield — Medicare Advantage: $138.60 Cigna Healthsprings — Medicare Advantage: $138.60 Devoted — Medicare Advantage: $138.60 HealthTeam — Medicare Advantage: $142.76 Humana — Medicare Advantage: $138.60 United Healthcare — Medicare Advantage: $138.60 Wellcare — Medicare Advantage: $138.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$3,154.53 – $3,264.94
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — Medicare Advantage: $3,264.94 Alignment — Medicare Advantage: $3,186.08 Apex — Medicare Advantage: $3,154.53 Blue Cross Blue Shield — Medicare Advantage: $3,154.53 Cigna Healthsprings — Medicare Advantage: $3,154.53 Devoted — Medicare Advantage: $3,154.53 HealthTeam — Medicare Advantage: $3,249.17 Humana — Medicare Advantage: $3,154.53 United Healthcare — Medicare Advantage: $3,154.53 Wellcare — Medicare Advantage: $3,154.53
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,707.30 – $5,907.06
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — Medicare Advantage: $5,907.06 Alignment — Medicare Advantage: $5,764.38 Apex — Medicare Advantage: $5,707.30 Blue Cross Blue Shield — Medicare Advantage: $5,707.30 Cigna Healthsprings — Medicare Advantage: $5,707.30 Devoted — Medicare Advantage: $5,707.30 HealthTeam — Medicare Advantage: $5,878.52 Humana — Medicare Advantage: $5,707.30 United Healthcare — Medicare Advantage: $5,707.30 Wellcare — Medicare Advantage: $5,707.30
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$874.42 – $905.03
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Medicare Advantage: $905.03 Alignment — Medicare Advantage: $883.17 Apex — Medicare Advantage: $874.42 Blue Cross Blue Shield — Medicare Advantage: $874.42 Cigna Healthsprings — Medicare Advantage: $874.42 Devoted — Medicare Advantage: $874.42 HealthTeam — Medicare Advantage: $900.66 Humana — Medicare Advantage: $874.42 United Healthcare — Medicare Advantage: $874.42 Wellcare — Medicare Advantage: $874.42
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$874.42 – $905.03
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — Medicare Advantage: $905.03 Alignment — Medicare Advantage: $883.17 Apex — Medicare Advantage: $874.42 Blue Cross Blue Shield — Medicare Advantage: $874.42 Cigna Healthsprings — Medicare Advantage: $874.42 Devoted — Medicare Advantage: $874.42 HealthTeam — Medicare Advantage: $900.66 Humana — Medicare Advantage: $874.42 United Healthcare — Medicare Advantage: $874.42 Wellcare — Medicare Advantage: $874.42
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$896.57 – $927.95
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Medicare Advantage: $927.95 Alignment — Medicare Advantage: $905.54 Apex — Medicare Advantage: $896.57 Blue Cross Blue Shield — Medicare Advantage: $896.57 Cigna Healthsprings — Medicare Advantage: $896.57 Devoted — Medicare Advantage: $896.57 HealthTeam — Medicare Advantage: $923.47 Humana — Medicare Advantage: $896.57 United Healthcare — Medicare Advantage: $896.57 Wellcare — Medicare Advantage: $896.57
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,153.68 – $1,194.06
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — Medicare Advantage: $1,194.06 Alignment — Medicare Advantage: $1,165.22 Apex — Medicare Advantage: $1,153.68 Blue Cross Blue Shield — Medicare Advantage: $1,153.68 Cigna Healthsprings — Medicare Advantage: $1,153.68 Devoted — Medicare Advantage: $1,153.68 HealthTeam — Medicare Advantage: $1,188.29 Humana — Medicare Advantage: $1,153.68 United Healthcare — Medicare Advantage: $1,153.68 Wellcare — Medicare Advantage: $1,153.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,153.68 – $1,194.06
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — Medicare Advantage: $1,194.06 Alignment — Medicare Advantage: $1,165.22 Apex — Medicare Advantage: $1,153.68 Blue Cross Blue Shield — Medicare Advantage: $1,153.68 Cigna Healthsprings — Medicare Advantage: $1,153.68 Devoted — Medicare Advantage: $1,153.68 HealthTeam — Medicare Advantage: $1,188.29 Humana — Medicare Advantage: $1,153.68 United Healthcare — Medicare Advantage: $1,153.68 Wellcare — Medicare Advantage: $1,153.68
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,153.68 – $1,194.06
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans Aetna — Medicare Advantage: $1,194.06 Alignment — Medicare Advantage: $1,165.22 Apex — Medicare Advantage: $1,153.68 Blue Cross Blue Shield — Medicare Advantage: $1,153.68 Cigna Healthsprings — Medicare Advantage: $1,153.68 Devoted — Medicare Advantage: $1,153.68 HealthTeam — Medicare Advantage: $1,188.29 Humana — Medicare Advantage: $1,153.68 United Healthcare — Medicare Advantage: $1,153.68 Wellcare — Medicare Advantage: $1,153.68
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$896.57 – $927.95
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — Medicare Advantage: $927.95 Alignment — Medicare Advantage: $905.54 Apex — Medicare Advantage: $896.57 Blue Cross Blue Shield — Medicare Advantage: $896.57 Cigna Healthsprings — Medicare Advantage: $896.57 Devoted — Medicare Advantage: $896.57 HealthTeam — Medicare Advantage: $923.47 Humana — Medicare Advantage: $896.57 United Healthcare — Medicare Advantage: $896.57 Wellcare — Medicare Advantage: $896.57
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,828.49 – $6,032.48
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Medicare Advantage: $6,032.48 Alignment — Medicare Advantage: $5,886.77 Apex — Medicare Advantage: $5,828.49 Blue Cross Blue Shield — Medicare Advantage: $5,828.49 Cigna Healthsprings — Medicare Advantage: $5,828.49 Devoted — Medicare Advantage: $5,828.49 HealthTeam — Medicare Advantage: $6,003.34 Humana — Medicare Advantage: $5,828.49 United Healthcare — Medicare Advantage: $5,828.49 Wellcare — Medicare Advantage: $5,828.49
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,451.86 – $3,572.68
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Medicare Advantage: $3,572.68 Alignment — Medicare Advantage: $3,486.38 Apex — Medicare Advantage: $3,451.86 Blue Cross Blue Shield — Medicare Advantage: $3,451.86 Cigna Healthsprings — Medicare Advantage: $3,451.86 Devoted — Medicare Advantage: $3,451.86 HealthTeam — Medicare Advantage: $3,555.42 Humana — Medicare Advantage: $3,451.86 United Healthcare — Medicare Advantage: $3,451.86 Wellcare — Medicare Advantage: $3,451.86
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$10,248.21 – $10,606.90
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans Aetna — Medicare Advantage: $10,606.90 Alignment — Medicare Advantage: $10,350.70 Apex — Medicare Advantage: $10,248.21 Blue Cross Blue Shield — Medicare Advantage: $10,248.21 Cigna Healthsprings — Medicare Advantage: $10,248.21 Devoted — Medicare Advantage: $10,248.21 HealthTeam — Medicare Advantage: $10,555.66 Humana — Medicare Advantage: $10,248.21 United Healthcare — Medicare Advantage: $10,248.21 Wellcare — Medicare Advantage: $10,248.21
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,120.91 – $3,230.14
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — Medicare Advantage: $3,230.14 Alignment — Medicare Advantage: $3,152.12 Apex — Medicare Advantage: $3,120.91 Blue Cross Blue Shield — Medicare Advantage: $3,120.91 Cigna Healthsprings — Medicare Advantage: $3,120.91 Devoted — Medicare Advantage: $3,120.91 HealthTeam — Medicare Advantage: $3,214.54 Humana — Medicare Advantage: $3,120.91 United Healthcare — Medicare Advantage: $3,120.91 Wellcare — Medicare Advantage: $3,120.91
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ EPI SUBAR LUM/SAC W/IMAGE	$945	$472.50	$179.36 – $869.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $424.31 Aetna — Medicare Advantage: $704.36 Aetna — NC+ Preferred Managed Care: $357.21 Alignment — Medicare Advantage: $687.34 Alliance — Medicaid Tailored Plan: $182.95 Ambetter — Managed Care: $395.96 Amerihealth — Managed Care: $378.19 Amerihealth — Medicaid Managed Care: $179.36 Apex — Medicare Advantage: $680.54 Blue Cross Blue Shield — Blue Local Individual: $324.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ EPI SUBAR LUM/SAC W/IMAGE	$945	$472.50	$416.75 – $869.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $506.52 Aetna — NC+ Preferred Managed Care: $416.75 Ambetter — Managed Care: $570.78 Amerihealth — Managed Care: $544.23 Blue Cross Blue Shield — Blue Local Individual: $523.53 Blue Cross Blue Shield — Blue Value: $520.13 Blue Cross Blue Shield — HMO/PPO: $547.53 Blue Cross Blue Shield — HPN: $460.50 Cigna — Managed Care: $485.73 DirectNet — Managed Care: $558.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL	$1,957	$978.50	$371.44 – $1,800.44
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates Aetna — Broad and Whole Health Managed Care: $878.69 Aetna — Medicare Advantage: $882.56 Aetna — NC+ Preferred Managed Care: $739.75 Alignment — Medicare Advantage: $861.25 Alliance — Medicaid Tailored Plan: $378.88 Ambetter — Managed Care: $819.98 Amerihealth — Managed Care: $783.19 Amerihealth — Medicaid Managed Care: $371.44 Apex — Medicare Advantage: $852.72 Blue Cross Blue Shield — Blue Local Individual: $671.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL	$1,957	$978.50	$863.04 – $1,800.44
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates Aetna — Broad and Whole Health Managed Care: $1,048.95 Aetna — NC+ Preferred Managed Care: $863.04 Ambetter — Managed Care: $1,182.03 Amerihealth — Managed Care: $1,127.04 Blue Cross Blue Shield — Blue Local Individual: $1,084.18 Blue Cross Blue Shield — Blue Value: $1,077.13 Blue Cross Blue Shield — HMO/PPO: $1,133.89 Blue Cross Blue Shield — HPN: $953.65 Cigna — Managed Care: $1,005.90 DirectNet — Managed Care: $1,156.59
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,882.62 – $1,948.51
Carpal tunnel release: rates for 10 insurance plans Aetna — Medicare Advantage: $1,948.51 Alignment — Medicare Advantage: $1,901.45 Apex — Medicare Advantage: $1,882.62 Blue Cross Blue Shield — Medicare Advantage: $1,882.62 Cigna Healthsprings — Medicare Advantage: $1,882.62 Devoted — Medicare Advantage: $1,882.62 HealthTeam — Medicare Advantage: $1,939.10 Humana — Medicare Advantage: $1,882.62 United Healthcare — Medicare Advantage: $1,882.62 Wellcare — Medicare Advantage: $1,882.62
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$530.25 – $548.81
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — Medicare Advantage: $548.81 Alignment — Medicare Advantage: $535.55 Apex — Medicare Advantage: $530.25 Blue Cross Blue Shield — Medicare Advantage: $530.25 Cigna Healthsprings — Medicare Advantage: $530.25 Devoted — Medicare Advantage: $530.25 HealthTeam — Medicare Advantage: $546.16 Humana — Medicare Advantage: $530.25 United Healthcare — Medicare Advantage: $530.25 Wellcare — Medicare Advantage: $530.25
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,224.97 – $2,302.84
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Medicare Advantage: $2,302.84 Alignment — Medicare Advantage: $2,247.22 Apex — Medicare Advantage: $2,224.97 Blue Cross Blue Shield — Medicare Advantage: $2,224.97 Cigna Healthsprings — Medicare Advantage: $2,224.97 Devoted — Medicare Advantage: $2,224.97 HealthTeam — Medicare Advantage: $2,291.72 Humana — Medicare Advantage: $2,224.97 United Healthcare — Medicare Advantage: $2,224.97 Wellcare — Medicare Advantage: $2,224.97

