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Acute Care Hospital

Kosciusko Community Hospital

Warsaw, Indiana · Kosciusko County · Emergency services listed

Summary

Kosciusko Community Hospital is an acute care hospital in Warsaw, Indiana. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 16 services, specialties and programs. Medicare lists 231 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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
16Services listed

Quick answers

Does Kosciusko Community Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Kosciusko Community Hospital. In a medical emergency, call 911.
Where is Kosciusko Community Hospital?
2101 E Dubois Dr, Warsaw, IN 46580, in Kosciusko County, Indiana.
What is the phone number of Kosciusko Community Hospital?
(574) 267-3200, as listed by Medicare (CMS).
What is the Medicare star rating of Kosciusko Community Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Procedures[4]

Emergency care (hospital website)[4][5]

Emergency roomYes
Stroke designationJoint Commission Primary Stroke Center

Visiting and practical information

VisitingGeneral visiting hours 8 a.m. to 8 p.m.; maximum two visitors at a time per patient[6]

Recognition[5]

  • Joint Commission hospital accreditation
  • ACC Chest Pain Center accreditation
  • Joint Commission Primary Stroke Center certification
  • ACR-accredited imaging (CT, MRI, ultrasound, breast imaging)
  • AACVPR certified cardiopulmonary rehabilitation

Doctors and clinicians (231)

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

Main specialties

Doctors with a page on this site (231)

And 207 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 Kosciusko Community Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1066%National average: 72%
Would definitely recommend the hospital60%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean72%National average: 74%
Area around the room “always” quiet at night51%National average: 60%
Completed surveys515Response 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 surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0Better than 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients10.7%
Deaths within 30 days: pneumonia patients14.6%
Deaths within 30 days: COPD patients8.8%
Deaths within 30 days: stroke patients12.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.91No 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 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 attackToo few cases to report
Readmitted within 30 days: heart failure22.6%
Readmitted within 30 days: pneumonia18%
Readmitted within 30 days: COPD21.6%
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; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)179 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)65%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Kosciusko Community Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

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: 99203,25 OFFICE/OUTPATIENT VISIT NEW $189 $39.69 $39.69 – $177.66
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $156.87
  • Aetna — Aetna NBD: $77.49
  • Aetna — Aetna PSSD JJ: $77.49
  • Aetna Health Management Inc — Aetna All: $100.55
  • Amish Aid — Amish Aid: $39.69
  • Cigna — Cigna HMO: $119.45
  • Connecticut General Life Insurance Company — Cigna OAP: $111.32
  • Connecticut General Life Insurance Company — Cigna PPO: $111.32
  • Encore — Encore Combined PPO: $75.60
  • Encore Health Network — Encore PPO Fully Insured: $175.77
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203 OFFICE/OUTPATIENT VISIT NEW $189 $39.69 $39.69 – $177.66
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $156.87
  • Aetna — Aetna NBD: $77.49
  • Aetna — Aetna PSSD JJ: $77.49
  • Aetna Health Management Inc — Aetna All: $100.55
  • Amish Aid — Amish Aid: $39.69
  • Cigna — Cigna HMO: $119.45
  • Connecticut General Life Insurance Company — Cigna OAP: $111.32
  • Connecticut General Life Insurance Company — Cigna PPO: $111.32
  • Encore — Encore Combined PPO: $75.60
  • Encore Health Network — Encore PPO Fully Insured: $175.77
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99203,25 OFFICE/OUTPATIENT VISIT NEW $189 $73.71 $59.72 – $177.66
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $156.87
  • Aetna — Aetna NBD: $77.49
  • Aetna — Aetna PSSD JJ: $77.49
  • Cigna — Cigna HMO: $119.45
  • Connecticut General Life Insurance Company — Cigna OAP: $111.32
  • Connecticut General Life Insurance Company — Cigna PPO: $111.32
  • Encore Health Network — Encore PPO Fully Insured: $175.77
  • First Health Network — First Health: $141.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $151.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $122.85
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204,25 OFFICE/OUTPATIENT VISIT NEW $288 $60.48 $60.48 – $270.72
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $239.04
  • Aetna — Aetna NBD: $118.08
  • Aetna — Aetna PSSD JJ: $118.08
  • Aetna Health Management Inc — Aetna All: $153.22
  • Amish Aid — Amish Aid: $60.48
  • Cigna — Cigna HMO: $182.02
  • Connecticut General Life Insurance Company — Cigna OAP: $169.63
  • Connecticut General Life Insurance Company — Cigna PPO: $169.63
  • Encore — Encore Combined PPO: $115.20
  • Encore Health Network — Encore PPO Fully Insured: $267.84
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204 OFFICE/OUTPATIENT VISIT NEW $288 $60.48 $60.48 – $270.72
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $239.04
  • Aetna — Aetna NBD: $118.08
  • Aetna — Aetna PSSD JJ: $118.08
  • Aetna Health Management Inc — Aetna All: $153.22
  • Amish Aid — Amish Aid: $60.48
  • Cigna — Cigna HMO: $182.02
  • Connecticut General Life Insurance Company — Cigna OAP: $169.63
  • Connecticut General Life Insurance Company — Cigna PPO: $169.63
  • Encore — Encore Combined PPO: $115.20
  • Encore Health Network — Encore PPO Fully Insured: $267.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99204,25 OFFICE/OUTPATIENT VISIT NEW $288 $112.32 $91.01 – $270.72
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $239.04
  • Aetna — Aetna NBD: $118.08
  • Aetna — Aetna PSSD JJ: $118.08
  • Cigna — Cigna HMO: $182.02
  • Connecticut General Life Insurance Company — Cigna OAP: $169.63
  • Connecticut General Life Insurance Company — Cigna PPO: $169.63
  • Encore Health Network — Encore PPO Fully Insured: $267.84
  • First Health Network — First Health: $216
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $230.40
  • Lutheran Preferred Network — Lutheran Preferred Choice: $187.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205,25 OFFICE/OUTPATIENT VISIT NEW $358 $75.18 $75.18 – $336.52
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $297.14
  • Aetna — Aetna NBD: $146.78
  • Aetna — Aetna PSSD JJ: $146.78
  • Aetna Health Management Inc — Aetna All: $190.46
  • Amish Aid — Amish Aid: $75.18
  • Cigna — Cigna HMO: $226.26
  • Connecticut General Life Insurance Company — Cigna OAP: $210.86
  • Connecticut General Life Insurance Company — Cigna PPO: $210.86
  • Encore — Encore Combined PPO: $143.20
  • Encore Health Network — Encore PPO Fully Insured: $332.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205,LT OFFICE/OUTPATIENT VISIT NEW $358 $75.18 $75.18 – $336.52
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $297.14
  • Aetna — Aetna NBD: $146.78
  • Aetna — Aetna PSSD JJ: $146.78
  • Aetna Health Management Inc — Aetna All: $190.46
  • Amish Aid — Amish Aid: $75.18
  • Cigna — Cigna HMO: $226.26
  • Connecticut General Life Insurance Company — Cigna OAP: $210.86
  • Connecticut General Life Insurance Company — Cigna PPO: $210.86
  • Encore — Encore Combined PPO: $143.20
  • Encore Health Network — Encore PPO Fully Insured: $332.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205 OFFICE/OUTPATIENT VISIT NEW $358 $75.18 $75.18 – $336.52
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $297.14
  • Aetna — Aetna NBD: $146.78
  • Aetna — Aetna PSSD JJ: $146.78
  • Aetna Health Management Inc — Aetna All: $190.46
  • Amish Aid — Amish Aid: $75.18
  • Cigna — Cigna HMO: $226.26
  • Connecticut General Life Insurance Company — Cigna OAP: $210.86
  • Connecticut General Life Insurance Company — Cigna PPO: $210.86
  • Encore — Encore Combined PPO: $143.20
  • Encore Health Network — Encore PPO Fully Insured: $332.94
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213,25 OFFICE/OUTPATIENT VISIT EST $128 $26.88 $26.88 – $120.32
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $106.24
  • Aetna — Aetna NBD: $52.48
  • Aetna — Aetna PSSD JJ: $52.48
  • Aetna Health Management Inc — Aetna All: $68.10
  • Amish Aid — Amish Aid: $26.88
  • Cigna — Cigna HMO: $80.90
  • Connecticut General Life Insurance Company — Cigna OAP: $75.39
  • Connecticut General Life Insurance Company — Cigna PPO: $75.39
  • Encore — Encore Combined PPO: $51.20
  • Encore Health Network — Encore PPO Fully Insured: $119.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213,LT OFFICE/OUTPATIENT VISIT EST $128 $26.88 $26.88 – $120.32
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $106.24
  • Aetna — Aetna NBD: $52.48
  • Aetna — Aetna PSSD JJ: $52.48
  • Aetna Health Management Inc — Aetna All: $68.10
  • Amish Aid — Amish Aid: $26.88
  • Cigna — Cigna HMO: $80.90
  • Connecticut General Life Insurance Company — Cigna OAP: $75.39
  • Connecticut General Life Insurance Company — Cigna PPO: $75.39
  • Encore — Encore Combined PPO: $51.20
  • Encore Health Network — Encore PPO Fully Insured: $119.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST $128 $26.88 $26.88 – $120.32
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $106.24
  • Aetna — Aetna NBD: $52.48
  • Aetna — Aetna PSSD JJ: $52.48
  • Aetna Health Management Inc — Aetna All: $68.10
  • Amish Aid — Amish Aid: $26.88
  • Cigna — Cigna HMO: $80.90
  • Connecticut General Life Insurance Company — Cigna OAP: $75.39
  • Connecticut General Life Insurance Company — Cigna PPO: $75.39
  • Encore — Encore Combined PPO: $51.20
  • Encore Health Network — Encore PPO Fully Insured: $119.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214,25 OFFICE/OUTPATIENT VISIT EST $188 $39.48 $39.48 – $176.72
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $156.04
  • Aetna — Aetna NBD: $77.08
  • Aetna — Aetna PSSD JJ: $77.08
  • Aetna Health Management Inc — Aetna All: $100.02
  • Amish Aid — Amish Aid: $39.48
  • Cigna — Cigna HMO: $118.82
  • Connecticut General Life Insurance Company — Cigna OAP: $110.73
  • Connecticut General Life Insurance Company — Cigna PPO: $110.73
  • Encore — Encore Combined PPO: $75.20
  • Encore Health Network — Encore PPO Fully Insured: $174.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST $188 $39.48 $39.48 – $176.72
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $156.04
  • Aetna — Aetna NBD: $77.08
  • Aetna — Aetna PSSD JJ: $77.08
  • Aetna Health Management Inc — Aetna All: $100.02
  • Amish Aid — Amish Aid: $39.48
  • Cigna — Cigna HMO: $118.82
  • Connecticut General Life Insurance Company — Cigna OAP: $110.73
  • Connecticut General Life Insurance Company — Cigna PPO: $110.73
  • Encore — Encore Combined PPO: $75.20
  • Encore Health Network — Encore PPO Fully Insured: $174.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214 OFFICE/OUTPATIENT VISIT EST $188 $39.48 $39.48 – $176.72
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $156.04
  • Aetna — Aetna NBD: $77.08
  • Aetna — Aetna PSSD JJ: $77.08
  • Aetna Health Management Inc — Aetna All: $100.02
  • Amish Aid — Amish Aid: $39.48
  • Cigna — Cigna HMO: $118.82
  • Connecticut General Life Insurance Company — Cigna OAP: $110.73
  • Connecticut General Life Insurance Company — Cigna PPO: $110.73
  • Encore — Encore Combined PPO: $75.20
  • Encore Health Network — Encore PPO Fully Insured: $174.84
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243,25 OFFICE CONSULTATION $249 $52.29 $52.29 – $249
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $206.67
  • Aetna — Aetna NBD: $102.09
  • Aetna — Aetna PSSD JJ: $102.09
  • Aetna Health Management Inc — Aetna All: $132.47
  • Amish Aid — Amish Aid: $52.29
  • Cigna — Cigna HMO: $157.37
  • Connecticut General Life Insurance Company — Cigna OAP: $146.66
  • Connecticut General Life Insurance Company — Cigna PPO: $146.66
  • Encore — Encore Combined PPO: $99.60
  • Encore Health Network — Encore PPO Fully Insured: $231.57
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243,RT OFFICE CONSULTATION $249 $52.29 $52.29 – $249
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $206.67
  • Aetna — Aetna NBD: $102.09
  • Aetna — Aetna PSSD JJ: $102.09
  • Aetna Health Management Inc — Aetna All: $132.47
  • Amish Aid — Amish Aid: $52.29
  • Cigna — Cigna HMO: $157.37
  • Connecticut General Life Insurance Company — Cigna OAP: $146.66
  • Connecticut General Life Insurance Company — Cigna PPO: $146.66
  • Encore — Encore Combined PPO: $99.60
  • Encore Health Network — Encore PPO Fully Insured: $231.57
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243 OFFICE CONSULTATION $249 $52.29 $52.29 – $249
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $206.67
  • Aetna — Aetna NBD: $102.09
  • Aetna — Aetna PSSD JJ: $102.09
  • Aetna Health Management Inc — Aetna All: $132.47
  • Amish Aid — Amish Aid: $52.29
  • Cigna — Cigna HMO: $157.37
  • Connecticut General Life Insurance Company — Cigna OAP: $146.66
  • Connecticut General Life Insurance Company — Cigna PPO: $146.66
  • Encore — Encore Combined PPO: $99.60
  • Encore Health Network — Encore PPO Fully Insured: $231.57
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99244,25 OFFICE CONSULTATION $374 $78.54 $78.54 – $374
Office consultation with a specialist (moderate to high): 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $310.42
  • Aetna — Aetna NBD: $153.34
  • Aetna — Aetna PSSD JJ: $153.34
  • Aetna Health Management Inc — Aetna All: $198.97
  • Amish Aid — Amish Aid: $78.54
  • Cigna — Cigna HMO: $236.37
  • Connecticut General Life Insurance Company — Cigna OAP: $220.29
  • Connecticut General Life Insurance Company — Cigna PPO: $220.29
  • Encore — Encore Combined PPO: $149.60
  • Encore Health Network — Encore PPO Fully Insured: $347.82
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99244 OFFICE CONSULTATION $374 $78.54 $78.54 – $374
Office consultation with a specialist (moderate to high): 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $310.42
  • Aetna — Aetna NBD: $153.34
  • Aetna — Aetna PSSD JJ: $153.34
  • Aetna Health Management Inc — Aetna All: $198.97
  • Amish Aid — Amish Aid: $78.54
  • Cigna — Cigna HMO: $236.37
  • Connecticut General Life Insurance Company — Cigna OAP: $220.29
  • Connecticut General Life Insurance Company — Cigna PPO: $220.29
  • Encore — Encore Combined PPO: $149.60
  • Encore Health Network — Encore PPO Fully Insured: $347.82
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99244,25 OFFICE CONSULTATION $374 $145.86 $118.18 – $351.56
Office consultation with a specialist (moderate to high): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $310.42
  • Aetna — Aetna NBD: $153.34
  • Aetna — Aetna PSSD JJ: $153.34
  • Cigna — Cigna HMO: $236.37
  • Connecticut General Life Insurance Company — Cigna OAP: $220.29
  • Connecticut General Life Insurance Company — Cigna PPO: $220.29
  • Encore Health Network — Encore PPO Fully Insured: $347.82
  • First Health Network — First Health: $280.50
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $299.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $243.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385,25 PREV VISIT NEW AGE 18-39 $226 $47.46 $47.46 – $226
Preventive checkup, new patient, age 18–39: 10 of 42 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $187.58
  • Aetna — Aetna NBD: $92.66
  • Aetna — Aetna PSSD JJ: $92.66
  • Aetna Health Management Inc — Aetna All: $120.23
  • Amish Aid — Amish Aid: $47.46
  • Cigna — Cigna HMO: $142.83
  • Connecticut General Life Insurance Company — Cigna OAP: $133.11
  • Connecticut General Life Insurance Company — Cigna PPO: $133.11
  • Encore — Encore Combined PPO: $90.40
  • Encore Health Network — Encore PPO Fully Insured: $210.18
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385 PREV VISIT NEW AGE 18-39 $226 $47.46 $47.46 – $226
Preventive checkup, new patient, age 18–39: 10 of 42 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $187.58
  • Aetna — Aetna NBD: $92.66
  • Aetna — Aetna PSSD JJ: $92.66
  • Aetna Health Management Inc — Aetna All: $120.23
  • Amish Aid — Amish Aid: $47.46
  • Cigna — Cigna HMO: $142.83
  • Connecticut General Life Insurance Company — Cigna OAP: $133.11
  • Connecticut General Life Insurance Company — Cigna PPO: $133.11
  • Encore — Encore Combined PPO: $90.40
  • Encore Health Network — Encore PPO Fully Insured: $210.18
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99385,25 PREV VISIT NEW AGE 18-39 $226 $88.14 $71.42 – $212.44
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $187.58
  • Aetna — Aetna NBD: $92.66
  • Aetna — Aetna PSSD JJ: $92.66
  • Cigna — Cigna HMO: $142.83
  • Connecticut General Life Insurance Company — Cigna OAP: $133.11
  • Connecticut General Life Insurance Company — Cigna PPO: $133.11
  • Encore Health Network — Encore PPO Fully Insured: $210.18
  • First Health Network — First Health: $169.50
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $180.80
  • Lutheran Preferred Network — Lutheran Preferred Choice: $146.90
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386,25 PREV VISIT NEW AGE 40-64 $261 $54.81 $54.81 – $261
Preventive checkup, new patient, age 40–64: 10 of 42 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $216.63
  • Aetna — Aetna NBD: $107.01
  • Aetna — Aetna PSSD JJ: $107.01
  • Aetna Health Management Inc — Aetna All: $138.85
  • Amish Aid — Amish Aid: $54.81
  • Cigna — Cigna HMO: $164.95
  • Connecticut General Life Insurance Company — Cigna OAP: $153.73
  • Connecticut General Life Insurance Company — Cigna PPO: $153.73
  • Encore — Encore Combined PPO: $104.40
  • Encore Health Network — Encore PPO Fully Insured: $242.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386 PREV VISIT NEW AGE 40-64 $261 $54.81 $54.81 – $261
Preventive checkup, new patient, age 40–64: 10 of 42 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $216.63
  • Aetna — Aetna NBD: $107.01
  • Aetna — Aetna PSSD JJ: $107.01
  • Aetna Health Management Inc — Aetna All: $138.85
  • Amish Aid — Amish Aid: $54.81
  • Cigna — Cigna HMO: $164.95
  • Connecticut General Life Insurance Company — Cigna OAP: $153.73
  • Connecticut General Life Insurance Company — Cigna PPO: $153.73
  • Encore — Encore Combined PPO: $104.40
  • Encore Health Network — Encore PPO Fully Insured: $242.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99386,25 PREV VISIT NEW AGE 40-64 $261 $101.79 $82.48 – $245.34
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $216.63
  • Aetna — Aetna NBD: $107.01
  • Aetna — Aetna PSSD JJ: $107.01
  • Cigna — Cigna HMO: $164.95
  • Connecticut General Life Insurance Company — Cigna OAP: $153.73
  • Connecticut General Life Insurance Company — Cigna PPO: $153.73
  • Encore Health Network — Encore PPO Fully Insured: $242.73
  • First Health Network — First Health: $195.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $208.80
  • Lutheran Preferred Network — Lutheran Preferred Choice: $169.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3 $1,087 $228.27 $64.70 – $1,271
Emergency room visit (moderate): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $902.21
  • Aetna — Aetna NBD: $445.67
  • Aetna — Aetna PSSD JJ: $445.67
  • Aetna Health Management Inc — Aetna All: $578.28
  • Align IN Work Comp — Align IN Work Comp: $494.91
  • Amish Aid — Amish Aid: $228.27
  • Anthem — Anthem IN HMO PPO TRAD: $1,186.88
  • Anthem — Anthem IN Marketplace STLD: $949.50
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $973.24
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $309.32
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283,25 EMERGENCY DEPT VISIT $191 $40.11 $273.93 – $1,186.88
Emergency room visit (moderate): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $216.63
  • Aetna — Aetna NBD: $107.01
  • Aetna — Aetna PSSD JJ: $107.01
  • Aetna Health Management Inc — Aetna All: $138.85
  • Align IN Work Comp — Align IN Work Comp: $494.91
  • Amish Aid — Amish Aid: $54.81
  • Anthem — Anthem IN HMO PPO TRAD: $1,186.88
  • Anthem — Anthem IN Marketplace STLD: $949.50
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $973.24
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $309.32
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 EMERGENCY DEPT VISIT $191 $40.11 $273.93 – $1,186.88
Emergency room visit (moderate): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $216.63
  • Aetna — Aetna NBD: $107.01
  • Aetna — Aetna PSSD JJ: $107.01
  • Aetna Health Management Inc — Aetna All: $138.85
  • Align IN Work Comp — Align IN Work Comp: $494.91
  • Amish Aid — Amish Aid: $54.81
  • Anthem — Anthem IN HMO PPO TRAD: $1,186.88
  • Anthem — Anthem IN Marketplace STLD: $949.50
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $973.24
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $309.32
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4 $1,556 $326.76 $110.18 – $2,521
Emergency room visit (moderately high): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,291.48
  • Aetna — Aetna NBD: $637.96
  • Aetna — Aetna PSSD JJ: $637.96
  • Aetna Health Management Inc — Aetna All: $827.79
  • Align IN Work Comp — Align IN Work Comp: $756.50
  • Amish Aid — Amish Aid: $326.76
  • Anthem — Anthem IN HMO PPO TRAD: $1,814.25
  • Anthem — Anthem IN Marketplace STLD: $1,451.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,487.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $472.81
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284,25 EMERGENCY DEPT VISIT $288 $60.48 $418.72 – $1,814.25
Emergency room visit (moderately high): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $239.04
  • Aetna — Aetna NBD: $118.08
  • Aetna — Aetna PSSD JJ: $118.08
  • Aetna Health Management Inc — Aetna All: $153.22
  • Align IN Work Comp — Align IN Work Comp: $756.50
  • Amish Aid — Amish Aid: $60.48
  • Anthem — Anthem IN HMO PPO TRAD: $1,814.25
  • Anthem — Anthem IN Marketplace STLD: $1,451.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,487.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $472.81
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 EMERGENCY DEPT VISIT $288 $60.48 $418.72 – $1,814.25
Emergency room visit (moderately high): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $239.04
  • Aetna — Aetna NBD: $118.08
  • Aetna — Aetna PSSD JJ: $118.08
  • Aetna Health Management Inc — Aetna All: $153.22
  • Align IN Work Comp — Align IN Work Comp: $756.50
  • Amish Aid — Amish Aid: $60.48
  • Anthem — Anthem IN HMO PPO TRAD: $1,814.25
  • Anthem — Anthem IN Marketplace STLD: $1,451.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,487.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $472.81
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5 $2,418 $507.78 $159.69 – $4,746
Emergency room visit (high): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,006.94
  • Aetna — Aetna NBD: $991.38
  • Aetna — Aetna PSSD JJ: $991.38
  • Aetna Health Management Inc — Aetna All: $1,286.38
  • Align IN Work Comp — Align IN Work Comp: $1,079.70
  • Amish Aid — Amish Aid: $507.78
  • Anthem — Anthem IN HMO PPO TRAD: $2,589.33
  • Anthem — Anthem IN Marketplace STLD: $2,071.45
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2,123.23
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $674.81
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285,25 EMERGENCY DEPT VISIT $428 $89.88 $597.61 – $2,589.33
Emergency room visit (high): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $355.24
  • Aetna — Aetna NBD: $175.48
  • Aetna — Aetna PSSD JJ: $175.48
  • Aetna Health Management Inc — Aetna All: $227.70
  • Align IN Work Comp — Align IN Work Comp: $1,079.70
  • Amish Aid — Amish Aid: $89.88
  • Anthem — Anthem IN HMO PPO TRAD: $2,589.33
  • Anthem — Anthem IN Marketplace STLD: $2,071.45
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2,123.23
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $674.81
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 EMERGENCY DEPT VISIT $428 $89.88 $597.61 – $2,589.33
Emergency room visit (high): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $355.24
  • Aetna — Aetna NBD: $175.48
  • Aetna — Aetna PSSD JJ: $175.48
  • Aetna Health Management Inc — Aetna All: $227.70
  • Align IN Work Comp — Align IN Work Comp: $1,079.70
  • Amish Aid — Amish Aid: $89.88
  • Anthem — Anthem IN HMO PPO TRAD: $2,589.33
  • Anthem — Anthem IN Marketplace STLD: $2,071.45
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2,123.23
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $674.81

