Does Jay Hospital have an emergency room?

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

Where is Jay Hospital?

14114 Alabama St, Jay, FL 32565, in Santa Rosa County, Florida.

What is the phone number of Jay Hospital?

(850) 675-4532, as listed by Medicare (CMS).

What is the Medicare star rating of Jay Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Jay Hospital — Jay, FL | US Patient Guide

Quick answers

Does Jay Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Jay Hospital. In a medical emergency, call 911.
Where is Jay Hospital?: 14114 Alabama St, Jay, FL 32565, in Santa Rosa County, Florida.
What is the phone number of Jay Hospital?: (850) 675-4532, as listed by Medicare (CMS).
What is the Medicare star rating of Jay Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][9][11]

Imaging
Emergency care
General surgery
Heart and vascular
Laboratory
OB/GYN
Rehabilitation
Skilled care (swing bed)
Physical therapy
Home health

Treatments^[9][11][12]

Skilled nursing / swing bed care
Physical therapy
Occupational therapy
IV therapy
Wound care
Post-acute rehabilitation
Emergency stabilization and transfer

Procedures^[5][12]

CT scans
X-ray
Laboratory testing

Programs and centers^[5]

Skilled Care Program
Wellness Connection

Emergency care (hospital website)^[5][7]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Two visitors at a time; caregivers check in at nurse's station on arrival; call 448.227.5939 for details^[10]
Interpreters and languages	Free interpreters 24/7 at the hospital and any system facility; call 1.866.874.3972 (system-wide line)^[8]
Patient portal	FollowMyHealth

Doctors and clinicians (162)

162 doctors and other clinicians list Jay 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

And 138 more: the button below opens the full list.

Other emergency rooms nearby

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

D W McMillan Memorial Hospital13 mi · Brewton, AL · Acute Care Hospital
Atmore Community Hospital20 mi · Atmore, AL · Acute Care Hospital
Santa Rosa Medical Center23 mi · Milton, FL · Acute Care Hospital
HCA Florida West Hospital30 mi · Pensacola, FL · Acute Care Hospital
Sacred Heart Hospital33 mi · Pensacola, FL · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital Pensacola33 mi · Pensacola, FL · Long-Term 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

Century Center for Rehabilitation and Healing7.4 mi · Century, FL · 5 of 5 stars
West Gate Village12 mi · Brewton, AL · 5 of 5 stars
Atmore Nursing Center20 mi · Atmore, AL · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Amedisys Home Health of Brewton14 mi · Brewton, AL
D W McMillan Home Health14 mi · Brewton, AL · 4 of 5 stars
Atmore Community Home Care24 mi · Atmore, AL · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Century12 mi · Century, FL · 2 of 5 stars
DaVita Brewton Dialysis14 mi · Brewton, AL · 4 of 5 stars
FMC - Milton15 mi · Milton, FL · 2 of 5 stars

All dialysis facilities 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

Century Adult and Family Care7.4 mi · Century, FL · Community health center
Brewton Family Dental Center13 mi · Brewton, AL · Community health center
Franklin Family Medical Center13 mi · Brewton, AL · Community health center

Clinics and urgent care

Jay Medical Clinic3.9 mi · Jay, FL · Rural health clinic
Flomaton Medical Center8.7 mi · Flomaton, AL · Rural health clinic
Century Medical Center12 mi · Century, FL · Rural health clinic

Pharmacies

Equity RX, PLLC3.9 mi · Jay, FL · Community/retail pharmacy
Jay Pharmacy of Jay, Fla Inc3.9 mi · Jay, FL · Community/retail pharmacy
Brewton Medical Center Pharmacy PC8.7 mi · Flomaton, AL · Community/retail pharmacy

Assisted living nearby

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

The Terrace at Ivey Acres3.9 mi · Jay, FL
Berryhill Manor Retirement Center15 mi · Milton, FL
Sodalis Milton15 mi · Milton, FL

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 Jay 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	94%National average: 72%
Would definitely recommend the hospital	93%National average: 71%
Nurses “always” communicated well	94%National average: 80%
Doctors “always” communicated well	92%National average: 80%
Staff “always” explained medicines before giving them	73%National average: 62%
Were given information about recovery at home	94%National average: 86%
Room and bathroom “always” clean	89%National average: 74%
Area around the room “always” quiet at night	87%National average: 60%
Completed surveys	52Response rate: 19%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	16.3%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	22.1%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	137 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)	83%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Florida Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Jay Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M NEW 30-44 MINUTES	$297	$44.55	$65.34 – $297
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates AETNA — AETNA: $167.33 AETNA — MEDICARE: $65.34 BC FL — MEDICARE HMO: $65.34 CHA HEALTH PLAN — HMO: $86.31 CIGNA — INDEMNITY: $297 CIGNA/GREAT WEST — OPEN ACCESS: $168.10 CIGNA/GREAT WEST — PPO: $164.84 FIRST HEALTH — PPO: $210.57 FL BLUE — BLUE SELECT: $83.16 FL BLUE — HEALTH OPTIONS HMO: $95.04
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M NEW 30-44 MINUTES	$297	$44.55	$65.34 – $297
New patient office visit (about 30–44 minutes): rates for 1 insurance plan WC CORVEL — PPO: $282.15
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHEALTH - OUTPATIENT VISIT E&M NEW 30-44 MINS	$297	$44.55	$65.34 – $297
New patient office visit (about 30–44 minutes): rates for 1 insurance plan WC CORVEL — PPO: $282.15
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M NEW 45-59 MINUTES	$321	$48.15	$70.62 – $321
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates AETNA — AETNA: $180.85 AETNA — MEDICARE: $70.62 BC FL — MEDICARE HMO: $70.62 CHA HEALTH PLAN — HMO: $86.31 CIGNA — INDEMNITY: $321 CIGNA/GREAT WEST — OPEN ACCESS: $181.69 CIGNA/GREAT WEST — PPO: $178.16 FIRST HEALTH — PPO: $227.59 FL BLUE — BLUE SELECT: $89.88 FL BLUE — HEALTH OPTIONS HMO: $102.72
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M NEW 45-59 MINUTES	$321	$48.15	$70.62 – $321
New patient office visit (about 45–59 minutes): rates for 1 insurance plan WC CORVEL — PPO: $304.95
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHEALTH - OUTPATIENT VISIT E&M NEW 45-59 MINS	$321	$48.15	$70.62 – $321
New patient office visit (about 45–59 minutes): rates for 1 insurance plan WC CORVEL — PPO: $304.95
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M NEW 60-74 MINUTES	$345	$51.75	$75.90 – $345
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates AETNA — AETNA: $194.37 AETNA — MEDICARE: $75.90 BC FL — MEDICARE HMO: $75.90 CHA HEALTH PLAN — HMO: $86.31 CIGNA — INDEMNITY: $345 CIGNA/GREAT WEST — OPEN ACCESS: $195.27 CIGNA/GREAT WEST — PPO: $191.48 FIRST HEALTH — PPO: $244.61 FL BLUE — BLUE SELECT: $96.60 FL BLUE — HEALTH OPTIONS HMO: $110.40
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M NEW 60-74 MINUTES	$345	$51.75	$75.90 – $345
New patient office visit (about 60–74 minutes): rates for 1 insurance plan WC CORVEL — PPO: $327.75
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHEALTH-OUTPATIENT VISIT E&M NEW 60-74 MINUTES	$345	$51.75	$75.90 – $345
New patient office visit (about 60–74 minutes): rates for 1 insurance plan WC CORVEL — PPO: $327.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M EST 20-29 MINUTES	$297	$44.55	$65.34 – $297
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates AETNA — AETNA: $167.33 AETNA — MEDICARE: $65.34 BC FL — MEDICARE HMO: $65.34 CHA HEALTH PLAN — HMO: $86.31 CIGNA — INDEMNITY: $297 CIGNA/GREAT WEST — OPEN ACCESS: $168.10 CIGNA/GREAT WEST — PPO: $164.84 FIRST HEALTH — PPO: $210.57 FL BLUE — BLUE SELECT: $83.16 FL BLUE — HEALTH OPTIONS HMO: $95.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M EST 20-29 MINUTES	$297	$44.55	$65.34 – $297
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan WC CORVEL — PPO: $282.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHEALTH - OUTPATIENT VISIT E&M EST 20-29 MINS	$297	$44.55	$65.34 – $297
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan WC CORVEL — PPO: $282.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M EST 30-39 MINUTES	$321	$48.15	$70.62 – $321
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates AETNA — AETNA: $180.85 AETNA — MEDICARE: $70.62 BC FL — MEDICARE HMO: $70.62 CHA HEALTH PLAN — HMO: $86.31 CIGNA — INDEMNITY: $321 CIGNA/GREAT WEST — OPEN ACCESS: $181.69 CIGNA/GREAT WEST — PPO: $178.16 FIRST HEALTH — PPO: $227.59 FL BLUE — BLUE SELECT: $89.88 FL BLUE — HEALTH OPTIONS HMO: $102.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT E&M EST 30-39 MINUTES	$321	$48.15	$70.62 – $321
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan WC CORVEL — PPO: $304.95
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEHEALTH - OUTPATIENT VISIT E&M EST 30-39 MINS	$321	$48.15	$70.62 – $321
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan WC CORVEL — PPO: $304.95
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 3 ED VISIT LOW LEVEL DECISION	$1,200	$180	$264 – $1,200
Emergency room visit (moderate): 10 of 32 insurance plan rates AETNA — AETNA: $720 AETNA — MEDICARE: $264 BC FL — MEDICARE HMO: $264 BC FL MEDICARE PPO — ALL PRODUCTS: $222.33 CIGNA — INDEMNITY: $1,200 CIGNA/GREAT WEST — OPEN ACCESS: $679.20 CIGNA/GREAT WEST — PPO: $666 FIRST HEALTH — PPO: $850.80 FL BLUE — BLUE SELECT: $651 FL BLUE — HEALTH OPTIONS HMO: $765
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER PRO FEE - LEVEL 3 ED VISIT LOW LEVEL DECISION	$215	$32.25	$47.30 – $215
Emergency room visit (moderate): 10 of 32 insurance plan rates AETNA — AETNA: $121.13 AETNA — MEDICARE: $47.30 BC FL — MEDICARE HMO: $47.30 BC FL MEDICARE PPO — ALL PRODUCTS: $222.33 CIGNA — INDEMNITY: $215 CIGNA/GREAT WEST — OPEN ACCESS: $121.69 CIGNA/GREAT WEST — PPO: $119.33 FIRST HEALTH — PPO: $152.44 FL BLUE — BLUE SELECT: $651 FL BLUE — HEALTH OPTIONS HMO: $765
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL 3 ED VISIT LOW LEVEL DECISION W/MODIFIER	$1,200	$180	$264 – $1,200
Emergency room visit (moderate): rates for 1 insurance plan WC CORVEL — PPO: $1,140
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 4 ED VISIT MODERATE LEVEL DECISION	$1,800	$270	$396 – $1,800
Emergency room visit (moderately high): 10 of 32 insurance plan rates AETNA — AETNA: $1,080 AETNA — MEDICARE: $396 BC FL — MEDICARE HMO: $396 BC FL MEDICARE PPO — ALL PRODUCTS: $349.47 CIGNA — INDEMNITY: $1,800 CIGNA/GREAT WEST — OPEN ACCESS: $1,018.80 CIGNA/GREAT WEST — PPO: $999 FIRST HEALTH — PPO: $1,276.20 FL BLUE — BLUE SELECT: $1,338 FL BLUE — HEALTH OPTIONS HMO: $1,700
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER PRO FEE -LEVEL 4 ED VISIT MODERATE LVL DECISION	$311	$46.65	$68.42 – $311
Emergency room visit (moderately high): 10 of 32 insurance plan rates AETNA — AETNA: $175.22 AETNA — MEDICARE: $68.42 BC FL — MEDICARE HMO: $68.42 BC FL MEDICARE PPO — ALL PRODUCTS: $349.47 CIGNA — INDEMNITY: $311 CIGNA/GREAT WEST — OPEN ACCESS: $176.03 CIGNA/GREAT WEST — PPO: $172.61 FIRST HEALTH — PPO: $220.50 FL BLUE — BLUE SELECT: $1,338 FL BLUE — HEALTH OPTIONS HMO: $1,700
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL 4 ED VISIT MODERATE LEVEL DECISION W/MOD	$1,800	$270	$396 – $1,800
Emergency room visit (moderately high): rates for 1 insurance plan WC CORVEL — PPO: $1,710
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 5 ED VISIT HIGH LEVEL DECISION	$1,800	$270	$396 – $1,800
Emergency room visit (high): 10 of 32 insurance plan rates AETNA — AETNA: $1,080 AETNA — MEDICARE: $396 BC FL — MEDICARE HMO: $396 BC FL MEDICARE PPO — ALL PRODUCTS: $501.63 CIGNA — INDEMNITY: $1,800 CIGNA/GREAT WEST — OPEN ACCESS: $1,018.80 CIGNA/GREAT WEST — PPO: $999 FIRST HEALTH — PPO: $1,276.20 FL BLUE — BLUE SELECT: $1,338 FL BLUE — HEALTH OPTIONS HMO: $1,700
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER PRO FEE - LEVEL 5 ED VISIT HIGH LEVEL DECISION	$412	$61.80	$90.64 – $412
Emergency room visit (high): 10 of 32 insurance plan rates AETNA — AETNA: $232.12 AETNA — MEDICARE: $90.64 BC FL — MEDICARE HMO: $90.64 BC FL MEDICARE PPO — ALL PRODUCTS: $501.63 CIGNA — INDEMNITY: $412 CIGNA/GREAT WEST — OPEN ACCESS: $233.19 CIGNA/GREAT WEST — PPO: $228.66 FIRST HEALTH — PPO: $292.11 FL BLUE — BLUE SELECT: $1,338 FL BLUE — HEALTH OPTIONS HMO: $1,700
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL 5 ED VISIT HIGH LEVEL DECISION W/MODIFIER	$1,800	$270	$396 – $1,800
Emergency room visit (high): rates for 1 insurance plan WC CORVEL — PPO: $1,710

