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Acute Care Hospital

Jackson Health System

Also listed as: Jackson Memorial Hospital

Miami, Florida · Miami-Dade County · Emergency services listed

Jackson Health System is an acute care hospital at 1611 NW 12th Ave, Miami, FL 33136. Phone: (305) 585-1111. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Jackson Health System is an acute care hospital in Miami, Florida. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 44 services, specialties and programs. Medicare lists 1,682 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of Jackson Health System
Photo: Jayzze, CC BY-SA 4.0, via Wikimedia Commons · source · license

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
44Services listed

Quick answers

Does Jackson Health System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Jackson Health System. In a medical emergency, call 911.
Where is Jackson Health System?
1611 NW 12th Ave, Miami, FL 33136, in Miami-Dade County, Florida.
What is the phone number of Jackson Health System?
(305) 585-1111, as listed by Medicare (CMS).
What is the Medicare star rating of Jackson Health System?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Jackson Health System for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Jackson Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0483; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Conditions treated[7]

Treatments[6][7]

Procedures[7]

  • Neuroendovascular procedures

Programs and centers[4][9]

  • Ryder Trauma Center
  • Miami Burn Center
  • Miami Transplant Institute
  • Jackson Heart Institute
  • Holtz Children's Hospital NICU
  • Christine E. Lynn Rehabilitation Center
  • Bloodless medicine and surgery
  • Rape treatment
  • Vaginal birth after cesarean (VBAC) center

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I
Stroke designationComprehensive Stroke Center (Florida AHCA designation)

Visiting and practical information

ParkingFive garages with 7,000+ spaces open 24/7; free first two hours, then paid; weekday valet available[4]
Interpreters and languagesFree interpreter services, including 24/7 phone line in 150+ languages, video and sign language interpreters[4]

Recognition[4][8][9][10]

  • Florida AHCA Comprehensive Stroke Center
  • Joint Commission Gold Seal for stroke care
  • AHA Get With The Guidelines Stroke Gold Plus
  • Baby-Friendly Hospital designation (2023-2028)
  • HRC Leader in LGBTQ Healthcare Equality
  • The Joint Commission Gold Seal of Approval and Advanced Comprehensive Stroke Center certification
  • Gold Certified Safe Sleep Champion (Cribs for Kids National Safe Sleep Hospital program)
  • American College of Radiology accreditation (CT department)

Doctors and clinicians (1,682)

1,682 doctors and other clinicians list Jackson Health System 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 (1,682)

And 1,658 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Miami

All hospitals in Miami · Hospitals in Miami-Dade County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Jackson Health System 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 hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well78%National average: 80%
“Always” got help as soon as they wanted56%National average: 64%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home81%National average: 86%
Room and bathroom “always” clean75%National average: 73%
Completed surveys3,543Response rate: 9%

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.

Central line bloodstream infections (CLABSI)0.107Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.161Better than the national benchmark
Surgical site infections after colon surgery0.754No different from the national benchmark
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections0.841No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.149Better than the national benchmark

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 attack patients13%
Deaths within 30 days: heart failure patients13.7%
Deaths within 30 days: pneumonia patients17.9%
Deaths within 30 days: COPD patients11.4%
Deaths within 30 days: stroke patients11.1%
Serious complications (patient safety indicator PSI-90)1.19No different from the national rate
Complications after hip or knee replacement3.2%
Too few cases to reportDeaths within 30 days: coronary bypass surgery (CABG)

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)18.2%
Readmitted within 30 days: heart attack15.1%
Readmitted within 30 days: heart failure23.3%
Readmitted within 30 days: pneumonia17.9%
Readmitted within 30 days: COPD20.3%
Readmitted within 30 days: coronary bypass surgery11.4%
Readmitted within 30 days: hip or knee replacement4.9%

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.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)210 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)75%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Jackson Health System, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.0483Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack0.9945Fewer readmissions than expected
Heart failure1.0750More readmissions than expected
Pneumonia0.9971Fewer readmissions than expected
COPD (chronic lung disease)0.9952Fewer readmissions than expected
No result publishedHip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score21.83 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)0.00 out of 100
Person and community engagement (patient survey)39.00 out of 100
Safety (infections and sepsis care)48.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.11Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 58 common services exactly as Jackson Health System 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 →

$ 2 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.

