Does Lakeland Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Lakeland Regional Medical Center. In a medical emergency, call 911.

Where is Lakeland Regional Medical Center?

1324 Lakeland Hills Blvd, Lakeland, FL 33805, in Polk County, Florida.

What is the phone number of Lakeland Regional Medical Center?

(863) 687-1100, as listed by Medicare (CMS).

What is the Medicare star rating of Lakeland Regional Medical Center?

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

Lakeland Regional Medical Center

Quick answers

Does Lakeland Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Lakeland Regional Medical Center. In a medical emergency, call 911.
Where is Lakeland Regional Medical Center?: 1324 Lakeland Hills Blvd, Lakeland, FL 33805, in Polk County, Florida.
What is the phone number of Lakeland Regional Medical Center?: (863) 687-1100, as listed by Medicare (CMS).
What is the Medicare star rating of Lakeland Regional Medical Center?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][7][8][12][13]}

Allergy
Bariatrics & Weight Loss
Behavioral Health
Brain, Spine & Neurology
Cancer Care
Dermatology
Diabetes & Endocrinology
Digestive Health
ENT
Heart & Vascular
Kidney Care
Lung Care
Orthopedics
Pediatrics
Primary Care
Rehabilitation & Therapy
Sleep Center
Sports Medicine
Surgery
Urology
Women's Health
Emergency medicine
Cardiology
Interventional radiology
Orthopedic trauma
Critical care

Conditions treated^{[8][9][12][13]}

Appendicitis
Bowel obstruction
Abdominal fistulas
Gallstones
Gastroesophageal reflux disease (GERD)
Hernia
Lipoma
Motor vehicle accident injuries
Falls and blunt force trauma
Head and brain injuries
Spinal cord injuries
Penetrating injuries
Complex fractures
Ischemic stroke
Hemorrhagic stroke
Transient ischemic attack (TIA)
Epilepsy
Coronary artery disease
Heart failure
Peripheral vascular disease

Treatments^{[8][9][10][13]}

Coronary artery bypass
Transapical aortic valve replacement (TAVR)
Carotid endarterectomy
Bentall procedure
Laser lead extraction
Off-pump bypass
On-pump bypass
PFO and ASD closure
Surgical maze for atrial fibrillation
Tricuspid valve repair
Valvuloplasty
MitraClip
Thrombolytic medication (TNK)
Thrombectomy
Extracorporeal membrane oxygenation (ECMO)
Robotic surgery
Minimally invasive surgery

Procedures^[12][13]

Epilepsy monitoring
Endovenous ablation
Vein stenting

Programs and centers^{[4][6][7][8][11][13]}

Stroke Center
Level I Trauma Center
Chest Pain Center (ACC accredited)
Geriatric Emergency Department (ACEP accredited)
George W. Jenkins Children's Emergency Department
Obstetrics Emergency Department
Level III NICU
Harrell Family Center for Behavioral Wellness (inpatient psychiatric)
Bannasch Institute for Advanced Rehabilitation Medicine
Biplanar Neurointerventional Suite
Epilepsy Monitoring Unit (Lakeland Epilepsy Center)
ECMO program

Emergency care (hospital website)^{[4][7][8][13]}

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I
Stroke designation	Comprehensive Stroke Center

Visiting and practical information

Visiting	Open visitation around the clock with a family member or care partner; clinical-area quiet hours after 8 p.m.; visitors under 16 need an adult^[5]

Recognition^[7][8][13]

Level I Trauma Center
Comprehensive Stroke Center certification, The Joint Commission Gold Seal of Approval
ACC Chest Pain Center Accreditation with Primary PCI and Resuscitation
Geriatric Emergency Department accreditation (ACEP)
CARF accreditation, Bannasch Institute (inpatient rehabilitation)

Doctors and clinicians (784)

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

Main specialties

And 760 more: the button below opens the full list.