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,045.41 – $2,117
Vaginal delivery, with care before and after: rates for 10 insurance plans Aetna — Medicare Advantage: $2,117 Alignment — Medicare Advantage: $2,065.86 Apex — Medicare Advantage: $2,045.41 Blue Cross Blue Shield — Medicare Advantage: $2,045.41 Cigna Healthsprings — Medicare Advantage: $2,045.41 Devoted — Medicare Advantage: $2,045.41 HealthTeam — Medicare Advantage: $2,106.77 Humana — Medicare Advantage: $2,045.41 United Healthcare — Medicare Advantage: $2,045.41 Wellcare — Medicare Advantage: $2,045.41
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,271.83 – $2,351.34
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans Aetna — Medicare Advantage: $2,351.34 Alignment — Medicare Advantage: $2,294.55 Apex — Medicare Advantage: $2,271.83 Blue Cross Blue Shield — Medicare Advantage: $2,271.83 Cigna Healthsprings — Medicare Advantage: $2,271.83 Devoted — Medicare Advantage: $2,271.83 HealthTeam — Medicare Advantage: $2,339.98 Humana — Medicare Advantage: $2,271.83 United Healthcare — Medicare Advantage: $2,271.83 Wellcare — Medicare Advantage: $2,271.83
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,139.03 – $2,213.89
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans Aetna — Medicare Advantage: $2,213.89 Alignment — Medicare Advantage: $2,160.42 Apex — Medicare Advantage: $2,139.03 Blue Cross Blue Shield — Medicare Advantage: $2,139.03 Cigna Healthsprings — Medicare Advantage: $2,139.03 Devoted — Medicare Advantage: $2,139.03 HealthTeam — Medicare Advantage: $2,203.20 Humana — Medicare Advantage: $2,139.03 United Healthcare — Medicare Advantage: $2,139.03 Wellcare — Medicare Advantage: $2,139.03