Show the prices of 58 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $409 $100 $72 – $797.55
New patient office visit (about 30–44 minutes): 10 of 54 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $282.21
  • AETNA EXCHANGE — AETNA EXCHANGE: $210.23
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $246.63
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $282.21
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $458.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $449.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $572.60
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $568.51
  • AVMED MCR ADV — AVMED MCR ADV: $409
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $430 $170 $72 – $838.50
New patient office visit (about 45–59 minutes): 10 of 54 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $296.70
  • AETNA EXCHANGE — AETNA EXCHANGE: $221.02
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $259.29
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $296.70
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $481.60
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $473
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $602
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $597.70
  • AVMED MCR ADV — AVMED MCR ADV: $430
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $452 $225 $72 – $881.40
New patient office visit (about 60–74 minutes): 10 of 54 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $311.88
  • AETNA EXCHANGE — AETNA EXCHANGE: $232.33
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $272.56
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $311.88
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $506.24
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $497.20
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $632.80
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $628.28
  • AVMED MCR ADV — AVMED MCR ADV: $452
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $372 $65 $72 – $725.40
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $256.68
  • AETNA EXCHANGE — AETNA EXCHANGE: $191.21
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $224.32
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $256.68
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $416.64
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $409.20
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $520.80
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $517.08
  • AVMED MCR ADV — AVMED MCR ADV: $372
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $387 $100 $72 – $754.65
Established patient office visit (about 30–39 minutes): 10 of 56 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $267.03
  • AETNA EXCHANGE — AETNA EXCHANGE: $198.92
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $233.36
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $267.03
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $433.44
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $425.70
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $541.80
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $537.93
  • AVMED MCR ADV — AVMED MCR ADV: $387
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · modifier GY In the file: Initial new patient preventive medicine evaluation (18-39 years) $73 $73 $37.52 – $142.35
Preventive checkup, new patient, age 18–39: 10 of 46 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $50.37
  • AETNA EXCHANGE — AETNA EXCHANGE: $37.52
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $44.02
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $50.37
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $81.76
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $80.30
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $102.20
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $101.47
  • AVMED MCR ADV — AVMED MCR ADV: $73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier GY In the file: Initial new patient preventive medicine evaluation (40-64 years) $73 $73 $37.52 – $142.35
Preventive checkup, new patient, age 40–64: 10 of 46 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $50.37
  • AETNA EXCHANGE — AETNA EXCHANGE: $37.52
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $44.02
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $50.37
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $81.76
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $80.30
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $102.20
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $86
  • AVMED EXCHANGE — AVMED EXCHANGE: $101.47
  • AVMED MCR ADV — AVMED MCR ADV: $73
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making $1,320 $246 $432 – $2,574
Emergency room visit (moderate): 10 of 57 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,748
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,306
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $795.96
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $580.80
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $1,478.40
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $1,452
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $1,848
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $1,320
  • AVMED EXCHANGE — AVMED EXCHANGE: $1,834.80
  • AVMED MCR ADV — AVMED MCR ADV: $1,320
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making $2,317 $387 $432 – $4,518.15
Emergency room visit (moderately high): 10 of 57 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,748
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,306
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $1,397.15
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,019.48
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $2,595.04
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $2,548.70
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $3,243.80
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $2,317
  • AVMED EXCHANGE — AVMED EXCHANGE: $3,220.63
  • AVMED MCR ADV — AVMED MCR ADV: $2,317
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $2,982 $555 $432 – $5,814.90
Emergency room visit (high): 10 of 57 insurance plan rates
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,748
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,306
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $1,798.15
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,312.08
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $3,339.84
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $3,280.20
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $4,174.80
  • AVMED COMM - ALL OTHER PLANS — AVMED COMM - ALL OTHER PLANS: $2,982
  • AVMED EXCHANGE — AVMED EXCHANGE: $4,144.98
  • AVMED MCR ADV — AVMED MCR ADV: $2,982