Other emergency rooms nearby

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

South Florida Baptist Hospital9.1 mi · Plant City, FL · Acute Care Hospital
Winter Haven Hospital14 mi · Winter Haven, FL · Acute Care Hospital
Bartow Regional Medical Center15 mi · Bartow, FL · Acute Care Hospital
Adventhealth Zephyrhills20 mi · Zephyrhills, FL · Acute Care Hospital
AdventHealth Heart of Florida21 mi · Davenport, FL · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Lakela…4.2 mi · Lakeland, FL · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Lakeland Hills Center0.6 mi · Lakeland, FL · 1 of 5 stars
Vivo Healthcare Lakeland0.7 mi · Lakeland, FL · 1 of 5 stars
Charming Lakes Rehab0.8 mi · Lakeland, FL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Good Shepherd Hospice3.2 mi · Lakeland, FL · 4 of 5 stars
Empath Hospice, LLC3.7 mi · Lakeland, FL
Compassionate Care Hospice of Central Florida Inc8.1 mi · Lakeland, FL · 3 of 5 stars

All hospice providers in the state →

Home health agencies

BayCare Home Care Inc3.0 mi · Lakeland, FL
Philadelphia Professionals Inc3.7 mi · Lakeland, FL
Trucare Home Health Solutions LLC3.7 mi · Lakeland, FL

All home health agencies in the state →

Dialysis facilities

DaVita Lake Vista Dialysis3.2 mi · Lakeland, FL · 1 of 5 stars
DaVita Lakeland Dialysis3.2 mi · Lakeland, FL · 1 of 5 stars
Fresenius Kidney Care Lakeland3.2 mi · Lakeland, FL · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Central Florida Surgicenter3.2 mi · Lakeland, FL
Lakeland Regional Health Surgery Center3.2 mi · Lakeland, FL
Premier Heart Surgery Center3.2 mi · Lakeland, FL

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

CFHC Lakeland Hills Dental0.1 mi · Lakeland, FL · Community health center
CFHC Lakeland Primary Care0.3 mi · Lakeland, FL · Community health center
CFHC Lakeland Pediatrics and Dental1.7 mi · Lakeland, FL · Community health center

Clinics and urgent care

Trinity Medical Physicians, LLC3.7 mi · Lakeland, FL · Urgent care center
American Current Care P.A.3.7 mi · Lakeland, FL · Urgent care center
Ertmr Pediatrics7.2 mi · Lakeland, FL · Urgent care center

Pharmacies

DRM Enterprises Inc3.0 mi · Lakeland, FL · Community/retail pharmacy
Lake Wire Pharmacy Inc3.0 mi · Lakeland, FL · Pharmacy
Riaan Pharmacy LLC3.0 mi · Lakeland, FL · Community/retail pharmacy

Assisted living nearby

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

Arbor Oaks at Lakeland Hills3.2 mi · Lakeland, FL
Lakeland Manor ALF3.2 mi · Lakeland, FL
Sunburst Community Care-Lakeland Hills LLC3.2 mi · Lakeland, FL
Ansley Parke at Oakbridge3.7 mi · Lakeland, FL

About the Medicare star rating

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

Medicare quality data

What Lakeland Regional Medical Center 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 hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	66%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	64%National average: 74%
Area around the room “always” quiet at night	52%National average: 60%
Completed surveys	4,048Response rate: 18%

