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Acute Care Hospital

Lima Memorial Health System

Lima, Ohio · Allen County · Emergency services listed

Lima Memorial Health System is an acute care hospital at 1001 Bellefontaine Avenue, Lima, OH 45804. Phone: (419) 998-4731. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Lima Memorial Health System is an acute care hospital in Lima, Ohio. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 62 services, specialties and programs. Medicare lists 464 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

Call(419) 998‑4731 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
464Doctors and clinicians
62Services listed

Quick answers

Does Lima Memorial Health System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lima Memorial Health System. In a medical emergency, call 911.
Where is Lima Memorial Health System?
1001 Bellefontaine Avenue, Lima, OH 45804, in Allen County, Ohio.
What is the phone number of Lima Memorial Health System?
(419) 998-4731, as listed by Medicare (CMS).
What is the Medicare star rating of Lima Memorial Health System?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Lima Memorial Health System for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Lima Memorial Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.0267; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5][7][8][9][10][12][13][14][15][16]

Conditions treated[7][8][10][11][13][14][16][17]

Treatments[8][11]

  • Sclerotherapy
  • Thrombolytic therapy for stroke

Procedures[7][10][14][15][16]

Programs and centers[5][7][8][9][11][12]

  • Certified Primary Stroke Center
  • Trauma services (Level II)
  • Chest Pain Center
  • 24-hour Emergency Center
  • Vein Center
  • Trauma injury prevention programs

Emergency care (hospital website)[5][9][11][12]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationPrimary Stroke Center

Recognition[7][9][11][12]

  • Joint Commission Gold Seal of Approval
  • Certified Primary Stroke Center (Accredited)
  • American College of Surgeons Level II Trauma Center certification

Doctors and clinicians (464)

464 doctors and other clinicians list Lima Memorial Health System as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (464)

And 440 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Lima

All hospitals in Lima · Hospitals in Allen County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1066%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted58%National average: 64%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean67%National average: 73%
Completed surveys430Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.675No different from the national benchmark
MRSA bloodstream infections0.751No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.135No different from the national benchmark
Not reported to MedicareSurgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients12.6%
Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients15.4%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients13.4%
Deaths within 30 days: coronary bypass surgery (CABG)2.2%
Serious complications (patient safety indicator PSI-90)1.18No different from the national rate
Too few cases to reportComplications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)18%
Readmitted within 30 days: heart attack14.7%
Readmitted within 30 days: heart failure24.1%
Readmitted within 30 days: pneumonia16.1%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery12.5%
Too few cases to reportReadmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)160 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)73%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Lima Memorial Health System, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.0267Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.1246More readmissions than expected
Heart failure1.0544More readmissions than expected
Pneumonia0.9515Fewer readmissions than expected
COPD (chronic lung disease)1.0522More readmissions than expected
Coronary bypass surgery (CABG)1.0689More readmissions than expected
No result publishedHip or knee replacement (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score39.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)38.00 out of 100
Person and community engagement (patient survey)33.00 out of 100
Safety (infections and sepsis care)65.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.98Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 LimaBest hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Lima Memorial Health System 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 →

