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Critical Access Hospital

Livingston Hospital and Healthcare Services, Inc

Salem, Kentucky · Livingston County · Emergency services listed

Summary

Livingston Hospital and Healthcare Services, Inc is a critical access hospital in Salem, Kentucky. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 39 services, specialties and programs. Medicare lists 48 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
39Services listed

Quick answers

Does Livingston Hospital and Healthcare Services, Inc have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Livingston Hospital and Healthcare Services, Inc. In a medical emergency, call 911.
Where is Livingston Hospital and Healthcare Services, Inc?
131 Hospital Drive, Salem, KY 42078, in Livingston County, Kentucky.
What is the phone number of Livingston Hospital and Healthcare Services, Inc?
(270) 988-2299, as listed by Medicare (CMS).
What is the Medicare star rating of Livingston Hospital and Healthcare Services, Inc?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][12][16]

Conditions treated[6]

  • Chest pain
  • Severe abdominal pain
  • Vehicle accident injuries
  • Choking or shortness of breath
  • Seizures
  • Sudden problems with movement or speech
  • Overdoses or poisoning
  • Broken bones or open wounds
  • Severe headaches, vision problems, weakness or dizziness
  • Physical assault injuries
  • Mental health or substance abuse emergencies

Treatments[8][10][17][18][19]

  • CT scan
  • Digital mammography
  • 3D mammography
  • Ultrasound
  • X-ray
  • Heart scan (CT cardiac scoring)
  • Laboratory blood and urine testing

Procedures[12]

Programs and centers[4][5]

  • Family Care Walk-In Clinic
  • Bridge to Home Extended Care
  • New Beginnings Senior Behavioral Health

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Doctors and clinicians (48)

48 doctors and other clinicians list Livingston Hospital and Healthcare Services, Inc 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 (48)

And 24 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Livingston Hospital and Healthcare Services, Inc 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 hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital87%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well91%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean75%National average: 74%
Area around the room “always” quiet at night57%National average: 60%
Completed surveys95Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients14%
Deaths within 30 days: pneumonia patients17.3%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia17.2%
Readmitted within 30 days: COPD19.3%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)106 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)90%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 59 common services exactly as Livingston Hospital and Healthcare Services, Inc 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 →