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)	0.922No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.367Better than the national benchmark
Surgical site infections after colon surgery	0.153Better than the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	1.455No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.474Better 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 patients	14.2%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	16.4%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	12.4%
Deaths within 30 days: coronary bypass surgery (CABG)	2.8%
Serious complications (patient safety indicator PSI-90)	1.55Worse than the national rate
Complications after hip or knee replacement	4.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.9%
Readmitted within 30 days: heart failure	22.8%
Readmitted within 30 days: pneumonia	19.1%
Readmitted within 30 days: COPD	22%
Readmitted within 30 days: coronary bypass surgery	11.4%
Readmitted within 30 days: hip or knee replacement	6%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	155 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	57%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Florida Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 45 common services exactly as Lakeland Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office/Outpatient Visit Level 3 New - 99203	$163	$33	$35.86 – $1,207
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier 25 In the file: Office/Outpatient Visit Level 3 New - 99203	$163	$33	$35.86 – $1,207
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier GC In the file: Office/Outpatient Visit Level 3 New - 99203	$163	$33	$35.86 – $1,207
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: PAT New Patient 45-59 minutes	$276	$55	$60.72 – $1,207
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier GC In the file: Office/Outpatient Visit Level 4 New - 99204	$276	$55	$60.72 – $1,207
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/Outpatient Visit Level 3 Established - 99213	$111	$22	$24.42 – $1,207
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 25 In the file: Office/Outpatient Visit Level 3 Established - 99213	$111	$22	$24.42 – $1,207
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 95 In the file: Office/Outpatient Visit Level 3 Established - 99213	$111	$22	$24.42 – $1,207
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: PAT Established Patient 30-39 minutes	$178	$36	$39.16 – $1,207
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $833 BCBS HMO — OP: $980 BCBS My Blue — OP: $783 BCBS PPO — OP: $1,119 BCBS Traditional — OP: $1,207 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Level 3	$2,429	$486	$534.38 – $2,865
Emergency room visit (moderate): 10 of 26 insurance plan rates BCBS Blue Select — OP: $2,135 BCBS HMO — OP: $2,512 BCBS My Blue — OP: $2,135 BCBS PPO — OP: $2,865 BCBS Traditional — OP: $2,865 Cigna HMO — OP: $2,733 Good Shepherd — IP: $1,058 UHC HMO — OP: $2,688 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Level 3	$2,429	$486	$534.38 – $2,865
Emergency room visit (moderate): 10 of 26 insurance plan rates BCBS Blue Select — OP: $2,135 BCBS HMO — OP: $2,512 BCBS My Blue — OP: $2,135 BCBS PPO — OP: $2,865 BCBS Traditional — OP: $2,865 Cigna HMO — OP: $2,733 Good Shepherd — IP: $1,058 UHC HMO — OP: $2,688 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 27 In the file: Level 3	$2,429	$486	$534.38 – $2,865
Emergency room visit (moderate): 10 of 26 insurance plan rates BCBS Blue Select — OP: $2,135 BCBS HMO — OP: $2,512 BCBS My Blue — OP: $2,135 BCBS PPO — OP: $2,865 BCBS Traditional — OP: $2,865 Cigna HMO — OP: $2,733 Good Shepherd — IP: $1,058 UHC HMO — OP: $2,688 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Level 4	$3,037	$607	$668.14 – $4,943
Emergency room visit (moderately high): 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,536 BCBS HMO — OP: $4,162 BCBS My Blue — OP: $3,329 BCBS PPO — OP: $4,750 BCBS Traditional — OP: $5,749 Cigna HMO — OP: $4,943 Good Shepherd — IP: $1,058 UHC HMO — OP: $4,460 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Level 4	$3,037	$607	$668.14 – $4,943
Emergency room visit (moderately high): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Cigna HMO — OP: $4,943 Good Shepherd — IP: $1,058 UHC HMO — OP: $4,460 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 21 In the file: Level 4	$3,037	$607	$668.14 – $4,943
Emergency room visit (moderately high): 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,536 BCBS HMO — OP: $4,162 BCBS My Blue — OP: $3,329 BCBS PPO — OP: $4,750 BCBS Traditional — OP: $5,749 Cigna HMO — OP: $4,943 Good Shepherd — IP: $1,058 UHC HMO — OP: $4,460 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Level 5	$3,645	$729	$801.90 – $5,749
