Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Kings Daughters Medical Center Ohio

Portsmouth, Ohio · Scioto County · Emergency services listed

Summary

Kings Daughters Medical Center Ohio is an acute care hospital in Portsmouth, Ohio. Medicare data lists emergency services. Its official website lists 14 services, specialties and programs. Medicare lists 268 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
14Services listed

Quick answers

Does Kings Daughters Medical Center Ohio have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Kings Daughters Medical Center Ohio. In a medical emergency, call 911.
Where is Kings Daughters Medical Center Ohio?
1901 Argonne Road, Portsmouth, OH 45662, in Scioto County, Ohio.
What is the phone number of Kings Daughters Medical Center Ohio?
(740) 991-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Kings Daughters Medical Center Ohio?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4]

Procedures[4]

Programs and centers[4]

  • Drive-thru lab (bloodwork)
  • Urgent Care Center (open 24/7/365)

Visiting and practical information

Patient portalMyChart

Doctors and clinicians (268)

268 doctors and other clinicians list Kings Daughters Medical Center Ohio as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (268)

And 244 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Kings Daughters Medical Center Ohio 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.

Not reported to Medicare

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

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 attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)146 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Kings Daughters Medical Center Ohio 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PATIENT LEVEL III $287.70 $115.08 $99.26 – $258.93
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $190.17
  • Blue Cross Blue Shield Pathway X — HMO: $159.96
  • Blue Cross Blue Shield Pathway X — PPO: $159.96
  • Buckeye Community Health Plan — Commercial: $140.62
  • Caresource — Commercial: $225
  • Cigna — Commercial: $99.26
  • Medical Mutual — Commercial: $244.55
  • Multiplan — Commercial: $258.93
  • The Health Plan — Commercial: $230.16
  • United Healthcare — Commercial: $183.55
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG NEW PATIENT LEVEL III $287.70 $115.08 $183.55 – $258.93
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • Aetna — Commercial: $190.17
  • Medical Mutual — Commercial: $244.55
  • Multiplan — Commercial: $258.93
  • The Health Plan — Commercial: $230.16
  • United Healthcare — Commercial: $183.55
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PATIENT LEVE IV $420.25 $168.10 $144.99 – $378.23
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $277.79
  • Blue Cross Blue Shield Pathway X — HMO: $233.66
  • Blue Cross Blue Shield Pathway X — PPO: $233.66
  • Buckeye Community Health Plan — Commercial: $212.81
  • Caresource — Commercial: $340.49
  • Cigna — Commercial: $144.99
  • Medical Mutual — Commercial: $357.21
  • Multiplan — Commercial: $378.23
  • The Health Plan — Commercial: $336.20
  • United Healthcare — Commercial: $268.12
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG NEW PATIENT LEVE IV $420.25 $168.10 $268.12 – $378.23
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • Aetna — Commercial: $277.79
  • Medical Mutual — Commercial: $357.21
  • Multiplan — Commercial: $378.23
  • The Health Plan — Commercial: $336.20
  • United Healthcare — Commercial: $268.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG NEW PATIENT LEVEL V $445.50 $178.20 $153.70 – $455.05
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $294.48
  • Blue Cross Blue Shield Pathway X — HMO: $247.70
  • Blue Cross Blue Shield Pathway X — PPO: $247.70
  • Buckeye Community Health Plan — Commercial: $284.40
  • Caresource — Commercial: $455.05
  • Cigna — Commercial: $153.70
  • Medical Mutual — Commercial: $378.68
  • Multiplan — Commercial: $400.95
  • The Health Plan — Commercial: $356.40
  • United Healthcare — Commercial: $284.23
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG NEW PATIENT LEVEL V $445.50 $178.20 $284.23 – $400.95
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • Aetna — Commercial: $294.48
  • Medical Mutual — Commercial: $378.68
  • Multiplan — Commercial: $400.95
  • The Health Plan — Commercial: $356.40
  • United Healthcare — Commercial: $284.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ESTABLISHED PATIENT LEVEL III $257.95 $103.18 $88.99 – $232.16
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $170.50
  • Blue Cross Blue Shield Pathway X — HMO: $143.42
  • Blue Cross Blue Shield Pathway X — PPO: $143.42
  • Buckeye Community Health Plan — Commercial: $113.72
  • Caresource — Commercial: $181.95
  • Cigna — Commercial: $88.99
  • Medical Mutual — Commercial: $219.26
  • Multiplan — Commercial: $232.16
  • The Health Plan — Commercial: $206.36
  • United Healthcare — Commercial: $164.57
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ESTABLISHED PATIENT LEVEL III $257.95 $103.18 $164.57 – $232.16
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Aetna — Commercial: $170.50
  • Medical Mutual — Commercial: $219.26
  • Multiplan — Commercial: $232.16
  • The Health Plan — Commercial: $206.36
  • United Healthcare — Commercial: $164.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ESTABLISHED PATIENT LEVEL IV $355.10 $142.04 $122.51 – $319.59
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $234.72
  • Blue Cross Blue Shield Pathway X — HMO: $197.44
  • Blue Cross Blue Shield Pathway X — PPO: $197.44
  • Buckeye Community Health Plan — Commercial: $162.29
  • Caresource — Commercial: $259.67
  • Cigna — Commercial: $122.51
  • Medical Mutual — Commercial: $301.84
  • Multiplan — Commercial: $319.59
  • The Health Plan — Commercial: $284.08
  • United Healthcare — Commercial: $226.55
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ESTABLISHED PATIENT LEVEL IV $355.10 $142.04 $226.55 – $319.59
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Aetna — Commercial: $234.72
  • Medical Mutual — Commercial: $301.84
  • Multiplan — Commercial: $319.59
  • The Health Plan — Commercial: $284.08
  • United Healthcare — Commercial: $226.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $135.43 – $216.70
Office consultation with a specialist (moderate): rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $135.43
  • Caresource — Commercial: $216.70
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $194.18 – $310.68
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $194.18
  • Caresource — Commercial: $310.68
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 Not listed in the file Not listed in the file $161.07 – $257.71
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $161.07
  • Caresource — Commercial: $257.71
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $186.69 – $298.71
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $186.69
  • Caresource — Commercial: $298.71
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INTERMEDIATE VISIT (LEVEL 3) $766.57 $306.63 $322.82 – $708
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — Commercial: $506.70
  • Blue Cross Blue Shield Pathway X — HMO: $426.21
  • Blue Cross Blue Shield Pathway X — PPO: $426.21
  • Buckeye Community Health Plan — Commercial: $322.82
  • Caresource — Commercial: $516.52
  • Cigna — Commercial: $708
  • Medical Mutual — Commercial: $651.58
  • Multiplan — Commercial: $689.91
  • The Health Plan — Commercial: $613.26
  • United Healthcare — Commercial: $489.07
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INTERMEDIATE VISIT (LEVEL 3) $766.57 $306.63 $489.07 – $689.91
Emergency room visit (moderate): rates for 5 insurance plans
  • Aetna — Commercial: $506.70
  • Medical Mutual — Commercial: $651.58
  • Multiplan — Commercial: $689.91
  • The Health Plan — Commercial: $613.26
  • United Healthcare — Commercial: $489.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EXTENDED VISIT (LEVEL 4) $1,121.19 $448.48 $493.45 – $1,022
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — Commercial: $741.11
  • Blue Cross Blue Shield Pathway X — HMO: $623.38
  • Blue Cross Blue Shield Pathway X — PPO: $623.38
  • Buckeye Community Health Plan — Commercial: $493.45
  • Caresource — Commercial: $789.52
  • Cigna — Commercial: $1,022
  • Medical Mutual — Commercial: $953.01
  • Multiplan — Commercial: $1,009.07
  • The Health Plan — Commercial: $896.95
  • United Healthcare — Commercial: $715.32
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EXTENDED VISIT (LEVEL 4) $1,121.19 $448.48 $715.32 – $1,009.07
Emergency room visit (moderately high): rates for 5 insurance plans
  • Aetna — Commercial: $741.11
  • Medical Mutual — Commercial: $953.01
  • Multiplan — Commercial: $1,009.07
  • The Health Plan — Commercial: $896.95
  • United Healthcare — Commercial: $715.32
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE VISIT (LEVEL 5) $1,395.82 $558.33 $704.27 – $1,256.24
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — Commercial: $922.64
  • Blue Cross Blue Shield Pathway X — HMO: $776.08
  • Blue Cross Blue Shield Pathway X — PPO: $776.08
  • Buckeye Community Health Plan — Commercial: $704.27
  • Caresource — Commercial: $1,126.84
  • Cigna — Commercial: $1,022
  • Medical Mutual — Commercial: $1,186.45
  • Multiplan — Commercial: $1,256.24
  • The Health Plan — Commercial: $1,116.66
  • United Healthcare — Commercial: $890.53
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE VISIT (LEVEL 5) $1,395.82 $558.33 $890.53 – $1,256.24
Emergency room visit (high): rates for 5 insurance plans
  • Aetna — Commercial: $922.64
  • Medical Mutual — Commercial: $1,186.45
  • Multiplan — Commercial: $1,256.24
  • The Health Plan — Commercial: $1,116.66
  • United Healthcare — Commercial: $890.53

