Does Johnson Memorial Hospital have an emergency room?

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

Where is Johnson Memorial Hospital?

1125 W Jefferson St, Franklin, IN 46131, in Johnson County, Indiana.

What is the phone number of Johnson Memorial Hospital?

(317) 736-3300, as listed by Medicare (CMS).

What is the Medicare star rating of Johnson Memorial Hospital?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Johnson Memorial Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Johnson Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.5943; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Johnson Memorial Hospital — Phone, Address & ER

Quick answers

Does Johnson Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Johnson Memorial Hospital. In a medical emergency, call 911.
Where is Johnson Memorial Hospital?: 1125 W Jefferson St, Franklin, IN 46131, in Johnson County, Indiana.
What is the phone number of Johnson Memorial Hospital?: (317) 736-3300, as listed by Medicare (CMS).
What is the Medicare star rating of Johnson Memorial Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Johnson Memorial Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Johnson Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.5943; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4][5][14]

Cancer care
Cardiovascular care
Gastroenterology
Orthopedic surgery and sports medicine
Pulmonary medicine
Women's health
Breast care
Emergency care
Surgery
Behavioral health
Wound and vascular care
Pain medicine

Conditions treated^{[8][13][14][16]}

Stroke
Back and neck pain
Sciatica
Complex regional pain syndrome
Shingles pain
Headaches
Joint pain
Diabetes
Kidney disease

Treatments^[4][15]

Respiratory care
Pain services
Obesity management
Outpatient rehabilitation
Physical therapy
Occupational therapy
Speech-language therapy
Vestibular rehabilitation
Dry needling

Procedures^{[8][11][13][14]}

Hip replacement (minimally invasive)
Knee replacement
Shoulder replacement
Minimally invasive interventional pain procedures
Laboratory testing
Point-of-care testing (finger stick)

Programs and centers^{[4][5][8][11][12][13][14][15][17]}

Stroke care
Diabetes care
Sleep care
Emergency department (staffed 24/7)
Joint replacement program
Comprehensive pain services
Outpatient rehabilitation
Laboratory services
Cardiac rehabilitation and cardiac wellness program
Pulmonary rehabilitation
Nutritional counseling and weight loss
Anti-coagulation (Coumadin) clinic
Lactation services
Tobacco cessation
Maternity Care Center

Emergency care (hospital website)^[5][12][16]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Stroke Ready Certification (HFAP)

Visiting and practical information

Visiting	Visitors who are ill should avoid visiting; check with nursing staff before visiting or bringing food or drinks^[7]
Parking	A parking map PDF showing the lots is linked on the Guest Services page^[6]

Recognition^{[5][9][12][16]}

Stroke Ready Certification (HFAP)
Stroke Ready Certification (Healthcare Facility Accreditation Program, HFAP)
Accreditation by the Accreditation Commission for Health Care (ACHC)

Doctors and clinicians (329)

329 doctors and other clinicians list Johnson Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 305 more: the button below opens the full list.

Other emergency rooms nearby

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

Community Hospital South, Inc.11 mi · Indianapolis, IN · Acute Care Hospital
Franciscan Health Indianapolis12 mi · Indianapolis, IN · Acute Care Hospital
Major Hospital17 mi · Shelbyville, IN · Acute Care Hospital
Franciscan Health Mooresville17 mi · Mooresville, IN · Acute Care Hospital
Columbus Regional Hospital21 mi · Columbus, IN · Acute Care Hospital

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

Other hospitals near Franklin

Valle Vista Health System9.3 mi · Greenwood, IN · Psychiatric Hospital
Community Health Network Rehabilitation Hospital So10 mi · Greenwood, IN · Inpatient Rehabilitation Hospital
Medical Behavioral Hospital of Indianapolis11 mi · Greenwood, IN · Psychiatric Hospital