Emergency room visit (high): 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,536 BCBS HMO — OP: $4,162 BCBS My Blue — OP: $3,329 BCBS PPO — OP: $4,750 BCBS Traditional — OP: $5,749 Cigna HMO — OP: $4,943 Good Shepherd — IP: $1,058 UHC HMO — OP: $4,460 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 21 In the file: Level 5	$3,645	$729	$801.90 – $5,749
Emergency room visit (high): 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,536 BCBS HMO — OP: $4,162 BCBS My Blue — OP: $3,329 BCBS PPO — OP: $4,750 BCBS Traditional — OP: $5,749 Cigna HMO — OP: $4,943 Good Shepherd — IP: $1,058 UHC HMO — OP: $4,460 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: Level 5	$3,645	$729	$801.90 – $5,749
Emergency room visit (high): 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,536 BCBS HMO — OP: $4,162 BCBS My Blue — OP: $3,329 BCBS PPO — OP: $4,750 BCBS Traditional — OP: $5,749 Cigna HMO — OP: $4,943 Good Shepherd — IP: $1,058 UHC HMO — OP: $4,460 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$512	$102	$112.64 – $1,058
Basic metabolic panel (blood test): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 59 In the file: Basic Metabolic Panel	$512	$102	$112.64 – $1,058
Basic metabolic panel (blood test): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: Basic Metabolic Panel	$512	$102	$112.64 – $1,058
Basic metabolic panel (blood test): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$895	$179	$196.90 – $1,058
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 59 In the file: Comprehensive Metabolic Panel	$895	$179	$196.90 – $1,058
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: Comprehensive Metabolic Panel	$895	$179	$196.90 – $1,058
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Profile	$590	$118	$129.80 – $1,058
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 91 In the file: Lipid Profile	$590	$118	$129.80 – $1,058
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier PN In the file: Lipid Profile	$590	$118	$129.80 – $1,058
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$628	$126	$138.16 – $1,058
Kidney function panel: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 91 In the file: Renal Function Panel	$628	$126	$138.16 – $1,058
Kidney function panel: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$531	$106	$116.82 – $1,058
Liver function panel: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 59 In the file: Hepatic Function Panel	$531	$106	$116.82 – $1,058
Liver function panel: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 91 In the file: Hepatic Function Panel	$531	$106	$116.82 – $1,058
Liver function panel: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: BILL UA Macro w/Micro	$294	$59	$64.68 – $1,058
Urine test (automated, with microscope): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Bill UA Micro Only	$294	$59	$64.68 – $1,058
Urine test (automated, with microscope): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 59 In the file: BILL UA Macro w/Micro	$294	$59	$64.68 – $1,058
Urine test (automated, with microscope): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Non-reflex urine culture	$354	$71	$77.88 – $1,058
Urine test (automated, without microscope): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Ketone (Qual)	$178	$36	$39.16 – $1,058
Urine test (automated, without microscope): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE PH	$178	$36	$39.16 – $1,058
Urine test (automated, without microscope): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostatic Specific Ag Total	$410	$82	$90.20 – $1,058
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL SO	$251	$50	$55.22 – $1,058
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$394	$79	$86.68 – $1,058
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 59 In the file: TSH	$394	$79	$86.68 – $1,058
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 91 In the file: TSH	$394	$79	$86.68 – $1,058
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/Diff	$354	$71	$77.88 – $1,058
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 51 In the file: CBC w/Diff	$354	$71	$77.88 – $1,058
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: CBC w/Diff	$354	$71	$77.88 – $1,058
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC-Hemogram w Platelet Count	$293	$59	$64.46 – $1,058
Complete blood count (CBC), automated: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 59 In the file: CBC-Hemogram w Platelet Count	$293	$59	$64.46 – $1,058