Show the prices of 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: E&M First Visit Level Iii $410 $369 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Initial Visit - Level Iii $410 $369 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Occ Health First Visit Iii Er $410 $369 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Initial Visit - Level Iv $443 $398.70 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Initial Visit-Level Iv $443 $398.70 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Initial Visit - Level V $488 $439.20 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Follow Up Visit - Level Iii $406 $365.40 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Occ Health - First Visit Iii $406 $365.40 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Self Pay Derm Consult $32 $28.80 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Follow Up Visit - Level Iv $443 $398.70 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Occ Health - First Visit Iv $443 $398.70 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Occ Health First Visit Iv Er $443 $398.70 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation $11 $9.90 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consult New Est Patient $469 $422.10 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation $17 $15.30 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Visit New Age 18-39 $15 $13.50 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Care New Age 18-39 $215 $193.50 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Visit New Age 40-64 $19 $17.10 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Care New Age 40-64 $272 $244.80 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $260.65 – $1,198.42
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $312.78
  • Aetna — Medicare Managed Care Plan: $260.65
  • Bcbs — Anthem Exchange: $1,078.57
  • Bcbs — Anthem Hmo/Pos/Ppo: $1,198.42
  • Buckeye Health Plan — Ambetter Exchange: $443.11
  • Caresource — Exchange: $456.14
  • Devoted Health — Medicare Managed Care Plan: $263.26
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Charge-Class Iii $1,017 $915.30 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Er Charge Iii/ With Trauma Act $2,758 $2,482.20 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $398.42 – $1,831.85
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $478.10
  • Aetna — Medicare Managed Care Plan: $398.42
  • Bcbs — Anthem Exchange: $1,648.65
  • Bcbs — Anthem Hmo/Pos/Ppo: $1,831.85
  • Buckeye Health Plan — Ambetter Exchange: $677.31
  • Caresource — Exchange: $697.23
  • Devoted Health — Medicare Managed Care Plan: $402.40
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Charge-Class Iv $1,888 $1,699.20 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Charge- Iv W/ Trauma Act $3,628 $3,265.20 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $568.64 – $2,614.48
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $682.37
  • Aetna — Medicare Managed Care Plan: $568.64
  • Bcbs — Anthem Exchange: $2,353.01
  • Bcbs — Anthem Hmo/Pos/Ppo: $2,614.48
  • Buckeye Health Plan — Ambetter Exchange: $966.69
  • Caresource — Exchange: $995.12
  • Devoted Health — Medicare Managed Care Plan: $574.33
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Charge-Class V $2,614 $2,352.60 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Charge- V W/ Trauma Act $5,080 $4,572 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $38.90
Basic metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $10.15
  • Aetna — Medicare Managed Care Plan: $8.46
  • Bcbs — Anthem Exchange: $8.46
  • Bcbs — Anthem Hmo/Pos/Ppo: $8.46
  • Buckeye Health Plan — Ambetter Exchange: $14.38
  • Caresource — Exchange: $14.81
  • Devoted Health — Medicare Managed Care Plan: $8.54
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel Bmp $44 $39.60 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Metabolic Panel Total Ca $12 $10.80 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $48.55
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $12.67
  • Aetna — Medicare Managed Care Plan: $10.56
  • Bcbs — Anthem Exchange: $10.56
  • Bcbs — Anthem Hmo/Pos/Ppo: $10.56
  • Buckeye Health Plan — Ambetter Exchange: $17.95
  • Caresource — Exchange: $18.48
  • Devoted Health — Medicare Managed Care Plan: $10.67
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $74 $66.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehen Metabolic Panel $14 $12.60 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $219.82
Obstetric blood test panel: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $57.37
  • Aetna — Medicare Managed Care Plan: $47.81
  • Bcbs — Anthem Exchange: $47.81
  • Bcbs — Anthem Hmo/Pos/Ppo: $47.81
  • Buckeye Health Plan — Ambetter Exchange: $81.28
  • Caresource — Exchange: $83.67
  • Devoted Health — Medicare Managed Care Plan: $48.29
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Obstetric Panel $66 $59.40 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $61.56
Cholesterol panel (lipid panel): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $16.07
  • Aetna — Medicare Managed Care Plan: $13.39
  • Bcbs — Anthem Exchange: $13.39
  • Bcbs — Anthem Hmo/Pos/Ppo: $13.39
  • Buckeye Health Plan — Ambetter Exchange: $22.76
  • Caresource — Exchange: $23.43
  • Devoted Health — Medicare Managed Care Plan: $13.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $41 $36.90 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $39.91
Kidney function panel: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $10.42
  • Aetna — Medicare Managed Care Plan: $8.68
  • Bcbs — Anthem Exchange: $8.68
  • Bcbs — Anthem Hmo/Pos/Ppo: $8.68
  • Buckeye Health Plan — Ambetter Exchange: $14.76
  • Caresource — Exchange: $15.19
  • Devoted Health — Medicare Managed Care Plan: $8.77
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $53 $47.70 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $37.56
Liver function panel: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $9.80
  • Aetna — Medicare Managed Care Plan: $8.17
  • Bcbs — Anthem Exchange: $8.17
  • Bcbs — Anthem Hmo/Pos/Ppo: $8.17
  • Buckeye Health Plan — Ambetter Exchange: $13.89
  • Caresource — Exchange: $14.30
  • Devoted Health — Medicare Managed Care Plan: $8.25
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Panel $37 $33.30 Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $10 $9 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $14.57
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $3.80
  • Aetna — Medicare Managed Care Plan: $3.17
  • Bcbs — Anthem Exchange: $3.17
  • Bcbs — Anthem Hmo/Pos/Ppo: $3.17
  • Buckeye Health Plan — Ambetter Exchange: $5.39
  • Caresource — Exchange: $5.55
  • Devoted Health — Medicare Managed Care Plan: $3.20
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urflx,Possible Culture.Urflx $14 $12.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis W Req Micr.Uam $14 $12.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $16
Urine test (manual, without microscope): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $4.18
  • Aetna — Medicare Managed Care Plan: $3.48
  • Bcbs — Anthem Exchange: $3.48
  • Bcbs — Anthem Hmo/Pos/Ppo: $3.48
  • Buckeye Health Plan — Ambetter Exchange: $5.92
  • Caresource — Exchange: $6.09
  • Devoted Health — Medicare Managed Care Plan: $3.51
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto Wo Scope $4.84 $4.36 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $10.35