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: Basic Metabolic Panel w/Total Calcium $373 $78.33 $7.46 – $350.62
Basic metabolic panel (blood test): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $309.59
  • Aetna — Aetna NBD: $152.93
  • Aetna — Aetna PSSD JJ: $152.93
  • Aetna Health Management Inc — Aetna All: $198.44
  • Align IN Work Comp — Align IN Work Comp: $13.54
  • Amish Aid — Amish Aid: $78.33
  • Anthem — Anthem IN HMO PPO TRAD: $8.46
  • Anthem — Anthem IN Marketplace STLD: $8.46
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.46
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel (8) (RL) $373 $78.33 $7.46 – $350.62
Basic metabolic panel (blood test): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $309.59
  • Aetna — Aetna NBD: $152.93
  • Aetna — Aetna PSSD JJ: $152.93
  • Aetna Health Management Inc — Aetna All: $198.44
  • Align IN Work Comp — Align IN Work Comp: $13.54
  • Amish Aid — Amish Aid: $78.33
  • Anthem — Anthem IN HMO PPO TRAD: $8.46
  • Anthem — Anthem IN Marketplace STLD: $8.46
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.46
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80048 METABOLIC PANEL TOTAL CA $27 $5.67 $5.67 – $25.38
Basic metabolic panel (blood test): 10 of 65 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $22.41
  • Aetna — Aetna NBD: $11.07
  • Aetna — Aetna PSSD JJ: $11.07
  • Aetna Health Management Inc — Aetna All: $14.36
  • Align IN Work Comp — Align IN Work Comp: $13.54
  • Amish Aid — Amish Aid: $5.67
  • Anthem — Anthem IN HMO PPO TRAD: $8.46
  • Anthem — Anthem IN Marketplace STLD: $8.46
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.46
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $472 $99.12 $9.31 – $443.68
Comprehensive metabolic panel (blood test): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $391.76
  • Aetna — Aetna NBD: $193.52
  • Aetna — Aetna PSSD JJ: $193.52
  • Aetna Health Management Inc — Aetna All: $251.10
  • Align IN Work Comp — Align IN Work Comp: $16.90
  • Amish Aid — Amish Aid: $99.12
  • Anthem — Anthem IN HMO PPO TRAD: $10.56
  • Anthem — Anthem IN Marketplace STLD: $10.56
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $10.56
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80053 COMPREHEN METABOLIC PANEL $38 $7.98 $7.98 – $35.72
Comprehensive metabolic panel (blood test): 10 of 65 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $31.54
  • Aetna — Aetna NBD: $15.58
  • Aetna — Aetna PSSD JJ: $15.58
  • Aetna Health Management Inc — Aetna All: $20.22
  • Align IN Work Comp — Align IN Work Comp: $16.90
  • Amish Aid — Amish Aid: $7.98
  • Anthem — Anthem IN HMO PPO TRAD: $10.56
  • Anthem — Anthem IN Marketplace STLD: $10.56
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $10.56
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $472 $184.08 $149.15 – $443.68
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $391.76
  • Aetna — Aetna NBD: $193.52
  • Aetna — Aetna PSSD JJ: $193.52
  • Cigna — Cigna HMO: $298.30
  • Connecticut General Life Insurance Company — Cigna OAP: $278.01
  • Connecticut General Life Insurance Company — Cigna PPO: $278.01
  • Encore Health Network — Encore PPO Fully Insured: $438.96
  • First Health Network — First Health: $354
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $377.60
  • Lutheran Preferred Network — Lutheran Preferred Choice: $306.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrics Panel A CS $736 $154.56 $42.16 – $691.84
Obstetric blood test panel: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $610.88
  • Aetna — Aetna NBD: $301.76
  • Aetna — Aetna PSSD JJ: $301.76
  • Aetna Health Management Inc — Aetna All: $391.55
  • Align IN Work Comp — Align IN Work Comp: $76.50
  • Amish Aid — Amish Aid: $154.56
  • Anthem — Anthem IN HMO PPO TRAD: $47.81
  • Anthem — Anthem IN Marketplace STLD: $47.81
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $47.81
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $47.81
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel CS INDH $736 $154.56 $42.16 – $691.84
Obstetric blood test panel: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $610.88
  • Aetna — Aetna NBD: $301.76
  • Aetna — Aetna PSSD JJ: $301.76
  • Aetna Health Management Inc — Aetna All: $391.55
  • Align IN Work Comp — Align IN Work Comp: $76.50
  • Amish Aid — Amish Aid: $154.56
  • Anthem — Anthem IN HMO PPO TRAD: $47.81
  • Anthem — Anthem IN Marketplace STLD: $47.81
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $47.81
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $47.81
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel CS $736 $154.56 $42.16 – $691.84
Obstetric blood test panel: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $610.88
  • Aetna — Aetna NBD: $301.76
  • Aetna — Aetna PSSD JJ: $301.76
  • Aetna Health Management Inc — Aetna All: $391.55
  • Align IN Work Comp — Align IN Work Comp: $76.50
  • Amish Aid — Amish Aid: $154.56
  • Anthem — Anthem IN HMO PPO TRAD: $47.81
  • Anthem — Anthem IN Marketplace STLD: $47.81
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $47.81
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80061 L806885 LIPID PNL 889 $399 $83.79 $11.81 – $375.06
Cholesterol panel (lipid panel): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $331.17
  • Aetna — Aetna NBD: $163.59
  • Aetna — Aetna PSSD JJ: $163.59
  • Aetna Health Management Inc — Aetna All: $212.27
  • Align IN Work Comp — Align IN Work Comp: $21.42
  • Amish Aid — Amish Aid: $83.79
  • Anthem — Anthem IN HMO PPO TRAD: $13.39
  • Anthem — Anthem IN Marketplace STLD: $13.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $13.39
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel with Reflex LDL Direct $399 $83.79 $11.81 – $375.06
Cholesterol panel (lipid panel): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $331.17
  • Aetna — Aetna NBD: $163.59
  • Aetna — Aetna PSSD JJ: $163.59
  • Aetna Health Management Inc — Aetna All: $212.27
  • Align IN Work Comp — Align IN Work Comp: $21.42
  • Amish Aid — Amish Aid: $83.79
  • Anthem — Anthem IN HMO PPO TRAD: $13.39
  • Anthem — Anthem IN Marketplace STLD: $13.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $13.39
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $399 $83.79 $11.81 – $375.06
Cholesterol panel (lipid panel): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $331.17
  • Aetna — Aetna NBD: $163.59
  • Aetna — Aetna PSSD JJ: $163.59
  • Aetna Health Management Inc — Aetna All: $212.27
  • Align IN Work Comp — Align IN Work Comp: $21.42
  • Amish Aid — Amish Aid: $83.79
  • Anthem — Anthem IN HMO PPO TRAD: $13.39
  • Anthem — Anthem IN Marketplace STLD: $13.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $13.39
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $389 $81.69 $7.66 – $365.66
Kidney function panel: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $322.87
  • Aetna — Aetna NBD: $159.49
  • Aetna — Aetna PSSD JJ: $159.49
  • Aetna Health Management Inc — Aetna All: $206.95
  • Align IN Work Comp — Align IN Work Comp: $13.89
  • Amish Aid — Amish Aid: $81.69
  • Anthem — Anthem IN HMO PPO TRAD: $8.68
  • Anthem — Anthem IN Marketplace STLD: $8.68
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.68
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80069 Renal Function Panel $32 $6.72 $6.72 – $30.08
Kidney function panel: 10 of 65 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $26.56
  • Aetna — Aetna NBD: $13.12
  • Aetna — Aetna PSSD JJ: $13.12
  • Aetna Health Management Inc — Aetna All: $17.02
  • Align IN Work Comp — Align IN Work Comp: $13.89
  • Amish Aid — Amish Aid: $6.72
  • Anthem — Anthem IN HMO PPO TRAD: $8.68
  • Anthem — Anthem IN Marketplace STLD: $8.68
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.68
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel $389 $151.71 $122.92 – $365.66
Kidney function panel: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $322.87
  • Aetna — Aetna NBD: $159.49
  • Aetna — Aetna PSSD JJ: $159.49
  • Cigna — Cigna HMO: $245.85
  • Connecticut General Life Insurance Company — Cigna OAP: $229.12
  • Connecticut General Life Insurance Company — Cigna PPO: $229.12
  • Encore Health Network — Encore PPO Fully Insured: $361.77
  • First Health Network — First Health: $291.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $311.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $252.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $364 $76.44 $7.21 – $342.16
Liver function panel: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $302.12
  • Aetna — Aetna NBD: $149.24
  • Aetna — Aetna PSSD JJ: $149.24
  • Aetna Health Management Inc — Aetna All: $193.65
  • Align IN Work Comp — Align IN Work Comp: $13.07
  • Amish Aid — Amish Aid: $76.44
  • Anthem — Anthem IN HMO PPO TRAD: $8.17
  • Anthem — Anthem IN Marketplace STLD: $8.17
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.17
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80076 Liver Profile $26 $5.46 $5.46 – $24.51
Liver function panel: 10 of 65 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $21.58
  • Aetna — Aetna NBD: $10.66
  • Aetna — Aetna PSSD JJ: $10.66
  • Aetna Health Management Inc — Aetna All: $13.83
  • Align IN Work Comp — Align IN Work Comp: $13.07
  • Amish Aid — Amish Aid: $5.46
  • Anthem — Anthem IN HMO PPO TRAD: $8.17
  • Anthem — Anthem IN Marketplace STLD: $8.17
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8.17
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $364 $141.96 $115.02 – $342.16
Liver function panel: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $302.12
  • Aetna — Aetna NBD: $149.24
  • Aetna — Aetna PSSD JJ: $149.24
  • Cigna — Cigna HMO: $230.05
  • Connecticut General Life Insurance Company — Cigna OAP: $214.40
  • Connecticut General Life Insurance Company — Cigna PPO: $214.40
  • Encore Health Network — Encore PPO Fully Insured: $338.52
  • First Health Network — First Health: $273
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $291.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $236.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Reflex Microscopic Type? - Manual $110 $23.10 $2.80 – $103.40
Urine test (automated, with microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $91.30
  • Aetna — Aetna NBD: $45.10
  • Aetna — Aetna PSSD JJ: $45.10
  • Aetna Health Management Inc — Aetna All: $58.52
  • Align IN Work Comp — Align IN Work Comp: $5.07
  • Amish Aid — Amish Aid: $23.10
  • Anthem — Anthem IN HMO PPO TRAD: $3.17
  • Anthem — Anthem IN Marketplace STLD: $3.17
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3.17
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Bill Only DS Auto/MSc Reqd $110 $23.10 $2.80 – $103.40
Urine test (automated, with microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $91.30
  • Aetna — Aetna NBD: $45.10
  • Aetna — Aetna PSSD JJ: $45.10
  • Aetna Health Management Inc — Aetna All: $58.52
  • Align IN Work Comp — Align IN Work Comp: $5.07
  • Amish Aid — Amish Aid: $23.10
  • Anthem — Anthem IN HMO PPO TRAD: $3.17
  • Anthem — Anthem IN Marketplace STLD: $3.17
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3.17
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis w/Micro Auto Rfx Culture $110 $23.10 $2.80 – $103.40
Urine test (automated, with microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $91.30
  • Aetna — Aetna NBD: $45.10
  • Aetna — Aetna PSSD JJ: $45.10
  • Aetna Health Management Inc — Aetna All: $58.52
  • Align IN Work Comp — Align IN Work Comp: $5.07
  • Amish Aid — Amish Aid: $23.10
  • Anthem — Anthem IN HMO PPO TRAD: $3.17
  • Anthem — Anthem IN Marketplace STLD: $3.17
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3.17
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Manual $101 $21.21 $3.07 – $94.94
Urine test (manual, without microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $83.83
  • Aetna — Aetna NBD: $41.41
  • Aetna — Aetna PSSD JJ: $41.41
  • Aetna Health Management Inc — Aetna All: $53.73
  • Align IN Work Comp — Align IN Work Comp: $5.57
  • Amish Aid — Amish Aid: $21.21
  • Anthem — Anthem IN HMO PPO TRAD: $3.48
  • Anthem — Anthem IN Marketplace STLD: $3.48
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3.48
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Urinalysis Manual w/o MicroSc POC $101 $21.21 $3.07 – $94.94
Urine test (manual, without microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $83.83
  • Aetna — Aetna NBD: $41.41
  • Aetna — Aetna PSSD JJ: $41.41
  • Aetna Health Management Inc — Aetna All: $53.73
  • Align IN Work Comp — Align IN Work Comp: $5.57
  • Amish Aid — Amish Aid: $21.21
  • Anthem — Anthem IN HMO PPO TRAD: $3.48
  • Anthem — Anthem IN Marketplace STLD: $3.48
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3.48
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dipstick Type? - Manual $101 $21.21 $3.07 – $94.94
Urine test (manual, without microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $83.83
  • Aetna — Aetna NBD: $41.41
  • Aetna — Aetna PSSD JJ: $41.41
  • Aetna Health Management Inc — Aetna All: $53.73
  • Align IN Work Comp — Align IN Work Comp: $5.57
  • Amish Aid — Amish Aid: $21.21
  • Anthem — Anthem IN HMO PPO TRAD: $3.48
  • Anthem — Anthem IN Marketplace STLD: $3.48
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3.48
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 81003 L306266 UA AUTO WO S $98 $20.58 $1.98 – $92.12
Urine test (automated, without microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $81.34
  • Aetna — Aetna NBD: $40.18
  • Aetna — Aetna PSSD JJ: $40.18
  • Aetna Health Management Inc — Aetna All: $52.14
  • Align IN Work Comp — Align IN Work Comp: $3.60
  • Amish Aid — Amish Aid: $20.58
  • Anthem — Anthem IN HMO PPO TRAD: $2.25
  • Anthem — Anthem IN Marketplace STLD: $2.25
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2.25
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Auto $98 $20.58 $1.98 – $92.12
Urine test (automated, without microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $81.34
  • Aetna — Aetna NBD: $40.18
  • Aetna — Aetna PSSD JJ: $40.18
  • Aetna Health Management Inc — Aetna All: $52.14
  • Align IN Work Comp — Align IN Work Comp: $3.60
  • Amish Aid — Amish Aid: $20.58
  • Anthem — Anthem IN HMO PPO TRAD: $2.25
  • Anthem — Anthem IN Marketplace STLD: $2.25
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2.25
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ketones Urine Dipstk Qual Automated $98 $20.58 $1.98 – $92.12
Urine test (automated, without microscope): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $81.34
  • Aetna — Aetna NBD: $40.18
  • Aetna — Aetna PSSD JJ: $40.18
  • Aetna Health Management Inc — Aetna All: $52.14
  • Align IN Work Comp — Align IN Work Comp: $3.60
  • Amish Aid — Amish Aid: $20.58
  • Anthem — Anthem IN HMO PPO TRAD: $2.25
  • Anthem — Anthem IN Marketplace STLD: $2.25
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2.25
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 84153 L480780 PSA, TOTAL 889 $383 $80.43 $16.22 – $360.02
PSA (prostate specific antigen) blood test: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $317.89
  • Aetna — Aetna NBD: $157.03
  • Aetna — Aetna PSSD JJ: $157.03
  • Aetna Health Management Inc — Aetna All: $203.76
  • Align IN Work Comp — Align IN Work Comp: $29.42
  • Amish Aid — Amish Aid: $80.43
  • Anthem — Anthem IN HMO PPO TRAD: $18.39
  • Anthem — Anthem IN Marketplace STLD: $18.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $18.39
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Ag Total $383 $80.43 $16.22 – $360.02
PSA (prostate specific antigen) blood test: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $317.89
  • Aetna — Aetna NBD: $157.03
  • Aetna — Aetna PSSD JJ: $157.03
  • Aetna Health Management Inc — Aetna All: $203.76
  • Align IN Work Comp — Align IN Work Comp: $29.42
  • Amish Aid — Amish Aid: $80.43
  • Anthem — Anthem IN HMO PPO TRAD: $18.39
  • Anthem — Anthem IN Marketplace STLD: $18.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $18.39
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total (Reflex To Free) (LC) $383 $80.43 $16.22 – $360.02
PSA (prostate specific antigen) blood test: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $317.89
  • Aetna — Aetna NBD: $157.03
  • Aetna — Aetna PSSD JJ: $157.03
  • Aetna Health Management Inc — Aetna All: $203.76
  • Align IN Work Comp — Align IN Work Comp: $29.42
  • Amish Aid — Amish Aid: $80.43
  • Anthem — Anthem IN HMO PPO TRAD: $18.39
  • Anthem — Anthem IN Marketplace STLD: $18.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $18.39
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH w/ Reflex to Free T4 (CQ) $318 $66.78 $14.81 – $298.92
Thyroid stimulating hormone (TSH) test: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $263.94
  • Aetna — Aetna NBD: $130.38
  • Aetna — Aetna PSSD JJ: $130.38
  • Aetna Health Management Inc — Aetna All: $169.18
  • Align IN Work Comp — Align IN Work Comp: $26.88
  • Amish Aid — Amish Aid: $66.78
  • Anthem — Anthem IN HMO PPO TRAD: $16.80
  • Anthem — Anthem IN Marketplace STLD: $16.80
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $16.80
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $318 $66.78 $14.81 – $298.92
Thyroid stimulating hormone (TSH) test: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $263.94
  • Aetna — Aetna NBD: $130.38
  • Aetna — Aetna PSSD JJ: $130.38
  • Aetna Health Management Inc — Aetna All: $169.18
  • Align IN Work Comp — Align IN Work Comp: $26.88
  • Amish Aid — Amish Aid: $66.78
  • Anthem — Anthem IN HMO PPO TRAD: $16.80
  • Anthem — Anthem IN Marketplace STLD: $16.80
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $16.80
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone w/Reflex to Free T4 $318 $66.78 $14.81 – $298.92
Thyroid stimulating hormone (TSH) test: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $263.94
  • Aetna — Aetna NBD: $130.38
  • Aetna — Aetna PSSD JJ: $130.38
  • Aetna Health Management Inc — Aetna All: $169.18
  • Align IN Work Comp — Align IN Work Comp: $26.88
  • Amish Aid — Amish Aid: $66.78
  • Anthem — Anthem IN HMO PPO TRAD: $16.80
  • Anthem — Anthem IN Marketplace STLD: $16.80
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $16.80
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBCWPLTA $173 $36.33 $6.85 – $162.62
Complete blood count (CBC) with differential: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $143.59
  • Aetna — Aetna NBD: $70.93
  • Aetna — Aetna PSSD JJ: $70.93
  • Aetna Health Management Inc — Aetna All: $92.04
  • Align IN Work Comp — Align IN Work Comp: $12.43
  • Amish Aid — Amish Aid: $36.33
  • Anthem — Anthem IN HMO PPO TRAD: $7.77
  • Anthem — Anthem IN Marketplace STLD: $7.77
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $7.77
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Diff Auto $173 $36.33 $6.85 – $162.62
Complete blood count (CBC) with differential: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $143.59
  • Aetna — Aetna NBD: $70.93
  • Aetna — Aetna PSSD JJ: $70.93
  • Aetna Health Management Inc — Aetna All: $92.04
  • Align IN Work Comp — Align IN Work Comp: $12.43
  • Amish Aid — Amish Aid: $36.33
  • Anthem — Anthem IN HMO PPO TRAD: $7.77
  • Anthem — Anthem IN Marketplace STLD: $7.77
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $7.77
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Diff Auto MW B $173 $36.33 $6.85 – $162.62
Complete blood count (CBC) with differential: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $143.59
  • Aetna — Aetna NBD: $70.93
  • Aetna — Aetna PSSD JJ: $70.93
  • Aetna Health Management Inc — Aetna All: $92.04
  • Align IN Work Comp — Align IN Work Comp: $12.43
  • Amish Aid — Amish Aid: $36.33
  • Anthem — Anthem IN HMO PPO TRAD: $7.77
  • Anthem — Anthem IN Marketplace STLD: $7.77
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $7.77
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/o Diff $154 $32.34 $5.71 – $144.76
Complete blood count (CBC), automated: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $127.82
  • Aetna — Aetna NBD: $63.14
  • Aetna — Aetna PSSD JJ: $63.14
  • Aetna Health Management Inc — Aetna All: $81.93
  • Align IN Work Comp — Align IN Work Comp: $10.35
  • Amish Aid — Amish Aid: $32.34
  • Anthem — Anthem IN HMO PPO TRAD: $6.47
  • Anthem — Anthem IN Marketplace STLD: $6.47
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6.47
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Diff Manual MW A $154 $32.34 $5.71 – $144.76
Complete blood count (CBC), automated: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $127.82
  • Aetna — Aetna NBD: $63.14
  • Aetna — Aetna PSSD JJ: $63.14
  • Aetna Health Management Inc — Aetna All: $81.93
  • Align IN Work Comp — Align IN Work Comp: $10.35
  • Amish Aid — Amish Aid: $32.34
  • Anthem — Anthem IN HMO PPO TRAD: $6.47
  • Anthem — Anthem IN Marketplace STLD: $6.47
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6.47
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC, Platelet, No Differential (LC) $154 $32.34 $5.71 – $144.76
Complete blood count (CBC), automated: 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $127.82
  • Aetna — Aetna NBD: $63.14
  • Aetna — Aetna PSSD JJ: $63.14
  • Aetna Health Management Inc — Aetna All: $81.93
  • Align IN Work Comp — Align IN Work Comp: $10.35
  • Amish Aid — Amish Aid: $32.34
  • Anthem — Anthem IN HMO PPO TRAD: $6.47
  • Anthem — Anthem IN Marketplace STLD: $6.47
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6.47
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 L500070 PT 889 $121 $25.41 $3.78 – $113.74
Blood clotting time test (prothrombin time, PT): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $100.43
  • Aetna — Aetna NBD: $49.61
  • Aetna — Aetna PSSD JJ: $49.61
  • Aetna Health Management Inc — Aetna All: $64.37
  • Align IN Work Comp — Align IN Work Comp: $6.86
  • Amish Aid — Amish Aid: $25.41
  • Anthem — Anthem IN HMO PPO TRAD: $4.29
  • Anthem — Anthem IN Marketplace STLD: $4.29
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4.29
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 L117079 PT 889 $121 $25.41 $3.78 – $113.74
Blood clotting time test (prothrombin time, PT): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $100.43
  • Aetna — Aetna NBD: $49.61
  • Aetna — Aetna PSSD JJ: $49.61
  • Aetna Health Management Inc — Aetna All: $64.37
  • Align IN Work Comp — Align IN Work Comp: $6.86
  • Amish Aid — Amish Aid: $25.41
  • Anthem — Anthem IN HMO PPO TRAD: $4.29
  • Anthem — Anthem IN Marketplace STLD: $4.29
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4.29
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Protime w/INR POC $121 $25.41 $3.78 – $113.74
Blood clotting time test (prothrombin time, PT): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $100.43
  • Aetna — Aetna NBD: $49.61
  • Aetna — Aetna PSSD JJ: $49.61
  • Aetna Health Management Inc — Aetna All: $64.37
  • Align IN Work Comp — Align IN Work Comp: $6.86
  • Amish Aid — Amish Aid: $25.41
  • Anthem — Anthem IN HMO PPO TRAD: $4.29
  • Anthem — Anthem IN Marketplace STLD: $4.29
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4.29
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 L500070 APTT 889 $175 $36.75 $5.30 – $164.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $145.25
  • Aetna — Aetna NBD: $71.75
  • Aetna — Aetna PSSD JJ: $71.75
  • Aetna Health Management Inc — Aetna All: $93.10
  • Align IN Work Comp — Align IN Work Comp: $9.62
  • Amish Aid — Amish Aid: $36.75
  • Anthem — Anthem IN HMO PPO TRAD: $6.01
  • Anthem — Anthem IN Marketplace STLD: $6.01
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6.01
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 L117079 APTT 889 $175 $36.75 $5.30 – $164.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $145.25
  • Aetna — Aetna NBD: $71.75
  • Aetna — Aetna PSSD JJ: $71.75
  • Aetna Health Management Inc — Aetna All: $93.10
  • Align IN Work Comp — Align IN Work Comp: $9.62
  • Amish Aid — Amish Aid: $36.75
  • Anthem — Anthem IN HMO PPO TRAD: $6.01
  • Anthem — Anthem IN Marketplace STLD: $6.01
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6.01
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time $175 $36.75 $5.30 – $164.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 81 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $145.25
  • Aetna — Aetna NBD: $71.75
  • Aetna — Aetna PSSD JJ: $71.75
  • Aetna Health Management Inc — Aetna All: $93.10
  • Align IN Work Comp — Align IN Work Comp: $9.62
  • Amish Aid — Amish Aid: $36.75
  • Anthem — Anthem IN HMO PPO TRAD: $6.01
  • Anthem — Anthem IN Marketplace STLD: $6.01
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6.01
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6.01

