Quick answers
- Does Jackson General Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Jackson General Hospital. In a medical emergency, call 911.
- Where is Jackson General Hospital?
- 122 Pinnell St, Ripley, WV 25271, in Jackson County, West Virginia.
- What is the phone number of Jackson General Hospital?
- (304) 372-2731, as listed by Medicare (CMS).
- What is the Medicare star rating of Jackson General Hospital?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Specialties and care areas[4]
Treatments[4][7]
Programs and centers[4][7]
- Walk-in services
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
Doctors and clinicians (224)
224 doctors and other clinicians list Jackson General 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
- Nurse Practitioner51
- Family Practice28
- Internal Medicine23
- Physician Assistant18
- Cardiovascular Disease (Cardiology)10
- Hematology/Oncology8
- Interventional Cardiology7
- Hospitalist6
- Urology6
- Nephrology6
- General Surgery5
- Emergency Medicine5
Doctors with a page on this site (224)
- Abdelwahab A. Suliman, MDEndocrinology
- Abdul R. Zanabli, MDUndefined Physician Type (Specify)
- Abdulkader Farran, MDNephrology
- Abiy K. Kelil, MDCritical Care (Intensivists)
- Adam D. Miller, DOFamily Practice
- Adrienne V. AcordNurse Practitioner
- Alanah MillerPhysician Assistant
- Alexander Conti, MDOrthopedic Surgery
- Alexander Hattoum, MDCardiac Electrophysiology
- Allison N. HugginsPhysician Assistant
- Amir S. Kamran, MDInternal Medicine
- Amy G. DelongNurse Practitioner
- Andrew M. Jenkins, CNACertified Registered Nurse Anesthetist (CRNA)
- Andrew PattersonNurse Practitioner
- Angel V. RitchieNurse Practitioner
- Angela D. Miller, NPNurse Practitioner
- Arif M. Malik, MDInternal Medicine
- Ashton M. HolbrookNurse Practitioner
- Bairava S. Kuppuswamy, MDInternal Medicine
- Bassam Moushmoush, MDCardiovascular Disease (Cardiology)
- Benjamin L. Chapman, PAPhysician Assistant
- Beth AnkromNurse Practitioner
- Betsy Sayre, CNACertified Registered Nurse Anesthetist (CRNA)
- Brandee Harpold, NPNurse Practitioner
And 200 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Roane General Hospital18 mi · Spencer, WV · Critical Access Hospital
- Rivers Health24 mi · Point Pleasant, WV · Acute Care Hospital
- Holzer Medical Center30 mi · Gallipolis, OH · Acute Care Hospital
- Thomas Memorial Hospital30 mi · South Charleston, WV · Acute Care Hospital
- Charleston Area Medical Center31 mi · Charleston, WV · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Ripley
- Camden Clark Medical Center31 mi · Parkersburg, WV · 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
- Mountain View Care Center3.1 mi · Ripley, WV · 1 of 5 stars
- Ravenswood Village12 mi · Ravenswood, WV · 3 of 5 stars
- Roane General Hospital18 mi · Spencer, WV · 4 of 5 stars
All nursing homes in the state →
Home health agencies
- Holzer Home Care, Mason County21 mi · Point Pleasant, WV · 3.5 of 5 stars
- Pleasant Valley Home Health21 mi · Point Pleasant, WV · 3 of 5 stars
All home health agencies in the state →
Dialysis facilities
- Fresenius Medical Care Ripley0.0 mi · Ripley, WV · 3 of 5 stars
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
- Ripley Family Care1.1 mi · Ripley, WV · Community health center
- Ripley Middle school1.5 mi · Ripley, WV · Community health center
- Jackson County School Based Wellness Center1.6 mi · Ripley, WV · Community health center
Clinics and urgent care
- Jackson General Hospital RHC dba Morad-Hughes Health Center0.0 mi · Ripley, WV · Rural health clinic
- Ovp Health16 mi · Ravenswood, WV · Rural health clinic
- Hospital Development Co.20 mi · Spencer, WV · Rural health clinic
Pharmacies
- Fruth Pharmacy Inc0.0 mi · Ripley, WV · Community/retail pharmacy
- Wal-Mart Stores East LP0.0 mi · Ripley, WV · Community/retail pharmacy
- Walgreen Co0.0 mi · Ripley, WV · Pharmacy
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 Jackson General 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) | 5 of 5 stars |
|---|---|
| Overall rating of the hospital | 5 of 5 stars |
| Would recommend the hospital | 5 of 5 stars |
| Nurses communicated well | 5 of 5 stars |
| Doctors communicated well | 5 of 5 stars |
| Patients got help quickly from staff | 5 of 5 stars |
| Staff explained medicines | 4 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 5 of 5 stars |
| Restfulness of Environment | 5 of 5 stars |
| Care Coordination | 5 of 5 stars |
| Symptoms After Stay | 4 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 89%National average: 72% |
| Would definitely recommend the hospital | 91%National average: 71% |
| Nurses “always” communicated well | 91%National average: 80% |
| Doctors “always” communicated well | 92%National average: 80% |
| “Always” got help as soon as they wanted | 83%National average: 64% |
| Staff “always” explained medicines before giving them | 75%National average: 62% |
| Were given information about recovery at home | 90%National average: 86% |
| Room and bathroom “always” clean | 92%National average: 73% |
| Completed surveys | 200Response rate: 30% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.