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC CALCIUM TOTAL	$139	$20.85	$1.86 – $312
Basic metabolic panel (blood test): 10 of 39 insurance plan rates AETNA — AETNA: $66.30 AETNA — BETTER HLTHY KIDS: $4.80 AETNA — MEDICARE: $30.58 BC FL — MEDICARE HMO: $30.58 BC FL MEDICARE PPO — ALL PRODUCTS: $8.46 CHA HEALTH PLAN — HMO: $4.80 CIGNA — INDEMNITY: $139 CIGNA/GREAT WEST — OPEN ACCESS: $78.67 CIGNA/GREAT WEST — PPO: $77.15 FIRST HEALTH — PPO: $98.55
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC CALCIUM TOTAL	$139	$20.85	$30.58 – $139
Basic metabolic panel (blood test): rates for 1 insurance plan WC CORVEL — PPO: $132.05
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$172	$25.80	$2.32 – $312
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates AETNA — AETNA: $82.04 AETNA — BETTER HLTHY KIDS: $4.80 AETNA — MEDICARE: $37.84 BC FL — MEDICARE HMO: $37.84 BC FL MEDICARE PPO — ALL PRODUCTS: $10.56 CHA HEALTH PLAN — HMO: $4.80 CIGNA — INDEMNITY: $172 CIGNA/GREAT WEST — OPEN ACCESS: $97.35 CIGNA/GREAT WEST — PPO: $95.46 FIRST HEALTH — PPO: $121.95
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$172	$25.80	$37.84 – $172
Comprehensive metabolic panel (blood test): rates for 1 insurance plan WC CORVEL — PPO: $163.40
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$4.80 – $100.40
Obstetric blood test panel: rates for 9 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $47.81 FL BLUE — TRULI FOR HEALTH: $100.40 HUMANA — GOLD CHOICE PFFS: $48.77 HUMANA — GOLD PLUS HMO: $48.77 HUMANA — HMO SNP DUAL PLN: $48.77 HUMANA — MEDICAID HMO: $47.81 SUNSHINE HEALTH — CAID HMO: $47.81 WELLCARE — MCARE HMO: $10.52 WELLCARE — MCARE HMO DUAL PLAN: $10.52
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$4.80 – $100.40
Obstetric blood test panel: rates for 6 insurance plans AETNA — BETTER HLTHY KIDS: $4.80 CHA HEALTH PLAN — HMO: $4.80 FL COMMUNITY CARE LTC — MCAID: $7.86 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $4.80 STAYWELL — ALL PRODUCTS: $5.04 UHC COMMUNITY — MCAID HMO: $7.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$168	$25.20	$36.96 – $168
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates AETNA — AETNA: $80.14 AETNA — BETTER HLTHY KIDS: $4.80 AETNA — MEDICARE: $36.96 BC FL — MEDICARE HMO: $36.96 BC FL MEDICARE PPO — ALL PRODUCTS: $13.39 CHA HEALTH PLAN — HMO: $4.80 CIGNA — INDEMNITY: $168 CIGNA/GREAT WEST — OPEN ACCESS: $95.09 CIGNA/GREAT WEST — PPO: $93.24 FIRST HEALTH — PPO: $119.11
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL (METABOLIC RISK PANEL)	$20.86	$3.13	$2.95 – $312
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates AETNA — AETNA: $9.95 AETNA — BETTER HLTHY KIDS: $4.80 AETNA — MEDICARE: $4.59 BC FL — MEDICARE HMO: $4.59 BC FL MEDICARE PPO — ALL PRODUCTS: $13.39 CHA HEALTH PLAN — HMO: $4.80 CIGNA — INDEMNITY: $20.86 CIGNA/GREAT WEST — OPEN ACCESS: $11.81 CIGNA/GREAT WEST — PPO: $11.58 FIRST HEALTH — PPO: $14.79
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$168	$25.20	$36.96 – $168
Cholesterol panel (lipid panel): rates for 1 insurance plan WC CORVEL — PPO: $159.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$224	$33.60	$49.28 – $224
Kidney function panel: 10 of 39 insurance plan rates AETNA — AETNA: $106.85 AETNA — BETTER HLTHY KIDS: $4.80 AETNA — MEDICARE: $49.28 BC FL — MEDICARE HMO: $49.28 BC FL MEDICARE PPO — ALL PRODUCTS: $8.68 CHA HEALTH PLAN — HMO: $4.80 CIGNA — INDEMNITY: $224 CIGNA/GREAT WEST — OPEN ACCESS: $126.78 CIGNA/GREAT WEST — PPO: $124.32 FIRST HEALTH — PPO: $158.82
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$224	$33.60	$49.28 – $224
Kidney function panel: rates for 1 insurance plan WC CORVEL — PPO: $212.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC PANEL	$115	$17.25	$1.80 – $312
Liver function panel: 10 of 39 insurance plan rates AETNA — AETNA: $54.86 AETNA — BETTER HLTHY KIDS: $4.80 AETNA — MEDICARE: $25.30 BC FL — MEDICARE HMO: $25.30 BC FL MEDICARE PPO — ALL PRODUCTS: $8.17 CHA HEALTH PLAN — HMO: $4.80 CIGNA — INDEMNITY: $115 CIGNA/GREAT WEST — OPEN ACCESS: $65.09 CIGNA/GREAT WEST — PPO: $63.83 FIRST HEALTH — PPO: $81.54
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC PANEL	$115	$17.25	$25.30 – $115
Liver function panel: rates for 1 insurance plan WC CORVEL — PPO: $109.25
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/MICROSCOPY	$88	$13.20	$19.36 – $88
Urine test (automated, with microscope): 10 of 39 insurance plan rates AETNA — AETNA: $41.98 AETNA — BETTER HLTHY KIDS: $1.56 AETNA — MEDICARE: $19.36 BC FL — MEDICARE HMO: $19.36 BC FL MEDICARE PPO — ALL PRODUCTS: $3.17 CHA HEALTH PLAN — HMO: $1.56 CIGNA — INDEMNITY: $88 CIGNA/GREAT WEST — OPEN ACCESS: $49.81 CIGNA/GREAT WEST — PPO: $48.84 FIRST HEALTH — PPO: $62.39
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS W/MICROSCOPY	$88	$13.20	$19.36 – $88
Urine test (automated, with microscope): rates for 1 insurance plan WC CORVEL — PPO: $83.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$0.77 – $7.31
Urine test (manual, without microscope): rates for 10 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $3.48 FL BLUE — TRULI FOR HEALTH: $7.31 HUMANA — GOLD CHOICE PFFS: $3.55 HUMANA — GOLD PLUS HMO: $3.55 HUMANA — HMO SNP DUAL PLN: $3.55 HUMANA — MEDICAID HMO: $3.48 SUNSHINE HEALTH — CAID HMO: $3.48 WC CORVEL — PPO: $32.31 WELLCARE — MCARE HMO: $0.77 WELLCARE — MCARE HMO DUAL PLAN: $0.77
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$0.77 – $7.31
Urine test (manual, without microscope): rates for 6 insurance plans AETNA — BETTER HLTHY KIDS: $1.56 CHA HEALTH PLAN — HMO: $1.56 FL COMMUNITY CARE LTC — MCAID: $2.56 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1.56 STAYWELL — ALL PRODUCTS: $1.64 UHC COMMUNITY — MCAID HMO: $2.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE BIOCHEMICAL TEST	$87	$13.05	$19.14 – $87
Urine test (automated, without microscope): 10 of 39 insurance plan rates AETNA — AETNA: $41.50 AETNA — BETTER HLTHY KIDS: $1.56 AETNA — MEDICARE: $19.14 BC FL — MEDICARE HMO: $19.14 BC FL MEDICARE PPO — ALL PRODUCTS: $2.25 CHA HEALTH PLAN — HMO: $1.56 CIGNA — INDEMNITY: $87 CIGNA/GREAT WEST — OPEN ACCESS: $49.24 CIGNA/GREAT WEST — PPO: $48.29 FIRST HEALTH — PPO: $61.68
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICROSCOPY	$87	$13.05	$19.14 – $87
Urine test (automated, without microscope): 10 of 39 insurance plan rates AETNA — AETNA: $41.50 AETNA — BETTER HLTHY KIDS: $1.56 AETNA — MEDICARE: $19.14 BC FL — MEDICARE HMO: $19.14 BC FL MEDICARE PPO — ALL PRODUCTS: $2.25 CHA HEALTH PLAN — HMO: $1.56 CIGNA — INDEMNITY: $87 CIGNA/GREAT WEST — OPEN ACCESS: $49.24 CIGNA/GREAT WEST — PPO: $48.29 FIRST HEALTH — PPO: $61.68
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE BIOCHEMICAL TEST	$87	$13.05	$19.14 – $87
Urine test (automated, without microscope): rates for 1 insurance plan WC CORVEL — PPO: $82.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA	$208	$31.20	$45.76 – $208
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates AETNA — AETNA: $99.22 AETNA — BETTER HLTHY KIDS: $6.40 AETNA — MEDICARE: $45.76 BC FL — MEDICARE HMO: $45.76 BC FL MEDICARE PPO — ALL PRODUCTS: $18.39 CHA HEALTH PLAN — HMO: $6.40 CIGNA — INDEMNITY: $208 CIGNA/GREAT WEST — OPEN ACCESS: $117.73 CIGNA/GREAT WEST — PPO: $115.44 FIRST HEALTH — PPO: $147.47
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P-TOTAL PSA	$11	$1.65	$2.42 – $11
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates AETNA — AETNA: $5.25 AETNA — BETTER HLTHY KIDS: $6.40 AETNA — MEDICARE: $2.42 BC FL — MEDICARE HMO: $2.42 BC FL MEDICARE PPO — ALL PRODUCTS: $18.39 CHA HEALTH PLAN — HMO: $6.40 CIGNA — INDEMNITY: $11 CIGNA/GREAT WEST — OPEN ACCESS: $6.23 CIGNA/GREAT WEST — PPO: $6.11 FIRST HEALTH — PPO: $7.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA	$208	$31.20	$45.76 – $208
PSA (prostate specific antigen) blood test: rates for 1 insurance plan WC CORVEL — PPO: $197.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$172	$25.80	$3.70 – $312
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates AETNA — AETNA: $82.04 AETNA — BETTER HLTHY KIDS: $7.02 AETNA — MEDICARE: $37.84 BC FL — MEDICARE HMO: $37.84 BC FL MEDICARE PPO — ALL PRODUCTS: $16.80 CHA HEALTH PLAN — HMO: $7.02 CIGNA — INDEMNITY: $172 CIGNA/GREAT WEST — OPEN ACCESS: $97.35 CIGNA/GREAT WEST — PPO: $95.46 FIRST HEALTH — PPO: $121.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (CURT1B)	$34.69	$5.20	$7.63 – $34.69
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates AETNA — AETNA: $16.55 AETNA — BETTER HLTHY KIDS: $7.02 AETNA — MEDICARE: $7.63 BC FL — MEDICARE HMO: $7.63 BC FL MEDICARE PPO — ALL PRODUCTS: $16.80 CHA HEALTH PLAN — HMO: $7.02 CIGNA — INDEMNITY: $34.69 CIGNA/GREAT WEST — OPEN ACCESS: $19.63 CIGNA/GREAT WEST — PPO: $19.25 FIRST HEALTH — PPO: $24.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$172	$25.80	$37.84 – $172
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan WC CORVEL — PPO: $163.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$100	$15	$1.71 – $312
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates AETNA — AETNA: $47.70 AETNA — BETTER HLTHY KIDS: $3.16 AETNA — MEDICARE: $22 BC FL — MEDICARE HMO: $22 BC FL MEDICARE PPO — ALL PRODUCTS: $7.77 CHA HEALTH PLAN — HMO: $3.16 CIGNA — INDEMNITY: $100 CIGNA/GREAT WEST — OPEN ACCESS: $56.60 CIGNA/GREAT WEST — PPO: $55.50 FIRST HEALTH — PPO: $70.90
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$100	$15	$22 – $100
Complete blood count (CBC) with differential: rates for 1 insurance plan WC CORVEL — PPO: $95
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$124	$18.60	$1.42 – $312
Complete blood count (CBC), automated: 10 of 39 insurance plan rates AETNA — AETNA: $59.15 AETNA — BETTER HLTHY KIDS: $3.16 AETNA — MEDICARE: $27.28 BC FL — MEDICARE HMO: $27.28 BC FL MEDICARE PPO — ALL PRODUCTS: $6.47 CHA HEALTH PLAN — HMO: $3.16 CIGNA — INDEMNITY: $124 CIGNA/GREAT WEST — OPEN ACCESS: $70.18 CIGNA/GREAT WEST — PPO: $68.82 FIRST HEALTH — PPO: $87.92
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$124	$18.60	$27.28 – $124
Complete blood count (CBC), automated: rates for 1 insurance plan WC CORVEL — PPO: $117.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$94	$14.10	$0.94 – $312
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates AETNA — AETNA: $44.84 AETNA — BETTER HLTHY KIDS: $2.34 AETNA — MEDICARE: $20.68 BC FL — MEDICARE HMO: $20.68 BC FL MEDICARE PPO — ALL PRODUCTS: $4.29 CHA HEALTH PLAN — HMO: $2.34 CIGNA — INDEMNITY: $94 CIGNA/GREAT WEST — OPEN ACCESS: $53.20 CIGNA/GREAT WEST — PPO: $52.17 FIRST HEALTH — PPO: $66.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$94	$14.10	$20.68 – $94
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan WC CORVEL — PPO: $89.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN (PTT) PARTIAL	$139	$20.85	$1.32 – $312
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates AETNA — AETNA: $66.30 AETNA — BETTER HLTHY KIDS: $2.34 AETNA — MEDICARE: $30.58 BC FL — MEDICARE HMO: $30.58 BC FL MEDICARE PPO — ALL PRODUCTS: $6.01 CHA HEALTH PLAN — HMO: $2.34 CIGNA — INDEMNITY: $139 CIGNA/GREAT WEST — OPEN ACCESS: $78.67 CIGNA/GREAT WEST — PPO: $77.15 FIRST HEALTH — PPO: $98.55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN PARTIAL (PTT)	$6	$0.90	$1.32 – $6
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates AETNA — AETNA: $2.86 AETNA — BETTER HLTHY KIDS: $2.34 AETNA — MEDICARE: $1.32 BC FL — MEDICARE HMO: $1.32 BC FL MEDICARE PPO — ALL PRODUCTS: $6.01 CHA HEALTH PLAN — HMO: $2.34 CIGNA — INDEMNITY: $6 CIGNA/GREAT WEST — OPEN ACCESS: $3.40 CIGNA/GREAT WEST — PPO: $3.33 FIRST HEALTH — PPO: $4.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN (PTT) PARTIAL	$139	$20.85	$30.58 – $139
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan WC CORVEL — PPO: $132.05