Urine test (automated, without microscope): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $2.70
  • Aetna — Medicare Managed Care Plan: $2.25
  • Bcbs — Anthem Exchange: $2.25
  • Bcbs — Anthem Hmo/Pos/Ppo: $2.25
  • Buckeye Health Plan — Ambetter Exchange: $3.82
  • Caresource — Exchange: $3.94
  • Devoted Health — Medicare Managed Care Plan: $2.27
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis (Umac) $14 $12.60 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto Wo Scope $3.63 $3.27 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $84.55
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $22.07
  • Aetna — Medicare Managed Care Plan: $18.39
  • Bcbs — Anthem Exchange: $18.39
  • Bcbs — Anthem Hmo/Pos/Ppo: $18.39
  • Buckeye Health Plan — Ambetter Exchange: $31.26
  • Caresource — Exchange: $32.18
  • Devoted Health — Medicare Managed Care Plan: $18.57
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Psa.Freps $56 $50.40 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Psa,Total Diagnostic.Psa $51 $45.90 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $77.24
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $20.16
  • Aetna — Medicare Managed Care Plan: $16.80
  • Bcbs — Anthem Exchange: $16.80
  • Bcbs — Anthem Hmo/Pos/Ppo: $16.80
  • Buckeye Health Plan — Ambetter Exchange: $28.56
  • Caresource — Exchange: $29.40
  • Devoted Health — Medicare Managed Care Plan: $16.97
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Tsh $62 $55.80 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Tsh 15 Min $228 $205.20 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $35.72
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $9.32
  • Aetna — Medicare Managed Care Plan: $7.77
  • Bcbs — Anthem Exchange: $7.77
  • Bcbs — Anthem Hmo/Pos/Ppo: $7.77
  • Buckeye Health Plan — Ambetter Exchange: $13.21
  • Caresource — Exchange: $13.60
  • Devoted Health — Medicare Managed Care Plan: $7.85
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count $27 $24.30 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count Mayo $27 $24.30 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $29.75
Complete blood count (CBC), automated: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $7.76
  • Aetna — Medicare Managed Care Plan: $6.47
  • Bcbs — Anthem Exchange: $6.47
  • Bcbs — Anthem Hmo/Pos/Ppo: $6.47
  • Buckeye Health Plan — Ambetter Exchange: $11
  • Caresource — Exchange: $11.32
  • Devoted Health — Medicare Managed Care Plan: $6.53
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Cbc Without Diff $21 $18.90 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Cbc Automated $8 $7.20 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $19.72
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $5.15
  • Aetna — Medicare Managed Care Plan: $4.29
  • Bcbs — Anthem Exchange: $4.29
  • Bcbs — Anthem Hmo/Pos/Ppo: $4.29
  • Buckeye Health Plan — Ambetter Exchange: $7.29
  • Caresource — Exchange: $7.51
  • Devoted Health — Medicare Managed Care Plan: $4.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: *Prothrombin Time (Proclot) $54 $48.60 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: *Prothrombin Time (Coag Bleed) $51 $45.90 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $27.63
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $7.21
  • Aetna — Medicare Managed Care Plan: $6.01
  • Bcbs — Anthem Exchange: $6.01
  • Bcbs — Anthem Hmo/Pos/Ppo: $6.01
  • Buckeye Health Plan — Ambetter Exchange: $10.22
  • Caresource — Exchange: $10.52
  • Devoted Health — Medicare Managed Care Plan: $6.07
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: *Thromboplastin,Partial Ptt $91 $81.90 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: *Thromboplastin Time;Ptt $83 $74.70 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $99.82 – $458.97
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $119.79
  • Aetna — Medicare Managed Care Plan: $99.82
  • Bcbs — Anthem Exchange: $413.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $458.97
  • Buckeye Health Plan — Ambetter Exchange: $169.70
  • Caresource — Exchange: $174.69
  • Devoted Health — Medicare Managed Care Plan: $100.82
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Head Or Brain Without Contr $1,710 $1,539 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Head Or Brain W/O Contrast $1,710 $1,539 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $333.12 – $1,531.61
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $399.74
  • Aetna — Medicare Managed Care Plan: $333.12
  • Bcbs — Anthem Exchange: $1,378.44
  • Bcbs — Anthem Hmo/Pos/Ppo: $1,531.61
  • Buckeye Health Plan — Ambetter Exchange: $566.30
  • Caresource — Exchange: $582.96
  • Devoted Health — Medicare Managed Care Plan: $336.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Brain W/O Cont Follow W/C $3,035 $2,731.50 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Brain Stem Wo & Wdye $514 $462.60 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $83.10 – $382.05
Chest X-ray, 2 views: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $99.71
  • Aetna — Medicare Managed Care Plan: $83.10
  • Bcbs — Anthem Exchange: $343.85
  • Bcbs — Anthem Hmo/Pos/Ppo: $382.05
  • Buckeye Health Plan — Ambetter Exchange: $141.26
  • Caresource — Exchange: $145.42
  • Devoted Health — Medicare Managed Care Plan: $83.93
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chest 2 View Frontal & Lateral $363 $326.70 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views $113 $101.70 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $99.82 – $458.97
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $119.79
  • Aetna — Medicare Managed Care Plan: $99.82
  • Bcbs — Anthem Exchange: $413.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $458.97
  • Buckeye Health Plan — Ambetter Exchange: $169.70
  • Caresource — Exchange: $174.69
  • Devoted Health — Medicare Managed Care Plan: $100.82
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbar Spine Min 4 Views $353 $317.70 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray Exam L-2 Spine 4Vws $153 $137.70 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $227.83 – $1,047.50
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $273.39
  • Aetna — Medicare Managed Care Plan: $227.83
  • Bcbs — Anthem Exchange: $942.74
  • Bcbs — Anthem Hmo/Pos/Ppo: $1,047.50
  • Buckeye Health Plan — Ambetter Exchange: $387.31
  • Caresource — Exchange: $398.70
  • Devoted Health — Medicare Managed Care Plan: $230.11
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Lumbar Spine W/O Contrast $3,086 $2,777.40 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Lumbar Spine Wo Dye $322 $289.80 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $167.48 – $770.04
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $200.98
  • Aetna — Medicare Managed Care Plan: $167.48
  • Bcbs — Anthem Exchange: $693.03
  • Bcbs — Anthem Hmo/Pos/Ppo: $770.04
  • Buckeye Health Plan — Ambetter Exchange: $284.72
  • Caresource — Exchange: $293.09
  • Devoted Health — Medicare Managed Care Plan: $169.16
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Pelvis W Contrast $1,994 $1,794.60 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Pelvis With Contrast $1,994 $1,794.60 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $227.83 – $1,047.50
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $273.39
  • Aetna — Medicare Managed Care Plan: $227.83
  • Bcbs — Anthem Exchange: $942.74
  • Bcbs — Anthem Hmo/Pos/Ppo: $1,047.50
