Larkin Community Hospital is an acute care hospital in South Miami, Florida. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 64 services, specialties and programs. Medicare lists 89 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
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.
The Joint Commission Certification for Core Hip and Knee Replacement
Doctors and clinicians (89)
89 doctors and other clinicians list Larkin 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.
And 65 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Larkin 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)
Not reported to Medicare
Overall rating of the hospital
Not reported to Medicare
Would recommend the hospital
Not reported to Medicare
Nurses communicated well
Not reported to Medicare
Doctors communicated well
Not reported to Medicare
Staff explained medicines
Not reported to Medicare
Information about recovery at home
Not reported to Medicare
Room and bathroom kept clean
Not reported to Medicare
Quiet at night
Not reported to Medicare
Rated the hospital 9 or 10 out of 10
65%National average: 72%
Would definitely recommend the hospital
62%National average: 71%
Nurses “always” communicated well
79%National average: 80%
Doctors “always” communicated well
82%National average: 80%
Staff “always” explained medicines before giving them
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.
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
Not reported to Medicare
Deaths within 30 days: heart failure patients
9.7%
Deaths within 30 days: pneumonia patients
13.9%
Deaths within 30 days: COPD patients
Too few cases to report
Deaths within 30 days: stroke patients
Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)
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
Too few cases to report
Readmitted within 30 days: heart failure
22.7%
Readmitted within 30 days: pneumonia
17.3%
Readmitted within 30 days: COPD
Too few cases to report
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
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)
127 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)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Larkin 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.
$! 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.
Office and emergency visits
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$763
$534.10
$72.15 – $1,526
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $763
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $763
AETNA MEDICAID — AETNA MEDICAID: $763
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $96.20
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $80.17
AVMED-ALL PLANS — AVMED-ALL PLANS: $763
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $5,953
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 26 In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$763
$534.10
$80.17 – $763
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $763
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $80.17
AETNA MEDICAID — AETNA MEDICAID: $763
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $96.20
AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $763
AVMED-ALL PLANS — AVMED-ALL PLANS: $763
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $763
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$973
$681.10
$75 – $1,946
New patient office visit (about 45–59 minutes): 10 of 61 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $862
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $973
AETNA MEDICAID — AETNA MEDICAID: $862
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $156.07
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $130.06
AVMED-ALL PLANS — AVMED-ALL PLANS: $973
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $5,953
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$973
$681.10
$75 – $1,946
New patient office visit (about 60–74 minutes): 10 of 55 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $973
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $973
AETNA MEDICAID — AETNA MEDICAID: $973
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $216
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $180
AVMED-ALL PLANS — AVMED-ALL PLANS: $973
BCBS MCR ADV — BCBS MCR ADV: $171
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$442
$309.40
$56.25 – $884
Established patient office visit (about 20–29 minutes): 10 of 63 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $442
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $442
AETNA MEDICAID — AETNA MEDICAID: $442
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $75
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $62.50
AVMED-ALL PLANS — AVMED-ALL PLANS: $442
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $5,953
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$442
$309.40
$56.25 – $2,809
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $442
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $75
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $62.50
AVMED-ALL PLANS — AVMED-ALL PLANS: $442
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,691
BCBS MCR ADV — BCBS MCR ADV: $59.38
BCBS NWB BLUE OPTIONS — BCBS NWB BLUE OPTIONS: $2,003
BCBS PHS — BCBS PHS: $2,809
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 26 In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$442
$309.40
$62.50 – $442
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $442
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $62.50
AETNA MEDICAID — AETNA MEDICAID: $442
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $75
AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $442
AVMED-ALL PLANS — AVMED-ALL PLANS: $442
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $442
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$487
$340.90
$75 – $974
Established patient office visit (about 30–39 minutes): 10 of 62 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $487
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $487
AETNA MEDICAID — AETNA MEDICAID: $487
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $110.76
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $92.30
