Does King's Daughters Medical Center-Brookhaven have an emergency room?

Yes. Medicare (CMS) data lists emergency services at King's Daughters Medical Center-Brookhaven. In a medical emergency, call 911.

Where is King's Daughters Medical Center-Brookhaven?

P O Box 948/427 Highway 51 North, Brookhaven, MS 39601, in Lincoln County, Mississippi.

What is the phone number of King's Daughters Medical Center-Brookhaven?

(601) 833-6011, as listed by Medicare (CMS).

What is the Medicare star rating of King's Daughters Medical Center-Brookhaven?

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

King's Daughters Medical Center-Brookhaven

Quick answers

Does King's Daughters Medical Center-Brookhaven have an emergency room?: Yes. Medicare (CMS) data lists emergency services at King's Daughters Medical Center-Brookhaven. In a medical emergency, call 911.
Where is King's Daughters Medical Center-Brookhaven?: P O Box 948/427 Highway 51 North, Brookhaven, MS 39601, in Lincoln County, Mississippi.
What is the phone number of King's Daughters Medical Center-Brookhaven?: (601) 833-6011, as listed by Medicare (CMS).
What is the Medicare star rating of King's Daughters Medical Center-Brookhaven?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][8]

Allergy & ENT
Behavioral Wellness
Cancer Care
Cardiology
Cardiopulmonary
Critical Care
Emergency Medicine
Endoscopy
Eye Care
Hospitalist Program
Imaging
Infusion Therapy
Nephrology
Orthopedics
Pain Management
Pediatrics
Pharmacy
Physical Therapy & Rehabilitation
Primary Care & Internal Medicine
Sleep Medicine
Sports Medicine
Surgery
Urology
Vein Treatment
Women's Health
Occupational Medicine & Workforce Wellness
Wound Care

Conditions treated^[8]

Breast cancer

Treatments^[8]

Robotic-assisted surgery (da Vinci)
Minimally invasive surgery

Procedures^[8]

Breast surgery
Colon resection
Endoscopy
Gallbladder surgery
Hernia repair
Vertical sleeve gastrectomy

Programs and centers^[5][7]

Diabetes Prevention Program (CDC recognized)
Wound Care Center
Pregnancy Center

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting hours 9 a.m.-6 p.m.; ICU visits at 10 a.m., 2 p.m. and 5 p.m., 30 minutes, one adult^[6]
Patient portal	Patient Portal

Recognition^[7]

Baby-Friendly Designation (2025)
Leapfrog Hospital Safety Grade A
Women's Choice Award for Emergency Care (2026)
Women's Choice Award for Obstetrics (2026)
Healogics Center of Distinction (2025)
CDC Full Recognition for Diabetes Prevention Program (2021)

Doctors and clinicians (308)

308 doctors and other clinicians list King's Daughters Medical Center-Brookhaven 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 284 more: the button below opens the full list.

Other emergency rooms nearby

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

Copiah County Medical Center18 mi · Hazlehurst, MS · Critical Access Hospital
Lawrence County Hospital CAH21 mi · Monticello, MS · Critical Access Hospital
Southwest MS Regional Medical Center22 mi · McComb, MS · Acute Care Hospital
Franklin County Memorial Hospital26 mi · Meadville, MS · Critical Access Hospital
Jefferson Davis Community Hospital CAH34 mi · Prentiss, MS · Critical Access Hospital

Other hospitals nearby

Beacham Memorial Hospital30 mi · Magnolia, MS · 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

Silver Cross Health & Rehab0.9 mi · Brookhaven, MS · 4 of 5 stars
Diversicare of Brookhaven1.0 mi · Brookhaven, MS · 2 of 5 stars
Trend Health and Rehab of Brookhaven1.0 mi · Brookhaven, MS · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Compassus-Mid-Mississippi1.2 mi · Brookhaven, MS
Deaconess Hospice1.2 mi · Brookhaven, MS · 3 of 5 stars
Dignity Hospice LLC1.2 mi · Brookhaven, MS

All hospice providers in the state →

Home health agencies

Deaconess Homecare-Region I I1.2 mi · Brookhaven, MS · 3 of 5 stars
Centerwell Home Health18 mi · Hazlehurst, MS · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

RCG Brookhaven1.2 mi · Brookhaven, MS · 2 of 5 stars
FMC Hazlehurst18 mi · Hazlehurst, MS · 2 of 5 stars
Silver Creek Dialysis25 mi · Silver Creek, MS · 4 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

Family Health Care Clinic Inc1.2 mi · Brookhaven, MS · Community health center
Family Health Care Clinic, Bogue Chitto--Head Start10 mi · Bogue Chitto, MS · Community health center
Family Health Care Clinic, Inc. --MONTICELLO20 mi · Monticello, MS · Community health center

Clinics and urgent care

Extended Care Clinical Services, LLC1.2 mi · Brookhaven, MS · Rural health clinic
Fast Pace Health1.2 mi · Brookhaven, MS · Rural health clinic
KDMC Pediatric Adolescent Clinic1.2 mi · Brookhaven, MS · Rural health clinic

Pharmacies

Bakers Pharmacy Inc1.2 mi · Brookhaven, MS · Community/retail pharmacy
DHP Brookhaven, Inc1.2 mi · Brookhaven, MS · Community/retail pharmacy
KCRX Brookhaven LLC1.2 mi · Brookhaven, MS · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What King's Daughters Medical Center-Brookhaven 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	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 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
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	78%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	66%National average: 60%
Completed surveys	330Response rate: 23%

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	0No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	15.8%
Deaths within 30 days: pneumonia patients	18.8%
Deaths within 30 days: COPD patients	9.6%
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)	0.97No different from the national rate
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	21%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	20.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	140 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	89%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 Mississippi Best hospitals in Mississippi