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $314 $314 $4.48 – $2,119
Basic metabolic panel (blood test): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $111
  • AETNA EXCHANGE — AETNA EXCHANGE: $83.01
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $189.34
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $129
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $351.68
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $345.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $439.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4.48
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $454 $454 $4.48 – $2,119
Comprehensive metabolic panel (blood test): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $161
  • AETNA EXCHANGE — AETNA EXCHANGE: $120
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $273.76
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $185
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $508.48
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $499.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $635.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4.48
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier QW | PN In the file: Blood test, comprehensive group of blood chemicals $454 $454 $4.48 – $2,119
Comprehensive metabolic panel (blood test): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $161
  • AETNA EXCHANGE — AETNA EXCHANGE: $120
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $273.76
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $185
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $508.48
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $499.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $635.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $115 $115 $4.48 – $2,119
Cholesterol panel (lipid panel): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $42.44
  • AETNA EXCHANGE — AETNA EXCHANGE: $31.71
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $69.35
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $48.80
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $128.80
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $126.50
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $161
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4.48
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $368 $368 $4.48 – $2,119
Kidney function panel: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $338.56
  • AETNA EXCHANGE — AETNA EXCHANGE: $189.15
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $221.90
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $338.56
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $412.16
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $404.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $515.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4.48
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $237 $237 $4.48 – $2,119
Liver function panel: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $67.90
  • AETNA EXCHANGE — AETNA EXCHANGE: $50.37
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $142.91
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $77.45
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $265.44
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $260.70
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $331.80
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4.48
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $109 $109 $1.48 – $2,119
Urine test (automated, with microscope): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $1.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $1.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $25.46
  • AETNA EXCHANGE — AETNA EXCHANGE: $18.66
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $65.73
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $28.64
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $122.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $119.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $152.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $1.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test $34 $34 $1.48 – $2,119 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $1.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $1.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $14.85
  • AETNA EXCHANGE — AETNA EXCHANGE: $12.12
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $20.50
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $19.10
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $38.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $37.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $47.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $1.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier PO In the file: Urinalysis, manual test $34 $34 $1.48 – $2,119 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $1.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $1.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $14.85
  • AETNA EXCHANGE — AETNA EXCHANGE: $12.12
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $20.50
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $19.10
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $38.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $37.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $47.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $1.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $91 $91 $1.48 – $2,119
Urine test (automated, without microscope): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $1.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $1.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $41.38
  • AETNA EXCHANGE — AETNA EXCHANGE: $30.78
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $54.87
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $47.74
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $101.92
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $100.10
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $127.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $1.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier QW | PN In the file: Automated urinalysis test $91 $91 $1.48 – $2,119
Urine test (automated, without microscope): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $1.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $1.48
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $41.38
  • AETNA EXCHANGE — AETNA EXCHANGE: $30.78
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $54.87
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $47.74
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $101.92
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $100.10
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $127.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $1.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $25 $25 $6.04 – $2,119
PSA (prostate specific antigen) blood test: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $6.65
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $6.04
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $23
  • AETNA EXCHANGE — AETNA EXCHANGE: $12.85
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $15.08
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $23
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $28
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $27.50
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $35
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $6.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $99 $99 $6.61 – $2,119
Thyroid stimulating hormone (TSH) test: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $7.27
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $6.61
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $42.44
  • AETNA EXCHANGE — AETNA EXCHANGE: $31.71
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $59.70
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $48.80
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $110.88
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $108.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $138.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $6.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $209 $209 $2.96 – $2,119
Complete blood count (CBC) with differential: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $3.25
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $2.96
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $64.71
  • AETNA EXCHANGE — AETNA EXCHANGE: $48.50
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $126.03
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $73.20
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $234.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $229.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $292.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $2.96
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $135 $135 $2.96 – $2,119
Complete blood count (CBC), automated: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $3.25
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $2.96
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $47.74
  • AETNA EXCHANGE — AETNA EXCHANGE: $35.44
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $81.41
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $55.17
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $151.20
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $148.50
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $189
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $2.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $76 $76 $2.22 – $2,119
Blood clotting time test (prothrombin time, PT): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $2.44
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $2.22
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $42.44
  • AETNA EXCHANGE — AETNA EXCHANGE: $31.71
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $45.83
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $48.80
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $85.12
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $83.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $106.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $2.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $6.01 $6.01 $2.22 – $2,119
Blood clotting test (partial thromboplastin time, PTT): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $2.44
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $2.22
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $67.90
  • AETNA EXCHANGE — AETNA EXCHANGE: $50.37
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $3.62
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $77.45
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $6.73
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $6.61
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $8.41
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $2.22