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC PANEL $95.35 $38.14 $5.69 – $85.82
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $63.03
  • Blue Cross Blue Shield Pathway X — HMO: $5.69
  • Blue Cross Blue Shield Pathway X — PPO: $5.69
  • Buckeye Community Health Plan — Commercial: $10.58
  • Caresource — Commercial: $16.92
  • Cigna — Commercial: $32.90
  • Medical Mutual — Commercial: $81.05
  • Multiplan — Commercial: $85.82
  • The Health Plan — Commercial: $76.28
  • United Healthcare — Commercial: $60.83
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC PANEL $95.35 $38.14 $60.83 – $85.82
Basic metabolic panel (blood test): rates for 5 insurance plans
  • Aetna — Commercial: $63.03
  • Medical Mutual — Commercial: $81.05
  • Multiplan — Commercial: $85.82
  • The Health Plan — Commercial: $76.28
  • United Healthcare — Commercial: $60.83
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANEL $139.35 $55.74 $7.15 – $125.42
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $92.11
  • Blue Cross Blue Shield Pathway X — HMO: $7.15
  • Blue Cross Blue Shield Pathway X — PPO: $7.15
  • Buckeye Community Health Plan — Commercial: $13.20
  • Caresource — Commercial: $21.12
  • Cigna — Commercial: $48.08
  • Medical Mutual — Commercial: $118.45
  • Multiplan — Commercial: $125.42
  • The Health Plan — Commercial: $111.48
  • United Healthcare — Commercial: $88.91
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANEL $139.35 $55.74 $88.91 – $125.42
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Aetna — Commercial: $92.11
  • Medical Mutual — Commercial: $118.45
  • Multiplan — Commercial: $125.42
  • The Health Plan — Commercial: $111.48
  • United Healthcare — Commercial: $88.91
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $53.28 – $95.62
Obstetric blood test panel: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $53.28
  • Blue Cross Blue Shield Pathway X — PPO: $53.28
  • Buckeye Community Health Plan — Commercial: $59.76
  • Caresource — Commercial: $95.62
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL $102.10 $40.84 $9.68 – $91.89
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Commercial: $67.49
  • Blue Cross Blue Shield Pathway X — HMO: $9.68
  • Blue Cross Blue Shield Pathway X — PPO: $9.68
  • Buckeye Community Health Plan — Commercial: $16.74
  • Caresource — Commercial: $26.78
  • Cigna — Commercial: $35.22
  • Medical Mutual — Commercial: $86.79
  • Multiplan — Commercial: $91.89
  • The Health Plan — Commercial: $81.68
  • United Healthcare — Commercial: $65.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL (ARUP) $185.80 $74.32 $9.68 – $167.22
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Commercial: $122.81
  • Blue Cross Blue Shield Pathway X — HMO: $9.68
  • Blue Cross Blue Shield Pathway X — PPO: $9.68
  • Buckeye Community Health Plan — Commercial: $16.74
  • Caresource — Commercial: $26.78
  • Cigna — Commercial: $64.10
  • Medical Mutual — Commercial: $157.93
  • Multiplan — Commercial: $167.22
  • The Health Plan — Commercial: $148.64
  • United Healthcare — Commercial: $118.54
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL CHOLESTEC $102.10 $40.84 $9.68 – $91.89
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Commercial: $67.49
  • Blue Cross Blue Shield Pathway X — HMO: $9.68
  • Blue Cross Blue Shield Pathway X — PPO: $9.68
  • Buckeye Community Health Plan — Commercial: $16.74
  • Caresource — Commercial: $26.78
  • Cigna — Commercial: $35.22
  • Medical Mutual — Commercial: $86.79
  • Multiplan — Commercial: $91.89
  • The Health Plan — Commercial: $81.68
  • United Healthcare — Commercial: $65.14
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL PANEL $118.10 $47.24 $5.69 – $106.29
Kidney function panel: rates for 10 insurance plans
  • Aetna — Commercial: $78.06
  • Blue Cross Blue Shield Pathway X — HMO: $5.69
  • Blue Cross Blue Shield Pathway X — PPO: $5.69
  • Buckeye Community Health Plan — Commercial: $10.85
  • Caresource — Commercial: $17.36
  • Cigna — Commercial: $40.74
  • Medical Mutual — Commercial: $100.39
  • Multiplan — Commercial: $106.29
  • The Health Plan — Commercial: $94.48
  • United Healthcare — Commercial: $75.35
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RENAL PANEL $118.10 $47.24 $75.35 – $106.29
Kidney function panel: rates for 5 insurance plans
  • Aetna — Commercial: $78.06
  • Medical Mutual — Commercial: $100.39
  • Multiplan — Commercial: $106.29
  • The Health Plan — Commercial: $94.48
  • United Healthcare — Commercial: $75.35
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL $115.55 $46.22 $5.69 – $104
Liver function panel: rates for 10 insurance plans
  • Aetna — Commercial: $76.38
  • Blue Cross Blue Shield Pathway X — HMO: $5.69
  • Blue Cross Blue Shield Pathway X — PPO: $5.69
  • Buckeye Community Health Plan — Commercial: $10.21
  • Caresource — Commercial: $16.34
  • Cigna — Commercial: $39.86
  • Medical Mutual — Commercial: $98.22
  • Multiplan — Commercial: $104
  • The Health Plan — Commercial: $92.44
  • United Healthcare — Commercial: $73.72
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL $115.55 $46.22 $73.72 – $104
Liver function panel: rates for 5 insurance plans
  • Aetna — Commercial: $76.38
  • Medical Mutual — Commercial: $98.22
  • Multiplan — Commercial: $104
  • The Health Plan — Commercial: $92.44
  • United Healthcare — Commercial: $73.72
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS $57.55 $23.02 $2.69 – $51.80
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — Commercial: $38.04
  • Blue Cross Blue Shield Pathway X — HMO: $2.69
  • Blue Cross Blue Shield Pathway X — PPO: $2.69
  • Buckeye Community Health Plan — Commercial: $3.96
  • Caresource — Commercial: $6.34
  • Cigna — Commercial: $19.85
  • Medical Mutual — Commercial: $48.92
  • Multiplan — Commercial: $51.80
  • The Health Plan — Commercial: $46.04
  • United Healthcare — Commercial: $36.72
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG URINALYSIS $57.55 $23.02 $36.72 – $51.80
Urine test (automated, with microscope): rates for 5 insurance plans
  • Aetna — Commercial: $38.04
  • Medical Mutual — Commercial: $48.92
  • Multiplan — Commercial: $51.80
  • The Health Plan — Commercial: $46.04
  • United Healthcare — Commercial: $36.72
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINE W/O MICRO $61.30 $24.52 $2.05 – $55.17
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $40.52
  • Blue Cross Blue Shield Pathway X — HMO: $2.05
  • Blue Cross Blue Shield Pathway X — PPO: $2.05
  • Buckeye Community Health Plan — Commercial: $4.35
  • Caresource — Commercial: $6.96
  • Cigna — Commercial: $21.15
  • Medical Mutual — Commercial: $52.11
  • Multiplan — Commercial: $55.17
  • The Health Plan — Commercial: $49.04
  • United Healthcare — Commercial: $39.11
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG URINE W/O MICRO $61.30 $24.52 $39.11 – $55.17
Urine test (manual, without microscope): rates for 5 insurance plans
  • Aetna — Commercial: $40.52
  • Medical Mutual — Commercial: $52.11
  • Multiplan — Commercial: $55.17
  • The Health Plan — Commercial: $49.04
  • United Healthcare — Commercial: $39.11
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS-AUTOMATED WITHOUT MICROSCOPY(CLINTEK) $57.55 $23.02 $1.91 – $51.80
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $38.04
  • Blue Cross Blue Shield Pathway X — HMO: $1.91
  • Blue Cross Blue Shield Pathway X — PPO: $1.91
  • Buckeye Community Health Plan — Commercial: $2.81
  • Caresource — Commercial: $4.50
  • Cigna — Commercial: $19.85
  • Medical Mutual — Commercial: $48.92
  • Multiplan — Commercial: $51.80
  • The Health Plan — Commercial: $46.04
  • United Healthcare — Commercial: $36.72
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG URINALYSIS-AUTOMATED WITHOUT MICROSCOPY(CLINTEK) $57.55 $23.02 $36.72 – $51.80
Urine test (automated, without microscope): rates for 5 insurance plans
  • Aetna — Commercial: $38.04
  • Medical Mutual — Commercial: $48.92
  • Multiplan — Commercial: $51.80
  • The Health Plan — Commercial: $46.04
  • United Healthcare — Commercial: $36.72
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA, ULTRASENSITIVE, S (REFERENCE LAB) $119.98 $48 $15.64 – $107.98
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Commercial: $79.31
  • Blue Cross Blue Shield Pathway X — HMO: $15.64
  • Blue Cross Blue Shield Pathway X — PPO: $15.64
  • Buckeye Community Health Plan — Commercial: $22.99
  • Caresource — Commercial: $36.78
  • Cigna — Commercial: $41.39
  • Medical Mutual — Commercial: $101.98
  • Multiplan — Commercial: $107.98
  • The Health Plan — Commercial: $95.98
  • United Healthcare — Commercial: $76.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA, TOTAL $119.98 $48 $15.64 – $107.98