$ 18 amounts are marked with “!”: they are 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. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 Office/Outpatient Visit - New Patient, Level 3 (30 min) $109.75 $65.85 $60.36 – $87.80
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $60.36
  • Aetna — Medicare HMO: $60.36
  • Anthem — BCBS Traditional: $79.02
  • Anthem — Mediblue Access: $80.05
  • Anthem — Medicare Advantage: $80.05
  • Anthem — Medicare Select: $80.05
  • Anthem — Pathway PPO/HMO: $65.85
  • Anthem — Plan PPO: $71.34
  • Cigna — Commercial: $87.80
  • Cigna — Medicare HMO: $60.36
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: 99203 OFFICE VISIT LEVEL 3 NEW PATIENT WALK IN CLINIC $249.25 $149.55 $137.09 – $211.86
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $211.86
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 OFFICE VISIT LEVEL 3 NEW PATIENT WALK IN CLINIC $249.25 $149.55 $137.09 – $211.86
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $137.09
  • Aetna — Medicare HMO: $137.09
  • Anthem — Mediblue Access: $137.09
  • Anthem — Medicare Advantage: $137.09
  • Anthem — Medicare Select: $137.09
  • Cigna — Commercial: $199.40
  • Cigna — Medicare HMO: $137.09
  • Gateway — Medicare HMO: $137.09
  • Humana — Caresource KY: $137.09
  • Humana — Medicare HMO: $137.09
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 Consultation Comprehensive $218.25 $130.95 $120.04 – $185.51
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $120.04
  • Aetna — Medicare HMO: $120.04
  • Anthem — BCBS Traditional: $157.14
  • Anthem — Mediblue Access: $120.04
  • Anthem — Medicare Advantage: $120.04
  • Anthem — Medicare Select: $120.04
  • Anthem — Pathway PPO/HMO: $130.95
  • Anthem — Plan PPO: $141.86
  • Cigna — Commercial: $174.60
  • Cigna — Medicare HMO: $120.04
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 Office/Outpatient Visit - New Patient, Level 4 (45 min) $178 $106.80 $97.90 – $142.40
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $97.90
  • Aetna — Medicare HMO: $97.90
  • Anthem — BCBS Traditional: $128.16
  • Anthem — Mediblue Access: $130.84
  • Anthem — Medicare Advantage: $130.84
  • Anthem — Medicare Select: $130.84
  • Anthem — Pathway PPO/HMO: $106.80
  • Anthem — Plan PPO: $115.70
  • Cigna — Commercial: $142.40
  • Cigna — Medicare HMO: $97.90
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: 99204 OFFICE VISIT LEVEL 4 NEW PATIENT WALK IN CLINIC $315.50 $189.30 $173.53 – $268.18
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $268.18
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 Office/Outpatient Visit - New Patient, Level 5 (60 min) $241.50 $144.90 $132.83 – $193.20
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $132.83
  • Aetna — Medicare HMO: $132.83
  • Anthem — BCBS Traditional: $173.88
  • Anthem — Mediblue Access: $179.19
  • Anthem — Medicare Advantage: $179.19
  • Anthem — Medicare Select: $179.19
  • Anthem — Pathway PPO/HMO: $144.90
  • Anthem — Plan PPO: $156.98
  • Cigna — Commercial: $232
  • Cigna — Medicare HMO: $132.83
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: 99205 OFFICE VISIT LEVEL 5 NEW PATIENT WALK IN CLINIC $437 $262.20 $240.35 – $371.45
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $371.45
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 OFFICE VISIT LEVEL 5 NEW PATIENT WALK IN CLINIC $437 $262.20 $240.35 – $371.45
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $240.35
  • Aetna — Medicare HMO: $240.35
  • Anthem — Mediblue Access: $240.35
  • Anthem — Medicare Advantage: $240.35
  • Anthem — Medicare Select: $240.35
  • Cigna — Commercial: $349.60
  • Cigna — Medicare HMO: $240.35
  • Gateway — Medicare HMO: $240.35
  • Humana — Caresource KY: $240.35
  • Humana — Medicare HMO: $240.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 Office/Outpatient Visit - Established Patient, Level 3 (15 min) $102.50 $61.50 $56.38 – $87.13
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $56.38
  • Aetna — Medicare HMO: $56.38
  • Anthem — BCBS Traditional: $73.80
  • Anthem — Mediblue Access: $56.38
  • Anthem — Medicare Advantage: $56.38
  • Anthem — Medicare Select: $56.38
  • Anthem — Pathway PPO/HMO: $61.50
  • Anthem — Plan PPO: $66.63
  • Cigna — Commercial: $82
  • Cigna — Medicare HMO: $56.38
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: COVID-19 Related $99.50 $59.70 $54.73 – $79.60
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $54.73
  • Aetna — Medicare HMO: $54.73
  • Anthem — BCBS Traditional: $71.64
  • Anthem — Mediblue Access: $54.73
  • Anthem — Medicare Advantage: $54.73
  • Anthem — Medicare Select: $54.73
  • Anthem — Pathway PPO/HMO: $59.70
  • Anthem — Plan PPO: $64.68
  • Cigna — Commercial: $79.60
  • Cigna — Medicare HMO: $54.73
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 Expanded Problem Office Visit $88 $52.80 $48.40 – $70.40
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $48.40
  • Aetna — Medicare HMO: $48.40
  • Anthem — BCBS Traditional: $63.36
  • Anthem — Mediblue Access: $64.37
  • Anthem — Medicare Advantage: $64.37
  • Anthem — Medicare Select: $64.37
  • Anthem — Pathway PPO/HMO: $52.80
  • Anthem — Plan PPO: $57.20
  • Cigna — Commercial: $70.40
  • Cigna — Medicare HMO: $48.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 Office/Outpatient Visit - Established Patient, Level 4 (25 min) $130 $78 $71.50 – $104
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $71.50
  • Aetna — Medicare HMO: $71.50
  • Anthem — BCBS Traditional: $93.60
  • Anthem — Mediblue Access: $94.71
  • Anthem — Medicare Advantage: $94.71
  • Anthem — Medicare Select: $94.71
  • Anthem — Pathway PPO/HMO: $78
  • Anthem — Plan PPO: $84.50
  • Cigna — Commercial: $101
  • Cigna — Medicare HMO: $71.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 Detailed Problem Office Visit $126.25 $75.75 $69.44 – $101
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $69.44
  • Aetna — Medicare HMO: $69.44
  • Anthem — BCBS Traditional: $90.90
  • Anthem — Mediblue Access: $94.71
  • Anthem — Medicare Advantage: $94.71
  • Anthem — Medicare Select: $94.71
  • Anthem — Pathway PPO/HMO: $75.75
  • Anthem — Plan PPO: $82.06
  • Cigna — Commercial: $101
  • Cigna — Medicare HMO: $69.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: 99214 OFFICE VISIT LEVEL 4 ESTABLISHED PATIENT WALK IN CLINIC $176.50 $105.90 $97.08 – $150.03
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $150.03
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: 99243 Office Consultation, Level 3 $118.25 $70.95 $65.04 – $94.60
Office consultation with a specialist (moderate): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $65.04
  • Aetna — Medicare HMO: $65.04
  • Anthem — BCBS Traditional: $85.14
  • Anthem — Mediblue Access: $65.04
  • Anthem — Medicare Advantage: $65.04
  • Anthem — Medicare Select: $65.04
  • Anthem — Pathway PPO/HMO: $70.95
  • Anthem — Plan PPO: $76.86
  • Cigna — Commercial: $94.60
  • Cigna — Medicare HMO: $65.04
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: 99244 Office Consultation, Level 4 $180.50 $108.30 $99.28 – $144.40
Office consultation with a specialist (moderate to high): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $99.28
  • Aetna — Medicare HMO: $99.28
  • Anthem — BCBS Traditional: $129.96
  • Anthem — Mediblue Access: $99.28
  • Anthem — Medicare Advantage: $99.28
  • Anthem — Medicare Select: $99.28
  • Anthem — Pathway PPO/HMO: $108.30
  • Anthem — Plan PPO: $117.33
  • Cigna — Commercial: $144.40
  • Cigna — Medicare HMO: $99.28
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: 99385 Preventive Evaluation, New Pt; 18-39 Yrs $263.25 $157.95 $144.79 – $210.60
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $144.79
  • Aetna — Medicare HMO: $144.79
  • Anthem — BCBS Traditional: $189.54
  • Anthem — Mediblue Access: $144.79
  • Anthem — Medicare Advantage: $144.79
  • Anthem — Medicare Select: $144.79
  • Anthem — Pathway PPO/HMO: $157.95
  • Anthem — Plan PPO: $171.11
  • Cigna — Commercial: $210.60
  • Cigna — Medicare HMO: $144.79
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: 99386 Preventive Evaluation, New Pt; 40-64 Yrs $294.75 $176.85 $162.11 – $235.80
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $162.11
  • Aetna — Medicare HMO: $162.11
  • Anthem — BCBS Traditional: $212.22
  • Anthem — Mediblue Access: $162.11
  • Anthem — Medicare Advantage: $162.11
  • Anthem — Medicare Select: $162.11
  • Anthem — Pathway PPO/HMO: $176.85
  • Anthem — Plan PPO: $191.59
  • Cigna — Commercial: $235.80
  • Cigna — Medicare HMO: $162.11
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: 99386 Preventive Evaluation new Pt; 40-64 Yrs $294.75 $176.85 $162.11 – $235.80
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $162.11
  • Aetna — Medicare HMO: $162.11
  • Anthem — BCBS Traditional: $212.22
  • Anthem — Mediblue Access: $162.11
  • Anthem — Medicare Advantage: $162.11
  • Anthem — Medicare Select: $162.11
  • Anthem — Pathway PPO/HMO: $176.85
  • Anthem — Plan PPO: $191.59
  • Cigna — Commercial: $235.80
  • Cigna — Medicare HMO: $162.11
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - Level 3 $558.25 $334.95 $307.04 – $474.51
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $307.04
  • Aetna — Medicare HMO: $307.04
  • Anthem — Mediblue Access: $307.04
  • Anthem — Medicare Advantage: $307.04
  • Anthem — Medicare Select: $307.04
  • Cigna — Commercial: $446.60
  • Cigna — Medicare HMO: $307.04
  • Gateway — Medicare HMO: $307.04
  • Humana — Caresource KY: $307.04
  • Humana — Medicare HMO: $307.04
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: 99283 - Level 3 $558.25 $334.95 $307.04 – $474.51
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $474.51
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 - Level 3 $558.25 $334.95 $307.04 – $474.51
Emergency room visit (moderate): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $401.94
  • Anthem — Pathway PPO/HMO: $334.95
  • Anthem — Plan PPO: $362.86
  • UHC — Commercial: $362.86
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 Emergency Department Visit, Level 4 $325.75 $195.45 $179.16 – $260.60
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $179.16
  • Aetna — Medicare HMO: $179.16
  • Anthem — BCBS Traditional: $234.54
  • Anthem — Mediblue Access: $132.92
  • Anthem — Medicare Advantage: $132.92
  • Anthem — Medicare Select: $132.92
  • Anthem — Pathway PPO/HMO: $195.45
  • Anthem — Plan PPO: $211.74
  • Cigna — Commercial: $260.60
  • Cigna — Medicare HMO: $179.16
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - Level 4 $869.75 $521.85 $478.36 – $739.29
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $478.36
  • Aetna — Medicare HMO: $478.36
  • Anthem — Mediblue Access: $478.36
  • Anthem — Medicare Advantage: $478.36
  • Anthem — Medicare Select: $478.36
  • Cigna — Commercial: $695.80
  • Cigna — Medicare HMO: $478.36
  • Gateway — Medicare HMO: $478.36
  • Humana — Caresource KY: $478.36
  • Humana — Medicare HMO: $478.36
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: 99284 - Level 4 $869.75 $521.85 $478.36 – $739.29
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $739.29
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - Level 5 $1,484 $890.40 $816.20 – $1,261.40
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $816.20
  • Aetna — Medicare HMO: $816.20
  • Anthem — Mediblue Access: $816.20
  • Anthem — Medicare Advantage: $816.20
  • Anthem — Medicare Select: $816.20
  • Cigna — Commercial: $1,187.20
  • Cigna — Medicare HMO: $816.20
  • Gateway — Medicare HMO: $816.20
  • Humana — Caresource KY: $816.20
  • Humana — Medicare HMO: $816.20
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: 99285 - Level 5 $1,484 $890.40 $816.20 – $1,261.40
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,261.40
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 - Level 5 $1,484 $890.40 $816.20 – $1,261.40
Emergency room visit (high): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $1,068.48
  • Anthem — Pathway PPO/HMO: $890.40
  • Anthem — Plan PPO: $964.60
  • UHC — Commercial: $964.60