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: BRAIN CT W/O CONTRAST	$1,539	$230.85	$338.58 – $1,539
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates AETNA — AETNA: $734.10 AETNA — BETTER HLTHY KIDS: $205.85 AETNA — MEDICARE: $338.58 BC FL — MEDICARE HMO: $338.58 BC FL MEDICARE PPO — ALL PRODUCTS: $104.59 CHA HEALTH PLAN — HMO: $205.85 CIGNA — INDEMNITY: $1,539 CIGNA/GREAT WEST — OPEN ACCESS: $871.07 CIGNA/GREAT WEST — PPO: $854.15 FIRST HEALTH — PPO: $1,091.15
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BRAIN CT W/O CONTRAST	$1,539	$230.85	$338.58 – $1,539
CT scan of the head or brain, without contrast: rates for 1 insurance plan WC CORVEL — PPO: $1,462.05
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI/BRAIN W/WO CONTRAST	$2,131	$319.65	$468.82 – $2,131
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates AETNA — AETNA: $1,016.49 AETNA — BETTER HLTHY KIDS: $258.73 AETNA — MEDICARE: $468.82 BC FL — MEDICARE HMO: $468.82 BC FL MEDICARE PPO — ALL PRODUCTS: $353.77 CHA HEALTH PLAN — HMO: $258.73 CIGNA — INDEMNITY: $2,131 CIGNA/GREAT WEST — OPEN ACCESS: $1,206.15 CIGNA/GREAT WEST — PPO: $1,182.71 FIRST HEALTH — PPO: $1,510.88
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI/BRAIN W/WO CONTRAST	$2,131	$319.65	$468.82 – $2,131
MRI of the brain, before and after contrast: rates for 1 insurance plan WC CORVEL — PPO: $2,024.45
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY CHEST 2 VIEWS	$381	$57.15	$83.82 – $381
Chest X-ray, 2 views: 10 of 39 insurance plan rates AETNA — AETNA: $181.74 AETNA — BETTER HLTHY KIDS: $35.69 AETNA — MEDICARE: $83.82 BC FL — MEDICARE HMO: $83.82 BC FL MEDICARE PPO — ALL PRODUCTS: $77.71 CHA HEALTH PLAN — HMO: $35.69 CIGNA — INDEMNITY: $381 CIGNA/GREAT WEST — OPEN ACCESS: $215.65 CIGNA/GREAT WEST — PPO: $211.46 FIRST HEALTH — PPO: $270.13
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY CHEST 2 VIEWS	$381	$57.15	$83.82 – $381
Chest X-ray, 2 views: rates for 1 insurance plan WC CORVEL — PPO: $361.95
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBOSACRAL 4+ VIEWS	$518	$77.70	$113.96 – $518
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates AETNA — AETNA: $247.09 AETNA — BETTER HLTHY KIDS: $35.69 AETNA — MEDICARE: $113.96 BC FL — MEDICARE HMO: $113.96 BC FL MEDICARE PPO — ALL PRODUCTS: $104.59 CHA HEALTH PLAN — HMO: $35.69 CIGNA — INDEMNITY: $518 CIGNA/GREAT WEST — OPEN ACCESS: $293.19 CIGNA/GREAT WEST — PPO: $287.49 FIRST HEALTH — PPO: $367.26
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBOSACRAL 4+ VIEWS	$518	$77.70	$113.96 – $518
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan WC CORVEL — PPO: $492.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR WITHOUT CONTRAST	$2,131	$319.65	$468.82 – $2,131
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates AETNA — AETNA: $1,016.49 AETNA — BETTER HLTHY KIDS: $153.86 AETNA — MEDICARE: $468.82 BC FL — MEDICARE HMO: $468.82 BC FL MEDICARE PPO — ALL PRODUCTS: $221.06 CHA HEALTH PLAN — HMO: $153.86 CIGNA — INDEMNITY: $2,131 CIGNA/GREAT WEST — OPEN ACCESS: $1,206.15 CIGNA/GREAT WEST — PPO: $1,182.71 FIRST HEALTH — PPO: $1,510.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR WITHOUT CONTRAST	$2,131	$319.65	$468.82 – $2,131
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan WC CORVEL — PPO: $2,024.45
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PELVIC CT W/CONTRAST	$1,539	$230.85	$338.58 – $1,539
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates AETNA — AETNA: $734.10 AETNA — BETTER HLTHY KIDS: $205.85 AETNA — MEDICARE: $338.58 BC FL — MEDICARE HMO: $338.58 BC FL MEDICARE PPO — ALL PRODUCTS: $171.60 CHA HEALTH PLAN — HMO: $205.85 CIGNA — INDEMNITY: $1,539 CIGNA/GREAT WEST — OPEN ACCESS: $871.07 CIGNA/GREAT WEST — PPO: $854.15 FIRST HEALTH — PPO: $1,091.15
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PELVIC CT W/CONTRAST	$1,539	$230.85	$338.58 – $1,539
CT scan of the pelvis, with contrast: rates for 1 insurance plan WC CORVEL — PPO: $1,462.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JOINT LOWER EXTREM W/O CON	$2,131	$319.65	$468.82 – $2,131
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates AETNA — AETNA: $1,016.49 AETNA — BETTER HLTHY KIDS: $153.86 AETNA — MEDICARE: $468.82 BC FL — MEDICARE HMO: $468.82 BC FL MEDICARE PPO — ALL PRODUCTS: $221.06 CHA HEALTH PLAN — HMO: $153.86 CIGNA — INDEMNITY: $2,131 CIGNA/GREAT WEST — OPEN ACCESS: $1,206.15 CIGNA/GREAT WEST — PPO: $1,182.71 FIRST HEALTH — PPO: $1,510.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOW EXT JOINT BILAT W/O	$2,131	$319.65	$468.82 – $2,131
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan WC CORVEL — PPO: $2,024.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI JOINT LOWER EXTREM W/O CON	$2,131	$319.65	$468.82 – $2,131
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan WC CORVEL — PPO: $2,024.45
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	$1,700	$255	$374 – $1,700
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates AETNA — AETNA: $810.90 AETNA — BETTER HLTHY KIDS: $205.85 AETNA — MEDICARE: $374 BC FL — MEDICARE HMO: $374 BC FL MEDICARE PPO — ALL PRODUCTS: $353.77 CHA HEALTH PLAN — HMO: $205.85 CIGNA — INDEMNITY: $1,700 CIGNA/GREAT WEST — OPEN ACCESS: $962.20 CIGNA/GREAT WEST — PPO: $943.50 FIRST HEALTH — PPO: $1,205.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	$1,700	$255	$374 – $1,700
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan WC CORVEL — PPO: $1,615
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$700	$105	$23.48 – $591
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates AETNA — AETNA: $333.90 AETNA — BETTER HLTHY KIDS: $106 AETNA — MEDICARE: $154 BC FL — MEDICARE HMO: $154 BC FL MEDICARE PPO — ALL PRODUCTS: $104.59 CHA HEALTH PLAN — HMO: $106 CIGNA — INDEMNITY: $700 CIGNA/GREAT WEST — OPEN ACCESS: $396.20 CIGNA/GREAT WEST — PPO: $388.50 FIRST HEALTH — PPO: $496.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$700	$105	$154 – $700
Ultrasound of the abdomen, complete: rates for 1 insurance plan WC CORVEL — PPO: $665
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$23.48 – $224.16
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $104.59 CHA HEALTH PLAN — HMO: $86.31 FL BLUE — TRULI FOR HEALTH: $224.16 HUMANA — GOLD CHOICE PFFS: $108.88 HUMANA — GOLD PLUS HMO: $108.88 HUMANA — HMO SNP DUAL PLN: $108.88 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $86.31 WC CORVEL — PPO: $813.12 WELLCARE — MCARE HMO: $23.48 WELLCARE — MCARE HMO DUAL PLAN: $23.48
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$23.48 – $224.16
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans AETNA — BETTER HLTHY KIDS: $64.16 FL COMMUNITY CARE LTC — MCAID: $105.21 HUMANA — MEDICAID HMO: $67.37 STAYWELL — ALL PRODUCTS: $67.37 SUNSHINE HEALTH — CAID HMO: $67.37 UHC COMMUNITY — MCAID HMO: $98.33
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$700	$105	$23.48 – $591
Transvaginal ultrasound: 10 of 39 insurance plan rates AETNA — AETNA: $333.90 AETNA — BETTER HLTHY KIDS: $69.97 AETNA — MEDICARE: $154 BC FL — MEDICARE HMO: $154 BC FL MEDICARE PPO — ALL PRODUCTS: $104.59 CHA HEALTH PLAN — HMO: $69.97 CIGNA — INDEMNITY: $700 CIGNA/GREAT WEST — OPEN ACCESS: $396.20 CIGNA/GREAT WEST — PPO: $388.50 FIRST HEALTH — PPO: $496.30
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$700	$105	$154 – $700
Transvaginal ultrasound: rates for 1 insurance plan WC CORVEL — PPO: $665
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$30.07 – $345.49
Diagnostic mammogram, one breast: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $30.07 CHA HEALTH PLAN — HMO: $30.07 FL COMMUNITY CARE LTC — MCAID: $49.32 HUMANA — MEDICAID HMO: $31.57 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $30.07 STAYWELL — ALL PRODUCTS: $31.57 SUNSHINE HEALTH — CAID HMO: $31.57 UHC COMMUNITY — MCAID HMO: $46.09
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$30.07 – $345.49
Diagnostic mammogram, one breast: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $170.55 FL BLUE — TRULI FOR HEALTH: $345.49 HUMANA — GOLD CHOICE PFFS: $167.81 HUMANA — GOLD PLUS HMO: $167.81 HUMANA — HMO SNP DUAL PLN: $167.81 WELLCARE — MCARE HMO: $36.19 WELLCARE — MCARE HMO DUAL PLAN: $36.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$30.07 – $436.70
Diagnostic mammogram, both breasts: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $30.07 CHA HEALTH PLAN — HMO: $30.07 FL COMMUNITY CARE LTC — MCAID: $49.32 HUMANA — MEDICAID HMO: $31.57 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $30.07 STAYWELL — ALL PRODUCTS: $31.57 SUNSHINE HEALTH — CAID HMO: $31.57 UHC COMMUNITY — MCAID HMO: $46.09
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$30.07 – $436.70
Diagnostic mammogram, both breasts: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $215.77 FL BLUE — TRULI FOR HEALTH: $436.70 HUMANA — GOLD CHOICE PFFS: $212.11 HUMANA — GOLD PLUS HMO: $212.11 HUMANA — HMO SNP DUAL PLN: $212.11 WELLCARE — MCARE HMO: $45.75 WELLCARE — MCARE HMO DUAL PLAN: $45.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN DIGITAL W/CAD BIL	$350	$52.50	$30.07 – $359
Screening mammogram, both breasts: 10 of 39 insurance plan rates AETNA — AETNA: $166.95 AETNA — BETTER HLTHY KIDS: $30.07 AETNA — MEDICARE: $77 BC FL — MEDICARE HMO: $77 BC FL MEDICARE PPO — ALL PRODUCTS: $174.40 CHA HEALTH PLAN — HMO: $30.07 CIGNA — INDEMNITY: $350 CIGNA/GREAT WEST — OPEN ACCESS: $198.10 CIGNA/GREAT WEST — PPO: $194.25 FIRST HEALTH — PPO: $248.15
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN DIGITAL W/CAD BIL	$350	$52.50	$77 – $350
Screening mammogram, both breasts: rates for 1 insurance plan WC CORVEL — PPO: $332.50
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN DIGITAL W/CAD UNI	$350	$52.50	$77 – $350
Screening mammogram, both breasts: rates for 1 insurance plan WC CORVEL — PPO: $332.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$16.69 – $17.52
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $16.69 CHA HEALTH PLAN — HMO: $16.69 FL COMMUNITY CARE LTC — MCAID: $27.37 HUMANA — MEDICAID HMO: $17.52 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $16.69 STAYWELL — ALL PRODUCTS: $17.52 SUNSHINE HEALTH — CAID HMO: $17.52 UHC COMMUNITY — MCAID HMO: $25.58
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$710.28 – $6,779.99
Left heart catheterization (diagnostic): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,588.63 CHA HEALTH PLAN — HMO: $1,588.63 FL COMMUNITY CARE LTC — MCAID: $2,605.49 HUMANA — MEDICAID HMO: $1,668.06 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,588.63 STAYWELL — ALL PRODUCTS: $1,668.06 SUNSHINE HEALTH — CAID HMO: $1,668.06 UHC COMMUNITY — MCAID HMO: $2,435.04
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$710.28 – $6,779.99
Left heart catheterization (diagnostic): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $2,785.78 FL BLUE — TRULI FOR HEALTH: $6,779.99 HUMANA — GOLD CHOICE PFFS: $3,293.14 HUMANA — GOLD PLUS HMO: $3,293.14 HUMANA — HMO SNP DUAL PLN: $3,293.14 WELLCARE — MCARE HMO: $710.28 WELLCARE — MCARE HMO DUAL PLAN: $710.28
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$1,675.69 – $15,995.24
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $4,375.91 CHA HEALTH PLAN — HMO: $4,375.91 FL COMMUNITY CARE LTC — MCAID: $7,176.91 HUMANA — MEDICAID HMO: $4,594.71 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $4,375.91 STAYWELL — ALL PRODUCTS: $4,594.71 SUNSHINE HEALTH — CAID HMO: $4,594.71 UHC COMMUNITY — MCAID HMO: $6,707.39
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$1,675.69 – $15,995.24
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $5,839.47 FL BLUE — TRULI FOR HEALTH: $15,995.24 HUMANA — GOLD CHOICE PFFS: $7,769.12 HUMANA — GOLD PLUS HMO: $7,769.12 HUMANA — HMO SNP DUAL PLN: $7,769.12 WELLCARE — MCARE HMO: $1,675.69 WELLCARE — MCARE HMO DUAL PLAN: $1,675.69
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib	Not listed in the file	Not listed in the file	$5,417.51 – $51,712.57
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $10,917.63 CHA HEALTH PLAN — HMO: $10,917.63 FL COMMUNITY CARE LTC — MCAID: $17,905.96 HUMANA — MEDICAID HMO: $11,463.51 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $10,917.63 STAYWELL — ALL PRODUCTS: $11,463.51 SUNSHINE HEALTH — CAID HMO: $11,463.51 UHC COMMUNITY — MCAID HMO: $16,734.54
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$5,417.51 – $51,712.57
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $20,615.11 FL BLUE — TRULI FOR HEALTH: $51,712.57 HUMANA — GOLD CHOICE PFFS: $25,117.53 HUMANA — GOLD PLUS HMO: $25,117.53 HUMANA — HMO SNP DUAL PLN: $25,117.53 WELLCARE — MCARE HMO: $5,417.51 WELLCARE — MCARE HMO DUAL PLAN: $5,417.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$224.67 – $2,144.59
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $492.31 CHA HEALTH PLAN — HMO: $492.31 FL COMMUNITY CARE LTC — MCAID: $807.43 HUMANA — MEDICAID HMO: $516.93 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $492.31 STAYWELL — ALL PRODUCTS: $516.93 SUNSHINE HEALTH — CAID HMO: $516.93 UHC COMMUNITY — MCAID HMO: $754.61
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$224.67 – $2,144.59
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $883.85 FL BLUE — TRULI FOR HEALTH: $2,144.59 HUMANA — GOLD CHOICE PFFS: $1,041.66 HUMANA — GOLD PLUS HMO: $1,041.66 HUMANA — HMO SNP DUAL PLN: $1,041.66 WC CORVEL — PPO: $2,420.57 WELLCARE — MCARE HMO: $224.67 WELLCARE — MCARE HMO DUAL PLAN: $224.67