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Commercial: $79.31
  • Blue Cross Blue Shield Pathway X — HMO: $15.64
  • Blue Cross Blue Shield Pathway X — PPO: $15.64
  • Buckeye Community Health Plan — Commercial: $22.99
  • Caresource — Commercial: $36.78
  • Cigna — Commercial: $41.39
  • Medical Mutual — Commercial: $101.98
  • Multiplan — Commercial: $107.98
  • The Health Plan — Commercial: $95.98
  • United Healthcare — Commercial: $76.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA SCREEN $119.98 $48 $15.64 – $107.98
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Commercial: $79.31
  • Blue Cross Blue Shield Pathway X — HMO: $15.64
  • Blue Cross Blue Shield Pathway X — PPO: $15.64
  • Buckeye Community Health Plan — Commercial: $22.99
  • Caresource — Commercial: $36.78
  • Cigna — Commercial: $41.39
  • Medical Mutual — Commercial: $101.98
  • Multiplan — Commercial: $107.98
  • The Health Plan — Commercial: $95.98
  • United Healthcare — Commercial: $76.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TSH $150.21 $60.09 $14.28 – $135.19
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Commercial: $99.29
  • Blue Cross Blue Shield Pathway X — HMO: $14.28
  • Blue Cross Blue Shield Pathway X — PPO: $14.28
  • Buckeye Community Health Plan — Commercial: $21
  • Caresource — Commercial: $33.60
  • Cigna — Commercial: $51.82
  • Medical Mutual — Commercial: $127.68
  • Multiplan — Commercial: $135.19
  • The Health Plan — Commercial: $120.17
  • United Healthcare — Commercial: $95.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TSH NEWBORN SCRN $147.05 $58.82 $14.28 – $132.35
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Commercial: $97.20
  • Blue Cross Blue Shield Pathway X — HMO: $14.28
  • Blue Cross Blue Shield Pathway X — PPO: $14.28
  • Buckeye Community Health Plan — Commercial: $21
  • Caresource — Commercial: $33.60
  • Cigna — Commercial: $50.73
  • Medical Mutual — Commercial: $124.99
  • Multiplan — Commercial: $132.35
  • The Health Plan — Commercial: $117.64
  • United Healthcare — Commercial: $93.82
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TSH HIGH SENS $150.21 $60.09 $14.28 – $135.19
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Commercial: $99.29
  • Blue Cross Blue Shield Pathway X — HMO: $14.28
  • Blue Cross Blue Shield Pathway X — PPO: $14.28
  • Buckeye Community Health Plan — Commercial: $21
  • Caresource — Commercial: $33.60
  • Cigna — Commercial: $51.82
  • Medical Mutual — Commercial: $127.68
  • Multiplan — Commercial: $135.19
  • The Health Plan — Commercial: $120.17
  • United Healthcare — Commercial: $95.83
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POCT-CBC $89.19 $35.68 $6.61 – $80.27
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Commercial: $58.95
  • Blue Cross Blue Shield Pathway X — HMO: $6.61
  • Blue Cross Blue Shield Pathway X — PPO: $6.61
  • Buckeye Community Health Plan — Commercial: $9.71
  • Caresource — Commercial: $15.54
  • Cigna — Commercial: $30.77
  • Medical Mutual — Commercial: $75.81
  • Multiplan — Commercial: $80.27
  • The Health Plan — Commercial: $71.35
  • United Healthcare — Commercial: $56.90
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC /W DIFF $89.19 $35.68 $6.61 – $80.27
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Commercial: $58.95
  • Blue Cross Blue Shield Pathway X — HMO: $6.61
  • Blue Cross Blue Shield Pathway X — PPO: $6.61
  • Buckeye Community Health Plan — Commercial: $9.71
  • Caresource — Commercial: $15.54
  • Cigna — Commercial: $30.77
  • Medical Mutual — Commercial: $75.81
  • Multiplan — Commercial: $80.27
  • The Health Plan — Commercial: $71.35
  • United Healthcare — Commercial: $56.90
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POCT-CBC $89.19 $35.68 $56.90 – $80.27
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • Aetna — Commercial: $58.95
  • Medical Mutual — Commercial: $75.81
  • Multiplan — Commercial: $80.27
  • The Health Plan — Commercial: $71.35
  • United Healthcare — Commercial: $56.90
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BLOOD CELL PROF $86.17 $34.47 $5.50 – $77.55
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Commercial: $56.96
  • Blue Cross Blue Shield Pathway X — HMO: $5.50
  • Blue Cross Blue Shield Pathway X — PPO: $5.50
  • Buckeye Community Health Plan — Commercial: $8.09
  • Caresource — Commercial: $12.94
  • Cigna — Commercial: $29.73
  • Medical Mutual — Commercial: $73.24
  • Multiplan — Commercial: $77.55
  • The Health Plan — Commercial: $68.94
  • United Healthcare — Commercial: $54.98
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEMOGRAM $86.17 $34.47 $5.50 – $77.55
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Commercial: $56.96
  • Blue Cross Blue Shield Pathway X — HMO: $5.50
  • Blue Cross Blue Shield Pathway X — PPO: $5.50
  • Buckeye Community Health Plan — Commercial: $8.09
  • Caresource — Commercial: $12.94
  • Cigna — Commercial: $29.73
  • Medical Mutual — Commercial: $73.24
  • Multiplan — Commercial: $77.55
  • The Health Plan — Commercial: $68.94
  • United Healthcare — Commercial: $54.98
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG BLOOD CELL PROF $86.17 $34.47 $54.98 – $77.55
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Aetna — Commercial: $56.96
  • Medical Mutual — Commercial: $73.24
  • Multiplan — Commercial: $77.55
  • The Health Plan — Commercial: $68.94
  • United Healthcare — Commercial: $54.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTIME REF LAB $74.05 $29.62 $3.34 – $66.65
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Commercial: $48.95
  • Blue Cross Blue Shield Pathway X — HMO: $3.34
  • Blue Cross Blue Shield Pathway X — PPO: $3.34
  • Buckeye Community Health Plan — Commercial: $5.36
  • Caresource — Commercial: $8.58
  • Cigna — Commercial: $25.55
  • Medical Mutual — Commercial: $62.94
  • Multiplan — Commercial: $66.65
  • The Health Plan — Commercial: $59.24
  • United Healthcare — Commercial: $47.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT/INR/CAP $64.95 $25.98 $3.34 – $58.46
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Commercial: $42.93
  • Blue Cross Blue Shield Pathway X — HMO: $3.34
  • Blue Cross Blue Shield Pathway X — PPO: $3.34
  • Buckeye Community Health Plan — Commercial: $5.36
  • Caresource — Commercial: $8.58
  • Cigna — Commercial: $22.41
  • Medical Mutual — Commercial: $55.21
  • Multiplan — Commercial: $58.46
  • The Health Plan — Commercial: $51.96
  • United Healthcare — Commercial: $41.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT/INR $64.95 $25.98 $3.34 – $58.46
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Commercial: $42.93
  • Blue Cross Blue Shield Pathway X — HMO: $3.34
  • Blue Cross Blue Shield Pathway X — PPO: $3.34
  • Buckeye Community Health Plan — Commercial: $5.36
  • Caresource — Commercial: $8.58
  • Cigna — Commercial: $22.41
  • Medical Mutual — Commercial: $55.21
  • Multiplan — Commercial: $58.46
  • The Health Plan — Commercial: $51.96
  • United Healthcare — Commercial: $41.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG APTT REF LAB $94.10 $37.64 $5.10 – $84.69
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Commercial: $62.20
  • Blue Cross Blue Shield Pathway X — HMO: $5.10
  • Blue Cross Blue Shield Pathway X — PPO: $5.10
  • Buckeye Community Health Plan — Commercial: $7.51
  • Caresource — Commercial: $12.02
  • Cigna — Commercial: $32.46
  • Medical Mutual — Commercial: $79.99
  • Multiplan — Commercial: $84.69
  • The Health Plan — Commercial: $75.28
  • United Healthcare — Commercial: $60.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG APTT $79.32 $31.73 $5.10 – $71.39
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Commercial: $52.43
  • Blue Cross Blue Shield Pathway X — HMO: $5.10
  • Blue Cross Blue Shield Pathway X — PPO: $5.10
  • Buckeye Community Health Plan — Commercial: $7.51
  • Caresource — Commercial: $12.02
  • Cigna — Commercial: $27.37
  • Medical Mutual — Commercial: $67.42
  • Multiplan — Commercial: $71.39
  • The Health Plan — Commercial: $63.46
  • United Healthcare — Commercial: $50.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PTT HEPARIN $79.32 $31.73 $5.10 – $71.39
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Commercial: $52.43
  • Blue Cross Blue Shield Pathway X — HMO: $5.10
  • Blue Cross Blue Shield Pathway X — PPO: $5.10
  • Buckeye Community Health Plan — Commercial: $7.51
  • Caresource — Commercial: $12.02
  • Cigna — Commercial: $27.37
  • Medical Mutual — Commercial: $67.42
  • Multiplan — Commercial: $71.39
  • The Health Plan — Commercial: $63.46
  • United Healthcare — Commercial: $50.61