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as King's Daughters Medical Center-Brookhaven 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) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN	$194	$58.20	$68.32 – $820
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $68.32 AMBETTER — Commercial: $92.23 Cigna — Medicare Advantage: $68.32 First Choice — Commercial: $102.48 Humana — Medicare Advantage: $68.32 Magnolia Health Plan — Commercial: $92.23 Magnolia Health Plan — Commercial Exchange: $92.23 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $68.32 Vantage Health Plan — Commercial: $157.14
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$275	$82.50	$68.32 – $820
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $68.32 AMBETTER — Commercial: $92.23 Cigna — Medicare Advantage: $68.32 First Choice — Commercial: $102.48 Humana — Medicare Advantage: $68.32 Magnolia Health Plan — Commercial: $92.23 Magnolia Health Plan — Commercial Exchange: $92.23 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $68.32 Vantage Health Plan — Commercial: $157.14
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: OFFICE O/P NEW LOW 30 MIN	$194	$58.20	$68.32 – $820
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $68.32 AMBETTER — Commercial: $92.23 Cigna — Medicare Advantage: $68.32 First Choice — Commercial: $102.48 Humana — Medicare Advantage: $68.32 Magnolia Health Plan — Commercial: $92.23 Magnolia Health Plan — Commercial Exchange: $92.23 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $68.32 Vantage Health Plan — Commercial: $157.14
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN	$215	$64.50	$111.75 – $820
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $111.75 AMBETTER — Commercial: $150.86 Cigna — Medicare Advantage: $111.75 First Choice — Commercial: $167.62 Humana — Medicare Advantage: $111.75 Magnolia Health Plan — Commercial: $150.86 Magnolia Health Plan — Commercial Exchange: $150.86 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $111.75 Vantage Health Plan — Commercial: $257.02
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$354	$106.20	$111.75 – $820
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $111.75 AMBETTER — Commercial: $150.86 Cigna — Medicare Advantage: $111.75 First Choice — Commercial: $167.62 Humana — Medicare Advantage: $111.75 Magnolia Health Plan — Commercial: $150.86 Magnolia Health Plan — Commercial Exchange: $150.86 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $111.75 Vantage Health Plan — Commercial: $257.02
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: OFFICE O/P NEW MOD 45 MIN	$267	$80.10	$111.75 – $820
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $111.75 AMBETTER — Commercial: $150.86 Cigna — Medicare Advantage: $111.75 First Choice — Commercial: $167.62 Humana — Medicare Advantage: $111.75 Magnolia Health Plan — Commercial: $150.86 Magnolia Health Plan — Commercial Exchange: $150.86 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $111.75 Vantage Health Plan — Commercial: $257.02
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN	$260	$78	$152.82 – $820
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $152.82 AMBETTER — Commercial: $206.31 Cigna — Medicare Advantage: $152.82 First Choice — Commercial: $229.23 Humana — Medicare Advantage: $152.82 Magnolia Health Plan — Commercial: $206.31 Magnolia Health Plan — Commercial Exchange: $206.31 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $152.82 Vantage Health Plan — Commercial: $351.49
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES	$259	$77.70	$152.82 – $820
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $152.82 AMBETTER — Commercial: $206.31 Cigna — Medicare Advantage: $152.82 First Choice — Commercial: $229.23 Humana — Medicare Advantage: $152.82 Magnolia Health Plan — Commercial: $206.31 Magnolia Health Plan — Commercial Exchange: $206.31 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $152.82 Vantage Health Plan — Commercial: $351.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN	$130	$39	$55.13 – $820
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $55.13 AMBETTER — Commercial: $74.43 Cigna — Medicare Advantage: $55.13 First Choice — Commercial: $82.69 Humana — Medicare Advantage: $55.13 Magnolia Health Plan — Commercial: $74.43 Magnolia Health Plan — Commercial Exchange: $74.43 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $55.13 Vantage Health Plan — Commercial: $126.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$320	$96	$55.13 – $820
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $55.13 AMBETTER — Commercial: $74.43 Cigna — Medicare Advantage: $55.13 First Choice — Commercial: $82.70 Humana — Medicare Advantage: $55.13 Magnolia Health Plan — Commercial: $74.43 Magnolia Health Plan — Commercial Exchange: $74.43 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $55.13 Vantage Health Plan — Commercial: $126.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: OFFICE O/P EST LOW 20 MIN	$109	$32.70	$55.13 – $820
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $55.13 AMBETTER — Commercial: $74.43 Cigna — Medicare Advantage: $55.13 First Choice — Commercial: $82.69 Humana — Medicare Advantage: $55.13 Magnolia Health Plan — Commercial: $74.43 Magnolia Health Plan — Commercial Exchange: $74.43 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $55.13 Vantage Health Plan — Commercial: $126.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN	$160	$48	$81.10 – $820
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $81.10 AMBETTER — Commercial: $109.48 Cigna — Medicare Advantage: $81.10 First Choice — Commercial: $121.65 Humana — Medicare Advantage: $81.10 Magnolia Health Plan — Commercial: $109.48 Magnolia Health Plan — Commercial Exchange: $109.48 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $81.10 Vantage Health Plan — Commercial: $186.53
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$275	$82.50	$81.10 – $820
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $81.10 AMBETTER — Commercial: $109.48 Cigna — Medicare Advantage: $81.10 First Choice — Commercial: $121.65 Humana — Medicare Advantage: $81.10 Magnolia Health Plan — Commercial: $109.48 Magnolia Health Plan — Commercial Exchange: $109.48 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $81.10 Vantage Health Plan — Commercial: $186.53
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: OFFICE O/P EST MOD 30 MIN	$171	$51.30	$81.10 – $820
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $81.10 AMBETTER — Commercial: $109.48 Cigna — Medicare Advantage: $81.10 First Choice — Commercial: $121.65 Humana — Medicare Advantage: $81.10 Magnolia Health Plan — Commercial: $109.48 Magnolia Health Plan — Commercial Exchange: $109.48 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $81.10 Vantage Health Plan — Commercial: $186.53
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$150	$45	$820
Office consultation with a specialist (moderate): rates for 4 insurance plans UnitedHealthcare — Commercial: $820 Aetna — Commercial: 71.5% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 39.3% (a percentage in the contract, not a dollar amount) PPOPlus — Commercial: 70% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$254	$76.20	$820
Office consultation with a specialist (moderate to high): rates for 4 insurance plans UnitedHealthcare — Commercial: $820 Aetna — Commercial: 71.5% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 39.3% (a percentage in the contract, not a dollar amount) PPOPlus — Commercial: 70% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39	$166	$49.80	$820
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans UnitedHealthcare — Commercial: $820 Aetna — Commercial: 71.5% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 39.3% (a percentage in the contract, not a dollar amount) PPOPlus — Commercial: 70% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	$163	$48.90	$820
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans UnitedHealthcare — Commercial: $820 Aetna — Commercial: 71.5% (a percentage in the contract, not a dollar amount) PPOPlus — Commercial: 70% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64	$192	$57.60	$820
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans UnitedHealthcare — Commercial: $820 Aetna — Commercial: 71.5% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 39.3% (a percentage in the contract, not a dollar amount) PPOPlus — Commercial: 70% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM	$393	$117.90	$250.82 – $923
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $250.82 AMBETTER — Commercial: $338.61 Cigna — Commercial: $822 Cigna — Medicare Advantage: $250.82 First Choice — Commercial: $376.23 Humana — Medicare Advantage: $250.82 Magnolia Health Plan — Commercial: $338.61 Magnolia Health Plan — Commercial Exchange: $338.61 UnitedHealthcare — Commercial: $923 UnitedHealthcare — VA: $250.82
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$624	$187.20	$250.82 – $923
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $250.82 AMBETTER — Commercial: $338.61 Cigna — Commercial: $822 Cigna — Medicare Advantage: $250.82 First Choice — Commercial: $376.23 Humana — Medicare Advantage: $250.82 Magnolia Health Plan — Commercial: $338.61 Magnolia Health Plan — Commercial Exchange: $338.61 UnitedHealthcare — Commercial: $923 UnitedHealthcare — VA: $250.82
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$624	$187.20	$250.82 – $923
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $250.82 AMBETTER — Commercial: $338.61 Cigna — Commercial: $822 Cigna — Medicare Advantage: $250.82 First Choice — Commercial: $376.23 Humana — Medicare Advantage: $250.82 Magnolia Health Plan — Commercial: $338.61 Magnolia Health Plan — Commercial Exchange: $338.61 UnitedHealthcare — Commercial: $923 UnitedHealthcare — VA: $250.82
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$718	$215.40	$383.40 – $1,948
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $383.40 AMBETTER — Commercial: $517.59 Cigna — Commercial: $1,485 Cigna — Medicare Advantage: $383.40 First Choice — Commercial: $575.10 Humana — Medicare Advantage: $383.40 Magnolia Health Plan — Commercial: $517.59 Magnolia Health Plan — Commercial Exchange: $517.59 UnitedHealthcare — Commercial: $1,948 UnitedHealthcare — VA: $383.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$951	$285.30	$383.40 – $1,948
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $383.40 AMBETTER — Commercial: $517.59 Cigna — Commercial: $1,485 Cigna — Medicare Advantage: $383.40 First Choice — Commercial: $575.10 Humana — Medicare Advantage: $383.40 Magnolia Health Plan — Commercial: $517.59 Magnolia Health Plan — Commercial Exchange: $517.59 UnitedHealthcare — Commercial: $1,948 UnitedHealthcare — VA: $383.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$951	$285.30	$383.40 – $1,948
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $383.40 AMBETTER — Commercial: $517.59 Cigna — Commercial: $1,485 Cigna — Medicare Advantage: $383.40 First Choice — Commercial: $575.10 Humana — Medicare Advantage: $383.40 Magnolia Health Plan — Commercial: $517.59 Magnolia Health Plan — Commercial Exchange: $517.59 UnitedHealthcare — Commercial: $1,948 UnitedHealthcare — VA: $383.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM	$1,074	$322.20	$547.21 – $2,358
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $547.21 AMBETTER — Commercial: $738.73 Cigna — Commercial: $2,122 Cigna — Medicare Advantage: $547.21 First Choice — Commercial: $820.82 Humana — Medicare Advantage: $547.21 Magnolia Health Plan — Commercial: $738.73 Magnolia Health Plan — Commercial Exchange: $738.73 UnitedHealthcare — Commercial: $2,358 UnitedHealthcare — VA: $547.21
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$1,353	$405.90	$547.21 – $2,358
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $547.21 AMBETTER — Commercial: $738.73 Cigna — Commercial: $2,122 Cigna — Medicare Advantage: $547.21 First Choice — Commercial: $820.82 Humana — Medicare Advantage: $547.21 Magnolia Health Plan — Commercial: $738.73 Magnolia Health Plan — Commercial Exchange: $738.73 UnitedHealthcare — Commercial: $2,358 UnitedHealthcare — VA: $547.21
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: EMERGENCY DEPT VISIT HI MDM	$1,138	$341.40	$547.21 – $2,358
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $547.21 AMBETTER — Commercial: $738.73 Cigna — Commercial: $2,122 Cigna — Medicare Advantage: $547.21 First Choice — Commercial: $820.82 Humana — Medicare Advantage: $547.21 Magnolia Health Plan — Commercial: $738.73 Magnolia Health Plan — Commercial Exchange: $738.73 UnitedHealthcare — Commercial: $2,358 UnitedHealthcare — VA: $547.21

