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Acute Care Hospital

Lutheran Hospital of Indiana

Fort Wayne, Indiana · Allen County · Emergency services listed

Summary

Lutheran Hospital of Indiana is an acute care hospital in Fort Wayne, Indiana. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 15 services, specialties and programs. Medicare lists 779 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of Lutheran Hospital of Indiana
Photo: Hickks, CC BY-SA 3.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
396Beds (hospital website)
15Services listed

Quick answers

Does Lutheran Hospital of Indiana have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lutheran Hospital of Indiana. In a medical emergency, call 911.
Where is Lutheran Hospital of Indiana?
7950 W Jefferson Blvd, Fort Wayne, IN 46804, in Allen County, Indiana.
What is the phone number of Lutheran Hospital of Indiana?
(260) 435-7001, as listed by Medicare (CMS).
What is the Medicare star rating of Lutheran Hospital of Indiana?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

  • Infusion

Procedures[4]

Emergency care (hospital website)[4]

Emergency roomYes
Trauma designationLevel II

Doctors and clinicians (779)

779 doctors and other clinicians list Lutheran Hospital of Indiana 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 (779)

And 755 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Lutheran Hospital of Indiana 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital58%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them51%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean59%National average: 74%
Area around the room “always” quiet at night49%National average: 60%
Completed surveys1,569Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.135Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.557Better than the national benchmark
Surgical site infections after colon surgery0.41No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.412Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.307Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients13.3%
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients18.4%
Deaths within 30 days: COPD patients8.9%
Deaths within 30 days: stroke patients11.3%
Deaths within 30 days: coronary bypass surgery (CABG)1.7%
Serious complications (patient safety indicator PSI-90)0.81No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.9%
Readmitted within 30 days: heart failure21.6%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgery12.5%
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)215 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

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

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203,25 OFFICE/OUTPATIENT VISIT NEW $159 $47.70 $39.27 – $143.10
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $131.97
  • Aetna — Aetna All: $75.68
  • Aetna — Aetna NBD: $63.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $63.60
  • Allied Benefit Systems — Allied Benefit Systems: $143.10
  • Amish Aid — Amish Aid: $47.70
  • Anthem BCBS — Anthem IN PPO: $58.99
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $51.36
  • Cigna — Cigna PPO: $57.72
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203PFW OFFICE/OUTPATIENT VISIT NEW $128 $38.40 $31.62 – $115.20
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $106.24
  • Aetna — Aetna All: $60.93
  • Aetna — Aetna NBD: $51.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $51.20
  • Allied Benefit Systems — Allied Benefit Systems: $115.20
  • Amish Aid — Amish Aid: $38.40
  • Anthem BCBS — Anthem IN PPO: $47.49
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $41.34
  • Cigna — Cigna PPO: $46.46
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203 OFFICE/OUTPATIENT VISIT NEW $159 $47.70 $39.27 – $143.10
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $131.97
  • Aetna — Aetna All: $75.68
  • Aetna — Aetna NBD: $63.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $63.60
  • Allied Benefit Systems — Allied Benefit Systems: $143.10
  • Amish Aid — Amish Aid: $47.70
  • Anthem BCBS — Anthem IN PPO: $58.99
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $51.36
  • Cigna — Cigna PPO: $57.72
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204,25 OFFICE/OUTPATIENT VISIT NEW $268 $80.40 $66.20 – $241.20
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $222.44
  • Aetna — Aetna All: $127.57
  • Aetna — Aetna NBD: $107.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $107.20
  • Allied Benefit Systems — Allied Benefit Systems: $241.20
  • Amish Aid — Amish Aid: $80.40
  • Anthem BCBS — Anthem IN PPO: $99.43
  • BCCP IN — BCCP IN: $156.35
  • Cigna — Cigna HMO: $86.56
  • Cigna — Cigna PPO: $97.28
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204PFW OFFICE/OUTPATIENT VISIT NEW $195 $58.50 $48.16 – $175.50
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $161.85
  • Aetna — Aetna All: $92.82
  • Aetna — Aetna NBD: $78
  • Aetna PSSD J and J — Aetna PSSD JJ: $78
  • Allied Benefit Systems — Allied Benefit Systems: $175.50
  • Amish Aid — Amish Aid: $58.50
  • Anthem BCBS — Anthem IN PPO: $72.34
  • BCCP IN — BCCP IN: $156.35
  • Cigna — Cigna HMO: $62.98
  • Cigna — Cigna PPO: $70.78
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204 OFFICE/OUTPATIENT VISIT NEW $268 $80.40 $66.20 – $241.20
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $222.44
  • Aetna — Aetna All: $127.57
  • Aetna — Aetna NBD: $107.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $107.20
  • Allied Benefit Systems — Allied Benefit Systems: $241.20
  • Amish Aid — Amish Aid: $80.40
  • Anthem BCBS — Anthem IN PPO: $99.43
  • BCCP IN — BCCP IN: $156.35
  • Cigna — Cigna HMO: $86.56
  • Cigna — Cigna PPO: $97.28
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205,25 OFFICE/OUTPATIENT VISIT NEW $345 $103.50 $85.22 – $310.50
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $286.35
  • Aetna — Aetna All: $164.22
  • Aetna — Aetna NBD: $138
  • Aetna PSSD J and J — Aetna PSSD JJ: $138
  • Allied Benefit Systems — Allied Benefit Systems: $310.50
  • Amish Aid — Amish Aid: $103.50
  • Anthem BCBS — Anthem IN PPO: $128
  • BCCP IN — BCCP IN: $196.76
  • Cigna — Cigna HMO: $111.43
  • Cigna — Cigna PPO: $125.23
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205,LT OFFICE/OUTPATIENT VISIT NEW $345 $103.50 $85.22 – $310.50
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $286.35
  • Aetna — Aetna All: $164.22
  • Aetna — Aetna NBD: $138
  • Aetna PSSD J and J — Aetna PSSD JJ: $138
  • Allied Benefit Systems — Allied Benefit Systems: $310.50
  • Amish Aid — Amish Aid: $103.50
  • Anthem BCBS — Anthem IN PPO: $128
  • BCCP IN — BCCP IN: $196.76
  • Cigna — Cigna HMO: $111.43
  • Cigna — Cigna PPO: $125.23
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205PFW OFFICE/OUTPATIENT VISIT NEW $247 $74.10 $61.01 – $222.30
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $205.01
  • Aetna — Aetna All: $117.57
  • Aetna — Aetna NBD: $98.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $98.80
  • Allied Benefit Systems — Allied Benefit Systems: $222.30
  • Amish Aid — Amish Aid: $74.10
  • Anthem BCBS — Anthem IN PPO: $91.64
  • BCCP IN — BCCP IN: $196.76
  • Cigna — Cigna HMO: $79.78
  • Cigna — Cigna PPO: $89.66
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213,25 OFFICE/OUTPATIENT VISIT EST $105 $31.50 $25.93 – $94.50
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $87.15
  • Aetna — Aetna All: $49.98
  • Aetna — Aetna NBD: $42
  • Aetna PSSD J and J — Aetna PSSD JJ: $42
  • Allied Benefit Systems — Allied Benefit Systems: $94.50
  • Amish Aid — Amish Aid: $31.50
  • Anthem BCBS — Anthem IN PPO: $38.95
  • BCCP IN — BCCP IN: $70.69
  • Cigna — Cigna HMO: $33.91
  • Cigna — Cigna PPO: $38.11
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213,LT OFFICE/OUTPATIENT VISIT EST $105 $31.50 $25.93 – $94.50
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $87.15
  • Aetna — Aetna All: $49.98
  • Aetna — Aetna NBD: $42
  • Aetna PSSD J and J — Aetna PSSD JJ: $42
  • Allied Benefit Systems — Allied Benefit Systems: $94.50
  • Amish Aid — Amish Aid: $31.50
  • Anthem BCBS — Anthem IN PPO: $38.95
  • BCCP IN — BCCP IN: $70.69
  • Cigna — Cigna HMO: $33.91
  • Cigna — Cigna PPO: $38.11
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PFWSPORTS $55 $16.50 $13.59 – $70.69
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $45.65
  • Aetna — Aetna All: $26.18
  • Aetna — Aetna NBD: $22
  • Aetna PSSD J and J — Aetna PSSD JJ: $22
  • Allied Benefit Systems — Allied Benefit Systems: $49.50
  • Amish Aid — Amish Aid: $16.50
  • Anthem BCBS — Anthem IN PPO: $20.41
  • BCCP IN — BCCP IN: $70.69
  • Cigna — Cigna HMO: $17.76
  • Cigna — Cigna PPO: $19.96
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214,25 OFFICE/OUTPATIENT VISIT EST $162 $48.60 $40.01 – $145.80
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $134.46
  • Aetna — Aetna All: $77.11
  • Aetna — Aetna NBD: $64.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $64.80
  • Allied Benefit Systems — Allied Benefit Systems: $145.80
  • Amish Aid — Amish Aid: $48.60
  • Anthem BCBS — Anthem IN PPO: $60.10
  • BCCP IN — BCCP IN: $103.78
  • Cigna — Cigna HMO: $52.33
  • Cigna — Cigna PPO: $58.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST $162 $48.60 $40.01 – $145.80
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $134.46
  • Aetna — Aetna All: $77.11
  • Aetna — Aetna NBD: $64.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $64.80
  • Allied Benefit Systems — Allied Benefit Systems: $145.80
  • Amish Aid — Amish Aid: $48.60
  • Anthem BCBS — Anthem IN PPO: $60.10
  • BCCP IN — BCCP IN: $103.78
  • Cigna — Cigna HMO: $52.33
  • Cigna — Cigna PPO: $58.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214PFW OFFICE/OUTPATIENT VISIT EST $130 $39 $32.11 – $118.14
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $107.90
  • Aetna — Aetna All: $61.88
  • Aetna — Aetna NBD: $52
  • Aetna PSSD J and J — Aetna PSSD JJ: $52
  • Allied Benefit Systems — Allied Benefit Systems: $117
  • Amish Aid — Amish Aid: $39
  • Anthem BCBS — Anthem IN PPO: $48.23
  • BCCP IN — BCCP IN: $103.78
  • Cigna — Cigna HMO: $41.99
  • Cigna — Cigna PPO: $47.19
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243,25 OFFICE CONSULTATION $240 $72 $59.28 – $240
Office consultation with a specialist (moderate): 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem BCBS — Anthem IN PPO: $89.04
  • Cigna — Cigna HMO: $77.52
  • Cigna — Cigna PPO: $87.12
  • Encore Health Network — Encore PPO Fully Insured: $196.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243,RT OFFICE CONSULTATION $240 $72 $59.28 – $240
Office consultation with a specialist (moderate): 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem BCBS — Anthem IN PPO: $89.04
  • Cigna — Cigna HMO: $77.52
  • Cigna — Cigna PPO: $87.12
  • Encore Health Network — Encore PPO Fully Insured: $196.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243 OFFICE CONSULTATION $240 $72 $59.28 – $240
Office consultation with a specialist (moderate): 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem BCBS — Anthem IN PPO: $89.04
  • Cigna — Cigna HMO: $77.52
  • Cigna — Cigna PPO: $87.12
  • Encore Health Network — Encore PPO Fully Insured: $196.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99244,25 OFFICE CONSULTATION $318 $95.40 $78.55 – $318
Office consultation with a specialist (moderate to high): 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $263.94
  • Aetna — Aetna All: $151.37
  • Aetna — Aetna NBD: $127.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $127.20
  • Allied Benefit Systems — Allied Benefit Systems: $286.20
  • Amish Aid — Amish Aid: $95.40
  • Anthem BCBS — Anthem IN PPO: $117.98
  • Cigna — Cigna HMO: $102.71
  • Cigna — Cigna PPO: $115.43
  • Encore Health Network — Encore PPO Fully Insured: $260.76
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99244 OFFICE CONSULTATION $318 $95.40 $78.55 – $318
Office consultation with a specialist (moderate to high): 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $263.94
  • Aetna — Aetna All: $151.37
  • Aetna — Aetna NBD: $127.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $127.20
  • Allied Benefit Systems — Allied Benefit Systems: $286.20
  • Amish Aid — Amish Aid: $95.40
  • Anthem BCBS — Anthem IN PPO: $117.98
  • Cigna — Cigna HMO: $102.71
  • Cigna — Cigna PPO: $115.43
  • Encore Health Network — Encore PPO Fully Insured: $260.76
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99244,25 OFFICE CONSULTATION $318 $114.48 $80.13 – $286.20
Office consultation with a specialist (moderate to high): 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $263.94
  • Aetna — Aetna All: $151.37
  • Aetna — Aetna NBD: $127.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $127.20
  • Allied Benefit Systems — Allied Benefit Systems: $286.20
  • Cigna — Cigna HMO: $102.71
  • Cigna — Cigna PPO: $115.43
  • Encore Health Network — Encore PPO Fully Insured: $260.76
  • Encore Health Network — Encore PPO Self Insured: $286.20
  • Evolutions — Evolutions Healthcare Systems: $286.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385,25 PREV VISIT NEW AGE 18-39 $167 $50.10 $41.25 – $167
Preventive checkup, new patient, age 18–39: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $138.61
  • Aetna — Aetna All: $79.49
  • Aetna — Aetna NBD: $66.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $66.80
  • Allied Benefit Systems — Allied Benefit Systems: $150.30
  • Amish Aid — Amish Aid: $50.10
  • Anthem BCBS — Anthem IN PPO: $61.96
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $53.94
  • Cigna — Cigna PPO: $60.62
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385PFW PREV VISIT NEW AGE 18-39 $159 $47.70 $39.27 – $159
Preventive checkup, new patient, age 18–39: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $131.97
  • Aetna — Aetna All: $75.68
  • Aetna — Aetna NBD: $63.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $63.60
  • Allied Benefit Systems — Allied Benefit Systems: $143.10
  • Amish Aid — Amish Aid: $47.70
  • Anthem BCBS — Anthem IN PPO: $58.99
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $51.36
  • Cigna — Cigna PPO: $57.72
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385 PREV VISIT NEW AGE 18-39 $167 $50.10 $41.25 – $167
Preventive checkup, new patient, age 18–39: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $138.61
  • Aetna — Aetna All: $79.49
  • Aetna — Aetna NBD: $66.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $66.80
  • Allied Benefit Systems — Allied Benefit Systems: $150.30
  • Amish Aid — Amish Aid: $50.10
  • Anthem BCBS — Anthem IN PPO: $61.96
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $53.94
  • Cigna — Cigna PPO: $60.62
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386,25 PREV VISIT NEW AGE 40-64 $204 $61.20 $50.39 – $204
Preventive checkup, new patient, age 40–64: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $169.32
  • Aetna — Aetna All: $97.10
  • Aetna — Aetna NBD: $81.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $81.60
  • Allied Benefit Systems — Allied Benefit Systems: $183.60
  • Amish Aid — Amish Aid: $61.20
  • Anthem BCBS — Anthem IN PPO: $75.68
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $65.89
  • Cigna — Cigna PPO: $74.05
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386PFW PREV VISIT NEW AGE 40-64 $184 $55.20 $45.45 – $184
Preventive checkup, new patient, age 40–64: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $152.72
  • Aetna — Aetna All: $87.58
  • Aetna — Aetna NBD: $73.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $73.60
  • Allied Benefit Systems — Allied Benefit Systems: $165.60
  • Amish Aid — Amish Aid: $55.20
  • Anthem BCBS — Anthem IN PPO: $68.26
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $59.43
  • Cigna — Cigna PPO: $66.79
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386 PREV VISIT NEW AGE 40-64 $204 $61.20 $50.39 – $204
Preventive checkup, new patient, age 40–64: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $169.32
  • Aetna — Aetna All: $97.10
  • Aetna — Aetna NBD: $81.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $81.60
  • Allied Benefit Systems — Allied Benefit Systems: $183.60
  • Amish Aid — Amish Aid: $61.20
  • Anthem BCBS — Anthem IN PPO: $75.68
  • BCCP IN — BCCP IN: $102.44
  • Cigna — Cigna HMO: $65.89
  • Cigna — Cigna PPO: $74.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3 $1,822 $546.60 $64.70 – $2,269
Emergency room visit (moderate): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,512.26
  • Aetna — Aetna All: $867.27
  • Aetna — Aetna NBD: $728.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $728.80
  • Align Network — Align IN Work Comp: $462.10
  • Allied Benefit Systems — Allied Benefit Systems: $1,639.80
  • Amish Aid — Amish Aid: $546.60
  • Anthem — Anthem IN HMO PPO TRAD: $1,186.88
  • Anthem — Anthem IN Marketplace STLD: $949.50
  • Anthem BCBS — Anthem IN Healthsync: $973.24
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283,25 EMERGENCY DEPT VISIT $191 $57.30 $47.18 – $171.90
Emergency room visit (moderate): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $158.53
  • Aetna — Aetna All: $90.92
  • Aetna — Aetna NBD: $76.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $76.40
  • Align Network — Align IN Work Comp: $462.10
  • Allied Benefit Systems — Allied Benefit Systems: $171.90
  • Amish Aid — Amish Aid: $57.30
  • Anthem — Anthem IN HMO PPO TRAD: $1,186.88
  • Anthem — Anthem IN Marketplace STLD: $949.50
  • Anthem BCBS — Anthem IN Healthsync: $973.24
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 EMERGENCY DEPT VISIT $191 $57.30 $47.18 – $171.90
Emergency room visit (moderate): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $158.53
  • Aetna — Aetna All: $90.92
  • Aetna — Aetna NBD: $76.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $76.40
  • Align Network — Align IN Work Comp: $462.10
  • Allied Benefit Systems — Allied Benefit Systems: $171.90
  • Amish Aid — Amish Aid: $57.30
  • Anthem — Anthem IN HMO PPO TRAD: $1,186.88
  • Anthem — Anthem IN Marketplace STLD: $949.50
  • Anthem BCBS — Anthem IN Healthsync: $973.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4 $2,913 $873.90 $110.18 – $2,621.70
Emergency room visit (moderately high): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,417.79
  • Aetna — Aetna All: $1,386.59
  • Aetna — Aetna NBD: $1,165.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,165.20
  • Align Network — Align IN Work Comp: $706.35
  • Allied Benefit Systems — Allied Benefit Systems: $2,621.70
  • Amish Aid — Amish Aid: $873.90
  • Anthem — Anthem IN HMO PPO TRAD: $1,814.25
  • Anthem — Anthem IN Marketplace STLD: $1,451.39
  • Anthem BCBS — Anthem IN Healthsync: $1,487.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284,25 EMERGENCY DEPT VISIT $288 $86.40 $71.14 – $259.20
Emergency room visit (moderately high): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $239.04
  • Aetna — Aetna All: $137.09
  • Aetna — Aetna NBD: $115.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $115.20
  • Align Network — Align IN Work Comp: $706.35
  • Allied Benefit Systems — Allied Benefit Systems: $259.20
  • Amish Aid — Amish Aid: $86.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,814.25
  • Anthem — Anthem IN Marketplace STLD: $1,451.39
  • Anthem BCBS — Anthem IN Healthsync: $1,487.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 EMERGENCY DEPT VISIT $288 $86.40 $71.14 – $259.20
Emergency room visit (moderately high): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $239.04
  • Aetna — Aetna All: $137.09
  • Aetna — Aetna NBD: $115.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $115.20
  • Align Network — Align IN Work Comp: $706.35
  • Allied Benefit Systems — Allied Benefit Systems: $259.20
  • Amish Aid — Amish Aid: $86.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,814.25
  • Anthem — Anthem IN Marketplace STLD: $1,451.39
  • Anthem BCBS — Anthem IN Healthsync: $1,487.67
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Trauma Notification Level - No Prior Notification $19,171 $5,751.30 $159.69 – $17,253.90
Emergency room visit (high): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $15,911.93
  • Aetna — Aetna All: $9,125.40
  • Aetna — Aetna NBD: $7,668.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $7,668.40
  • Align Network — Align IN Work Comp: $1,008.13
  • Allied Benefit Systems — Allied Benefit Systems: $17,253.90
  • Amish Aid — Amish Aid: $5,751.30
  • Anthem — Anthem IN HMO PPO TRAD: $2,589.33
  • Anthem — Anthem IN Marketplace STLD: $2,071.45
  • Anthem BCBS — Anthem IN Healthsync: $2,123.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5 $5,218 $1,565.40 $159.69 – $4,912.11
Emergency room visit (high): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,330.94
  • Aetna — Aetna All: $2,483.77
  • Aetna — Aetna NBD: $2,087.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,087.20
  • Align Network — Align IN Work Comp: $1,008.13
  • Allied Benefit Systems — Allied Benefit Systems: $4,696.20
  • Amish Aid — Amish Aid: $1,565.40
  • Anthem — Anthem IN HMO PPO TRAD: $2,589.33
  • Anthem — Anthem IN Marketplace STLD: $2,071.45
  • Anthem BCBS — Anthem IN Healthsync: $2,123.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285,25 EMERGENCY DEPT VISIT $428 $128.40 $105.72 – $385.20
Emergency room visit (high): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $355.24
  • Aetna — Aetna All: $203.73
  • Aetna — Aetna NBD: $171.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $171.20
  • Align Network — Align IN Work Comp: $1,008.13
  • Allied Benefit Systems — Allied Benefit Systems: $385.20
  • Amish Aid — Amish Aid: $128.40
  • Anthem — Anthem IN HMO PPO TRAD: $2,589.33
  • Anthem — Anthem IN Marketplace STLD: $2,071.45
  • Anthem BCBS — Anthem IN Healthsync: $2,123.23