Hospitals in Johnson County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Otterbein Franklin Seniorlife Community Res & Com Care0.3 mi · Franklin, IN · 3 of 5 stars
Franklin Meadows0.3 mi · Franklin, IN · 5 of 5 stars
Hickory Creek at Franklin1.1 mi · Franklin, IN · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Main Street Hospice, LLC1.8 mi · Franklin, IN · 4 of 5 stars
Kindred Hospice8.2 mi · Greenwood, IN · 3 of 5 stars
Anew Hospice13 mi · Indianapolis, IN · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Indiana Masonic Home, Inc1.8 mi · Franklin, IN · 2.5 of 5 stars
Golden Age Home Health Care LLC7.2 mi · Bargersville, IN · 4 of 5 stars
Heritage Home Health Services8.2 mi · Greenwood, IN · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Franklin (IN) at Home1.8 mi · Franklin, IN · 3 of 5 stars
DaVita Indy South Dialysis8.2 mi · Greenwood, IN · 3 of 5 stars
USRC Greenwood8.2 mi · Greenwood, IN · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Center for Southside Surgery, LLC8.2 mi · Greenwood, IN
Cli Surgery Center - Greenwood8.2 mi · Greenwood, IN
Indiana Skin Cancer Ambulatory Surgical Center LLC8.2 mi · Greenwood, IN

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Adult and Child Health - Northwood Plaza1.2 mi · Franklin, IN · Community health center
Windrose Health Network - Franklin2.6 mi · Franklin, IN · Community health center
Windrose Health Network - Trafalgar6.5 mi · Trafalgar, IN · Community health center

Clinics and urgent care

American Current Care, P.A.8.2 mi · Greenwood, IN · Urgent care center
Indiana University Health Urgent Care Centers, LLC.8.2 mi · Greenwood, IN · Urgent care center
Franciscan Physician Network11 mi · Greenwood, IN · Urgent care center

Pharmacies

Hook-Superx LLC1.8 mi · Franklin, IN · Pharmacy
Hook-Superx LLC1.8 mi · Franklin, IN · Pharmacy
Johnson Memorial Hospital1.8 mi · Franklin, IN · Community/retail pharmacy

Assisted living nearby

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

Aspen BHC of Franklin1.8 mi · Franklin, IN
Franklin Senior Living LLC1.8 mi · Franklin, IN
Indiana Masonic Home Inc1.8 mi · Franklin, IN
Morning Pointe of Franklin1.8 mi · Franklin, IN

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	78%National average: 80%
“Always” got help as soon as they wanted	63%National average: 64%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	79%National average: 73%
Completed surveys	342Response rate: 32%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

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

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart failure patients	12.2%
Deaths within 30 days: pneumonia patients	17%
Deaths within 30 days: COPD patients	9.3%
Deaths within 30 days: stroke patients	14.1%
Serious complications (patient safety indicator PSI-90)	1.15No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.4%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	16.4%
Readmitted within 30 days: COPD	19.1%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	142 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	88%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.5943Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure	1.0198More readmissions than expected
Pneumonia	0.9567Fewer readmissions than expected
COPD (chronic lung disease)	0.9657Fewer readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	38.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	10.00 out of 100
Person and community engagement (patient survey)	47.00 out of 100
Safety (infections and sepsis care)	65.00 out of 100
Efficiency and cost reduction (Medicare spending)	30.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	0.96Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