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE EA 15 MIN BY PTA OP	$130	$19.50	$28.60 – $130
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan WC CORVEL — PPO: $123.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE EA 15 MIN OP	$130	$19.50	$28.60 – $130
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan WC CORVEL — PPO: $123.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE EA 15 MIN IP	$90	$13.50	$19.80 – $90
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan WC CORVEL — PPO: $85.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 20 MINS OP	$225	$33.75	$49.50 – $225
Physical therapy evaluation (low complexity): rates for 1 insurance plan WC CORVEL — PPO: $213.75
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 20 MINS IP	$150	$22.50	$33 – $150
Physical therapy evaluation (low complexity): rates for 1 insurance plan WC CORVEL — PPO: $142.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$27.76 – $265
Physical therapy evaluation (low complexity): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $133.66 FL BLUE — TRULI FOR HEALTH: $265 HUMANA — GOLD CHOICE PFFS: $128.71 HUMANA — GOLD PLUS HMO: $128.71 HUMANA — HMO SNP DUAL PLN: $128.71 WELLCARE — MCARE HMO: $27.76 WELLCARE — MCARE HMO DUAL PLAN: $27.76
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY 30 MINS OP	$266	$39.90	$58.52 – $266
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan WC CORVEL — PPO: $252.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY 30 MINS IP	$135	$20.25	$29.70 – $135
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan WC CORVEL — PPO: $128.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$27.76 – $265
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $133.66 FL BLUE — TRULI FOR HEALTH: $265 HUMANA — GOLD CHOICE PFFS: $128.71 HUMANA — GOLD PLUS HMO: $128.71 HUMANA — HMO SNP DUAL PLN: $128.71 WELLCARE — MCARE HMO: $27.76 WELLCARE — MCARE HMO DUAL PLAN: $27.76
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MINS IP	$284	$42.60	$62.48 – $284
Physical therapy evaluation (high complexity): rates for 1 insurance plan WC CORVEL — PPO: $269.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$27.76 – $265
Physical therapy evaluation (high complexity): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $133.66 FL BLUE — TRULI FOR HEALTH: $265 HUMANA — GOLD CHOICE PFFS: $128.71 HUMANA — GOLD PLUS HMO: $128.71 HUMANA — HMO SNP DUAL PLN: $128.71 WELLCARE — MCARE HMO: $27.76 WELLCARE — MCARE HMO DUAL PLAN: $27.76
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MINS IP	$284	$42.60	$62.48 – $284
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates AETNA — AETNA: $135.67 AETNA — BETTER HLTHY KIDS: $149.57 AETNA — MEDICARE: $62.48 BC FL — MEDICARE HMO: $62.48 CHA HEALTH PLAN — HMO: $149.57 CIGNA — INDEMNITY: $284 CIGNA/GREAT WEST — OPEN ACCESS: $160.74 CIGNA/GREAT WEST — PPO: $157.62 FIRST HEALTH — PPO: $201.36 FL BLUE — BLUE SELECT: $183
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$35.48 – $338.68
Psychotherapy, 30 minutes: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $83.31 CHA HEALTH PLAN — HMO: $83.31 FL COMMUNITY CARE LTC — MCAID: $136.63 HUMANA — MEDICAID HMO: $87.48 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $83.31 STAYWELL — ALL PRODUCTS: $87.48 SUNSHINE HEALTH — CAID HMO: $87.48 UHC COMMUNITY — MCAID HMO: $127.69
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$35.48 – $338.68
Psychotherapy, 30 minutes: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $128.54 FL BLUE — TRULI FOR HEALTH: $338.68 HUMANA — GOLD CHOICE PFFS: $164.50 HUMANA — GOLD PLUS HMO: $164.50 HUMANA — HMO SNP DUAL PLN: $164.50 WELLCARE — MCARE HMO: $35.48 WELLCARE — MCARE HMO DUAL PLAN: $35.48
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$35.48 – $338.68
Psychotherapy, 45 minutes: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $93.76 CHA HEALTH PLAN — HMO: $93.76 FL COMMUNITY CARE LTC — MCAID: $153.77 HUMANA — MEDICAID HMO: $98.45 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $93.76 STAYWELL — ALL PRODUCTS: $98.45 SUNSHINE HEALTH — CAID HMO: $98.45 UHC COMMUNITY — MCAID HMO: $143.71
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$35.48 – $338.68
Psychotherapy, 45 minutes: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $128.54 FL BLUE — TRULI FOR HEALTH: $338.68 HUMANA — GOLD CHOICE PFFS: $164.50 HUMANA — GOLD PLUS HMO: $164.50 HUMANA — HMO SNP DUAL PLN: $164.50 WELLCARE — MCARE HMO: $35.48 WELLCARE — MCARE HMO DUAL PLAN: $35.48
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$35.48 – $338.68
Psychotherapy, 60 minutes: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $93.76 CHA HEALTH PLAN — HMO: $93.76 FL COMMUNITY CARE LTC — MCAID: $153.77 HUMANA — MEDICAID HMO: $98.45 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $93.76 STAYWELL — ALL PRODUCTS: $98.45 SUNSHINE HEALTH — CAID HMO: $98.45 UHC COMMUNITY — MCAID HMO: $143.71
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$35.48 – $338.68
Psychotherapy, 60 minutes: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $128.54 FL BLUE — TRULI FOR HEALTH: $338.68 HUMANA — GOLD CHOICE PFFS: $164.50 HUMANA — GOLD PLUS HMO: $164.50 HUMANA — HMO SNP DUAL PLN: $164.50 WELLCARE — MCARE HMO: $35.48 WELLCARE — MCARE HMO DUAL PLAN: $35.48
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$35.48 – $338.68
Family psychotherapy, without the patient: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $99.45 CHA HEALTH PLAN — HMO: $99.45 FL COMMUNITY CARE LTC — MCAID: $163.11 HUMANA — MEDICAID HMO: $104.42 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $99.45 STAYWELL — ALL PRODUCTS: $104.42 SUNSHINE HEALTH — CAID HMO: $104.42 UHC COMMUNITY — MCAID HMO: $152.44
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$35.48 – $338.68
Family psychotherapy, without the patient: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $128.54 FL BLUE — TRULI FOR HEALTH: $338.68 HUMANA — GOLD CHOICE PFFS: $164.50 HUMANA — GOLD PLUS HMO: $164.50 HUMANA — HMO SNP DUAL PLN: $164.50 WELLCARE — MCARE HMO: $35.48 WELLCARE — MCARE HMO DUAL PLAN: $35.48
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$35.48 – $338.68
Family psychotherapy, with the patient: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $99.45 CHA HEALTH PLAN — HMO: $99.45 FL COMMUNITY CARE LTC — MCAID: $163.11 HUMANA — MEDICAID HMO: $104.42 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $99.45 STAYWELL — ALL PRODUCTS: $104.42 SUNSHINE HEALTH — CAID HMO: $104.42 UHC COMMUNITY — MCAID HMO: $152.44
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$35.48 – $338.68
Family psychotherapy, with the patient: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $128.54 FL BLUE — TRULI FOR HEALTH: $338.68 HUMANA — GOLD CHOICE PFFS: $164.50 HUMANA — GOLD PLUS HMO: $164.50 HUMANA — HMO SNP DUAL PLN: $164.50 WELLCARE — MCARE HMO: $35.48 WELLCARE — MCARE HMO DUAL PLAN: $35.48
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$20.43 – $194.98
Group psychotherapy: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $161.70 CHA HEALTH PLAN — HMO: $161.70 FL COMMUNITY CARE LTC — MCAID: $265.20 HUMANA — MEDICAID HMO: $169.79 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $161.70 STAYWELL — ALL PRODUCTS: $169.79 SUNSHINE HEALTH — CAID HMO: $169.79 UHC COMMUNITY — MCAID HMO: $247.85
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$20.43 – $194.98
Group psychotherapy: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $71.89 FL BLUE — TRULI FOR HEALTH: $194.98 HUMANA — GOLD CHOICE PFFS: $94.71 HUMANA — GOLD PLUS HMO: $94.71 HUMANA — HMO SNP DUAL PLN: $94.71 WELLCARE — MCARE HMO: $20.43 WELLCARE — MCARE HMO DUAL PLAN: $20.43