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel w/Total Calcium $186 $55.80 $7.46 – $167.40
Basic metabolic panel (blood test): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $154.38
  • Aetna — Aetna All: $88.54
  • Aetna — Aetna NBD: $74.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $74.40
  • Align Network — Align IN Work Comp: $13.54
  • Allied Benefit Systems — Allied Benefit Systems: $167.40
  • Amish Aid — Amish Aid: $55.80
  • Anthem — Anthem IN HMO PPO TRAD: $8.46
  • Anthem — Anthem IN Marketplace STLD: $8.46
  • Anthem BCBS — Anthem IN Healthsync: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel (8) (RL) $186 $55.80 $7.46 – $167.40
Basic metabolic panel (blood test): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $154.38
  • Aetna — Aetna All: $88.54
  • Aetna — Aetna NBD: $74.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $74.40
  • Align Network — Align IN Work Comp: $13.54
  • Allied Benefit Systems — Allied Benefit Systems: $167.40
  • Amish Aid — Amish Aid: $55.80
  • Anthem — Anthem IN HMO PPO TRAD: $8.46
  • Anthem — Anthem IN Marketplace STLD: $8.46
  • Anthem BCBS — Anthem IN Healthsync: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80048 METABOLIC PANEL TOTAL CA $35 $10.50 $7.46 – $31.50
Basic metabolic panel (blood test): 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $29.05
  • Aetna — Aetna All: $16.66
  • Aetna — Aetna NBD: $14
  • Aetna PSSD J and J — Aetna PSSD JJ: $14
  • Align Network — Align IN Work Comp: $13.54
  • Allied Benefit Systems — Allied Benefit Systems: $31.50
  • Amish Aid — Amish Aid: $10.50
  • Anthem — Anthem IN HMO PPO TRAD: $8.46
  • Anthem — Anthem IN Marketplace STLD: $8.46
  • Anthem BCBS — Anthem IN Healthsync: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $489 $146.70 $9.31 – $440.10
Comprehensive metabolic panel (blood test): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $405.87
  • Aetna — Aetna All: $232.76
  • Aetna — Aetna NBD: $195.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $195.60
  • Align Network — Align IN Work Comp: $16.90
  • Allied Benefit Systems — Allied Benefit Systems: $440.10
  • Amish Aid — Amish Aid: $146.70
  • Anthem — Anthem IN HMO PPO TRAD: $10.56
  • Anthem — Anthem IN Marketplace STLD: $10.56
  • Anthem BCBS — Anthem IN Healthsync: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80053 COMPREHEN METABOLIC PANEL $57 $17.10 $9.31 – $51.30
Comprehensive metabolic panel (blood test): 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $47.31
  • Aetna — Aetna All: $27.13
  • Aetna — Aetna NBD: $22.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $22.80
  • Align Network — Align IN Work Comp: $16.90
  • Allied Benefit Systems — Allied Benefit Systems: $51.30
  • Amish Aid — Amish Aid: $17.10
  • Anthem — Anthem IN HMO PPO TRAD: $10.56
  • Anthem — Anthem IN Marketplace STLD: $10.56
  • Anthem BCBS — Anthem IN Healthsync: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80053PFW COMPREHENSIVE METABOLIC PANEL $13 $3.90 $3.21 – $31.68
Comprehensive metabolic panel (blood test): 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $10.79
  • Aetna — Aetna All: $6.19
  • Aetna — Aetna NBD: $5.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $5.20
  • Align Network — Align IN Work Comp: $16.90
  • Allied Benefit Systems — Allied Benefit Systems: $11.70
  • Amish Aid — Amish Aid: $3.90
  • Anthem — Anthem IN HMO PPO TRAD: $10.56
  • Anthem — Anthem IN Marketplace STLD: $10.56
  • Anthem BCBS — Anthem IN Healthsync: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel CS $281 $84.30 $42.16 – $252.90
Obstetric blood test panel: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $233.23
  • Aetna — Aetna All: $133.76
  • Aetna — Aetna NBD: $112.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $112.40
  • Align Network — Align IN Work Comp: $76.50
  • Allied Benefit Systems — Allied Benefit Systems: $252.90
  • Amish Aid — Amish Aid: $84.30
  • Anthem — Anthem IN HMO PPO TRAD: $47.81
  • Anthem — Anthem IN Marketplace STLD: $47.81
  • Anthem BCBS — Anthem IN Healthsync: $47.81
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80055 OB Panel $202 $60.60 $42.16 – $181.80
Obstetric blood test panel: 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $167.66
  • Aetna — Aetna All: $96.15
  • Aetna — Aetna NBD: $80.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $80.80
  • Align Network — Align IN Work Comp: $76.50
  • Allied Benefit Systems — Allied Benefit Systems: $181.80
  • Amish Aid — Amish Aid: $60.60
  • Anthem — Anthem IN HMO PPO TRAD: $47.81
  • Anthem — Anthem IN Marketplace STLD: $47.81
  • Anthem BCBS — Anthem IN Healthsync: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 80055 OB Panel $202 $72.72 $50.90 – $181.80
Obstetric blood test panel: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $167.66
  • Aetna — Aetna All: $96.15
  • Aetna — Aetna NBD: $80.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $80.80
  • Allied Benefit Systems — Allied Benefit Systems: $181.80
  • Cigna — Cigna HMO: $65.25
  • Cigna — Cigna PPO: $73.33
  • Encore Health Network — Encore PPO Fully Insured: $165.64
  • Encore Health Network — Encore PPO Self Insured: $181.80
  • Evolutions — Evolutions Healthcare Systems: $181.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80061 L806885 LIPID PNL 889 $216 $64.80 $11.81 – $194.40
Cholesterol panel (lipid panel): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $179.28
  • Aetna — Aetna All: $102.82
  • Aetna — Aetna NBD: $86.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $86.40
  • Align Network — Align IN Work Comp: $21.42
  • Allied Benefit Systems — Allied Benefit Systems: $194.40
  • Amish Aid — Amish Aid: $64.80
  • Anthem — Anthem IN HMO PPO TRAD: $13.39
  • Anthem — Anthem IN Marketplace STLD: $13.39
  • Anthem BCBS — Anthem IN Healthsync: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel with Reflex LDL Direct $216 $64.80 $11.81 – $194.40
Cholesterol panel (lipid panel): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $179.28
  • Aetna — Aetna All: $102.82
  • Aetna — Aetna NBD: $86.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $86.40
  • Align Network — Align IN Work Comp: $21.42
  • Allied Benefit Systems — Allied Benefit Systems: $194.40
  • Amish Aid — Amish Aid: $64.80
  • Anthem — Anthem IN HMO PPO TRAD: $13.39
  • Anthem — Anthem IN Marketplace STLD: $13.39
  • Anthem BCBS — Anthem IN Healthsync: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $216 $64.80 $11.81 – $194.40
Cholesterol panel (lipid panel): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $179.28
  • Aetna — Aetna All: $102.82
  • Aetna — Aetna NBD: $86.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $86.40
  • Align Network — Align IN Work Comp: $21.42
  • Allied Benefit Systems — Allied Benefit Systems: $194.40
  • Amish Aid — Amish Aid: $64.80
  • Anthem — Anthem IN HMO PPO TRAD: $13.39
  • Anthem — Anthem IN Marketplace STLD: $13.39
  • Anthem BCBS — Anthem IN Healthsync: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $447 $134.10 $7.66 – $402.30
Kidney function panel: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $371.01
  • Aetna — Aetna All: $212.77
  • Aetna — Aetna NBD: $178.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $178.80
  • Align Network — Align IN Work Comp: $13.89
  • Allied Benefit Systems — Allied Benefit Systems: $402.30
  • Amish Aid — Amish Aid: $134.10
  • Anthem — Anthem IN HMO PPO TRAD: $8.68
  • Anthem — Anthem IN Marketplace STLD: $8.68
  • Anthem BCBS — Anthem IN Healthsync: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80069 Renal Function Panel $32 $9.60 $7.66 – $28.80
Kidney function panel: 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $26.56
  • Aetna — Aetna All: $15.23
  • Aetna — Aetna NBD: $12.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $12.80
  • Align Network — Align IN Work Comp: $13.89
  • Allied Benefit Systems — Allied Benefit Systems: $28.80
  • Amish Aid — Amish Aid: $9.60
  • Anthem — Anthem IN HMO PPO TRAD: $8.68
  • Anthem — Anthem IN Marketplace STLD: $8.68
  • Anthem BCBS — Anthem IN Healthsync: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 80069 Renal Function Panel $32 $11.52 $8.06 – $28.80
Kidney function panel: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $26.56
  • Aetna — Aetna All: $15.23
  • Aetna — Aetna NBD: $12.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $12.80
  • Allied Benefit Systems — Allied Benefit Systems: $28.80
  • Cigna — Cigna HMO: $10.34
  • Cigna — Cigna PPO: $11.62
  • Encore Health Network — Encore PPO Fully Insured: $26.24
  • Encore Health Network — Encore PPO Self Insured: $28.80
  • Evolutions — Evolutions Healthcare Systems: $28.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $266 $79.80 $7.21 – $239.40
Liver function panel: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $220.78
  • Aetna — Aetna All: $126.62
  • Aetna — Aetna NBD: $106.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $106.40
  • Align Network — Align IN Work Comp: $13.07
  • Allied Benefit Systems — Allied Benefit Systems: $239.40
  • Amish Aid — Amish Aid: $79.80
  • Anthem — Anthem IN HMO PPO TRAD: $8.17
  • Anthem — Anthem IN Marketplace STLD: $8.17
  • Anthem BCBS — Anthem IN Healthsync: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80076 Liver Profile $26 $7.80 $6.42 – $24.51
Liver function panel: 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $21.58
  • Aetna — Aetna All: $12.38
  • Aetna — Aetna NBD: $10.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $10.40
  • Align Network — Align IN Work Comp: $13.07
  • Allied Benefit Systems — Allied Benefit Systems: $23.40
  • Amish Aid — Amish Aid: $7.80
  • Anthem — Anthem IN HMO PPO TRAD: $8.17
  • Anthem — Anthem IN Marketplace STLD: $8.17
  • Anthem BCBS — Anthem IN Healthsync: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 80076 Liver Profile $26 $9.36 $6.55 – $23.40
Liver function panel: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $21.58
  • Aetna — Aetna All: $12.38
  • Aetna — Aetna NBD: $10.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $10.40
  • Allied Benefit Systems — Allied Benefit Systems: $23.40
  • Cigna — Cigna HMO: $8.40
  • Cigna — Cigna PPO: $9.44
  • Encore Health Network — Encore PPO Fully Insured: $21.32
  • Encore Health Network — Encore PPO Self Insured: $23.40
  • Evolutions — Evolutions Healthcare Systems: $23.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Reflex Microscopic Type? - Manual Micro $16 $4.80 $2.80 – $14.40
Urine test (automated, with microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $13.28
  • Aetna — Aetna All: $7.62
  • Aetna — Aetna NBD: $6.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $6.40
  • Align Network — Align IN Work Comp: $5.07
  • Allied Benefit Systems — Allied Benefit Systems: $14.40
  • Amish Aid — Amish Aid: $4.80
  • Anthem — Anthem IN HMO PPO TRAD: $3.17
  • Anthem — Anthem IN Marketplace STLD: $3.17
  • Anthem BCBS — Anthem IN Healthsync: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Reflex Microscopic Type? - Manual $16 $4.80 $2.80 – $14.40
Urine test (automated, with microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $13.28
  • Aetna — Aetna All: $7.62
  • Aetna — Aetna NBD: $6.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $6.40
  • Align Network — Align IN Work Comp: $5.07
  • Allied Benefit Systems — Allied Benefit Systems: $14.40
  • Amish Aid — Amish Aid: $4.80
  • Anthem — Anthem IN HMO PPO TRAD: $3.17
  • Anthem — Anthem IN Marketplace STLD: $3.17
  • Anthem BCBS — Anthem IN Healthsync: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Bill Only DS Auto/MSc Reqd $136 $40.80 $2.80 – $122.40
Urine test (automated, with microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $112.88
  • Aetna — Aetna All: $64.74
  • Aetna — Aetna NBD: $54.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $54.40
  • Align Network — Align IN Work Comp: $5.07
  • Allied Benefit Systems — Allied Benefit Systems: $122.40
  • Amish Aid — Amish Aid: $40.80
  • Anthem — Anthem IN HMO PPO TRAD: $3.17
  • Anthem — Anthem IN Marketplace STLD: $3.17
  • Anthem BCBS — Anthem IN Healthsync: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Manual $240 $72 $3.07 – $216
Urine test (manual, without microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Align Network — Align IN Work Comp: $5.57
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem — Anthem IN HMO PPO TRAD: $3.48
  • Anthem — Anthem IN Marketplace STLD: $3.48
  • Anthem BCBS — Anthem IN Healthsync: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Urinalysis Manual w/o MicroSc POC $240 $72 $3.07 – $216
Urine test (manual, without microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Align Network — Align IN Work Comp: $5.57
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem — Anthem IN HMO PPO TRAD: $3.48
  • Anthem — Anthem IN Marketplace STLD: $3.48
  • Anthem BCBS — Anthem IN Healthsync: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dipstick Type? - Manual $240 $72 $3.07 – $216
Urine test (manual, without microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Align Network — Align IN Work Comp: $5.57
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem — Anthem IN HMO PPO TRAD: $3.48
  • Anthem — Anthem IN Marketplace STLD: $3.48
  • Anthem BCBS — Anthem IN Healthsync: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 81003 L306266 UA AUTO WO S $86 $25.80 $1.98 – $77.40
Urine test (automated, without microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $71.38
  • Aetna — Aetna All: $40.94
  • Aetna — Aetna NBD: $34.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $34.40
  • Align Network — Align IN Work Comp: $3.60
  • Allied Benefit Systems — Allied Benefit Systems: $77.40
  • Amish Aid — Amish Aid: $25.80
  • Anthem — Anthem IN HMO PPO TRAD: $2.25
  • Anthem — Anthem IN Marketplace STLD: $2.25
  • Anthem BCBS — Anthem IN Healthsync: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Reflex Microscopic Type? - Not Indicated $3.12 $0.94 $0.79 – $6.75
Urine test (automated, without microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2.59
  • Aetna — Aetna All: $1.49
  • Aetna — Aetna NBD: $1.25
  • Aetna PSSD J and J — Aetna PSSD JJ: $1.25
  • Align Network — Align IN Work Comp: $3.60
  • Allied Benefit Systems — Allied Benefit Systems: $2.81
  • Amish Aid — Amish Aid: $0.94
  • Anthem — Anthem IN HMO PPO TRAD: $2.25
  • Anthem — Anthem IN Marketplace STLD: $2.25
  • Anthem BCBS — Anthem IN Healthsync: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Auto $86 $25.80 $1.98 – $77.40
Urine test (automated, without microscope): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $71.38
  • Aetna — Aetna All: $40.94
  • Aetna — Aetna NBD: $34.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $34.40
  • Align Network — Align IN Work Comp: $3.60
  • Allied Benefit Systems — Allied Benefit Systems: $77.40
  • Amish Aid — Amish Aid: $25.80
  • Anthem — Anthem IN HMO PPO TRAD: $2.25
  • Anthem — Anthem IN Marketplace STLD: $2.25
  • Anthem BCBS — Anthem IN Healthsync: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 84153 L480780 PSA, TOTAL 889 $240 $72 $16.22 – $216
PSA (prostate specific antigen) blood test: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Align Network — Align IN Work Comp: $29.42
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem — Anthem IN HMO PPO TRAD: $18.39
  • Anthem — Anthem IN Marketplace STLD: $18.39
  • Anthem BCBS — Anthem IN Healthsync: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Ag Total $240 $72 $16.22 – $216
PSA (prostate specific antigen) blood test: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Align Network — Align IN Work Comp: $29.42
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem — Anthem IN HMO PPO TRAD: $18.39
  • Anthem — Anthem IN Marketplace STLD: $18.39
  • Anthem BCBS — Anthem IN Healthsync: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total (Reflex To Free) (LC) $240 $72 $16.22 – $216
PSA (prostate specific antigen) blood test: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $199.20
  • Aetna — Aetna All: $114.24
  • Aetna — Aetna NBD: $96
  • Aetna PSSD J and J — Aetna PSSD JJ: $96
  • Align Network — Align IN Work Comp: $29.42
  • Allied Benefit Systems — Allied Benefit Systems: $216
  • Amish Aid — Amish Aid: $72
  • Anthem — Anthem IN HMO PPO TRAD: $18.39
  • Anthem — Anthem IN Marketplace STLD: $18.39
  • Anthem BCBS — Anthem IN Healthsync: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $262 $78.60 $14.81 – $235.80
Thyroid stimulating hormone (TSH) test: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $217.46
  • Aetna — Aetna All: $124.71
  • Aetna — Aetna NBD: $104.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $104.80
  • Align Network — Align IN Work Comp: $26.88
  • Allied Benefit Systems — Allied Benefit Systems: $235.80
  • Amish Aid — Amish Aid: $78.60
  • Anthem — Anthem IN HMO PPO TRAD: $16.80
  • Anthem — Anthem IN Marketplace STLD: $16.80
  • Anthem BCBS — Anthem IN Healthsync: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone w/Reflex to Free T4 $262 $78.60 $14.81 – $235.80
Thyroid stimulating hormone (TSH) test: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $217.46
  • Aetna — Aetna All: $124.71
  • Aetna — Aetna NBD: $104.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $104.80
  • Align Network — Align IN Work Comp: $26.88
  • Allied Benefit Systems — Allied Benefit Systems: $235.80
  • Amish Aid — Amish Aid: $78.60
  • Anthem — Anthem IN HMO PPO TRAD: $16.80
  • Anthem — Anthem IN Marketplace STLD: $16.80
  • Anthem BCBS — Anthem IN Healthsync: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (RL) $262 $78.60 $14.81 – $235.80
Thyroid stimulating hormone (TSH) test: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $217.46
  • Aetna — Aetna All: $124.71
  • Aetna — Aetna NBD: $104.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $104.80
  • Align Network — Align IN Work Comp: $26.88
  • Allied Benefit Systems — Allied Benefit Systems: $235.80
  • Amish Aid — Amish Aid: $78.60
  • Anthem — Anthem IN HMO PPO TRAD: $16.80
  • Anthem — Anthem IN Marketplace STLD: $16.80
  • Anthem BCBS — Anthem IN Healthsync: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBCWPLTA $108 $32.40 $6.85 – $97.20
Complete blood count (CBC) with differential: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $89.64
  • Aetna — Aetna All: $51.41
  • Aetna — Aetna NBD: $43.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $43.20
  • Align Network — Align IN Work Comp: $12.43
  • Allied Benefit Systems — Allied Benefit Systems: $97.20
  • Amish Aid — Amish Aid: $32.40
  • Anthem — Anthem IN HMO PPO TRAD: $7.77
  • Anthem — Anthem IN Marketplace STLD: $7.77
  • Anthem BCBS — Anthem IN Healthsync: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Diff Auto $108 $32.40 $6.85 – $97.20
Complete blood count (CBC) with differential: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $89.64
  • Aetna — Aetna All: $51.41
  • Aetna — Aetna NBD: $43.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $43.20
  • Align Network — Align IN Work Comp: $12.43
  • Allied Benefit Systems — Allied Benefit Systems: $97.20
  • Amish Aid — Amish Aid: $32.40
  • Anthem — Anthem IN HMO PPO TRAD: $7.77
  • Anthem — Anthem IN Marketplace STLD: $7.77
  • Anthem BCBS — Anthem IN Healthsync: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Diff Auto MW B $108 $32.40 $6.85 – $97.20
Complete blood count (CBC) with differential: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $89.64
  • Aetna — Aetna All: $51.41
  • Aetna — Aetna NBD: $43.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $43.20
  • Align Network — Align IN Work Comp: $12.43
  • Allied Benefit Systems — Allied Benefit Systems: $97.20
  • Amish Aid — Amish Aid: $32.40
  • Anthem — Anthem IN HMO PPO TRAD: $7.77
  • Anthem — Anthem IN Marketplace STLD: $7.77
  • Anthem BCBS — Anthem IN Healthsync: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/o Diff $108 $32.40 $5.71 – $97.20
Complete blood count (CBC), automated: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $89.64
  • Aetna — Aetna All: $51.41
  • Aetna — Aetna NBD: $43.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $43.20
  • Align Network — Align IN Work Comp: $10.35
  • Allied Benefit Systems — Allied Benefit Systems: $97.20
  • Amish Aid — Amish Aid: $32.40
  • Anthem — Anthem IN HMO PPO TRAD: $6.47
  • Anthem — Anthem IN Marketplace STLD: $6.47
  • Anthem BCBS — Anthem IN Healthsync: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/Diff Manual MW A $108 $32.40 $5.71 – $97.20
Complete blood count (CBC), automated: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $89.64
  • Aetna — Aetna All: $51.41
  • Aetna — Aetna NBD: $43.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $43.20
  • Align Network — Align IN Work Comp: $10.35
  • Allied Benefit Systems — Allied Benefit Systems: $97.20
  • Amish Aid — Amish Aid: $32.40
  • Anthem — Anthem IN HMO PPO TRAD: $6.47
  • Anthem — Anthem IN Marketplace STLD: $6.47
  • Anthem BCBS — Anthem IN Healthsync: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC, Platelet, No Differential (LC) $108 $32.40 $5.71 – $97.20
Complete blood count (CBC), automated: 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $89.64
  • Aetna — Aetna All: $51.41
  • Aetna — Aetna NBD: $43.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $43.20
  • Align Network — Align IN Work Comp: $10.35
  • Allied Benefit Systems — Allied Benefit Systems: $97.20
  • Amish Aid — Amish Aid: $32.40
  • Anthem — Anthem IN HMO PPO TRAD: $6.47
  • Anthem — Anthem IN Marketplace STLD: $6.47
  • Anthem BCBS — Anthem IN Healthsync: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Protime w/INR POC $58 $17.40 $3.78 – $52.20
Blood clotting time test (prothrombin time, PT): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $48.14
  • Aetna — Aetna All: $27.61
  • Aetna — Aetna NBD: $23.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $23.20
  • Align Network — Align IN Work Comp: $6.86
  • Allied Benefit Systems — Allied Benefit Systems: $52.20
  • Amish Aid — Amish Aid: $17.40
  • Anthem — Anthem IN HMO PPO TRAD: $4.29
  • Anthem — Anthem IN Marketplace STLD: $4.29
  • Anthem BCBS — Anthem IN Healthsync: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time w/INR $58 $17.40 $3.78 – $52.20
Blood clotting time test (prothrombin time, PT): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $48.14
  • Aetna — Aetna All: $27.61
  • Aetna — Aetna NBD: $23.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $23.20
  • Align Network — Align IN Work Comp: $6.86
  • Allied Benefit Systems — Allied Benefit Systems: $52.20
  • Amish Aid — Amish Aid: $17.40
  • Anthem — Anthem IN HMO PPO TRAD: $4.29
  • Anthem — Anthem IN Marketplace STLD: $4.29
  • Anthem BCBS — Anthem IN Healthsync: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .ISTAT PT w/INR POC $58 $17.40 $3.78 – $52.20
Blood clotting time test (prothrombin time, PT): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $48.14
  • Aetna — Aetna All: $27.61
  • Aetna — Aetna NBD: $23.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $23.20
  • Align Network — Align IN Work Comp: $6.86
  • Allied Benefit Systems — Allied Benefit Systems: $52.20
  • Amish Aid — Amish Aid: $17.40
  • Anthem — Anthem IN HMO PPO TRAD: $4.29
  • Anthem — Anthem IN Marketplace STLD: $4.29