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT HEAD W/O $2,079.15 $831.66 $123.64 – $1,871.24
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,374.32
  • Blue Cross Blue Shield Pathway X — HMO: $1,426
  • Blue Cross Blue Shield Pathway X — PPO: $1,426
  • Buckeye Community Health Plan — Commercial: $123.64
  • Caresource — Commercial: $197.82
  • Cigna — Commercial: $1,595
  • Medical Mutual — Commercial: $1,767.28
  • Multiplan — Commercial: $1,871.24
  • The Health Plan — Commercial: $1,663.32
  • United Healthcare — Commercial: $1,326.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT HEAD W/O $2,079.15 $831.66 $1,326.50 – $1,871.24
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • Aetna — Commercial: $1,374.32
  • Medical Mutual — Commercial: $1,767.28
  • Multiplan — Commercial: $1,871.24
  • The Health Plan — Commercial: $1,663.32
  • United Healthcare — Commercial: $1,326.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI HEAD W+WO CONTRAST $4,155.50 $1,662.20 $412.58 – $3,739.95
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Commercial: $2,746.79
  • Blue Cross Blue Shield Pathway X — HMO: $1,753
  • Blue Cross Blue Shield Pathway X — PPO: $1,753
  • Buckeye Community Health Plan — Commercial: $412.58
  • Caresource — Commercial: $660.12
  • Cigna — Commercial: $1,595
  • Medical Mutual — Commercial: $3,532.18
  • Multiplan — Commercial: $3,739.95
  • The Health Plan — Commercial: $3,324.40
  • United Healthcare — Commercial: $2,651.21
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI HEAD W+WO CONTRAST $4,155.50 $1,662.20 $2,651.21 – $3,739.95
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • Aetna — Commercial: $2,746.79
  • Medical Mutual — Commercial: $3,532.18
  • Multiplan — Commercial: $3,739.95
  • The Health Plan — Commercial: $3,324.40
  • United Healthcare — Commercial: $2,651.21
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CHEST PA LAT $317.40 $126.96 $102.92 – $285.66
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Commercial: $209.80
  • Blue Cross Blue Shield Pathway X — HMO: $176.47
  • Blue Cross Blue Shield Pathway X — PPO: $176.47
  • Buckeye Community Health Plan — Commercial: $102.92
  • Caresource — Commercial: $164.66
  • Cigna — Commercial: $109.50
  • Medical Mutual — Commercial: $269.79
  • Multiplan — Commercial: $285.66
  • The Health Plan — Commercial: $253.92
  • United Healthcare — Commercial: $202.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CHEST PA LAT $317.40 $126.96 $202.50 – $285.66
Chest X-ray, 2 views: rates for 5 insurance plans
  • Aetna — Commercial: $209.80
  • Medical Mutual — Commercial: $269.79
  • Multiplan — Commercial: $285.66
  • The Health Plan — Commercial: $253.92
  • United Healthcare — Commercial: $202.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LUMBOSACRAL MIN OF 4 VIEWS $485.54 $194.22 $123.64 – $436.99
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Aetna — Commercial: $320.94
  • Blue Cross Blue Shield Pathway X — HMO: $269.96
  • Blue Cross Blue Shield Pathway X — PPO: $269.96
  • Buckeye Community Health Plan — Commercial: $123.64
  • Caresource — Commercial: $197.82
  • Cigna — Commercial: $167.51
  • Medical Mutual — Commercial: $412.71
  • Multiplan — Commercial: $436.99
  • The Health Plan — Commercial: $388.43
  • United Healthcare — Commercial: $309.77
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG LUMBOSACRAL MIN OF 4 VIEWS $485.54 $194.22 $309.77 – $436.99
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • Aetna — Commercial: $320.94
  • Medical Mutual — Commercial: $412.71
  • Multiplan — Commercial: $436.99
  • The Health Plan — Commercial: $388.43
  • United Healthcare — Commercial: $309.77
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI LUMBAR SPINE W/O CONT $2,850.72 $1,140.29 $282.17 – $2,565.65
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,884.33
  • Blue Cross Blue Shield Pathway X — HMO: $1,753
  • Blue Cross Blue Shield Pathway X — PPO: $1,753
  • Buckeye Community Health Plan — Commercial: $282.17
  • Caresource — Commercial: $451.47
  • Cigna — Commercial: $1,595
  • Medical Mutual — Commercial: $2,423.11
  • Multiplan — Commercial: $2,565.65
  • The Health Plan — Commercial: $2,280.58
  • United Healthcare — Commercial: $1,818.76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI LUMBAR SPINE W/O CONT $2,850.72 $1,140.29 $1,818.76 – $2,565.65
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Aetna — Commercial: $1,884.33
  • Medical Mutual — Commercial: $2,423.11
  • Multiplan — Commercial: $2,565.65
  • The Health Plan — Commercial: $2,280.58
  • United Healthcare — Commercial: $1,818.76
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W $2,185.45 $874.18 $207.43 – $1,966.91
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,444.58
  • Blue Cross Blue Shield Pathway X — HMO: $1,426
  • Blue Cross Blue Shield Pathway X — PPO: $1,426
  • Buckeye Community Health Plan — Commercial: $207.43
  • Caresource — Commercial: $331.89
  • Cigna — Commercial: $1,595
  • Medical Mutual — Commercial: $1,857.63
  • Multiplan — Commercial: $1,966.91
  • The Health Plan — Commercial: $1,748.36
  • United Healthcare — Commercial: $1,394.32
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W $2,185.45 $874.18 $1,394.32 – $1,966.91
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Aetna — Commercial: $1,444.58
  • Medical Mutual — Commercial: $1,857.63
  • Multiplan — Commercial: $1,966.91
  • The Health Plan — Commercial: $1,748.36
  • United Healthcare — Commercial: $1,394.32
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI LOW EXT JNT W/O CONT $3,021.87 $1,208.75 $282.17 – $2,719.68
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,997.46
  • Blue Cross Blue Shield Pathway X — HMO: $1,753
  • Blue Cross Blue Shield Pathway X — PPO: $1,753
  • Buckeye Community Health Plan — Commercial: $282.17
  • Caresource — Commercial: $451.47
  • Cigna — Commercial: $1,595
  • Medical Mutual — Commercial: $2,568.59
  • Multiplan — Commercial: $2,719.68
  • The Health Plan — Commercial: $2,417.50
  • United Healthcare — Commercial: $1,927.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI LOW EXT JNT W/O CONT $3,021.87 $1,208.75 $1,927.95 – $2,719.68
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • Aetna — Commercial: $1,997.46
  • Medical Mutual — Commercial: $2,568.59
  • Multiplan — Commercial: $2,719.68
  • The Health Plan — Commercial: $2,417.50
  • United Healthcare — Commercial: $1,927.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT ABD & PELVIS /W CONTRAST $4,370.85 $1,748.34 $412.58 – $3,933.77
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Commercial: $2,889.13
  • Blue Cross Blue Shield Pathway X — HMO: $1,426
  • Blue Cross Blue Shield Pathway X — PPO: $1,426
  • Buckeye Community Health Plan — Commercial: $412.58
  • Caresource — Commercial: $660.12
  • Cigna — Commercial: $1,595
  • Medical Mutual — Commercial: $3,715.22
  • Multiplan — Commercial: $3,933.77
  • The Health Plan — Commercial: $3,496.68
  • United Healthcare — Commercial: $2,788.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT ABD & PELVIS /W CONTRAST $4,370.85 $1,748.34 $2,788.60 – $3,933.77
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • Aetna — Commercial: $2,889.13
  • Medical Mutual — Commercial: $3,715.22
  • Multiplan — Commercial: $3,933.77
  • The Health Plan — Commercial: $3,496.68
  • United Healthcare — Commercial: $2,788.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE $1,153.56 $461.43 $123.64 – $1,038.20
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — Commercial: $762.50
  • Blue Cross Blue Shield Pathway X — HMO: $641.38
  • Blue Cross Blue Shield Pathway X — PPO: $641.38
  • Buckeye Community Health Plan — Commercial: $123.64
  • Caresource — Commercial: $197.82
  • Cigna — Commercial: $397.98
  • Medical Mutual — Commercial: $980.53
  • Multiplan — Commercial: $1,038.20
  • The Health Plan — Commercial: $922.85
  • United Healthcare — Commercial: $735.97
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE $1,153.56 $461.43 $735.97 – $1,038.20
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • Aetna — Commercial: $762.50
  • Medical Mutual — Commercial: $980.53
  • Multiplan — Commercial: $1,038.20
  • The Health Plan — Commercial: $922.85
  • United Healthcare — Commercial: $735.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ECHO PREGNANCY $948.41 $379.37 $123.64 – $853.57
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Commercial: $626.90
  • Blue Cross Blue Shield Pathway X — HMO: $527.32
  • Blue Cross Blue Shield Pathway X — PPO: $527.32
  • Buckeye Community Health Plan — Commercial: $123.64
  • Caresource — Commercial: $197.82
  • Cigna — Commercial: $327.20
  • Medical Mutual — Commercial: $806.15
  • Multiplan — Commercial: $853.57
  • The Health Plan — Commercial: $758.73
  • United Healthcare — Commercial: $605.09
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US PREGNANCY-14 + WEEKS $948.41 $379.37 $123.64 – $853.57
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Commercial: $626.90
  • Blue Cross Blue Shield Pathway X — HMO: $527.32
  • Blue Cross Blue Shield Pathway X — PPO: $527.32
  • Buckeye Community Health Plan — Commercial: $123.64
  • Caresource — Commercial: $197.82
  • Cigna — Commercial: $327.20
  • Medical Mutual — Commercial: $806.15
  • Multiplan — Commercial: $853.57
  • The Health Plan — Commercial: $758.73
  • United Healthcare — Commercial: $605.09
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ECHO PREGNANCY $948.41 $379.37 $605.09 – $853.57
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • Aetna — Commercial: $626.90
  • Medical Mutual — Commercial: $806.15
  • Multiplan — Commercial: $853.57
  • The Health Plan — Commercial: $758.73
  • United Healthcare — Commercial: $605.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US TRANS VAGINAL $1,002.34 $400.94 $123.64 – $902.11
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — Commercial: $662.55
  • Blue Cross Blue Shield Pathway X — HMO: $557.30
  • Blue Cross Blue Shield Pathway X — PPO: $557.30
  • Buckeye Community Health Plan — Commercial: $123.64
  • Caresource — Commercial: $197.82
  • Cigna — Commercial: $345.81
  • Medical Mutual — Commercial: $851.99
  • Multiplan — Commercial: $902.11
  • The Health Plan — Commercial: $801.87
  • United Healthcare — Commercial: $639.49
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US TRANS VAGINAL $1,002.34 $400.94 $639.49 – $902.11
Transvaginal ultrasound: rates for 5 insurance plans
  • Aetna — Commercial: $662.55
  • Medical Mutual — Commercial: $851.99
  • Multiplan — Commercial: $902.11
  • The Health Plan — Commercial: $801.87
  • United Healthcare — Commercial: $639.49
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-UNILATERAL $661.35 $264.54 $144.53 – $595.22
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Commercial: $437.15
  • Blue Cross Blue Shield Pathway X — HMO: $367.71
  • Blue Cross Blue Shield Pathway X — PPO: $367.71
  • Buckeye Community Health Plan — Commercial: $144.53
  • Caresource — Commercial: $231.25
  • Cigna — Commercial: $228.17
  • Medical Mutual — Commercial: $562.15
  • Multiplan — Commercial: $595.22
  • The Health Plan — Commercial: $529.08
  • United Healthcare — Commercial: $421.94
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-UNILATERAL $661.35 $264.54 $421.94 – $595.22
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • Aetna — Commercial: $437.15
  • Medical Mutual — Commercial: $562.15
  • Multiplan — Commercial: $595.22
  • The Health Plan — Commercial: $529.08
  • United Healthcare — Commercial: $421.94
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-BILATERAL $880.90 $352.36 $183.04 – $792.81
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $582.27
  • Blue Cross Blue Shield Pathway X — HMO: $489.78
  • Blue Cross Blue Shield Pathway X — PPO: $489.78
  • Buckeye Community Health Plan — Commercial: $183.04
  • Caresource — Commercial: $292.86
  • Cigna — Commercial: $303.91
  • Medical Mutual — Commercial: $748.77
  • Multiplan — Commercial: $792.81
  • The Health Plan — Commercial: $704.72
  • United Healthcare — Commercial: $562.01
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-BILATERAL $880.90 $352.36 $562.01 – $792.81
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • Aetna — Commercial: $582.27
  • Medical Mutual — Commercial: $748.77
  • Multiplan — Commercial: $792.81
  • The Health Plan — Commercial: $704.72
  • United Healthcare — Commercial: $562.01
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD SCREENING DIG-UNILATERAL $566.30 $226.52 $146.98 – $509.67
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $374.32
  • Blue Cross Blue Shield Pathway X — HMO: $314.86
  • Blue Cross Blue Shield Pathway X — PPO: $314.86
  • Buckeye Community Health Plan — Commercial: $146.98
  • Caresource — Commercial: $235.16
  • Cigna — Commercial: $195.37
  • Medical Mutual — Commercial: $481.36
  • Multiplan — Commercial: $509.67
  • The Health Plan — Commercial: $453.04
  • United Healthcare — Commercial: $361.30
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD SCREENING DIG BILATERAL $755.05 $302.02 $146.98 – $679.55
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $499.09
  • Blue Cross Blue Shield Pathway X — HMO: $419.81
  • Blue Cross Blue Shield Pathway X — PPO: $419.81
  • Buckeye Community Health Plan — Commercial: $146.98
  • Caresource — Commercial: $235.16
  • Cigna — Commercial: $260.49
  • Medical Mutual — Commercial: $641.79
  • Multiplan — Commercial: $679.55
  • The Health Plan — Commercial: $604.04
  • United Healthcare — Commercial: $481.72
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM /W CAD SCREENING DIG-UNILATERAL $566.30 $226.52 $361.30 – $509.67
Screening mammogram, both breasts: rates for 5 insurance plans
  • Aetna — Commercial: $374.32
  • Medical Mutual — Commercial: $481.36
  • Multiplan — Commercial: $509.67
  • The Health Plan — Commercial: $453.04
  • United Healthcare — Commercial: $361.30