  • Buckeye Health Plan — Ambetter Exchange: $387.31
  • Caresource — Exchange: $398.70
  • Devoted Health — Medicare Managed Care Plan: $230.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Lower Extrem Joint Wo Cont $1,743 $1,568.70 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Mri Jnt Of Lwr Extre Wo Dye $322 $289.80 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $333.12 – $1,531.61
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $399.74
  • Aetna — Medicare Managed Care Plan: $333.12
  • Bcbs — Anthem Exchange: $1,378.44
  • Bcbs — Anthem Hmo/Pos/Ppo: $1,531.61
  • Buckeye Health Plan — Ambetter Exchange: $566.30
  • Caresource — Exchange: $582.96
  • Devoted Health — Medicare Managed Care Plan: $336.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Abdomen & Pelvis W Contrast $3,506 $3,155.40 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Ct Abdomen Pelvis W Contrast $3,506 $3,155.40 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $99.82 – $458.97
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $119.79
  • Aetna — Medicare Managed Care Plan: $99.82
  • Bcbs — Anthem Exchange: $413.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $458.97
  • Buckeye Health Plan — Ambetter Exchange: $169.70
  • Caresource — Exchange: $174.69
  • Devoted Health — Medicare Managed Care Plan: $100.82
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Abdominal Echo Complete $3,103 $2,792.70 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Abdominal Echo-Complete $3,103 $2,792.70 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $99.82 – $458.97
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $119.79
  • Aetna — Medicare Managed Care Plan: $99.82
  • Bcbs — Anthem Exchange: $413.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $458.97
  • Buckeye Health Plan — Ambetter Exchange: $169.70
  • Caresource — Exchange: $174.69
  • Devoted Health — Medicare Managed Care Plan: $100.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Ob Ultrasound >14 Wks-Sng Ges $1,551 $1,395.90 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Ob Us 14 Wks Sngl Fetus $153 $137.70 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $99.82 – $458.97
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $119.79
  • Aetna — Medicare Managed Care Plan: $99.82
  • Bcbs — Anthem Exchange: $413.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $458.97
  • Buckeye Health Plan — Ambetter Exchange: $169.70
  • Caresource — Exchange: $174.69
  • Devoted Health — Medicare Managed Care Plan: $100.82
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Transvaginal Ultrasound $1,551 $1,395.90 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Transvaginal Us Non-Ob $153 $137.70 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $78.71 – $361.89
Diagnostic mammogram, one breast: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $94.45
  • Aetna — Medicare Managed Care Plan: $78.71
  • Bcbs — Anthem Exchange: $325.70
  • Bcbs — Anthem Hmo/Pos/Ppo: $361.89
  • Buckeye Health Plan — Ambetter Exchange: $133.81
  • Caresource — Exchange: $137.74
  • Devoted Health — Medicare Managed Care Plan: $79.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Dx Mammo Incl Cad Uni $520 $468 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $101 – $464.38
Diagnostic mammogram, both breasts: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $121.20
  • Aetna — Medicare Managed Care Plan: $101
  • Bcbs — Anthem Exchange: $417.94
  • Bcbs — Anthem Hmo/Pos/Ppo: $464.38
  • Buckeye Health Plan — Ambetter Exchange: $171.70
  • Caresource — Exchange: $176.75
  • Devoted Health — Medicare Managed Care Plan: $102.01
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Dx Mammo Incl Cad Bi $598 $538.20 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $83.28 – $382.90
Screening mammogram, both breasts: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $99.94
  • Aetna — Medicare Managed Care Plan: $83.28
  • Bcbs — Anthem Exchange: $344.61
  • Bcbs — Anthem Hmo/Pos/Ppo: $382.90
  • Buckeye Health Plan — Ambetter Exchange: $141.58
  • Caresource — Exchange: $145.74
  • Devoted Health — Medicare Managed Care Plan: $84.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad $452 $406.80 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Uni Incl Cad $452 $406.80 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: Electrocardiogram Comp $27 $24.30 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,095.54 – $14,232.61
Left heart catheterization (diagnostic): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $3,714.64
  • Aetna — Medicare Managed Care Plan: $3,095.54
  • Bcbs — Anthem Exchange: $12,809.24
  • Bcbs — Anthem Hmo/Pos/Ppo: $14,232.61
  • Buckeye Health Plan — Ambetter Exchange: $5,262.41
  • Caresource — Exchange: $5,417.19
  • Devoted Health — Medicare Managed Care Plan: $3,126.49
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Left Heart Cath $12,043 $10,838.70 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Left Hrt Cath Wventrclgrphy $4,044 $3,639.60 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $7,447.45 – $34,241.80
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $8,936.94
  • Aetna — Medicare Managed Care Plan: $7,447.45
  • Bcbs — Anthem Exchange: $30,817.36
  • Bcbs — Anthem Hmo/Pos/Ppo: $34,241.80
  • Buckeye Health Plan — Ambetter Exchange: $12,660.67
  • Caresource — Exchange: $13,033.04
  • Devoted Health — Medicare Managed Care Plan: $7,521.93
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Electrophysiology Evaluation $8,476 $7,628.40 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $24,957.55 – $114,749.49
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $29,949.06
  • Aetna — Medicare Managed Care Plan: $24,957.55
  • Bcbs — Anthem Exchange: $103,273.66
  • Bcbs — Anthem Hmo/Pos/Ppo: $114,749.49
  • Buckeye Health Plan — Ambetter Exchange: $42,427.83
  • Caresource — Exchange: $43,675.71
  • Devoted Health — Medicare Managed Care Plan: $25,207.12
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Tx Atrial Fib Pulm Vein Isol $29,922 $26,929.80 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $819.96 – $3,770.01
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $983.95
  • Aetna — Medicare Managed Care Plan: $819.96
  • Bcbs — Anthem Exchange: $3,392.98
  • Bcbs — Anthem Hmo/Pos/Ppo: $3,770.01
  • Buckeye Health Plan — Ambetter Exchange: $1,393.94
  • Caresource — Exchange: $1,434.93
  • Devoted Health — Medicare Managed Care Plan: $828.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Staging W 4> Param,At*52 $8,504 $7,653.60 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Staging W 4> Param,Atten $8,504 $7,653.60 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $22.23 – $128.14
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna — Hmo/Pos/Ppo: $33.44
  • Aetna — Medicare Managed Care Plan: $27.87
  • Bcbs — Anthem Exchange: $115.33
  • Bcbs — Anthem Hmo/Pos/Ppo: $128.14
  • Buckeye Health Plan — Ambetter Exchange: $47.38
  • Caresource — Exchange: $48.77
  • Devoted Health — Medicare Managed Care Plan: $28.15
  • Theramatrix — Other Commercial Plan: $22.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exerc-15 Min-Rhab $107 $96.30 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeatic Exer15 Min-Lmhs Wc $100 $90 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $65 – $431.55
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna — Hmo/Pos/Ppo: $112.63
  • Aetna — Medicare Managed Care Plan: $93.86
  • Bcbs — Anthem Exchange: $388.39