  • Anthem BCBS — Anthem IN Healthsync: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time $190 $57 $5.30 – $171
Blood clotting test (partial thromboplastin time, PTT): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $157.70
  • Aetna — Aetna All: $90.44
  • Aetna — Aetna NBD: $76
  • Aetna PSSD J and J — Aetna PSSD JJ: $76
  • Align Network — Align IN Work Comp: $9.62
  • Allied Benefit Systems — Allied Benefit Systems: $171
  • Amish Aid — Amish Aid: $57
  • Anthem — Anthem IN HMO PPO TRAD: $6.01
  • Anthem — Anthem IN Marketplace STLD: $6.01
  • Anthem BCBS — Anthem IN Healthsync: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 THROMBOPLAST TIMEPTT $190 $57 $5.30 – $171
Blood clotting test (partial thromboplastin time, PTT): 10 of 86 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $157.70
  • Aetna — Aetna All: $90.44
  • Aetna — Aetna NBD: $76
  • Aetna PSSD J and J — Aetna PSSD JJ: $76
  • Align Network — Align IN Work Comp: $9.62
  • Allied Benefit Systems — Allied Benefit Systems: $171
  • Amish Aid — Amish Aid: $57
  • Anthem — Anthem IN HMO PPO TRAD: $6.01
  • Anthem — Anthem IN Marketplace STLD: $6.01
  • Anthem BCBS — Anthem IN Healthsync: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 L500070 APTT 889 $190 $57 $5.30 – $171
Blood clotting test (partial thromboplastin time, PTT): 10 of 85 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $157.70
  • Aetna — Aetna All: $90.44
  • Aetna — Aetna NBD: $76
  • Aetna PSSD J and J — Aetna PSSD JJ: $76
  • Align Network — Align IN Work Comp: $9.62
  • Allied Benefit Systems — Allied Benefit Systems: $171
  • Amish Aid — Amish Aid: $57
  • Anthem — Anthem IN HMO PPO TRAD: $6.01
  • Anthem — Anthem IN Marketplace STLD: $6.01
  • Anthem BCBS — Anthem IN Healthsync: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Trauma Head WO $2,776 $832.80 $97.84 – $2,498.40
CT scan of the head or brain, without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,304.08
  • Aetna — Aetna All: $1,321.38
  • Aetna — Aetna NBD: $1,110.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,110.40
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $2,498.40
  • Amish Aid — Amish Aid: $832.80
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head or Brain WO $1,209 $362.70 $97.84 – $1,529
CT scan of the head or brain, without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,003.47
  • Aetna — Aetna All: $575.48
  • Aetna — Aetna NBD: $483.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $483.60
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $1,088.10
  • Amish Aid — Amish Aid: $362.70
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head Stroke Alert $1,209 $362.70 $97.84 – $1,529
CT scan of the head or brain, without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,003.47
  • Aetna — Aetna All: $575.48
  • Aetna — Aetna NBD: $483.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $483.60
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $1,088.10
  • Amish Aid — Amish Aid: $362.70
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain WWO $3,202 $960.60 $328.54 – $2,881.80
MRI of the brain, before and after contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,657.66
  • Aetna — Aetna All: $1,524.15
  • Aetna — Aetna NBD: $1,280.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,280.80
  • Align Network — Align IN Work Comp: $590.58
  • Allied Benefit Systems — Allied Benefit Systems: $2,881.80
  • Amish Aid — Amish Aid: $960.60
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem BCBS — Anthem IN Healthsync: $1,243.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain WWO $3,202 $1,152.72 $806.83 – $2,881.80
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,657.66
  • Aetna — Aetna All: $1,524.15
  • Aetna — Aetna NBD: $1,280.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,280.80
  • Allied Benefit Systems — Allied Benefit Systems: $2,881.80
  • Cigna — Cigna HMO: $1,034.25
  • Cigna — Cigna PPO: $1,162.33
  • Encore Health Network — Encore PPO Fully Insured: $2,625.64
  • Encore Health Network — Encore PPO Self Insured: $2,881.80
  • Evolutions — Evolutions Healthcare Systems: $2,881.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 71046 CH-CHEST 2V CR $898 $269.40 $26.11 – $808.20
Chest X-ray, 2 views: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $745.34
  • Aetna — Aetna All: $427.45
  • Aetna — Aetna NBD: $359.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $359.20
  • Align Network — Align IN Work Comp: $147.31
  • Allied Benefit Systems — Allied Benefit Systems: $808.20
  • Amish Aid — Amish Aid: $269.40
  • Anthem — Anthem IN HMO PPO TRAD: $378.38
  • Anthem — Anthem IN Marketplace STLD: $302.70
  • Anthem BCBS — Anthem IN Healthsync: $310.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 V DR $898 $269.40 $26.11 – $808.20
Chest X-ray, 2 views: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $745.34
  • Aetna — Aetna All: $427.45
  • Aetna — Aetna NBD: $359.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $359.20
  • Align Network — Align IN Work Comp: $147.31
  • Allied Benefit Systems — Allied Benefit Systems: $808.20
  • Amish Aid — Amish Aid: $269.40
  • Anthem — Anthem IN HMO PPO TRAD: $378.38
  • Anthem — Anthem IN Marketplace STLD: $302.70
  • Anthem BCBS — Anthem IN Healthsync: $310.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 V CR $847 $254.10 $26.11 – $762.30
Chest X-ray, 2 views: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $703.01
  • Aetna — Aetna All: $403.17
  • Aetna — Aetna NBD: $338.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $338.80
  • Align Network — Align IN Work Comp: $147.31
  • Allied Benefit Systems — Allied Benefit Systems: $762.30
  • Amish Aid — Amish Aid: $254.10
  • Anthem — Anthem IN HMO PPO TRAD: $378.38
  • Anthem — Anthem IN Marketplace STLD: $302.70
  • Anthem BCBS — Anthem IN Healthsync: $310.27
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V DR $520 $156 $43.39 – $468
X-ray of the lower spine, at least 4 views: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $431.60
  • Aetna — Aetna All: $247.52
  • Aetna — Aetna NBD: $208
  • Aetna PSSD J and J — Aetna PSSD JJ: $208
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $468
  • Amish Aid — Amish Aid: $156
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 72110 26 X-RAY EXAM L-2 SPINE 4/>VWS $42 $12.60 $10.37 – $416
X-ray of the lower spine, at least 4 views: 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $34.86
  • Aetna — Aetna All: $19.99
  • Aetna — Aetna NBD: $16.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $16.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $37.80
  • Amish Aid — Amish Aid: $12.60
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 72110 26 XR Spine Lumbosacral Minimum 4 V CR $42 $12.60 $10.37 – $416
X-ray of the lower spine, at least 4 views: 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $34.86
  • Aetna — Aetna All: $19.99
  • Aetna — Aetna NBD: $16.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $16.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $37.80
  • Amish Aid — Amish Aid: $12.60
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar Limited WO $1,898 $569.40 $222.22 – $2,021
MRI of the lower back (lumbar spine), without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,575.34
  • Aetna — Aetna All: $903.45
  • Aetna — Aetna NBD: $759.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $759.20
  • Align Network — Align IN Work Comp: $403.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,708.20
  • Amish Aid — Amish Aid: $569.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem BCBS — Anthem IN Healthsync: $850.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar WO $1,898 $569.40 $222.22 – $2,021
MRI of the lower back (lumbar spine), without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,575.34
  • Aetna — Aetna All: $903.45
  • Aetna — Aetna NBD: $759.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $759.20
  • Align Network — Align IN Work Comp: $403.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,708.20
  • Amish Aid — Amish Aid: $569.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem BCBS — Anthem IN Healthsync: $850.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 72148 MR-LUMB SPINE WO $1,791 $537.30 $222.22 – $2,021
MRI of the lower back (lumbar spine), without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,486.53
  • Aetna — Aetna All: $852.52
  • Aetna — Aetna NBD: $716.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $716.40
  • Align Network — Align IN Work Comp: $403.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,611.90
  • Amish Aid — Amish Aid: $537.30
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem BCBS — Anthem IN Healthsync: $850.67
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Trauma Pelvis W $4,248 $1,274.40 $163.75 – $3,823.20
CT scan of the pelvis, with contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $3,525.84
  • Aetna — Aetna All: $2,022.05
  • Aetna — Aetna NBD: $1,699.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,699.20
  • Align Network — Align IN Work Comp: $296.93
  • Allied Benefit Systems — Allied Benefit Systems: $3,823.20
  • Amish Aid — Amish Aid: $1,274.40
  • Anthem — Anthem IN HMO PPO TRAD: $762.64
  • Anthem — Anthem IN Marketplace STLD: $610.10
  • Anthem BCBS — Anthem IN Healthsync: $625.36
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis with Rectal W $4,008 $1,202.40 $163.75 – $3,607.20
CT scan of the pelvis, with contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $3,326.64
  • Aetna — Aetna All: $1,907.81
  • Aetna — Aetna NBD: $1,603.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,603.20
  • Align Network — Align IN Work Comp: $296.93
  • Allied Benefit Systems — Allied Benefit Systems: $3,607.20
  • Amish Aid — Amish Aid: $1,202.40
  • Anthem — Anthem IN HMO PPO TRAD: $762.64
  • Anthem — Anthem IN Marketplace STLD: $610.10
  • Anthem BCBS — Anthem IN Healthsync: $625.36
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W $1,642 $492.60 $163.75 – $1,529
CT scan of the pelvis, with contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,362.86
  • Aetna — Aetna All: $781.59
  • Aetna — Aetna NBD: $656.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $656.80
  • Align Network — Align IN Work Comp: $296.93
  • Allied Benefit Systems — Allied Benefit Systems: $1,477.80
  • Amish Aid — Amish Aid: $492.60
  • Anthem — Anthem IN HMO PPO TRAD: $762.64
  • Anthem — Anthem IN Marketplace STLD: $610.10
  • Anthem BCBS — Anthem IN Healthsync: $625.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle Left WO $1,898 $569.40 $222.07 – $2,021
MRI of a leg joint (such as the knee), without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,575.34
  • Aetna — Aetna All: $903.45
  • Aetna — Aetna NBD: $759.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $759.20
  • Align Network — Align IN Work Comp: $403.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,708.20
  • Amish Aid — Amish Aid: $569.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem BCBS — Anthem IN Healthsync: $850.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle Right WO $1,898 $569.40 $222.07 – $2,021
MRI of a leg joint (such as the knee), without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,575.34
  • Aetna — Aetna All: $903.45
  • Aetna — Aetna NBD: $759.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $759.20
  • Align Network — Align IN Work Comp: $403.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,708.20
  • Amish Aid — Amish Aid: $569.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem BCBS — Anthem IN Healthsync: $850.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip Left WO $1,898 $569.40 $222.07 – $2,021
MRI of a leg joint (such as the knee), without contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,575.34
  • Aetna — Aetna All: $903.45
  • Aetna — Aetna NBD: $759.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $759.20
  • Align Network — Align IN Work Comp: $403.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,708.20
  • Amish Aid — Amish Aid: $569.40
  • Anthem — Anthem IN HMO PPO TRAD: $1,037.41
  • Anthem — Anthem IN Marketplace STLD: $829.93
  • Anthem BCBS — Anthem IN Healthsync: $850.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Trauma Abdomen Pelvis W $9,095 $2,728.50 $280.29 – $8,185.50
CT scan of the abdomen and pelvis, with contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $7,548.85
  • Aetna — Aetna All: $4,329.22
  • Aetna — Aetna NBD: $3,638
  • Aetna PSSD J and J — Aetna PSSD JJ: $3,638
  • Align Network — Align IN Work Comp: $590.58
  • Allied Benefit Systems — Allied Benefit Systems: $8,185.50
  • Amish Aid — Amish Aid: $2,728.50
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem BCBS — Anthem IN Healthsync: $1,243.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abd Pelvis W Pancreatic Protocol $3,110 $933 $280.29 – $2,799
CT scan of the abdomen and pelvis, with contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,581.30
  • Aetna — Aetna All: $1,480.36
  • Aetna — Aetna NBD: $1,244
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,244
  • Align Network — Align IN Work Comp: $590.58
  • Allied Benefit Systems — Allied Benefit Systems: $2,799
  • Amish Aid — Amish Aid: $933
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem BCBS — Anthem IN Healthsync: $1,243.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Enterography Abdomen Pelvis $3,110 $933 $280.29 – $2,799
CT scan of the abdomen and pelvis, with contrast: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,581.30
  • Aetna — Aetna All: $1,480.36
  • Aetna — Aetna NBD: $1,244
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,244
  • Align Network — Align IN Work Comp: $590.58
  • Allied Benefit Systems — Allied Benefit Systems: $2,799
  • Amish Aid — Amish Aid: $933
  • Anthem — Anthem IN HMO PPO TRAD: $1,516.87
  • Anthem — Anthem IN Marketplace STLD: $1,213.49
  • Anthem BCBS — Anthem IN Healthsync: $1,243.82
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,341 $402.30 $95.20 – $1,206.90
Ultrasound of the abdomen, complete: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,113.03
  • Aetna — Aetna All: $638.32
  • Aetna — Aetna NBD: $536.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $536.40
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $1,206.90
  • Amish Aid — Amish Aid: $402.30
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76700 US Abdomen Complete AMB $344 $103.20 $84.97 – $309.60
Ultrasound of the abdomen, complete: 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $285.52
  • Aetna — Aetna All: $163.74
  • Aetna — Aetna NBD: $137.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $137.60
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $309.60
  • Amish Aid — Amish Aid: $103.20
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,341 $482.76 $337.90 – $1,206.90
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,113.03
  • Aetna — Aetna All: $638.32
  • Aetna — Aetna NBD: $536.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $536.40
  • Allied Benefit Systems — Allied Benefit Systems: $1,206.90
  • Cigna — Cigna HMO: $433.14
  • Cigna — Cigna PPO: $486.78
  • Encore Health Network — Encore PPO Fully Insured: $1,099.62
  • Encore Health Network — Encore PPO Self Insured: $1,206.90
  • Evolutions — Evolutions Healthcare Systems: $1,206.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester Transabdominal $1,117 $335.10 $97.70 – $1,005.30
Pregnancy ultrasound (after the first trimester): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $927.11
  • Aetna — Aetna All: $531.69
  • Aetna — Aetna NBD: $446.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $446.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $1,005.30
  • Amish Aid — Amish Aid: $335.10
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 US-PELVIS PREG $1,117 $335.10 $97.70 – $1,005.30
Pregnancy ultrasound (after the first trimester): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $927.11
  • Aetna — Aetna All: $531.69
  • Aetna — Aetna NBD: $446.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $446.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $1,005.30
  • Amish Aid — Amish Aid: $335.10
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 Preg Compl. >14 Wks AMB $508 $152.40 $97.70 – $457.20
Pregnancy ultrasound (after the first trimester): 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $421.64
  • Aetna — Aetna All: $241.81
  • Aetna — Aetna NBD: $203.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $203.20
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $457.20
  • Amish Aid — Amish Aid: $152.40
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB $1,277 $383.10 $97.70 – $1,149.30
Transvaginal ultrasound: 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,059.91
  • Aetna — Aetna All: $607.85
  • Aetna — Aetna NBD: $510.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $510.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $1,149.30
  • Amish Aid — Amish Aid: $383.10
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 Vaginal, Non AMB $287 $86.10 $70.89 – $258.30
Transvaginal ultrasound: 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $238.21
  • Aetna — Aetna All: $136.61
  • Aetna — Aetna NBD: $114.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $114.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $258.30
  • Amish Aid — Amish Aid: $86.10
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 US Transvaginal Non OB AMB $287 $86.10 $70.89 – $258.30
Transvaginal ultrasound: 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $238.21
  • Aetna — Aetna All: $136.61
  • Aetna — Aetna NBD: $114.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $114.80
  • Align Network — Align IN Work Comp: $176.98
  • Allied Benefit Systems — Allied Benefit Systems: $258.30
  • Amish Aid — Amish Aid: $86.10
  • Anthem — Anthem IN HMO PPO TRAD: $454.55
  • Anthem — Anthem IN Marketplace STLD: $363.64
  • Anthem BCBS — Anthem IN Healthsync: $372.73
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77065 BR-DIG MAMMO UNILAT - LT $395 $118.50 $70.61 – $381.34
Diagnostic mammogram, one breast: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $327.85
  • Aetna — Aetna All: $188.02
  • Aetna — Aetna NBD: $158
  • Aetna PSSD J and J — Aetna PSSD JJ: $158
  • Align Network — Align IN Work Comp: $127.58
  • Allied Benefit Systems — Allied Benefit Systems: $355.50
  • Amish Aid — Amish Aid: $118.50
  • Anthem — Anthem IN HMO PPO TRAD: $79.74
  • Anthem — Anthem IN Marketplace STLD: $79.74
  • Anthem BCBS — Anthem IN Healthsync: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77065 BR-DIG MAMMO UNILAT - RT $395 $118.50 $70.61 – $381.34
Diagnostic mammogram, one breast: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $327.85
  • Aetna — Aetna All: $188.02
  • Aetna — Aetna NBD: $158
  • Aetna PSSD J and J — Aetna PSSD JJ: $158
  • Align Network — Align IN Work Comp: $127.58
  • Allied Benefit Systems — Allied Benefit Systems: $355.50
  • Amish Aid — Amish Aid: $118.50
  • Anthem — Anthem IN HMO PPO TRAD: $79.74
  • Anthem — Anthem IN Marketplace STLD: $79.74
  • Anthem BCBS — Anthem IN Healthsync: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Left WWO CAD $395 $118.50 $70.61 – $381.34
Diagnostic mammogram, one breast: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $327.85
  • Aetna — Aetna All: $188.02
  • Aetna — Aetna NBD: $158
  • Aetna PSSD J and J — Aetna PSSD JJ: $158
  • Align Network — Align IN Work Comp: $127.58
  • Allied Benefit Systems — Allied Benefit Systems: $355.50
  • Amish Aid — Amish Aid: $118.50
  • Anthem — Anthem IN HMO PPO TRAD: $79.74
  • Anthem — Anthem IN Marketplace STLD: $79.74
  • Anthem BCBS — Anthem IN Healthsync: $79.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77066 BR-DIG MAMMO BILAT $579 $173.70 $90.50 – $521.10
Diagnostic mammogram, both breasts: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $480.57
  • Aetna — Aetna All: $275.60
  • Aetna — Aetna NBD: $231.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $231.60
  • Align Network — Align IN Work Comp: $163.50
  • Allied Benefit Systems — Allied Benefit Systems: $521.10
  • Amish Aid — Amish Aid: $173.70
  • Anthem — Anthem IN HMO PPO TRAD: $102.19
  • Anthem — Anthem IN Marketplace STLD: $102.19
  • Anthem BCBS — Anthem IN Healthsync: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral WWO CAD $579 $173.70 $90.50 – $521.10
Diagnostic mammogram, both breasts: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $480.57
  • Aetna — Aetna All: $275.60
  • Aetna — Aetna NBD: $231.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $231.60
  • Align Network — Align IN Work Comp: $163.50
  • Allied Benefit Systems — Allied Benefit Systems: $521.10
  • Amish Aid — Amish Aid: $173.70
  • Anthem — Anthem IN HMO PPO TRAD: $102.19
  • Anthem — Anthem IN Marketplace STLD: $102.19
  • Anthem BCBS — Anthem IN Healthsync: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral W Tomo $543 $162.90 $90.50 – $488.70
Diagnostic mammogram, both breasts: 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $450.69
  • Aetna — Aetna All: $258.47
  • Aetna — Aetna NBD: $217.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $217.20
  • Align Network — Align IN Work Comp: $163.50
  • Allied Benefit Systems — Allied Benefit Systems: $488.70
  • Amish Aid — Amish Aid: $162.90
  • Anthem — Anthem IN HMO PPO TRAD: $102.19
  • Anthem — Anthem IN Marketplace STLD: $102.19
  • Anthem BCBS — Anthem IN Healthsync: $102.19
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77067 BR-DIG MAMMO SCRN UN - LT $476 $142.80 $74.42 – $428.40
Screening mammogram, both breasts: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $395.08
  • Aetna — Aetna All: $226.58
  • Aetna — Aetna NBD: $190.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $190.40
  • Align Network — Align IN Work Comp: $135.01
  • Allied Benefit Systems — Allied Benefit Systems: $428.40
  • Amish Aid — Amish Aid: $142.80
  • Anthem — Anthem IN HMO PPO TRAD: $84.38
  • Anthem — Anthem IN Marketplace STLD: $84.38
  • Anthem BCBS — Anthem IN Healthsync: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77067 BR-DIG MAMMO SCRN UN - RT $476 $142.80 $74.42 – $428.40
Screening mammogram, both breasts: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $395.08
  • Aetna — Aetna All: $226.58
  • Aetna — Aetna NBD: $190.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $190.40
  • Align Network — Align IN Work Comp: $135.01
  • Allied Benefit Systems — Allied Benefit Systems: $428.40
  • Amish Aid — Amish Aid: $142.80
  • Anthem — Anthem IN HMO PPO TRAD: $84.38
  • Anthem — Anthem IN Marketplace STLD: $84.38
  • Anthem BCBS — Anthem IN Healthsync: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77067 BR-DIG MAMMO SCRN BI $476 $142.80 $74.42 – $428.40
Screening mammogram, both breasts: 10 of 89 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $395.08
  • Aetna — Aetna All: $226.58
  • Aetna — Aetna NBD: $190.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $190.40
  • Align Network — Align IN Work Comp: $135.01
  • Allied Benefit Systems — Allied Benefit Systems: $428.40
  • Amish Aid — Amish Aid: $142.80
  • Anthem — Anthem IN HMO PPO TRAD: $84.38
  • Anthem — Anthem IN Marketplace STLD: $84.38
  • Anthem BCBS — Anthem IN Healthsync: $84.38