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: METABOLIC PANEL TOTAL CA	$209	$62.70	$4.23 – $820
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.46 AMBETTER — Commercial: $11.42 Cigna — Medicare Advantage: $4.23 First Choice — Commercial: $12.69 Humana — Medicare Advantage: $8.46 Magnolia Health Plan — Commercial: $11.42 Magnolia Health Plan — Commercial Exchange: $11.42 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.46 Vantage Health Plan — Commercial: $19.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$627	$188.10	$4.23 – $820
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.46 AMBETTER — Commercial: $11.42 Cigna — Medicare Advantage: $4.23 First Choice — Commercial: $12.69 Humana — Medicare Advantage: $8.46 Magnolia Health Plan — Commercial: $11.42 Magnolia Health Plan — Commercial Exchange: $11.42 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.46 Vantage Health Plan — Commercial: $19.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$418	$125.40	$4.23 – $820
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.46 AMBETTER — Commercial: $11.42 Cigna — Medicare Advantage: $4.23 First Choice — Commercial: $12.69 Humana — Medicare Advantage: $8.46 Magnolia Health Plan — Commercial: $11.42 Magnolia Health Plan — Commercial Exchange: $11.42 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.46 Vantage Health Plan — Commercial: $19.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$262	$78.60	$5.28 – $820
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10.56 AMBETTER — Commercial: $14.26 Cigna — Medicare Advantage: $5.28 First Choice — Commercial: $15.84 Humana — Medicare Advantage: $10.56 Magnolia Health Plan — Commercial: $14.26 Magnolia Health Plan — Commercial Exchange: $14.26 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $10.56 Vantage Health Plan — Commercial: $24.29
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$262	$78.60	$5.28 – $820
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10.56 AMBETTER — Commercial: $14.26 Cigna — Medicare Advantage: $5.28 First Choice — Commercial: $15.84 Humana — Medicare Advantage: $10.56 Magnolia Health Plan — Commercial: $14.26 Magnolia Health Plan — Commercial Exchange: $14.26 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $10.56 Vantage Health Plan — Commercial: $24.29
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier AY In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$262	$78.60	$5.28 – $820
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $10.56 AMBETTER — Commercial: $14.26 Cigna — Medicare Advantage: $5.28 First Choice — Commercial: $15.84 Humana — Medicare Advantage: $10.56 Magnolia Health Plan — Commercial: $14.26 Magnolia Health Plan — Commercial Exchange: $14.26 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $10.56 Vantage Health Plan — Commercial: $24.29
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$333	$99.90	$6.70 – $820
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $13.39 AMBETTER — Commercial: $18.08 Cigna — Medicare Advantage: $6.70 First Choice — Commercial: $20.08 Humana — Medicare Advantage: $13.39 Magnolia Health Plan — Commercial: $18.08 Magnolia Health Plan — Commercial Exchange: $18.08 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $13.39 Vantage Health Plan — Commercial: $30.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$666	$199.80	$6.70 – $820
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $13.39 AMBETTER — Commercial: $18.08 Cigna — Medicare Advantage: $6.70 First Choice — Commercial: $20.08 Humana — Medicare Advantage: $13.39 Magnolia Health Plan — Commercial: $18.08 Magnolia Health Plan — Commercial Exchange: $18.08 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $13.39 Vantage Health Plan — Commercial: $30.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$333	$99.90	$6.70 – $820
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $13.39 AMBETTER — Commercial: $18.08 Cigna — Medicare Advantage: $6.70 First Choice — Commercial: $20.08 Humana — Medicare Advantage: $13.39 Magnolia Health Plan — Commercial: $18.08 Magnolia Health Plan — Commercial Exchange: $18.08 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $13.39 Vantage Health Plan — Commercial: $30.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$215	$64.50	$4.34 – $820
Kidney function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.68 AMBETTER — Commercial: $11.72 Cigna — Medicare Advantage: $4.34 First Choice — Commercial: $13.02 Humana — Medicare Advantage: $8.68 Magnolia Health Plan — Commercial: $11.72 Magnolia Health Plan — Commercial Exchange: $11.72 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.68 Vantage Health Plan — Commercial: $19.96
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$424	$127.20	$4.34 – $820
Kidney function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.68 AMBETTER — Commercial: $11.72 Cigna — Medicare Advantage: $4.34 First Choice — Commercial: $13.02 Humana — Medicare Advantage: $8.68 Magnolia Health Plan — Commercial: $11.72 Magnolia Health Plan — Commercial Exchange: $11.72 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.68 Vantage Health Plan — Commercial: $19.96
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL	$203	$60.90	$4.08 – $820
Liver function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.17 AMBETTER — Commercial: $11.03 Cigna — Medicare Advantage: $4.08 First Choice — Commercial: $12.26 Humana — Medicare Advantage: $8.17 Magnolia Health Plan — Commercial: $11.03 Magnolia Health Plan — Commercial Exchange: $11.03 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.17 Vantage Health Plan — Commercial: $18.79
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: LIVER FUNCTION BLOOD TEST PANEL	$203	$60.90	$4.08 – $820
Liver function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.17 AMBETTER — Commercial: $11.03 Cigna — Medicare Advantage: $4.08 First Choice — Commercial: $12.26 Humana — Medicare Advantage: $8.17 Magnolia Health Plan — Commercial: $11.03 Magnolia Health Plan — Commercial Exchange: $11.03 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.17 Vantage Health Plan — Commercial: $18.79
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: LIVER FUNCTION BLOOD TEST PANEL	$203	$60.90	$4.08 – $820
Liver function panel: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8.17 AMBETTER — Commercial: $11.03 Cigna — Medicare Advantage: $4.08 First Choice — Commercial: $12.26 Humana — Medicare Advantage: $8.17 Magnolia Health Plan — Commercial: $11.03 Magnolia Health Plan — Commercial Exchange: $11.03 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $8.17 Vantage Health Plan — Commercial: $18.79
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$89	$26.70	$1.58 – $820
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.17 AMBETTER — Commercial: $4.28 Cigna — Medicare Advantage: $1.58 First Choice — Commercial: $4.76 Humana — Medicare Advantage: $3.17 Magnolia Health Plan — Commercial: $4.28 Magnolia Health Plan — Commercial Exchange: $4.28 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $3.17 Vantage Health Plan — Commercial: $7.29
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$89	$26.70	$1.58 – $820
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.17 AMBETTER — Commercial: $4.28 Cigna — Medicare Advantage: $1.58 First Choice — Commercial: $4.76 Humana — Medicare Advantage: $3.17 Magnolia Health Plan — Commercial: $4.28 Magnolia Health Plan — Commercial Exchange: $4.28 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $3.17 Vantage Health Plan — Commercial: $7.29
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$89	$26.70	$1.58 – $820
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.17 AMBETTER — Commercial: $4.28 Cigna — Medicare Advantage: $1.58 First Choice — Commercial: $4.76 Humana — Medicare Advantage: $3.17 Magnolia Health Plan — Commercial: $4.28 Magnolia Health Plan — Commercial Exchange: $4.28 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $3.17 Vantage Health Plan — Commercial: $7.29
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST	$62	$18.60	$1.74 – $820
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3.48 AMBETTER — Commercial: $4.70 Cigna — Medicare Advantage: $1.74 First Choice — Commercial: $5.22 Humana — Medicare Advantage: $3.48 Magnolia Health Plan — Commercial: $4.70 Magnolia Health Plan — Commercial Exchange: $4.70 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $3.48 Vantage Health Plan — Commercial: $8
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$77	$23.10	$1.12 – $820
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2.25 AMBETTER — Commercial: $3.04 Cigna — Medicare Advantage: $1.12 First Choice — Commercial: $3.38 Humana — Medicare Advantage: $2.25 Magnolia Health Plan — Commercial: $3.04 Magnolia Health Plan — Commercial Exchange: $3.04 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $2.25 Vantage Health Plan — Commercial: $5.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: URINALYSIS AUTO W/O SCOPE	$77	$23.10	$1.12 – $820
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2.25 AMBETTER — Commercial: $3.04 Cigna — Medicare Advantage: $1.12 First Choice — Commercial: $3.38 Humana — Medicare Advantage: $2.25 Magnolia Health Plan — Commercial: $3.04 Magnolia Health Plan — Commercial Exchange: $3.04 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $2.25 Vantage Health Plan — Commercial: $5.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: AUTOMATED URINALYSIS TEST	$77	$23.10	$1.12 – $820
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2.25 AMBETTER — Commercial: $3.04 Cigna — Medicare Advantage: $1.12 First Choice — Commercial: $3.38 Humana — Medicare Advantage: $2.25 Magnolia Health Plan — Commercial: $3.04 Magnolia Health Plan — Commercial Exchange: $3.04 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $2.25 Vantage Health Plan — Commercial: $5.18
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$389	$116.70	$9.20 – $820
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $18.39 AMBETTER — Commercial: $24.83 Cigna — Medicare Advantage: $9.20 First Choice — Commercial: $27.58 Humana — Medicare Advantage: $18.39 Magnolia Health Plan — Commercial: $24.83 Magnolia Health Plan — Commercial Exchange: $24.83 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $18.39 Vantage Health Plan — Commercial: $42.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$389	$116.70	$9.20 – $820
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $18.39 AMBETTER — Commercial: $24.83 Cigna — Medicare Advantage: $9.20 First Choice — Commercial: $27.58 Humana — Medicare Advantage: $18.39 Magnolia Health Plan — Commercial: $24.83 Magnolia Health Plan — Commercial Exchange: $24.83 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $18.39 Vantage Health Plan — Commercial: $42.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$99	$29.70	$8.40 – $820
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $16.80 AMBETTER — Commercial: $22.68 Cigna — Medicare Advantage: $8.40 First Choice — Commercial: $25.20 Humana — Medicare Advantage: $16.80 Magnolia Health Plan — Commercial: $22.68 Magnolia Health Plan — Commercial Exchange: $22.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $16.80 Vantage Health Plan — Commercial: $38.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$45	$13.50	$8.40 – $820
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $16.80 AMBETTER — Commercial: $22.68 Cigna — Medicare Advantage: $8.40 First Choice — Commercial: $25.20 Humana — Medicare Advantage: $16.80 Magnolia Health Plan — Commercial: $22.68 Magnolia Health Plan — Commercial Exchange: $22.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $16.80 Vantage Health Plan — Commercial: $38.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$45	$13.50	$8.40 – $820
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $16.80 AMBETTER — Commercial: $22.68 Cigna — Medicare Advantage: $8.40 First Choice — Commercial: $25.20 Humana — Medicare Advantage: $16.80 Magnolia Health Plan — Commercial: $22.68 Magnolia Health Plan — Commercial Exchange: $22.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $16.80 Vantage Health Plan — Commercial: $38.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$172	$51.60	$3.89 – $820
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.77 AMBETTER — Commercial: $10.49 Cigna — Medicare Advantage: $3.89 First Choice — Commercial: $11.66 Humana — Medicare Advantage: $7.77 Magnolia Health Plan — Commercial: $10.49 Magnolia Health Plan — Commercial Exchange: $10.49 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $7.77 Vantage Health Plan — Commercial: $17.87
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$344	$103.20	$3.89 – $820
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.77 AMBETTER — Commercial: $10.49 Cigna — Medicare Advantage: $3.89 First Choice — Commercial: $11.66 Humana — Medicare Advantage: $7.77 Magnolia Health Plan — Commercial: $10.49 Magnolia Health Plan — Commercial Exchange: $10.49 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $7.77 Vantage Health Plan — Commercial: $17.87
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier AY In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$172	$51.60	$3.89 – $820
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $7.77 AMBETTER — Commercial: $10.49 Cigna — Medicare Advantage: $3.89 First Choice — Commercial: $11.66 Humana — Medicare Advantage: $7.77 Magnolia Health Plan — Commercial: $10.49 Magnolia Health Plan — Commercial Exchange: $10.49 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $7.77 Vantage Health Plan — Commercial: $17.87
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$172	$51.60	$3.23 – $820
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.47 AMBETTER — Commercial: $8.73 Cigna — Medicare Advantage: $3.23 First Choice — Commercial: $9.71 Humana — Medicare Advantage: $6.47 Magnolia Health Plan — Commercial: $8.73 Magnolia Health Plan — Commercial Exchange: $8.73 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $6.47 Vantage Health Plan — Commercial: $14.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$172	$51.60	$3.23 – $820
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.47 AMBETTER — Commercial: $8.73 Cigna — Medicare Advantage: $3.23 First Choice — Commercial: $9.71 Humana — Medicare Advantage: $6.47 Magnolia Health Plan — Commercial: $8.73 Magnolia Health Plan — Commercial Exchange: $8.73 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $6.47 Vantage Health Plan — Commercial: $14.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME	$95	$28.50	$2.14 – $820
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4.29 AMBETTER — Commercial: $5.79 Cigna — Medicare Advantage: $2.14 First Choice — Commercial: $6.43 Humana — Medicare Advantage: $4.29 Magnolia Health Plan — Commercial: $5.79 Magnolia Health Plan — Commercial Exchange: $5.79 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $4.29 Vantage Health Plan — Commercial: $9.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; CLOTTING TIME	$17	$5.10	$2.15 – $820
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4.29 AMBETTER — Commercial: $5.79 Cigna — Medicare Advantage: $2.15 First Choice — Commercial: $6.44 Humana — Medicare Advantage: $4.29 Magnolia Health Plan — Commercial: $5.79 Magnolia Health Plan — Commercial Exchange: $5.79 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $4.29 Vantage Health Plan — Commercial: $9.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; CLOTTING TIME	$95	$28.50	$2.14 – $820
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $4.29 AMBETTER — Commercial: $5.79 Cigna — Medicare Advantage: $2.14 First Choice — Commercial: $6.43 Humana — Medicare Advantage: $4.29 Magnolia Health Plan — Commercial: $5.79 Magnolia Health Plan — Commercial Exchange: $5.79 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $4.29 Vantage Health Plan — Commercial: $9.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$152	$45.60	$3 – $820
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.01 AMBETTER — Commercial: $8.11 Cigna — Medicare Advantage: $3 First Choice — Commercial: $9.02 Humana — Medicare Advantage: $6.01 Magnolia Health Plan — Commercial: $8.11 Magnolia Health Plan — Commercial Exchange: $8.11 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $6.01 Vantage Health Plan — Commercial: $13.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91_GA In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$304	$91.20	$3 – $820
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.01 AMBETTER — Commercial: $8.11 Cigna — Medicare Advantage: $3 First Choice — Commercial: $9.02 Humana — Medicare Advantage: $6.01 Magnolia Health Plan — Commercial: $8.11 Magnolia Health Plan — Commercial Exchange: $8.11 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $6.01 Vantage Health Plan — Commercial: $13.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$152	$45.60	$3 – $820
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $6.01 AMBETTER — Commercial: $8.11 Cigna — Medicare Advantage: $3 First Choice — Commercial: $9.02 Humana — Medicare Advantage: $6.01 Magnolia Health Plan — Commercial: $8.11 Magnolia Health Plan — Commercial Exchange: $8.11 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $6.01 Vantage Health Plan — Commercial: $13.82