Complete blood count (CBC), automated: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: CBC-Hemogram w Platelet Count	$293	$59	$64.46 – $1,058
Complete blood count (CBC), automated: 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: POC HC PROTHRBN TIME/INR	$177	$35	$38.94 – $1,058
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime/INR	$176	$35	$38.72 – $1,058
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime/INR (Prothrombin Time)	$177	$35	$38.94 – $1,058
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT (APTT)	$224	$45	$49.28 – $1,058
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT(APTT)	$224	$45	$49.28 – $1,058
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Activated Partial Thromboplastin Time	$224	$45	$49.28 – $1,058
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates BCBS Blue Select — OP: $504 BCBS HMO — OP: $594 BCBS My Blue — OP: $474 BCBS PPO — OP: $675 BCBS Traditional — OP: $845 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT BRAIN LAB WO CONTRAST	$4,674	$935	$1,028.28 – $6,933
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD WO CONTRAST	$4,674	$935	$1,028.28 – $6,933
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT STROKE ALERT CT HEAD WO CONTRAST	$4,674	$935	$1,028.28 – $6,933
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC WO/W	$1,851	$370	$407.22 – $5,496
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI PITUITARY WO/W	$1,851	$370	$407.22 – $5,496
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN WO/W CONTRAST	$9,658	$1,932	$1,058 – $9,658
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: DIA CHEST DECUBITIS	$731	$146	$160.82 – $1,523
Chest X-ray, 2 views: 10 of 26 insurance plan rates BCBS Blue Select — OP: $920 BCBS HMO — OP: $1,082 BCBS My Blue — OP: $866 BCBS PPO — OP: $1,235 BCBS Traditional — OP: $1,523 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: DIA CHEST DECUBITUS PORTABLE	$731	$146	$160.82 – $1,523
Chest X-ray, 2 views: 10 of 26 insurance plan rates BCBS Blue Select — OP: $920 BCBS HMO — OP: $1,082 BCBS My Blue — OP: $866 BCBS PPO — OP: $1,235 BCBS Traditional — OP: $1,523 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: DIA CHEST PA / LAT	$750	$150	$165 – $1,523
Chest X-ray, 2 views: 10 of 26 insurance plan rates BCBS Blue Select — OP: $920 BCBS HMO — OP: $1,082 BCBS My Blue — OP: $866 BCBS PPO — OP: $1,235 BCBS Traditional — OP: $1,523 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: DIA SPINE LUMBAR ROUTINE	$1,608	$322	$353.76 – $1,608
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates BCBS Blue Select — OP: $930 BCBS HMO — OP: $1,094 BCBS My Blue — OP: $877 BCBS PPO — OP: $1,250 BCBS Traditional — OP: $1,603 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 52 In the file: DIA SPINE LUMBAR ROUTINE	$1,608	$322	$353.76 – $1,608
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates BCBS Blue Select — OP: $930 BCBS HMO — OP: $1,094 BCBS My Blue — OP: $877 BCBS PPO — OP: $1,250 BCBS Traditional — OP: $1,603 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINE LUMBAR WO CONTRAST	$6,411	$1,282	$1,058 – $6,411
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI EMERGENT SPINE LUMBAR WO	$6,164	$1,233	$2,157.40 – $6,164
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount) Beechstreet — OP: 85% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 52 In the file: MRI SPINE LUMBAR WO CONTRAST	$6,411	$1,282	$1,058 – $6,411
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONTRAST	$6,214	$1,243	$1,058 – $6,933
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 59 In the file: CT PELVIS W/CONTRAST	$6,214	$1,243	$1,058 – $6,933
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier ME In the file: CT PELVIS W/CONTRAST	$6,214	$1,243	$1,058 – $6,933
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JOINT LOWER EXT WO CONTRAST	$6,554	$1,311	$1,058 – $6,554
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI JOINT LOWER EXT WO CONTRAST	$6,554	$1,311	$1,058 – $6,554
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI JOINT LOWER EXT WO CONTRAST	$6,554	$1,311	$1,058 – $6,554
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $3,902 BCBS HMO — OP: $4,592 BCBS My Blue — OP: $3,672 BCBS PPO — OP: $5,244 BCBS Traditional — OP: $5,496 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN/PELVIS W/CONTRAST	$10,039	$2,008	$1,058 – $10,039
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 76 In the file: CT ABDOMEN/PELVIS W/CONTRAST	$10,039	$2,008	$1,058 – $10,039
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier PN In the file: CT ABDOMEN/PELVIS W/CONTRAST	$10,039	$2,008	$1,058 – $10,039