ER wait times in Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Johnson Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 76 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$278.50	$222.80	$67.80 – $220.02
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $67.80 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $220.02 ANTHEM MCR ADV — ANTHEM MCR ADV: $67.80 ANTHEM MEDICAID — ANTHEM MEDICAID: $409 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $177.75 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $191.74 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $197.51 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $243.27 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $67.80 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $282.21
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$397	$317.60	$111.17 – $313.63
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $111.17 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $313.63 ANTHEM MCR ADV — ANTHEM MCR ADV: $111.17 ANTHEM MEDICAID — ANTHEM MEDICAID: $511 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $222.08 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $239.56 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $246.76 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $303.94 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $111.17 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $352.59
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$408	$326.40	$151.85 – $322.32
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $151.85 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $322.32 ANTHEM MCR ADV — ANTHEM MCR ADV: $151.85 ANTHEM MEDICAID — ANTHEM MEDICAID: $469 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $203.83 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $219.87 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $226.48 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $278.96 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $151.85 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $323.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$144.85	$115.88	$55.10 – $114.43
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $55.10 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $114.43 ANTHEM MCR ADV — ANTHEM MCR ADV: $55.10 ANTHEM MEDICAID — ANTHEM MEDICAID: $474 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $206 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $222.21 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $228.89 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $281.94 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $55.10 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $327.06
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$187.21	$149.77	$80.95 – $147.90
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $80.95 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $147.90 ANTHEM MCR ADV — ANTHEM MCR ADV: $80.95 ANTHEM MEDICAID — ANTHEM MEDICAID: $524 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $227.73 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $245.65 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $253.04 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $311.68 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $80.95 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $361.56
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	$331	$264.80	$143.85 – $331
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $261.49 ANTHEM MEDICAID — ANTHEM MEDICAID: $331 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $143.85 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $155.17 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $159.84 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $196.88 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $165.50 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $228.39 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $258.18 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $321.07
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more	$494	$395.20	$214.69 – $494
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $390.26 ANTHEM MEDICAID — ANTHEM MEDICAID: $494 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $214.69 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $231.59 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $238.55 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $293.83 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $247 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $340.86 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $385.32 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $479.18
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$186.70	$149.36	$145.63 – $147.49
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $147.49 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $145.63
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)	$237.32	$189.86	$185.11 – $187.49
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $187.49 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $185.11
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$1,216	$972.80	$288.81 – $1,216
Emergency room visit (moderate): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $288.81 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $960.64 ANTHEM MCR ADV — ANTHEM MCR ADV: $288.81 ANTHEM MEDICAID — ANTHEM MEDICAID: $1,216 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $528.47 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $570.06 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $587.21 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $723.28 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $479.40 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $839.04
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$169	$135.20	$65.36 – $133.51
Emergency room visit (moderate): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $65.36 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $133.51 ANTHEM MCR ADV — ANTHEM MCR ADV: $65.36 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $65.36 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $131.82 HUMANA MCR ADV — HUMANA MCR ADV: $65.36
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$1,778	$1,422.40	$441.47 – $1,778
Emergency room visit (moderately high): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $441.47 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,404.62 ANTHEM MCR ADV — ANTHEM MCR ADV: $441.47 ANTHEM MEDICAID — ANTHEM MEDICAID: $1,778 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $772.72 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $833.53 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $858.60 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,057.55 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $732.81 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,226.82
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$322	$257.60	$111.13 – $254.38
Emergency room visit (moderately high): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $111.13 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $254.38 ANTHEM MCR ADV — ANTHEM MCR ADV: $111.13 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $111.13 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $251.16 HUMANA MCR ADV — HUMANA MCR ADV: $111.13
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$2,522	$2,017.60	$630.08 – $2,522
Emergency room visit (high): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $630.08 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,992.38 ANTHEM MCR ADV — ANTHEM MCR ADV: $630.08 ANTHEM MEDICAID — ANTHEM MEDICAID: $2,522 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $1,096.06 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $1,182.31 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $1,217.87 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,500.09 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,045.88 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,740.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$388	$310.40	$161.52 – $306.52
Emergency room visit (high): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $161.52 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $306.52 ANTHEM MCR ADV — ANTHEM MCR ADV: $161.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $161.52 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $302.64 HUMANA MCR ADV — HUMANA MCR ADV: $161.52