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$2,107	$632.10	$96.06 – $955
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Commercial: $955 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$2,107	$632.10	$96.06 – $955
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Commercial: $955 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$2,107	$632.10	$96.06 – $955
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Commercial: $955 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	$2,811	$843.30	$320.56 – $1,087
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $320.56 AMBETTER — Commercial: $432.76 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $320.56 First Choice — Commercial: $480.84 Humana — Medicare Advantage: $320.56 Magnolia Health Plan — Commercial: $432.76 Magnolia Health Plan — Commercial Exchange: $432.76 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $320.56
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$3,942	$1,182.60	$320.56 – $1,087
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $320.56 AMBETTER — Commercial: $432.76 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $320.56 First Choice — Commercial: $480.84 Humana — Medicare Advantage: $320.56 Magnolia Health Plan — Commercial: $432.76 Magnolia Health Plan — Commercial Exchange: $432.76 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $320.56
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MH In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$3,942	$1,182.60	$320.56 – $1,087
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $320.56 AMBETTER — Commercial: $432.76 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $320.56 First Choice — Commercial: $480.84 Humana — Medicare Advantage: $320.56 Magnolia Health Plan — Commercial: $432.76 Magnolia Health Plan — Commercial Exchange: $432.76 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $320.56
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$92	$27.60	$79.96 – $820
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $79.96 AMBETTER — Commercial: $107.95 Cigna — Medicare Advantage: $79.96 First Choice — Commercial: $119.94 Humana — Medicare Advantage: $79.96 Magnolia Health Plan — Commercial: $107.95 Magnolia Health Plan — Commercial Exchange: $107.95 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $79.96 Vantage Health Plan — Commercial: $183.91
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS	$333	$99.90	$79.96 – $820
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $79.96 AMBETTER — Commercial: $107.95 Cigna — Medicare Advantage: $79.96 First Choice — Commercial: $119.94 Humana — Medicare Advantage: $79.96 Magnolia Health Plan — Commercial: $107.95 Magnolia Health Plan — Commercial Exchange: $107.95 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $79.96 Vantage Health Plan — Commercial: $183.91
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 76 In the file: X-RAY EXAM CHEST 2 VIEWS	$333	$99.90	$79.96 – $820
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $79.96 AMBETTER — Commercial: $107.95 Cigna — Medicare Advantage: $79.96 First Choice — Commercial: $119.94 Humana — Medicare Advantage: $79.96 Magnolia Health Plan — Commercial: $107.95 Magnolia Health Plan — Commercial Exchange: $107.95 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $79.96 Vantage Health Plan — Commercial: $183.91
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$344	$103.20	$96.06 – $820
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06 Vantage Health Plan — Commercial: $220.94
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$62	$18.60	$25 – $220.94
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Commercial: $39 Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $25 UnitedHealthcare — VA: $96.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$2,834	$850.20	$219.24 – $1,087
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $219.24 AMBETTER — Commercial: $295.97 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $219.24 First Choice — Commercial: $328.86 Humana — Medicare Advantage: $219.24 Magnolia Health Plan — Commercial: $295.97 Magnolia Health Plan — Commercial Exchange: $295.97 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $219.24
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MH In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$2,834	$850.20	$219.24 – $1,087
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $219.24 AMBETTER — Commercial: $295.97 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $219.24 First Choice — Commercial: $328.86 Humana — Medicare Advantage: $219.24 Magnolia Health Plan — Commercial: $295.97 Magnolia Health Plan — Commercial Exchange: $295.97 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $219.24
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST	$2,864	$859.20	$161.17 – $955
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $161.17 AMBETTER — Commercial: $217.58 Cigna — Commercial: $955 Cigna — Medicare Advantage: $161.17 First Choice — Commercial: $241.75 Humana — Medicare Advantage: $161.17 Magnolia Health Plan — Commercial: $217.58 Magnolia Health Plan — Commercial Exchange: $217.58 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $161.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,830	$849	$219.24 – $1,087
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $219.24 AMBETTER — Commercial: $295.97 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $219.24 First Choice — Commercial: $328.86 Humana — Medicare Advantage: $219.24 Magnolia Health Plan — Commercial: $295.97 Magnolia Health Plan — Commercial Exchange: $295.97 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $219.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,830	$849	$219.24 – $1,087
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $219.24 AMBETTER — Commercial: $295.97 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $219.24 First Choice — Commercial: $328.86 Humana — Medicare Advantage: $219.24 Magnolia Health Plan — Commercial: $295.97 Magnolia Health Plan — Commercial Exchange: $295.97 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $219.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,830	$849	$219.24 – $1,087
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $219.24 AMBETTER — Commercial: $295.97 Cigna — Commercial: $1,087 Cigna — Medicare Advantage: $219.24 First Choice — Commercial: $328.86 Humana — Medicare Advantage: $219.24 Magnolia Health Plan — Commercial: $295.97 Magnolia Health Plan — Commercial Exchange: $295.97 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $219.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,441	$732.30	$320.56 – $955
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $320.56 AMBETTER — Commercial: $432.76 Cigna — Commercial: $955 Cigna — Medicare Advantage: $320.56 First Choice — Commercial: $480.84 Humana — Medicare Advantage: $320.56 Magnolia Health Plan — Commercial: $432.76 Magnolia Health Plan — Commercial Exchange: $432.76 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $320.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,441	$732.30	$320.56 – $955
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $320.56 AMBETTER — Commercial: $432.76 Cigna — Commercial: $955 Cigna — Medicare Advantage: $320.56 First Choice — Commercial: $480.84 Humana — Medicare Advantage: $320.56 Magnolia Health Plan — Commercial: $432.76 Magnolia Health Plan — Commercial Exchange: $432.76 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $320.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,441	$732.30	$320.56 – $955
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $320.56 AMBETTER — Commercial: $432.76 Cigna — Commercial: $955 Cigna — Medicare Advantage: $320.56 First Choice — Commercial: $480.84 Humana — Medicare Advantage: $320.56 Magnolia Health Plan — Commercial: $432.76 Magnolia Health Plan — Commercial Exchange: $432.76 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $320.56
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$790	$237	$96.06 – $820
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06 Vantage Health Plan — Commercial: $220.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$910	$273	$96.06 – $820
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06 Vantage Health Plan — Commercial: $220.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: OB US >= 14 WKS SNGL FETUS	$425	$127.50	$44.33 – $220.94
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Commercial: $98 Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $44.33 UnitedHealthcare — VA: $96.06
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB	$314	$94.20	$96.06 – $820
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06 Vantage Health Plan — Commercial: $220.94
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$346	$103.80	$96.06 – $820
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $96.06 Vantage Health Plan — Commercial: $220.94
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$346	$103.80	$70.78 – $220.94
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Commercial: $120 Aetna — Medicare Advantage: $96.06 AMBETTER — Commercial: $129.68 Cigna — Medicare Advantage: $96.06 First Choice — Commercial: $144.09 Humana — Medicare Advantage: $96.06 Magnolia Health Plan — Commercial: $129.68 Magnolia Health Plan — Commercial Exchange: $129.68 UnitedHealthcare — Commercial: $70.78 UnitedHealthcare — VA: $96.06
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$351	$105.30	$35.96 – $820
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $35.96 AMBETTER — Commercial: $48.55 Cigna — Medicare Advantage: $35.96 First Choice — Commercial: $53.94 Humana — Medicare Advantage: $35.96 Magnolia Health Plan — Commercial: $48.55 Magnolia Health Plan — Commercial Exchange: $48.55 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $35.96 Vantage Health Plan — Commercial: $82.71
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$351	$105.30	$35.96 – $820
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $35.96 AMBETTER — Commercial: $48.55 Cigna — Medicare Advantage: $35.96 First Choice — Commercial: $53.94 Humana — Medicare Advantage: $35.96 Magnolia Health Plan — Commercial: $48.55 Magnolia Health Plan — Commercial Exchange: $48.55 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $35.96 Vantage Health Plan — Commercial: $82.71
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$418	$125.40	$44.28 – $820
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $44.28 AMBETTER — Commercial: $59.78 Cigna — Medicare Advantage: $44.28 First Choice — Commercial: $66.42 Humana — Medicare Advantage: $44.28 Magnolia Health Plan — Commercial: $59.78 Magnolia Health Plan — Commercial Exchange: $59.78 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $44.28 Vantage Health Plan — Commercial: $101.84
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY	$405	$121.50	$33.47 – $820
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $33.47 AMBETTER — Commercial: $45.18 Cigna — Medicare Advantage: $33.47 First Choice — Commercial: $50.20 Humana — Medicare Advantage: $33.47 Magnolia Health Plan — Commercial: $45.18 Magnolia Health Plan — Commercial Exchange: $45.18 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $33.47 Vantage Health Plan — Commercial: $76.98
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SCREENING MAMMOGRAPHY	$351	$105.30	$33.47 – $820
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $33.47 AMBETTER — Commercial: $45.18 Cigna — Medicare Advantage: $33.47 First Choice — Commercial: $50.20 Humana — Medicare Advantage: $33.47 Magnolia Health Plan — Commercial: $45.18 Magnolia Health Plan — Commercial Exchange: $45.18 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $33.47 Vantage Health Plan — Commercial: $76.98
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SCREENING MAMMOGRAPHY	$351	$105.30	$33.47 – $820
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $33.47 AMBETTER — Commercial: $45.18 Cigna — Medicare Advantage: $33.47 First Choice — Commercial: $50.20 Humana — Medicare Advantage: $33.47 Magnolia Health Plan — Commercial: $45.18 Magnolia Health Plan — Commercial Exchange: $45.18 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $33.47 Vantage Health Plan — Commercial: $76.98