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: CT Trauma Head WO $4,639 $974.19 $97.84 – $4,360.66
CT scan of the head or brain, without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,850.37
  • Aetna — Aetna NBD: $1,901.99
  • Aetna — Aetna PSSD JJ: $1,901.99
  • Aetna Health Management Inc — Aetna All: $2,467.95
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $974.19
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head or Brain WO $4,639 $974.19 $97.84 – $4,360.66
CT scan of the head or brain, without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,850.37
  • Aetna — Aetna NBD: $1,901.99
  • Aetna — Aetna PSSD JJ: $1,901.99
  • Aetna Health Management Inc — Aetna All: $2,467.95
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $974.19
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head Stroke Alert $4,639 $974.19 $97.84 – $4,360.66
CT scan of the head or brain, without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,850.37
  • Aetna — Aetna NBD: $1,901.99
  • Aetna — Aetna PSSD JJ: $1,901.99
  • Aetna Health Management Inc — Aetna All: $2,467.95
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $974.19
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain WWO $8,855 $1,859.55 $328.54 – $8,323.70
MRI of the brain, before and after contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $7,349.65
  • Aetna — Aetna NBD: $3,630.55
  • Aetna — Aetna PSSD JJ: $3,630.55
  • Aetna Health Management Inc — Aetna All: $4,710.86
  • Align IN Work Comp — Align IN Work Comp: $632.51
  • Amish Aid — Amish Aid: $1,859.55
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,243.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $395.32
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain WWO $8,855 $3,453.45 $2,798.18 – $8,323.70
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $7,349.65
  • Aetna — Aetna NBD: $3,630.55
  • Aetna — Aetna PSSD JJ: $3,630.55
  • Cigna — Cigna HMO: $5,596.36
  • Connecticut General Life Insurance Company — Cigna OAP: $5,215.59
  • Connecticut General Life Insurance Company — Cigna PPO: $5,215.59
  • Encore Health Network — Encore PPO Fully Insured: $8,235.15
  • First Health Network — First Health: $6,641.25
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $7,084
  • Lutheran Preferred Network — Lutheran Preferred Choice: $5,755.75
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 V DR $654 $137.34 $30.87 – $614.76
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $542.82
  • Aetna — Aetna NBD: $268.14
  • Aetna — Aetna PSSD JJ: $268.14
  • Aetna Health Management Inc — Aetna All: $347.93
  • Align IN Work Comp — Align IN Work Comp: $157.78
  • Amish Aid — Amish Aid: $137.34
  • Anthem — Anthem IN HMO PPO TRAD: $378.38
  • Anthem — Anthem IN Marketplace STLD: $302.70
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $310.27
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $98.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 V CR $582 $122.22 $30.87 – $547.08
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $483.06
  • Aetna — Aetna NBD: $238.62
  • Aetna — Aetna PSSD JJ: $238.62
  • Aetna Health Management Inc — Aetna All: $309.62
  • Align IN Work Comp — Align IN Work Comp: $157.78
  • Amish Aid — Amish Aid: $122.22
  • Anthem — Anthem IN HMO PPO TRAD: $378.38
  • Anthem — Anthem IN Marketplace STLD: $302.70
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $310.27
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $98.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 71046 CH-CHEST 2V CR $116 $24.36 $87.33 – $378.38
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $96.28
  • Aetna — Aetna NBD: $47.56
  • Aetna — Aetna PSSD JJ: $47.56
  • Aetna Health Management Inc — Aetna All: $61.71
  • Align IN Work Comp — Align IN Work Comp: $157.78
  • Amish Aid — Amish Aid: $24.36
  • Anthem — Anthem IN HMO PPO TRAD: $378.38
  • Anthem — Anthem IN Marketplace STLD: $302.70
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $310.27
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $98.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V DR $1,782 $374.22 $49.71 – $1,675.08
X-ray of the lower spine, at least 4 views: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,479.06
  • Aetna — Aetna NBD: $730.62
  • Aetna — Aetna PSSD JJ: $730.62
  • Aetna Health Management Inc — Aetna All: $948.02
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $374.22
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V CR $1,280 $268.80 $49.71 – $1,203.20
X-ray of the lower spine, at least 4 views: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,062.40
  • Aetna — Aetna NBD: $524.80
  • Aetna — Aetna PSSD JJ: $524.80
  • Aetna Health Management Inc — Aetna All: $680.96
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $268.80
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 72110 26 X-RAY EXAM L-2 SPINE 4/>VWS $42 $8.82 $104.90 – $454.55
X-ray of the lower spine, at least 4 views: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $34.86
  • Aetna — Aetna NBD: $17.22
  • Aetna — Aetna PSSD JJ: $17.22
  • Aetna Health Management Inc — Aetna All: $22.34
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $8.82
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar Limited WO $6,566 $1,378.86 $222.22 – $6,172.04
MRI of the lower back (lumbar spine), without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $5,449.78
  • Aetna — Aetna NBD: $2,692.06
  • Aetna — Aetna PSSD JJ: $2,692.06
  • Aetna Health Management Inc — Aetna All: $3,493.11
  • Align IN Work Comp — Align IN Work Comp: $432.59
  • Amish Aid — Amish Aid: $1,378.86
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $850.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $270.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar WO $6,566 $1,378.86 $222.22 – $6,172.04
MRI of the lower back (lumbar spine), without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $5,449.78
  • Aetna — Aetna NBD: $2,692.06
  • Aetna — Aetna PSSD JJ: $2,692.06
  • Aetna Health Management Inc — Aetna All: $3,493.11
  • Align IN Work Comp — Align IN Work Comp: $432.59
  • Amish Aid — Amish Aid: $1,378.86
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $850.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $270.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Spine Lumbar Limited WO $6,566 $2,560.74 $2,074.86 – $6,172.04
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $5,449.78
  • Aetna — Aetna NBD: $2,692.06
  • Aetna — Aetna PSSD JJ: $2,692.06
  • Cigna — Cigna HMO: $4,149.71
  • Connecticut General Life Insurance Company — Cigna OAP: $3,867.37
  • Connecticut General Life Insurance Company — Cigna PPO: $3,867.37
  • Encore Health Network — Encore PPO Fully Insured: $6,106.38
  • First Health Network — First Health: $4,924.50
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $5,252.80
  • Lutheran Preferred Network — Lutheran Preferred Choice: $4,267.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Trauma Pelvis W $4,767 $1,001.07 $163.75 – $4,480.98
CT scan of the pelvis, with contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,956.61
  • Aetna — Aetna NBD: $1,954.47
  • Aetna — Aetna PSSD JJ: $1,954.47
  • Aetna Health Management Inc — Aetna All: $2,536.04
  • Align IN Work Comp — Align IN Work Comp: $318
  • Amish Aid — Amish Aid: $1,001.07
  • Anthem — Anthem IN HMO PPO TRAD: $762.64
  • Anthem — Anthem IN Marketplace STLD: $610.10
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $625.36
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $198.75
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis with Rectal W $4,767 $1,001.07 $163.75 – $4,480.98
CT scan of the pelvis, with contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,956.61
  • Aetna — Aetna NBD: $1,954.47
  • Aetna — Aetna PSSD JJ: $1,954.47
  • Aetna Health Management Inc — Aetna All: $2,536.04
  • Align IN Work Comp — Align IN Work Comp: $318
  • Amish Aid — Amish Aid: $1,001.07
  • Anthem — Anthem IN HMO PPO TRAD: $762.64
  • Anthem — Anthem IN Marketplace STLD: $610.10
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $625.36
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $198.75
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W $4,767 $1,001.07 $163.75 – $4,480.98
CT scan of the pelvis, with contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,956.61
  • Aetna — Aetna NBD: $1,954.47
  • Aetna — Aetna PSSD JJ: $1,954.47
  • Aetna Health Management Inc — Aetna All: $2,536.04
  • Align IN Work Comp — Align IN Work Comp: $318
  • Amish Aid — Amish Aid: $1,001.07
  • Anthem — Anthem IN HMO PPO TRAD: $762.64
  • Anthem — Anthem IN Marketplace STLD: $610.10
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $625.36
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $198.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle Left WO $6,604 $1,386.84 $222.07 – $6,207.76
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $5,481.32
  • Aetna — Aetna NBD: $2,707.64
  • Aetna — Aetna PSSD JJ: $2,707.64
  • Aetna Health Management Inc — Aetna All: $3,513.33
  • Align IN Work Comp — Align IN Work Comp: $432.59
  • Amish Aid — Amish Aid: $1,386.84
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $850.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $270.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle Right WO $6,604 $1,386.84 $222.07 – $6,207.76
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $5,481.32
  • Aetna — Aetna NBD: $2,707.64
  • Aetna — Aetna PSSD JJ: $2,707.64
  • Aetna Health Management Inc — Aetna All: $3,513.33
  • Align IN Work Comp — Align IN Work Comp: $432.59
  • Amish Aid — Amish Aid: $1,386.84
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $850.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $270.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip Left WO $6,604 $1,386.84 $222.07 – $6,207.76
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $5,481.32
  • Aetna — Aetna NBD: $2,707.64
  • Aetna — Aetna PSSD JJ: $2,707.64
  • Aetna Health Management Inc — Aetna All: $3,513.33
  • Align IN Work Comp — Align IN Work Comp: $432.59
  • Amish Aid — Amish Aid: $1,386.84
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $850.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $270.37
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Trauma Abdomen Pelvis W $10,423 $2,188.83 $328.83 – $9,797.62
CT scan of the abdomen and pelvis, with contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $8,651.09
  • Aetna — Aetna NBD: $4,273.43
  • Aetna — Aetna PSSD JJ: $4,273.43
  • Aetna Health Management Inc — Aetna All: $5,545.04
  • Align IN Work Comp — Align IN Work Comp: $632.51
  • Amish Aid — Amish Aid: $2,188.83
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,243.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $395.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abd Pelvis W Pancreatic Protocol $10,423 $2,188.83 $328.83 – $9,797.62
CT scan of the abdomen and pelvis, with contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $8,651.09
  • Aetna — Aetna NBD: $4,273.43
  • Aetna — Aetna PSSD JJ: $4,273.43
  • Aetna Health Management Inc — Aetna All: $5,545.04
  • Align IN Work Comp — Align IN Work Comp: $632.51
  • Amish Aid — Amish Aid: $2,188.83
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,243.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $395.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Enterography Abdomen Pelvis $10,423 $2,188.83 $328.83 – $9,797.62
CT scan of the abdomen and pelvis, with contrast: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $8,651.09
  • Aetna — Aetna NBD: $4,273.43
  • Aetna — Aetna PSSD JJ: $4,273.43
  • Aetna Health Management Inc — Aetna All: $5,545.04
  • Align IN Work Comp — Align IN Work Comp: $632.51
  • Amish Aid — Amish Aid: $2,188.83
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,243.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $395.32
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $3,280 $688.80 $97.70 – $3,083.20
Ultrasound of the abdomen, complete: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,722.40
  • Aetna — Aetna NBD: $1,344.80
  • Aetna — Aetna PSSD JJ: $1,344.80
  • Aetna Health Management Inc — Aetna All: $1,744.96
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $688.80
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76700 US Abdomen Complete AMB $344 $72.24 $104.90 – $454.55
Ultrasound of the abdomen, complete: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $285.52
  • Aetna — Aetna NBD: $141.04
  • Aetna — Aetna PSSD JJ: $141.04
  • Aetna Health Management Inc — Aetna All: $183.01
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $72.24
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete $3,280 $1,279.20 $1,036.48 – $3,083.20
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,722.40
  • Aetna — Aetna NBD: $1,344.80
  • Aetna — Aetna PSSD JJ: $1,344.80
  • Cigna — Cigna HMO: $2,072.96
  • Connecticut General Life Insurance Company — Cigna OAP: $1,931.92
  • Connecticut General Life Insurance Company — Cigna PPO: $1,931.92
  • Encore Health Network — Encore PPO Fully Insured: $3,050.40
  • First Health Network — First Health: $2,460
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $2,624
  • Lutheran Preferred Network — Lutheran Preferred Choice: $2,132
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester Transabdominal $2,264 $475.44 $97.70 – $2,128.16
Pregnancy ultrasound (after the first trimester): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,879.12
  • Aetna — Aetna NBD: $928.24
  • Aetna — Aetna PSSD JJ: $928.24
  • Aetna Health Management Inc — Aetna All: $1,204.45
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $475.44
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 US-PELVIS PREG $2,264 $475.44 $97.70 – $2,128.16
Pregnancy ultrasound (after the first trimester): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,879.12
  • Aetna — Aetna NBD: $928.24
  • Aetna — Aetna PSSD JJ: $928.24
  • Aetna Health Management Inc — Aetna All: $1,204.45
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $475.44
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 Preg Compl. >14 Wks AMB $508 $106.68 $97.70 – $477.52
Pregnancy ultrasound (after the first trimester): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $421.64
  • Aetna — Aetna NBD: $208.28
  • Aetna — Aetna PSSD JJ: $208.28
  • Aetna Health Management Inc — Aetna All: $270.26
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $106.68
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB $514 $107.94 $97.70 – $483.16
Transvaginal ultrasound: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $426.62
  • Aetna — Aetna NBD: $210.74
  • Aetna — Aetna PSSD JJ: $210.74
  • Aetna Health Management Inc — Aetna All: $273.45
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $107.94
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 TRANSVAGINAL US NON-OB $287 $60.27 $104.90 – $454.55
Transvaginal ultrasound: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $238.21
  • Aetna — Aetna NBD: $117.67
  • Aetna — Aetna PSSD JJ: $117.67
  • Aetna Health Management Inc — Aetna All: $152.68
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $60.27
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 Vaginal, Non AMB $287 $60.27 $104.90 – $454.55
Transvaginal ultrasound: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $253.98
  • Aetna — Aetna NBD: $125.46
  • Aetna — Aetna PSSD JJ: $125.46
  • Aetna Health Management Inc — Aetna All: $162.79
  • Align IN Work Comp — Align IN Work Comp: $189.54
  • Amish Aid — Amish Aid: $64.26
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $372.73
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $118.46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77065 BR-DIG MAMMO UNILAT - LT $600 $126 $70.61 – $564
Diagnostic mammogram, one breast: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $498
  • Aetna — Aetna NBD: $246
  • Aetna — Aetna PSSD JJ: $246
  • Aetna Health Management Inc — Aetna All: $319.20
  • Align IN Work Comp — Align IN Work Comp: $127.58
  • Amish Aid — Amish Aid: $126
  • Anthem — Anthem IN HMO PPO TRAD: $79.74
  • Anthem — Anthem IN Marketplace STLD: $79.74
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $79.74
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77065 BR-DIG MAMMO UNILAT - RT $600 $126 $70.61 – $564
Diagnostic mammogram, one breast: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $498
  • Aetna — Aetna NBD: $246
  • Aetna — Aetna PSSD JJ: $246
  • Aetna Health Management Inc — Aetna All: $319.20
  • Align IN Work Comp — Align IN Work Comp: $127.58
  • Amish Aid — Amish Aid: $126
  • Anthem — Anthem IN HMO PPO TRAD: $79.74
  • Anthem — Anthem IN Marketplace STLD: $79.74
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $79.74
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Left WWO CAD $600 $126 $70.61 – $564
Diagnostic mammogram, one breast: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $498
  • Aetna — Aetna NBD: $246
  • Aetna — Aetna PSSD JJ: $246
  • Aetna Health Management Inc — Aetna All: $319.20
  • Align IN Work Comp — Align IN Work Comp: $127.58
  • Amish Aid — Amish Aid: $126
  • Anthem — Anthem IN HMO PPO TRAD: $79.74
  • Anthem — Anthem IN Marketplace STLD: $79.74
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $79.74
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $79.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77066 BR-DIG MAMMO BILAT $757 $158.97 $90.50 – $711.58
Diagnostic mammogram, both breasts: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $628.31
  • Aetna — Aetna NBD: $310.37
  • Aetna — Aetna PSSD JJ: $310.37
  • Aetna Health Management Inc — Aetna All: $402.72
  • Align IN Work Comp — Align IN Work Comp: $163.50
  • Amish Aid — Amish Aid: $158.97
  • Anthem — Anthem IN HMO PPO TRAD: $102.19
  • Anthem — Anthem IN Marketplace STLD: $102.19
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $102.19
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral WWO CAD $757 $158.97 $90.50 – $711.58
Diagnostic mammogram, both breasts: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $628.31
  • Aetna — Aetna NBD: $310.37
  • Aetna — Aetna PSSD JJ: $310.37
  • Aetna Health Management Inc — Aetna All: $402.72
  • Align IN Work Comp — Align IN Work Comp: $163.50
  • Amish Aid — Amish Aid: $158.97
  • Anthem — Anthem IN HMO PPO TRAD: $102.19
  • Anthem — Anthem IN Marketplace STLD: $102.19
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $102.19
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 77066 BR-DIG MAMMO BILAT $757 $295.23 $239.21 – $711.58
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $628.31
  • Aetna — Aetna NBD: $310.37
  • Aetna — Aetna PSSD JJ: $310.37
  • Cigna — Cigna HMO: $478.42
  • Connecticut General Life Insurance Company — Cigna OAP: $445.87
  • Connecticut General Life Insurance Company — Cigna PPO: $445.87
  • Encore Health Network — Encore PPO Fully Insured: $704.01
  • First Health Network — First Health: $567.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $605.60
  • Lutheran Preferred Network — Lutheran Preferred Choice: $492.05
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77067 BR-DIG MAMMO SCRN UN - LT $611 $128.31 $74.42 – $574.34
Screening mammogram, both breasts: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $507.13
  • Aetna — Aetna NBD: $250.51
  • Aetna — Aetna PSSD JJ: $250.51
  • Aetna Health Management Inc — Aetna All: $325.05
  • Align IN Work Comp — Align IN Work Comp: $135.01
  • Amish Aid — Amish Aid: $128.31
  • Anthem — Anthem IN HMO PPO TRAD: $84.38
  • Anthem — Anthem IN Marketplace STLD: $84.38
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $84.38
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77067 BR-DIG MAMMO SCRN UN - RT $611 $128.31 $74.42 – $574.34
Screening mammogram, both breasts: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $507.13
  • Aetna — Aetna NBD: $250.51
  • Aetna — Aetna PSSD JJ: $250.51
  • Aetna Health Management Inc — Aetna All: $325.05
  • Align IN Work Comp — Align IN Work Comp: $135.01
  • Amish Aid — Amish Aid: $128.31
  • Anthem — Anthem IN HMO PPO TRAD: $84.38
  • Anthem — Anthem IN Marketplace STLD: $84.38
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $84.38
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77067 BR-DIG MAMMO SCRN BI $611 $128.31 $74.42 – $574.34
Screening mammogram, both breasts: 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $507.13
  • Aetna — Aetna NBD: $250.51
  • Aetna — Aetna PSSD JJ: $250.51
  • Aetna Health Management Inc — Aetna All: $325.05
  • Align IN Work Comp — Align IN Work Comp: $135.01
  • Amish Aid — Amish Aid: $128.31
  • Anthem — Anthem IN HMO PPO TRAD: $84.38
  • Anthem — Anthem IN Marketplace STLD: $84.38
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $84.38
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $84.38