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Basic Metabolic Panel $182.25 $109.35 $5.69 – $154.91
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $154.91
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel $182.25 $109.35 $5.69 – $154.91
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $100.24
  • Aetna — Medicare HMO: $100.24
  • Anthem — Mediblue Access: $5.69
  • Anthem — Medicare Advantage: $5.69
  • Anthem — Medicare Select: $5.69
  • Cigna — Commercial: $145.80
  • Cigna — Medicare HMO: $100.24
  • Gateway — Medicare HMO: $100.24
  • Humana — Caresource KY: $100.24
  • Humana — Medicare HMO: $100.24
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel $182.25 $109.35 $5.69 – $154.91
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $5.69
  • Anthem — Pathway PPO/HMO: $5.69
  • Anthem — Plan PPO: $5.69
  • UHC — Commercial: $118.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: CMP $196.25 $117.75 $7.15 – $166.81
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $166.81
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CMP $196.25 $117.75 $7.15 – $166.81
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $107.94
  • Aetna — Medicare HMO: $107.94
  • Anthem — Mediblue Access: $7.15
  • Anthem — Medicare Advantage: $7.15
  • Anthem — Medicare Select: $7.15
  • Cigna — Commercial: $157
  • Cigna — Medicare HMO: $107.94
  • Gateway — Medicare HMO: $107.94
  • Humana — Caresource KY: $107.94
  • Humana — Medicare HMO: $107.94
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP $196.25 $117.75 $7.15 – $166.81
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $7.15
  • Anthem — Pathway PPO/HMO: $7.15
  • Anthem — Plan PPO: $7.15
  • UHC — Commercial: $127.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Lipid Panel $217.50 $130.50 $9.68 – $184.88
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $184.88
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Lipid Panel LC $217.50 $130.50 $9.68 – $184.88
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $184.88
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Lipid Panel With LDL/HDL Ratio LC T235010 $217.50 $130.50 $9.68 – $184.88
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $184.88
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Renal Pnl $147 $88.20 $5.69 – $124.95
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $124.95
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Pnl $147 $88.20 $5.69 – $124.95
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $80.85
  • Aetna — Medicare HMO: $80.85
  • Anthem — Mediblue Access: $5.69
  • Anthem — Medicare Advantage: $5.69
  • Anthem — Medicare Select: $5.69
  • Cigna — Commercial: $117.60
  • Cigna — Medicare HMO: $80.85
  • Gateway — Medicare HMO: $80.85
  • Humana — Caresource KY: $80.85
  • Humana — Medicare HMO: $80.85
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Pnl $147 $88.20 $5.69 – $124.95
Kidney function panel: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $5.69
  • Anthem — Pathway PPO/HMO: $5.69
  • Anthem — Plan PPO: $5.69
  • UHC — Commercial: $95.55
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Hep Fnct Pnl $151 $90.60 $5.69 – $128.35
Liver function panel: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $128.35
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hep Fnct Pnl $151 $90.60 $5.69 – $128.35
Liver function panel: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $83.05
  • Aetna — Medicare HMO: $83.05
  • Anthem — Mediblue Access: $5.69
  • Anthem — Medicare Advantage: $5.69
  • Anthem — Medicare Select: $5.69
  • Cigna — Commercial: $120.80
  • Cigna — Medicare HMO: $83.05
  • Gateway — Medicare HMO: $83.05
  • Humana — Caresource KY: $83.05
  • Humana — Medicare HMO: $83.05
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hep Fnct Pnl $151 $90.60 $5.69 – $128.35
Liver function panel: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $5.69
  • Anthem — Pathway PPO/HMO: $5.69
  • Anthem — Plan PPO: $5.69
  • UHC — Commercial: $98.15
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Urinalysis with Microscopic $98.25 $58.95 $2.69 – $83.51
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $83.51
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis with Microscopic $98.25 $58.95 $2.69 – $83.51
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $54.04
  • Aetna — Medicare HMO: $54.04
  • Anthem — Mediblue Access: $2.69
  • Anthem — Medicare Advantage: $2.69
  • Anthem — Medicare Select: $2.69
  • Cigna — Commercial: $78.60
  • Cigna — Medicare HMO: $54.04
  • Gateway — Medicare HMO: $54.04
  • Humana — Caresource KY: $54.04
  • Humana — Medicare HMO: $54.04
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis with Microscopic $98.25 $58.95 $2.69 – $83.51
Urine test (automated, with microscope): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $2.69
  • Anthem — Pathway PPO/HMO: $2.69
  • Anthem — Plan PPO: $2.69
  • UHC — Commercial: $63.86
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urine Dipstick POC $28.25 $16.95 $2.05 – $22.60
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $15.54
  • Aetna — Medicare HMO: $15.54
  • Anthem — BCBS Traditional: $2.05
  • Anthem — Mediblue Access: $2.05
  • Anthem — Medicare Advantage: $2.05
  • Anthem — Medicare Select: $2.05
  • Anthem — Pathway PPO/HMO: $2.05
  • Anthem — Plan PPO: $2.05
  • Cigna — Commercial: $22.60
  • Cigna — Medicare HMO: $15.54
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: Urinalysis Dipstick POCT $29 $17.40 $2.05 – $24.65
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Mediblue Access: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Medicare Advantage: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Medicare Select: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Commercial: $24.65
  • Cigna — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Gateway — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Humana — Caresource KY: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Humana — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP TechFee $29 $17.40 $2.05 – $24.65
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Mediblue Access: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Medicare Advantage: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem — Medicare Select: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Commercial: $24.65
  • Cigna — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Gateway — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Humana — Caresource KY: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Humana — Medicare HMO: $2,419.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Urinalysis Complete with Culture if Indicated $64.50 $38.70 $1.91 – $54.83
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $54.83
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Urinalysis With Micro if Indicated and Culture if Indicated $64.50 $38.70 $1.91 – $54.83
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $54.83
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Complete with Culture if Indicated $64.50 $38.70 $1.91 – $54.83
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $35.48
  • Aetna — Medicare HMO: $35.48
  • Anthem — Mediblue Access: $1.91
  • Anthem — Medicare Advantage: $1.91
  • Anthem — Medicare Select: $1.91
  • Cigna — Commercial: $51.60
  • Cigna — Medicare HMO: $35.48
  • Gateway — Medicare HMO: $35.48
  • Humana — Caresource KY: $35.48
  • Humana — Medicare HMO: $35.48
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: % Free PSA LC $135.50 $81.30 $15.64 – $115.18
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $115.18
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA Total (Reflex To Free) LC $135.50 $81.30 $15.64 – $115.18
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $115.18
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: % Free PSA LC $135.50 $81.30 $15.64 – $115.18
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $74.53
  • Aetna — Medicare HMO: $74.53
  • Anthem — Mediblue Access: $15.64
  • Anthem — Medicare Advantage: $15.64
  • Anthem — Medicare Select: $15.64
  • Cigna — Commercial: $108.40
  • Cigna — Medicare HMO: $74.53
  • Gateway — Medicare HMO: $74.53
  • Humana — Caresource KY: $74.53
  • Humana — Medicare HMO: $74.53
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH $169.50 $101.70 $14.28 – $144.08
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $144.08
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH LC $169.50 $101.70 $14.28 – $144.08
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $144.08
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: Thyroid Cascade Profile LC $13 $7.80 $7.15 – $14.28
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $11.05
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC w/ Differential $98.25 $58.95 $6.61 – $83.51
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $83.51
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC w/ Differential $98.25 $58.95 $6.61 – $83.51
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $54.04
  • Aetna — Medicare HMO: $54.04
  • Anthem — Mediblue Access: $6.61
  • Anthem — Medicare Advantage: $6.61
  • Anthem — Medicare Select: $6.61
  • Cigna — Commercial: $78.60
  • Cigna — Medicare HMO: $54.04
  • Gateway — Medicare HMO: $54.04
  • Humana — Caresource KY: $54.04
  • Humana — Medicare HMO: $54.04
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Differential $98.25 $58.95 $6.61 – $83.51
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $6.61
  • Anthem — Pathway PPO/HMO: $6.61
  • Anthem — Plan PPO: $6.61
  • UHC — Commercial: $63.86
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC without Differential $92.50 $55.50 $5.50 – $78.63
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $78.63
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC w/ Manual Differential $92.50 $55.50 $5.50 – $78.63
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $78.63
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC without Differential $92.50 $55.50 $5.50 – $78.63
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $50.88
  • Aetna — Medicare HMO: $50.88
  • Anthem — Mediblue Access: $5.50
  • Anthem — Medicare Advantage: $5.50
  • Anthem — Medicare Select: $5.50
  • Cigna — Commercial: $74
  • Cigna — Medicare HMO: $50.88
  • Gateway — Medicare HMO: $50.88
  • Humana — Caresource KY: $50.88
  • Humana — Medicare HMO: $50.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PT/INR POC $52.75 $31.65 $3.34 – $42.20
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $29.01
  • Aetna — Medicare HMO: $29.01
  • Anthem — BCBS Traditional: $3.34
  • Anthem — Mediblue Access: $3.34
  • Anthem — Medicare Advantage: $3.34
  • Anthem — Medicare Select: $3.34
  • Anthem — Pathway PPO/HMO: $3.34
  • Anthem — Plan PPO: $3.34
  • Cigna — Commercial: $42.20
  • Cigna — Medicare HMO: $29.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: Prothrombin Time and INR $54.25 $32.55 $3.34 – $46.11
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $46.11
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time and INR $54.25 $32.55 $3.34 – $46.11
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $29.84
  • Aetna — Medicare HMO: $29.84
  • Anthem — Mediblue Access: $3.34
  • Anthem — Medicare Advantage: $3.34
  • Anthem — Medicare Select: $3.34
  • Cigna — Commercial: $43.40
  • Cigna — Medicare HMO: $29.84
  • Gateway — Medicare HMO: $29.84
  • Humana — Caresource KY: $29.84
  • Humana — Medicare HMO: $29.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: Partial Thromboplastin Time $123 $73.80 $5.10 – $104.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $104.55
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Partial Thromboplastin Time $123 $73.80 $5.10 – $104.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $67.65
  • Aetna — Medicare HMO: $67.65
  • Anthem — Mediblue Access: $5.10
  • Anthem — Medicare Advantage: $5.10
  • Anthem — Medicare Select: $5.10
  • Cigna — Commercial: $98.40
  • Cigna — Medicare HMO: $67.65
  • Gateway — Medicare HMO: $67.65
  • Humana — Caresource KY: $67.65
  • Humana — Medicare HMO: $67.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin Time $123 $73.80 $5.10 – $104.55
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $5.10
  • Anthem — Pathway PPO/HMO: $5.10
  • Anthem — Plan PPO: $5.10
  • UHC — Commercial: $79.95