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$75,244.09 – $162,450.16
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $78,253.85 Alignment — Medicare Advantage: $75,996.53 Alliance — Medicaid Tailored Plan: $156,132.42 Amerihealth — Medicaid Managed Care: $153,071 Apex — Medicare Advantage: $75,244.09 Blue Cross Blue Shield — Medicare Advantage: $75,244.09 Carolina Complete — Medicaid Managed Care: $153,071 Cigna Healthsprings — Medicare Advantage: $75,244.09 Devoted — Medicare Advantage: $75,244.09 HealthBlue — Medicaid Managed Care: $153,071
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$16,171.41 – $32,155.70
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $16,818.27 Alignment — Medicare Advantage: $16,333.12 Alliance — Medicaid Tailored Plan: $30,905.16 Amerihealth — Medicaid Managed Care: $30,299.17 Apex — Medicare Advantage: $16,171.41 Blue Cross Blue Shield — Medicare Advantage: $16,171.41 Carolina Complete — Medicaid Managed Care: $30,299.17 Cigna Healthsprings — Medicare Advantage: $16,171.41 Devoted — Medicare Advantage: $16,171.41 HealthBlue — Medicaid Managed Care: $30,299.17
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$19,863.97 – $40,300.24
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $20,658.53 Alignment — Medicare Advantage: $20,062.61 Alliance — Medicaid Tailored Plan: $38,732.95 Amerihealth — Medicaid Managed Care: $37,973.48 Apex — Medicare Advantage: $19,863.97 Blue Cross Blue Shield — Medicare Advantage: $19,863.97 Carolina Complete — Medicaid Managed Care: $37,973.48 Cigna Healthsprings — Medicare Advantage: $19,863.97 Devoted — Medicare Advantage: $19,863.97 HealthBlue — Medicaid Managed Care: $37,973.48
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,261.17 – $21,325.36
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $11,711.62 Alignment — Medicare Advantage: $11,373.78 Alliance — Medicaid Tailored Plan: $20,496.01 Amerihealth — Medicaid Managed Care: $20,094.13 Apex — Medicare Advantage: $11,261.17 Blue Cross Blue Shield — Medicare Advantage: $11,261.17 Carolina Complete — Medicaid Managed Care: $20,094.13 Cigna Healthsprings — Medicare Advantage: $11,261.17 Devoted — Medicare Advantage: $11,261.17 HealthBlue — Medicaid Managed Care: $20,094.13