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: 93000 EKG POC AMB -BCE $69 $14.49 $12.97 – $69
Electrocardiogram (ECG/EKG) with reading: 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $57.27
  • Aetna — Aetna NBD: $28.29
  • Aetna — Aetna PSSD JJ: $28.29
  • Aetna Health Management Inc — Aetna All: $36.71
  • Amish Aid — Amish Aid: $14.49
  • Cigna — Cigna HMO: $43.61
  • Connecticut General Life Insurance Company — Cigna OAP: $40.64
  • Connecticut General Life Insurance Company — Cigna PPO: $40.64
  • Encore — Encore Combined PPO: $27.60
  • Encore Health Network — Encore PPO Fully Insured: $64.17
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EKG POC AMB $69 $14.49 $12.97 – $69
Electrocardiogram (ECG/EKG) with reading: 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $57.27
  • Aetna — Aetna NBD: $28.29
  • Aetna — Aetna PSSD JJ: $28.29
  • Aetna Health Management Inc — Aetna All: $36.71
  • Amish Aid — Amish Aid: $14.49
  • Cigna — Cigna HMO: $43.61
  • Connecticut General Life Insurance Company — Cigna OAP: $40.64
  • Connecticut General Life Insurance Company — Cigna PPO: $40.64
  • Encore — Encore Combined PPO: $27.60
  • Encore Health Network — Encore PPO Fully Insured: $64.17
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 93000 EKG POC AMB -BCE $69 $26.91 $21.80 – $64.86
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $57.27
  • Aetna — Aetna NBD: $28.29
  • Aetna — Aetna PSSD JJ: $28.29
  • Cigna — Cigna HMO: $43.61
  • Connecticut General Life Insurance Company — Cigna OAP: $40.64
  • Connecticut General Life Insurance Company — Cigna PPO: $40.64
  • Encore Health Network — Encore PPO Fully Insured: $64.17
  • First Health Network — First Health: $51.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $55.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $44.85
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC - GL 106 $26,061 $5,472.81 $559.22 – $24,497.34
Left heart catheterization (diagnostic): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $21,630.63
  • Aetna — Aetna NBD: $10,685.01
  • Aetna — Aetna PSSD JJ: $10,685.01
  • Aetna Health Management Inc — Aetna All: $13,864.45
  • Align IN Work Comp — Align IN Work Comp: $5,877.65
  • Amish Aid — Amish Aid: $5,472.81
  • Anthem — Anthem IN HMO PPO TRAD: $14,095.70
  • Anthem — Anthem IN Marketplace STLD: $11,276.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,558.37
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,673.53
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC - Dept 106 $26,061 $5,472.81 $559.22 – $24,497.34
Left heart catheterization (diagnostic): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $21,630.63
  • Aetna — Aetna NBD: $10,685.01
  • Aetna — Aetna PSSD JJ: $10,685.01
  • Aetna Health Management Inc — Aetna All: $13,864.45
  • Align IN Work Comp — Align IN Work Comp: $5,877.65
  • Amish Aid — Amish Aid: $5,472.81
  • Anthem — Anthem IN HMO PPO TRAD: $14,095.70
  • Anthem — Anthem IN Marketplace STLD: $11,276.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,558.37
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,673.53
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93452,26 LEFT HEART CATH W/LEFT VENT $650 $136.50 $3,257.30 – $14,095.70
Left heart catheterization (diagnostic): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $539.50
  • Aetna — Aetna NBD: $266.50
  • Aetna — Aetna PSSD JJ: $266.50
  • Aetna Health Management Inc — Aetna All: $345.80
  • Align IN Work Comp — Align IN Work Comp: $5,877.65
  • Amish Aid — Amish Aid: $136.50
  • Anthem — Anthem IN HMO PPO TRAD: $14,095.70
  • Anthem — Anthem IN Marketplace STLD: $11,276.49
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,558.37
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,673.53
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93619,26 ELECTROPHYSIOLOGY EVALUATION $1,044 $219.24 $7,826.38 – $33,912.42
Heart rhythm study (electrophysiology evaluation): 10 of 64 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $866.52
  • Aetna — Aetna NBD: $428.04
  • Aetna — Aetna PSSD JJ: $428.04
  • Aetna Health Management Inc — Aetna All: $555.41
  • Align IN Work Comp — Align IN Work Comp: $14,140.83
  • Amish Aid — Amish Aid: $219.24
  • Anthem — Anthem IN HMO PPO TRAD: $33,912.42
  • Anthem — Anthem IN Marketplace STLD: $27,129.76
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $27,807.94
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8,838.02
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93619 26 ELECTROPHYSIOLOGY EVALUATION $1,044 $219.24 $7,826.38 – $33,912.42
Heart rhythm study (electrophysiology evaluation): 10 of 64 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $866.52
  • Aetna — Aetna NBD: $428.04
  • Aetna — Aetna PSSD JJ: $428.04
  • Aetna Health Management Inc — Aetna All: $555.41
  • Align IN Work Comp — Align IN Work Comp: $14,140.83
  • Amish Aid — Amish Aid: $219.24
  • Anthem — Anthem IN HMO PPO TRAD: $33,912.42
  • Anthem — Anthem IN Marketplace STLD: $27,129.76
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $27,807.94
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $8,838.02
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 93619,26 ELECTROPHYSIOLOGY EVALUATION $1,044 $407.16 $329.90 – $981.36
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $866.52
  • Aetna — Aetna NBD: $428.04
  • Aetna — Aetna PSSD JJ: $428.04
  • Cigna — Cigna HMO: $659.81
  • Connecticut General Life Insurance Company — Cigna OAP: $614.92
  • Connecticut General Life Insurance Company — Cigna PPO: $614.92
  • Encore Health Network — Encore PPO Fully Insured: $970.92
  • First Health Network — First Health: $783
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $835.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $678.60
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93656,53 TX ATRIAL FIB PULM VEIN ISOL $2,884 $605.64 $26,153.94 – $113,645.66
Heart rhythm study with ablation for atrial fibrillation: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,393.72
  • Aetna — Aetna NBD: $1,182.44
  • Aetna — Aetna PSSD JJ: $1,182.44
  • Aetna Health Management Inc — Aetna All: $1,534.29
  • Align IN Work Comp — Align IN Work Comp: $47,388.10
  • Amish Aid — Amish Aid: $605.64
  • Anthem — Anthem IN HMO PPO TRAD: $113,645.66
  • Anthem — Anthem IN Marketplace STLD: $90,915.95
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $93,188.63
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $29,617.56
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93656 TX ATRIAL FIB PULM VEIN ISOL $2,884 $605.64 $26,153.94 – $113,645.66
Heart rhythm study with ablation for atrial fibrillation: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,393.72
  • Aetna — Aetna NBD: $1,182.44
  • Aetna — Aetna PSSD JJ: $1,182.44
  • Aetna Health Management Inc — Aetna All: $1,534.29
  • Align IN Work Comp — Align IN Work Comp: $47,388.10
  • Amish Aid — Amish Aid: $605.64
  • Anthem — Anthem IN HMO PPO TRAD: $113,645.66
  • Anthem — Anthem IN Marketplace STLD: $90,915.95
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $93,188.63
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $29,617.56
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93656 53 TX ATRIAL FIB PULM VEIN ISOL $1,442 $302.82 $26,153.94 – $113,645.66
Heart rhythm study with ablation for atrial fibrillation: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,196.86
  • Aetna — Aetna NBD: $591.22
  • Aetna — Aetna PSSD JJ: $591.22
  • Aetna Health Management Inc — Aetna All: $767.14
  • Align IN Work Comp — Align IN Work Comp: $47,388.10
  • Amish Aid — Amish Aid: $302.82
  • Anthem — Anthem IN HMO PPO TRAD: $113,645.66
  • Anthem — Anthem IN Marketplace STLD: $90,915.95
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $93,188.63
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $29,617.56
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHRG - POLYSOMNO GT4 GE6YO $9,078 $1,906.38 $455.23 – $8,533.32
Sleep study (overnight, in a sleep lab): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $7,534.74
  • Aetna — Aetna NBD: $3,721.98
  • Aetna — Aetna PSSD JJ: $3,721.98
  • Aetna Health Management Inc — Aetna All: $4,829.50
  • Align IN Work Comp — Align IN Work Comp: $1,556.90
  • Amish Aid — Amish Aid: $1,906.38
  • Anthem — Anthem IN HMO PPO TRAD: $3,733.73
  • Anthem — Anthem IN Marketplace STLD: $2,986.97
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,061.63
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $973.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 95810,26 POLYSOM 6/> YRS 4/> PARAM $278 $58.38 $861.74 – $3,733.73
Sleep study (overnight, in a sleep lab): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $230.74
  • Aetna — Aetna NBD: $113.98
  • Aetna — Aetna PSSD JJ: $113.98
  • Aetna Health Management Inc — Aetna All: $147.90
  • Align IN Work Comp — Align IN Work Comp: $1,556.90
  • Amish Aid — Amish Aid: $58.38
  • Anthem — Anthem IN HMO PPO TRAD: $3,733.73
  • Anthem — Anthem IN Marketplace STLD: $2,986.97
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,061.63
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $973.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 95810 POLYSOM 6/> YRS 4/> PARAM $1,471 $308.91 $861.74 – $3,733.73
Sleep study (overnight, in a sleep lab): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,305.59
  • Aetna — Aetna NBD: $644.93
  • Aetna — Aetna PSSD JJ: $644.93
  • Aetna Health Management Inc — Aetna All: $836.84
  • Align IN Work Comp — Align IN Work Comp: $1,556.90
  • Amish Aid — Amish Aid: $330.33
  • Anthem — Anthem IN HMO PPO TRAD: $3,733.73
  • Anthem — Anthem IN Marketplace STLD: $2,986.97
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,061.63
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $973.06