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) In the file: CT Head w/o Contrast $1,500 $900 $452 – $1,275
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $825
  • Aetna — Medicare HMO: $825
  • Anthem — Mediblue Access: $825
  • Anthem — Medicare Advantage: $825
  • Anthem — Medicare Select: $825
  • Cigna — Commercial: $1,200
  • Cigna — Medicare HMO: $825
  • Gateway — Medicare HMO: $825
  • Humana — Caresource KY: $825
  • Humana — Medicare HMO: $825
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT Head w/o Contrast $1,500 $900 $452 – $1,275
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,275
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head w/o Contrast $1,500 $900 $452 – $1,275
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $552
  • Anthem — Pathway PPO/HMO: $452
  • Anthem — Plan PPO: $491
  • UHC — Commercial: $975
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain w/ + w/o Contrast $4,391.75 $2,635.05 $565 – $3,732.99
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,415.46
  • Aetna — Medicare HMO: $2,415.46
  • Anthem — Mediblue Access: $2,415.46
  • Anthem — Medicare Advantage: $2,415.46
  • Anthem — Medicare Select: $2,415.46
  • Cigna — Commercial: $3,513.40
  • Cigna — Medicare HMO: $2,415.46
  • Gateway — Medicare HMO: $2,415.46
  • Humana — Caresource KY: $2,415.46
  • Humana — Medicare HMO: $2,415.46
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI Brain w/ + w/o Contrast $4,391.75 $2,635.05 $565 – $3,732.99
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $3,732.99
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain w/ + w/o Contrast $4,391.75 $2,635.05 $565 – $3,732.99
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $705
  • Anthem — Pathway PPO/HMO: $565
  • Anthem — Plan PPO: $614
  • UHC — Commercial: $2,854.64
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR Chest 2 Views $244.25 $146.55 $134.34 – $207.61
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $134.34
  • Aetna — Medicare HMO: $134.34
  • Anthem — Mediblue Access: $134.34
  • Anthem — Medicare Advantage: $134.34
  • Anthem — Medicare Select: $134.34
  • Cigna — Commercial: $195.40
  • Cigna — Medicare HMO: $134.34
  • Gateway — Medicare HMO: $134.34
  • Humana — Caresource KY: $134.34
  • Humana — Medicare HMO: $134.34
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR Chest 2 Views $244.25 $146.55 $134.34 – $207.61
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $207.61
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views $244.25 $146.55 $134.34 – $207.61
Chest X-ray, 2 views: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $175.86
  • Anthem — Pathway PPO/HMO: $146.55
  • Anthem — Plan PPO: $158.76
  • UHC — Commercial: $158.76
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR Spine Lumbosacral 4+ Views $191.25 $114.75 $105.19 – $162.56
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $105.19
  • Aetna — Medicare HMO: $105.19
  • Anthem — Mediblue Access: $105.19
  • Anthem — Medicare Advantage: $105.19
  • Anthem — Medicare Select: $105.19
  • Cigna — Commercial: $153
  • Cigna — Medicare HMO: $105.19
  • Gateway — Medicare HMO: $105.19
  • Humana — Caresource KY: $105.19
  • Humana — Medicare HMO: $105.19
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR Spine Lumbosacral 4+ Views $191.25 $114.75 $105.19 – $162.56
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $162.56
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral 4+ Views $191.25 $114.75 $105.19 – $162.56
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $137.70
  • Anthem — Pathway PPO/HMO: $114.75
  • Anthem — Plan PPO: $124.31
  • UHC — Commercial: $124.31
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumbar w/o Contrast $2,434.75 $1,460.85 $565 – $2,069.54
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,339.11
  • Aetna — Medicare HMO: $1,339.11
  • Anthem — Mediblue Access: $1,339.11
  • Anthem — Medicare Advantage: $1,339.11
  • Anthem — Medicare Select: $1,339.11
  • Cigna — Commercial: $1,947.80
  • Cigna — Medicare HMO: $1,339.11
  • Gateway — Medicare HMO: $1,339.11
  • Humana — Caresource KY: $1,339.11
  • Humana — Medicare HMO: $1,339.11
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI Spine Lumbar w/o Contrast $2,434.75 $1,460.85 $565 – $2,069.54
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $2,069.54
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar w/o Contrast $2,434.75 $1,460.85 $565 – $2,069.54
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $705
  • Anthem — Pathway PPO/HMO: $565
  • Anthem — Plan PPO: $614
  • UHC — Commercial: $1,582.59
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis w/ Contrast $1,310.50 $786.30 $452 – $1,113.93
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $720.78
  • Aetna — Medicare HMO: $720.78
  • Anthem — Mediblue Access: $720.78
  • Anthem — Medicare Advantage: $720.78
  • Anthem — Medicare Select: $720.78
  • Cigna — Commercial: $1,048.40
  • Cigna — Medicare HMO: $720.78
  • Gateway — Medicare HMO: $720.78
  • Humana — Caresource KY: $720.78
  • Humana — Medicare HMO: $720.78
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT Pelvis w/ Contrast $1,310.50 $786.30 $452 – $1,113.93
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,113.93
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w/ Contrast $1,310.50 $786.30 $452 – $1,113.93
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $552
  • Anthem — Pathway PPO/HMO: $452
  • Anthem — Plan PPO: $491
  • UHC — Commercial: $851.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Ankle w/o Contrast Left $2,434.75 $1,460.85 $565 – $2,069.54
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,339.11
  • Aetna — Medicare HMO: $1,339.11
  • Anthem — Mediblue Access: $1,339.11
  • Anthem — Medicare Advantage: $1,339.11
  • Anthem — Medicare Select: $1,339.11
  • Cigna — Commercial: $1,947.80
  • Cigna — Medicare HMO: $1,339.11
  • Gateway — Medicare HMO: $1,339.11
  • Humana — Caresource KY: $1,339.11
  • Humana — Medicare HMO: $1,339.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Ankle w/o Contrast Right $2,434.75 $1,460.85 $565 – $2,069.54
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,339.11
  • Aetna — Medicare HMO: $1,339.11
  • Anthem — Mediblue Access: $1,339.11
  • Anthem — Medicare Advantage: $1,339.11
  • Anthem — Medicare Select: $1,339.11
  • Cigna — Commercial: $1,947.80
  • Cigna — Medicare HMO: $1,339.11
  • Gateway — Medicare HMO: $1,339.11
  • Humana — Caresource KY: $1,339.11
  • Humana — Medicare HMO: $1,339.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Hip w/o Contrast Left $2,434.75 $1,460.85 $565 – $2,069.54
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,339.11
  • Aetna — Medicare HMO: $1,339.11
  • Anthem — Mediblue Access: $1,339.11
  • Anthem — Medicare Advantage: $1,339.11
  • Anthem — Medicare Select: $1,339.11
  • Cigna — Commercial: $1,947.80
  • Cigna — Medicare HMO: $1,339.11
  • Gateway — Medicare HMO: $1,339.11
  • Humana — Caresource KY: $1,339.11
  • Humana — Medicare HMO: $1,339.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abdomen and Pelvis w/ Contrast $3,057.50 $1,834.50 $452 – $2,598.88
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,681.63
  • Aetna — Medicare HMO: $1,681.63
  • Anthem — Mediblue Access: $1,681.63
  • Anthem — Medicare Advantage: $1,681.63
  • Anthem — Medicare Select: $1,681.63
  • Cigna — Commercial: $2,446
  • Cigna — Medicare HMO: $1,681.63
  • Gateway — Medicare HMO: $1,681.63
  • Humana — Caresource KY: $1,681.63
  • Humana — Medicare HMO: $1,681.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT Abdomen and Pelvis w/ Contrast $3,057.50 $1,834.50 $452 – $2,598.88
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $2,598.88
