Does Marlette Regional Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Marlette Regional Hospital. In a medical emergency, call 911.

Where is Marlette Regional Hospital?

2770 Main Street, Marlette, MI 48453, in Sanilac County, Michigan.

What is the phone number of Marlette Regional Hospital?

(989) 635-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Marlette Regional Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Marlette Regional Hospital — Phone, Address & ER

Quick answers

Does Marlette Regional Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Marlette Regional Hospital. In a medical emergency, call 911.
Where is Marlette Regional Hospital?: 2770 Main Street, Marlette, MI 48453, in Sanilac County, Michigan.
What is the phone number of Marlette Regional Hospital?: (989) 635-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Marlette Regional Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][6][7]

Treatments^[5]

Chemotherapy infusion
Radiation oncology
Medical oncology
Skilled nursing care
Hospice care

Programs and centers^[5][7]

CRTN Cancer Care Center
Cardiopulmonary Rehab
United Hospice Service
Skilled nursing facility (39 beds)
The Heartlands senior living (independent, assisted living, memory care)

Visiting and practical information

Patient portal	MyChart

Recognition^[5][8]

Critical Access Hospital
Level IV Trauma Center

Doctors and clinicians (132)

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

Main specialties

And 108 more: the button below opens the full list.

Other emergency rooms nearby

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

McKenzie Health System14 mi · Sandusky, MI · Critical Access Hospital
Hills & Dales General Hospital19 mi · Cass City, MI · Critical Access Hospital
McLaren Caro Region20 mi · Caro, MI · Critical Access Hospital
Deckerville Community Hospital22 mi · Deckerville, MI · Critical Access Hospital
McLaren Lapeer Region22 mi · Lapeer, MI · Acute Care Hospital

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

Other hospitals near Marlette

Caro Psychiatric Hospital20 mi · Caro, MI · Psychiatric Hospital

Hospitals in Sanilac County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Marlette Community Hospital LTCU0.1 mi · Marlette, MI · 5 of 5 stars
Sanilac Medical Care Facility14 mi · Sandusky, MI · 3 of 5 stars
Fisher Senior Care and Rehabilitation14 mi · Mayville, MI · 5 of 5 stars

All nursing homes in the state →

Hospice providers

United Hospice Service2.6 mi · Marlette, MI · 5 of 5 stars
Compass - Cass City19 mi · Cass City, MI · 4 of 5 stars
Residential Home Health and Hospice23 mi · Lapeer, MI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Residential Home Health and Hospice23 mi · Lapeer, MI · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Sandusky13 mi · Sandusky, MI · 3 of 5 stars
FMC - Caro Dialysis19 mi · Caro, MI · 1 of 5 stars
Premier Dialysis Service Lapeer LLC23 mi · Lapeer, MI

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Lapeer County Surgery Center, LLC23 mi · Lapeer, MI

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

Lapeer Clinic22 mi · Lapeer, MI · Community health center
Great Lakes Bay Health Centers Imlay City23 mi · Imlay City, MI · Community health center

Clinics and urgent care

Marlette Family Healthcare2.6 mi · Marlette, MI · Rural health clinic
Kingston Family Practice6.9 mi · Kingston, MI · Rural health clinic
Family Healthcare of Brown City9.3 mi · Brown City, MI · Rural health clinic

Pharmacies

Ehardt's Pharmacy Incorporated2.6 mi · Marlette, MI · Community/retail pharmacy
Selad Corporation2.6 mi · Marlette, MI · Community/retail pharmacy

Assisted living nearby

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

Christensen Care LLC2.6 mi · Marlette, MI
Conquest Goss AFC2.6 mi · Marlette, MI
Ellsworth AFC2.6 mi · Marlette, MI
Mulberry House2.6 mi · Marlette, MI