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast $1,479 $116 $196.15 – $4,140
CT scan of the head or brain, without contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $224.51
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $204.10
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,460
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,091
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $891.84
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,586
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $1,656.48
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $1,626.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $2,070.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $204.10
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast $3,922 $392 $249.56 – $7,647.90
MRI of the brain, before and after contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $274.51
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $249.56
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,235
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,670
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $2,364.97
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $2,426
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $4,392.64
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $4,314.20
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $5,490.80
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $249.56
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views $534 $86 $36.29 – $1,758
Chest X-ray, 2 views: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $39.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $36.29
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $245
  • AETNA EXCHANGE — AETNA EXCHANGE: $183
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $322
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $281
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $598.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $587.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $747.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $36.29
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier PN In the file: X-ray of chest, 2 views $578 $86 $36.29 – $1,758
Chest X-ray, 2 views: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $39.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $36.29
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $245
  • AETNA EXCHANGE — AETNA EXCHANGE: $183
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $348.53
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $281
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $647.36
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $635.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $809.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $36.29
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views $836 $116 $36.29 – $2,086
X-ray of the lower spine, at least 4 views: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $39.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $36.29
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $769.12
  • AETNA EXCHANGE — AETNA EXCHANGE: $429.70
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $504.11
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $769.12
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $936.32
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $919.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $1,170.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $36.29
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier PN In the file: X-ray of lower and sacral spine, minimum of 4 views $914 $116 $36.29 – $2,086
X-ray of the lower spine, at least 4 views: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $39.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $36.29
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $840.88
  • AETNA EXCHANGE — AETNA EXCHANGE: $469.80
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $551.14
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $840.88
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $1,023.68
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $1,005.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $1,279.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $36.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast $2,939 $245 $150.64 – $5,731.05
MRI of the lower back (lumbar spine), without contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $165.70
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $150.64
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,235
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,670
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $1,772.22
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $2,426
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $3,291.68
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $3,232.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $4,114.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $150.64
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $2,378 $190 $204.10 – $4,637.10
CT scan of the pelvis, with contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $224.51
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $204.10
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,460
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,091
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $1,433.93
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,586
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $2,663.36
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $2,615.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $3,329.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $204.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint without contrast $2,166 $245 $150.64 – $4,516
MRI of a leg joint (such as the knee), without contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $165.70
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $150.64
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,235
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,670
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $1,306.10
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $2,426
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $2,425.92
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $2,382.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $3,032.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $150.64
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint without contrast $2,166 $245 $150.64 – $4,516
MRI of a leg joint (such as the knee), without contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $165.70
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $150.64
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,235
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,670
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $1,306.10
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $2,426
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $2,425.92
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $2,382.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $3,032.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $150.64
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $5,999 $392 $204.10 – $11,698.05
CT scan of the abdomen and pelvis, with contrast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $224.51
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $204.10
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,460
  • AETNA EXCHANGE — AETNA EXCHANGE: $1,091
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $3,617.40
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,586
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $6,718.88
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $6,598.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $8,398.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $204.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen $1,481 $116 $105 – $2,887.95
Ultrasound of the abdomen, complete: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $115.50
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $105
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,362.52
  • AETNA EXCHANGE — AETNA EXCHANGE: $761.23
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $893.04
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,362.52
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $1,658.72
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $1,629.10
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $2,073.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $105
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $836 $116 $62.50 – $2,499
Pregnancy ultrasound (after the first trimester): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $68.75
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $62.50
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $260
  • AETNA EXCHANGE — AETNA EXCHANGE: $195
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $504.11
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $299
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $936.32
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $919.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $1,170.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $62.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $487 $116 $70.10 – $2,499
Transvaginal ultrasound: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $77.11
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $70.10
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $448.04
  • AETNA EXCHANGE — AETNA EXCHANGE: $250.32
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $293.66
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $448.04
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $545.44
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $535.70
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $681.80
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $70.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast $348 $348 $29.38 – $1,758
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $32.32
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $29.38
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $86.99
  • AETNA EXCHANGE — AETNA EXCHANGE: $65.29
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $209.84
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $86.99
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $389.76
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $382.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $487.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $29.38
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts $438 $438 $29.38 – $1,758
Diagnostic mammogram, both breasts: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $32.32
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $29.38
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $181
  • AETNA EXCHANGE — AETNA EXCHANGE: $136
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $264.11
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $190
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $490.56
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $481.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $613.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $29.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography $395 $395 $29.38 – $1,758
Screening mammogram, both breasts: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $32.32
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $29.38
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $80.63
  • AETNA EXCHANGE — AETNA EXCHANGE: $60.62
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $238.19
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $86.99
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $442.40
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $434.50
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $553
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $29.38