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen and Pelvis w/ Contrast $3,057.50 $1,834.50 $452 – $2,598.88
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $552
  • Anthem — Pathway PPO/HMO: $452
  • Anthem — Plan PPO: $491
  • UHC — Commercial: $1,987.38
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Complete $1,115.25 $669.15 $613.39 – $947.96
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $613.39
  • Aetna — Medicare HMO: $613.39
  • Anthem — Mediblue Access: $613.39
  • Anthem — Medicare Advantage: $613.39
  • Anthem — Medicare Select: $613.39
  • Cigna — Commercial: $892.20
  • Cigna — Medicare HMO: $613.39
  • Gateway — Medicare HMO: $613.39
  • Humana — Caresource KY: $613.39
  • Humana — Medicare HMO: $613.39
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Gallbladder/Pancreas/Spleen $952 $571.20 $523.60 – $809.20
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $523.60
  • Aetna — Medicare HMO: $523.60
  • Anthem — Mediblue Access: $523.60
  • Anthem — Medicare Advantage: $523.60
  • Anthem — Medicare Select: $523.60
  • Cigna — Commercial: $761.60
  • Cigna — Medicare HMO: $523.60
  • Gateway — Medicare HMO: $523.60
  • Humana — Caresource KY: $523.60
  • Humana — Medicare HMO: $523.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US Abdomen Complete $1,115.25 $669.15 $613.39 – $947.96
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $947.96
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB Greater Than 14 Weeks $496.50 $297.90 $273.08 – $422.03
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $273.08
  • Aetna — Medicare HMO: $273.08
  • Anthem — Mediblue Access: $273.08
  • Anthem — Medicare Advantage: $273.08
  • Anthem — Medicare Select: $273.08
  • Cigna — Commercial: $397.20
  • Cigna — Medicare HMO: $273.08
  • Gateway — Medicare HMO: $273.08
  • Humana — Caresource KY: $273.08
  • Humana — Medicare HMO: $273.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US OB Greater Than 14 Weeks $496.50 $297.90 $273.08 – $422.03
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $422.03
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB Greater Than 14 Weeks $496.50 $297.90 $273.08 – $422.03
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $357.48
  • Anthem — Pathway PPO/HMO: $297.90
  • Anthem — Plan PPO: $322.73
  • UHC — Commercial: $322.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal Non-OB $753.25 $451.95 $414.29 – $640.26
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $414.29
  • Aetna — Medicare HMO: $414.29
  • Anthem — Mediblue Access: $414.29
  • Anthem — Medicare Advantage: $414.29
  • Anthem — Medicare Select: $414.29
  • Cigna — Commercial: $602.60
  • Cigna — Medicare HMO: $414.29
  • Gateway — Medicare HMO: $414.29
  • Humana — Caresource KY: $414.29
  • Humana — Medicare HMO: $414.29
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US Transvaginal Non-OB $753.25 $451.95 $414.29 – $640.26
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $640.26
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non-OB $753.25 $451.95 $414.29 – $640.26
Transvaginal ultrasound: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $542.34
  • Anthem — Pathway PPO/HMO: $451.95
  • Anthem — Plan PPO: $489.61
  • UHC — Commercial: $489.61
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MG Mammo Diagnostic Left w/ Tomo. $433.25 $259.95 $238.29 – $368.26
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $238.29
  • Aetna — Medicare HMO: $238.29
  • Anthem — Mediblue Access: $238.29
  • Anthem — Medicare Advantage: $238.29
  • Anthem — Medicare Select: $238.29
  • Cigna — Commercial: $346.60
  • Cigna — Medicare HMO: $238.29
  • Gateway — Medicare HMO: $238.29
  • Humana — Caresource KY: $238.29
  • Humana — Medicare HMO: $238.29
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MG Mammo Diagnostic Right w/ Tomo. $433.25 $259.95 $238.29 – $368.26
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $238.29
  • Aetna — Medicare HMO: $238.29
  • Anthem — Mediblue Access: $238.29
  • Anthem — Medicare Advantage: $238.29
  • Anthem — Medicare Select: $238.29
  • Cigna — Commercial: $346.60
  • Cigna — Medicare HMO: $238.29
  • Gateway — Medicare HMO: $238.29
  • Humana — Caresource KY: $238.29
  • Humana — Medicare HMO: $238.29
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MG Mammo Digital Diagnostic Left. $433.25 $259.95 $238.29 – $368.26
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $238.29
  • Aetna — Medicare HMO: $238.29
  • Anthem — Mediblue Access: $238.29
  • Anthem — Medicare Advantage: $238.29
  • Anthem — Medicare Select: $238.29
  • Cigna — Commercial: $346.60
  • Cigna — Medicare HMO: $238.29
  • Gateway — Medicare HMO: $238.29
  • Humana — Caresource KY: $238.29
  • Humana — Medicare HMO: $238.29
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MG Mammo Diagnostic Bilateral w/ Tomo. $444.50 $266.70 $244.48 – $377.83
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $244.48
  • Aetna — Medicare HMO: $244.48
  • Anthem — Mediblue Access: $244.48
  • Anthem — Medicare Advantage: $244.48
  • Anthem — Medicare Select: $244.48
  • Cigna — Commercial: $355.60
  • Cigna — Medicare HMO: $244.48
  • Gateway — Medicare HMO: $244.48
  • Humana — Caresource KY: $244.48
  • Humana — Medicare HMO: $244.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MG Mammo Digital Diagnostic Bilat. $444.50 $266.70 $244.48 – $377.83
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $244.48
  • Aetna — Medicare HMO: $244.48
  • Anthem — Mediblue Access: $244.48
  • Anthem — Medicare Advantage: $244.48
  • Anthem — Medicare Select: $244.48
  • Cigna — Commercial: $355.60
  • Cigna — Medicare HMO: $244.48
  • Gateway — Medicare HMO: $244.48
  • Humana — Caresource KY: $244.48
  • Humana — Medicare HMO: $244.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MG Mammo Implant Diag Bilateral w/ Tomo. $444.50 $266.70 $244.48 – $377.83
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $244.48
  • Aetna — Medicare HMO: $244.48
  • Anthem — Mediblue Access: $244.48
  • Anthem — Medicare Advantage: $244.48
  • Anthem — Medicare Select: $244.48
  • Cigna — Commercial: $355.60
  • Cigna — Medicare HMO: $244.48
  • Gateway — Medicare HMO: $244.48
  • Humana — Caresource KY: $244.48
  • Humana — Medicare HMO: $244.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MG Mammo Digital Screening Bilateral. $444.50 $266.70 $244.48 – $377.83
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $244.48
  • Aetna — Medicare HMO: $244.48
  • Anthem — Mediblue Access: $244.48
  • Anthem — Medicare Advantage: $244.48
  • Anthem — Medicare Select: $244.48
  • Cigna — Commercial: $355.60
  • Cigna — Medicare HMO: $244.48
  • Gateway — Medicare HMO: $244.48
  • Humana — Caresource KY: $244.48
  • Humana — Medicare HMO: $244.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MG Mammo Implant Screening Bil w/ Tomo. $444.50 $266.70 $244.48 – $377.83
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $244.48
  • Aetna — Medicare HMO: $244.48
  • Anthem — Mediblue Access: $244.48
  • Anthem — Medicare Advantage: $244.48
  • Anthem — Medicare Select: $244.48
  • Cigna — Commercial: $355.60
  • Cigna — Medicare HMO: $244.48
  • Gateway — Medicare HMO: $244.48
  • Humana — Caresource KY: $244.48
  • Humana — Medicare HMO: $244.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MG Mammo Implant Screening Lt w/ Tomo. $444.50 $266.70 $244.48 – $377.83
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $244.48
  • Aetna — Medicare HMO: $244.48
  • Anthem — Mediblue Access: $244.48
  • Anthem — Medicare Advantage: $244.48
  • Anthem — Medicare Select: $244.48
  • Cigna — Commercial: $355.60
  • Cigna — Medicare HMO: $244.48
  • Gateway — Medicare HMO: $244.48
  • Humana — Caresource KY: $244.48
  • Humana — Medicare HMO: $244.48