| Clostridioides difficile (C. diff) intestinal infections | 0.536No different from the national benchmark |
|---|---|
| Not reported to Medicare | Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients | 12% |
|---|---|
| Deaths within 30 days: pneumonia patients | 20.2% |
| Deaths within 30 days: COPD patients | 8% |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90) |
| Too few cases to report | Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement |
Source: Complications and Deaths - Hospital — CMS, released October 20, 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) | 17% |
|---|---|
| Readmitted within 30 days: heart failure | 21.5% |
| Readmitted within 30 days: pneumonia | 16.1% |
| Readmitted within 30 days: COPD | 19.5% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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.
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 131 minutesNational average: 162 minutes |
|---|---|
| Not reported to Medicare | Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1) |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Jackson General 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 →
Show the prices of 74 common services
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: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $126 | $63 | Not listed in the file |
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates
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| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $180 | $90 | Not listed in the file |
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
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| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $126 | $63 | Not listed in the file |
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates
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| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $126 | $63 | Not listed in the file |
New patient office visit (about 45–59 minutes): 10 of 43 insurance plan rates
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| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $292 | $146 | Not listed in the file |
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
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| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $126 | $63 | Not listed in the file |
New patient office visit (about 45–59 minutes): 10 of 43 insurance plan rates
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| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $126 | $63 | Not listed in the file |
New patient office visit (about 60–74 minutes): 10 of 43 insurance plan rates
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| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $396 | $198 | Not listed in the file |
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
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| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN | $378 | $189 | Not listed in the file |
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
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| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $126 | $63 | Not listed in the file |
Established patient office visit (about 20–29 minutes): 10 of 43 insurance plan rates
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| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN | $136 | $68 | Not listed in the file |
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
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| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $144 | $72 | Not listed in the file |
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
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| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $126 | $63 | Not listed in the file |
Established patient office visit (about 30–39 minutes): 10 of 43 insurance plan rates
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| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $211 | $105.50 | Not listed in the file |
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
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| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN | $400 | $200 | Not listed in the file |
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
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| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | $182 | $91 | Not listed in the file |
Office consultation with a specialist (moderate): 10 of 42 insurance plan rates
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| 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 | $162 | $81 | Not listed in the file |
Office consultation with a specialist (moderate to high): 10 of 43 insurance plan rates
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| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | $291 | $145.50 | Not listed in the file |
Office consultation with a specialist (moderate to high): 10 of 42 insurance plan rates
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| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $156 | $78 | Not listed in the file |
Preventive checkup, new patient, age 18–39: 10 of 43 insurance plan rates
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| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $204 | $102 | Not listed in the file |
Preventive checkup, new patient, age 18–39: 10 of 42 insurance plan rates
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| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 | $194 | $97 | Not listed in the file |
Preventive checkup, new patient, age 18–39: 10 of 42 insurance plan rates
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| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $164 | $82 | Not listed in the file |
Preventive checkup, new patient, age 40–64: 10 of 43 insurance plan rates
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| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $247 | $123.50 | Not listed in the file |
Preventive checkup, new patient, age 40–64: 10 of 42 insurance plan rates
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| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 | $235 | $117.50 | Not listed in the file |