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	75%National average: 71%
Nurses “always” communicated well	88%National average: 80%
Doctors “always” communicated well	89%National average: 80%
“Always” got help as soon as they wanted	74%National average: 64%
Staff “always” explained medicines before giving them	69%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	82%National average: 73%
Completed surveys	148Response rate: 29%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections	1.692No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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)	15.9%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	20%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	104 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 39 common services exactly as Marlette Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 39 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: WCPRO New patient visit level 3	$163.38	$163.38	$75.15 – $162.87
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — HMO: $134.79 Blue Cross — PPO: $162.87 Cofinity — HMO: $152.11 EBL — HMO: $120.90 HAP — PPO: $145.41 Humana — HMO: $147.04 Medicare Manged Care Plans — HMO: $75.15 PHCS Multiplan — HMO: $147.04 Priority Health — PPO: $147.04 United Health Care — PPO: $147.04
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: WC New patient visit level 3	$231	$231	$106.26 – $230.28
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — HMO: $190.58 Blue Cross — PPO: $230.28 Cofinity — HMO: $215.06 EBL — HMO: $170.94 HAP — PPO: $205.59 Humana — HMO: $207.90 Medicare Manged Care Plans — HMO: $106.26 PHCS Multiplan — HMO: $207.90 Priority Health — PPO: $207.90 United Health Care — PPO: $207.90
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: WC New patient visit level 4	$331	$331	$152.26 – $329.97
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — HMO: $273.08 Blue Cross — PPO: $329.97 Cofinity — HMO: $308.16 EBL — HMO: $244.94 HAP — PPO: $294.59 Humana — HMO: $297.90 Medicare Manged Care Plans — HMO: $152.26 PHCS Multiplan — HMO: $297.90 Priority Health — PPO: $297.90 United Health Care — PPO: $297.90
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier 26 In the file: WCPRO New patient visit level 4	$252.94	$252.94	$116.35 – $252.16
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — HMO: $208.68 Blue Cross — PPO: $252.16 Cofinity — HMO: $235.49 EBL — HMO: $187.18 HAP — PPO: $225.12 Humana — HMO: $227.65 Medicare Manged Care Plans — HMO: $116.35 PHCS Multiplan — HMO: $227.65 Priority Health — PPO: $227.65 United Health Care — PPO: $227.65
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: WC New patient visit level 5	$464	$464	$213.44 – $462.56
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — HMO: $382.80 Blue Cross — PPO: $462.56 Cofinity — HMO: $431.98 EBL — HMO: $343.36 HAP — PPO: $412.96 Humana — HMO: $417.60 Medicare Manged Care Plans — HMO: $213.44 PHCS Multiplan — HMO: $417.60 Priority Health — PPO: $417.60 United Health Care — PPO: $417.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier 26 In the file: WCPRO New patient visit level 5	$357.04	$357.04	$164.24 – $355.93
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — HMO: $294.56 Blue Cross — PPO: $355.93 Cofinity — HMO: $332.40 EBL — HMO: $264.21 HAP — PPO: $317.77 Humana — HMO: $321.34 Medicare Manged Care Plans — HMO: $164.24 PHCS Multiplan — HMO: $321.34 Priority Health — PPO: $321.34 United Health Care — PPO: $321.34
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: WCPRO Established patient visit level 3	$240.65	$240.65	$110.70 – $239.90
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — HMO: $198.54 Blue Cross — PPO: $239.90 Cofinity — HMO: $224.05 EBL — HMO: $178.08 HAP — PPO: $214.18 Humana — HMO: $216.59 Medicare Manged Care Plans — HMO: $110.70 PHCS Multiplan — HMO: $216.59 Priority Health — PPO: $216.59 United Health Care — PPO: $216.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: WC Established patient visit level 3	$145	$145	$66.70 – $144.55
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — HMO: $119.63 Blue Cross — PPO: $144.55 Cofinity — HMO: $135 EBL — HMO: $107.30 HAP — PPO: $129.05 Humana — HMO: $130.50 Medicare Manged Care Plans — HMO: $66.70 PHCS Multiplan — HMO: $130.50 Priority Health — PPO: $130.50 United Health Care — PPO: $130.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: QC EST, OFFICE VISIT, LEVEL 3	$96	$96	$44.16 – $95.70