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	$4,828	$1,448.40	$789.04 – $1,814.79
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $789.04 AMBETTER — Commercial: $1,065.20 Cigna — Medicare Advantage: $789.04 First Choice — Commercial: $1,183.56 Humana — Medicare Advantage: $789.04 Magnolia Health Plan — Commercial: $1,065.20 Magnolia Health Plan — Commercial Exchange: $1,065.20 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $789.04 Vantage Health Plan — Commercial: $1,814.79
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$1,985	$595.50	$477.78 – $1,814.79
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Commercial: $1,015 Aetna — Medicare Advantage: $789.04 AMBETTER — Commercial: $1,065.20 Cigna — Medicare Advantage: $789.04 First Choice — Commercial: $1,183.56 Humana — Medicare Advantage: $789.04 Magnolia Health Plan — Commercial: $1,065.20 Magnolia Health Plan — Commercial Exchange: $1,065.20 UnitedHealthcare — Commercial: $477.78 UnitedHealthcare — VA: $789.04
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	$326	$97.80	$133.58 – $1,814.79
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Commercial: $177 Aetna — Medicare Advantage: $789.04 AMBETTER — Commercial: $1,065.20 Cigna — Medicare Advantage: $789.04 First Choice — Commercial: $1,183.56 Humana — Medicare Advantage: $789.04 Magnolia Health Plan — Commercial: $1,065.20 Magnolia Health Plan — Commercial Exchange: $1,065.20 UnitedHealthcare — Commercial: $133.58 UnitedHealthcare — VA: $789.04

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES	$91	$27.30	$27.07 – $820
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $27.07 AMBETTER — Commercial: $36.54 Cigna — Commercial: $196 Cigna — Medicare Advantage: $27.07 First Choice — Commercial: $40.60 Humana — Medicare Advantage: $27.07 Magnolia Health Plan — Commercial: $36.54 Magnolia Health Plan — Commercial Exchange: $36.54 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $27.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISES	$91	$27.30	$27.07 – $820
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $27.07 AMBETTER — Commercial: $36.54 Cigna — Commercial: $196 Cigna — Medicare Advantage: $27.07 First Choice — Commercial: $40.60 Humana — Medicare Advantage: $27.07 Magnolia Health Plan — Commercial: $36.54 Magnolia Health Plan — Commercial Exchange: $36.54 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $27.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ In the file: THERAPEUTIC EXERCISES	$91	$27.30	$27.07 – $820
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $27.07 AMBETTER — Commercial: $36.54 Cigna — Commercial: $196 Cigna — Medicare Advantage: $27.07 First Choice — Commercial: $40.60 Humana — Medicare Advantage: $27.07 Magnolia Health Plan — Commercial: $36.54 Magnolia Health Plan — Commercial Exchange: $36.54 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $27.07
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$164	$49.20	$91.37 – $820
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$164	$49.20	$91.37 – $820
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$164	$49.20	$91.37 – $820
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$164	$49.20	$91.37 – $820
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$164	$49.20	$91.37 – $820
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$164	$49.20	$91.37 – $820
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$164	$49.20	$91.37 – $820
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$164	$49.20	$91.37 – $820
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$164	$49.20	$91.37 – $820
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.37 AMBETTER — Commercial: $123.35 Cigna — Commercial: $196 Cigna — Medicare Advantage: $91.37 First Choice — Commercial: $137.05 Humana — Medicare Advantage: $91.37 Magnolia Health Plan — Commercial: $123.35 Magnolia Health Plan — Commercial Exchange: $123.35 UnitedHealthcare — Commercial: $820 UnitedHealthcare — VA: $91.37