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93000 EKG POC AMB -BCE $69 $20.70 $12.97 – $69
Electrocardiogram (ECG/EKG) with reading: 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $57.27
  • Aetna — Aetna All: $32.84
  • Aetna — Aetna NBD: $27.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $27.60
  • Allied Benefit Systems — Allied Benefit Systems: $62.10
  • Amish Aid — Amish Aid: $20.70
  • Anthem BCBS — Anthem IN PPO: $25.60
  • Cigna — Cigna HMO: $22.29
  • Cigna — Cigna PPO: $25.05
  • Encore Health Network — Encore PPO Fully Insured: $56.58
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EKG POC AMB $69 $20.70 $12.97 – $69
Electrocardiogram (ECG/EKG) with reading: 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $57.27
  • Aetna — Aetna All: $32.84
  • Aetna — Aetna NBD: $27.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $27.60
  • Allied Benefit Systems — Allied Benefit Systems: $62.10
  • Amish Aid — Amish Aid: $20.70
  • Anthem BCBS — Anthem IN PPO: $25.60
  • Cigna — Cigna HMO: $22.29
  • Cigna — Cigna PPO: $25.05
  • Encore Health Network — Encore PPO Fully Insured: $56.58
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 93000 EKG POC AMB -BCE $69 $24.84 $17.39 – $62.10
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $57.27
  • Aetna — Aetna All: $32.84
  • Aetna — Aetna NBD: $27.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $27.60
  • Allied Benefit Systems — Allied Benefit Systems: $62.10
  • Cigna — Cigna HMO: $22.29
  • Cigna — Cigna PPO: $25.05
  • Encore Health Network — Encore PPO Fully Insured: $56.58
  • Encore Health Network — Encore PPO Self Insured: $62.10
  • Evolutions — Evolutions Healthcare Systems: $62.10
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC - GL 106 $27,428 $8,228.40 $559.22 – $24,685.20
Left heart catheterization (diagnostic): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $22,765.24
  • Aetna — Aetna All: $13,055.73
  • Aetna — Aetna NBD: $10,971.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $10,971.20
  • Align Network — Align IN Work Comp: $5,488
  • Allied Benefit Systems — Allied Benefit Systems: $24,685.20
  • Amish Aid — Amish Aid: $8,228.40
  • Anthem — Anthem IN HMO PPO TRAD: $14,095.70
  • Anthem — Anthem IN Marketplace STLD: $11,276.49
  • Anthem BCBS — Anthem IN Healthsync: $11,558.37
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC - Dept 106 $27,428 $8,228.40 $559.22 – $24,685.20
Left heart catheterization (diagnostic): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $22,765.24
  • Aetna — Aetna All: $13,055.73
  • Aetna — Aetna NBD: $10,971.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $10,971.20
  • Align Network — Align IN Work Comp: $5,488
  • Allied Benefit Systems — Allied Benefit Systems: $24,685.20
  • Amish Aid — Amish Aid: $8,228.40
  • Anthem — Anthem IN HMO PPO TRAD: $14,095.70
  • Anthem — Anthem IN Marketplace STLD: $11,276.49
  • Anthem BCBS — Anthem IN Healthsync: $11,558.37
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93452,26 LEFT HEART CATH W/LEFT VENT $650 $195 $160.55 – $809.60
Left heart catheterization (diagnostic): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $539.50
  • Aetna — Aetna All: $309.40
  • Aetna — Aetna NBD: $260
  • Aetna PSSD J and J — Aetna PSSD JJ: $260
  • Align Network — Align IN Work Comp: $5,488
  • Allied Benefit Systems — Allied Benefit Systems: $585
  • Amish Aid — Amish Aid: $195
  • Anthem — Anthem IN HMO PPO TRAD: $14,095.70
  • Anthem — Anthem IN Marketplace STLD: $11,276.49
  • Anthem BCBS — Anthem IN Healthsync: $11,558.37
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-COMP EP W-O ARRY - Dept 107 $20,044 $6,013.20 $4,950.87 – $18,039.60
Heart rhythm study (electrophysiology evaluation): 10 of 83 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $16,636.52
  • Aetna — Aetna All: $9,540.94
  • Aetna — Aetna NBD: $8,017.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $8,017.60
  • Align Network — Align IN Work Comp: $13,203.39
  • Allied Benefit Systems — Allied Benefit Systems: $18,039.60
  • Amish Aid — Amish Aid: $6,013.20
  • Anthem — Anthem IN HMO PPO TRAD: $33,912.42
  • Anthem — Anthem IN Marketplace STLD: $27,129.76
  • Anthem BCBS — Anthem IN Healthsync: $27,807.94
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-COMP EP W-O ARRY - GL 107 $20,044 $6,013.20 $4,950.87 – $18,039.60
Heart rhythm study (electrophysiology evaluation): 10 of 83 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $16,636.52
  • Aetna — Aetna All: $9,540.94
  • Aetna — Aetna NBD: $8,017.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $8,017.60
  • Align Network — Align IN Work Comp: $13,203.39
  • Allied Benefit Systems — Allied Benefit Systems: $18,039.60
  • Amish Aid — Amish Aid: $6,013.20
  • Anthem — Anthem IN HMO PPO TRAD: $33,912.42
  • Anthem — Anthem IN Marketplace STLD: $27,129.76
  • Anthem BCBS — Anthem IN Healthsync: $27,807.94
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93619,26 ELECTROPHYSIOLOGY EVALUATION $1,044 $313.20 $257.87 – $939.60
Heart rhythm study (electrophysiology evaluation): 10 of 70 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $866.52
  • Aetna — Aetna All: $496.94
  • Aetna — Aetna NBD: $417.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $417.60
  • Align Network — Align IN Work Comp: $13,203.39
  • Allied Benefit Systems — Allied Benefit Systems: $939.60
  • Amish Aid — Amish Aid: $313.20
  • Anthem — Anthem IN HMO PPO TRAD: $33,912.42
  • Anthem — Anthem IN Marketplace STLD: $27,129.76
  • Anthem BCBS — Anthem IN Healthsync: $27,807.94
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-ATR FIB PULM VN I - GL 107 $106,437 $31,931.10 $730.58 – $95,793.30
Heart rhythm study with ablation for atrial fibrillation: 10 of 85 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $88,342.71
  • Aetna — Aetna All: $50,664.01
  • Aetna — Aetna NBD: $42,574.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $42,574.80
  • Align Network — Align IN Work Comp: $44,246.59
  • Allied Benefit Systems — Allied Benefit Systems: $95,793.30
  • Amish Aid — Amish Aid: $31,931.10
  • Anthem — Anthem IN HMO PPO TRAD: $113,645.66
  • Anthem — Anthem IN Marketplace STLD: $90,915.95
  • Anthem BCBS — Anthem IN Healthsync: $93,188.63
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP-ATR FIB PULM VN I - Dept 107 $106,437 $31,931.10 $730.58 – $95,793.30
Heart rhythm study with ablation for atrial fibrillation: 10 of 85 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $88,342.71
  • Aetna — Aetna All: $50,664.01
  • Aetna — Aetna NBD: $42,574.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $42,574.80
  • Align Network — Align IN Work Comp: $44,246.59
  • Allied Benefit Systems — Allied Benefit Systems: $95,793.30
  • Amish Aid — Amish Aid: $31,931.10
  • Anthem — Anthem IN HMO PPO TRAD: $113,645.66
  • Anthem — Anthem IN Marketplace STLD: $90,915.95
  • Anthem BCBS — Anthem IN Healthsync: $93,188.63
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93656,53 TX ATRIAL FIB PULM VEIN ISOL $2,884 $865.20 $712.35 – $2,595.60
Heart rhythm study with ablation for atrial fibrillation: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,393.72
  • Aetna — Aetna All: $1,372.78
  • Aetna — Aetna NBD: $1,153.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,153.60
  • Align Network — Align IN Work Comp: $44,246.59
  • Allied Benefit Systems — Allied Benefit Systems: $2,595.60
  • Amish Aid — Amish Aid: $865.20
  • Anthem — Anthem IN HMO PPO TRAD: $113,645.66
  • Anthem — Anthem IN Marketplace STLD: $90,915.95
  • Anthem BCBS — Anthem IN Healthsync: $93,188.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHRG - POLYSOMNO GT4 GE6YO $10,135 $3,040.50 $455.23 – $9,121.50
Sleep study (overnight, in a sleep lab): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $8,412.05
  • Aetna — Aetna All: $4,824.26
  • Aetna — Aetna NBD: $4,054
  • Aetna PSSD J and J — Aetna PSSD JJ: $4,054
  • Align Network — Align IN Work Comp: $1,453.70
  • Allied Benefit Systems — Allied Benefit Systems: $9,121.50
  • Amish Aid — Amish Aid: $3,040.50
  • Anthem — Anthem IN HMO PPO TRAD: $3,733.73
  • Anthem — Anthem IN Marketplace STLD: $2,986.97
  • Anthem BCBS — Anthem IN Healthsync: $3,061.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SL Polysomnography Sleep Study $10,135 $3,040.50 $455.23 – $9,121.50
Sleep study (overnight, in a sleep lab): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $8,412.05
  • Aetna — Aetna All: $4,824.26
  • Aetna — Aetna NBD: $4,054
  • Aetna PSSD J and J — Aetna PSSD JJ: $4,054
  • Align Network — Align IN Work Comp: $1,453.70
  • Allied Benefit Systems — Allied Benefit Systems: $9,121.50
  • Amish Aid — Amish Aid: $3,040.50
  • Anthem — Anthem IN HMO PPO TRAD: $3,733.73
  • Anthem — Anthem IN Marketplace STLD: $2,986.97
  • Anthem BCBS — Anthem IN Healthsync: $3,061.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 95810,26 POLYSOM 6/> YRS 4/> PARAM $278 $83.40 $68.67 – $626.64
Sleep study (overnight, in a sleep lab): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $230.74
  • Aetna — Aetna All: $132.33
  • Aetna — Aetna NBD: $111.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $111.20
  • Align Network — Align IN Work Comp: $1,453.70
  • Allied Benefit Systems — Allied Benefit Systems: $250.20
  • Amish Aid — Amish Aid: $83.40
  • Anthem — Anthem IN HMO PPO TRAD: $3,733.73
  • Anthem — Anthem IN Marketplace STLD: $2,986.97
  • Anthem BCBS — Anthem IN Healthsync: $3,061.63