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $18.23 – $29.17
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $18.23
  • Caresource — Commercial: $29.17
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LEFT HEART CATH $16,616.35 $6,646.54 $2,698 – $14,954.72
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Aetna — Commercial: $10,983.41
  • Blue Cross Blue Shield Pathway X — HMO: $2,698
  • Blue Cross Blue Shield Pathway X — PPO: $2,807
  • Buckeye Community Health Plan — Commercial: $3,833.90
  • Caresource — Commercial: $6,134.23
  • Cigna — Commercial: $5,732.64
  • Medical Mutual — Commercial: $14,123.90
  • Multiplan — Commercial: $14,954.72
  • The Health Plan — Commercial: $13,293.08
  • United Healthcare — Commercial: $10,601.23
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG LEFT HEART CATH $16,616.35 $6,646.54 $10,601.23 – $14,954.72
Left heart catheterization (diagnostic): rates for 5 insurance plans
  • Aetna — Commercial: $10,983.41
  • Medical Mutual — Commercial: $14,123.90
  • Multiplan — Commercial: $14,954.72
  • The Health Plan — Commercial: $13,293.08
  • United Healthcare — Commercial: $10,601.23
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMP EP EVAL $29,114.37 $11,645.75 $9,223.85 – $26,202.93
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • Aetna — Commercial: $19,244.60
  • Blue Cross Blue Shield Pathway X — HMO: $16,187.59
  • Blue Cross Blue Shield Pathway X — PPO: $16,187.59
  • Buckeye Community Health Plan — Commercial: $9,223.85
  • Caresource — Commercial: $14,758.17
  • Cigna — Commercial: $10,044.46
  • Medical Mutual — Commercial: $24,747.21
  • Multiplan — Commercial: $26,202.93
  • The Health Plan — Commercial: $23,291.50
  • United Healthcare — Commercial: $18,574.97
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG COMP EP EVAL $29,114.37 $11,645.75 $18,574.97 – $26,202.93
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
  • Aetna — Commercial: $19,244.60
  • Medical Mutual — Commercial: $24,747.21
  • Multiplan — Commercial: $26,202.93
  • The Health Plan — Commercial: $23,291.50
  • United Healthcare — Commercial: $18,574.97
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ABLATION BY PULMONARY VEIN /W COMPLETE EP STUDY $41,192.71 $16,477.09 $14,211.48 – $49,456.86
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • Aetna — Commercial: $27,228.38
  • Blue Cross Blue Shield Pathway X — HMO: $22,903.15
  • Blue Cross Blue Shield Pathway X — PPO: $22,903.15
  • Buckeye Community Health Plan — Commercial: $30,910.54
  • Caresource — Commercial: $49,456.86
  • Cigna — Commercial: $14,211.48
  • Medical Mutual — Commercial: $35,013.80
  • Multiplan — Commercial: $37,073.44
  • The Health Plan — Commercial: $32,954.17
  • United Healthcare — Commercial: $26,280.95
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ABLATION BY PULMONARY VEIN /W COMPLETE EP STUDY $41,192.71 $16,477.09 $26,280.95 – $37,073.44
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Aetna — Commercial: $27,228.38
  • Medical Mutual — Commercial: $35,013.80
  • Multiplan — Commercial: $37,073.44
  • The Health Plan — Commercial: $32,954.17
  • United Healthcare — Commercial: $26,280.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POLYSOMNOGRAPHY > 6YRS OLD $5,719.54 $2,287.82 $1,015.54 – $5,147.59
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Aetna — Commercial: $3,780.62
  • Blue Cross Blue Shield Pathway X — HMO: $3,180.06
  • Blue Cross Blue Shield Pathway X — PPO: $3,180.06
  • Buckeye Community Health Plan — Commercial: $1,015.54
  • Caresource — Commercial: $1,624.87
  • Cigna — Commercial: $1,973.24
  • Medical Mutual — Commercial: $4,861.61
  • Multiplan — Commercial: $5,147.59
  • The Health Plan — Commercial: $4,575.63
  • United Healthcare — Commercial: $3,649.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POLYSONOGRAPHY > 6YRS /W < 6HR RECORDING $4,739.58 $1,895.84 $1,015.54 – $4,265.62
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Aetna — Commercial: $3,132.86
  • Blue Cross Blue Shield Pathway X — HMO: $2,635.21
  • Blue Cross Blue Shield Pathway X — PPO: $2,635.21
  • Buckeye Community Health Plan — Commercial: $1,015.54
  • Caresource — Commercial: $1,624.87
  • Cigna — Commercial: $1,635.16
  • Medical Mutual — Commercial: $4,028.64
  • Multiplan — Commercial: $4,265.62
  • The Health Plan — Commercial: $3,791.66
  • United Healthcare — Commercial: $3,023.85
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POLYSOMNOGRAPHY > 6YRS OLD $5,719.54 $2,287.82 $3,649.07 – $5,147.59
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • Aetna — Commercial: $3,780.62
  • Medical Mutual — Commercial: $4,861.61
  • Multiplan — Commercial: $5,147.59
  • The Health Plan — Commercial: $4,575.63
  • United Healthcare — Commercial: $3,649.07

