Does Huron Valley-Sinai Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Huron Valley-Sinai Hospital. In a medical emergency, call 911.

Where is Huron Valley-Sinai Hospital?

One William Carls Drive, Commerce Township, MI 48382, in Oakland County, Michigan.

What is the phone number of Huron Valley-Sinai Hospital?

(248) 937-3370, as listed by Medicare (CMS).

What is the Medicare star rating of Huron Valley-Sinai Hospital?

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

Huron Valley-Sinai Hospital — Commerce Township, MI

Quick answers

Does Huron Valley-Sinai Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Huron Valley-Sinai Hospital. In a medical emergency, call 911.
Where is Huron Valley-Sinai Hospital?: One William Carls Drive, Commerce Township, MI 48382, in Oakland County, Michigan.
What is the phone number of Huron Valley-Sinai Hospital?: (248) 937-3370, as listed by Medicare (CMS).
What is the Medicare star rating of Huron Valley-Sinai Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Procedures^[4]

Robotic surgery

Programs and centers^[4]

Natural Birthing Suite

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III

Recognition^[4][5]

Level III Trauma Center

Doctors and clinicians (336)

336 doctors and other clinicians list Huron Valley-Sinai 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 (336)

Abdul R. Halabi, MDInterventional Cardiology
Abeer Berry, DOCardiovascular Disease (Cardiology)
Adil Y. Arabbo, MDFamily Practice
Adriane Marchese, MDFamily Practice
Ahmed M. El-Sabbagh, MDGeriatric Medicine
Ahmed S. YeddiInternal Medicine
Alan L. Feldman, DOFamily Practice
Aldo C. Ruffolo, DODiagnostic Radiology
Alec E. Wilson, MDUrology
Alexander D. Tapper, MDUrology
Alexander G. Shalhoub, DOAnesthesiology
Ali A. Al-Ramadan, MDInternal Medicine
Ali N. Harb, MDDiagnostic Radiology
Alicia L. Ward, DPMPodiatry
Alka Jain, MDInternal Medicine
Alkis P. Zingas, MDDiagnostic Radiology
Amanda A. Vivian, DOInternal Medicine
Amanda L. Cremeens, CNACertified Registered Nurse Anesthetist (CRNA)
Amarjeet S. Sethi, MDPulmonary Disease
Amber L. Fracassi, CNACertified Registered Nurse Anesthetist (CRNA)
Amina Pervaiz, MDPulmonary Disease
Amudha Palaiyan, NPNurse Practitioner
Andrea J. Eisenberg, MDObstetrics/Gynecology
Andrea J. Teitel, CNACertified Registered Nurse Anesthetist (CRNA)

And 312 more: the button below opens the full list.

Other emergency rooms nearby

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

Henry Ford Health West Bloomfield Hospital5.7 mi · W Bloomfield, MI · Acute Care Hospital
McLaren Oakland11 mi · Pontiac, MI · Acute Care Hospital
Trinity Health Oakland Hospital11 mi · Pontiac, MI · Acute Care Hospital
Beaumont Hospital - Farmington Hills13 mi · Farmington Hills, MI · Acute Care Hospital
St Joe Mercy Hospital System Livonia15 mi · Livonia, MI · Acute Care Hospital

Other hospitals nearby

Henry Ford Health Behavioral Health Hospital6.0 mi · West Bloomfield, MI · Psychiatric Hospital
Pontiac General Hospital10 mi · Pontiac, MI · Psychiatric Hospital
Pioneer Specialty Hospital11 mi · Pontiac, MI · Long-Term Acute Care Hospital
Henry Ford Health Brighton Center for Recovery11 mi · Brighton, MI · Acute Care 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

Westlake Health Campus1.6 mi · Commerce, MI · 4 of 5 stars
The Neighborhoods of White Lake3.6 mi · White Lake, MI · 5 of 5 stars
The Villa at Green Lake Estates4.3 mi · Orchard Lake, MI · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Corsocare Hospice5.3 mi · Milford, MI · 3 of 5 stars
Oakland Hospice6.8 mi · West Bloomfield, MI
Tone Hospice and Palliative Care, Inc7.6 mi · Farmington Hills, MI

All hospice providers in the state →

Home health agencies

Affinity Home Care Agency, Inc3.0 mi · Commerce Township, MI
At Home Health Services, LLC3.0 mi · Commerce Township, MI
Corsocare Home Health5.3 mi · Milford, MI