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Assistant Charge $315 $94.50 $22.02 – $283.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $261.45
  • Aetna — Aetna All: $149.94
  • Aetna — Aetna NBD: $126
  • Aetna PSSD J and J — Aetna PSSD JJ: $126
  • Align Network — Align IN Work Comp: $44.62
  • Allied Benefit Systems — Allied Benefit Systems: $283.50
  • Amish Aid — Amish Aid: $94.50
  • Anthem — Anthem IN HMO PPO TRAD: $27.89
  • Anthem — Anthem IN Marketplace STLD: $27.89
  • Anthem BCBS — Anthem IN Healthsync: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Assistant Charge $315 $94.50 $22.02 – $283.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $261.45
  • Aetna — Aetna All: $149.94
  • Aetna — Aetna NBD: $126
  • Aetna PSSD J and J — Aetna PSSD JJ: $126
  • Align Network — Align IN Work Comp: $44.62
  • Allied Benefit Systems — Allied Benefit Systems: $283.50
  • Amish Aid — Amish Aid: $94.50
  • Anthem — Anthem IN HMO PPO TRAD: $27.89
  • Anthem — Anthem IN Marketplace STLD: $27.89
  • Anthem BCBS — Anthem IN Healthsync: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 $315 $94.50 $22.02 – $283.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $261.45
  • Aetna — Aetna All: $149.94
  • Aetna — Aetna NBD: $126
  • Aetna PSSD J and J — Aetna PSSD JJ: $126
  • Align Network — Align IN Work Comp: $44.62
  • Allied Benefit Systems — Allied Benefit Systems: $283.50
  • Amish Aid — Amish Aid: $94.50
  • Anthem — Anthem IN HMO PPO TRAD: $27.89
  • Anthem — Anthem IN Marketplace STLD: $27.89
  • Anthem BCBS — Anthem IN Healthsync: $27.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Assistant Unit - Yes $775 $232.50 $65 – $697.50
Physical therapy evaluation (low complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1 $775 $232.50 $65 – $697.50
Physical therapy evaluation (low complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IRF PT EVAL LOW $775 $232.50 $65 – $697.50
Physical therapy evaluation (low complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Assistant Unit - Yes $775 $232.50 $65 – $697.50
Physical therapy evaluation (moderate complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 1 $775 $232.50 $65 – $697.50
Physical therapy evaluation (moderate complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IRF PT EVAL MOD $775 $232.50 $65 – $697.50
Physical therapy evaluation (moderate complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Assistant Unit - Yes $775 $232.50 $65 – $697.50
Physical therapy evaluation (high complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1 $775 $232.50 $65 – $697.50
Physical therapy evaluation (high complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IRF PT EVAL HIGH $775 $232.50 $65 – $697.50
Physical therapy evaluation (high complexity): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $643.25
  • Aetna — Aetna All: $368.90
  • Aetna — Aetna NBD: $310
  • Aetna PSSD J and J — Aetna PSSD JJ: $310
  • Align Network — Align IN Work Comp: $151.42
  • Allied Benefit Systems — Allied Benefit Systems: $697.50
  • Amish Aid — Amish Aid: $232.50
  • Anthem — Anthem IN HMO PPO TRAD: $94.64
  • Anthem — Anthem IN Marketplace STLD: $94.64
  • Anthem BCBS — Anthem IN Healthsync: $94.64
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90832 PSYTX PT&/FAMILY 30 MINUTES $89 $26.70 $21.98 – $80.10
Psychotherapy, 30 minutes: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $73.87
  • Aetna — Aetna All: $42.36
  • Aetna — Aetna NBD: $35.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $35.60
  • Align Network — Align IN Work Comp: $300.46
  • Allied Benefit Systems — Allied Benefit Systems: $80.10
  • Amish Aid — Amish Aid: $26.70
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem BCBS — Anthem IN Healthsync: $632.82
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90832 PSYTX PT&/FAMILY 30 MINUTES $89 $32.04 $22.43 – $80.10
Psychotherapy, 30 minutes: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $73.87
  • Aetna — Aetna All: $42.36
  • Aetna — Aetna NBD: $35.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $35.60
  • Allied Benefit Systems — Allied Benefit Systems: $80.10
  • Cigna — Cigna HMO: $28.75
  • Cigna — Cigna PPO: $32.31
  • Encore Health Network — Encore PPO Fully Insured: $72.98
  • Encore Health Network — Encore PPO Self Insured: $80.10
  • Evolutions — Evolutions Healthcare Systems: $80.10
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90834 PSYTX PT&/FAMILY 45 MINUTES $133 $39.90 $32.85 – $119.70
Psychotherapy, 45 minutes: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $110.39
  • Aetna — Aetna All: $63.31
  • Aetna — Aetna NBD: $53.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $53.20
  • Align Network — Align IN Work Comp: $300.46
  • Allied Benefit Systems — Allied Benefit Systems: $119.70
  • Amish Aid — Amish Aid: $39.90
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem BCBS — Anthem IN Healthsync: $632.82
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90834 PSYTX PT&/FAMILY 45 MINUTES $133 $47.88 $33.51 – $119.70
Psychotherapy, 45 minutes: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $110.39
  • Aetna — Aetna All: $63.31
  • Aetna — Aetna NBD: $53.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $53.20
  • Allied Benefit Systems — Allied Benefit Systems: $119.70
  • Cigna — Cigna HMO: $42.96
  • Cigna — Cigna PPO: $48.28
  • Encore Health Network — Encore PPO Fully Insured: $109.06
  • Encore Health Network — Encore PPO Self Insured: $119.70
  • Evolutions — Evolutions Healthcare Systems: $119.70
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90837 PSYTX PT&/FAMILY 60 MINUTES $201 $60.30 $49.65 – $180.90
Psychotherapy, 60 minutes: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $166.83
  • Aetna — Aetna All: $95.68
  • Aetna — Aetna NBD: $80.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $80.40
  • Align Network — Align IN Work Comp: $300.46
  • Allied Benefit Systems — Allied Benefit Systems: $180.90
  • Amish Aid — Amish Aid: $60.30
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem BCBS — Anthem IN Healthsync: $632.82
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90837 PSYTX PT&/FAMILY 60 MINUTES $201 $72.36 $50.65 – $180.90
Psychotherapy, 60 minutes: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $166.83
  • Aetna — Aetna All: $95.68
  • Aetna — Aetna NBD: $80.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $80.40
  • Allied Benefit Systems — Allied Benefit Systems: $180.90
  • Cigna — Cigna HMO: $64.92
  • Cigna — Cigna PPO: $72.96
  • Encore Health Network — Encore PPO Fully Insured: $164.82
  • Encore Health Network — Encore PPO Self Insured: $180.90
  • Evolutions — Evolutions Healthcare Systems: $180.90
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90846 FAMILY PSYTX W/O PATIENT $267 $80.10 $65.95 – $240.30
Family psychotherapy, without the patient: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $221.61
  • Aetna — Aetna All: $127.09
  • Aetna — Aetna NBD: $106.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $106.80
  • Align Network — Align IN Work Comp: $300.46
  • Allied Benefit Systems — Allied Benefit Systems: $240.30
  • Amish Aid — Amish Aid: $80.10
  • Anthem — Anthem IN HMO PPO TRAD: $771.74
  • Anthem — Anthem IN Marketplace STLD: $617.39
  • Anthem BCBS — Anthem IN Healthsync: $632.82
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90846 FAMILY PSYTX W/O PATIENT $267 $96.12 $67.28 – $240.30
Family psychotherapy, without the patient: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $221.61
  • Aetna — Aetna All: $127.09
  • Aetna — Aetna NBD: $106.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $106.80
  • Allied Benefit Systems — Allied Benefit Systems: $240.30
  • Cigna — Cigna HMO: $86.24
  • Cigna — Cigna PPO: $96.92
  • Encore Health Network — Encore PPO Fully Insured: $218.94
  • Encore Health Network — Encore PPO Self Insured: $240.30
  • Evolutions — Evolutions Healthcare Systems: $240.30