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG THERAPEUTIC EX EA 15 MINS $175.80 $70.32 $34.84 – $158.22
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $116.20
  • Blue Cross Blue Shield Pathway X — HMO: $97.74
  • Blue Cross Blue Shield Pathway X — PPO: $97.74
  • Buckeye Community Health Plan — Commercial: $34.84
  • Caresource — Commercial: $55.74
  • Cigna — Commercial: $60.65
  • Medical Mutual — Commercial: $149.43
  • Multiplan — Commercial: $158.22
  • The Health Plan — Commercial: $140.64
  • United Healthcare — Commercial: $112.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG THERAPEUTIC EX EA 15 MINS $175.80 $70.32 $112.16 – $158.22
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • Aetna — Commercial: $116.20
  • Medical Mutual — Commercial: $149.43
  • Multiplan — Commercial: $158.22
  • The Health Plan — Commercial: $140.64
  • United Healthcare — Commercial: $112.16
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL; LOW COMPLEXITY $336.35 $134.54 $116.04 – $302.72
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna — Commercial: $222.33
  • Blue Cross Blue Shield Pathway X — HMO: $187.01
  • Blue Cross Blue Shield Pathway X — PPO: $187.01
  • Buckeye Community Health Plan — Commercial: $117.32
  • Caresource — Commercial: $187.71
  • Cigna — Commercial: $116.04
  • Medical Mutual — Commercial: $285.90
  • Multiplan — Commercial: $302.72
  • The Health Plan — Commercial: $269.08
  • United Healthcare — Commercial: $214.59
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL; LOW COMPLEXITY $336.35 $134.54 $214.59 – $302.72
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • Aetna — Commercial: $222.33
  • Medical Mutual — Commercial: $285.90
  • Multiplan — Commercial: $302.72
  • The Health Plan — Commercial: $269.08
  • United Healthcare — Commercial: $214.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL; MODERATE COMPLEXITY $422.20 $168.88 $117.32 – $379.98
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna — Commercial: $279.07
  • Blue Cross Blue Shield Pathway X — HMO: $234.74
  • Blue Cross Blue Shield Pathway X — PPO: $234.74
  • Buckeye Community Health Plan — Commercial: $117.32
  • Caresource — Commercial: $187.71
  • Cigna — Commercial: $145.66
  • Medical Mutual — Commercial: $358.87
  • Multiplan — Commercial: $379.98
  • The Health Plan — Commercial: $337.76
  • United Healthcare — Commercial: $269.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL; MODERATE COMPLEXITY $422.20 $168.88 $269.36 – $379.98
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • Aetna — Commercial: $279.07
  • Medical Mutual — Commercial: $358.87
  • Multiplan — Commercial: $379.98
  • The Health Plan — Commercial: $337.76
  • United Healthcare — Commercial: $269.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL; HIGH COMPLEXITY $506.65 $202.66 $117.32 – $455.99
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna — Commercial: $334.90
  • Blue Cross Blue Shield Pathway X — HMO: $281.70
  • Blue Cross Blue Shield Pathway X — PPO: $281.70
  • Buckeye Community Health Plan — Commercial: $117.32
  • Caresource — Commercial: $187.71
  • Cigna — Commercial: $174.79
  • Medical Mutual — Commercial: $430.65
  • Multiplan — Commercial: $455.99
  • The Health Plan — Commercial: $405.32
  • United Healthcare — Commercial: $323.24
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL; HIGH COMPLEXITY $506.65 $202.66 $323.24 – $455.99
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • Aetna — Commercial: $334.90
  • Medical Mutual — Commercial: $430.65
  • Multiplan — Commercial: $455.99
  • The Health Plan — Commercial: $405.32
  • United Healthcare — Commercial: $323.24
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $209.91 – $335.85
Psychotherapy, 30 minutes: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $209.91
  • Caresource — Commercial: $335.85
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $209.91 – $335.85
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $209.91
  • Caresource — Commercial: $335.85
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $209.91 – $335.85
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $209.91
  • Caresource — Commercial: $335.85
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $209.91 – $335.85
Family psychotherapy, without the patient: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $209.91
  • Caresource — Commercial: $335.85
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $209.91 – $335.85
Family psychotherapy, with the patient: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $209.91
  • Caresource — Commercial: $335.85
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $120.14 – $192.22
Group psychotherapy: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $120.14
  • Caresource — Commercial: $192.22