  • Bcbs — Anthem Hmo/Pos/Ppo: $431.55
  • Buckeye Health Plan — Ambetter Exchange: $159.56
  • Caresource — Exchange: $164.26
  • Devoted Health — Medicare Managed Care Plan: $94.80
  • Theramatrix — Other Commercial Plan: $65
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Min $286 $257.40 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Compx 20 Min Rehab $286 $257.40 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $65 – $431.55
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna — Hmo/Pos/Ppo: $112.63
  • Aetna — Medicare Managed Care Plan: $93.86
  • Bcbs — Anthem Exchange: $388.39
  • Bcbs — Anthem Hmo/Pos/Ppo: $431.55
  • Buckeye Health Plan — Ambetter Exchange: $159.56
  • Caresource — Exchange: $164.26
  • Devoted Health — Medicare Managed Care Plan: $94.80
  • Theramatrix — Other Commercial Plan: $65
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Min $308 $277.20 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Compx 30 Min Rehab $308 $277.20 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $65 – $431.55
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna — Hmo/Pos/Ppo: $112.63
  • Aetna — Medicare Managed Care Plan: $93.86
  • Bcbs — Anthem Exchange: $388.39
  • Bcbs — Anthem Hmo/Pos/Ppo: $431.55
  • Buckeye Health Plan — Ambetter Exchange: $159.56
  • Caresource — Exchange: $164.26
  • Devoted Health — Medicare Managed Care Plan: $94.80
  • Theramatrix — Other Commercial Plan: $65
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex 45 Min $329 $296.10 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Compx 45 Min Reha $329 $296.10 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $169.48 – $779.23
Psychotherapy, 30 minutes: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $203.38
  • Aetna — Medicare Managed Care Plan: $169.48
  • Bcbs — Anthem Exchange: $701.31
  • Bcbs — Anthem Hmo/Pos/Ppo: $779.23
  • Buckeye Health Plan — Ambetter Exchange: $288.12
  • Caresource — Exchange: $296.59
  • Devoted Health — Medicare Managed Care Plan: $171.18
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 30 Minutes $186 $167.40 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $169.48 – $779.23
Psychotherapy, 45 minutes: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $203.38
  • Aetna — Medicare Managed Care Plan: $169.48
  • Bcbs — Anthem Exchange: $701.31
  • Bcbs — Anthem Hmo/Pos/Ppo: $779.23
  • Buckeye Health Plan — Ambetter Exchange: $288.12
  • Caresource — Exchange: $296.59
  • Devoted Health — Medicare Managed Care Plan: $171.18
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 45 Minutes $186 $167.40 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $169.48 – $779.23
Psychotherapy, 60 minutes: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $203.38
  • Aetna — Medicare Managed Care Plan: $169.48
  • Bcbs — Anthem Exchange: $701.31
  • Bcbs — Anthem Hmo/Pos/Ppo: $779.23
  • Buckeye Health Plan — Ambetter Exchange: $288.12
  • Caresource — Exchange: $296.59
  • Devoted Health — Medicare Managed Care Plan: $171.18
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 60 Minutes $186 $167.40 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $169.48 – $779.23
Family psychotherapy, without the patient: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $203.38
  • Aetna — Medicare Managed Care Plan: $169.48
  • Bcbs — Anthem Exchange: $701.31
  • Bcbs — Anthem Hmo/Pos/Ppo: $779.23
  • Buckeye Health Plan — Ambetter Exchange: $288.12
  • Caresource — Exchange: $296.59
  • Devoted Health — Medicare Managed Care Plan: $171.18
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx Wo Pt 50 Min $186 $167.40 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $169.48 – $779.23
Family psychotherapy, with the patient: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $203.38
  • Aetna — Medicare Managed Care Plan: $169.48
  • Bcbs — Anthem Exchange: $701.31
  • Bcbs — Anthem Hmo/Pos/Ppo: $779.23
  • Buckeye Health Plan — Ambetter Exchange: $288.12
  • Caresource — Exchange: $296.59
  • Devoted Health — Medicare Managed Care Plan: $171.18
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx Wpt 50 Min $186 $167.40 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $97 – $446
Group psychotherapy: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $116.40
  • Aetna — Medicare Managed Care Plan: $97
  • Bcbs — Anthem Exchange: $401.39
  • Bcbs — Anthem Hmo/Pos/Ppo: $446
  • Buckeye Health Plan — Ambetter Exchange: $164.90
  • Caresource — Exchange: $169.75
  • Devoted Health — Medicare Managed Care Plan: $97.97
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy $104 $93.60 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $3,738.62 – $17,189.40
Removal of breast growth (open surgery): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $4,486.35
  • Aetna — Medicare Managed Care Plan: $3,738.62
  • Bcbs — Anthem Exchange: $15,470.33
  • Bcbs — Anthem Hmo/Pos/Ppo: $17,189.40
  • Buckeye Health Plan — Ambetter Exchange: $6,355.66
  • Caresource — Exchange: $6,542.59
  • Devoted Health — Medicare Managed Care Plan: $3,776.01
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Removal Of Breast Lesion $4,403 $3,962.70 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $12,258.92 – $56,363.92
Total hip replacement: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $14,710.71
  • Aetna — Medicare Managed Care Plan: $12,258.92
  • Bcbs — Anthem Exchange: $50,727.09
  • Bcbs — Anthem Hmo/Pos/Ppo: $56,363.92
  • Buckeye Health Plan — Ambetter Exchange: $20,840.17
  • Caresource — Exchange: $21,453.12
  • Devoted Health — Medicare Managed Care Plan: $12,381.51
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Total Hip Arthroplasty $17,192 $15,472.80 Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $12,258.92 – $56,363.92
Total knee replacement: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $14,710.71
  • Aetna — Medicare Managed Care Plan: $12,258.92
  • Bcbs — Anthem Exchange: $50,727.09
  • Bcbs — Anthem Hmo/Pos/Ppo: $56,363.92
  • Buckeye Health Plan — Ambetter Exchange: $20,840.17
  • Caresource — Exchange: $21,453.12
  • Devoted Health — Medicare Managed Care Plan: $12,381.51
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Total Knee Arthroplasty $17,192 $15,472.80 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Sho Arthrs Srg Decompression $295 $265.50 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,124.25 – $14,364.62
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $3,749.10
  • Aetna — Medicare Managed Care Plan: $3,124.25
  • Bcbs — Anthem Exchange: $12,928.05
  • Bcbs — Anthem Hmo/Pos/Ppo: $14,364.62
  • Buckeye Health Plan — Ambetter Exchange: $5,311.22
  • Caresource — Exchange: $5,467.43
  • Devoted Health — Medicare Managed Care Plan: $3,155.49
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Knee Arthroscopysurgery $3,948 $3,553.20 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $5,652.51 – $25,989.03
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $6,783.01
  • Aetna — Medicare Managed Care Plan: $5,652.51
  • Bcbs — Anthem Exchange: $23,389.92
  • Bcbs — Anthem Hmo/Pos/Ppo: $25,989.03
  • Buckeye Health Plan — Ambetter Exchange: $9,609.26
  • Caresource — Exchange: $9,891.89
  • Devoted Health — Medicare Managed Care Plan: $5,709.03
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: Remove Tonsils And Adenoids $7,092 $6,382.80 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $866.03 – $3,981.81
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,039.23