Preventive checkup, new patient, age 40–64: 10 of 42 insurance plan rates
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| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $1,171 | $585.50 | $1,200 |
Emergency room visit (moderate): 10 of 43 insurance plan rates
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| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,018 | $509 | $1,200 |
Emergency room visit (moderate): 10 of 43 insurance plan rates
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| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $620 | $310 | Not listed in the file |
Emergency room visit (moderate): 10 of 42 insurance plan rates
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| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $2,046 | $1,023 | $1,200 |
Emergency room visit (moderately high): 10 of 43 insurance plan rates
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| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,779 | $889.50 | $1,200 |
Emergency room visit (moderately high): 10 of 43 insurance plan rates
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| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $843 | $421.50 | Not listed in the file |
Emergency room visit (moderately high): 10 of 42 insurance plan rates
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| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM | $3,335 | $1,667.50 | $1,200 |
Emergency room visit (high): 10 of 43 insurance plan rates
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| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $2,900 | $1,450 | $1,200 |
Emergency room visit (high): 10 of 43 insurance plan rates
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| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,071 | $535.50 | Not listed in the file |
Emergency room visit (high): 10 of 42 insurance plan rates
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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: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $78 | $39 | Not listed in the file |
Basic metabolic panel (blood test): 10 of 43 insurance plan rates
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| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $98 | $49 | Not listed in the file |
Comprehensive metabolic panel (blood test): 10 of 43 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $125 | $62.50 | Not listed in the file |
Cholesterol panel (lipid panel): 10 of 43 insurance plan rates
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| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $44.11 | $22.06 | Not listed in the file |
Cholesterol panel (lipid panel): 10 of 43 insurance plan rates
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| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $125 | $62.50 | Not listed in the file |
Cholesterol panel (lipid panel): 10 of 43 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $80 | $40 | Not listed in the file |
Kidney function panel: 10 of 43 insurance plan rates
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| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL | $76 | $38 | Not listed in the file |
Liver function panel: 10 of 43 insurance plan rates
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| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE | $67 | $33.50 | Not listed in the file |
Urine test (automated, with microscope): 10 of 42 insurance plan rates
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| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $63 | $31.50 | Not listed in the file |
Urine test (automated, with microscope): 10 of 42 insurance plan rates
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| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $63 | $31.50 | Not listed in the file |
Urine test (automated, with microscope): 10 of 42 insurance plan rates
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| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE | $44 | $22 | Not listed in the file |
Urine test (manual, without microscope): 10 of 42 insurance plan rates
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| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST | $41 | $20.50 | Not listed in the file |
Urine test (manual, without microscope): 10 of 42 insurance plan rates
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| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: URINALYSIS; MANUAL TEST | $41 | $20.50 | Not listed in the file |
Urine test (manual, without microscope): 10 of 42 insurance plan rates
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| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE | $42 | $21 | Not listed in the file |
Urine test (automated, without microscope): 10 of 42 insurance plan rates
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| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST | $40 | $20 | Not listed in the file |
Urine test (automated, without microscope): 10 of 42 insurance plan rates
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| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: AUTOMATED URINALYSIS TEST | $40 | $20 | Not listed in the file |
Urine test (automated, without microscope): 10 of 42 insurance plan rates
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| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL | $61 | $30.50 | Not listed in the file |
PSA (prostate specific antigen) blood test: 10 of 43 insurance plan rates
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| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $14.40 | $7.20 | Not listed in the file |
PSA (prostate specific antigen) blood test: 10 of 43 insurance plan rates
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| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $183 | $91.50 | Not listed in the file |
PSA (prostate specific antigen) blood test: 10 of 43 insurance plan rates
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE | $189 | $94.50 | Not listed in the file |
Thyroid stimulating hormone (TSH) test: 10 of 43 insurance plan rates
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $14.40 | $7.20 | Not listed in the file |
Thyroid stimulating hormone (TSH) test: 10 of 43 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $14.40 | $7.20 | Not listed in the file |