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $4,630.38 – $7,408.60
Removal of breast growth (open surgery): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,760
  • Blue Cross Blue Shield Pathway X — PPO: $1,831
  • Buckeye Community Health Plan — Commercial: $4,630.38
  • Caresource — Commercial: $7,408.60
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $13,280 – $24,292.76
Total hip replacement: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $13,280
  • Blue Cross Blue Shield Pathway X — PPO: $13,817
  • Buckeye Community Health Plan — Commercial: $15,182.98
  • Caresource — Commercial: $24,292.76
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $13,280 – $24,292.76
Total knee replacement: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $13,280
  • Blue Cross Blue Shield Pathway X — PPO: $13,817
  • Buckeye Community Health Plan — Commercial: $15,182.98
  • Caresource — Commercial: $24,292.76
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $181.43 – $290.29
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,760
  • Blue Cross Blue Shield Pathway X — PPO: $1,831
  • Buckeye Community Health Plan — Commercial: $181.43
  • Caresource — Commercial: $290.29
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $3,320 – $6,191.13
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $3,320
  • Blue Cross Blue Shield Pathway X — PPO: $3,454
  • Buckeye Community Health Plan — Commercial: $3,869.46
  • Caresource — Commercial: $6,191.13
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $7,000.77 – $11,201.23
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,760
  • Blue Cross Blue Shield Pathway X — PPO: $1,831
  • Buckeye Community Health Plan — Commercial: $7,000.77
  • Caresource — Commercial: $11,201.23
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $1,072.60 – $1,716.16
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,051
  • Blue Cross Blue Shield Pathway X — PPO: $1,093
  • Buckeye Community Health Plan — Commercial: $1,072.60
  • Caresource — Commercial: $1,716.16
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $1,072.60 – $1,716.16
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $1,072.60
  • Caresource — Commercial: $1,716.16
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $1,099.76 – $1,759.62
Colonoscopy (diagnostic): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $1,099.76
  • Caresource — Commercial: $1,759.62
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,415.14 – $2,264.23
Colonoscopy with biopsy: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $1,415.14
  • Caresource — Commercial: $2,264.23
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,415.14 – $2,264.23
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $1,415.14
  • Caresource — Commercial: $2,264.23
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,415.14 – $2,264.23
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $1,415.14
  • Caresource — Commercial: $2,264.23
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,099.76 – $1,759.62
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $1,099.76
  • Caresource — Commercial: $1,759.62
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $7,149.42 – $11,439.07
Gallbladder removal by laparoscope: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $2,202
  • Blue Cross Blue Shield Pathway X — PPO: $2,291
  • Buckeye Community Health Plan — Commercial: $7,149.42
  • Caresource — Commercial: $11,439.07
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $4,234.17 – $6,774.67
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $2,003
  • Blue Cross Blue Shield Pathway X — PPO: $2,084
  • Buckeye Community Health Plan — Commercial: $4,234.17
  • Caresource — Commercial: $6,774.67
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $1,145 – $1,191
Prostate biopsy: rates for 2 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $12,570.80 – $20,113.28
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $12,570.80
  • Caresource — Commercial: $20,113.28
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $3,828.21 – $6,125.14
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,760
  • Blue Cross Blue Shield Pathway X — PPO: $1,831
  • Buckeye Community Health Plan — Commercial: $3,828.21
  • Caresource — Commercial: $6,125.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJECTION LUMBAR/SACRAL INTERLAM /W GUIDANCE $8,852.99 $3,541.20 $834.77 – $7,967.69
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Aetna — Commercial: $5,851.83
  • Blue Cross Blue Shield Pathway X — HMO: $1,051
  • Blue Cross Blue Shield Pathway X — PPO: $1,093
  • Buckeye Community Health Plan — Commercial: $834.77
  • Caresource — Commercial: $1,335.64
  • Cigna — Commercial: $3,054.28
  • Medical Mutual — Commercial: $7,525.04
  • Multiplan — Commercial: $7,967.69
  • The Health Plan — Commercial: $7,082.39
  • United Healthcare — Commercial: $5,648.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJECTION LUMBAR/SACRAL INTERLAM /W GUIDANCE $8,852.99 $3,541.20 $5,648.21 – $7,967.69
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • Aetna — Commercial: $5,851.83
  • Medical Mutual — Commercial: $7,525.04
  • Multiplan — Commercial: $7,967.69
  • The Health Plan — Commercial: $7,082.39
  • United Healthcare — Commercial: $5,648.21
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJ LUMBAR/SACRAL TRANSFOR SNGL LVL (INCL FLUORO) $2,230.25 $892.10 $769.44 – $2,007.23
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Commercial: $1,474.20
  • Blue Cross Blue Shield Pathway X — HMO: $1,051
  • Blue Cross Blue Shield Pathway X — PPO: $1,093
  • Buckeye Community Health Plan — Commercial: $1,045.97
  • Caresource — Commercial: $1,673.56
  • Cigna — Commercial: $769.44
  • Medical Mutual — Commercial: $1,895.71
  • Multiplan — Commercial: $2,007.23
  • The Health Plan — Commercial: $1,784.20
  • United Healthcare — Commercial: $1,422.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJ LUMBAR/SACRAL TRANSFOR SNGL LVL (INCL FLUORO) $2,230.25 $892.10 $1,422.90 – $2,007.23
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
  • Aetna — Commercial: $1,474.20
  • Medical Mutual — Commercial: $1,895.71
  • Multiplan — Commercial: $2,007.23
  • The Health Plan — Commercial: $1,784.20
  • United Healthcare — Commercial: $1,422.90
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,743 – $3,694.86
Carpal tunnel release: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,743
  • Blue Cross Blue Shield Pathway X — PPO: $1,814
  • Buckeye Community Health Plan — Commercial: $2,309.29
  • Caresource — Commercial: $3,694.86
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $650.42 – $1,040.68
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,145
  • Blue Cross Blue Shield Pathway X — PPO: $1,191
  • Buckeye Community Health Plan — Commercial: $650.42
  • Caresource — Commercial: $1,040.68
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,729.22 – $4,366.76
Cataract removal with lens implant: rates for 4 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $1,669
  • Blue Cross Blue Shield Pathway X — PPO: $1,736
  • Buckeye Community Health Plan — Commercial: $2,729.22
  • Caresource — Commercial: $4,366.76