AVMED-ALL PLANS — AVMED-ALL PLANS: $487
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $5,953
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$487
$340.90
$83.07 – $2,809
Established patient office visit (about 30–39 minutes): 10 of 54 insurance plan rates
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $487
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $110.76
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $92.30
AVMED-ALL PLANS — AVMED-ALL PLANS: $487
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,691
BCBS MCR ADV — BCBS MCR ADV: $87.69
BCBS NWB BLUE OPTIONS — BCBS NWB BLUE OPTIONS: $2,003
BCBS PHS — BCBS PHS: $2,809
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more
$477
$333.90
$310.05 – $477
Office consultation with a specialist (moderate): rates for 8 insurance plans
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $477
AETNA MEDICAID — AETNA MEDICAID: $477
AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $477
AVMED-ALL PLANS — AVMED-ALL PLANS: $477
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $477
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more
$740
$518
$481 – $740
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $740
AETNA MEDICAID — AETNA MEDICAID: $740
AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $740
AVMED-ALL PLANS — AVMED-ALL PLANS: $740
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $740
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$658
$460.60
$75 – $1,316
Preventive checkup, new patient, age 40–64: 10 of 29 insurance plan rates
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $658
AETNA MEDICARE — AETNA MEDICARE: $658
AVMED-ALL PLANS — AVMED-ALL PLANS: $658
BRIGHT HEALTH MEDICARE — BRIGHT HEALTH MEDICARE: $658
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $789.60
CAREPLUS HEALTH-ALL OTHER PLANS — CAREPLUS HEALTH-ALL OTHER PLANS: $658
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $285.07
AVMED-ALL PLANS — AVMED-ALL PLANS: $1,664
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,691
BCBS MCR ADV — BCBS MCR ADV: $270.81
BCBS NWB BLUE OPTIONS — BCBS NWB BLUE OPTIONS: $2,003
BCBS PHS — BCBS PHS: $2,809
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with low level of medical decision making
$1,562
$1,093.40
$250 – $3,124
Emergency room visit (moderate): 10 of 57 insurance plan rates
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $1,562
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $342.08
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $285.07
AVMED-ALL PLANS — AVMED-ALL PLANS: $1,562
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,691
BCBS MCR ADV — BCBS MCR ADV: $270.81
BCBS NWB BLUE OPTIONS — BCBS NWB BLUE OPTIONS: $2,003
BCBS PHS — BCBS PHS: $2,809
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$215
$150.50
$95.71 – $215
Emergency room visit (moderately high): 10 of 19 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $215
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $136.73
AETNA MEDICAID — AETNA MEDICAID: $215
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $164.08
AETNA MEDICARE — AETNA MEDICARE: $136.73
AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $215
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $136.73
AVMED-ALL PLANS — AVMED-ALL PLANS: $215
BRIGHT HEALTH MEDICARE — BRIGHT HEALTH MEDICARE: $136.73
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $215
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with moderate level of medical decision making
$2,391
$1,673.70
$250 – $4,782
Emergency room visit (moderately high): 10 of 57 insurance plan rates
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $2,391
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $522.89
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $435.74
AVMED-ALL PLANS — AVMED-ALL PLANS: $2,391
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,691
BCBS MCR ADV — BCBS MCR ADV: $413.95
BCBS NWB BLUE OPTIONS — BCBS NWB BLUE OPTIONS: $2,003
BCBS PHS — BCBS PHS: $2,809
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$2,193
$1,535.10
$75 – $4,386
Emergency room visit (high): 10 of 60 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $312
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $2,193
AETNA MEDICAID — AETNA MEDICAID: $312
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $746.28
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $621.90
AVMED-ALL PLANS — AVMED-ALL PLANS: $2,193
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,691
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with high level of medical decision making
$3,327
$2,328.90
$250 – $6,654
Emergency room visit (high): 10 of 57 insurance plan rates
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $3,327
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $746.28
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $8.17
AVMED-ALL PLANS — AVMED-ALL PLANS: $498
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$215
$150.50
$1.05 – $430
Urine test (automated, with microscope): 10 of 72 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $1.50
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $215
AETNA MEDICAID — AETNA MEDICAID: $1.50
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $3.80
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $16.80
AVMED-ALL PLANS — AVMED-ALL PLANS: $229
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$340
$238
$2.08 – $680
Complete blood count (CBC) with differential: 10 of 72 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $2.97
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $340
AETNA MEDICAID — AETNA MEDICAID: $2.97
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $9.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $4.29
AVMED-ALL PLANS — AVMED-ALL PLANS: $182
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$300
$210
$1.56 – $600
Blood clotting test (partial thromboplastin time, PTT): 10 of 72 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $2.23
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $300
AETNA MEDICAID — AETNA MEDICAID: $2.23
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $7.21
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $109.18