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$250	$200	$8.46 – $242.50
Basic metabolic panel (blood test): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $8.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $197.50 ANTHEM MCR ADV — ANTHEM MCR ADV: $8.46 ANTHEM MEDICAID — ANTHEM MEDICAID: $8.46 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $108.65 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $117.20 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $120.73 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $148.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $21.15 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $172.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$221	$176.80	$10.56 – $214.37
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $10.56 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $174.59 ANTHEM MCR ADV — ANTHEM MCR ADV: $10.56 ANTHEM MEDICAID — ANTHEM MEDICAID: $10.56 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $96.05 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $103.60 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $106.72 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $131.45 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $23.34 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $152.49
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$158	$126.40	$13.39 – $153.26
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $13.39 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $124.82 ANTHEM MCR ADV — ANTHEM MCR ADV: $13.39 ANTHEM MEDICAID — ANTHEM MEDICAID: $13.39 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $68.67 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $74.07 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $76.30 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $93.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $21.16 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $109.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$279	$223.20	$8.68 – $270.63
Kidney function panel: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $8.68 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $220.41 ANTHEM MCR ADV — ANTHEM MCR ADV: $8.68 ANTHEM MEDICAID — ANTHEM MEDICAID: $8.68 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $121.25 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $130.80 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $134.73 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $165.95 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $24.22 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $192.51
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$401	$320.80	$8.17 – $388.97
Liver function panel: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $8.17 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $316.79 ANTHEM MCR ADV — ANTHEM MCR ADV: $8.17 ANTHEM MEDICAID — ANTHEM MEDICAID: $8.17 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $174.27 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $187.99 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $193.64 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $238.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $32.76 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $276.69
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$94	$75.20	$2.98 – $91.18
Urine test (automated, with microscope): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $3.17 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $74.26 ANTHEM MCR ADV — ANTHEM MCR ADV: $3.17 ANTHEM MEDICAID — ANTHEM MEDICAID: $3.17 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $40.85 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $44.07 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $45.39 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $55.91 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2.98 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $64.86
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$88	$70.40	$3.06 – $85.36
Urine test (manual, without microscope): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $3.48 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $69.52 ANTHEM MCR ADV — ANTHEM MCR ADV: $3.48 ANTHEM MEDICAID — ANTHEM MEDICAID: $3.48 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $38.24 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $41.25 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $42.50 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $52.34 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3.06 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $60.72
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$17.08	$13.66	$2.25 – $13.49
Urine test (automated, without microscope): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $2.25 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $13.49 ANTHEM MCR ADV — ANTHEM MCR ADV: $2.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2.25 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $13.32 HUMANA MCR ADV — HUMANA MCR ADV: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$323	$258.40	$18.39 – $313.31
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $18.39 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $255.17 ANTHEM MCR ADV — ANTHEM MCR ADV: $18.39 ANTHEM MEDICAID — ANTHEM MEDICAID: $18.39 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $140.38 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $151.42 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $155.98 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $192.12 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $59.40 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $222.87
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$246	$196.80	$16.80 – $238.62
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $16.80 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $194.34 ANTHEM MCR ADV — ANTHEM MCR ADV: $16.80 ANTHEM MEDICAID — ANTHEM MEDICAID: $16.80 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $106.91 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $115.32 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $118.79 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $146.32 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $41.33 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $169.74
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$149	$119.20	$7.77 – $144.53
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $7.77 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $117.71 ANTHEM MCR ADV — ANTHEM MCR ADV: $7.77 ANTHEM MEDICAID — ANTHEM MEDICAID: $7.77 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $64.76 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $69.85 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $71.95 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $88.63 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $11.58 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $102.81
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$125	$100	$6.47 – $121.25
Complete blood count (CBC), automated: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $6.47 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $98.75 ANTHEM MCR ADV — ANTHEM MCR ADV: $6.47 ANTHEM MEDICAID — ANTHEM MEDICAID: $6.47 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $54.33 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $58.60 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $60.36 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $74.35 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $8.09 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $86.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$118	$94.40	$4.29 – $114.46
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $4.29 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $93.22 ANTHEM MCR ADV — ANTHEM MCR ADV: $4.29 ANTHEM MEDICAID — ANTHEM MEDICAID: $4.29 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $51.28 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $55.32 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $56.98 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $70.19 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5.06 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $81.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$129	$103.20	$6.01 – $125.13
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $6.01 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $101.91 ANTHEM MCR ADV — ANTHEM MCR ADV: $6.01 ANTHEM MEDICAID — ANTHEM MEDICAID: $6.01 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $56.06 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $60.48 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $62.29 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $76.73 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $7.75 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $89.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast	$2,204	$1,763.20	$56.64 – $2,137.88