Source: Hugh Chatham Memorial Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	180 Parkwood Dr, Elkin, NC 28621
County	Surry County
State	North Carolina
Phone	(336) 527‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	340097
Name in Medicare records	HUGH CHATHAM MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Hugh Chatham Health: Medical Center (Elkin)
Official website	hughchatham.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Hugh Chatham Health: Medical Center (Elkin) — hughchatham.org
Find A Location - Hugh Chatham Health — hughchatham.org
Hugh Chatham Receives 2026 Women’s Choice Award for Emergency Care - Hugh Chatham Health — hughchatham.org
Hugh Chatham Health Nationally Recognized for its Commitment to Providing High-Quality Stroke Care - Hugh Chatham Health — hughchatham.org
Hugh Chatham Receives 2026 Women’s Choice Award for Stroke Care - Hugh Chatham Health — hughchatham.org
Patient & Visitor Guide - Hugh Chatham Health — hughchatham.org
Hugh Chatham Health at Home Earns 2025 SHPBest “Superior Performer” Patient Satisfaction Award - Hugh Chatham Health — hughchatham.org
Infusions/Transfusions - Hugh Chatham Health — hughchatham.org
Stroke Center - Hugh Chatham Health — hughchatham.org
Birthplace - Hugh Chatham Health — hughchatham.org
Cancer Services - Hugh Chatham Health — hughchatham.org
Cardiology - Hugh Chatham Health — hughchatham.org
Imaging Services - Hugh Chatham Health — hughchatham.org

Hugh Chatham Memorial Hospital

Summary

Profile from official sources

At a glance