  • Aetna — Medicare Managed Care Plan: $866.03
  • Bcbs — Anthem Exchange: $3,583.60
  • Bcbs — Anthem Hmo/Pos/Ppo: $3,981.81
  • Buckeye Health Plan — Ambetter Exchange: $1,472.25
  • Caresource — Exchange: $1,515.55
  • Devoted Health — Medicare Managed Care Plan: $874.69
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Egd Diagnostic Brush Wash $1,129 $1,016.10 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $866.03 – $3,981.81
Upper GI endoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,039.23
  • Aetna — Medicare Managed Care Plan: $866.03
  • Bcbs — Anthem Exchange: $3,583.60
  • Bcbs — Anthem Hmo/Pos/Ppo: $3,981.81
  • Buckeye Health Plan — Ambetter Exchange: $1,472.25
  • Caresource — Exchange: $1,515.55
  • Devoted Health — Medicare Managed Care Plan: $874.69
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Egd Biopsy Singlemultiple $1,129 $1,016.10 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $887.96 – $4,082.67
Colonoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,065.56
  • Aetna — Medicare Managed Care Plan: $887.96
  • Bcbs — Anthem Exchange: $3,674.37
  • Bcbs — Anthem Hmo/Pos/Ppo: $4,082.67
  • Buckeye Health Plan — Ambetter Exchange: $1,509.54
  • Caresource — Exchange: $1,553.94
  • Devoted Health — Medicare Managed Care Plan: $896.84
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic Colonoscopy $1,106 $995.40 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,142.60 – $5,253.45
Colonoscopy with biopsy: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,371.13
  • Aetna — Medicare Managed Care Plan: $1,142.60
  • Bcbs — Anthem Exchange: $4,728.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $5,253.45
  • Buckeye Health Plan — Ambetter Exchange: $1,942.43
  • Caresource — Exchange: $1,999.56
  • Devoted Health — Medicare Managed Care Plan: $1,154.03
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy And Biopsy $1,446 $1,301.40 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,142.60 – $5,253.45
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,371.13
  • Aetna — Medicare Managed Care Plan: $1,142.60
  • Bcbs — Anthem Exchange: $4,728.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $5,253.45
  • Buckeye Health Plan — Ambetter Exchange: $1,942.43
  • Caresource — Exchange: $1,999.56
  • Devoted Health — Medicare Managed Care Plan: $1,154.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy Wlesion Removal $1,446 $1,301.40 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,142.60 – $5,253.45
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,371.13
  • Aetna — Medicare Managed Care Plan: $1,142.60
  • Bcbs — Anthem Exchange: $4,728.07
  • Bcbs — Anthem Hmo/Pos/Ppo: $5,253.45
  • Buckeye Health Plan — Ambetter Exchange: $1,942.43
  • Caresource — Exchange: $1,999.56
  • Devoted Health — Medicare Managed Care Plan: $1,154.03
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy Wendoscope Us $1,446 $1,301.40 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $887.96 – $4,082.67
Screening colonoscopy (not high risk): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,065.56
  • Aetna — Medicare Managed Care Plan: $887.96
  • Bcbs — Anthem Exchange: $3,674.37
  • Bcbs — Anthem Hmo/Pos/Ppo: $4,082.67
  • Buckeye Health Plan — Ambetter Exchange: $1,509.54
  • Caresource — Exchange: $1,553.94
  • Devoted Health — Medicare Managed Care Plan: $896.84
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colon Ca Scrn Not Hi Rsk Ind $1,106 $995.40 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $5,772.53 – $26,540.86
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $6,927.03
  • Aetna — Medicare Managed Care Plan: $5,772.53
  • Bcbs — Anthem Exchange: $23,886.57
  • Bcbs — Anthem Hmo/Pos/Ppo: $26,540.86
  • Buckeye Health Plan — Ambetter Exchange: $9,813.30
  • Caresource — Exchange: $10,101.93
  • Devoted Health — Medicare Managed Care Plan: $5,830.25
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparoscopic Cholecystectomy $7,055 $6,349.50 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,418.72 – $15,718.55
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $4,102.46
  • Aetna — Medicare Managed Care Plan: $3,418.72
  • Bcbs — Anthem Exchange: $14,146.57
  • Bcbs — Anthem Hmo/Pos/Ppo: $15,718.55
  • Buckeye Health Plan — Ambetter Exchange: $5,811.82
  • Caresource — Exchange: $5,982.76
  • Devoted Health — Medicare Managed Care Plan: $3,452.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Prp Ihern Init Reduc 5 Yr $4,437 $3,993.30 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy Of Prostate $2,496 $2,246.40 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $10,149.82 – $46,666.72
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $12,179.79
  • Aetna — Medicare Managed Care Plan: $10,149.82
  • Bcbs — Anthem Exchange: $41,999.69
  • Bcbs — Anthem Hmo/Pos/Ppo: $46,666.72
  • Buckeye Health Plan — Ambetter Exchange: $17,254.70
  • Caresource — Exchange: $17,762.19
  • Devoted Health — Medicare Managed Care Plan: $10,251.32
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparo Radical Prostatectomy $12,420 $11,178 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,090.95 – $14,211.51
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $3,709.14
  • Aetna — Medicare Managed Care Plan: $3,090.95
  • Bcbs — Anthem Exchange: $12,790.25
  • Bcbs — Anthem Hmo/Pos/Ppo: $14,211.51
  • Buckeye Health Plan — Ambetter Exchange: $5,254.61
  • Caresource — Exchange: $5,409.16
  • Devoted Health — Medicare Managed Care Plan: $3,121.86
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hysteroscopy Biopsy $3,658 $3,292.20 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $674.01 – $3,098.93
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $808.81
  • Aetna — Medicare Managed Care Plan: $674.01
  • Bcbs — Anthem Exchange: $2,789.02
  • Bcbs — Anthem Hmo/Pos/Ppo: $3,098.93
  • Buckeye Health Plan — Ambetter Exchange: $1,145.81
  • Caresource — Exchange: $1,179.51
  • Devoted Health — Medicare Managed Care Plan: $680.75
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Inj,Epidural Lumbar/Sacr W Si $3,043 $2,738.70 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Cisternogram Injection $3,043 $2,738.70 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $844.53 – $3,882.98
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $1,013.44
  • Aetna — Medicare Managed Care Plan: $844.53
  • Bcbs — Anthem Exchange: $3,494.65
  • Bcbs — Anthem Hmo/Pos/Ppo: $3,882.98
  • Buckeye Health Plan — Ambetter Exchange: $1,435.71
  • Caresource — Exchange: $1,477.93
  • Devoted Health — Medicare Managed Care Plan: $852.98
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbar Nerve Root Inj $2,456 $2,210.40 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbar Epidural Nerve Block $2,456 $2,210.40 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,864.55 – $8,572.78
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — Hmo/Pos/Ppo: $2,237.45
  • Aetna — Medicare Managed Care Plan: $1,864.55
  • Bcbs — Anthem Exchange: $7,715.44
  • Bcbs — Anthem Hmo/Pos/Ppo: $8,572.78
  • Buckeye Health Plan — Ambetter Exchange: $3,169.73
  • Caresource — Exchange: $3,262.95
  • Devoted Health — Medicare Managed Care Plan: $1,883.19
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Carpal Tunnel Surgery $2,448 $2,203.20 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: After Cataract Laser Surgery $702 $631.80 Not listed in the file
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: Xcapsl Ctrc Rmvl Wo Ecp $2,897 $2,607.30 Not listed in the file