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $110.61 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,741.16 ANTHEM MCR ADV — ANTHEM MCR ADV: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $56.64 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $1,235 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $1,372 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $1,372 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,372 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,520.76
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$4,796	$3,836.80	$193.88 – $4,652.12
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $369.11 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,788.84 ANTHEM MCR ADV — ANTHEM MCR ADV: $369.11 ANTHEM MEDICAID — ANTHEM MEDICAID: $193.88 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $2,213 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $2,459 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $2,459 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $2,459 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $612.69 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $3,309.24
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$731	$584.80	$62.12 – $709.07
Chest X-ray, 2 views: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $92.07 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $577.49 ANTHEM MCR ADV — ANTHEM MCR ADV: $92.07 ANTHEM MEDICAID — ANTHEM MEDICAID: $62.12 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $317.69 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $342.69 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $353 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $434.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $152.83 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $504.39
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$663	$530.40	$23.45 – $643.11
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $110.61 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $523.77 ANTHEM MCR ADV — ANTHEM MCR ADV: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $23.45 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $288.14 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $310.81 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $320.16 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $394.35 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $457.47
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$4,344	$3,475.20	$117.33 – $4,213.68
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $252.44 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,431.76 ANTHEM MCR ADV — ANTHEM MCR ADV: $252.44 ANTHEM MEDICAID — ANTHEM MEDICAID: $117.33 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $2,213 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $2,459 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $2,459 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $2,459 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $419.03 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $2,997.36
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$2,448	$1,958.40	$123.28 – $2,374.56
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $185.58 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,933.92 ANTHEM MCR ADV — ANTHEM MCR ADV: $185.58 ANTHEM MEDICAID — ANTHEM MEDICAID: $123.28 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $1,235 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $1,372 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $1,372 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,372 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $308.04 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,689.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$4,058	$3,246.40	$129.47 – $3,936.26
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $252.44 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,205.82 ANTHEM MCR ADV — ANTHEM MCR ADV: $252.44 ANTHEM MEDICAID — ANTHEM MEDICAID: $129.47 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $2,213 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $2,459 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $2,459 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $2,459 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $419.03 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $2,800.02
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$4,242	$3,393.60	$162.17 – $4,114.74
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $369.11 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,351.18 ANTHEM MCR ADV — ANTHEM MCR ADV: $369.11 ANTHEM MEDICAID — ANTHEM MEDICAID: $162.17 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $1,235 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $1,372 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $1,372 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,372 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $612.69 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $2,926.98
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$1,705	$1,364	$70.27 – $1,653.85
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $110.61 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,346.95 ANTHEM MCR ADV — ANTHEM MCR ADV: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $70.27 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $740.99 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $799.30 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $823.34 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,014.13 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,176.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$1,097	$877.60	$67.54 – $1,064.09
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $110.61 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $866.63 ANTHEM MCR ADV — ANTHEM MCR ADV: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $67.54 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $476.76 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $514.27 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $529.74 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $652.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $756.93
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$578	$462.40	$64.08 – $560.66
Transvaginal ultrasound: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $110.61 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $456.62 ANTHEM MCR ADV — ANTHEM MCR ADV: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $64.08 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $251.20 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $270.97 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $279.12 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $343.79 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $398.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$470	$376	$65.56 – $455.90
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $115.91 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $371.30 ANTHEM MCR ADV — ANTHEM MCR ADV: $115.91 ANTHEM MEDICAID — ANTHEM MEDICAID: $65.56 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $174 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $193 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $193 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $193 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $235 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $324.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$611	$488.80	$83.89 – $592.67
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $146.74 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $482.69 ANTHEM MCR ADV — ANTHEM MCR ADV: $146.74 ANTHEM MEDICAID — ANTHEM MEDICAID: $83.89 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $174 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $193 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $193 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $193 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $305.50 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $421.59
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$562	$449.60	$69.28 – $545.14
Screening mammogram, both breasts: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $118.11 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $443.98 ANTHEM MCR ADV — ANTHEM MCR ADV: $118.11 ANTHEM MEDICAID — ANTHEM MEDICAID: $69.28 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $174 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $193 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $193 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $193 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $281 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $387.78