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: OT Therapeutic Exercise Assistant Charge $239 $50.19 $22.02 – $224.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $198.37
  • Aetna — Aetna NBD: $97.99
  • Aetna — Aetna PSSD JJ: $97.99
  • Aetna Health Management Inc — Aetna All: $127.15
  • Align IN Work Comp — Align IN Work Comp: $44.62
  • Amish Aid — Amish Aid: $50.19
  • Anthem — Anthem IN HMO PPO TRAD: $27.89
  • Anthem — Anthem IN Marketplace STLD: $27.89
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $27.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Assistant Charge $239 $50.19 $22.02 – $224.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $198.37
  • Aetna — Aetna NBD: $97.99
  • Aetna — Aetna PSSD JJ: $97.99
  • Aetna Health Management Inc — Aetna All: $127.15
  • Align IN Work Comp — Align IN Work Comp: $44.62
  • Amish Aid — Amish Aid: $50.19
  • Anthem — Anthem IN HMO PPO TRAD: $27.89
  • Anthem — Anthem IN Marketplace STLD: $27.89
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $27.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 $239 $50.19 $22.02 – $224.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $198.37
  • Aetna — Aetna NBD: $97.99
  • Aetna — Aetna PSSD JJ: $97.99
  • Aetna Health Management Inc — Aetna All: $127.15
  • Align IN Work Comp — Align IN Work Comp: $44.62
  • Amish Aid — Amish Aid: $50.19
  • Anthem — Anthem IN HMO PPO TRAD: $27.89
  • Anthem — Anthem IN Marketplace STLD: $27.89
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $27.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $27.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Assistant Unit - Yes $381 $80.01 $65 – $358.14
Physical therapy evaluation (low complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1 $381 $80.01 $65 – $358.14
Physical therapy evaluation (low complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IRF PT EVAL LOW $381 $80.01 $65 – $358.14
Physical therapy evaluation (low complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Assistant Unit - Yes $381 $80.01 $65 – $358.14
Physical therapy evaluation (moderate complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 1 $381 $80.01 $65 – $358.14
Physical therapy evaluation (moderate complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IRF PT EVAL MOD $381 $80.01 $65 – $358.14
Physical therapy evaluation (moderate complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Assistant Unit - Yes $381 $80.01 $65 – $358.14
Physical therapy evaluation (high complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1 $381 $80.01 $65 – $358.14
Physical therapy evaluation (high complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IRF PT EVAL HIGH $381 $80.01 $65 – $358.14
Physical therapy evaluation (high complexity): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $316.23
  • Aetna — Aetna NBD: $156.21
  • Aetna — Aetna PSSD JJ: $156.21
  • Aetna Health Management Inc — Aetna All: $202.69
  • Align IN Work Comp — Align IN Work Comp: $151.42
  • Amish Aid — Amish Aid: $80.01
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $94.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $94.64
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90832 PSYTX PT&/FAMILY 30 MINUTES $89 $18.69 $178.12 – $771.74
Psychotherapy, 30 minutes: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $136.95
  • Aetna — Aetna NBD: $67.65
  • Aetna — Aetna PSSD JJ: $67.65
  • Aetna Health Management Inc — Aetna All: $87.78
  • Align IN Work Comp — Align IN Work Comp: $321.81
  • Amish Aid — Amish Aid: $34.65
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $632.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $201.13
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90832 PSYTX PT&/FAMILY 30 MINUTES $165 $64.35 $52.14 – $155.10
Psychotherapy, 30 minutes: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $136.95
  • Aetna — Aetna NBD: $67.65
  • Aetna — Aetna PSSD JJ: $67.65
  • Cigna — Cigna HMO: $104.28
  • Connecticut General Life Insurance Company — Cigna OAP: $97.18
  • Connecticut General Life Insurance Company — Cigna PPO: $97.18
  • Encore Health Network — Encore PPO Fully Insured: $153.45
  • First Health Network — First Health: $123.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $132
  • Lutheran Preferred Network — Lutheran Preferred Choice: $107.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90834 PSYTX PT&/FAMILY 45 MINUTES $133 $27.93 $178.12 – $771.74
Psychotherapy, 45 minutes: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $181.77
  • Aetna — Aetna NBD: $89.79
  • Aetna — Aetna PSSD JJ: $89.79
  • Aetna Health Management Inc — Aetna All: $116.51
  • Align IN Work Comp — Align IN Work Comp: $321.81
  • Amish Aid — Amish Aid: $45.99
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $632.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $201.13
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90834 PSYTX PT&/FAMILY 45 MINUTES $219 $85.41 $69.20 – $205.86
Psychotherapy, 45 minutes: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $181.77
  • Aetna — Aetna NBD: $89.79
  • Aetna — Aetna PSSD JJ: $89.79
  • Cigna — Cigna HMO: $138.41
  • Connecticut General Life Insurance Company — Cigna OAP: $128.99
  • Connecticut General Life Insurance Company — Cigna PPO: $128.99
  • Encore Health Network — Encore PPO Fully Insured: $203.67
  • First Health Network — First Health: $164.25
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $175.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $142.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90837 PSYTX PT&/FAMILY 60 MINUTES $201 $42.21 $178.12 – $771.74
Psychotherapy, 60 minutes: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $273.07
  • Aetna — Aetna NBD: $134.89
  • Aetna — Aetna PSSD JJ: $134.89
  • Aetna Health Management Inc — Aetna All: $175.03
  • Align IN Work Comp — Align IN Work Comp: $321.81
  • Amish Aid — Amish Aid: $69.09
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $632.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $201.13
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90837 PSYTX PT&/FAMILY 60 MINUTES $329 $128.31 $103.96 – $309.26
Psychotherapy, 60 minutes: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $273.07
  • Aetna — Aetna NBD: $134.89
  • Aetna — Aetna PSSD JJ: $134.89
  • Cigna — Cigna HMO: $207.93
  • Connecticut General Life Insurance Company — Cigna OAP: $193.78
  • Connecticut General Life Insurance Company — Cigna PPO: $193.78
  • Encore Health Network — Encore PPO Fully Insured: $305.97
  • First Health Network — First Health: $246.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $263.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $213.85
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90846 FAMILY PSYTX W/O PATIENT $265 $55.65 $178.12 – $771.74
Family psychotherapy, without the patient: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $219.95
  • Aetna — Aetna NBD: $108.65
  • Aetna — Aetna PSSD JJ: $108.65
  • Aetna Health Management Inc — Aetna All: $140.98
  • Align IN Work Comp — Align IN Work Comp: $321.81
  • Amish Aid — Amish Aid: $55.65
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $632.82
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $201.13
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90846 FAMILY PSYTX W/O PATIENT $265 $103.35 $83.74 – $249.10
Family psychotherapy, without the patient: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $219.95
  • Aetna — Aetna NBD: $108.65
  • Aetna — Aetna PSSD JJ: $108.65
  • Cigna — Cigna HMO: $167.48
  • Connecticut General Life Insurance Company — Cigna OAP: $156.08
  • Connecticut General Life Insurance Company — Cigna PPO: $156.08
  • Encore Health Network — Encore PPO Fully Insured: $246.45
  • First Health Network — First Health: $198.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $212
  • Lutheran Preferred Network — Lutheran Preferred Choice: $172.25