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates BCBS Blue Select — OP: $4,779 BCBS HMO — OP: $5,624 BCBS My Blue — OP: $4,500 BCBS PPO — OP: $6,424 BCBS Traditional — OP: $6,933 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: USN ABDOMEN SURVEY	$2,262	$452	$497.64 – $2,262
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates BCBS Blue Select — OP: $945 BCBS HMO — OP: $1,112 BCBS My Blue — OP: $889 BCBS PPO — OP: $1,270 BCBS Traditional — OP: $1,690 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 59 In the file: USN ABDOMEN SURVEY	$2,262	$452	$497.64 – $2,262
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates BCBS Blue Select — OP: $945 BCBS HMO — OP: $1,112 BCBS My Blue — OP: $889 BCBS PPO — OP: $1,270 BCBS Traditional — OP: $1,690 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: USN PELVIC W/TRANSVAGINAL PROBE	$1,685	$337	$370.70 – $1,690
Transvaginal ultrasound: 10 of 26 insurance plan rates BCBS Blue Select — OP: $945 BCBS HMO — OP: $1,112 BCBS My Blue — OP: $889 BCBS PPO — OP: $1,270 BCBS Traditional — OP: $1,690 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: USN PELVIC ROUTINE AND TRANSVAG	$1,685	$337	$370.70 – $1,690
Transvaginal ultrasound: 10 of 26 insurance plan rates BCBS Blue Select — OP: $945 BCBS HMO — OP: $1,112 BCBS My Blue — OP: $889 BCBS PPO — OP: $1,270 BCBS Traditional — OP: $1,690 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 59 In the file: USN PELVIC W/TRANSVAGINAL PROBE	$1,685	$337	$370.70 – $1,690
Transvaginal ultrasound: 10 of 26 insurance plan rates BCBS Blue Select — OP: $945 BCBS HMO — OP: $1,112 BCBS My Blue — OP: $889 BCBS PPO — OP: $1,270 BCBS Traditional — OP: $1,690 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LHC, LV, NO CORS - CLR	$16,079	$3,216	$1,058 – $41,604
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates BCBS Blue Select — OP: $19,722 BCBS HMO — OP: $23,203 BCBS My Blue — OP: $18,561 BCBS PPO — OP: $26,494 BCBS Traditional — OP: $41,604 Good Shepherd — IP: $1,058 UHC HMO — OP: $19,833 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: EPS EP andAFIB ABL PV TRANSEPTAL	$49,758	$9,952	$1,058 – $49,758
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates BCBS Blue Select — OP: $19,722 BCBS HMO — OP: $23,203 BCBS My Blue — OP: $18,561 BCBS PPO — OP: $26,494 BCBS Traditional — OP: $41,604 Good Shepherd — IP: $1,058 UHC HMO — OP: $41,083 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier 97 In the file: PT Therapeutic Exercise Units	$135	$27	$29.70 – $1,437
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT Therapeutic Exercise Units	$135	$27	$29.70 – $1,437
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier 59 In the file: PT Therapeutic Exercise Units	$135	$27	$29.70 – $1,437
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier 59 In the file: PT Evaluation Units, Low Complexity	$204	$41	$44.88 – $1,437
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier 97 In the file: PT Evaluation Units, Low Complexity	$204	$41	$44.88 – $1,437
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Low Complexity	$204	$41	$44.88 – $1,437
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Moderate Complexity	$305	$61	$67.10 – $1,437
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, High Complexity	$454	$91	$99.88 – $1,437
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates BCBS Blue Select — OP: $1,054 BCBS HMO — OP: $1,241 BCBS My Blue — OP: $995 BCBS PPO — OP: $1,422 BCBS Traditional — OP: $1,437 Good Shepherd — IP: $1,058 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount) Beechstreet — IP: 85% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 Psytx w pt 30 min	$763	$153	$167.86 – $1,207
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · modifier 59 In the file: 90832 Psytx w pt 30 min	$763	$153	$167.86 – $1,207
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 Psytx w pt 45 min	$763	$153	$167.86 – $1,207
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · modifier 59 In the file: 90834 Psytx w pt 45 min	$763	$153	$167.86 – $1,207
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 Psytx w pt 60 min	$763	$153	$167.86 – $1,207
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · modifier 59 In the file: 90837 Psytx w pt 60 min	$763	$153	$167.86 – $1,207
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 Group Psychotherapy	$1,206	$241	$200 – $1,207
Group psychotherapy: 10 of 32 insurance plan rates Aetna — OP: $383 BCBS Blue Select — IP: $230 BCBS Blue Select — OP: $833 BCBS HMO — IP: $230 BCBS HMO — OP: $980 BCBS My Blue — IP: $230 BCBS My Blue — OP: $783 BCBS PPO — IP: $230 BCBS PPO — OP: $1,119 BCBS Traditional — IP: $230