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) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report	$45.16	$36.13	$14.36 – $35.67
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $14.36 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $35.67 ANTHEM MCR ADV — ANTHEM MCR ADV: $14.36 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $14.36 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $35.22 HUMANA MCR ADV — HUMANA MCR ADV: $14.36
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$16,172	$12,937.60	$3,430 – $16,172
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $3,430 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $12,775.88 ANTHEM MCR ADV — ANTHEM MCR ADV: $3,430 ANTHEM MEDICAID — ANTHEM MEDICAID: $16,172 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $7,028.35 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $7,581.43 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $7,809.46 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $9,619.11 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,693.50 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $11,158.68
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$7,283	$5,826.40	$908.56 – $7,064.51
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $908.56 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $5,753.57 ANTHEM MCR ADV — ANTHEM MCR ADV: $908.56 ANTHEM MEDICAID — ANTHEM MEDICAID: $912.79 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $3,165.19 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $3,414.27 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $3,516.96 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $4,331.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,508.12 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $5,025.27

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$189	$151.20	$27.89 – $189
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $27.89 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $149.31 ANTHEM MCR ADV — ANTHEM MCR ADV: $27.89 ANTHEM MEDICAID — ANTHEM MEDICAID: $189 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $82.14 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $88.60 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $91.27 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $112.42 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $100 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $130.41
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$522	$417.60	$94.33 – $522
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $94.33 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $412.38 ANTHEM MCR ADV — ANTHEM MCR ADV: $94.33 ANTHEM MEDICAID — ANTHEM MEDICAID: $522 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $226.86 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $244.71 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $252.07 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $310.49 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $100 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $360.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$522	$417.60	$94.33 – $522
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $94.33 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $412.38 ANTHEM MCR ADV — ANTHEM MCR ADV: $94.33 ANTHEM MEDICAID — ANTHEM MEDICAID: $522 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $226.86 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $244.71 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $252.07 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $310.49 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $100 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $360.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$522	$417.60	$94.33 – $522
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $94.33 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $412.38 ANTHEM MCR ADV — ANTHEM MCR ADV: $94.33 ANTHEM MEDICAID — ANTHEM MEDICAID: $522 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $226.86 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $244.71 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $252.07 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $310.49 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $100 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $360.18
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$156.23	$124.99	$68.99 – $123.42
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $68.99 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $123.42 ANTHEM MCR ADV — ANTHEM MCR ADV: $68.99 ANTHEM MEDICAID — ANTHEM MEDICAID: $168 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $73.01 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $78.76 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $81.13 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $99.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $68.99 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $115.92
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$257.64	$206.11	$91.09 – $203.54
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $91.09 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $203.54 ANTHEM MCR ADV — ANTHEM MCR ADV: $91.09 ANTHEM MEDICAID — ANTHEM MEDICAID: $222 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $96.48 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $104.07 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $107.20 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $132.05 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $91.09 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $153.18
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$377	$301.60	$134.32 – $297.83
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $134.32 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $297.83 ANTHEM MCR ADV — ANTHEM MCR ADV: $134.32 ANTHEM MEDICAID — ANTHEM MEDICAID: $328 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $142.55 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $153.77 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $158.39 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $195.09 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $134.32 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $226.32
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$246	$196.80	$98.20 – $194.34
Family psychotherapy, without the patient: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $98.20 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $194.34 ANTHEM MCR ADV — ANTHEM MCR ADV: $98.20 ANTHEM MEDICAID — ANTHEM MEDICAID: $239 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $103.87 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $112.04 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $115.41 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $142.16 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $98.20 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $164.91
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$255	$204	$102.04 – $201.45
Family psychotherapy, with the patient: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $102.04 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $201.45 ANTHEM MCR ADV — ANTHEM MCR ADV: $102.04 ANTHEM MEDICAID — ANTHEM MEDICAID: $250 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $108.65 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $117.20 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $120.73 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $148.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $102.04 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $172.50
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$59	$47.20	$25.64 – $178.42
Group psychotherapy: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $107.48 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $46.61 ANTHEM MCR ADV — ANTHEM MCR ADV: $107.48 ANTHEM MEDICAID — ANTHEM MEDICAID: $59 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $25.64 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $27.66 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $28.49 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $35.09 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $178.42 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $40.71