Thyroid stimulating hormone (TSH) test: 10 of 43 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC | $103 | $51.50 | Not listed in the file |
Complete blood count (CBC) with differential: 10 of 43 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $98 | $49 | Not listed in the file |
Complete blood count (CBC) with differential: 10 of 43 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $98 | $49 | Not listed in the file |
Complete blood count (CBC) with differential: 10 of 43 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED | $89 | $44.50 | Not listed in the file |
Complete blood count (CBC), automated: 10 of 43 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $84 | $42 | Not listed in the file |
Complete blood count (CBC), automated: 10 of 43 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $84 | $42 | Not listed in the file |
Complete blood count (CBC), automated: 10 of 43 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $72 | $36 | Not listed in the file |
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME | $68 | $34 | Not listed in the file |
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME | $68 | $34 | Not listed in the file |
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $83 | $41.50 | Not listed in the file |
Blood clotting test (partial thromboplastin time, PTT): 10 of 43 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $79 | $39.50 | Not listed in the file |
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $74.06 | $37.03 | Not listed in the file |
Blood clotting test (partial thromboplastin time, PTT): 10 of 43 insurance plan rates
| |||
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 W/O DYE | $1,605 | $802.50 | Not listed in the file |
CT scan of the head or brain, without contrast: 10 of 43 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,528 | $764 | Not listed in the file |
CT scan of the head or brain, without contrast: 10 of 43 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $83 | $41.50 | Not listed in the file |
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE | $4,592 | $2,296 | Not listed in the file |
MRI of the brain, before and after contrast: 10 of 43 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $3,973 | $1,986.50 | Not listed in the file |
MRI of the brain, before and after contrast: 10 of 43 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $224 | $112 | Not listed in the file |
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $333 | $166.50 | Not listed in the file |
Chest X-ray, 2 views: 10 of 43 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS | $317 | $158.50 | Not listed in the file |
Chest X-ray, 2 views: 10 of 43 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY OF CHEST; 2 VIEWS | $21 | $10.50 | Not listed in the file |
Chest X-ray, 2 views: 10 of 42 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $542 | $271 | Not listed in the file |
X-ray of the lower spine, at least 4 views: 10 of 43 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $516 | $258 | Not listed in the file |
X-ray of the lower spine, at least 4 views: 10 of 43 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $26 | $13 | Not listed in the file |
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates
| |||
| 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 DYE | $2,834 | $1,417 | Not listed in the file |
MRI of the lower back (lumbar spine), without contrast: 10 of 43 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $2,699 | $1,349.50 | Not listed in the file |
MRI of the lower back (lumbar spine), without contrast: 10 of 43 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $144 | $72 | Not listed in the file |
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE | $1,812 | $906 | Not listed in the file |
CT scan of the pelvis, with contrast: 10 of 43 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST | $1,725 | $862.50 | Not listed in the file |
CT scan of the pelvis, with contrast: 10 of 43 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS W/DYE | $112 | $56 | Not listed in the file |
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE | $2,865 | $1,432.50 | Not listed in the file |
MRI of a leg joint (such as the knee), without contrast: 10 of 43 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $2,604 | $1,302 | Not listed in the file |
MRI of a leg joint (such as the knee), without contrast: 10 of 43 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE | $132 | $66 | Not listed in the file |
MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates
| |||
| 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/CONTRAST | $3,944 | $1,972 | Not listed in the file |
CT scan of the abdomen and pelvis, with contrast: 10 of 43 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $3,756 | $1,878 | Not listed in the file |
CT scan of the abdomen and pelvis, with contrast: 10 of 43 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $178 | $89 | Not listed in the file |
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE | $878 | $439 | Not listed in the file |
Ultrasound of the abdomen, complete: 10 of 43 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $820 | $410 | Not listed in the file |
Ultrasound of the abdomen, complete: 10 of 43 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $79 | $39.50 | Not listed in the file |
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OB US >= 14 WKS SNGL FETUS | $102 | $51 | Not listed in the file |
Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $875 | $437.50 | Not listed in the file |
Pregnancy ultrasound (after the first trimester): 10 of 43 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB | $830 | $415 | Not listed in the file |
Transvaginal ultrasound: 10 of 43 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $775 | $387.50 | Not listed in the file |
Transvaginal ultrasound: 10 of 43 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $67 | $33.50 | Not listed in the file |
Transvaginal ultrasound: 10 of 42 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI | $381 | $190.50 | Not listed in the file |
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI | $79 | $39.50 | Not listed in the file |
Diagnostic mammogram, one breast: 10 of 42 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_TC In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $362 | $181 | Not listed in the file |