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$845.63 – $8,071.88
Removal of breast growth (open surgery): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $851.55 CHA HEALTH PLAN — HMO: $851.55 FL COMMUNITY CARE LTC — MCAID: $1,396.62 HUMANA — MEDICAID HMO: $894.13 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $851.55 STAYWELL — ALL PRODUCTS: $894.13 SUNSHINE HEALTH — CAID HMO: $894.13 UHC COMMUNITY — MCAID HMO: $1,305.25
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$845.63 – $8,071.88
Removal of breast growth (open surgery): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $3,033.63 FL BLUE — TRULI FOR HEALTH: $8,071.88 HUMANA — GOLD CHOICE PFFS: $3,920.63 HUMANA — GOLD PLUS HMO: $3,920.63 HUMANA — HMO SNP DUAL PLN: $3,920.63 WELLCARE — MCARE HMO: $845.63 WELLCARE — MCARE HMO DUAL PLAN: $845.63
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$2,841.40 – $27,122.46
Total hip replacement: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $6,052.96 CHA HEALTH PLAN — HMO: $6,052.96 FL COMMUNITY CARE LTC — MCAID: $9,927.42 HUMANA — MEDICAID HMO: $6,355.61 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $6,052.96 STAYWELL — ALL PRODUCTS: $6,355.61 SUNSHINE HEALTH — CAID HMO: $6,355.61 UHC COMMUNITY — MCAID HMO: $9,277.96
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,841.40 – $27,122.46
Total hip replacement: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $11,846 FL BLUE — TRULI FOR HEALTH: $27,122.46 HUMANA — GOLD CHOICE PFFS: $13,173.77 HUMANA — GOLD PLUS HMO: $13,173.77 HUMANA — HMO SNP DUAL PLN: $13,173.77 WELLCARE — MCARE HMO: $2,841.40 WELLCARE — MCARE HMO DUAL PLAN: $2,841.40
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$2,841.40 – $27,122.46
Total knee replacement: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $6,052.96 CHA HEALTH PLAN — HMO: $6,052.96 FL COMMUNITY CARE LTC — MCAID: $9,927.42 HUMANA — MEDICAID HMO: $6,355.61 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $6,052.96 STAYWELL — ALL PRODUCTS: $6,355.61 SUNSHINE HEALTH — CAID HMO: $6,355.61 UHC COMMUNITY — MCAID HMO: $9,277.96
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,841.40 – $27,122.46
Total knee replacement: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $11,846 FL BLUE — TRULI FOR HEALTH: $27,122.46 HUMANA — GOLD CHOICE PFFS: $13,173.77 HUMANA — GOLD PLUS HMO: $13,173.77 HUMANA — HMO SNP DUAL PLN: $13,173.77 WELLCARE — MCARE HMO: $2,841.40 WELLCARE — MCARE HMO DUAL PLAN: $2,841.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$1,393.51 – $1,463.19
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,393.51 CHA HEALTH PLAN — HMO: $1,393.51 FL COMMUNITY CARE LTC — MCAID: $2,285.48 HUMANA — MEDICAID HMO: $1,463.19 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,393.51 STAYWELL — ALL PRODUCTS: $1,463.19 SUNSHINE HEALTH — CAID HMO: $1,463.19 UHC COMMUNITY — MCAID HMO: $2,135.96
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$3,358.47
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan WC CORVEL — PPO: $3,358.47
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$716.51 – $6,839.44
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,393.51 CHA HEALTH PLAN — HMO: $1,393.51 FL COMMUNITY CARE LTC — MCAID: $2,285.48 HUMANA — MEDICAID HMO: $1,463.19 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,393.51 STAYWELL — ALL PRODUCTS: $1,463.19 SUNSHINE HEALTH — CAID HMO: $1,463.19 UHC COMMUNITY — MCAID HMO: $2,135.96
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$716.51 – $6,839.44
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $2,720.65 FL BLUE — TRULI FOR HEALTH: $6,839.44 HUMANA — GOLD CHOICE PFFS: $3,322.01 HUMANA — GOLD PLUS HMO: $3,322.01 HUMANA — HMO SNP DUAL PLN: $3,322.01 WC CORVEL — PPO: $3,399.05 WELLCARE — MCARE HMO: $716.51 WELLCARE — MCARE HMO DUAL PLAN: $716.51
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$1,306.36 – $12,469.84
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,385.63 CHA HEALTH PLAN — HMO: $1,385.63 FL COMMUNITY CARE LTC — MCAID: $2,272.55 HUMANA — MEDICAID HMO: $1,454.91 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,385.63 STAYWELL — ALL PRODUCTS: $1,454.91 SUNSHINE HEALTH — CAID HMO: $1,454.91 UHC COMMUNITY — MCAID HMO: $2,123.88
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,306.36 – $12,469.84
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $4,886.04 FL BLUE — TRULI FOR HEALTH: $12,469.84 HUMANA — GOLD CHOICE PFFS: $6,056.78 HUMANA — GOLD PLUS HMO: $6,056.78 HUMANA — HMO SNP DUAL PLN: $6,056.78 WELLCARE — MCARE HMO: $1,306.36 WELLCARE — MCARE HMO DUAL PLAN: $1,306.36
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$207.04 – $1,976.32
Upper GI endoscopy (diagnostic): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $644.88 CHA HEALTH PLAN — HMO: $644.88 FL COMMUNITY CARE LTC — MCAID: $1,057.66 HUMANA — MEDICAID HMO: $677.12 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $644.88 STAYWELL — ALL PRODUCTS: $677.12 SUNSHINE HEALTH — CAID HMO: $677.12 UHC COMMUNITY — MCAID HMO: $988.47
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$207.04 – $1,976.32
Upper GI endoscopy (diagnostic): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $777.35 FL BLUE — TRULI FOR HEALTH: $1,976.32 HUMANA — GOLD CHOICE PFFS: $959.93 HUMANA — GOLD PLUS HMO: $959.93 HUMANA — HMO SNP DUAL PLN: $959.93 WELLCARE — MCARE HMO: $207.04 WELLCARE — MCARE HMO DUAL PLAN: $207.04
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$207.04 – $1,976.32
Upper GI endoscopy with biopsy: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $644.88 CHA HEALTH PLAN — HMO: $644.88 FL COMMUNITY CARE LTC — MCAID: $1,057.66 HUMANA — MEDICAID HMO: $677.12 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $644.88 STAYWELL — ALL PRODUCTS: $677.12 SUNSHINE HEALTH — CAID HMO: $677.12 UHC COMMUNITY — MCAID HMO: $988.47
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$207.04 – $1,976.32
Upper GI endoscopy with biopsy: rates for 8 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $777.35 FL BLUE — TRULI FOR HEALTH: $1,976.32 HUMANA — GOLD CHOICE PFFS: $959.93 HUMANA — GOLD PLUS HMO: $959.93 HUMANA — HMO SNP DUAL PLN: $959.93 WC CORVEL — PPO: $1,264.68 WELLCARE — MCARE HMO: $207.04 WELLCARE — MCARE HMO DUAL PLAN: $207.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$201.33 – $1,921.83
Colonoscopy (diagnostic): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $640.83 CHA HEALTH PLAN — HMO: $640.83 FL COMMUNITY CARE LTC — MCAID: $1,051.01 HUMANA — MEDICAID HMO: $672.87 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $640.83 STAYWELL — ALL PRODUCTS: $672.87 SUNSHINE HEALTH — CAID HMO: $672.87 UHC COMMUNITY — MCAID HMO: $982.25
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$201.33 – $1,921.83
Colonoscopy (diagnostic): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $762.39 FL BLUE — TRULI FOR HEALTH: $1,921.83 HUMANA — GOLD CHOICE PFFS: $933.46 HUMANA — GOLD PLUS HMO: $933.46 HUMANA — HMO SNP DUAL PLN: $933.46 WELLCARE — MCARE HMO: $201.33 WELLCARE — MCARE HMO DUAL PLAN: $201.33
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$260.38 – $2,485.43
Colonoscopy with biopsy: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $640.83 CHA HEALTH PLAN — HMO: $640.83 FL COMMUNITY CARE LTC — MCAID: $1,051.01 HUMANA — MEDICAID HMO: $672.87 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $640.83 STAYWELL — ALL PRODUCTS: $672.87 SUNSHINE HEALTH — CAID HMO: $672.87 UHC COMMUNITY — MCAID HMO: $982.25
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$260.38 – $2,485.43
Colonoscopy with biopsy: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $996.22 FL BLUE — TRULI FOR HEALTH: $2,485.43 HUMANA — GOLD CHOICE PFFS: $1,207.21 HUMANA — GOLD PLUS HMO: $1,207.21 HUMANA — HMO SNP DUAL PLN: $1,207.21 WELLCARE — MCARE HMO: $260.38 WELLCARE — MCARE HMO DUAL PLAN: $260.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$260.38 – $2,485.43
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $640.83 CHA HEALTH PLAN — HMO: $640.83 FL COMMUNITY CARE LTC — MCAID: $1,051.01 HUMANA — MEDICAID HMO: $672.87 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $640.83 STAYWELL — ALL PRODUCTS: $672.87 SUNSHINE HEALTH — CAID HMO: $672.87 UHC COMMUNITY — MCAID HMO: $982.25
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$260.38 – $2,485.43
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $996.22 FL BLUE — TRULI FOR HEALTH: $2,485.43 HUMANA — GOLD CHOICE PFFS: $1,207.21 HUMANA — GOLD PLUS HMO: $1,207.21 HUMANA — HMO SNP DUAL PLN: $1,207.21 WELLCARE — MCARE HMO: $260.38 WELLCARE — MCARE HMO DUAL PLAN: $260.38
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$260.38 – $2,485.43
Ultrasound of the lower bowel by endoscope: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $640.83 CHA HEALTH PLAN — HMO: $640.83 FL COMMUNITY CARE LTC — MCAID: $1,051.01 HUMANA — MEDICAID HMO: $672.87 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $640.83 STAYWELL — ALL PRODUCTS: $672.87 SUNSHINE HEALTH — CAID HMO: $672.87 UHC COMMUNITY — MCAID HMO: $982.25