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION $33,160.18 $9,948.05 $370.76 – $29,844.16
Removal of breast growth (open surgery): 10 of 88 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $27,522.95
  • Aetna — Aetna All: $15,784.25
  • Aetna — Aetna NBD: $13,264.07
  • Aetna PSSD J and J — Aetna PSSD JJ: $13,264.07
  • Align Network — Align IN Work Comp: $6,628.11
  • Allied Benefit Systems — Allied Benefit Systems: $29,844.16
  • Amish Aid — Amish Aid: $9,948.05
  • Anthem — Anthem IN HMO PPO TRAD: $17,024.04
  • Anthem — Anthem IN Marketplace STLD: $13,619.14
  • Anthem BCBS — Anthem IN Healthsync: $13,959.59
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 19120,LT REMOVAL OF BREAST LESION $1,548 $464.40 $370.76 – $1,393.20
Removal of breast growth (open surgery): 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,284.84
  • Aetna — Aetna All: $736.85
  • Aetna — Aetna NBD: $619.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $619.20
  • Align Network — Align IN Work Comp: $6,628.11
  • Allied Benefit Systems — Allied Benefit Systems: $1,393.20
  • Amish Aid — Amish Aid: $464.40
  • Anthem — Anthem IN HMO PPO TRAD: $17,024.04
  • Anthem — Anthem IN Marketplace STLD: $13,619.14
  • Anthem BCBS — Anthem IN Healthsync: $13,959.59
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 19120,RT REMOVAL OF BREAST LESION $1,548 $464.40 $370.76 – $1,393.20
Removal of breast growth (open surgery): 10 of 73 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,284.84
  • Aetna — Aetna All: $736.85
  • Aetna — Aetna NBD: $619.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $619.20
  • Align Network — Align IN Work Comp: $6,628.11
  • Allied Benefit Systems — Allied Benefit Systems: $1,393.20
  • Amish Aid — Amish Aid: $464.40
  • Anthem — Anthem IN HMO PPO TRAD: $17,024.04
  • Anthem — Anthem IN Marketplace STLD: $13,619.14
  • Anthem BCBS — Anthem IN Healthsync: $13,959.59
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27130,AS TOTAL HIP ARTHROPLASTY $1,354 $406.20 $334.44 – $1,218.60
Total hip replacement: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,123.82
  • Aetna — Aetna All: $644.50
  • Aetna — Aetna NBD: $541.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $541.60
  • Align Network — Align IN Work Comp: $21,733.52
  • Allied Benefit Systems — Allied Benefit Systems: $1,218.60
  • Amish Aid — Amish Aid: $406.20
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem BCBS — Anthem IN Healthsync: $45,773.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27130,80 TOTAL HIP ARTHROPLASTY $1,354 $406.20 $334.44 – $1,218.60
Total hip replacement: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,123.82
  • Aetna — Aetna All: $644.50
  • Aetna — Aetna NBD: $541.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $541.60
  • Align Network — Align IN Work Comp: $21,733.52
  • Allied Benefit Systems — Allied Benefit Systems: $1,218.60
  • Amish Aid — Amish Aid: $406.20
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem BCBS — Anthem IN Healthsync: $45,773.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27130,LT TOTAL HIP ARTHROPLASTY $5,417 $1,625.10 $1,064.13 – $4,875.30
Total hip replacement: 10 of 71 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,496.11
  • Aetna — Aetna All: $2,578.49
  • Aetna — Aetna NBD: $2,166.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,166.80
  • Align Network — Align IN Work Comp: $21,733.52
  • Allied Benefit Systems — Allied Benefit Systems: $4,875.30
  • Amish Aid — Amish Aid: $1,625.10
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem BCBS — Anthem IN Healthsync: $45,773.44
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27447 50 TOTAL KNEE ARTHROPLASTY $4,878 $1,463.40 $1,062.09 – $4,390.20
Total knee replacement: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,048.74
  • Aetna — Aetna All: $2,321.93
  • Aetna — Aetna NBD: $1,951.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,951.20
  • Align Network — Align IN Work Comp: $21,733.52
  • Allied Benefit Systems — Allied Benefit Systems: $4,390.20
  • Amish Aid — Amish Aid: $1,463.40
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem BCBS — Anthem IN Healthsync: $45,773.44
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27447,AS TOTAL KNEE ARTHROPLASTY $813 $243.90 $200.81 – $1,062.09
Total knee replacement: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $674.79
  • Aetna — Aetna All: $386.99
  • Aetna — Aetna NBD: $325.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $325.20
  • Align Network — Align IN Work Comp: $21,733.52
  • Allied Benefit Systems — Allied Benefit Systems: $731.70
  • Amish Aid — Amish Aid: $243.90
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem BCBS — Anthem IN Healthsync: $45,773.44
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27447,80 TOTAL KNEE ARTHROPLASTY $813 $243.90 $200.81 – $1,062.09
Total knee replacement: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $674.79
  • Aetna — Aetna All: $386.99
  • Aetna — Aetna NBD: $325.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $325.20
  • Align Network — Align IN Work Comp: $21,733.52
  • Allied Benefit Systems — Allied Benefit Systems: $731.70
  • Amish Aid — Amish Aid: $243.90
  • Anthem — Anthem IN HMO PPO TRAD: $55,821.75
  • Anthem — Anthem IN Marketplace STLD: $44,657.12
  • Anthem BCBS — Anthem IN Healthsync: $45,773.44
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29826,LT SHOULDER ARTHROSCOPY/SURGERY $658 $197.40 $135.46 – $592.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 40 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $546.14
  • Aetna — Aetna All: $313.21
  • Aetna — Aetna NBD: $263.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $263.20
  • Allied Benefit Systems — Allied Benefit Systems: $592.20
  • Amish Aid — Amish Aid: $197.40
  • Anthem BCBS — Anthem IN PPO: $244.12
  • Cigna — Cigna HMO: $212.53
  • Cigna — Cigna PPO: $238.85
  • Encore Health Network — Encore PPO Fully Insured: $539.56
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29826,RT SHOULDER ARTHROSCOPY/SURGERY $658 $197.40 $135.46 – $592.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 40 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $546.14
  • Aetna — Aetna All: $313.21
  • Aetna — Aetna NBD: $263.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $263.20
  • Allied Benefit Systems — Allied Benefit Systems: $592.20
  • Amish Aid — Amish Aid: $197.40
  • Anthem BCBS — Anthem IN PPO: $244.12
  • Cigna — Cigna HMO: $212.53
  • Cigna — Cigna PPO: $238.85
  • Encore Health Network — Encore PPO Fully Insured: $539.56
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29826 SHOULDER ARTHROSCOPY/SURGERY $658 $197.40 $135.46 – $592.20
Shoulder arthroscopy: shaving of shoulder bone: 10 of 40 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $546.14
  • Aetna — Aetna All: $313.21
  • Aetna — Aetna NBD: $263.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $263.20
  • Allied Benefit Systems — Allied Benefit Systems: $592.20
  • Amish Aid — Amish Aid: $197.40
  • Anthem BCBS — Anthem IN PPO: $244.12
  • Cigna — Cigna HMO: $212.53
  • Cigna — Cigna PPO: $238.85
  • Encore Health Network — Encore PPO Fully Insured: $539.56
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29881,LT KNEE ARTHROSCOPY/SURGERY $2,052 $615.60 $474.14 – $1,846.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,703.16
  • Aetna — Aetna All: $976.75
  • Aetna — Aetna NBD: $820.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $820.80
  • Align Network — Align IN Work Comp: $5,538.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,846.80
  • Amish Aid — Amish Aid: $615.60
  • Anthem — Anthem IN HMO PPO TRAD: $14,226.45
  • Anthem — Anthem IN Marketplace STLD: $11,381.09
  • Anthem BCBS — Anthem IN Healthsync: $11,665.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29881,RT KNEE ARTHROSCOPY/SURGERY $2,052 $615.60 $474.14 – $1,846.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,703.16
  • Aetna — Aetna All: $976.75
  • Aetna — Aetna NBD: $820.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $820.80
  • Align Network — Align IN Work Comp: $5,538.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,846.80
  • Amish Aid — Amish Aid: $615.60
  • Anthem — Anthem IN HMO PPO TRAD: $14,226.45
  • Anthem — Anthem IN Marketplace STLD: $11,381.09
  • Anthem BCBS — Anthem IN Healthsync: $11,665.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29881 KNEE ARTHROSCOPY/SURGERY $2,052 $615.60 $474.14 – $1,846.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,703.16
  • Aetna — Aetna All: $976.75
  • Aetna — Aetna NBD: $820.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $820.80
  • Align Network — Align IN Work Comp: $5,538.90
  • Allied Benefit Systems — Allied Benefit Systems: $1,846.80
  • Amish Aid — Amish Aid: $615.60
  • Anthem — Anthem IN HMO PPO TRAD: $14,226.45
  • Anthem — Anthem IN Marketplace STLD: $11,381.09
  • Anthem BCBS — Anthem IN Healthsync: $11,665.59
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS $28,248.64 $8,474.59 $243.15 – $25,423.78
Removal of tonsils and adenoids (under age 12): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $23,446.37
  • Aetna — Aetna All: $13,446.35
  • Aetna — Aetna NBD: $11,299.46
  • Aetna PSSD J and J — Aetna PSSD JJ: $11,299.46
  • Align Network — Align IN Work Comp: $10,021.18
  • Allied Benefit Systems — Allied Benefit Systems: $25,423.78
  • Amish Aid — Amish Aid: $8,474.59
  • Anthem — Anthem IN HMO PPO TRAD: $25,739.04
  • Anthem — Anthem IN Marketplace STLD: $20,591.10
  • Anthem BCBS — Anthem IN Healthsync: $21,105.83
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 42820 REMOVE TONSILS AND ADENOIDS $1,125 $337.50 $243.15 – $1,012.50
Removal of tonsils and adenoids (under age 12): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $933.75
  • Aetna — Aetna All: $535.50
  • Aetna — Aetna NBD: $450
  • Aetna PSSD J and J — Aetna PSSD JJ: $450
  • Align Network — Align IN Work Comp: $10,021.18
  • Allied Benefit Systems — Allied Benefit Systems: $1,012.50
  • Amish Aid — Amish Aid: $337.50
  • Anthem — Anthem IN HMO PPO TRAD: $25,739.04
  • Anthem — Anthem IN Marketplace STLD: $20,591.10
  • Anthem BCBS — Anthem IN Healthsync: $21,105.83
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 42820 REMOVE TONSILS AND ADENOIDS $1,125 $405 $283.47 – $1,012.50
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $933.75
  • Aetna — Aetna All: $535.50
  • Aetna — Aetna NBD: $450
  • Aetna PSSD J and J — Aetna PSSD JJ: $450
  • Allied Benefit Systems — Allied Benefit Systems: $1,012.50
  • Cigna — Cigna HMO: $363.37
  • Cigna — Cigna PPO: $408.38
  • Encore Health Network — Encore PPO Fully Insured: $922.50
  • Encore Health Network — Encore PPO Self Insured: $1,012.50
  • Evolutions — Evolutions Healthcare Systems: $1,012.50
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS $9,741.93 $2,922.58 $103.93 – $8,767.74
Upper GI endoscopy (diagnostic): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $8,085.80
  • Aetna — Aetna All: $4,637.16
  • Aetna — Aetna NBD: $3,896.77
  • Aetna PSSD J and J — Aetna PSSD JJ: $3,896.77
  • Align Network — Align IN Work Comp: $1,535.36
  • Allied Benefit Systems — Allied Benefit Systems: $8,767.74
  • Amish Aid — Amish Aid: $2,922.58
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem BCBS — Anthem IN Healthsync: $3,233.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43235,52 EGD DIAGNOSTIC BRUSH WASH $556 $166.80 $103.93 – $2,851
Upper GI endoscopy (diagnostic): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $461.48
  • Aetna — Aetna All: $264.66
  • Aetna — Aetna NBD: $222.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $222.40
  • Align Network — Align IN Work Comp: $1,535.36
  • Allied Benefit Systems — Allied Benefit Systems: $500.40
  • Amish Aid — Amish Aid: $166.80
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem BCBS — Anthem IN Healthsync: $3,233.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43235,53 EGD DIAGNOSTIC BRUSH WASH $556 $166.80 $103.93 – $2,851
Upper GI endoscopy (diagnostic): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $461.48
  • Aetna — Aetna All: $264.66
  • Aetna — Aetna NBD: $222.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $222.40
  • Align Network — Align IN Work Comp: $1,535.36
  • Allied Benefit Systems — Allied Benefit Systems: $500.40
  • Amish Aid — Amish Aid: $166.80
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem BCBS — Anthem IN Healthsync: $3,233.64
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY $11,380.08 $3,414.02 $116.27 – $10,242.07
Upper GI endoscopy with biopsy: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $9,445.47
  • Aetna — Aetna All: $5,416.92
  • Aetna — Aetna NBD: $4,552.03
  • Aetna PSSD J and J — Aetna PSSD JJ: $4,552.03
  • Align Network — Align IN Work Comp: $1,535.36
  • Allied Benefit Systems — Allied Benefit Systems: $10,242.07
  • Amish Aid — Amish Aid: $3,414.02
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem BCBS — Anthem IN Healthsync: $3,233.64
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239,52 EGD BIOPSY SINGLE/MULTIPLE $657 $197.10 $116.27 – $2,851
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $545.31
  • Aetna — Aetna All: $312.73
  • Aetna — Aetna NBD: $262.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $262.80
  • Align Network — Align IN Work Comp: $1,535.36
  • Allied Benefit Systems — Allied Benefit Systems: $591.30
  • Amish Aid — Amish Aid: $197.10
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem BCBS — Anthem IN Healthsync: $3,233.64
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR $657 $197.10 $116.27 – $2,851
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $545.31
  • Aetna — Aetna All: $312.73
  • Aetna — Aetna NBD: $262.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $262.80
  • Align Network — Align IN Work Comp: $1,535.36
  • Allied Benefit Systems — Allied Benefit Systems: $591.30
  • Amish Aid — Amish Aid: $197.10
  • Anthem — Anthem IN HMO PPO TRAD: $3,943.50
  • Anthem — Anthem IN Marketplace STLD: $3,154.78
  • Anthem BCBS — Anthem IN Healthsync: $3,233.64
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $7,257.89 $2,177.37 $154.36 – $6,759
Colonoscopy (diagnostic): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $6,024.05
  • Aetna — Aetna All: $3,454.76
  • Aetna — Aetna NBD: $2,903.16
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,903.16
  • Align Network — Align IN Work Comp: $1,574.24
  • Allied Benefit Systems — Allied Benefit Systems: $6,532.10
  • Amish Aid — Amish Aid: $2,177.37
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem BCBS — Anthem IN Healthsync: $3,315.57
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378,52 DIAGNOSTIC COLONOSCOPY $828 $248.40 $154.36 – $2,851
Colonoscopy (diagnostic): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $687.24
  • Aetna — Aetna All: $394.13
  • Aetna — Aetna NBD: $331.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $331.20
  • Align Network — Align IN Work Comp: $1,574.24
  • Allied Benefit Systems — Allied Benefit Systems: $745.20
  • Amish Aid — Amish Aid: $248.40
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem BCBS — Anthem IN Healthsync: $3,315.57
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE $828 $248.40 $154.36 – $2,851
Colonoscopy (diagnostic): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $687.24
  • Aetna — Aetna All: $394.13
  • Aetna — Aetna NBD: $331.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $331.20
  • Align Network — Align IN Work Comp: $1,574.24
  • Allied Benefit Systems — Allied Benefit Systems: $745.20
  • Amish Aid — Amish Aid: $248.40
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem BCBS — Anthem IN Healthsync: $3,315.57
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY $11,273.40 $3,382.02 $167 – $10,146.06
Colonoscopy with biopsy: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $9,356.92
  • Aetna — Aetna All: $5,366.14
  • Aetna — Aetna NBD: $4,509.36
  • Aetna PSSD J and J — Aetna PSSD JJ: $4,509.36
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $10,146.06
  • Amish Aid — Amish Aid: $3,382.02
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45380,52 COLONOSCOPY AND BIOPSY $989 $296.70 $167 – $2,851
Colonoscopy with biopsy: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $820.87
  • Aetna — Aetna All: $470.76
  • Aetna — Aetna NBD: $395.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $395.60
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $890.10
  • Amish Aid — Amish Aid: $296.70
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER $989 $296.70 $167 – $2,851
Colonoscopy with biopsy: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $820.87
  • Aetna — Aetna All: $470.76
  • Aetna — Aetna NBD: $395.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $395.60
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $890.10
  • Amish Aid — Amish Aid: $296.70
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY $10,735.38 $3,220.61 $210.50 – $9,661.84
Colonoscopy with removal of polyps (snare): 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $8,910.37
  • Aetna — Aetna All: $5,110.04
  • Aetna — Aetna NBD: $4,294.15
  • Aetna PSSD J and J — Aetna PSSD JJ: $4,294.15
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $9,661.84
  • Amish Aid — Amish Aid: $3,220.61
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45385,52 LESION REMOVAL COLONOSCOPY $1,174 $352.20 $210.50 – $2,851
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $974.42
  • Aetna — Aetna All: $558.82
  • Aetna — Aetna NBD: $469.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $469.60
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $1,056.60
  • Amish Aid — Amish Aid: $352.20
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE $1,174 $352.20 $210.50 – $2,851
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $974.42
  • Aetna — Aetna All: $558.82
  • Aetna — Aetna NBD: $469.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $469.60
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $1,056.60
  • Amish Aid — Amish Aid: $352.20
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US $5,632.36 $1,689.71 $213.42 – $6,759
Ultrasound of the lower bowel by endoscope: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,674.86
  • Aetna — Aetna All: $2,681
  • Aetna — Aetna NBD: $2,252.94
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,252.94
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $5,069.12
  • Amish Aid — Amish Aid: $1,689.71
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45391 COLONOSCOPY W/ENDOSCOPE US $754 $226.20 $186.24 – $678.60
Ultrasound of the lower bowel by endoscope: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $625.82
  • Aetna — Aetna All: $358.90
  • Aetna — Aetna NBD: $301.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $301.60
  • Align Network — Align IN Work Comp: $2,025.70
  • Allied Benefit Systems — Allied Benefit Systems: $678.60
  • Amish Aid — Amish Aid: $226.20
  • Anthem — Anthem IN HMO PPO TRAD: $5,202.90
  • Anthem — Anthem IN Marketplace STLD: $4,162.30
  • Anthem BCBS — Anthem IN Healthsync: $4,266.34
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 45391 COLONOSCOPY W/ENDOSCOPE US $754 $271.44 $189.99 – $678.60
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $625.82
  • Aetna — Aetna All: $358.90
  • Aetna — Aetna NBD: $301.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $301.60
  • Allied Benefit Systems — Allied Benefit Systems: $678.60
  • Cigna — Cigna HMO: $243.54
  • Cigna — Cigna PPO: $273.70
  • Encore Health Network — Encore PPO Fully Insured: $618.28
  • Encore Health Network — Encore PPO Self Insured: $678.60
  • Evolutions — Evolutions Healthcare Systems: $678.60
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND $7,109.72 $2,132.92 $154.52 – $6,398.75
Screening colonoscopy (not high risk): 10 of 76 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $5,901.07
  • Aetna — Aetna All: $3,384.23
  • Aetna — Aetna NBD: $2,843.89
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,843.89
  • Align Network — Align IN Work Comp: $1,574.24
  • Allied Benefit Systems — Allied Benefit Systems: $6,398.75
  • Amish Aid — Amish Aid: $2,132.92
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem BCBS — Anthem IN Healthsync: $3,315.57
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: G0121,52 COLON CA SCRN NOT HI RSK IND $828 $248.40 $154.52 – $745.20
Screening colonoscopy (not high risk): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $687.24
  • Aetna — Aetna All: $394.13
  • Aetna — Aetna NBD: $331.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $331.20
  • Align Network — Align IN Work Comp: $1,574.24
  • Allied Benefit Systems — Allied Benefit Systems: $745.20
  • Amish Aid — Amish Aid: $248.40
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem BCBS — Anthem IN Healthsync: $3,315.57
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: G0121,53 COLON CA SCRN NOT HI RSK IND $828 $248.40 $154.52 – $745.20
Screening colonoscopy (not high risk): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $687.24
  • Aetna — Aetna All: $394.13
  • Aetna — Aetna NBD: $331.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $331.20
  • Align Network — Align IN Work Comp: $1,574.24
  • Allied Benefit Systems — Allied Benefit Systems: $745.20
  • Amish Aid — Amish Aid: $248.40
  • Anthem — Anthem IN HMO PPO TRAD: $4,043.41
  • Anthem — Anthem IN Marketplace STLD: $3,234.71
  • Anthem BCBS — Anthem IN Healthsync: $3,315.57
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $65,205.43 $19,561.63 $571.38 – $58,684.89
Gallbladder removal by laparoscope: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $54,120.51
  • Aetna — Aetna All: $31,037.78
  • Aetna — Aetna NBD: $26,082.17
  • Aetna PSSD J and J — Aetna PSSD JJ: $26,082.17
  • Align Network — Align IN Work Comp: $10,233.97
  • Allied Benefit Systems — Allied Benefit Systems: $58,684.89
  • Amish Aid — Amish Aid: $19,561.63
  • Anthem — Anthem IN HMO PPO TRAD: $26,285.57
  • Anthem — Anthem IN Marketplace STLD: $21,028.32
  • Anthem BCBS — Anthem IN Healthsync: $21,553.97
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 47562,AS LAPAROSCOPIC CHOLECYSTECTOMY $834 $250.20 $206 – $750.60
Gallbladder removal by laparoscope: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $692.22
  • Aetna — Aetna All: $396.98
  • Aetna — Aetna NBD: $333.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $333.60
  • Align Network — Align IN Work Comp: $10,233.97
  • Allied Benefit Systems — Allied Benefit Systems: $750.60
  • Amish Aid — Amish Aid: $250.20
  • Anthem — Anthem IN HMO PPO TRAD: $26,285.57
  • Anthem — Anthem IN Marketplace STLD: $21,028.32
  • Anthem BCBS — Anthem IN Healthsync: $21,553.97
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 47562,80 LAPAROSCOPIC CHOLECYSTECTOMY $1,233 $369.90 $304.55 – $1,109.70
Gallbladder removal by laparoscope: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,023.39
  • Aetna — Aetna All: $586.91
  • Aetna — Aetna NBD: $493.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $493.20
  • Align Network — Align IN Work Comp: $10,233.97
  • Allied Benefit Systems — Allied Benefit Systems: $1,109.70
  • Amish Aid — Amish Aid: $369.90
  • Anthem — Anthem IN HMO PPO TRAD: $26,285.57
  • Anthem — Anthem IN Marketplace STLD: $21,028.32
  • Anthem BCBS — Anthem IN Healthsync: $21,553.97
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA $46,846.08 $14,053.82 $459.67 – $42,161.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $38,882.25
  • Aetna — Aetna All: $22,298.73
  • Aetna — Aetna NBD: $18,738.43
  • Aetna PSSD J and J — Aetna PSSD JJ: $18,738.43
  • Align Network — Align IN Work Comp: $6,060.96
  • Allied Benefit Systems — Allied Benefit Systems: $42,161.47
  • Amish Aid — Amish Aid: $14,053.82
  • Anthem — Anthem IN HMO PPO TRAD: $15,567.36
  • Anthem — Anthem IN Marketplace STLD: $12,453.81
  • Anthem BCBS — Anthem IN Healthsync: $12,765.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 49505,LT PRP I/HERN INIT REDUC>5 YR $1,954 $586.20 $459.67 – $1,758.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,621.82
  • Aetna — Aetna All: $930.10
  • Aetna — Aetna NBD: $781.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $781.60
  • Align Network — Align IN Work Comp: $6,060.96
  • Allied Benefit Systems — Allied Benefit Systems: $1,758.60
  • Amish Aid — Amish Aid: $586.20
  • Anthem — Anthem IN HMO PPO TRAD: $15,567.36
  • Anthem — Anthem IN Marketplace STLD: $12,453.81
  • Anthem BCBS — Anthem IN Healthsync: $12,765.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 49505,RT PRP I/HERN INIT REDUC>5 YR $1,954 $586.20 $459.67 – $1,758.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,621.82
  • Aetna — Aetna All: $930.10
  • Aetna — Aetna NBD: $781.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $781.60
  • Align Network — Align IN Work Comp: $6,060.96
  • Allied Benefit Systems — Allied Benefit Systems: $1,758.60
  • Amish Aid — Amish Aid: $586.20
  • Anthem — Anthem IN HMO PPO TRAD: $15,567.36
  • Anthem — Anthem IN Marketplace STLD: $12,453.81
  • Anthem BCBS — Anthem IN Healthsync: $12,765.12
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: S-PROSTATE NDL BX $2,444 $733.20 $217.24 – $2,444
Prostate biopsy: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,028.52
  • Aetna — Aetna All: $1,163.34
  • Aetna — Aetna NBD: $977.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $977.60
  • Allied Benefit Systems — Allied Benefit Systems: $2,199.60
  • Amish Aid — Amish Aid: $733.20
  • Anthem BCBS — Anthem IN PPO: $906.72
  • Cigna — Cigna HMO: $789.41
  • Cigna — Cigna PPO: $887.17
  • Encore Health Network — Encore PPO Fully Insured: $2,004.08
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $36,591.81 $10,977.54 $217.24 – $36,591.81
Prostate biopsy: 10 of 50 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $30,371.20
  • Aetna — Aetna All: $17,417.70
  • Aetna — Aetna NBD: $14,636.72
  • Aetna PSSD J and J — Aetna PSSD JJ: $14,636.72
  • Allied Benefit Systems — Allied Benefit Systems: $32,932.63
  • Amish Aid — Amish Aid: $10,977.54
  • Anthem BCBS — Anthem IN PPO: $13,575.56
  • Cigna — Cigna HMO: $11,819.15
  • Cigna — Cigna PPO: $13,282.83
  • Encore Health Network — Encore PPO Fully Insured: $30,005.28
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55700 BIOPSY OF PROSTATE $551 $165.30 $136.10 – $551
Prostate biopsy: 10 of 49 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $457.33
  • Aetna — Aetna All: $262.28
  • Aetna — Aetna NBD: $220.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $220.40
  • Allied Benefit Systems — Allied Benefit Systems: $495.90
  • Amish Aid — Amish Aid: $165.30
  • Anthem BCBS — Anthem IN PPO: $204.42
  • Cigna — Cigna HMO: $177.97
  • Cigna — Cigna PPO: $200.01
  • Encore Health Network — Encore PPO Fully Insured: $451.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55866 LAPARO RADICAL PROSTATECTOMY $3,504 $1,051.20 $865.49 – $3,153.60
Prostate removal by laparoscope (radical prostatectomy): 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,908.32
  • Aetna — Aetna All: $1,667.90
  • Aetna — Aetna NBD: $1,401.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,401.60
  • Align Network — Align IN Work Comp: $17,994.35
  • Allied Benefit Systems — Allied Benefit Systems: $3,153.60
  • Amish Aid — Amish Aid: $1,051.20
  • Anthem — Anthem IN HMO PPO TRAD: $46,217.84
  • Anthem — Anthem IN Marketplace STLD: $36,974.03
  • Anthem BCBS — Anthem IN Healthsync: $37,898.29
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 55866 LAPARO RADICAL PROSTATECTOMY $3,504 $1,261.44 $882.93 – $3,153.60
Prostate removal by laparoscope (radical prostatectomy): 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $2,908.32
  • Aetna — Aetna All: $1,667.90
  • Aetna — Aetna NBD: $1,401.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,401.60
  • Allied Benefit Systems — Allied Benefit Systems: $3,153.60
  • Cigna — Cigna HMO: $1,131.79
  • Cigna — Cigna PPO: $1,271.95
  • Encore Health Network — Encore PPO Fully Insured: $2,873.28
  • Encore Health Network — Encore PPO Self Insured: $3,153.60
  • Evolutions — Evolutions Healthcare Systems: $3,153.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY $51,662.59 $15,498.78 $188.81 – $46,496.33
Hysteroscopy with biopsy of the uterus lining: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $42,879.95
  • Aetna — Aetna All: $24,591.39
  • Aetna — Aetna NBD: $20,665.04
  • Aetna PSSD J and J — Aetna PSSD JJ: $20,665.04
  • Align Network — Align IN Work Comp: $5,479.86
  • Allied Benefit Systems — Allied Benefit Systems: $46,496.33
  • Amish Aid — Amish Aid: $15,498.78
  • Anthem — Anthem IN HMO PPO TRAD: $14,074.81
  • Anthem — Anthem IN Marketplace STLD: $11,259.77
  • Anthem BCBS — Anthem IN Healthsync: $11,541.24
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 58558 HYSTEROSCOPY BIOPSY $1,017 $305.10 $188.81 – $1,017
Hysteroscopy with biopsy of the uterus lining: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $844.11
  • Aetna — Aetna All: $484.09
  • Aetna — Aetna NBD: $406.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $406.80
  • Align Network — Align IN Work Comp: $5,479.86
  • Allied Benefit Systems — Allied Benefit Systems: $915.30
  • Amish Aid — Amish Aid: $305.10
  • Anthem — Anthem IN HMO PPO TRAD: $14,074.81
  • Anthem — Anthem IN Marketplace STLD: $11,259.77
  • Anthem BCBS — Anthem IN Healthsync: $11,541.24
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 58558 HYSTEROSCOPY BIOPSY $1,017 $366.12 $256.26 – $915.30
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $844.11
  • Aetna — Aetna All: $484.09
  • Aetna — Aetna NBD: $406.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $406.80
  • Allied Benefit Systems — Allied Benefit Systems: $915.30
  • Cigna — Cigna HMO: $328.49
  • Cigna — Cigna PPO: $369.17
  • Encore Health Network — Encore PPO Fully Insured: $833.94
  • Encore Health Network — Encore PPO Self Insured: $915.30
  • Evolutions — Evolutions Healthcare Systems: $915.30
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR Inj Catheter Placement L-S w Imaging - BCE $4,291 $1,287.30 $84.46 – $3,861.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $3,561.53
  • Aetna — Aetna All: $2,042.52
  • Aetna — Aetna NBD: $1,716.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,716.40
  • Align Network — Align IN Work Comp: $1,194.93
  • Allied Benefit Systems — Allied Benefit Systems: $3,861.90
  • Amish Aid — Amish Aid: $1,287.30
  • Anthem — Anthem IN HMO PPO TRAD: $3,069.14
  • Anthem — Anthem IN Marketplace STLD: $2,455.29
  • Anthem BCBS — Anthem IN Healthsync: $2,516.67
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-DI L-S INJ W IM - BCE $4,291 $1,287.30 $84.46 – $3,861.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $3,561.53
  • Aetna — Aetna All: $2,042.52
  • Aetna — Aetna NBD: $1,716.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,716.40
  • Align Network — Align IN Work Comp: $1,194.93
  • Allied Benefit Systems — Allied Benefit Systems: $3,861.90
  • Amish Aid — Amish Aid: $1,287.30
  • Anthem — Anthem IN HMO PPO TRAD: $3,069.14
  • Anthem — Anthem IN Marketplace STLD: $2,455.29
  • Anthem BCBS — Anthem IN Healthsync: $2,516.67
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR Inj Catheter Placement L-S w Imaging $4,548 $1,364.40 $84.46 – $4,093.20
Spinal injection, lower back (epidural), with imaging guidance: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $3,774.84
  • Aetna — Aetna All: $2,164.85
  • Aetna — Aetna NBD: $1,819.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,819.20
  • Align Network — Align IN Work Comp: $1,194.93
  • Allied Benefit Systems — Allied Benefit Systems: $4,093.20
  • Amish Aid — Amish Aid: $1,364.40
  • Anthem — Anthem IN HMO PPO TRAD: $3,069.14
  • Anthem — Anthem IN Marketplace STLD: $2,455.29
  • Anthem BCBS — Anthem IN Healthsync: $2,516.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-Transepi INJ L S - BCE $3,868 $1,160.40 $94.28 – $5,043
Nerve root injection, lower back, with imaging guidance: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $3,210.44
  • Aetna — Aetna All: $1,841.17
  • Aetna — Aetna NBD: $1,547.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,547.20
  • Align Network — Align IN Work Comp: $1,497.25
  • Allied Benefit Systems — Allied Benefit Systems: $3,481.20
  • Amish Aid — Amish Aid: $1,160.40
  • Anthem — Anthem IN HMO PPO TRAD: $3,845.62
  • Anthem — Anthem IN Marketplace STLD: $3,076.48
  • Anthem BCBS — Anthem IN Healthsync: $3,153.38
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64483 Lumbar Transforaminal, First level $564 $169.20 $94.28 – $507.60
Nerve root injection, lower back, with imaging guidance: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $468.12
  • Aetna — Aetna All: $268.46
  • Aetna — Aetna NBD: $225.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $225.60
  • Align Network — Align IN Work Comp: $1,497.25
  • Allied Benefit Systems — Allied Benefit Systems: $507.60
  • Amish Aid — Amish Aid: $169.20
  • Anthem — Anthem IN HMO PPO TRAD: $3,845.62
  • Anthem — Anthem IN Marketplace STLD: $3,076.48
  • Anthem BCBS — Anthem IN Healthsync: $3,153.38
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64483, 50 Lumbar Transforaminal, First level $846 $253.80 $94.28 – $761.40
Nerve root injection, lower back, with imaging guidance: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $702.18
  • Aetna — Aetna All: $402.70
  • Aetna — Aetna NBD: $338.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $338.40
  • Align Network — Align IN Work Comp: $1,497.25
  • Allied Benefit Systems — Allied Benefit Systems: $761.40
  • Amish Aid — Amish Aid: $253.80
  • Anthem — Anthem IN HMO PPO TRAD: $3,845.62
  • Anthem — Anthem IN Marketplace STLD: $3,076.48
  • Anthem BCBS — Anthem IN Healthsync: $3,153.38
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY $36,412.43 $10,923.73 $389.54 – $32,771.19
Carpal tunnel release: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $30,222.32
  • Aetna — Aetna All: $17,332.32
  • Aetna — Aetna NBD: $14,564.97
  • Aetna PSSD J and J — Aetna PSSD JJ: $14,564.97
  • Align Network — Align IN Work Comp: $3,305.60
  • Allied Benefit Systems — Allied Benefit Systems: $32,771.19
  • Amish Aid — Amish Aid: $10,923.73
  • Anthem — Anthem IN HMO PPO TRAD: $8,490.33
  • Anthem — Anthem IN Marketplace STLD: $6,792.22
  • Anthem BCBS — Anthem IN Healthsync: $6,962.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64721,LT CARPAL TUNNEL SURGERY $1,611 $483.30 $389.54 – $1,449.90
Carpal tunnel release: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,337.13
  • Aetna — Aetna All: $766.84
  • Aetna — Aetna NBD: $644.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $644.40
  • Align Network — Align IN Work Comp: $3,305.60
  • Allied Benefit Systems — Allied Benefit Systems: $1,449.90
  • Amish Aid — Amish Aid: $483.30
  • Anthem — Anthem IN HMO PPO TRAD: $8,490.33
  • Anthem — Anthem IN Marketplace STLD: $6,792.22
  • Anthem BCBS — Anthem IN Healthsync: $6,962.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64721,RT CARPAL TUNNEL SURGERY $1,611 $483.30 $389.54 – $1,449.90
Carpal tunnel release: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,337.13
  • Aetna — Aetna All: $766.84
  • Aetna — Aetna NBD: $644.40
  • Aetna PSSD J and J — Aetna PSSD JJ: $644.40
  • Align Network — Align IN Work Comp: $3,305.60
  • Allied Benefit Systems — Allied Benefit Systems: $1,449.90
  • Amish Aid — Amish Aid: $483.30
  • Anthem — Anthem IN HMO PPO TRAD: $8,490.33
  • Anthem — Anthem IN Marketplace STLD: $6,792.22
  • Anthem BCBS — Anthem IN Healthsync: $6,962.01
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821,LT AFTER CATARACT LASER SURGERY $832 $249.60 $205.50 – $748.80
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $690.56
  • Aetna — Aetna All: $396.03
  • Aetna — Aetna NBD: $332.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $332.80
  • Align Network — Align IN Work Comp: $931.04
  • Allied Benefit Systems — Allied Benefit Systems: $748.80
  • Amish Aid — Amish Aid: $249.60
  • Anthem — Anthem IN HMO PPO TRAD: $2,391.35
  • Anthem — Anthem IN Marketplace STLD: $1,913.07
  • Anthem BCBS — Anthem IN Healthsync: $1,960.89
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821,RT AFTER CATARACT LASER SURGERY $832 $249.60 $205.50 – $748.80
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $690.56
  • Aetna — Aetna All: $396.03
  • Aetna — Aetna NBD: $332.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $332.80
  • Align Network — Align IN Work Comp: $931.04
  • Allied Benefit Systems — Allied Benefit Systems: $748.80
  • Amish Aid — Amish Aid: $249.60
  • Anthem — Anthem IN HMO PPO TRAD: $2,391.35
  • Anthem — Anthem IN Marketplace STLD: $1,913.07
  • Anthem BCBS — Anthem IN Healthsync: $1,960.89
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821 AFTER CATARACT LASER SURGERY $832 $249.60 $205.50 – $748.80
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $690.56
  • Aetna — Aetna All: $396.03
  • Aetna — Aetna NBD: $332.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $332.80
  • Align Network — Align IN Work Comp: $931.04
  • Allied Benefit Systems — Allied Benefit Systems: $748.80
  • Amish Aid — Amish Aid: $249.60
  • Anthem — Anthem IN HMO PPO TRAD: $2,391.35
  • Anthem — Anthem IN Marketplace STLD: $1,913.07
  • Anthem BCBS — Anthem IN Healthsync: $1,960.89
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS $27,898.77 $8,369.63 $438.36 – $25,108.89
Cataract removal with lens implant: 10 of 87 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $23,155.98
  • Aetna — Aetna All: $13,279.81
  • Aetna — Aetna NBD: $11,159.51
  • Aetna PSSD J and J — Aetna PSSD JJ: $11,159.51
  • Align Network — Align IN Work Comp: $3,906.72
  • Allied Benefit Systems — Allied Benefit Systems: $25,108.89
  • Amish Aid — Amish Aid: $8,369.63
  • Anthem — Anthem IN HMO PPO TRAD: $10,034.28
  • Anthem — Anthem IN Marketplace STLD: $8,027.37
  • Anthem BCBS — Anthem IN Healthsync: $8,228.03
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66984,LT CATARACT SURG W/IOL 1 STAGE $1,854 $556.20 $438.36 – $1,668.60
Cataract removal with lens implant: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,538.82
  • Aetna — Aetna All: $882.50
  • Aetna — Aetna NBD: $741.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $741.60
  • Align Network — Align IN Work Comp: $3,906.72
  • Allied Benefit Systems — Allied Benefit Systems: $1,668.60
  • Amish Aid — Amish Aid: $556.20
  • Anthem — Anthem IN HMO PPO TRAD: $10,034.28
  • Anthem — Anthem IN Marketplace STLD: $8,027.37
  • Anthem BCBS — Anthem IN Healthsync: $8,228.03
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66984,RT CATARACT SURG W/IOL 1 STAGE $1,854 $556.20 $438.36 – $1,668.60
Cataract removal with lens implant: 10 of 72 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $1,538.82
  • Aetna — Aetna All: $882.50
  • Aetna — Aetna NBD: $741.60
  • Aetna PSSD J and J — Aetna PSSD JJ: $741.60
  • Align Network — Align IN Work Comp: $3,906.72
  • Allied Benefit Systems — Allied Benefit Systems: $1,668.60
  • Amish Aid — Amish Aid: $556.20
  • Anthem — Anthem IN HMO PPO TRAD: $10,034.28
  • Anthem — Anthem IN Marketplace STLD: $8,027.37
  • Anthem BCBS — Anthem IN Healthsync: $8,228.03