All home health agencies in the state →

Dialysis facilities

DaVita Commerce Township Dialysis0.9 mi · Commerce Township, MI · 3 of 5 stars
Fresenius Kidney Care Novi5.4 mi · Wixom, MI · 4 of 5 stars
GHS Western Regional Home Dialysis6.0 mi · Novi, MI

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

The Waterford Surgical Center, LLC5.5 mi · Waterford, MI
Michigan Outpatient Surgical Solutions6.0 mi · Novi, MI
Lakes Surgery Center6.2 mi · West Bloomfield, MI

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Waterford School Health Center8.1 mi · Waterford, MI · Community health center
Summit Center9.6 mi · Pontiac, MI · Community health center
Mason Middle School Empowerment Zone9.6 mi · Waterford, MI · Community health center

Clinics and urgent care

Commerce Urgent Care Walk-In Clinic0.9 mi · Commerce TWP, MI · Urgent care center
Advanced Urgent Care Center3.0 mi · Walled Lake, MI · Urgent care center
Care Family Medicine Center PLLC3.0 mi · Commerce Township, MI · Urgent care center

Pharmacies

Bormans Inc0.9 mi · Commerce TWP, MI · Community/retail pharmacy
Commerce Family Pharmacy, LLC0.9 mi · Commerce Township, MI · Community/retail pharmacy
Huron Valley Hospital0.9 mi · Commerce, MI · Community/retail pharmacy

Assisted living nearby

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

Pleasantry Senior Living0.9 mi · Commerce Township, MI
Rivers Edge0.9 mi · Commerce, MI
Serenity of Commerce0.9 mi · Commerce Township, MI
The Legacy at Westlake0.9 mi · Commerce, MI

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	61%National average: 74%
Area around the room “always” quiet at night	49%National average: 60%
Completed surveys	994Response rate: 22%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.667No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	2.483No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.303Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	8.4%
Deaths within 30 days: pneumonia patients	13.2%
Deaths within 30 days: COPD patients	7.1%
Deaths within 30 days: stroke patients	16.3%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.94No different from the national rate
Complications after hip or knee replacement	5%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.5%
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	7.2%

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)	155 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	47%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Huron Valley-Sinai 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 →

$ 404 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $172.69
New patient office visit (about 30–44 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $122.22 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $149.05 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $172.69 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $144.62
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 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $231.01
New patient office visit (about 45–59 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $163.50 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $199.39 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $231.01 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $287.18
New patient office visit (about 60–74 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $198.16 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $241.66 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $241.66 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $279.98 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $287.18
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 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $129.86
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $91.91 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $129.86 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $117.07
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 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $177.63
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $153.32 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $177.63 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $165.11
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3.01
Office consultation with a specialist (moderate): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $2.60 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $2.13 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $2.60 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $2.60 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $3.01
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3.01
Office consultation with a specialist (moderate to high): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $2.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $2.60 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $2.60 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $216.49
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $186.85 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $153.22 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $186.85 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $186.85 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $216.49
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $235.22
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $203.03 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $166.48 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $235.22
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LVLIII	$2,154	$1,615.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $875
Emergency room visit (moderate): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $576.84 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $641 UNITED HEALTHCARE — UNITED HEALTHCARE ALL OTHER PRODUCTS: $831 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS PPO: $875
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ER VISIT LVL III	$2,021	$1,515.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $875
Emergency room visit (moderate): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $576.84 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $641 UNITED HEALTHCARE — UNITED HEALTHCARE ALL OTHER PRODUCTS: $831 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS PPO: $875
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LVL IV	$4,057	$3,042.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,356.30
Emergency room visit (moderately high): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $989.68 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $811.54 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $989.68 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $989.68 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1,356.30 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1,020.74 UNITED HEALTHCARE — UNITED HEALTHCARE ALL OTHER PRODUCTS: $966 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS PPO: $1,048
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ER VISIT LVL IV	$3,493	$2,619.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,356.30
Emergency room visit (moderately high): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $989.68 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $989.68 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $989.68 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1,356.30 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $158.85 UNITED HEALTHCARE — UNITED HEALTHCARE ALL OTHER PRODUCTS: $966 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS PPO: $1,048
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LVL V	$5,869	$4,401.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,957.16
Emergency room visit (high): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1,171.06 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $230.65 UNITED HEALTHCARE — UNITED HEALTHCARE ALL OTHER PRODUCTS: $1,195 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS PPO: $1,258
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB ER VISIT LVL V	$4,157	$3,117.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,957.16
Emergency room visit (high): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1,428.11 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1,957.16 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1,229.64 UNITED HEALTHCARE — UNITED HEALTHCARE ALL OTHER PRODUCTS: $1,195 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS PPO: $1,258