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$260.38 – $2,485.43
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $996.22 FL BLUE — TRULI FOR HEALTH: $2,485.43 HUMANA — GOLD CHOICE PFFS: $1,207.21 HUMANA — GOLD PLUS HMO: $1,207.21 HUMANA — HMO SNP DUAL PLN: $1,207.21 WELLCARE — MCARE HMO: $260.38 WELLCARE — MCARE HMO DUAL PLAN: $260.38
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$201.33 – $1,921.83
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates AETNA — BETTER HLTHY KIDS: $640.83 BC FL MEDICARE PPO — ALL PRODUCTS: $762.39 CHA HEALTH PLAN — HMO: $640.83 FL BLUE — TRULI FOR HEALTH: $1,921.83 FL COMMUNITY CARE LTC — MCAID: $1,051.01 HUMANA — GOLD CHOICE PFFS: $933.46 HUMANA — GOLD PLUS HMO: $933.46 HUMANA — HMO SNP DUAL PLN: $933.46 HUMANA — MEDICAID HMO: $672.87 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $640.83
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$1,288.41 – $12,298.47
Gallbladder removal by laparoscope: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $2,333.94 CHA HEALTH PLAN — HMO: $2,333.94 FL COMMUNITY CARE LTC — MCAID: $3,827.87 HUMANA — MEDICAID HMO: $2,450.64 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $2,333.94 STAYWELL — ALL PRODUCTS: $2,450.64 SUNSHINE HEALTH — CAID HMO: $2,450.64 UHC COMMUNITY — MCAID HMO: $3,577.45
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,288.41 – $12,298.47
Gallbladder removal by laparoscope: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $4,861.04 FL BLUE — TRULI FOR HEALTH: $12,298.47 HUMANA — GOLD CHOICE PFFS: $5,973.54 HUMANA — GOLD PLUS HMO: $5,973.54 HUMANA — HMO SNP DUAL PLN: $5,973.54 WELLCARE — MCARE HMO: $1,288.41 WELLCARE — MCARE HMO DUAL PLAN: $1,288.41
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$779.33 – $7,439.04
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $2,350.08 CHA HEALTH PLAN — HMO: $2,350.08 FL COMMUNITY CARE LTC — MCAID: $3,854.35 HUMANA — MEDICAID HMO: $2,467.58 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $2,350.08 STAYWELL — ALL PRODUCTS: $2,467.58 SUNSHINE HEALTH — CAID HMO: $2,467.58 UHC COMMUNITY — MCAID HMO: $3,602.20
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$779.33 – $7,439.04
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $3,056.53 FL BLUE — TRULI FOR HEALTH: $7,439.04 HUMANA — GOLD CHOICE PFFS: $3,613.25 HUMANA — GOLD PLUS HMO: $3,613.25 HUMANA — HMO SNP DUAL PLN: $3,613.25 WC CORVEL — PPO: $3,993.18 WELLCARE — MCARE HMO: $779.33 WELLCARE — MCARE HMO DUAL PLAN: $779.33
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$452.38 – $4,318.13
Prostate biopsy: rates for 9 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $1,720.14 CHA HEALTH PLAN — HMO: $86.31 FL BLUE — TRULI FOR HEALTH: $4,318.13 HUMANA — GOLD CHOICE PFFS: $2,097.38 HUMANA — GOLD PLUS HMO: $2,097.38 HUMANA — HMO SNP DUAL PLN: $2,097.38 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $86.31 WELLCARE — MCARE HMO: $452.38 WELLCARE — MCARE HMO DUAL PLAN: $452.38
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$452.38 – $4,318.13
Prostate biopsy: rates for 6 insurance plans AETNA — BETTER HLTHY KIDS: $1,101.31 FL COMMUNITY CARE LTC — MCAID: $1,806.25 HUMANA — MEDICAID HMO: $1,156.38 STAYWELL — ALL PRODUCTS: $1,156.38 SUNSHINE HEALTH — CAID HMO: $1,156.38 UHC COMMUNITY — MCAID HMO: $1,688.08
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$2,299.13 – $21,946.21
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $2,903.31 CHA HEALTH PLAN — HMO: $2,903.31 FL COMMUNITY CARE LTC — MCAID: $4,761.70 HUMANA — MEDICAID HMO: $3,048.48 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $2,903.31 STAYWELL — ALL PRODUCTS: $3,048.48 SUNSHINE HEALTH — CAID HMO: $3,048.48 UHC COMMUNITY — MCAID HMO: $4,450.19
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$2,299.13 – $21,946.21
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $8,556.68 FL BLUE — TRULI FOR HEALTH: $21,946.21 HUMANA — GOLD CHOICE PFFS: $10,659.59 HUMANA — GOLD PLUS HMO: $10,659.59 HUMANA — HMO SNP DUAL PLN: $10,659.59 WELLCARE — MCARE HMO: $2,299.13 WELLCARE — MCARE HMO DUAL PLAN: $2,299.13
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$702.14 – $6,702.25
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,521.98 CHA HEALTH PLAN — HMO: $1,521.98 FL COMMUNITY CARE LTC — MCAID: $2,496.18 HUMANA — MEDICAID HMO: $1,598.08 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,521.98 STAYWELL — ALL PRODUCTS: $1,598.08 SUNSHINE HEALTH — CAID HMO: $1,598.08 UHC COMMUNITY — MCAID HMO: $2,332.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$702.14 – $6,702.25
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $2,520.55 FL BLUE — TRULI FOR HEALTH: $6,702.25 HUMANA — GOLD CHOICE PFFS: $3,255.38 HUMANA — GOLD PLUS HMO: $3,255.38 HUMANA — HMO SNP DUAL PLN: $3,255.38 WELLCARE — MCARE HMO: $702.14 WELLCARE — MCARE HMO DUAL PLAN: $702.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$152.93 – $1,459.79
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $489.74 CHA HEALTH PLAN — HMO: $489.74 FL COMMUNITY CARE LTC — MCAID: $803.21 HUMANA — MEDICAID HMO: $514.23 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $489.74 STAYWELL — ALL PRODUCTS: $514.23 SUNSHINE HEALTH — CAID HMO: $514.23 UHC COMMUNITY — MCAID HMO: $750.66
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$152.93 – $1,459.79
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $610.04 FL BLUE — TRULI FOR HEALTH: $1,459.79 HUMANA — GOLD CHOICE PFFS: $709.04 HUMANA — GOLD PLUS HMO: $709.04 HUMANA — HMO SNP DUAL PLN: $709.04 WELLCARE — MCARE HMO: $152.93 WELLCARE — MCARE HMO DUAL PLAN: $152.93
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	Not listed in the file	Not listed in the file	$196.60 – $1,876.68
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $489.74 CHA HEALTH PLAN — HMO: $489.74 FL COMMUNITY CARE LTC — MCAID: $803.21 HUMANA — MEDICAID HMO: $514.23 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $489.74 STAYWELL — ALL PRODUCTS: $514.23 SUNSHINE HEALTH — CAID HMO: $514.23 UHC COMMUNITY — MCAID HMO: $750.66
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	Not listed in the file	Not listed in the file	$196.60 – $1,876.68
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $790.84 FL BLUE — TRULI FOR HEALTH: $1,876.68 HUMANA — GOLD CHOICE PFFS: $911.53 HUMANA — GOLD PLUS HMO: $911.53 HUMANA — HMO SNP DUAL PLN: $911.53 WC CORVEL — PPO: $1,115.54 WELLCARE — MCARE HMO: $196.60 WELLCARE — MCARE HMO DUAL PLAN: $196.60
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$431.23 – $4,116.32
Carpal tunnel release: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $873.86 CHA HEALTH PLAN — HMO: $873.86 FL COMMUNITY CARE LTC — MCAID: $1,433.20 HUMANA — MEDICAID HMO: $917.55 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $873.86 STAYWELL — ALL PRODUCTS: $917.55 SUNSHINE HEALTH — CAID HMO: $917.55 UHC COMMUNITY — MCAID HMO: $1,339.44
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$431.23 – $4,116.32
Carpal tunnel release: rates for 8 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $1,686.90 FL BLUE — TRULI FOR HEALTH: $4,116.32 HUMANA — GOLD CHOICE PFFS: $1,999.35 HUMANA — GOLD PLUS HMO: $1,999.35 HUMANA — HMO SNP DUAL PLN: $1,999.35 WC CORVEL — PPO: $2,640.54 WELLCARE — MCARE HMO: $431.23 WELLCARE — MCARE HMO DUAL PLAN: $431.23
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$121.15 – $1,156.41
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $369.26 CHA HEALTH PLAN — HMO: $369.26 FL COMMUNITY CARE LTC — MCAID: $605.62 HUMANA — MEDICAID HMO: $387.72 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $369.26 STAYWELL — ALL PRODUCTS: $387.72 SUNSHINE HEALTH — CAID HMO: $387.72 UHC COMMUNITY — MCAID HMO: $566
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$121.15 – $1,156.41
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $483.48 FL BLUE — TRULI FOR HEALTH: $1,156.41 HUMANA — GOLD CHOICE PFFS: $561.69 HUMANA — GOLD PLUS HMO: $561.69 HUMANA — HMO SNP DUAL PLN: $561.69 WELLCARE — MCARE HMO: $121.15 WELLCARE — MCARE HMO DUAL PLAN: $121.15
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$503.66 – $4,807.64
Cataract removal with lens implant: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,109.23 CHA HEALTH PLAN — HMO: $1,109.23 FL COMMUNITY CARE LTC — MCAID: $1,819.24 HUMANA — MEDICAID HMO: $1,164.69 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,109.23 STAYWELL — ALL PRODUCTS: $1,164.69 SUNSHINE HEALTH — CAID HMO: $1,164.69 UHC COMMUNITY — MCAID HMO: $1,700.22
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$503.66 – $4,807.64
Cataract removal with lens implant: rates for 7 insurance plans BC FL MEDICARE PPO — ALL PRODUCTS: $1,995.01 FL BLUE — TRULI FOR HEALTH: $4,807.64 HUMANA — GOLD CHOICE PFFS: $2,335.14 HUMANA — GOLD PLUS HMO: $2,335.14 HUMANA — HMO SNP DUAL PLN: $2,335.14 WELLCARE — MCARE HMO: $503.66 WELLCARE — MCARE HMO DUAL PLAN: $503.66