AVMED-ALL PLANS — AVMED-ALL PLANS: $4,772
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $920
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier CT In the file: CT scan head or brain without contrast
$4,772
$3,340.40
$103.72 – $9,544
CT scan of the head or brain, without contrast: 10 of 71 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $206.90
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $4,772
AETNA MEDICAID — AETNA MEDICAID: $206.90
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $131.01
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $109.18
AVMED-ALL PLANS — AVMED-ALL PLANS: $1,842
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $314
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$5,413
$3,789.10
$107.19 – $10,826
MRI of the lower back (lumbar spine), without contrast: 10 of 73 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $153.13
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $5,413
AETNA MEDICAID — AETNA MEDICAID: $153.13
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $299
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $249.17
AVMED-ALL PLANS — AVMED-ALL PLANS: $5,944
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,082
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint without contrast
$5,944
$4,160.80
$107.19 – $11,888
MRI of a leg joint (such as the knee), without contrast: 10 of 71 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $153.13
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $5,944
AETNA MEDICAID — AETNA MEDICAID: $153.13
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $299
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $249.17
AVMED-ALL PLANS — AVMED-ALL PLANS: $5,944
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $1,082
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint without contrast
$5,944
$4,160.80
$107.19 – $11,888
MRI of a leg joint (such as the knee), without contrast: 10 of 71 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $153.13
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $5,944
AETNA MEDICAID — AETNA MEDICAID: $153.13
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $299
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $90.32
AVMED-ALL PLANS — AVMED-ALL PLANS: $133.32
BRIGHT HEALTH MEDICARE — BRIGHT HEALTH MEDICARE: $90.32
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $133.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier CT In the file: CT scan of abdomen and pelvis with contrast
$9,929
$6,950.30
$144.83 – $19,858
CT scan of the abdomen and pelvis, with contrast: 10 of 71 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $206.90
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $9,929
AETNA MEDICAID — AETNA MEDICAID: $206.90
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $437.19
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $109.18
AVMED-ALL PLANS — AVMED-ALL PLANS: $2,026
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $324
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$964
$674.80
$43.98 – $1,928
Pregnancy ultrasound (after the first trimester): 10 of 71 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $62.83
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $964
AETNA MEDICAID — AETNA MEDICAID: $62.83
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $131.01
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $109.18
AVMED-ALL PLANS — AVMED-ALL PLANS: $964
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $324
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$1,174
$821.80
$48.89 – $2,348
Transvaginal ultrasound: 10 of 71 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $69.84
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $1,174
AETNA MEDICAID — AETNA MEDICAID: $69.84
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $131.01
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $132.90
AVMED-ALL PLANS — AVMED-ALL PLANS: $580
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $191
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction
$41,178
$28,824.60
$90! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $82,356
Heart rhythm study with ablation for atrial fibrillation: 10 of 74 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $11,098.19
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $41,178
AETNA MEDICAID — AETNA MEDICAID: $11,098.19
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $32,754.24
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $896.76
AVMED-ALL PLANS — AVMED-ALL PLANS: $8,057
BCBS MCR ADV — BCBS MCR ADV: $851.93
Physical therapy and mental health
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$235
$164.50
$15.45 – $470
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $22.07
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $235
AETNA MEDICAID — AETNA MEDICAID: $22.07
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $36.16
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $30.13
AVMED-ALL PLANS — AVMED-ALL PLANS: $235
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$235
$164.50
$15.45 – $470
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $22.07
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $235
AETNA MEDICAID — AETNA MEDICAID: $22.07
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $36.16
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $30.13
AVMED-ALL PLANS — AVMED-ALL PLANS: $235
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$235
$164.50
$15.45 – $470
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $22.07
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $235
AETNA MEDICAID — AETNA MEDICAID: $22.07
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $36.16
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $30.13
AVMED-ALL PLANS — AVMED-ALL PLANS: $235
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$596
$417.20
$58 – $1,192
Physical therapy evaluation (low complexity): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $156.82
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $596
AETNA MEDICAID — AETNA MEDICAID: $156.82
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $120.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $100.27