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: Obstetrical Care $4,090 $3,681 Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: Cesarean Delivery $4,527 $4,074.30 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Hospital (facility) fee In the file: Vbac Delivery $4,288 $3,859.20 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $67,877.62 – $198,395.18
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $67,877.62
  • Bcbs — Anthem Exchange: $141,028.84
  • Bcbs — Anthem Hmo/Pos/Ppo: $156,700.89
  • Bcbs — Anthem Medicare Managed Care Plan: $67,877.62
  • Buckeye Health Plan — Ambetter Exchange: $115,391.95
  • Caresource — Exchange: $118,785.84
  • Devoted Health — Medicare Managed Care Plan: $68,556.40
  • Humana — Choicecare Medicaid Managed Care Plan: $67,877.62
  • Medical Mutual — Hmo/Pos/Ppo: $198,395.18
  • Medical Mutual — New Business Discount Other Commercial Plan: $158,716.15
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $13,956.25 – $39,118.09
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $13,956.25
  • Bcbs — Anthem Exchange: $27,807.02
  • Bcbs — Anthem Hmo/Pos/Ppo: $30,897.12
  • Bcbs — Anthem Medicare Managed Care Plan: $13,956.25
  • Buckeye Health Plan — Ambetter Exchange: $23,725.62
  • Caresource — Exchange: $24,423.44
  • Devoted Health — Medicare Managed Care Plan: $14,095.81
  • Humana — Choicecare Medicaid Managed Care Plan: $13,956.25
  • Medical Mutual — Hmo/Pos/Ppo: $39,118.09
  • Medical Mutual — New Business Discount Other Commercial Plan: $31,294.47
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $17,474.16 – $49,509.56
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $17,474.16
  • Bcbs — Anthem Exchange: $35,193.78
  • Bcbs — Anthem Hmo/Pos/Ppo: $39,104.74
  • Bcbs — Anthem Medicare Managed Care Plan: $17,474.16
  • Buckeye Health Plan — Ambetter Exchange: $29,706.07
  • Caresource — Exchange: $30,579.78
  • Devoted Health — Medicare Managed Care Plan: $17,648.90
  • Humana — Choicecare Medicaid Managed Care Plan: $17,474.16
  • Medical Mutual — Hmo/Pos/Ppo: $49,509.56
  • Medical Mutual — New Business Discount Other Commercial Plan: $39,607.65
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $9,231.37 – $25,161.40
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $9,231.37
  • Bcbs — Anthem Exchange: $17,885.93
  • Bcbs — Anthem Hmo/Pos/Ppo: $19,873.53
  • Bcbs — Anthem Medicare Managed Care Plan: $9,231.37
  • Buckeye Health Plan — Ambetter Exchange: $15,693.33
  • Caresource — Exchange: $16,154.90
  • Devoted Health — Medicare Managed Care Plan: $9,323.68
  • Humana — Choicecare Medicaid Managed Care Plan: $9,231.37
  • Medical Mutual — Hmo/Pos/Ppo: $25,161.40
  • Medical Mutual — New Business Discount Other Commercial Plan: $20,129.12