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT Therapeutic Exercise Units $76 $45.60 $41.80 – $64.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $41.80
  • Aetna — Medicare HMO: $41.80
  • Anthem — Mediblue Access: $41.80
  • Anthem — Medicare Advantage: $41.80
  • Anthem — Medicare Select: $41.80
  • Cigna — Commercial: $60.80
  • Cigna — Medicare HMO: $41.80
  • Gateway — Medicare HMO: $41.80
  • Humana — Caresource KY: $41.80
  • Humana — Medicare HMO: $41.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT Therapeutic Exercise Units $112.50 $67.50 $61.88 – $95.63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $61.88
  • Aetna — Medicare HMO: $61.88
  • Anthem — Mediblue Access: $61.88
  • Anthem — Medicare Advantage: $61.88
  • Anthem — Medicare Select: $61.88
  • Cigna — Commercial: $90
  • Cigna — Medicare HMO: $61.88
  • Gateway — Medicare HMO: $61.88
  • Humana — Caresource KY: $61.88
  • Humana — Medicare HMO: $61.88
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: 97110 PT THER EX INDIVIDUAL CHARGE $112.50 $67.50 $61.88 – $95.63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $61.88
  • Aetna — Medicare HMO: $61.88
  • Anthem — Mediblue Access: $61.88
  • Anthem — Medicare Advantage: $61.88
  • Anthem — Medicare Select: $61.88
  • Cigna — Commercial: $90
  • Cigna — Medicare HMO: $61.88
  • Gateway — Medicare HMO: $61.88
  • Humana — Caresource KY: $61.88
  • Humana — Medicare HMO: $61.88
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT Evaluation Units, Low Complexity $440.50 $264.30 $242.28 – $374.43
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $242.28
  • Aetna — Medicare HMO: $242.28
  • Anthem — Mediblue Access: $242.28
  • Anthem — Medicare Advantage: $242.28
  • Anthem — Medicare Select: $242.28
  • Cigna — Commercial: $352.40
  • Cigna — Medicare HMO: $242.28
  • Gateway — Medicare HMO: $242.28
  • Humana — Caresource KY: $242.28
  • Humana — Medicare HMO: $242.28
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT Evaluation Units, Low Complexity $440.50 $264.30 $242.28 – $374.43
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $374.43
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT Evaluation Units, Low Complexity $440.50 $264.30 $242.28 – $374.43
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $317.16
  • Anthem — Pathway PPO/HMO: $264.30
  • Anthem — Plan PPO: $286.33
  • UHC — Commercial: $286.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT Evaluation Units, Moderate Complexity $478.50 $287.10 $263.18 – $406.73
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $263.18
  • Aetna — Medicare HMO: $263.18
  • Anthem — Mediblue Access: $263.18
  • Anthem — Medicare Advantage: $263.18
  • Anthem — Medicare Select: $263.18
  • Cigna — Commercial: $382.80
  • Cigna — Medicare HMO: $263.18
  • Gateway — Medicare HMO: $263.18
  • Humana — Caresource KY: $263.18
  • Humana — Medicare HMO: $263.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT Evaluation Units, Moderate Complexity $478.50 $287.10 $263.18 – $406.73
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $406.73
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT Evaluation Units, Moderate Complexity $478.50 $287.10 $263.18 – $406.73
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $344.52
  • Anthem — Pathway PPO/HMO: $287.10
  • Anthem — Plan PPO: $311.03
  • UHC — Commercial: $311.03
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT Evaluation Units, High Complexity $506.50 $303.90 $278.58 – $430.53
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $278.58
  • Aetna — Medicare HMO: $278.58
  • Anthem — Mediblue Access: $278.58
  • Anthem — Medicare Advantage: $278.58
  • Anthem — Medicare Select: $278.58
  • Cigna — Commercial: $405.20
  • Cigna — Medicare HMO: $278.58
  • Gateway — Medicare HMO: $278.58
  • Humana — Caresource KY: $278.58
  • Humana — Medicare HMO: $278.58
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT Evaluation Units, High Complexity $506.50 $303.90 $278.58 – $430.53
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $430.53
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT Evaluation Units, High Complexity $506.50 $303.90 $278.58 – $430.53
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $364.68
  • Anthem — Pathway PPO/HMO: $303.90
  • Anthem — Plan PPO: $329.23
  • UHC — Commercial: $329.23
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: 90832 Psychotherapy, 16-37 minutes with patient and/or family member $106 $63.60 $58.30 – $84.80
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $58.30
  • Aetna — Medicare HMO: $58.30
  • Anthem — BCBS Traditional: $76.32
  • Anthem — Mediblue Access: $58.30
  • Anthem — Medicare Advantage: $58.30
  • Anthem — Medicare Select: $58.30
  • Anthem — Pathway PPO/HMO: $63.60
  • Anthem — Plan PPO: $68.90
  • Cigna — Commercial: $84.80
  • Cigna — Medicare HMO: $58.30
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: 90832 INDIVIDUAL THERAPY 30 MINUTES CHARGE $259.25 $155.55 $142.59 – $220.36
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $142.59
  • Aetna — Medicare HMO: $142.59
  • Anthem — Mediblue Access: $142.59
  • Anthem — Medicare Advantage: $142.59
  • Anthem — Medicare Select: $142.59
  • Cigna — Commercial: $207.40
  • Cigna — Medicare HMO: $142.59
  • Gateway — Medicare HMO: $142.59
  • Humana — Caresource KY: $142.59
  • Humana — Medicare HMO: $142.59
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: 90832 INDIVIDUAL THERAPY 30 MINUTES CHARGE $259.25 $155.55 $142.59 – $220.36
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $220.36
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: 90834 Psychotherapy, 38-52 minutes with patient and/or family member $395 $237 $217.25 – $316
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $217.25
  • Aetna — Medicare HMO: $217.25
  • Anthem — BCBS Traditional: $284.40
  • Anthem — Mediblue Access: $217.25
  • Anthem — Medicare Advantage: $217.25
  • Anthem — Medicare Select: $217.25
  • Anthem — Pathway PPO/HMO: $237
  • Anthem — Plan PPO: $256.75
  • Cigna — Commercial: $316
  • Cigna — Medicare HMO: $217.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: 90834 INDIVIDUAL THERAPY 45 MINUTES CHARGE $395 $237 $217.25 – $335.75
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $217.25
  • Aetna — Medicare HMO: $217.25
  • Anthem — Mediblue Access: $217.25
  • Anthem — Medicare Advantage: $217.25
  • Anthem — Medicare Select: $217.25
  • Cigna — Commercial: $316
  • Cigna — Medicare HMO: $217.25
  • Gateway — Medicare HMO: $217.25
  • Humana — Caresource KY: $217.25
  • Humana — Medicare HMO: $217.25
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: 90834 INDIVIDUAL THERAPY 45 MINUTES CHARGE $395 $237 $217.25 – $335.75
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $335.75
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: 90837 Psychotherapy, 53-67 minutes with patient and/or family member $424.25 $254.55 $233.34 – $339.40
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $233.34
  • Aetna — Medicare HMO: $233.34
  • Anthem — BCBS Traditional: $305.46
  • Anthem — Mediblue Access: $233.34
  • Anthem — Medicare Advantage: $233.34
  • Anthem — Medicare Select: $233.34
  • Anthem — Pathway PPO/HMO: $254.55
  • Anthem — Plan PPO: $275.76
  • Cigna — Commercial: $339.40
  • Cigna — Medicare HMO: $233.34
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: 90837 INDIVIDUAL THERAPY 60 MINUTES CHARGE $424.25 $254.55 $233.34 – $360.61
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $233.34
  • Aetna — Medicare HMO: $233.34
  • Anthem — Mediblue Access: $233.34
  • Anthem — Medicare Advantage: $233.34
  • Anthem — Medicare Select: $233.34
  • Cigna — Commercial: $339.40
  • Cigna — Medicare HMO: $233.34
  • Gateway — Medicare HMO: $233.34
  • Humana — Caresource KY: $233.34
  • Humana — Medicare HMO: $233.34
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: 90837 INDIVIDUAL THERAPY 60 MINUTES CHARGE $424.25 $254.55 $233.34 – $360.61
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $360.61
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen $372.25 $223.35 $204.74 – $316.41
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $204.74
  • Aetna — Medicare HMO: $204.74
  • Anthem — Mediblue Access: $204.74
  • Anthem — Medicare Advantage: $204.74
  • Anthem — Medicare Select: $204.74
  • Cigna — Commercial: $297.80
  • Cigna — Medicare HMO: $204.74
  • Gateway — Medicare HMO: $204.74
  • Humana — Caresource KY: $204.74
  • Humana — Medicare HMO: $204.74
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen $372.25 $223.35 $204.74 – $316.41
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $316.41
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen $372.25 $223.35 $204.74 – $316.41
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $268.02
  • Anthem — Pathway PPO/HMO: $223.35
  • Anthem — Plan PPO: $241.96
  • UHC — Commercial: $241.96
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen $435.50 $261.30 $239.53 – $370.18
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $239.53
  • Aetna — Medicare HMO: $239.53
  • Anthem — Mediblue Access: $239.53
  • Anthem — Medicare Advantage: $239.53
  • Anthem — Medicare Select: $239.53
  • Cigna — Commercial: $348.40
  • Cigna — Medicare HMO: $239.53
  • Gateway — Medicare HMO: $239.53
  • Humana — Caresource KY: $239.53
  • Humana — Medicare HMO: $239.53
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen $435.50 $261.30 $239.53 – $370.18
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $370.18
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen $435.50 $261.30 $239.53 – $370.18
Family psychotherapy, with the patient: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $313.56
  • Anthem — Pathway PPO/HMO: $261.30
  • Anthem — Plan PPO: $283.08
  • UHC — Commercial: $283.08
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: 90853 GROUP PSYCHOTHERAPY $434.25 $260.55 $238.84 – $369.11
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $238.84
  • Aetna — Medicare HMO: $238.84
  • Anthem — Mediblue Access: $238.84
  • Anthem — Medicare Advantage: $238.84
  • Anthem — Medicare Select: $238.84
  • Cigna — Commercial: $347.40
  • Cigna — Medicare HMO: $238.84
  • Gateway — Medicare HMO: $238.84
  • Humana — Caresource KY: $238.84
  • Humana — Medicare HMO: $238.84
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: 90853 GROUP PSYCHOTHERAPY $434.25 $260.55 $238.84 – $369.11
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $369.11
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 GROUP PSYCHOTHERAPY $434.25 $260.55 $238.84 – $369.11
Group psychotherapy: rates for 4 insurance plans
  • Anthem — BCBS Traditional: $312.66
  • Anthem — Pathway PPO/HMO: $260.55
  • Anthem — Plan PPO: $282.26
  • UHC — Commercial: $282.26