AVMED-ALL PLANS — AVMED-ALL PLANS: $596
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes
$596
$417.20
$58 – $1,192
Physical therapy evaluation (low complexity): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $156.82
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $596
AETNA MEDICAID — AETNA MEDICAID: $156.82
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $120.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $100.27
AVMED-ALL PLANS — AVMED-ALL PLANS: $596
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$637
$445.90
$58 – $1,274
Physical therapy evaluation (moderate complexity): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $156.82
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $637
AETNA MEDICAID — AETNA MEDICAID: $156.82
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $120.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $100.27
AVMED-ALL PLANS — AVMED-ALL PLANS: $637
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes
$637
$445.90
$58 – $1,274
Physical therapy evaluation (moderate complexity): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $156.82
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $637
AETNA MEDICAID — AETNA MEDICAID: $156.82
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $120.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $100.27
AVMED-ALL PLANS — AVMED-ALL PLANS: $637
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$680
$476
$58 – $1,360
Physical therapy evaluation (high complexity): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $156.82
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $680
AETNA MEDICAID — AETNA MEDICAID: $156.82
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $120.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $100.27
AVMED-ALL PLANS — AVMED-ALL PLANS: $680
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $162
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes
$680
$476
$58 – $1,360
Physical therapy evaluation (high complexity): 10 of 75 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $156.82
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $680
AETNA MEDICAID — AETNA MEDICAID: $156.82
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $120.32
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $106.09
AVMED-ALL PLANS — AVMED-ALL PLANS: $430
BCBS MCR ADV — BCBS MCR ADV: $100.78
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$1,953.12
$1,367.18
$342.10 – $1,953.12
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $1,953.12
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $488.71
AETNA MEDICAID — AETNA MEDICAID: $1,953.12
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $586.45
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $488.71
AVMED-ALL PLANS — AVMED-ALL PLANS: $1,953.12
BRIGHT HEALTH MEDICARE — BRIGHT HEALTH MEDICARE: $488.71
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $1,953.12
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$776
$543.20
$194 – $4,305
Upper GI endoscopy (diagnostic): 10 of 69 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $648.98
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $776
AETNA MEDICAID — AETNA MEDICAID: $648.98
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $1,136.58
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $620.12
AVMED-ALL PLANS — AVMED-ALL PLANS: $2,469.56
BRIGHT HEALTH MEDICARE — BRIGHT HEALTH MEDICARE: $620.12
BRIGHT HEALTH-ALL OTHER PLANS — BRIGHT HEALTH-ALL OTHER PLANS: $2,469.56
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$1,701
$1,190.70
$278 – $4,305
Spinal injection, lower back (epidural), with imaging guidance: 10 of 74 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $483.22
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $1,701
AETNA MEDICAID — AETNA MEDICAID: $483.22
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $884.56
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $737.14
AVMED-ALL PLANS — AVMED-ALL PLANS: $1,701
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $2,889
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$2,517
$1,761.90
$278 – $5,034
Nerve root injection, lower back, with imaging guidance: 10 of 74 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $483.22
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $2,517
AETNA MEDICAID — AETNA MEDICAID: $483.22
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $1,108.36
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $923.64
AVMED-ALL PLANS — AVMED-ALL PLANS: $2,517
BCBS HMO HEALTH OPTIONS — BCBS HMO HEALTH OPTIONS: $2,889
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser
$1,113
$779.10
$206.06 – $1,113
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $1,113
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $294.37
AETNA MEDICAID — AETNA MEDICAID: $1,113
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $353.24
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $43,531.51
AVMED-ALL PLANS — AVMED-ALL PLANS: $121,409.78
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
$33,074.15
$23,151.90
$1,100 – $46,598.64
Hip or knee replacement (major joint of the leg), without major complications: 10 of 99 insurance plan rates
AETNA BEHAVIORAL IP ONLY — AETNA BEHAVIORAL IP ONLY: $19,205.17
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $7,507.83
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $23,046.20
AETNA MEDICAID — AETNA MEDICAID: $7,507.83
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $23,046.20
AMERIGROUP MEDICARE-ALL OTHER PLANS — AMERIGROUP MEDICARE-ALL OTHER PLANS: $19,205.17
AVMED-ALL PLANS — AVMED-ALL PLANS: $33,074.15
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
$46,508.08
$32,555.65
$1,100 – $46,508.08
Uterus and ovary surgery (not for cancer), without complications: 10 of 81 insurance plan rates
AETNA BEHAVIORAL IP ONLY — AETNA BEHAVIORAL IP ONLY: $10,009.70
AETNA BETTER HEALTH MEDICAID — AETNA BETTER HEALTH MEDICAID: $10,557.33
AETNA COMMERCIAL-ALL OTHER PLANS — AETNA COMMERCIAL-ALL OTHER PLANS: $12,011.65
AETNA MEDICAID — AETNA MEDICAID: $10,557.33
AETNA MEDICAL RENTAL PRODUCT — AETNA MEDICAL RENTAL PRODUCT: $12,011.65
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.