Source: Lima Memorial Health System’s standard charges file (limamemorial.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1001 Bellefontaine Avenue, Lima, OH 45804
CountyAllen County
StateOhio
Phone(419) 998‑4731
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number360009
Name in Medicare recordsLIMA MEMORIAL HEALTH SYSTEM
Profile levelMedicare data + hospital website
Official websitelimamemorial.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Emergency Center — limamemorial.org
  2. Neurology & Neurosurgery | Lima Memorial Health System — limamemorial.org
  3. The Vein Center: A Comprehensive Approach to Treating Vein Conditions at Lima Memorial Health System — limamemorial.org
  4. Emergency, Trauma and Critical Care Surgery at Lima Memorial Health System — limamemorial.org
  5. Ear, Nose & Throat (ENT) Care in Lima, Ohio | Lima Memorial Health System — limamemorial.org
  6. Certified Primary Stroke Center at Lima Memorial Health System — limamemorial.org
  7. Trauma Services — limamemorial.org
  8. Colorectal Surgery Using Latest Techniques for Fast Recovery at Lima Memorial Health System — limamemorial.org
  9. Podiatrist‎ Foot and Ankle Doctors, Surgical and Non-Surgical at Lima Memorial Health System — limamemorial.org
  10. General Surgical Procedures Completed by Midwest Surgical Specialists at Lima Memorial Health System — limamemorial.org
  11. Proctology Diagnosis and Treatment at Lima Memorial Health System — limamemorial.org
  12. Urology Treatment for Urinary Tract Issues and Diseases at Lima Memorial Health System — limamemorial.org