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 $32,526.86 $6,830.64 $370.76 – $30,575.25
Removal of breast growth (open surgery): 10 of 83 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $26,997.29
  • Aetna — Aetna NBD: $13,336.01
  • Aetna — Aetna PSSD JJ: $13,336.01
  • Aetna Health Management Inc — Aetna All: $17,304.29
  • Align IN Work Comp — Align IN Work Comp: $7,098.70
  • Amish Aid — Amish Aid: $6,830.64
  • Anthem — Anthem IN HMO PPO TRAD: $17,024.04
  • Anthem — Anthem IN Marketplace STLD: $13,619.14
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $13,959.59
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4,436.69
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 19120,LT REMOVAL OF BREAST LESION $1,548 $325.08 $3,929.13 – $17,024.04
Removal of breast growth (open surgery): 10 of 67 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,544.63
  • Aetna — Aetna NBD: $763.01
  • Aetna — Aetna PSSD JJ: $763.01
  • Aetna Health Management Inc — Aetna All: $990.05
  • Align IN Work Comp — Align IN Work Comp: $7,098.70
  • Amish Aid — Amish Aid: $390.81
  • Anthem — Anthem IN HMO PPO TRAD: $17,024.04
  • Anthem — Anthem IN Marketplace STLD: $13,619.14
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $13,959.59
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4,436.69
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 19120,RT REMOVAL OF BREAST LESION $1,548 $325.08 $3,929.13 – $17,024.04
Removal of breast growth (open surgery): 10 of 67 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,544.63
  • Aetna — Aetna NBD: $763.01
  • Aetna — Aetna PSSD JJ: $763.01
  • Aetna Health Management Inc — Aetna All: $990.05
  • Align IN Work Comp — Align IN Work Comp: $7,098.70
  • Amish Aid — Amish Aid: $390.81
  • Anthem — Anthem IN HMO PPO TRAD: $17,024.04
  • Anthem — Anthem IN Marketplace STLD: $13,619.14
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $13,959.59
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4,436.69
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT $140,309.33 $29,464.96 $1,064.13 – $131,890.77
Total hip replacement: 10 of 80 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $116,456.74
  • Aetna — Aetna NBD: $57,526.83
  • Aetna — Aetna PSSD JJ: $57,526.83
  • Aetna Health Management Inc — Aetna All: $74,644.56
  • Align IN Work Comp — Align IN Work Comp: $23,276.61
  • Amish Aid — Amish Aid: $29,464.96
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $45,773.44
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $14,547.88
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27130,LT TOTAL HIP ARTHROPLASTY $5,417 $1,137.57 $12,862.48 – $55,821.75
Total hip replacement: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,496.11
  • Aetna — Aetna NBD: $2,220.97
  • Aetna — Aetna PSSD JJ: $2,220.97
  • Aetna Health Management Inc — Aetna All: $2,881.84
  • Align IN Work Comp — Align IN Work Comp: $23,276.61
  • Amish Aid — Amish Aid: $1,137.57
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $45,773.44
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $14,547.88
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27130,RT TOTAL HIP ARTHROPLASTY $5,417 $1,137.57 $12,862.48 – $55,821.75
Total hip replacement: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,496.11
  • Aetna — Aetna NBD: $2,220.97
  • Aetna — Aetna PSSD JJ: $2,220.97
  • Aetna Health Management Inc — Aetna All: $2,881.84
  • Align IN Work Comp — Align IN Work Comp: $23,276.61
  • Amish Aid — Amish Aid: $1,137.57
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $45,773.44
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $14,547.88
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT $148,295.99 $31,142.16 $1,062.09 – $139,398.23
Total knee replacement: 10 of 80 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $123,085.67
  • Aetna — Aetna NBD: $60,801.36
  • Aetna — Aetna PSSD JJ: $60,801.36
  • Aetna Health Management Inc — Aetna All: $78,893.47
  • Align IN Work Comp — Align IN Work Comp: $23,276.61
  • Amish Aid — Amish Aid: $31,142.16
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $45,773.44
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $14,547.88
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27447,LT TOTAL KNEE ARTHROPLASTY $3,252 $682.92 $12,862.48 – $55,821.75
Total knee replacement: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,346.56
  • Aetna — Aetna NBD: $1,653.12
  • Aetna — Aetna PSSD JJ: $1,653.12
  • Aetna Health Management Inc — Aetna All: $2,145.02
  • Align IN Work Comp — Align IN Work Comp: $23,276.61
  • Amish Aid — Amish Aid: $846.72
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $45,773.44
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $14,547.88
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27447,RT TOTAL KNEE ARTHROPLASTY $3,252 $682.92 $12,862.48 – $55,821.75
Total knee replacement: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $3,346.56
  • Aetna — Aetna NBD: $1,653.12
  • Aetna — Aetna PSSD JJ: $1,653.12
  • Aetna Health Management Inc — Aetna All: $2,145.02
  • Align IN Work Comp — Align IN Work Comp: $23,276.61
  • Amish Aid — Amish Aid: $846.72
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $45,773.44
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $14,547.88
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY $84,787.73 $17,805.42 $135.46 – $79,700.47
Shoulder arthroscopy: shaving of shoulder bone: 10 of 47 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $70,373.82
  • Aetna — Aetna NBD: $34,762.97
  • Aetna — Aetna PSSD JJ: $34,762.97
  • Aetna Health Management Inc — Aetna All: $45,107.07
  • Amish Aid — Amish Aid: $17,805.42
  • Anthem Blue Cross Blue Shield — Anthem IN Medicaid: $1,905.42
  • CareSource — CareSource HHW IN Medicaid: $1,905.42
  • Caresource — Caresource IN HIP: $1,905.42
  • Caresource — Caresource IN Medicaid: $1,465.71
  • Cigna — Cigna HMO: $53,585.85
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29826,LT SHOULDER ARTHROSCOPY/SURGERY $658 $138.18 $135.46 – $618.52
Shoulder arthroscopy: shaving of shoulder bone: 10 of 32 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $546.14
  • Aetna — Aetna NBD: $269.78
  • Aetna — Aetna PSSD JJ: $269.78
  • Aetna Health Management Inc — Aetna All: $350.06
  • Amish Aid — Amish Aid: $138.18
  • Cigna — Cigna HMO: $415.86
  • Connecticut General Life Insurance Company — Cigna OAP: $387.56
  • Connecticut General Life Insurance Company — Cigna PPO: $387.56
  • Encore — Encore Combined PPO: $263.20
  • Encore Health Network — Encore PPO Fully Insured: $611.94
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29826,RT SHOULDER ARTHROSCOPY/SURGERY $658 $138.18 $135.46 – $618.52
Shoulder arthroscopy: shaving of shoulder bone: 10 of 32 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $546.14
  • Aetna — Aetna NBD: $269.78
  • Aetna — Aetna PSSD JJ: $269.78
  • Aetna Health Management Inc — Aetna All: $350.06
  • Amish Aid — Amish Aid: $138.18
  • Cigna — Cigna HMO: $415.86
  • Connecticut General Life Insurance Company — Cigna OAP: $387.56
  • Connecticut General Life Insurance Company — Cigna PPO: $387.56
  • Encore — Encore Combined PPO: $263.20
  • Encore Health Network — Encore PPO Fully Insured: $611.94
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY $44,180.28 $9,277.86 $474.14 – $41,529.46
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $36,669.63
  • Aetna — Aetna NBD: $18,113.91
  • Aetna — Aetna PSSD JJ: $18,113.91
  • Aetna Health Management Inc — Aetna All: $23,503.91
  • Align IN Work Comp — Align IN Work Comp: $5,932.16
  • Amish Aid — Amish Aid: $9,277.86
  • Anthem — Anthem IN HMO PPO TRAD: $14,226.45
  • Anthem — Anthem IN Marketplace STLD: $11,381.09
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,665.59
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,707.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29881,LT KNEE ARTHROSCOPY/SURGERY $2,052 $430.92 $3,283.45 – $14,226.45
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,703.16
  • Aetna — Aetna NBD: $841.32
  • Aetna — Aetna PSSD JJ: $841.32
  • Aetna Health Management Inc — Aetna All: $1,091.66
  • Align IN Work Comp — Align IN Work Comp: $5,932.16
  • Amish Aid — Amish Aid: $430.92
  • Anthem — Anthem IN HMO PPO TRAD: $14,226.45
  • Anthem — Anthem IN Marketplace STLD: $11,381.09
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,665.59
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,707.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29881,RT KNEE ARTHROSCOPY/SURGERY $2,052 $430.92 $3,283.45 – $14,226.45
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,703.16
  • Aetna — Aetna NBD: $841.32
  • Aetna — Aetna PSSD JJ: $841.32
  • Aetna Health Management Inc — Aetna All: $1,091.66
  • Align IN Work Comp — Align IN Work Comp: $5,932.16
  • Amish Aid — Amish Aid: $430.92
  • Anthem — Anthem IN HMO PPO TRAD: $14,226.45
  • Anthem — Anthem IN Marketplace STLD: $11,381.09
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,665.59
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,707.60
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 42820 REMOVE TONSILS AND ADENOIDS $1,125 $236.25 $5,940.54 – $25,739.04
Removal of tonsils and adenoids (under age 12): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $933.75
  • Aetna — Aetna NBD: $461.25
  • Aetna — Aetna PSSD JJ: $461.25
  • Aetna Health Management Inc — Aetna All: $598.50
  • Align IN Work Comp — Align IN Work Comp: $10,732.69
  • Amish Aid — Amish Aid: $236.25
  • Anthem — Anthem IN HMO PPO TRAD: $25,739.04
  • Anthem — Anthem IN Marketplace STLD: $20,591.10
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $21,105.83
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6,707.93
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 42820 REMOVE TONSILS AND ADENOIDS $1,125 $438.75 $355.50 – $1,057.50
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $933.75
  • Aetna — Aetna NBD: $461.25
  • Aetna — Aetna PSSD JJ: $461.25
  • Cigna — Cigna HMO: $711
  • Connecticut General Life Insurance Company — Cigna OAP: $662.63
  • Connecticut General Life Insurance Company — Cigna PPO: $662.63
  • Encore Health Network — Encore PPO Fully Insured: $1,046.25
  • First Health Network — First Health: $843.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $900
  • Lutheran Preferred Network — Lutheran Preferred Choice: $731.25
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS $15,070.39 $3,164.78 $103.93 – $14,166.17
Upper GI endoscopy (diagnostic): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $12,508.42
  • Aetna — Aetna NBD: $6,178.86
  • Aetna — Aetna PSSD JJ: $6,178.86
  • Aetna Health Management Inc — Aetna All: $8,017.45
  • Align IN Work Comp — Align IN Work Comp: $1,644.37
  • Amish Aid — Amish Aid: $3,164.78
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,233.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,027.73
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43235,52 EGD DIAGNOSTIC BRUSH WASH $556 $116.76 $910.16 – $3,943.50
Upper GI endoscopy (diagnostic): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $768.58
  • Aetna — Aetna NBD: $379.66
  • Aetna — Aetna PSSD JJ: $379.66
  • Aetna Health Management Inc — Aetna All: $492.63
  • Align IN Work Comp — Align IN Work Comp: $1,644.37
  • Amish Aid — Amish Aid: $194.46
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,233.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,027.73
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43235,53 EGD DIAGNOSTIC BRUSH WASH $556 $116.76 $910.16 – $3,943.50
Upper GI endoscopy (diagnostic): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $768.58
  • Aetna — Aetna NBD: $379.66
  • Aetna — Aetna PSSD JJ: $379.66
  • Aetna Health Management Inc — Aetna All: $492.63
  • Align IN Work Comp — Align IN Work Comp: $1,644.37
  • Amish Aid — Amish Aid: $194.46
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,233.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,027.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY $12,937.34 $2,716.84 $116.27 – $12,161.10
Upper GI endoscopy with biopsy: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $10,737.99
  • Aetna — Aetna NBD: $5,304.31
  • Aetna — Aetna PSSD JJ: $5,304.31
  • Aetna Health Management Inc — Aetna All: $6,882.66
  • Align IN Work Comp — Align IN Work Comp: $1,644.37
  • Amish Aid — Amish Aid: $2,716.84
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,233.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,027.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239,52 EGD BIOPSY SINGLE/MULTIPLE $657 $137.97 $910.16 – $3,943.50
Upper GI endoscopy with biopsy: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $912.17
  • Aetna — Aetna NBD: $450.59
  • Aetna — Aetna PSSD JJ: $450.59
  • Aetna Health Management Inc — Aetna All: $584.67
  • Align IN Work Comp — Align IN Work Comp: $1,644.37
  • Amish Aid — Amish Aid: $230.79
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,233.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,027.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR $657 $137.97 $910.16 – $3,943.50
Upper GI endoscopy with biopsy: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $912.17
  • Aetna — Aetna NBD: $450.59
  • Aetna — Aetna PSSD JJ: $450.59
  • Aetna Health Management Inc — Aetna All: $584.67
  • Align IN Work Comp — Align IN Work Comp: $1,644.37
  • Amish Aid — Amish Aid: $230.79
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,233.64
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,027.73
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $9,240.67 $1,940.54 $154.36 – $8,686.23
Colonoscopy (diagnostic): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $7,669.76
  • Aetna — Aetna NBD: $3,788.67
  • Aetna — Aetna PSSD JJ: $3,788.67
  • Aetna Health Management Inc — Aetna All: $4,916.04
  • Align IN Work Comp — Align IN Work Comp: $1,686.02
  • Amish Aid — Amish Aid: $1,940.54
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,315.57
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,053.76
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378,52 DIAGNOSTIC COLONOSCOPY $828 $173.88 $933.21 – $4,043.41
Colonoscopy (diagnostic): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,022.56
  • Aetna — Aetna NBD: $505.12
  • Aetna — Aetna PSSD JJ: $505.12
  • Aetna Health Management Inc — Aetna All: $655.42
  • Align IN Work Comp — Align IN Work Comp: $1,686.02
  • Amish Aid — Amish Aid: $258.72
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,315.57
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,053.76
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE $828 $173.88 $933.21 – $4,043.41
Colonoscopy (diagnostic): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $777.71
  • Aetna — Aetna NBD: $384.17
  • Aetna — Aetna PSSD JJ: $384.17
  • Aetna Health Management Inc — Aetna All: $498.48
  • Align IN Work Comp — Align IN Work Comp: $1,686.02
  • Amish Aid — Amish Aid: $196.77
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,315.57
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,053.76
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY $12,723.93 $2,672.03 $167 – $11,960.49
Colonoscopy with biopsy: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $10,560.86
  • Aetna — Aetna NBD: $5,216.81
  • Aetna — Aetna PSSD JJ: $5,216.81
  • Aetna Health Management Inc — Aetna All: $6,769.13
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $2,672.03
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45380,52 COLONOSCOPY AND BIOPSY $989 $207.69 $1,200.83 – $5,202.90
Colonoscopy with biopsy: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,123.82
  • Aetna — Aetna NBD: $555.14
  • Aetna — Aetna PSSD JJ: $555.14
  • Aetna Health Management Inc — Aetna All: $720.33
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $284.34
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER $989 $207.69 $1,200.83 – $5,202.90
Colonoscopy with biopsy: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $927.11
  • Aetna — Aetna NBD: $457.97
  • Aetna — Aetna PSSD JJ: $457.97
  • Aetna Health Management Inc — Aetna All: $594.24
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $234.57
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY $12,803.76 $2,688.79 $210.50 – $12,035.53
Colonoscopy with removal of polyps (snare): 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $10,627.12
  • Aetna — Aetna NBD: $5,249.54
  • Aetna — Aetna PSSD JJ: $5,249.54
  • Aetna Health Management Inc — Aetna All: $6,811.60
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $2,688.79
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45385,52 LESION REMOVAL COLONOSCOPY $1,174 $246.54 $1,200.83 – $5,202.90
Colonoscopy with removal of polyps (snare): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,044.14
  • Aetna — Aetna NBD: $515.78
  • Aetna — Aetna PSSD JJ: $515.78
  • Aetna Health Management Inc — Aetna All: $669.26
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $264.18
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE $1,174 $246.54 $1,200.83 – $5,202.90
Colonoscopy with removal of polyps (snare): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,044.14
  • Aetna — Aetna NBD: $515.78
  • Aetna — Aetna PSSD JJ: $515.78
  • Aetna Health Management Inc — Aetna All: $669.26
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $264.18
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45391 COLONOSCOPY W/ENDOSCOPE US $754 $158.34 $1,200.83 – $5,202.90
Ultrasound of the lower bowel by endoscope: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $625.82
  • Aetna — Aetna NBD: $309.14
  • Aetna — Aetna PSSD JJ: $309.14
  • Aetna Health Management Inc — Aetna All: $401.13
  • Align IN Work Comp — Align IN Work Comp: $2,169.52
  • Amish Aid — Amish Aid: $158.34
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $4,266.34
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,355.95
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 45391 COLONOSCOPY W/ENDOSCOPE US $754 $294.06 $238.26 – $708.76
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $625.82
  • Aetna — Aetna NBD: $309.14
  • Aetna — Aetna PSSD JJ: $309.14
  • Cigna — Cigna HMO: $476.53
  • Connecticut General Life Insurance Company — Cigna OAP: $444.11
  • Connecticut General Life Insurance Company — Cigna PPO: $444.11
  • Encore Health Network — Encore PPO Fully Insured: $701.22
  • First Health Network — First Health: $565.50
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $603.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $490.10
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND $8,751.90 $1,837.90 $154.52 – $8,226.79
Screening colonoscopy (not high risk): 10 of 70 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $7,264.08
  • Aetna — Aetna NBD: $3,588.28
  • Aetna — Aetna PSSD JJ: $3,588.28
  • Aetna Health Management Inc — Aetna All: $4,656.01
  • Align IN Work Comp — Align IN Work Comp: $1,686.02
  • Amish Aid — Amish Aid: $1,837.90
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,315.57
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,053.76
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: G0121,52 COLON CA SCRN NOT HI RSK IND $828 $173.88 $929.41 – $4,043.41
Screening colonoscopy (not high risk): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $777.71
  • Aetna — Aetna NBD: $384.17
  • Aetna — Aetna PSSD JJ: $384.17
  • Aetna Health Management Inc — Aetna All: $498.48
  • Align IN Work Comp — Align IN Work Comp: $1,686.02
  • Amish Aid — Amish Aid: $196.77
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,315.57
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,053.76
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: G0121,53 COLON CA SCRN NOT HI RSK IND $828 $173.88 $929.41 – $4,043.41
Screening colonoscopy (not high risk): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $777.71
  • Aetna — Aetna NBD: $384.17
  • Aetna — Aetna PSSD JJ: $384.17
  • Aetna Health Management Inc — Aetna All: $498.48
  • Align IN Work Comp — Align IN Work Comp: $1,686.02
  • Amish Aid — Amish Aid: $196.77
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,315.57
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,053.76
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $75,842.60 $15,926.95 $571.38 – $71,292.04
Gallbladder removal by laparoscope: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $62,949.36
  • Aetna — Aetna NBD: $31,095.47
  • Aetna — Aetna PSSD JJ: $31,095.47
  • Aetna Health Management Inc — Aetna All: $40,348.26
  • Align IN Work Comp — Align IN Work Comp: $10,960.58
  • Amish Aid — Amish Aid: $15,926.95
  • Anthem — Anthem IN HMO PPO TRAD: $26,285.57
  • Anthem — Anthem IN Marketplace STLD: $21,028.32
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $21,553.97
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6,850.36
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 47562 LAPAROSCOPIC CHOLECYSTECTOMY $2,465 $517.65 $6,066.68 – $26,285.57
Gallbladder removal by laparoscope: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,045.95
  • Aetna — Aetna NBD: $1,010.65
  • Aetna — Aetna PSSD JJ: $1,010.65
  • Aetna Health Management Inc — Aetna All: $1,311.38
  • Align IN Work Comp — Align IN Work Comp: $10,960.58
  • Amish Aid — Amish Aid: $517.65
  • Anthem — Anthem IN HMO PPO TRAD: $26,285.57
  • Anthem — Anthem IN Marketplace STLD: $21,028.32
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $21,553.97
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6,850.36
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 47562,AS LAPAROSCOPIC CHOLECYSTECTOMY $834 $175.14 $6,066.68 – $26,285.57
Gallbladder removal by laparoscope: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $692.22
  • Aetna — Aetna NBD: $341.94
  • Aetna — Aetna PSSD JJ: $341.94
  • Aetna Health Management Inc — Aetna All: $443.69
  • Align IN Work Comp — Align IN Work Comp: $10,960.58
  • Amish Aid — Amish Aid: $175.14
  • Anthem — Anthem IN HMO PPO TRAD: $26,285.57
  • Anthem — Anthem IN Marketplace STLD: $21,028.32
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $21,553.97
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $6,850.36
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA $60,574.48 $12,720.64 $459.67 – $56,940.01
Groin (inguinal) hernia repair, age 5 or older: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $50,276.82
  • Aetna — Aetna NBD: $24,835.54
  • Aetna — Aetna PSSD JJ: $24,835.54
  • Aetna Health Management Inc — Aetna All: $32,225.62
  • Align IN Work Comp — Align IN Work Comp: $6,491.28
  • Amish Aid — Amish Aid: $12,720.64
  • Anthem — Anthem IN HMO PPO TRAD: $15,567.36
  • Anthem — Anthem IN Marketplace STLD: $12,453.81
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $12,765.12
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4,057.05
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 49505,LT PRP I/HERN INIT REDUC>5 YR $1,954 $410.34 $3,592.93 – $15,567.36
Groin (inguinal) hernia repair, age 5 or older: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,621.82
  • Aetna — Aetna NBD: $801.14
  • Aetna — Aetna PSSD JJ: $801.14
  • Aetna Health Management Inc — Aetna All: $1,039.53
  • Align IN Work Comp — Align IN Work Comp: $6,491.28
  • Amish Aid — Amish Aid: $410.34
  • Anthem — Anthem IN HMO PPO TRAD: $15,567.36
  • Anthem — Anthem IN Marketplace STLD: $12,453.81
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $12,765.12
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4,057.05
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 49505,RT PRP I/HERN INIT REDUC>5 YR $1,954 $410.34 $3,592.93 – $15,567.36
Groin (inguinal) hernia repair, age 5 or older: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,621.82
  • Aetna — Aetna NBD: $801.14
  • Aetna — Aetna PSSD JJ: $801.14
  • Aetna Health Management Inc — Aetna All: $1,039.53
  • Align IN Work Comp — Align IN Work Comp: $6,491.28
  • Amish Aid — Amish Aid: $410.34
  • Anthem — Anthem IN HMO PPO TRAD: $15,567.36
  • Anthem — Anthem IN Marketplace STLD: $12,453.81
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $12,765.12
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $4,057.05
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55700 BIOPSY OF PROSTATE $532 $111.72 $111.72 – $532
Prostate biopsy: 10 of 41 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $441.56
  • Aetna — Aetna NBD: $218.12
  • Aetna — Aetna PSSD JJ: $218.12
  • Aetna Health Management Inc — Aetna All: $283.02
  • Amish Aid — Amish Aid: $111.72
  • Cigna — Cigna HMO: $336.22
  • Connecticut General Life Insurance Company — Cigna OAP: $313.35
  • Connecticut General Life Insurance Company — Cigna PPO: $313.35
  • Encore — Encore Combined PPO: $212.80
  • Encore Health Network — Encore PPO Fully Insured: $494.76
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 55700 BIOPSY OF PROSTATE $532 $207.48 $168.11 – $500.08
Prostate biopsy: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $441.56
  • Aetna — Aetna NBD: $218.12
  • Aetna — Aetna PSSD JJ: $218.12
  • Cigna — Cigna HMO: $336.22
  • Connecticut General Life Insurance Company — Cigna OAP: $313.35
  • Connecticut General Life Insurance Company — Cigna PPO: $313.35
  • Encore Health Network — Encore PPO Fully Insured: $494.76
  • First Health Network — First Health: $399
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $425.60
  • Lutheran Preferred Network — Lutheran Preferred Choice: $345.80
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55866 LAPARO RADICAL PROSTATECTOMY $3,504 $735.84 $10,654.91 – $46,217.84
Prostate removal by laparoscope (radical prostatectomy): 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,908.32
  • Aetna — Aetna NBD: $1,436.64
  • Aetna — Aetna PSSD JJ: $1,436.64
  • Aetna Health Management Inc — Aetna All: $1,864.13
  • Align IN Work Comp — Align IN Work Comp: $19,271.95
  • Amish Aid — Amish Aid: $735.84
  • Anthem — Anthem IN HMO PPO TRAD: $46,217.84
  • Anthem — Anthem IN Marketplace STLD: $36,974.03
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $37,898.29
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $12,044.97
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 55866 LAPARO RADICAL PROSTATECTOMY $3,504 $1,366.56 $1,107.26 – $3,293.76
Prostate removal by laparoscope (radical prostatectomy): 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,908.32
  • Aetna — Aetna NBD: $1,436.64
  • Aetna — Aetna PSSD JJ: $1,436.64
  • Cigna — Cigna HMO: $2,214.53
  • Connecticut General Life Insurance Company — Cigna OAP: $2,063.86
  • Connecticut General Life Insurance Company — Cigna PPO: $2,063.86
  • Encore Health Network — Encore PPO Fully Insured: $3,258.72
  • First Health Network — First Health: $2,628
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $2,803.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $2,277.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY $40,952.29 $8,599.98 $188.81 – $38,495.15
Hysteroscopy with biopsy of the uterus lining: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $33,990.40
  • Aetna — Aetna NBD: $16,790.44
  • Aetna — Aetna PSSD JJ: $16,790.44
  • Aetna Health Management Inc — Aetna All: $21,786.62
  • Align IN Work Comp — Align IN Work Comp: $5,868.93
  • Amish Aid — Amish Aid: $8,599.98
  • Anthem — Anthem IN HMO PPO TRAD: $14,074.81
  • Anthem — Anthem IN Marketplace STLD: $11,259.77
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,541.24
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,668.08
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 58558 HYSTEROSCOPY BIOPSY $1,017 $213.57 $3,248.45 – $14,074.81
Hysteroscopy with biopsy of the uterus lining: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $844.11
  • Aetna — Aetna NBD: $416.97
  • Aetna — Aetna PSSD JJ: $416.97
  • Aetna Health Management Inc — Aetna All: $541.04
  • Align IN Work Comp — Align IN Work Comp: $5,868.93
  • Amish Aid — Amish Aid: $213.57
  • Anthem — Anthem IN HMO PPO TRAD: $14,074.81
  • Anthem — Anthem IN Marketplace STLD: $11,259.77
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $11,541.24
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $3,668.08
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 58558 HYSTEROSCOPY BIOPSY $1,017 $396.63 $321.37 – $955.98
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $844.11
  • Aetna — Aetna NBD: $416.97
  • Aetna — Aetna PSSD JJ: $416.97
  • Cigna — Cigna HMO: $642.74
  • Connecticut General Life Insurance Company — Cigna OAP: $599.01
  • Connecticut General Life Insurance Company — Cigna PPO: $599.01
  • Encore Health Network — Encore PPO Fully Insured: $945.81
  • First Health Network — First Health: $762.75
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $813.60
  • Lutheran Preferred Network — Lutheran Preferred Choice: $661.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: S-DI L-S INJ W IM - Dept 106 $3,433 $720.93 $84.46 – $3,227.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,849.39
  • Aetna — Aetna NBD: $1,407.53
  • Aetna — Aetna PSSD JJ: $1,407.53
  • Aetna Health Management Inc — Aetna All: $1,826.36
  • Align IN Work Comp — Align IN Work Comp: $1,279.76
  • Amish Aid — Amish Aid: $720.93
  • Anthem — Anthem IN HMO PPO TRAD: $3,069.14
  • Anthem — Anthem IN Marketplace STLD: $2,455.29
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2,516.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $799.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR Inj Catheter Placement L-S w Imaging - BCE $3,433 $720.93 $84.46 – $3,227.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,849.39
  • Aetna — Aetna NBD: $1,407.53
  • Aetna — Aetna PSSD JJ: $1,407.53
  • Aetna Health Management Inc — Aetna All: $1,826.36
  • Align IN Work Comp — Align IN Work Comp: $1,279.76
  • Amish Aid — Amish Aid: $720.93
  • Anthem — Anthem IN HMO PPO TRAD: $3,069.14
  • Anthem — Anthem IN Marketplace STLD: $2,455.29
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2,516.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $799.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-DI L-S INJ W IM - BCE $3,433 $720.93 $84.46 – $3,227.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $2,849.39
  • Aetna — Aetna NBD: $1,407.53
  • Aetna — Aetna PSSD JJ: $1,407.53
  • Aetna Health Management Inc — Aetna All: $1,826.36
  • Align IN Work Comp — Align IN Work Comp: $1,279.76
  • Amish Aid — Amish Aid: $720.93
  • Anthem — Anthem IN HMO PPO TRAD: $3,069.14
  • Anthem — Anthem IN Marketplace STLD: $2,455.29
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $2,516.67
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $799.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-Transepi INJ L S - BCE $6,000 $1,260 $94.28 – $5,640
Nerve root injection, lower back, with imaging guidance: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,980
  • Aetna — Aetna NBD: $2,460
  • Aetna — Aetna PSSD JJ: $2,460
  • Aetna Health Management Inc — Aetna All: $3,192
  • Align IN Work Comp — Align IN Work Comp: $1,603.55
  • Amish Aid — Amish Aid: $1,260
  • Anthem — Anthem IN HMO PPO TRAD: $3,845.62
  • Anthem — Anthem IN Marketplace STLD: $3,076.48
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,153.38
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,002.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64483 Lumbar Transforaminal, First level $564 $118.44 $887.56 – $3,845.62
Nerve root injection, lower back, with imaging guidance: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $468.12
  • Aetna — Aetna NBD: $231.24
  • Aetna — Aetna PSSD JJ: $231.24
  • Aetna Health Management Inc — Aetna All: $300.05
  • Align IN Work Comp — Align IN Work Comp: $1,603.55
  • Amish Aid — Amish Aid: $118.44
  • Anthem — Anthem IN HMO PPO TRAD: $3,845.62
  • Anthem — Anthem IN Marketplace STLD: $3,076.48
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,153.38
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,002.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64483, 50 Lumbar Transforaminal, First level $846 $177.66 $887.56 – $3,845.62
Nerve root injection, lower back, with imaging guidance: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $702.18
  • Aetna — Aetna NBD: $346.86
  • Aetna — Aetna PSSD JJ: $346.86
  • Aetna Health Management Inc — Aetna All: $450.07
  • Align IN Work Comp — Align IN Work Comp: $1,603.55
  • Amish Aid — Amish Aid: $177.66
  • Anthem — Anthem IN HMO PPO TRAD: $3,845.62
  • Anthem — Anthem IN Marketplace STLD: $3,076.48
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $3,153.38
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $1,002.22
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY $25,594.73 $5,374.89 $389.54 – $24,059.05
Carpal tunnel release: 10 of 82 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $21,243.63
  • Aetna — Aetna NBD: $10,493.84
  • Aetna — Aetna PSSD JJ: $10,493.84
  • Aetna Health Management Inc — Aetna All: $13,616.40
  • Align IN Work Comp — Align IN Work Comp: $3,540.30
  • Amish Aid — Amish Aid: $5,374.89
  • Anthem — Anthem IN HMO PPO TRAD: $8,490.33
  • Anthem — Anthem IN Marketplace STLD: $6,792.22
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6,962.01
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2,212.69
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64721,LT CARPAL TUNNEL SURGERY $1,611 $338.31 $1,959.56 – $8,490.33
Carpal tunnel release: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,337.13
  • Aetna — Aetna NBD: $660.51
  • Aetna — Aetna PSSD JJ: $660.51
  • Aetna Health Management Inc — Aetna All: $857.05
  • Align IN Work Comp — Align IN Work Comp: $3,540.30
  • Amish Aid — Amish Aid: $338.31
  • Anthem — Anthem IN HMO PPO TRAD: $8,490.33
  • Anthem — Anthem IN Marketplace STLD: $6,792.22
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6,962.01
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2,212.69
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64721,RT CARPAL TUNNEL SURGERY $1,611 $338.31 $1,959.56 – $8,490.33
Carpal tunnel release: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,337.13
  • Aetna — Aetna NBD: $660.51
  • Aetna — Aetna PSSD JJ: $660.51
  • Aetna Health Management Inc — Aetna All: $857.05
  • Align IN Work Comp — Align IN Work Comp: $3,540.30
  • Amish Aid — Amish Aid: $338.31
  • Anthem — Anthem IN HMO PPO TRAD: $8,490.33
  • Anthem — Anthem IN Marketplace STLD: $6,792.22
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $6,962.01
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2,212.69
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821,LT AFTER CATARACT LASER SURGERY $787 $165.27 $551.93 – $2,391.35
Laser treatment of clouding after cataract surgery: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $653.21
  • Aetna — Aetna NBD: $322.67
  • Aetna — Aetna PSSD JJ: $322.67
  • Aetna Health Management Inc — Aetna All: $418.68
  • Align IN Work Comp — Align IN Work Comp: $997.15
  • Amish Aid — Amish Aid: $165.27
  • Anthem — Anthem IN HMO PPO TRAD: $2,391.35
  • Anthem — Anthem IN Marketplace STLD: $1,913.07
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,960.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $623.22
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821,RT AFTER CATARACT LASER SURGERY $787 $165.27 $551.93 – $2,391.35
Laser treatment of clouding after cataract surgery: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $653.21
  • Aetna — Aetna NBD: $322.67
  • Aetna — Aetna PSSD JJ: $322.67
  • Aetna Health Management Inc — Aetna All: $418.68
  • Align IN Work Comp — Align IN Work Comp: $997.15
  • Amish Aid — Amish Aid: $165.27
  • Anthem — Anthem IN HMO PPO TRAD: $2,391.35
  • Anthem — Anthem IN Marketplace STLD: $1,913.07
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,960.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $623.22
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821 AFTER CATARACT LASER SURGERY $787 $165.27 $551.93 – $2,391.35
Laser treatment of clouding after cataract surgery: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $653.21
  • Aetna — Aetna NBD: $322.67
  • Aetna — Aetna PSSD JJ: $322.67
  • Aetna Health Management Inc — Aetna All: $418.68
  • Align IN Work Comp — Align IN Work Comp: $997.15
  • Amish Aid — Amish Aid: $165.27
  • Anthem — Anthem IN HMO PPO TRAD: $2,391.35
  • Anthem — Anthem IN Marketplace STLD: $1,913.07
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $1,960.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $623.22
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66984,LT CATARACT SURG W/IOL 1 STAGE $1,854 $389.34 $2,315.90 – $10,034.28
Cataract removal with lens implant: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,538.82
  • Aetna — Aetna NBD: $760.14
  • Aetna — Aetna PSSD JJ: $760.14
  • Aetna Health Management Inc — Aetna All: $986.33
  • Align IN Work Comp — Align IN Work Comp: $4,184.10
  • Amish Aid — Amish Aid: $389.34
  • Anthem — Anthem IN HMO PPO TRAD: $10,034.28
  • Anthem — Anthem IN Marketplace STLD: $8,027.37
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8,228.03
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2,615.06
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66984,RT CATARACT SURG W/IOL 1 STAGE $1,854 $389.34 $2,315.90 – $10,034.28
Cataract removal with lens implant: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,538.82
  • Aetna — Aetna NBD: $760.14
  • Aetna — Aetna PSSD JJ: $760.14
  • Aetna Health Management Inc — Aetna All: $986.33
  • Align IN Work Comp — Align IN Work Comp: $4,184.10
  • Amish Aid — Amish Aid: $389.34
  • Anthem — Anthem IN HMO PPO TRAD: $10,034.28
  • Anthem — Anthem IN Marketplace STLD: $8,027.37
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8,228.03
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2,615.06
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP $1,854 $389.34 $2,315.90 – $10,034.28
Cataract removal with lens implant: 10 of 66 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $1,538.82
  • Aetna — Aetna NBD: $760.14
  • Aetna — Aetna PSSD JJ: $760.14
  • Aetna Health Management Inc — Aetna All: $986.33
  • Align IN Work Comp — Align IN Work Comp: $4,184.10
  • Amish Aid — Amish Aid: $389.34
  • Anthem — Anthem IN HMO PPO TRAD: $10,034.28
  • Anthem — Anthem IN Marketplace STLD: $8,027.37
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $8,228.03
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $2,615.06