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$1,538.71 – $1,615.65
Vaginal delivery, with care before and after: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,538.71 CHA HEALTH PLAN — HMO: $1,538.71 FL COMMUNITY CARE LTC — MCAID: $2,523.62 HUMANA — MEDICAID HMO: $1,615.65 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,538.71 STAYWELL — ALL PRODUCTS: $1,615.65 SUNSHINE HEALTH — CAID HMO: $1,615.65 UHC COMMUNITY — MCAID HMO: $2,358.52
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$1,701.61 – $1,786.69
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,701.61 CHA HEALTH PLAN — HMO: $1,701.61 FL COMMUNITY CARE LTC — MCAID: $2,790.81 HUMANA — MEDICAID HMO: $1,786.69 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,701.61 STAYWELL — ALL PRODUCTS: $1,786.69 SUNSHINE HEALTH — CAID HMO: $1,786.69 UHC COMMUNITY — MCAID HMO: $2,608.23
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$1,538.71 – $1,615.65
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans AETNA — BETTER HLTHY KIDS: $1,538.71 CHA HEALTH PLAN — HMO: $1,538.71 FL COMMUNITY CARE LTC — MCAID: $2,523.62 HUMANA — MEDICAID HMO: $1,615.65 SIMPLY HEALTHCARE HEALTHY KIDS — ALL PRODUCTS: $1,538.71 STAYWELL — ALL PRODUCTS: $1,615.65 SUNSHINE HEALTH — CAID HMO: $1,615.65 UHC COMMUNITY — MCAID HMO: $2,358.52