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,703.48 – $4,325.56
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $2,703.48
  • Caresource — Commercial: $4,325.56
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $3,023.37 – $4,837.39
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $3,023.37
  • Caresource — Commercial: $4,837.39
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,849.88 – $4,559.80
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • Buckeye Community Health Plan — Commercial: $2,849.88
  • Caresource — Commercial: $4,559.80

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · 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 $75,836.27 – $144,917.12
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $75,836.27
  • Blue Cross Blue Shield Pathway X — PPO: $75,836.27
  • Buckeye Community Health Plan — Commercial: $90,573.20
  • Caresource — Commercial: $144,917.12
  • Cigna — Commercial: $92,780.08
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 MCC Not listed in the file Not listed in the file $14,952.83 – $36,494.64
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $14,952.83
  • Blue Cross Blue Shield Pathway X — PPO: $14,952.83
  • Buckeye Community Health Plan — Commercial: $22,809.15
  • Caresource — Commercial: $36,494.64
  • Cigna — Commercial: $18,293.69
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 $18,924.96 – $43,568.28
Neck (cervical) spinal fusion, without complications: rates for 5 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $18,924.96
  • Blue Cross Blue Shield Pathway X — PPO: $18,924.96
  • Buckeye Community Health Plan — Commercial: $27,230.18
  • Caresource — Commercial: $43,568.28
  • Cigna — Commercial: $23,153.29
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,617.91 – $26,994.10
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans
  • Blue Cross Blue Shield Pathway X — HMO: $9,617.91
  • Blue Cross Blue Shield Pathway X — PPO: $9,617.91
  • Buckeye Community Health Plan — Commercial: $16,871.31
  • Caresource — Commercial: $26,994.10
  • Cigna — Commercial: $11,766.80

Source: Kings Daughters Medical Center Ohio’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 25, 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 typeAcute Care Hospital
Address1901 Argonne Road, Portsmouth, OH 45662
CountyScioto County
StateOhio
Phone(740) 991‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number360361
Name in Medicare recordsKINGS DAUGHTERS MEDICAL CENTER OHIO
Profile levelMedicare data + hospital website
Official websiteukkingsdaughters.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. King's Daughters Medical Center Ohio | UK King's Daughters — ukkingsdaughters.com