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: BASIC METABOLIC PANEL	$681	$510.75	$1 – $11.54
Basic metabolic panel (blood test): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $9.52 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $9.05 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $11.54 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $8.46 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $8.46 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $8.46 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL	$892	$669	$1 – $16.66
Comprehensive metabolic panel (blood test): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $13.66 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $14.41 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $10.56 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $10.56 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $10.56 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $10.56
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $62.33
Obstetric blood test panel: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $47.46 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $47.46 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $45.13 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $62.33 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $47.81 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $47.81 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $47.81 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$790	$592.50	$1 – $18.27
Cholesterol panel (lipid panel): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $12.70 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $12.70 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $12.07 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $18.27 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $13.39 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $13.39 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $13.39 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$437	$327.75	$1 – $11.89
Kidney function panel: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $11.89 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $11.85 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $8.68 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $8.68 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $8.68 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$161	$120.75	$1 – $11.14
Liver function panel: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $6.82 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $11.14 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $8.17 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $8.17 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $8.17 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA AUTO W/MICRO	$171	$128.25	$1 – $4.32
Urine test (automated, with microscope): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $2.14 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $2.61 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $4.32 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $3.17 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $3.17 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $3.17 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NON-AUTO W/O MICRO	$5	$3.75	$1 – $3.49
Urine test (manual, without microscope): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $2.86 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $2.35 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $2.86 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $2.72 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $3.49 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $3.48 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $3.48 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $3.48 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIPSTICK (OUTPT CLINIC)	$10	$7.50	$1 – $3.49
Urine test (manual, without microscope): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $2.86 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $3.49 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $3.48 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $3.48 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $3.48 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA AUTO W/O MICRO	$110	$82.50	$1 – $3.06
Urine test (automated, without microscope): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1.85 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1.76 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $3.06 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $2.25 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $2.25 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $2.25 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINAL, CHEM. W/O MICRO AUTO	$104	$78	$1 – $3.06
Urine test (automated, without microscope): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1.52 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1.85 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1.76 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $3.06 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $2.25 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $2.25 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $2.25 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL	$183	$137.25	$1 – $25.09
PSA (prostate specific antigen) blood test: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $15.12 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $12.40 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $15.12 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.12 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $14.38 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $25.09 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $18.39 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $18.39 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $18.39 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$569	$426.75	$1 – $22.93
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $13.82 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $11.33 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $13.82 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $13.14 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $22.93 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $16.80 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $16.80 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $16.80 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC/PLT/AUTO DIFF (5)	$258	$193.50	$1 – $10.61
Complete blood count (CBC) with differential: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $6.39 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $5.24 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $6.39 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $6.39 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $6.08 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $10.61 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $7.77 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $7.77 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $7.77 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITHOUT DIFF	$93	$69.75	$1 – $8.83
Complete blood count (CBC), automated: rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $5.32 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $4.36 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $5.32 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $8.83 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $6.47 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $6.47 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $6.47 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$95	$71.25	$1 – $5.37
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $3.53 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $3.36 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $5.37 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $4.29 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $4.29 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $4.29 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/INR (WAIVED)	$17	$12.75	$1 – $5.37
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $3.53 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $2.90 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $5.37 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $4.29 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $4.29 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $4.29 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$112	$84	$1 – $8.19
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $4.95 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $4.70 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $8.19 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $6.01 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $6.01 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $6.01 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $6.01