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: 59400 Obstetric Care Routine $5,294 $1,111.74 $1,111.74 – $4,976.36
Vaginal delivery, with care before and after: 10 of 32 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,394.02
  • Aetna — Aetna NBD: $2,170.54
  • Aetna — Aetna PSSD JJ: $2,170.54
  • Aetna Health Management Inc — Aetna All: $2,816.41
  • Amish Aid — Amish Aid: $1,111.74
  • Cigna — Cigna HMO: $3,345.81
  • Connecticut General Life Insurance Company — Cigna OAP: $3,118.17
  • Connecticut General Life Insurance Company — Cigna PPO: $3,118.17
  • Encore — Encore Combined PPO: $2,117.60
  • Encore Health Network — Encore PPO Fully Insured: $4,923.42
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 59400 Obstetric Care Routine $5,294 $2,064.66 $1,672.90 – $4,976.36
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,394.02
  • Aetna — Aetna NBD: $2,170.54
  • Aetna — Aetna PSSD JJ: $2,170.54
  • Cigna — Cigna HMO: $3,345.81
  • Connecticut General Life Insurance Company — Cigna OAP: $3,118.17
  • Connecticut General Life Insurance Company — Cigna PPO: $3,118.17
  • Encore Health Network — Encore PPO Fully Insured: $4,923.42
  • First Health Network — First Health: $3,970.50
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $4,235.20
  • Lutheran Preferred Network — Lutheran Preferred Choice: $3,441.10
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59510 CESAREAN DELIVERY $5,843 $1,227.03 $1,227.03 – $5,492.42
Cesarean delivery (C-section), with care before and after: 10 of 32 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,849.69
  • Aetna — Aetna NBD: $2,395.63
  • Aetna — Aetna PSSD JJ: $2,395.63
  • Aetna Health Management Inc — Aetna All: $3,108.48
  • Amish Aid — Amish Aid: $1,227.03
  • Cigna — Cigna HMO: $3,692.78
  • Connecticut General Life Insurance Company — Cigna OAP: $3,441.53
  • Connecticut General Life Insurance Company — Cigna PPO: $3,441.53
  • Encore — Encore Combined PPO: $2,337.20
  • Encore Health Network — Encore PPO Fully Insured: $5,433.99
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 59510 CESAREAN DELIVERY $5,843 $2,278.77 $1,846.39 – $5,492.42
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,849.69
  • Aetna — Aetna NBD: $2,395.63
  • Aetna — Aetna PSSD JJ: $2,395.63
  • Cigna — Cigna HMO: $3,692.78
  • Connecticut General Life Insurance Company — Cigna OAP: $3,441.53
  • Connecticut General Life Insurance Company — Cigna PPO: $3,441.53
  • Encore Health Network — Encore PPO Fully Insured: $5,433.99
  • First Health Network — First Health: $4,382.25
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $4,674.40
  • Lutheran Preferred Network — Lutheran Preferred Choice: $3,797.95
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59610 VBAC DELIVERY $5,538 $1,162.98 $1,162.98 – $5,205.72
Vaginal delivery after a previous C-section, with care before and after: 10 of 32 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,596.54
  • Aetna — Aetna NBD: $2,270.58
  • Aetna — Aetna PSSD JJ: $2,270.58
  • Aetna Health Management Inc — Aetna All: $2,946.22
  • Amish Aid — Amish Aid: $1,162.98
  • Cigna — Cigna HMO: $3,500.02
  • Connecticut General Life Insurance Company — Cigna OAP: $3,261.88
  • Connecticut General Life Insurance Company — Cigna PPO: $3,261.88
  • Encore — Encore Combined PPO: $2,215.20
  • Encore Health Network — Encore PPO Fully Insured: $5,150.34
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 59610 VBAC DELIVERY $5,538 $2,159.82 $1,750.01 – $5,205.72
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates
  • Advantage Health — Advantage Health Solutions: $4,596.54
  • Aetna — Aetna NBD: $2,270.58
  • Aetna — Aetna PSSD JJ: $2,270.58
  • Cigna — Cigna HMO: $3,500.02
  • Connecticut General Life Insurance Company — Cigna OAP: $3,261.88
  • Connecticut General Life Insurance Company — Cigna PPO: $3,261.88
  • Encore Health Network — Encore PPO Fully Insured: $5,150.34
  • First Health Network — First Health: $4,153.50
  • Lutheran Preferred Network — Lutheran Preferred CCSI: $4,430.40
  • Lutheran Preferred Network — Lutheran Preferred Choice: $3,599.70