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist $16,008 $3,084 $1,619.31 – $34,131
Left heart catheterization (diagnostic): 10 of 61 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $1,781.24
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $1,619.31
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $11,045.52
  • AETNA EXCHANGE — AETNA EXCHANGE: $8,228.11
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $9,652.82
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $11,045.52
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $17,928.96
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $17,608.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $22,411.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $1,619.31
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm $12,604 $6,464 $4,371.71 – $34,131
Heart rhythm study (electrophysiology evaluation): 10 of 61 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $4,808.88
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $4,371.71
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $8,696.76
  • AETNA EXCHANGE — AETNA EXCHANGE: $6,478.46
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $7,600.21
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $8,696.76
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $14,116.48
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $13,864.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $17,645.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $4,371.71
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction $40,943 $22,818 $5,688 – $79,838.85
Heart rhythm study with ablation for atrial fibrillation: 10 of 61 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $13,469.53
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $12,245.03
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $28,250.67
  • AETNA EXCHANGE — AETNA EXCHANGE: $21,044.70
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $24,688.63
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $28,250.67
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $45,856.16
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $45,037.30
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $57,320.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $12,245.03
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older) $1,346 $978 $362.07 – $2,624.70
Sleep study (overnight, in a sleep lab): 10 of 59 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $532.49
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $484.08
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,238.32
  • AETNA EXCHANGE — AETNA EXCHANGE: $691.84
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $811.64
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $1,238.32
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $1,507.52
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $1,480.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $1,884.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $484.08

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $185 $50 $22.04 – $1,608
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $24.24
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $22.04
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $162
  • AETNA EXCHANGE — AETNA EXCHANGE: $121
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $111.56
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $149
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $207.20
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $203.50
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $259
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $22.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $185 $50 $22.04 – $1,608
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $24.24
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $22.04
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $162
  • AETNA EXCHANGE — AETNA EXCHANGE: $121
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $111.56
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $149
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $207.20
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $203.50
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $259
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $22.04
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes $296 $296 $121 – $1,608
Physical therapy evaluation (low complexity): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $184.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $168.11
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $162
  • AETNA EXCHANGE — AETNA EXCHANGE: $121
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $178.49
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $149
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $331.52
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $325.60
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $414.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $168.11
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes $388 $388 $121 – $1,608
Physical therapy evaluation (moderate complexity): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $184.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $168.11
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $162
  • AETNA EXCHANGE — AETNA EXCHANGE: $121
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $233.96
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $149
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $434.56
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $426.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $543.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $168.11
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes $447 $447 $121 – $1,608
Physical therapy evaluation (high complexity): 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $184.92
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $168.11
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $162
  • AETNA EXCHANGE — AETNA EXCHANGE: $121
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $269.54
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $149
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $500.64
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $491.70
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $625.80
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $168.11
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes $278 $142 $74.78 – $542.10
Psychotherapy, 30 minutes: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $87.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $79.67
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $191.82
  • AETNA EXCHANGE — AETNA EXCHANGE: $142.89
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $167.63
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $191.82
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $311.36
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $305.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $389.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $79.67
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier HE In the file: Psychotherapy, 30 minutes $279 $142 $72 – $544.05
Psychotherapy, 30 minutes: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $87.63
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $79.67
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $192.51
  • AETNA EXCHANGE — AETNA EXCHANGE: $143.41
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $168.24
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $192.51
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $312.48
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $306.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $390.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $79.67
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes $282 $142 $75.86 – $549.90
Psychotherapy, 45 minutes: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $102.79
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $93.44
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $194.58
  • AETNA EXCHANGE — AETNA EXCHANGE: $144.95
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $170.05
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $194.58
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $315.84
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $310.20
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $394.80
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $93.44
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour $288 $142 $77.47 – $561.60
Psychotherapy, 60 minutes: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $102.79
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $93.44
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $198.72
  • AETNA EXCHANGE — AETNA EXCHANGE: $148.03
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $173.66
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $198.72
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $322.56
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $316.80
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $403.20
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $93.44
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes $334 $142 $75 – $651.30
Family psychotherapy, without the patient: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $121.05
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $110.05
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $230.46
  • AETNA EXCHANGE — AETNA EXCHANGE: $171.68
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $201.40
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $230.46
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $374.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $367.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $467.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $110.05
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · modifier AJ In the file: Family psychotherapy without patient, 50 minutes $334 $142 $75 – $651.30
Family psychotherapy, without the patient: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $121.05
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $110.05
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $230.46
  • AETNA EXCHANGE — AETNA EXCHANGE: $171.68
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $201.40
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $230.46
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $374.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $367.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $467.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $110.05
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes $349 $142 $75 – $680.55
Family psychotherapy, with the patient: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $121.05
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $110.05
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $240.81
  • AETNA EXCHANGE — AETNA EXCHANGE: $179.39
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $210.45
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $240.81
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $390.88
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $383.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $488.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $110.05
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · modifier AJ In the file: Family psychotherapy with patient, 50 minutes $349 $142 $75 – $680.55
Family psychotherapy, with the patient: 10 of 57 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $121.05
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $110.05
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $240.81
  • AETNA EXCHANGE — AETNA EXCHANGE: $179.39
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $210.45
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $240.81
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $390.88
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $383.90
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $488.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $110.05
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy $160 $80 $43.04 – $312
Group psychotherapy: 10 of 56 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $174.88
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $158.98
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $110.40
  • AETNA EXCHANGE — AETNA EXCHANGE: $82.24
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $96.48
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $110.40
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $179.20
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $176
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $224
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $158.98