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION	$1,042	$312.60	$3,501 – $8,274.66
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,597.68 AMBETTER — Commercial: $4,856.87 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $3,597.68 First Choice — Commercial: $5,396.52 Humana — Medicare Advantage: $3,597.68 Magnolia Health Plan — Commercial: $4,856.87 Magnolia Health Plan — Commercial Exchange: $4,856.87 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $3,597.68
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$3,942	$1,182.60	$3,501 – $8,274.66
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,597.68 AMBETTER — Commercial: $4,856.87 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $3,597.68 First Choice — Commercial: $5,396.52 Humana — Medicare Advantage: $3,597.68 Magnolia Health Plan — Commercial: $4,856.87 Magnolia Health Plan — Commercial Exchange: $4,856.87 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $3,597.68
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$3,942	$1,182.60	$3,501 – $8,274.66
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,597.68 AMBETTER — Commercial: $4,856.87 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $3,597.68 First Choice — Commercial: $5,396.52 Humana — Medicare Advantage: $3,597.68 Magnolia Health Plan — Commercial: $4,856.87 Magnolia Health Plan — Commercial Exchange: $4,856.87 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $3,597.68
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$13,493	$4,047.90	$11,796.78 – $27,132.59
Total hip replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $11,796.78 AMBETTER — Commercial: $15,925.65 Cigna — Medicare Advantage: $11,796.78 First Choice — Commercial: $17,695.17 Humana — Medicare Advantage: $11,796.78 Magnolia Health Plan — Commercial: $15,925.65 Magnolia Health Plan — Commercial Exchange: $15,925.65 UnitedHealthcare — Commercial: $13,838 UnitedHealthcare — VA: $11,796.78 Vantage Health Plan — Commercial: $27,132.59
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$7,886	$2,365.80	$11,796.78 – $27,132.59
Total hip replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $11,796.78 AMBETTER — Commercial: $15,925.65 Cigna — Medicare Advantage: $11,796.78 First Choice — Commercial: $17,695.17 Humana — Medicare Advantage: $11,796.78 Magnolia Health Plan — Commercial: $15,925.65 Magnolia Health Plan — Commercial Exchange: $15,925.65 UnitedHealthcare — Commercial: $13,838 UnitedHealthcare — VA: $11,796.78 Vantage Health Plan — Commercial: $27,132.59
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$13,493	$4,047.90	$11,796.78 – $27,132.59
Total hip replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $11,796.78 AMBETTER — Commercial: $15,925.65 Cigna — Medicare Advantage: $11,796.78 First Choice — Commercial: $17,695.17 Humana — Medicare Advantage: $11,796.78 Magnolia Health Plan — Commercial: $15,925.65 Magnolia Health Plan — Commercial Exchange: $15,925.65 UnitedHealthcare — Commercial: $13,838 UnitedHealthcare — VA: $11,796.78 Vantage Health Plan — Commercial: $27,132.59
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$13,493	$4,047.90	$11,796.78 – $27,132.59
Total knee replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $11,796.78 AMBETTER — Commercial: $15,925.65 Cigna — Medicare Advantage: $11,796.78 First Choice — Commercial: $17,695.17 Humana — Medicare Advantage: $11,796.78 Magnolia Health Plan — Commercial: $15,925.65 Magnolia Health Plan — Commercial Exchange: $15,925.65 UnitedHealthcare — Commercial: $13,838 UnitedHealthcare — VA: $11,796.78 Vantage Health Plan — Commercial: $27,132.59
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$7,886	$2,365.80	$11,796.78 – $27,132.59
Total knee replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $11,796.78 AMBETTER — Commercial: $15,925.65 Cigna — Medicare Advantage: $11,796.78 First Choice — Commercial: $17,695.17 Humana — Medicare Advantage: $11,796.78 Magnolia Health Plan — Commercial: $15,925.65 Magnolia Health Plan — Commercial Exchange: $15,925.65 UnitedHealthcare — Commercial: $13,838 UnitedHealthcare — VA: $11,796.78 Vantage Health Plan — Commercial: $27,132.59
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$15,772	$4,731.60	$11,796.78 – $27,132.59
Total knee replacement: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $11,796.78 AMBETTER — Commercial: $15,925.65 Cigna — Medicare Advantage: $11,796.78 First Choice — Commercial: $17,695.17 Humana — Medicare Advantage: $11,796.78 Magnolia Health Plan — Commercial: $15,925.65 Magnolia Health Plan — Commercial Exchange: $15,925.65 UnitedHealthcare — Commercial: $13,838 UnitedHealthcare — VA: $11,796.78 Vantage Health Plan — Commercial: $27,132.59
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$3,356.25	$1,006.88	$138.35 – $3,501
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $138.35 AMBETTER — Commercial: $186.77 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $138.35 First Choice — Commercial: $207.52 Humana — Medicare Advantage: $138.35 Magnolia Health Plan — Commercial: $186.77 Magnolia Health Plan — Commercial Exchange: $186.77 UnitedHealthcare — Commercial: $923 UnitedHealthcare — VA: $138.35
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$3,356.25	$1,006.88	$138.35 – $3,501
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $138.35 AMBETTER — Commercial: $186.77 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $138.35 First Choice — Commercial: $207.52 Humana — Medicare Advantage: $138.35 Magnolia Health Plan — Commercial: $186.77 Magnolia Health Plan — Commercial Exchange: $186.77 UnitedHealthcare — Commercial: $923 UnitedHealthcare — VA: $138.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$5,627	$1,688.10	$1,688.22 – $7,175
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $1,688.22 Aetna — Medicare Advantage: $3,006.47 AMBETTER — Commercial: $4,058.73 Blue Cross Blue Shield MS — Commercial: $1,755.75 Cigna — Commercial: $4,244 Cigna — Medicare Advantage: $3,006.47 First Choice — Commercial: $4,509.70 Humana — Medicare Advantage: $3,006.47 Magnolia Health Plan — Commercial: $4,058.73 Magnolia Health Plan — Commercial Exchange: $4,058.73
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$5,627	$1,688.10	$3,006.47 – $7,175
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,006.47 AMBETTER — Commercial: $4,058.73 Cigna — Commercial: $4,244 Cigna — Medicare Advantage: $3,006.47 First Choice — Commercial: $4,509.70 Humana — Medicare Advantage: $3,006.47 Magnolia Health Plan — Commercial: $4,058.73 Magnolia Health Plan — Commercial Exchange: $4,058.73 UnitedHealthcare — Commercial: $7,175 UnitedHealthcare — VA: $3,006.47
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$5,627	$1,688.10	$3,006.47 – $7,175
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,006.47 AMBETTER — Commercial: $4,058.73 Cigna — Commercial: $4,244 Cigna — Medicare Advantage: $3,006.47 First Choice — Commercial: $4,509.70 Humana — Medicare Advantage: $3,006.47 Magnolia Health Plan — Commercial: $4,058.73 Magnolia Health Plan — Commercial Exchange: $4,058.73 UnitedHealthcare — Commercial: $7,175 UnitedHealthcare — VA: $3,006.47
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$4,718	$1,415.40	$2,948.60 – $12,510.67
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $2,948.60 Aetna — Medicare Advantage: $5,439.42 AMBETTER — Commercial: $7,343.22 Blue Cross Blue Shield MS — Commercial: $3,066.55 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $5,439.42 First Choice — Commercial: $8,159.13 Humana — Medicare Advantage: $5,439.42 Magnolia Health Plan — Commercial: $7,343.22 Magnolia Health Plan — Commercial Exchange: $7,343.22
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$4,718	$1,415.40	$3,501 – $12,510.67
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $5,439.42 AMBETTER — Commercial: $7,343.22 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $5,439.42 First Choice — Commercial: $8,159.13 Humana — Medicare Advantage: $5,439.42 Magnolia Health Plan — Commercial: $7,343.22 Magnolia Health Plan — Commercial Exchange: $7,343.22 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $5,439.42
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$650	$195	$521.22 – $2,639
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $521.22 Aetna — Medicare Advantage: $833.38 AMBETTER — Commercial: $1,125.06 Blue Cross Blue Shield MS — Commercial: $542.07 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $833.38 First Choice — Commercial: $1,250.07 Humana — Medicare Advantage: $833.38 Magnolia Health Plan — Commercial: $1,125.06 Magnolia Health Plan — Commercial Exchange: $1,125.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,110	$633	$521.22 – $2,639
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $521.22 Aetna — Medicare Advantage: $833.38 AMBETTER — Commercial: $1,125.06 Blue Cross Blue Shield MS — Commercial: $542.07 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $833.38 First Choice — Commercial: $1,250.07 Humana — Medicare Advantage: $833.38 Magnolia Health Plan — Commercial: $1,125.06 Magnolia Health Plan — Commercial Exchange: $1,125.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,884	$565.20	$833.38 – $2,639
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $833.38 AMBETTER — Commercial: $1,125.06 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $833.38 First Choice — Commercial: $1,250.07 Humana — Medicare Advantage: $833.38 Magnolia Health Plan — Commercial: $1,125.06 Magnolia Health Plan — Commercial Exchange: $1,125.06 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $833.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$650	$195	$521.22 – $2,652
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $521.22 Aetna — Medicare Advantage: $833.38 AMBETTER — Commercial: $1,125.06 Blue Cross Blue Shield MS — Commercial: $542.07 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $833.38 First Choice — Commercial: $1,250.07 Humana — Medicare Advantage: $833.38 Magnolia Health Plan — Commercial: $1,125.06 Magnolia Health Plan — Commercial Exchange: $1,125.06
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,110	$633	$521.22 – $2,652
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $521.22 Aetna — Medicare Advantage: $833.38 AMBETTER — Commercial: $1,125.06 Blue Cross Blue Shield MS — Commercial: $542.07 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $833.38 First Choice — Commercial: $1,250.07 Humana — Medicare Advantage: $833.38 Magnolia Health Plan — Commercial: $1,125.06 Magnolia Health Plan — Commercial Exchange: $1,125.06
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,406.68	$422	$833.38 – $2,652
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $833.38 AMBETTER — Commercial: $1,125.06 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $833.38 First Choice — Commercial: $1,250.07 Humana — Medicare Advantage: $833.38 Magnolia Health Plan — Commercial: $1,125.06 Magnolia Health Plan — Commercial Exchange: $1,125.06 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $833.38
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,336	$700.80	$506.60 – $2,652
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $506.60 Aetna — Medicare Advantage: $854.49 AMBETTER — Commercial: $1,153.56 Blue Cross Blue Shield MS — Commercial: $526.86 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $854.49 First Choice — Commercial: $1,281.73 Humana — Medicare Advantage: $854.49 Magnolia Health Plan — Commercial: $1,153.56 Magnolia Health Plan — Commercial Exchange: $1,153.56
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,336	$700.80	$854.49 – $2,652
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $854.49 AMBETTER — Commercial: $1,153.56 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $854.49 First Choice — Commercial: $1,281.73 Humana — Medicare Advantage: $854.49 Magnolia Health Plan — Commercial: $1,153.56 Magnolia Health Plan — Commercial Exchange: $1,153.56 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $854.49
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,336	$700.80	$854.49 – $2,652
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $854.49 AMBETTER — Commercial: $1,153.56 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $854.49 First Choice — Commercial: $1,281.73 Humana — Medicare Advantage: $854.49 Magnolia Health Plan — Commercial: $1,153.56 Magnolia Health Plan — Commercial Exchange: $1,153.56 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $854.49