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 $1,201.84 – $220,914.27
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 67 insurance plan rates
  • Amish Aid — Amish Aid: $118,485.37
  • Anthem — Anthem IN HMO PPO TRAD: $160,457.49
  • Anthem — Anthem IN Marketplace STLD: $128,369.90
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $131,578.66
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $75,579.54
  • Anthem Blue Cross Blue Shield — Anthem IN Work Comp: $120,927.26
  • Anthem Blue Cross Blue Shield — NODE Anthem IN MCR ADV: $74,102.67
  • Encore — Encore Combined PPO: $138,671.19
  • Encore KBA EPO — Encore KBA EPO: $176,731.42
  • Encore KBA PPO — Encore KBA PPO: $220,914.27
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $1,201.84 – $82,602.33
Spinal fusion (not neck), without major complications: 10 of 67 insurance plan rates
  • Amish Aid — Amish Aid: $31,094.27
  • Anthem — Anthem IN HMO PPO TRAD: $79,728.89
  • Anthem — Anthem IN Marketplace STLD: $79,728.89
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $79,728.89
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $28,580.55
  • Anthem Blue Cross Blue Shield — Anthem IN Work Comp: $45,728.88
  • Anthem Blue Cross Blue Shield — NODE Anthem IN MCR ADV: $28,043.66
  • Encore — Encore Combined PPO: $31,891.56
  • Encore KBA EPO — Encore KBA EPO: $66,081.86
  • Encore KBA PPO — Encore KBA PPO: $82,602.33
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 $1,201.84 – $43,558.26
Hip or knee replacement (major joint of the leg), without major complications: 10 of 67 insurance plan rates
  • Amish Aid — Amish Aid: $10,764.54
  • Anthem — Anthem IN HMO PPO TRAD: $27,601.38
  • Anthem — Anthem IN Marketplace STLD: $25,311.03
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $25,943.71
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $15,313.20
  • Anthem Blue Cross Blue Shield — Anthem IN Work Comp: $24,501.12
  • Anthem Blue Cross Blue Shield — NODE Anthem IN MCR ADV: $15,041.66
  • Encore — Encore Combined PPO: $27,342.16
  • Encore KBA EPO — Encore KBA EPO: $34,846.61
  • Encore KBA PPO — Encore KBA PPO: $43,558.26
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 $1,201.84 – $55,129.20
Neck (cervical) spinal fusion, without complications: 10 of 67 insurance plan rates
  • Amish Aid — Amish Aid: $13,360.86
  • Anthem — Anthem IN HMO PPO TRAD: $34,258.62
  • Anthem — Anthem IN Marketplace STLD: $32,034.74
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $32,835.49
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $19,245.06
  • Anthem Blue Cross Blue Shield — Anthem IN Work Comp: $30,792.10
  • Anthem Blue Cross Blue Shield — NODE Anthem IN MCR ADV: $18,894.88
  • Encore — Encore Combined PPO: $34,258.62
  • Encore KBA EPO — Encore KBA EPO: $44,103.36
  • Encore KBA PPO — Encore KBA PPO: $55,129.20
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 $1,201.84 – $28,017.36
Uterus and ovary surgery (not for cancer), without complications: 10 of 66 insurance plan rates
  • Amish Aid — Amish Aid: $20,275.13
  • Anthem — Anthem IN HMO PPO TRAD: $20,349.96
  • Anthem — Anthem IN Marketplace STLD: $16,280.47
  • Anthem Blue Cross Blue Shield — Anthem IN Healthsync: $16,687.41
  • Anthem Blue Cross Blue Shield — Anthem IN HIP: $10,032.34
  • Anthem Blue Cross Blue Shield — Anthem IN Work Comp: $16,051.74
  • Anthem Blue Cross Blue Shield — NODE Anthem IN MCR ADV: $9,866.41
  • Encore — Encore Combined PPO: $17,586.92
  • Encore KBA EPO — Encore KBA EPO: $22,413.89
  • Encore KBA PPO — Encore KBA PPO: $28,017.36

Source: Kosciusko Community Hospital’s standard charges file (lutherankosciuskohospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address2101 E Dubois Dr, Warsaw, IN 46580
CountyKosciusko County
StateIndiana
Phone(574) 267‑3200
Emergency servicesYes
OwnershipProprietary
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number150133
Name in Medicare recordsKOSCIUSKO COMMUNITY HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLutheran Kosciusko Hospital
Official websitelutherankosciuskohospital.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 2026-10-30.

  1. Lutheran Kosciusko Hospital, Warsaw, IN — lutherankosciuskohospital.com
  2. Awards & Accreditations — lutherankosciuskohospital.com
  3. Patients & Visitors — lutherankosciuskohospital.com