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$16,696.40 – $146,658.12
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates AETNA — AETNA: $94,966.82 BC FL MEDICARE PPO — ALL PRODUCTS: $71,160.75 FL BLUE — BLUE SELECT: $78,183.56 FL BLUE — HEALTH OPTIONS HMO: $102,494.68 FL BLUE — MY BLUE NETWORK: $76,127.88 FL BLUE — NWB - BLUE OPTIONS: $105,621.64 FL BLUE — PPC-BLUE CHOICE: $146,658.12 FL BLUE — SIMPLY BLUE NETWORK: $78,183.56 FL BLUE — TRULI FOR HEALTH: $60,110.14 HOSPICE EMERALD COAST — ALL PRODUCTS: $72,851.91
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$3,261.92 – $28,652.06
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates AETNA — AETNA: $18,553.32 BC FL MEDICARE PPO — ALL PRODUCTS: $13,902.41 FL BLUE — BLUE SELECT: $15,274.44 FL BLUE — HEALTH OPTIONS HMO: $20,024.01 FL BLUE — MY BLUE NETWORK: $14,872.82 FL BLUE — NWB - BLUE OPTIONS: $20,634.91 FL BLUE — PPC-BLUE CHOICE: $28,652.06 FL BLUE — SIMPLY BLUE NETWORK: $15,274.44 FL BLUE — TRULI FOR HEALTH: $11,743.50 HOSPICE EMERALD COAST — ALL PRODUCTS: $14,232.81
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$4,095.60 – $35,975.01
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates AETNA — AETNA: $23,295.22 BC FL MEDICARE PPO — ALL PRODUCTS: $17,455.62 FL BLUE — BLUE SELECT: $19,178.31 FL BLUE — HEALTH OPTIONS HMO: $25,141.79 FL BLUE — MY BLUE NETWORK: $18,674.05 FL BLUE — NWB - BLUE OPTIONS: $25,908.83 FL BLUE — PPC-BLUE CHOICE: $35,975.01 FL BLUE — SIMPLY BLUE NETWORK: $19,178.31 FL BLUE — TRULI FOR HEALTH: $14,744.92 HOSPICE EMERALD COAST — ALL PRODUCTS: $17,870.46
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,073.75 – $18,215.45
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates AETNA — AETNA: $11,795.21 BC FL MEDICARE PPO — ALL PRODUCTS: $8,838.41 FL BLUE — BLUE SELECT: $9,710.67 FL BLUE — HEALTH OPTIONS HMO: $12,730.19 FL BLUE — MY BLUE NETWORK: $9,455.35 FL BLUE — NWB - BLUE OPTIONS: $13,118.57 FL BLUE — PPC-BLUE CHOICE: $18,215.45 FL BLUE — SIMPLY BLUE NETWORK: $9,710.67 FL BLUE — TRULI FOR HEALTH: $7,465.89 HOSPICE EMERALD COAST — ALL PRODUCTS: $9,048.46

Source: Jay Hospital’s standard charges file (baptisthealthcare.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 23, 2025; 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	14114 Alabama St, Jay, FL 32565
County	Santa Rosa County
State	Florida
Phone	(850) 675‑4532
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	101315
Name in Medicare records	JAY HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(448) 227‑5800^[6][9]
Official website	ebaptisthealthcare.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Jay Hospital Services — ebaptisthealthcare.org
Jay Hospital | Baptist Health Care — ebaptisthealthcare.org
Emergency | Baptist Health Care — ebaptisthealthcare.org
Language Services | Baptist Health Care — ebaptisthealthcare.org
Locations and Contact Information | Baptist Health Care — ebaptisthealthcare.org
Patients and Visitors | Baptist Health Care — ebaptisthealthcare.org
Skilled Care Program Jay Hospital | Baptist Health Care — ebaptisthealthcare.org
Emergency | Baptist Health Care — ebaptisthealthcare.org

Jay Hospital

Summary

Profile from official sources

At a glance