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: CT HEAD/BRAIN WO CONTRST	$3,566	$2,674.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $202.35
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $84.62 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $202.35 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $108.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO/W CONTRAST	$9,151	$6,863.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $788.67
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $788.67 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $368.12 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $368.12 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $368.12
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$662	$496.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $99.38
Chest X-ray, 2 views: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $40.88 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $33.52 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $40.88 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $99.38 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $80.90 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $80.90 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $80.90
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR MIN 4VWS	$1,078	$808.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $145.42
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $68.92 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $56.51 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $68.92 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $68.92 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $65.53 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $145.42 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $108.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONT	$6,521	$4,890.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $471.65
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $471.65 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $230.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR W/O CM	$6,521	$4,890.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $471.65
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $154.02 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $471.65 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $230.13
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST	$4,430	$3,322.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $398.40
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $217.35 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $398.40 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $178.55 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $178.55 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $178.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWR EXT JNT W/O CM	$8,301	$6,225.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $471.65
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $176.95 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $471.65 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $230.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI-LOWER EXT JOINT W/O CONT	$8,301	$6,225.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $471.65
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $176.95 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $471.65 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $230.13 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $230.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CM	$7,310	$5,482.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $624.21
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $624.21 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $368.12 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $368.12 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $368.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$2,176	$1,632	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $215.31
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $96.03 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $215.31 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $108.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMP>14WK SGL GEST	$1,503	$1,127.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $215.31
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $152.44 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $107.96 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $215.31 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $108.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NOT OB	$1,499	$1,124.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $215.31
Transvaginal ultrasound: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $148.93 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $148.93 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $215.31 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $108.97 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $108.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO+CAD UNILAT	$1,065	$798.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $153.60
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $153.60 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $108.77 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $150.74 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $91.42 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $91.42 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $91.42
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO+CAD BILAT	$1,413	$1,059.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $195.66
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $195.66 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $160.44 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $195.66 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $186.04 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $192.58 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $116.89 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $116.89 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $116.89
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCRN MAMMO+CAD BILAT	$749	$561.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $161.78
Screening mammogram, both breasts: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $161.78 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $161.78 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $114.22 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $159.34 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $96.65 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $96.65 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $96.65

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	$1 – $30.36
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $26.21 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $21.49 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $26.21 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $30.36 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $18.41
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATH LT HRT/LTV	$17,320	$12,990	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $15,588
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates AETNA — AETNA NEW BUSINESS/AETNA MICHIGAN PREFERRED: $4,849.60 AETNA — AETNA-COFINITY EXISTING BUSINESS PPOM: $8,175.04 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK PPO: $15,588 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK WC: $2,873.38 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $2,131.24 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $2,599.09 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $2,599.09 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART DIRECT: $12,990
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP W/O INDUC/ARRYTH	$16,391	$12,293.25	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $22,856.87
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $16,177.07 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $19,728.30 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $22,856.87 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11,081
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $956.84 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $956.84 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1,108.58 HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY	$15,404	$11,553	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,940.70
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1,675.06 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1,675.06 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $635.78