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,110	$633	$665.99 – $2,652
Colonoscopy with biopsy: 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $665.99 Aetna — Medicare Advantage: $1,099.53 AMBETTER — Commercial: $1,484.37 Blue Cross Blue Shield MS — Commercial: $692.63 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,099.53 First Choice — Commercial: $1,649.30 Humana — Medicare Advantage: $1,099.53 Magnolia Health Plan — Commercial: $1,484.37 Magnolia Health Plan — Commercial Exchange: $1,484.37
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier KX_XU In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,168	$350.40	$1,099.53 – $2,652
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,099.53 AMBETTER — Commercial: $1,484.37 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,099.53 First Choice — Commercial: $1,649.30 Humana — Medicare Advantage: $1,099.53 Magnolia Health Plan — Commercial: $1,484.37 Magnolia Health Plan — Commercial Exchange: $1,484.37 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $1,099.53
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_PT In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,336	$700.80	$1,099.53 – $2,652
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,099.53 AMBETTER — Commercial: $1,484.37 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,099.53 First Choice — Commercial: $1,649.30 Humana — Medicare Advantage: $1,099.53 Magnolia Health Plan — Commercial: $1,484.37 Magnolia Health Plan — Commercial Exchange: $1,484.37 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $1,099.53
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$2,336	$700.80	$665.99 – $2,652
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $665.99 Aetna — Medicare Advantage: $1,099.53 AMBETTER — Commercial: $1,484.37 Blue Cross Blue Shield MS — Commercial: $692.63 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,099.53 First Choice — Commercial: $1,649.30 Humana — Medicare Advantage: $1,099.53 Magnolia Health Plan — Commercial: $1,484.37 Magnolia Health Plan — Commercial Exchange: $1,484.37
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$2,336	$700.80	$1,099.53 – $2,652
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,099.53 AMBETTER — Commercial: $1,484.37 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,099.53 First Choice — Commercial: $1,649.30 Humana — Medicare Advantage: $1,099.53 Magnolia Health Plan — Commercial: $1,484.37 Magnolia Health Plan — Commercial Exchange: $1,484.37 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $1,099.53
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,168	$350.40	$1,099.53 – $2,652
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,099.53 AMBETTER — Commercial: $1,484.37 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,099.53 First Choice — Commercial: $1,649.30 Humana — Medicare Advantage: $1,099.53 Magnolia Health Plan — Commercial: $1,484.37 Magnolia Health Plan — Commercial Exchange: $1,484.37 UnitedHealthcare — Commercial: $2,639 UnitedHealthcare — VA: $1,099.53
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$2,336	$700.80	$506.60 – $2,652
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $506.60 Aetna — Medicare Advantage: $854.49 AMBETTER — Commercial: $1,153.56 Blue Cross Blue Shield MS — Commercial: $526.86 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $854.49 First Choice — Commercial: $1,281.73 Humana — Medicare Advantage: $854.49 Magnolia Health Plan — Commercial: $1,153.56 Magnolia Health Plan — Commercial Exchange: $1,153.56
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier KX In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$2,336	$700.80	$854.49 – $2,652
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $854.49 AMBETTER — Commercial: $1,153.56 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $854.49 First Choice — Commercial: $1,281.73 Humana — Medicare Advantage: $854.49 Magnolia Health Plan — Commercial: $1,153.56 Magnolia Health Plan — Commercial Exchange: $1,153.56 UnitedHealthcare — Commercial: $1,845 UnitedHealthcare — VA: $854.49
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$2,336	$700.80	$854.49 – $2,652
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $854.49 AMBETTER — Commercial: $1,153.56 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $854.49 First Choice — Commercial: $1,281.73 Humana — Medicare Advantage: $854.49 Magnolia Health Plan — Commercial: $1,153.56 Magnolia Health Plan — Commercial Exchange: $1,153.56 UnitedHealthcare — Commercial: $1,845 UnitedHealthcare — VA: $854.49
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,596	$478.80	$5,554.92 – $12,776.32
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $5,554.92 AMBETTER — Commercial: $7,499.14 Cigna — Commercial: $7,957 Cigna — Medicare Advantage: $5,554.92 First Choice — Commercial: $8,332.38 Humana — Medicare Advantage: $5,554.92 Magnolia Health Plan — Commercial: $7,499.14 Magnolia Health Plan — Commercial Exchange: $7,499.14 UnitedHealthcare — Commercial: $10,455 UnitedHealthcare — VA: $5,554.92
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$5,071	$1,521.30	$5,554.92 – $12,776.32
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $5,554.92 AMBETTER — Commercial: $7,499.14 Cigna — Commercial: $7,957 Cigna — Medicare Advantage: $5,554.92 First Choice — Commercial: $8,332.38 Humana — Medicare Advantage: $5,554.92 Magnolia Health Plan — Commercial: $7,499.14 Magnolia Health Plan — Commercial Exchange: $7,499.14 UnitedHealthcare — Commercial: $10,455 UnitedHealthcare — VA: $5,554.92
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$5,071	$1,521.30	$5,554.92 – $12,776.32
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $5,554.92 AMBETTER — Commercial: $7,499.14 Cigna — Commercial: $7,957 Cigna — Medicare Advantage: $5,554.92 First Choice — Commercial: $8,332.38 Humana — Medicare Advantage: $5,554.92 Magnolia Health Plan — Commercial: $7,499.14 Magnolia Health Plan — Commercial Exchange: $7,499.14 UnitedHealthcare — Commercial: $10,455 UnitedHealthcare — VA: $5,554.92
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$6,634	$1,990.20	$3,289.83 – $7,566.61
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,289.83 AMBETTER — Commercial: $4,441.27 Cigna — Commercial: $4,244 Cigna — Medicare Advantage: $3,289.83 First Choice — Commercial: $4,934.74 Humana — Medicare Advantage: $3,289.83 Magnolia Health Plan — Commercial: $4,441.27 Magnolia Health Plan — Commercial Exchange: $4,441.27 UnitedHealthcare — Commercial: $7,175 UnitedHealthcare — VA: $3,289.83
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$6,634	$1,990.20	$3,289.83 – $7,566.61
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $3,289.83 AMBETTER — Commercial: $4,441.27 Cigna — Commercial: $4,244 Cigna — Medicare Advantage: $3,289.83 First Choice — Commercial: $4,934.74 Humana — Medicare Advantage: $3,289.83 Magnolia Health Plan — Commercial: $4,441.27 Magnolia Health Plan — Commercial Exchange: $4,441.27 UnitedHealthcare — Commercial: $7,175 UnitedHealthcare — VA: $3,289.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$6,272	$1,881.60	$2,974.42 – $6,841.17
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,974.42 AMBETTER — Commercial: $4,015.47 Cigna — Commercial: $3,501 Cigna — Medicare Advantage: $2,974.42 First Choice — Commercial: $4,461.63 Humana — Medicare Advantage: $2,974.42 Magnolia Health Plan — Commercial: $4,015.47 Magnolia Health Plan — Commercial Exchange: $4,015.47 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $2,974.42
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$1,752	$525.60	$648.60 – $1,910
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $648.60 AMBETTER — Commercial: $875.61 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $648.60 First Choice — Commercial: $972.90 Humana — Medicare Advantage: $648.60 Magnolia Health Plan — Commercial: $875.61 Magnolia Health Plan — Commercial Exchange: $875.61 UnitedHealthcare — Commercial: $1,845 UnitedHealthcare — VA: $648.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,315	$394.50	$538.55 – $1,910
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Advanced Health Systems — Commercial: $538.55 Aetna — Medicare Advantage: $812.70 AMBETTER — Commercial: $1,097.14 Blue Cross Blue Shield MS — Commercial: $560.09 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $812.70 First Choice — Commercial: $1,219.05 Humana — Medicare Advantage: $812.70 Magnolia Health Plan — Commercial: $1,097.14 Magnolia Health Plan — Commercial Exchange: $1,097.14
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,878	$563.40	$1,219.05 – $2,803.81
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,219.05 AMBETTER — Commercial: $1,645.72 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $1,219.05 First Choice — Commercial: $1,828.58 Humana — Medicare Advantage: $1,219.05 Magnolia Health Plan — Commercial: $1,645.72 Magnolia Health Plan — Commercial Exchange: $1,645.72 UnitedHealthcare — Commercial: $1,845 UnitedHealthcare — VA: $1,219.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,878	$563.40	$812.70 – $1,910
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $812.70 AMBETTER — Commercial: $1,097.14 Cigna — Commercial: $1,910 Cigna — Medicare Advantage: $812.70 First Choice — Commercial: $1,219.05 Humana — Medicare Advantage: $812.70 Magnolia Health Plan — Commercial: $1,097.14 Magnolia Health Plan — Commercial Exchange: $1,097.14 UnitedHealthcare — Commercial: $1,845 UnitedHealthcare — VA: $812.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$3,619	$1,085.70	$1,794.25 – $6,150
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,794.25 AMBETTER — Commercial: $2,422.24 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,794.25 First Choice — Commercial: $2,691.38 Humana — Medicare Advantage: $1,794.25 Magnolia Health Plan — Commercial: $2,422.24 Magnolia Health Plan — Commercial Exchange: $2,422.24 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $1,794.25
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$3,619	$1,085.70	$1,794.25 – $6,150
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,794.25 AMBETTER — Commercial: $2,422.24 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,794.25 First Choice — Commercial: $2,691.38 Humana — Medicare Advantage: $1,794.25 Magnolia Health Plan — Commercial: $2,422.24 Magnolia Health Plan — Commercial Exchange: $2,422.24 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $1,794.25
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$3,619	$1,085.70	$1,794.25 – $6,150
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,794.25 AMBETTER — Commercial: $2,422.24 Cigna — Commercial: $2,652 Cigna — Medicare Advantage: $1,794.25 First Choice — Commercial: $2,691.38 Humana — Medicare Advantage: $1,794.25 Magnolia Health Plan — Commercial: $2,422.24 Magnolia Health Plan — Commercial Exchange: $2,422.24 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $1,794.25
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73_LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$3,539	$1,061.70	$1,060.27 – $6,365
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $1,060.27 AMBETTER — Commercial: $1,431.36 Cigna — Commercial: $6,365 Cigna — Medicare Advantage: $1,060.27 First Choice — Commercial: $1,590.40 Humana — Medicare Advantage: $1,060.27 Magnolia Health Plan — Commercial: $1,431.36 Magnolia Health Plan — Commercial Exchange: $1,431.36 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $1,060.27
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$3,539	$1,061.70	$2,120.53 – $6,365
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,120.53 AMBETTER — Commercial: $2,862.72 Cigna — Commercial: $6,365 Cigna — Medicare Advantage: $2,120.53 First Choice — Commercial: $3,180.80 Humana — Medicare Advantage: $2,120.53 Magnolia Health Plan — Commercial: $2,862.72 Magnolia Health Plan — Commercial Exchange: $2,862.72 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $2,120.53
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$3,539	$1,061.70	$2,120.53 – $6,365
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $2,120.53 AMBETTER — Commercial: $2,862.72 Cigna — Commercial: $6,365 Cigna — Medicare Advantage: $2,120.53 First Choice — Commercial: $3,180.80 Humana — Medicare Advantage: $2,120.53 Magnolia Health Plan — Commercial: $2,862.72 Magnolia Health Plan — Commercial Exchange: $2,862.72 UnitedHealthcare — Commercial: $6,150 UnitedHealthcare — VA: $2,120.53