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: 19120 REMOVAL OF BREAST LESION TechFee $2,586.75 $1,552.05 $1,422.71 – $2,198.74
Removal of breast growth (open surgery): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,422.71
  • Aetna — Medicare HMO: $1,422.71
  • Anthem — Mediblue Access: $1,422.71
  • Anthem — Medicare Advantage: $1,422.71
  • Anthem — Medicare Select: $1,422.71
  • Cigna — Commercial: $2,069.40
  • Cigna — Medicare HMO: $1,422.71
  • Gateway — Medicare HMO: $1,422.71
  • Humana — Caresource KY: $1,422.71
  • Humana — Medicare HMO: $1,422.71
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: 19120 REMOVAL OF BREAST LESION TechFee $2,586.75 $1,552.05 $1,422.71 – $2,198.74
Removal of breast growth (open surgery): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $2,198.74
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: 19120 REMOVAL OF BREAST LESION TechFee $2,586.75 $1,552.05 $1,422.71 – $2,198.74
Removal of breast growth (open surgery): rates for 4 insurance plans
  • Anthem — BCBS Traditional: $1,862.46
  • Anthem — Pathway PPO/HMO: $1,552.05
  • Anthem — Plan PPO: $1,681.39
  • UHC — Commercial: $1,681.39
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy $1,631 $978.60 $897.05 – $1,386.35
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $897.05
  • Aetna — Medicare HMO: $897.05
  • Anthem — Mediblue Access: $897.05
  • Anthem — Medicare Advantage: $897.05
  • Anthem — Medicare Select: $897.05
  • Cigna — Commercial: $1,304.80
  • Cigna — Medicare HMO: $897.05
  • Gateway — Medicare HMO: $897.05
  • Humana — Caresource KY: $897.05
  • Humana — Medicare HMO: $897.05
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Esophagogastroduodenoscopy $1,631 $978.60 $897.05 – $1,386.35
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,386.35
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy per 1 hour $265 $159 $106.06 – $225.25
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $145.75
  • Anthem — Mediblue Access: $121.97
  • Anthem — Medicare Advantage: $121.97
  • Anthem — Medicare Select: $121.97
  • Cigna — Commercial: $212
  • Cigna — Medicare HMO: $145.75
  • Gateway — Medicare HMO: $145.75
  • Humana — Medicare HMO: $145.75
  • The Funds - UMWA — Medicare HMO: $145.75
  • UHC — Medicare HMO: $145.75
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Biopsy $1,654.50 $992.70 $909.98 – $1,406.33
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $909.98
  • Aetna — Medicare HMO: $909.98
  • Anthem — Mediblue Access: $909.98
  • Anthem — Medicare Advantage: $909.98
  • Anthem — Medicare Select: $909.98
  • Cigna — Commercial: $1,323.60
  • Cigna — Medicare HMO: $909.98
  • Gateway — Medicare HMO: $909.98
  • Humana — Caresource KY: $909.98
  • Humana — Medicare HMO: $909.98
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Esophagogastroduodenoscopy Biopsy $1,654.50 $992.70 $909.98 – $1,406.33
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,406.33
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Biopsy per 1 hour $297 $178.20 $118.74 – $252.45
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $163.35
  • Anthem — Mediblue Access: $136.55
  • Anthem — Medicare Advantage: $136.55
  • Anthem — Medicare Select: $136.55
  • Cigna — Commercial: $237.60
  • Cigna — Medicare HMO: $163.35
  • Gateway — Medicare HMO: $163.35
  • Humana — Medicare HMO: $163.35
  • The Funds - UMWA — Medicare HMO: $163.35
  • UHC — Medicare HMO: $163.35
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: 45378 Colonoscopy $1,920.75 $1,152.45 $1,056.41 – $1,632.64
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,056.41
  • Aetna — Medicare HMO: $1,056.41
  • Anthem — Mediblue Access: $1,056.41
  • Anthem — Medicare Advantage: $1,056.41
  • Anthem — Medicare Select: $1,056.41
  • Cigna — Commercial: $1,536.60
  • Cigna — Medicare HMO: $1,056.41
  • Gateway — Medicare HMO: $1,056.41
  • Humana — Caresource KY: $1,056.41
  • Humana — Medicare HMO: $1,056.41
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Excision Lesion $1,920.75 $1,152.45 $1,056.41 – $1,632.64
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,056.41
  • Aetna — Medicare HMO: $1,056.41
  • Anthem — Mediblue Access: $1,056.41
  • Anthem — Medicare Advantage: $1,056.41
  • Anthem — Medicare Select: $1,056.41
  • Cigna — Commercial: $1,536.60
  • Cigna — Medicare HMO: $1,056.41
  • Gateway — Medicare HMO: $1,056.41
  • Humana — Caresource KY: $1,056.41
  • Humana — Medicare HMO: $1,056.41
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: 45378 Colonoscopy $1,920.75 $1,152.45 $1,056.41 – $1,632.64
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,632.64
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy Biopsy $2,053.75 $1,232.25 $1,129.56 – $1,745.69
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,129.56
  • Aetna — Medicare HMO: $1,129.56
  • Anthem — Mediblue Access: $1,129.56
  • Anthem — Medicare Advantage: $1,129.56
  • Anthem — Medicare Select: $1,129.56
  • Cigna — Commercial: $1,643
  • Cigna — Medicare HMO: $1,129.56
  • Gateway — Medicare HMO: $1,129.56
  • Humana — Caresource KY: $1,129.56
  • Humana — Medicare HMO: $1,129.56
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonoscopy Biopsy $2,053.75 $1,232.25 $1,129.56 – $1,745.69
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,745.69
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy Biopsy per 1 hour $428 $256.80 $171.20 – $363.80
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $235.40
  • Anthem — Mediblue Access: $196.88
  • Anthem — Medicare Advantage: $196.88
  • Anthem — Medicare Select: $196.88
  • Cigna — Commercial: $342.40
  • Cigna — Medicare HMO: $235.40
  • Gateway — Medicare HMO: $235.40
  • Humana — Medicare HMO: $235.40
  • The Funds - UMWA — Medicare HMO: $235.40
  • UHC — Medicare HMO: $235.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy with Snare Technique $2,054 $1,232.40 $1,129.70 – $1,745.90
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $1,129.70
  • Aetna — Medicare HMO: $1,129.70
  • Anthem — Mediblue Access: $1,129.70
  • Anthem — Medicare Advantage: $1,129.70
  • Anthem — Medicare Select: $1,129.70
  • Cigna — Commercial: $1,643.20
  • Cigna — Medicare HMO: $1,129.70
  • Gateway — Medicare HMO: $1,129.70
  • Humana — Caresource KY: $1,129.70
  • Humana — Medicare HMO: $1,129.70
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Colonoscopy with Snare Technique $2,054 $1,232.40 $1,129.70 – $1,745.90