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple	$1,310.50	$1,048.40	$370.76 – $1,035.30
Removal of breast growth (open surgery): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $370.76 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,035.30 ANTHEM MCR ADV — ANTHEM MCR ADV: $370.76 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $370.76 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,022.19 HUMANA MCR ADV — HUMANA MCR ADV: $370.76
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$4,026	$3,220.80	$1,064.13 – $3,180.54
Total hip replacement: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $1,064.13 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,180.54 ANTHEM MCR ADV — ANTHEM MCR ADV: $1,064.13 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,064.13 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $3,140.28 HUMANA MCR ADV — HUMANA MCR ADV: $1,064.13
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$4,026	$3,220.80	$1,062.09 – $3,180.54
Total knee replacement: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $1,062.09 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,180.54 ANTHEM MCR ADV — ANTHEM MCR ADV: $1,062.09 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,062.09 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $3,140.28 HUMANA MCR ADV — HUMANA MCR ADV: $1,062.09
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$2,230	$1,784	$135.46 – $1,761.70
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $135.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,761.70 ANTHEM MCR ADV — ANTHEM MCR ADV: $135.46 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $135.46 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,739.40 HUMANA MCR ADV — HUMANA MCR ADV: $135.46
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$1,610	$1,288	$474.14 – $1,271.90
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $474.14 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,271.90 ANTHEM MCR ADV — ANTHEM MCR ADV: $474.14 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $474.14 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,255.80 HUMANA MCR ADV — HUMANA MCR ADV: $474.14
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$912	$729.60	$103.93 – $720.48
Upper GI endoscopy (diagnostic): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $103.93 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $720.48 ANTHEM MCR ADV — ANTHEM MCR ADV: $103.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $103.93 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $711.36 HUMANA MCR ADV — HUMANA MCR ADV: $103.93
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$939	$751.20	$116.27 – $741.81
Upper GI endoscopy with biopsy: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $116.27 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $741.81 ANTHEM MCR ADV — ANTHEM MCR ADV: $116.27 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $116.27 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $732.42 HUMANA MCR ADV — HUMANA MCR ADV: $116.27
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$1,114	$891.20	$154.36 – $880.06
Colonoscopy (diagnostic): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $154.36 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $880.06 ANTHEM MCR ADV — ANTHEM MCR ADV: $154.36 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $154.36 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $868.92 HUMANA MCR ADV — HUMANA MCR ADV: $154.36
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$1,376	$1,100.80	$167 – $1,087.04
Colonoscopy with biopsy: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $167 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,087.04 ANTHEM MCR ADV — ANTHEM MCR ADV: $167 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $167 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,073.28 HUMANA MCR ADV — HUMANA MCR ADV: $167
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$1,446	$1,156.80	$210.50 – $1,142.34
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $210.50 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,142.34 ANTHEM MCR ADV — ANTHEM MCR ADV: $210.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $210.50 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,127.88 HUMANA MCR ADV — HUMANA MCR ADV: $210.50
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Ultrasound exam of large bowel using a flexible endoscope	$685	$548	$213.42 – $541.15
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $213.42 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $541.15 ANTHEM MCR ADV — ANTHEM MCR ADV: $213.42 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $213.42 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $534.30 HUMANA MCR ADV — HUMANA MCR ADV: $213.42
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$1,118.53	$894.82	$154.52 – $883.63
Screening colonoscopy (not high risk): rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $154.52 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $883.63 ANTHEM MCR ADV — ANTHEM MCR ADV: $154.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $154.52 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $872.45 HUMANA MCR ADV — HUMANA MCR ADV: $154.52
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$1,954	$1,563.20	$571.38 – $1,543.66
Gallbladder removal by laparoscope: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $571.38 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,543.66 ANTHEM MCR ADV — ANTHEM MCR ADV: $571.38 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $571.38 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,524.12 HUMANA MCR ADV — HUMANA MCR ADV: $571.38
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$1,546	$1,236.80	$459.67 – $1,221.34
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $459.67 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,221.34 ANTHEM MCR ADV — ANTHEM MCR ADV: $459.67 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $459.67 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $1,205.88 HUMANA MCR ADV — HUMANA MCR ADV: $459.67
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$1,194.88	$955.91	$188.81 – $943.96
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $188.81 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $943.96 ANTHEM MCR ADV — ANTHEM MCR ADV: $188.81 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $188.81 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $932.01 HUMANA MCR ADV — HUMANA MCR ADV: $188.81
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$2,463	$1,970.40	$507.19 – $2,389.11
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $746.83 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,945.77 ANTHEM MCR ADV — ANTHEM MCR ADV: $746.83 ANTHEM MEDICAID — ANTHEM MEDICAID: $507.19 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $1,070.42 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $1,154.65 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $1,189.38 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,464.99 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,239.68 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,699.47
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$2,770	$2,216	$935.78 – $2,770
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $935.78 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,188.30 ANTHEM MCR ADV — ANTHEM MCR ADV: $935.78 ANTHEM MEDICAID — ANTHEM MEDICAID: $2,770 ANTHEM ON EXCHANGE — ANTHEM ON EXCHANGE: $1,203.84 ANTHEM PLAN HMO — ANTHEM PLAN HMO: $1,298.58 ANTHEM PPO/OFF EXCHANGE — ANTHEM PPO/OFF EXCHANGE: $1,337.63 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,647.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,553.31 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $1,911.30
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$1,266	$1,012.80	$389.54 – $1,000.14
Carpal tunnel release: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $389.54 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,000.14 ANTHEM MCR ADV — ANTHEM MCR ADV: $389.54 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $389.54 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $987.48 HUMANA MCR ADV — HUMANA MCR ADV: $389.54