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59400 Obstetric Care Routine $4,838 $1,451.40 $1,194.99 – $4,354.20
Vaginal delivery, with care before and after: 10 of 40 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,015.54
  • Aetna — Aetna All: $2,302.89
  • Aetna — Aetna NBD: $1,935.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,935.20
  • Allied Benefit Systems — Allied Benefit Systems: $4,354.20
  • Amish Aid — Amish Aid: $1,451.40
  • Anthem BCBS — Anthem IN PPO: $1,794.90
  • Cigna — Cigna HMO: $1,562.67
  • Cigna — Cigna PPO: $1,756.19
  • Encore Health Network — Encore PPO Fully Insured: $3,967.16
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 59400 Obstetric Care Routine $4,838 $1,741.68 $1,219.06 – $4,354.20
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,015.54
  • Aetna — Aetna All: $2,302.89
  • Aetna — Aetna NBD: $1,935.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $1,935.20
  • Allied Benefit Systems — Allied Benefit Systems: $4,354.20
  • Cigna — Cigna HMO: $1,562.67
  • Cigna — Cigna PPO: $1,756.19
  • Encore Health Network — Encore PPO Fully Insured: $3,967.16
  • Encore Health Network — Encore PPO Self Insured: $4,354.20
  • Evolutions — Evolutions Healthcare Systems: $4,354.20
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59510 CESAREAN DELIVERY $5,342 $1,602.60 $1,319.47 – $4,807.80
Cesarean delivery (C-section), with care before and after: 10 of 40 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,433.86
  • Aetna — Aetna All: $2,542.79
  • Aetna — Aetna NBD: $2,136.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,136.80
  • Allied Benefit Systems — Allied Benefit Systems: $4,807.80
  • Amish Aid — Amish Aid: $1,602.60
  • Anthem BCBS — Anthem IN PPO: $1,981.88
  • Cigna — Cigna HMO: $1,725.47
  • Cigna — Cigna PPO: $1,939.15
  • Encore Health Network — Encore PPO Fully Insured: $4,380.44
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 59510 CESAREAN DELIVERY $5,342 $1,923.12 $1,346.06 – $4,807.80
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,433.86
  • Aetna — Aetna All: $2,542.79
  • Aetna — Aetna NBD: $2,136.80
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,136.80
  • Allied Benefit Systems — Allied Benefit Systems: $4,807.80
  • Cigna — Cigna HMO: $1,725.47
  • Cigna — Cigna PPO: $1,939.15
  • Encore Health Network — Encore PPO Fully Insured: $4,380.44
  • Encore Health Network — Encore PPO Self Insured: $4,807.80
  • Evolutions — Evolutions Healthcare Systems: $4,807.80
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59610 VBAC DELIVERY $5,538 $1,661.40 $1,367.89 – $4,984.20
Vaginal delivery after a previous C-section, with care before and after: 10 of 40 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,596.54
  • Aetna — Aetna All: $2,636.09
  • Aetna — Aetna NBD: $2,215.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,215.20
  • Allied Benefit Systems — Allied Benefit Systems: $4,984.20
  • Amish Aid — Amish Aid: $1,661.40
  • Anthem BCBS — Anthem IN PPO: $2,054.60
  • Cigna — Cigna HMO: $1,788.77
  • Cigna — Cigna PPO: $2,010.29
  • Encore Health Network — Encore PPO Fully Insured: $4,541.16
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 59610 VBAC DELIVERY $5,538 $1,993.68 $1,395.45 – $4,984.20
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates
  • Advantage Health Solutions — Advantage Health Solutions: $4,596.54
  • Aetna — Aetna All: $2,636.09
  • Aetna — Aetna NBD: $2,215.20
  • Aetna PSSD J and J — Aetna PSSD JJ: $2,215.20
  • Allied Benefit Systems — Allied Benefit Systems: $4,984.20
  • Cigna — Cigna HMO: $1,788.77
  • Cigna — Cigna PPO: $2,010.29
  • Encore Health Network — Encore PPO Fully Insured: $4,541.16
  • Encore Health Network — Encore PPO Self Insured: $4,984.20
  • Evolutions — Evolutions Healthcare Systems: $4,984.20