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $2,419.59
  • Anthem — Medicare Advantage: $2,419.59
  • Anthem — Medicare Select: $2,419.59
  • Cigna — Commercial: $1,745.90
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy with Snare Technique per 1 hour $539 $323.40 $215.63 – $458.15
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $296.45
  • Anthem — Mediblue Access: $247.97
  • Anthem — Medicare Advantage: $247.97
  • Anthem — Medicare Select: $247.97
  • Cigna — Commercial: $431.20
  • Cigna — Medicare HMO: $296.45
  • Gateway — Medicare HMO: $296.45
  • Humana — Medicare HMO: $296.45
  • The Funds - UMWA — Medicare HMO: $296.45
  • UHC — Medicare HMO: $296.45
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: 62323 ESI lumbar or sacral with fluoroscopy $131.75 $79.05 $72.46 – $105.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $72.46
  • Aetna — Medicare HMO: $72.46
  • Anthem — BCBS Traditional: $94.86
  • Anthem — Mediblue Access: $98.84
  • Anthem — Medicare Advantage: $98.84
  • Anthem — Medicare Select: $98.84
  • Anthem — Pathway PPO/HMO: $79.05
  • Anthem — Plan PPO: $85.64
  • Cigna — Commercial: $126.60
  • Cigna — Medicare HMO: $72.46
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: 62323 ESI lumbar or sacral with fluoroscopy $158.25 $94.95 $81.33 – $134.51
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $87.04
  • Anthem — Mediblue Access: $85.95
  • Anthem — Medicare Advantage: $85.95
  • Anthem — Medicare Select: $85.95
  • Cigna — Commercial: $134.51
  • Cigna — Medicare HMO: $87.04
  • Gateway — Medicare HMO: $87.04
  • Humana — Medicare HMO: $87.04
  • The Funds - UMWA — Medicare HMO: $87.04
  • UHC — Medicare HMO: $87.04
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 ESI lumbar or sacral with fluoroscopy $158.25 $94.95 $81.33 – $134.51
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $81.33
  • Anthem — BCBS Traditional: $113.94
  • Anthem — Pathway PPO/HMO: $94.95
  • Anthem — Plan PPO: $102.86
  • Humana — Caresource KY: $81.33
  • Passport — Medicaid HMO: $81.33
  • UHC — Commercial: $102.86
  • UHC — Medicaid HMO: $81.33
  • Wellcare — Medicaid HMO: $81.33
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: 64483 Injection Transforaminal Epidural - single level $147.75 $88.65 $81.26 – $118.20
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — Medicaid HMO: $81.26
  • Aetna — Medicare HMO: $81.26
  • Anthem — BCBS Traditional: $106.38
  • Anthem — Mediblue Access: $109.81
  • Anthem — Medicare Advantage: $109.81
  • Anthem — Medicare Select: $109.81
  • Anthem — Pathway PPO/HMO: $88.65
  • Anthem — Plan PPO: $96.04
  • Cigna — Commercial: $141.80
  • Cigna — Medicare HMO: $81.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: 64483 Injection Transforaminal Epidural - single level $177.25 $106.35 $95.49 – $150.66
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $97.49
  • Anthem — Mediblue Access: $95.49
  • Anthem — Medicare Advantage: $95.49
  • Anthem — Medicare Select: $95.49
  • Cigna — Commercial: $150.66
  • Cigna — Medicare HMO: $97.49
  • Gateway — Medicare HMO: $97.49
  • Humana — Medicare HMO: $97.49
  • The Funds - UMWA — Medicare HMO: $97.49
  • UHC — Medicare HMO: $97.49
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 Injection Transforaminal Epidural - single level $177.25 $106.35 $95.49 – $150.66
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $149.91
  • Anthem — BCBS Traditional: $127.62
  • Anthem — Pathway PPO/HMO: $106.35
  • Anthem — Plan PPO: $115.21
  • Humana — Caresource KY: $149.91
  • Passport — Medicaid HMO: $149.91
  • UHC — Commercial: $115.21
  • UHC — Medicaid HMO: $149.91
  • Wellcare — Medicaid HMO: $149.91
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee $1,125 $675 $618.75 – $956.25
Carpal tunnel release: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $618.75
  • Aetna — Medicare HMO: $618.75
  • Anthem — Mediblue Access: $454.32
  • Anthem — Medicare Advantage: $454.32
  • Anthem — Medicare Select: $454.32
  • Cigna — Commercial: $900
  • Cigna — Medicare HMO: $618.75
  • Gateway — Medicare HMO: $618.75
  • Humana — Caresource KY: $618.75
  • Humana — Medicare HMO: $618.75
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee $1,125 $675 $618.75 – $956.25
Carpal tunnel release: 10 of 16 insurance plan rates
  • Aetna — Medicaid HMO: $2,419.59
  • Aetna — Medicare HMO: $2,419.59
  • Anthem — Mediblue Access: $395.06
  • Anthem — Medicare Advantage: $395.06
  • Anthem — Medicare Select: $395.06
  • Cigna — Commercial: $956.25
  • Cigna — Medicare HMO: $2,419.59
  • Gateway — Medicare HMO: $2,419.59
  • Humana — Caresource KY: $2,419.59
  • Humana — Medicare HMO: $2,419.59
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Decompression Nerve Median with Carpal Tunnel Release $1,125 $675 $284.77 – $956.25
Carpal tunnel release: 10 of 11 insurance plan rates
  • Aetna — Medicare HMO: $618.75
  • Anthem — Mediblue Access: $454.32
  • Anthem — Medicare Advantage: $454.32
  • Anthem — Medicare Select: $454.32
  • Cigna — Commercial: $900
  • Cigna — Medicare HMO: $618.75
  • Gateway — Medicare HMO: $618.75
  • Humana — Medicare HMO: $618.75
  • The Funds - UMWA — Medicare HMO: $618.75
  • UHC — Medicare HMO: $618.75

Source: Livingston Hospital and Healthcare Services, Inc’s standard charges file (lhhs.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 25, 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 typeCritical Access Hospital
Address131 Hospital Drive, Salem, KY 42078
CountyLivingston County
StateKentucky
Phone(270) 988‑2299
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
CMS Certification Number181320
Name in Medicare recordsLIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLivingston Hospital
Official websitelhhs.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Livingston Hospital — lhhs.org
  2. Livingston Hospital Services — lhhs.org
  3. Livingston Hospital - Emergency Care — lhhs.org
  4. LH Imaging and Radiology - Heart Scan Risk Factors — lhhs.org
  5. LH Imaging and Radiology - Services Offered — lhhs.org
  6. Livingston Hospital - Surgical Services — lhhs.org
  7. LH Surgical Services - Contact Us — lhhs.org
  8. Livingston Hospital - Laboratory — lhhs.org
  9. LH Laboratory - Lab Patient Services — lhhs.org
  10. LH Imaging and Radiology - 3D Mammography — lhhs.org