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $795 | $397.50 | Not listed in the file |
Diagnostic mammogram, both breasts: 10 of 43 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $757 | $378.50 | Not listed in the file |
Diagnostic mammogram, both breasts: 10 of 43 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $96 | $48 | Not listed in the file |
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $357 | $178.50 | Not listed in the file |
Screening mammogram, both breasts: 10 of 43 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY | $680 | $340 | Not listed in the file |
Screening mammogram, both breasts: 10 of 43 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SCREENING MAMMOGRAPHY | $75 | $37.50 | Not listed in the file |
Screening mammogram, both breasts: 10 of 42 insurance plan rates
| |||
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 | $254 | $127 | Not listed in the file |
Electrocardiogram (ECG/EKG) with reading: 10 of 43 insurance plan rates
| |||
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: THERAPEUTIC EXERCISES | $128 | $64 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_CQ_GP_KX In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $496 | $248 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP_KX In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $248 | $124 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $300 | $150 | Not listed in the file |
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $300 | $150 | Not listed in the file |
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_GZ In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $300 | $150 | Not listed in the file |
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | $300 | $150 | Not listed in the file |
Physical therapy evaluation (moderate complexity): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $300 | $150 | Not listed in the file |
Physical therapy evaluation (moderate complexity): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | $300 | $150 | Not listed in the file |
Physical therapy evaluation (high complexity): 10 of 43 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $300 | $150 | Not listed in the file |
Physical therapy evaluation (high complexity): 10 of 43 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES | $153 | $76.50 | Not listed in the file |
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES | $201 | $100.50 | Not listed in the file |
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES | $297 | $148.50 | Not listed in the file |
Psychotherapy, 60 minutes: 10 of 42 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $364 | $182 | Not listed in the file |
Family psychotherapy, without the patient: 10 of 43 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $217 | $108.50 | Not listed in the file |
Family psychotherapy, without the patient: 10 of 42 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN | $404 | $202 | Not listed in the file |
Family psychotherapy, with the patient: 10 of 43 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN | $226 | $113 | Not listed in the file |
Family psychotherapy, with the patient: 10 of 42 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION | $932 | $466 | Not listed in the file |
Removal of breast growth (open surgery): 10 of 42 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $3,914 | $1,957 | Not listed in the file |
Removal of breast growth (open surgery): 10 of 43 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY | $4,229 | $2,114.50 | Not listed in the file |
Total hip replacement: 10 of 42 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $25,015 | $12,507.50 | Not listed in the file |
Total hip replacement: 10 of 43 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $22,072 | $11,036 | Not listed in the file |
Total hip replacement: 10 of 43 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $20,427 | $10,213.50 | Not listed in the file |
Total knee replacement: 10 of 43 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY | $9,401 | $4,700.50 | Not listed in the file |
Total knee replacement: 10 of 42 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $26,624 | $13,312 | Not listed in the file |
Total knee replacement: 10 of 43 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION | $381 | $190.50 | Not listed in the file |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 42 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $2,909.87 | $1,454.94 | Not listed in the file |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 43 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $6,191.75 | $3,095.88 | Not listed in the file |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 43 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY | $5,590 | $2,795 | Not listed in the file |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 42 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $9,139 | $4,569.50 | Not listed in the file |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 43 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $7,747 | $3,873.50 | Not listed in the file |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 43 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS | $609 | $304.50 | Not listed in the file |
Removal of tonsils and adenoids (under age 12): 10 of 42 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,001 | $500.50 | Not listed in the file |
Upper GI endoscopy (diagnostic): 10 of 43 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH | $915 | $457.50 | Not listed in the file |
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,456 | $728 | Not listed in the file |
Upper GI endoscopy (diagnostic): 10 of 43 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,548 | $1,274 | Not listed in the file |
Upper GI endoscopy with biopsy: 10 of 43 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE | $1,248 | $624 | Not listed in the file |
Upper GI endoscopy with biopsy: 10 of 42 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,638 | $819 | Not listed in the file |
Upper GI endoscopy with biopsy: 10 of 43 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY | $2,078 | $1,039 | Not listed in the file |