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	$49,254.40 – $97,053
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 14 insurance plan rates Advanced Health Systems — Commercial: $86,978.90 Aetna — Commercial: $49,254.40 Aetna — Medicare Advantage: $71,982.17 Blue Cross Blue Shield MS — Commercial: $97,053 Cigna — Commercial: $86,493.63 Cigna — Medicare Advantage: $71,982.17 First Choice — Commercial: $90,890.13 Humana — Medicare Advantage: $71,982.17 Magnolia Health Plan — Commercial: $74,235.84 Magnolia Health Plan — Commercial Exchange: $69,266.73
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY	Not listed in the file	Not listed in the file	$9,549.63 – $18,817
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates Advanced Health Systems — Commercial: $16,863.80 Aetna — Commercial: $9,549.63 Aetna — Medicare Advantage: $14,192.92 Blue Cross Blue Shield MS — Commercial: $18,817 Cigna — Commercial: $16,769.71 Cigna — Medicare Advantage: $14,192.92 First Choice — Commercial: $17,622.12 Humana — Medicare Advantage: $14,192.92 Magnolia Health Plan — Commercial: $14,393.12 Magnolia Health Plan — Commercial Exchange: $13,429.69
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	$12,487.54 – $24,606
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates Advanced Health Systems — Commercial: $22,051.90 Aetna — Commercial: $12,487.54 Aetna — Medicare Advantage: $17,963.17 Blue Cross Blue Shield MS — Commercial: $24,606 Cigna — Commercial: $21,928.87 Cigna — Medicare Advantage: $17,963.17 First Choice — Commercial: $23,043.52 Humana — Medicare Advantage: $17,963.17 Magnolia Health Plan — Commercial: $18,821.13 Magnolia Health Plan — Commercial Exchange: $17,561.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY	Not listed in the file	Not listed in the file	$5,897.15 – $11,620
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates Advanced Health Systems — Commercial: $10,413.84 Aetna — Commercial: $5,897.15 Aetna — Medicare Advantage: $9,129.11 Blue Cross Blue Shield MS — Commercial: $11,620 Cigna — Commercial: $10,355.74 Cigna — Medicare Advantage: $9,129.11 First Choice — Commercial: $10,882.13 Humana — Medicare Advantage: $9,129.11 Magnolia Health Plan — Commercial: $8,888.14 Magnolia Health Plan — Commercial Exchange: $8,293.19

Source: King's Daughters Medical Center-Brookhaven’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 5, 2026; retrieved November 5, 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	P O Box 948/427 Highway 51 North, Brookhaven, MS 39601
County	Lincoln County
State	Mississippi
Phone	(601) 833‑6011
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	250057
Name in Medicare records	KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN
Profile level	Medicare data + hospital website
Name on the hospital’s website	King's Daughters Medical Center
Official website	kdmc.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 2026-11-02.

Healthcare Services Brookhaven, MS | Kings Daughters Medical Center — kdmc.org
Emergency Services and ER Care in Brookhaven, MS — kdmc.org
Visitation Policies | King's Daughters Medical Center — kdmc.org
Awards & Accolades | King's Daughters Medical Center — kdmc.org
Surgery | King's Daughters Medical Center — kdmc.org