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $1,224.70 – $234,280.54
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 71 insurance plan rates
  • Amish Aid — Amish Aid: $109,371.11
  • Anthem — Anthem IN HMO PPO TRAD: $160,457.49
  • Anthem — Anthem IN Marketplace STLD: $128,369.90
  • Anthem BCBS — Anthem IN Healthsync: $131,578.66
  • Anthem BCBS — Anthem IN HIP: $75,993.05
  • Anthem BCBS — Anthem IN PPO: $102,719.40
  • Anthem BCBS — Anthem IN Work Comp: $124,949.62
  • Anthem BCBS — NODE Anthem IN MCR ADV: $74,507.90
  • Encore PPO — Encore Combined PPO: $148,840.41
  • Encore Work Comp IN — Encore Work Comp IN: $136,787.49
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $1,224.70 – $88,695.47
Spinal fusion (not neck), without major complications: 10 of 69 insurance plan rates
  • Amish Aid — Amish Aid: $28,702.40
  • Anthem — Anthem IN HMO PPO TRAD: $79,728.89
  • Anthem — Anthem IN Marketplace STLD: $79,728.89
  • Anthem BCBS — Anthem IN Healthsync: $79,728.89
  • Anthem BCBS — Anthem IN HIP: $28,779.77
  • Anthem BCBS — Anthem IN PPO: $79,728.89
  • Anthem BCBS — Anthem IN Work Comp: $47,304.25
  • Anthem BCBS — NODE Anthem IN MCR ADV: $28,238.90
  • Encore PPO — Encore Combined PPO: $38,987.43
  • Encore Work Comp IN — Encore Work Comp IN: $51,803.59
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $1,224.70 – $47,598.34
Hip or knee replacement (major joint of the leg), without major complications: 10 of 71 insurance plan rates
  • Amish Aid — Amish Aid: $9,936.50
  • Anthem — Anthem IN HMO PPO TRAD: $27,601.38
  • Anthem — Anthem IN Marketplace STLD: $25,311.03
  • Anthem BCBS — Anthem IN Healthsync: $25,943.71
  • Anthem BCBS — Anthem IN HIP: $15,451.96
  • Anthem BCBS — Anthem IN PPO: $20,253.45
  • Anthem BCBS — Anthem IN Work Comp: $25,385.78
  • Anthem BCBS — NODE Anthem IN MCR ADV: $15,177.64
  • Encore PPO — Encore Combined PPO: $27,601.38
  • Encore Work Comp IN — Encore Work Comp IN: $27,813.52
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $1,224.70 – $59,777.70
Neck (cervical) spinal fusion, without complications: 10 of 71 insurance plan rates
  • Amish Aid — Amish Aid: $12,333.10
  • Anthem — Anthem IN HMO PPO TRAD: $34,258.62
  • Anthem — Anthem IN Marketplace STLD: $32,034.74
  • Anthem BCBS — Anthem IN Healthsync: $32,835.49
  • Anthem BCBS — Anthem IN HIP: $19,401.73
  • Anthem BCBS — Anthem IN PPO: $25,633.65
  • Anthem BCBS — Anthem IN Work Comp: $31,881.44
  • Anthem BCBS — NODE Anthem IN MCR ADV: $19,048.41
  • Encore PPO — Encore Combined PPO: $34,258.62
  • Encore Work Comp IN — Encore Work Comp IN: $34,923.11
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,224.70 – $31,240.20
Uterus and ovary surgery (not for cancer), without complications: 10 of 70 insurance plan rates
  • Amish Aid — Amish Aid: $18,715.51
  • Anthem — Anthem IN HMO PPO TRAD: $20,349.96
  • Anthem — Anthem IN Marketplace STLD: $16,280.47
  • Anthem BCBS — Anthem IN Healthsync: $16,687.41
  • Anthem BCBS — Anthem IN HIP: $10,147.01
  • Anthem BCBS — Anthem IN PPO: $13,027.35
  • Anthem BCBS — Anthem IN Work Comp: $16,661.44
  • Anthem BCBS — NODE Anthem IN MCR ADV: $9,978.79
  • Encore PPO — Encore Combined PPO: $18,876.63
  • Encore Work Comp IN — Encore Work Comp IN: $18,264.62

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

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

Hospital information

Hospital typeAcute Care Hospital
Address7950 W Jefferson Blvd, Fort Wayne, IN 46804
CountyAllen County
StateIndiana
Phone(260) 435‑7001
Emergency servicesYes
OwnershipProprietary
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number150017
Name in Medicare recordsLUTHERAN HOSPITAL OF INDIANA
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLutheran Hospital
Official websitelutheranhospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Lutheran Hospital, Fort Wayne, IN — lutheranhospital.com