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: OTA THERAPTC EXER EA 15	$238	$178.50	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $37.23
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTA PED THERPTC EXER EA 15M	$296	$222	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $37.23
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTA THER EX EA 15	$125	$93.75	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $37.23
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $126.93
Physical therapy evaluation (low complexity): rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $126.93
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMP	$171	$128.25	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $126.93
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $126.93
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMP	$183	$137.25	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $126.93
Physical therapy evaluation (high complexity): rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMP	$252	$189	Not listed in the file
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $102.89
Psychotherapy, 30 minutes: rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $135.69
Psychotherapy, 45 minutes: rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $201.19
Psychotherapy, 60 minutes: rates for 1 insurance plan OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $201.19
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $129.13
Family psychotherapy, without the patient: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $49.84 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $40.87 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $49.84 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $57.74 OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $134.56
Family psychotherapy, with the patient: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $34.03 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $134.56
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $36.85
Group psychotherapy: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $17.91 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $21.84 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,812
Removal of breast growth (open surgery): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $3,934 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $12.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $6.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $697.76 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11,318
Total hip replacement: 10 of 19 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $5.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1,736.79 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11,318
Total knee replacement: 10 of 19 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1,734.43 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,578.41
Shoulder arthroscopy: shaving of shoulder bone: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $3,934 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $231.94 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,594.05
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $4,535 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $12.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $731.78 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,536.07
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $3,934 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $6.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,530 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $14.61 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $14.09 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $360.94 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $464.59 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Colonoscopy (diagnostic): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $14.61 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $12.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $432.06 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Colonoscopy with biopsy: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $12.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $6.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $16.13 BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $16.13 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $12.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $332.76 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,791
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $16.13 BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $5.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $11.84 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $15.35 HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $432.77 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $13,552.88
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $12.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,248.56
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $4,535 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $12.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BX PROSTATE NEEDLE/PUNCH	$2,681	$2,010.75	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,085
Prostate biopsy: 10 of 19 insurance plan rates AETNA — AETNA NEW BUSINESS/AETNA MICHIGAN PREFERRED: $750.68 AETNA — AETNA-COFINITY EXISTING BUSINESS PPOM: $1,265.43 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK PPO: $2,412.90 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK WC: $444.77 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $5.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $9.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART DIRECT: $2,010.75
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $11,318
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $12.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1,570.28 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,812
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $3,934 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $11.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,587.10
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $6.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $14.61 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $320.26 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ ANES SGL LV	$5,375	$4,031.25	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,837.50
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates AETNA — AETNA NEW BUSINESS/AETNA MICHIGAN PREFERRED: $1,505 AETNA — AETNA-COFINITY EXISTING BUSINESS PPOM: $2,537 AMBETTER — AMBETTER BY MERIDIAN HIX: $1,530 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK PPO: $4,837.50 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK WC: $891.71 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL RELEASE/SONEX	$11,570	$8,677.50	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,413
Carpal tunnel release: 10 of 20 insurance plan rates AETNA — AETNA NEW BUSINESS/AETNA MICHIGAN PREFERRED: $3,239.60 AETNA — AETNA-COFINITY EXISTING BUSINESS PPOM: $5,461.04 AMBETTER — AMBETTER BY MERIDIAN HIX: $1,639 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK PPO: $10,413 AMERICAS CHOICE — AMERICAS CHOICE PROVIDER NETWORK WC: $1,919.46 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $10.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $11.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $5.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,791
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $7.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $14.61 BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $14.09 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $14.09 HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $416.81 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,812
Cataract removal with lens implant: 10 of 20 insurance plan rates AMBETTER — AMBETTER BY MERIDIAN HIX: $5,683 BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $12.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $10.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $12.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTHSMART — HEALTHSMART WORKERS COMP: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $685.38 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,328.25
Vaginal delivery, with care before and after: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $6.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $5.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $14.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $5.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,731.41
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $14.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $9.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $15.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,523.06
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BLUE CARE NETWORK: $6.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS EXCHANGE: $12.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRADITIONAL: $16.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS TRUST PPO: $14.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $4.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OSCAR HEALTH PLAN — OSCAR HEALTH PLAN HIX: $3,523.06

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	$107,992.33 – $253,795.18
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $225,536.45 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $151,330.13 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $107,992.33 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $162,335.78 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $196,076.66 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $253,795.18
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	$3,222.83 – $50,041.45
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates AETNA — AETNA MEDICAID: $7,442.19 AMBETTER — AMBETTER BY MERIDIAN HIX: $17,757 BLUE CROSS/BLUE SHIELD — BLUE CROSS COMPLETE MEDICAID: $7,442.19 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $41,058.35 MOLINA — MOLINA MANAGED MEDICAID: $3,222.83 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $29,838.15 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $21,293.13 UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $14,032.57 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $32,008.17 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $38,660.94
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	$26,378 – $63,334.65
Neck (cervical) spinal fusion, without complications: rates for 7 insurance plans AMBETTER — AMBETTER BY MERIDIAN HIX: $26,378 BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $43,853.47 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $37,764.47 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $26,949.51 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $40,510.93 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $48,930.98 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $63,334.65
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	$13,696.09 – $32,187.48
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BLUECROSSBLUESHIELD MI: $25,867.94 UNITED HEALTHCARE — UNITED HEALTHCARE COMMERCIAL: $19,192.39 UNITED HEALTHCARE — UNITED HEALTHCARE EXCHANGE: $13,696.09 UNITED HEALTHCARE — UNITED HEALTHCARE NEW BUSINESS: $20,588.18 UNITED HEALTHCARE — UNITED HEALTHCARE NONOPTIONS: $24,867.35 UNITED HEALTHCARE — UNITED HEALTHCARE OPTIONS: $32,187.48

Source: Huron Valley-Sinai Hospital’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 20, 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	One William Carls Drive, Commerce Township, MI 48382
County	Oakland County
State	Michigan
Phone	(248) 937‑3370
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	230277
Name in Medicare records	HURON VALLEY-SINAI HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(248) 937‑3300^[4]
Name on the hospital’s website	DMC Huron Valley-Sinai Hospital
Official website	dmc.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.

DMC Huron Valley-Sinai Hospital | Detroit Medical Center — dmc.org
Emergency Rooms & ER Care Detroit, MI | Detroit Medical Center — dmc.org

Huron Valley-Sinai Hospital

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