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: DIA INJ SUBSTNACE LS SPINE INCL GUID	$3,412	$682	$750.64 – $17,438
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates BCBS Blue Select — OP: $7,284 BCBS HMO — OP: $8,566 BCBS My Blue — OP: $6,853 BCBS PPO — OP: $9,783 BCBS Traditional — OP: $17,438 Good Shepherd — IP: $1,058 UHC HMO — OP: $6,296 Aetna — OP: 49.1% (a percentage in the contract, not a dollar amount) Avmed — IP: 35% (a percentage in the contract, not a dollar amount) Avmed — OP: 58% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$349,694	Not listed in the file	$1,058 – $22,975
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 26 insurance plan rates Aetna — IP: $16,151 Avmed — IP: $20,040 BCBS Blue Select — IP: $16,615 BCBS HMO — IP: $19,548 BCBS My Blue — IP: $15,349 BCBS PPO — IP: $19,678 BCBS Traditional — IP: $22,975 Cigna HMO — IP: $16,131 Good Shepherd — IP: $1,058 UHC HMO — IP: $17,772
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$91,020	Not listed in the file	$1,058 – $22,975
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates Aetna — IP: $16,151 Avmed — IP: $20,040 BCBS Blue Select — IP: $16,615 BCBS HMO — IP: $19,548 BCBS My Blue — IP: $15,349 BCBS PPO — IP: $19,678 BCBS Traditional — IP: $22,975 Cigna HMO — IP: $16,131 Good Shepherd — IP: $1,058 UHC HMO — IP: $17,772
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$123,240	Not listed in the file	$1,058 – $22,975
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates Aetna — IP: $16,151 Avmed — IP: $20,040 BCBS Blue Select — IP: $16,615 BCBS HMO — IP: $19,548 BCBS My Blue — IP: $15,349 BCBS PPO — IP: $19,678 BCBS Traditional — IP: $22,975 Cigna HMO — IP: $16,131 Good Shepherd — IP: $1,058 UHC HMO — IP: $17,772
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$48,642	Not listed in the file	$1,058 – $22,975
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates Aetna — IP: $16,151 Avmed — IP: $20,040 BCBS Blue Select — IP: $16,615 BCBS HMO — IP: $19,548 BCBS My Blue — IP: $15,349 BCBS PPO — IP: $19,678 BCBS Traditional — IP: $22,975 Cigna HMO — IP: $16,131 Good Shepherd — IP: $1,058 UHC HMO — IP: $17,772

Source: Lakeland Regional Medical Center’s standard charges file (mylrh.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 31, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1324 Lakeland Hills Blvd, Lakeland, FL 33805
County	Polk County
State	Florida
Phone	(863) 687‑1100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	100157
Name in Medicare records	LAKELAND REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Medical Center, Lakeland Regional Health
Official website	mylrh.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Medical Center - Lakeland Regional Health — mylrh.org
Visitation & Companion Policies — mylrh.org
Lakeland Regional Health | Hospital in Lakeland FL — mylrh.org
Emergency Services - Lakeland Regional Health — mylrh.org
Trauma Services - Lakeland Regional Health — mylrh.org
General & Trauma Surgery - Lakeland Regional Health — mylrh.org
Cardiovascular and Thoracic Surgery Outpatient Care Center — mylrh.org
Crisis & Inpatient Services — mylrh.org
Cardiology - Lakeland Regional Health — mylrh.org
Comprehensive Stroke Center - Lakeland Regional Health — mylrh.org