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) In the file: Vaginal delivery with care before and after delivery	$4,940.77	$3,952.62	$1,987.79 – $3,903.21
Vaginal delivery, with care before and after: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $1,987.79 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,903.21 ANTHEM MCR ADV — ANTHEM MCR ADV: $1,987.79 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,987.79 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $3,853.80 HUMANA MCR ADV — HUMANA MCR ADV: $1,987.79
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery	$5,461	$4,368.80	$2,201.39 – $4,314.19
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $2,201.39 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $4,314.19 ANTHEM MCR ADV — ANTHEM MCR ADV: $2,201.39 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,201.39 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $4,259.58 HUMANA MCR ADV — HUMANA MCR ADV: $2,201.39
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery	$5,171.50	$4,137.20	$2,071.72 – $4,085.49
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans AETNA MCR ADV — AETNA MCR ADV: $2,071.72 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $4,085.49 ANTHEM MCR ADV — ANTHEM MCR ADV: $2,071.72 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,071.72 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $4,033.77 HUMANA MCR ADV — HUMANA MCR ADV: $2,071.72

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$18,582.20	$14,865.76	$5,327.52 – $22,029.97
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $14,999.11 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $14,679.94 ANTHEM MCR ADV — ANTHEM MCR ADV: $14,999.11 ANTHEM MEDICAID — ANTHEM MEDICAID: $5,327.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $22,029.97 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $12,821.72 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $14,494.12 HUMANA MCR ADV — HUMANA MCR ADV: $14,999.11 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $18,024.74 SIHO - ALL PLANS — SIHO - ALL PLANS: $16,723.98
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$22,810.25	$18,248.20	$6,539.70 – $22,125.94
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $9,647.67 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $18,020.09 ANTHEM MCR ADV — ANTHEM MCR ADV: $9,647.67 ANTHEM MEDICAID — ANTHEM MEDICAID: $6,539.70 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $14,170.03 ENCORE - ALL PLANS — ENCORE - ALL PLANS: $15,739.07 HUMANA - ALL OTHER PLANS — HUMANA - ALL OTHER PLANS: $17,791.99 HUMANA MCR ADV — HUMANA MCR ADV: $9,647.67 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $22,125.94 SIHO - ALL PLANS — SIHO - ALL PLANS: $20,529.22

Source: Johnson Memorial Hospital’s standard charges file (ddec1-0-en-ctp.trendmicro.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 22, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1125 W Jefferson St, Franklin, IN 46131
County	Johnson County
State	Indiana
Phone	(317) 736‑3300
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150001
Name in Medicare records	JOHNSON MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	johnsonmemorial.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Johnson Memorial Health — johnsonmemorial.org
Emergency Care — johnsonmemorial.org
Guest Services — johnsonmemorial.org
Guest Services l Johnson Memorial Health — johnsonmemorial.org
Wellness Services l Johnson Memorial Health — johnsonmemorial.org
About Us l Johnson Memorial Health — johnsonmemorial.org
Laboratory Services l Johnson Memorial Health — johnsonmemorial.org
Emergency Care l Johnson Memorial Health — johnsonmemorial.org
Orthopedic and Sports Medicine l Johnson Memorial Health — johnsonmemorial.org
Comprehensive Pain Services l Johnson Memorial Health — johnsonmemorial.org
Outpatient Rehabilitation l Johnson Memorial Health — johnsonmemorial.org
Stroke Care l Johnson Memorial Health — johnsonmemorial.org
DAISY Award l Johnson Memorial Health — johnsonmemorial.org

Johnson Memorial Hospital

Summary

Profile from official sources

At a glance