Colonoscopy (diagnostic): 10 of 43 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,094 | $1,547 | Not listed in the file |
Colonoscopy (diagnostic): 10 of 43 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY | $1,428 | $714 | Not listed in the file |
Colonoscopy (diagnostic): 10 of 42 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,185 | $1,592.50 | Not listed in the file |
Colonoscopy with biopsy: 10 of 43 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY | $1,404 | $702 | Not listed in the file |
Colonoscopy with biopsy: 10 of 42 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_74 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $6,552 | $3,276 | Not listed in the file |
Colonoscopy with biopsy: 10 of 43 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $955.50 | $477.75 | Not listed in the file |
Colonoscopy with removal of polyps (snare): 10 of 43 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL | $1,871 | $935.50 | Not listed in the file |
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $4,914 | $2,457 | Not listed in the file |
Colonoscopy with removal of polyps (snare): 10 of 43 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US | $529 | $264.50 | Not listed in the file |
Ultrasound of the lower bowel by endoscope: 10 of 42 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,458 | $1,729 | Not listed in the file |
Screening colonoscopy (not high risk): 10 of 43 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND | $1,287 | $643.50 | Not listed in the file |
Screening colonoscopy (not high risk): 10 of 42 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier KX In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,121 | $1,060.50 | Not listed in the file |
Screening colonoscopy (not high risk): 10 of 43 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $7,631 | $3,815.50 | Not listed in the file |
Gallbladder removal by laparoscope: 10 of 43 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $3,247 | $1,623.50 | Not listed in the file |
Gallbladder removal by laparoscope: 10 of 42 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $15,171 | $7,585.50 | Not listed in the file |
Gallbladder removal by laparoscope: 10 of 43 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR | $2,361 | $1,180.50 | Not listed in the file |
Groin (inguinal) hernia repair, age 5 or older: 10 of 42 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $5,599 | $2,799.50 | Not listed in the file |
Groin (inguinal) hernia repair, age 5 or older: 10 of 43 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $13,973 | $6,986.50 | Not listed in the file |
Groin (inguinal) hernia repair, age 5 or older: 10 of 43 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND | $3,267 | $1,633.50 | Not listed in the file |
Prostate biopsy: 10 of 43 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF PROSTATE | $270 | $135 | Not listed in the file |
Prostate biopsy: 10 of 42 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY | $8,823 | $4,411.50 | Not listed in the file |
Hysteroscopy with biopsy of the uterus lining: 10 of 43 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $8,211 | $4,105.50 | Not listed in the file |
Hysteroscopy with biopsy of the uterus lining: 10 of 43 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY | $515 | $257.50 | Not listed in the file |
Hysteroscopy with biopsy of the uterus lining: 10 of 42 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $2,810 | $1,405 | Not listed in the file |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC | $3,260 | $1,630 | Not listed in the file |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC | $216 | $108 | Not listed in the file |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 42 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $2,028 | $1,014 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $800 | $400 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: 10 of 42 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $7,406 | $3,703 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY | $3,478 | $1,739 | Not listed in the file |
Carpal tunnel release: 10 of 42 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $3,797 | $1,898.50 | Not listed in the file |
Carpal tunnel release: 10 of 43 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $3,691 | $1,845.50 | Not listed in the file |
Carpal tunnel release: 10 of 43 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY | $613 | $306.50 | Not listed in the file |
Laser treatment of clouding after cataract surgery: 10 of 42 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP | $1,084 | $542 | Not listed in the file |
Cataract removal with lens implant: 10 of 42 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $2,411 | $1,205.50 | Not listed in the file |
Cataract removal with lens implant: 10 of 43 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $3,803 | $1,901.50 | Not listed in the file |
Cataract removal with lens implant: 10 of 43 insurance plan rates
| |||
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) · Doctor (professional) fee In the file: OBSTETRICAL CARE | $5,180 | $2,590 | Not listed in the file |
Vaginal delivery, with care before and after: 10 of 42 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY | $5,792 | $2,896 | Not listed in the file |
Cesarean delivery (C-section), with care before and after: 10 of 42 insurance plan rates
| |||
Source: Jackson General Hospital’s standard charges file (wvumedicine.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 11, 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 | Critical Access Hospital |
|---|---|
| Address | 122 Pinnell St, Ripley, WV 25271 |
| County | Jackson County |
| State | West Virginia |
| Phone | (304) 372‑2731 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| CMS Certification Number | 511320 |
| Name in Medicare records | JACKSON GENERAL HOSPITAL |
| Profile level | Medicare data + hospital website |
| Official website | wvumedicine.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Jackson General Hospital | WVU Medicine — wvumedicine.org
- Visitation Guidelines - Jackson General Hospital — wvumedicine.org
- Patients & Visitors | Jackson General Hospital — wvumedicine.org
- About | Jackson General Hospital — wvumedicine.org