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $434 $875 $186.62 – $10,537
Nerve root injection, lower back, with imaging guidance: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $518.81
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $471.65
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,815
  • AETNA EXCHANGE — AETNA EXCHANGE: $2,103
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $261.70
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $3,241
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $486.08
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $477.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $607.60
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $471.65

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $302,675.48 $53,829 $32,712 – $302,675.48
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $97,219.36
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $88,381.24
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $43,781
  • AETNA EXCHANGE — AETNA EXCHANGE: $32,712
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $182,513.31
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $54,822
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $106,788.26
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $104,881.40
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $104,881.40
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $94,614.48
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $82,954.25 $39,833 $24,222.64 – $93,996.12
Spinal fusion (not neck), without major complications: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $26,644.91
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $24,222.64
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $54,489.62
  • AETNA EXCHANGE — AETNA EXCHANGE: $45,539.93
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $50,021.41
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $63,841.62
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $39,929.34
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $39,216.35
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $39,216.35
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $28,270.90
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $110,053.56 $25,338 $15,039.81 – $91,968.02
Hip or knee replacement (major joint of the leg), without major complications: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $35,349.21
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $32,135.64
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $47,183.05
  • AETNA EXCHANGE — AETNA EXCHANGE: $39,253
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $66,362.30
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $55,673.05
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $21,055.72
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $20,679.74
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $20,679.74
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $35,438.79
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $89,022.86 $27,143.60 $19,035.04 – $89,022.86
Neck (cervical) spinal fusion, without complications: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $28,594.14
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $25,994.68
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $29,453.14
  • AETNA EXCHANGE — AETNA EXCHANGE: $24,778.49
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $53,680.79
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $34,129.14
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $26,649.04
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $26,173.18
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $26,173.18
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $27,425.48
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $50,099.69 $10,711 $9,673.85 – $50,099.69
Uterus and ovary surgery (not for cancer), without complications: 10 of 64 insurance plan rates
  • AETNA BETTER HLTH CHIP — AETNA BETTER HLTH CHIP: $16,092.02
  • AETNA BETTER HLTH MCAID — AETNA BETTER HLTH MCAID: $14,629.11
  • AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $18,665
  • AETNA EXCHANGE — AETNA EXCHANGE: $15,017
  • AETNA FIRST HLTH — AETNA FIRST HLTH: $30,210.11
  • AETNA INTERNATIONAL — AETNA INTERNATIONAL: $23,367
  • ALIGN MCR ADV - ALL PLANS — ALIGN MCR ADV - ALL PLANS: $13,543.38
  • AMBETTER EXCH - ALL PLANS — AMBETTER EXCH - ALL PLANS: $13,301.54
  • AMERIHEALTH EXCH - ALL OTHER PLANS — AMERIHEALTH EXCH - ALL OTHER PLANS: $13,301.54
  • AMERIHEALTH MCAID — AMERIHEALTH MCAID: $18,088.45

Source: Jackson Health System’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1611 NW 12th Ave, Miami, FL 33136
CountyMiami-Dade County
StateFlorida
Phone(305) 585‑1111
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100022
Name in Medicare recordsJACKSON HEALTH SYSTEM
Profile levelMedicare data + hospital website
Name on the hospital’s websiteJackson Memorial Hospital
Official websitejacksonhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Jackson Memorial Hospital — jacksonhealth.org
  2. Neurosurgery in Miami | Internationally Recognized Neurosurgery Department — jacksonhealth.org
  3. Neurologist Miami | World-Renowned Neurologists and Neurosurgeons — jacksonhealth.org
  4. Safe Sleep Program | Jackson Health System — maternity.jacksonhealth.org
  5. Specialized Maternity Services, VBAC and Circumcision, in Miami — maternity.jacksonhealth.org
  6. Radiology Services in Miami | Jackson Health System — jacksonhealth.org