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — HMO: $79.20 Blue Cross — PPO: $95.70 Cofinity — HMO: $89.38 EBL — HMO: $71.04 HAP — PPO: $85.44 Humana — HMO: $86.40 Medicare Manged Care Plans — HMO: $44.16 PHCS Multiplan — HMO: $86.40 Priority Health — PPO: $86.40 United Health Care — PPO: $86.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WCPRO Established patient visit level 4	$411.90	$411.90	$189.47 – $410.62
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — HMO: $339.82 Blue Cross — PPO: $410.62 Cofinity — HMO: $383.48 EBL — HMO: $304.81 HAP — PPO: $366.59 Humana — HMO: $370.71 Medicare Manged Care Plans — HMO: $189.47 PHCS Multiplan — HMO: $370.71 Priority Health — PPO: $370.71 United Health Care — PPO: $370.71
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WC Established patient visit level 4	$145	$145	$66.70 – $144.55
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — HMO: $119.63 Blue Cross — PPO: $144.55 Cofinity — HMO: $135 EBL — HMO: $107.30 HAP — PPO: $129.05 Humana — HMO: $130.50 Medicare Manged Care Plans — HMO: $66.70 PHCS Multiplan — HMO: $130.50 Priority Health — PPO: $130.50 United Health Care — PPO: $130.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: QC EST, OFFICE VISIT, LEVEL 4	$140	$140	$64.40 – $139.57
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — HMO: $115.50 Blue Cross — PPO: $139.57 Cofinity — HMO: $130.34 EBL — HMO: $103.60 HAP — PPO: $124.60 Humana — HMO: $126 Medicare Manged Care Plans — HMO: $64.40 PHCS Multiplan — HMO: $126 Priority Health — PPO: $126 United Health Care — PPO: $126
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: D INTER MED EM	$247.22	$247.22	$113.72 – $246.45
Emergency room visit (moderate): rates for 10 insurance plans Aetna — HMO: $203.96 Blue Cross — PPO: $246.45 Cofinity — HMO: $230.16 EBL — HMO: $182.94 HAP — PPO: $220.03 Humana — HMO: $222.50 Medicare Manged Care Plans — HMO: $113.72 PHCS Multiplan — HMO: $222.50 Priority Health — PPO: $222.50 United Health Care — PPO: $222.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED INTER MED EM	$247.22	$247.22	$113.72 – $246.45
Emergency room visit (moderate): rates for 10 insurance plans Aetna — HMO: $203.96 Blue Cross — PPO: $246.45 Cofinity — HMO: $230.16 EBL — HMO: $182.94 HAP — PPO: $220.03 Humana — HMO: $222.50 Medicare Manged Care Plans — HMO: $113.72 PHCS Multiplan — HMO: $222.50 Priority Health — PPO: $222.50 United Health Care — PPO: $222.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 ER VISIT MOD COMP/EXPAND HX CHARGE	$313	$313	$143.98 – $312.03
Emergency room visit (moderate): rates for 10 insurance plans Aetna — HMO: $258.23 Blue Cross — PPO: $312.03 Cofinity — HMO: $291.40 EBL — HMO: $231.62 HAP — PPO: $278.57 Humana — HMO: $281.70 Medicare Manged Care Plans — HMO: $143.98 PHCS Multiplan — HMO: $281.70 Priority Health — PPO: $281.70 United Health Care — PPO: $281.70
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: D ER LEVEL IV	$306.38	$306.38	$140.93 – $305.43
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — HMO: $252.76 Blue Cross — PPO: $305.43 Cofinity — HMO: $285.24 EBL — HMO: $226.72 HAP — PPO: $272.68 Humana — HMO: $275.74 Medicare Manged Care Plans — HMO: $140.93 PHCS Multiplan — HMO: $275.74 Priority Health — PPO: $275.74 United Health Care — PPO: $275.74
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED ER LEVEL IV	$306.38	$306.38	$140.93 – $305.43
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — HMO: $252.76 Blue Cross — PPO: $305.43 Cofinity — HMO: $285.24 EBL — HMO: $226.72 HAP — PPO: $272.68 Humana — HMO: $275.74 Medicare Manged Care Plans — HMO: $140.93 PHCS Multiplan — HMO: $275.74 Priority Health — PPO: $275.74 United Health Care — PPO: $275.74
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 ER VISIT MOD COMP/DTLD HX CHARGE	$485	$485	$223.10 – $483.50
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — HMO: $400.13 Blue Cross — PPO: $483.50 Cofinity — HMO: $451.54 EBL — HMO: $358.90 HAP — PPO: $431.65 Humana — HMO: $436.50 Medicare Manged Care Plans — HMO: $223.10 PHCS Multiplan — HMO: $436.50 Priority Health — PPO: $436.50 United Health Care — PPO: $436.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: D COMPRE EM	$367.28	$367.28	$168.95 – $366.14
Emergency room visit (high): rates for 10 insurance plans Aetna — HMO: $303.01 Blue Cross — PPO: $366.14 Cofinity — HMO: $341.94 EBL — HMO: $271.79 HAP — PPO: $326.88 Humana — HMO: $330.55 Medicare Manged Care Plans — HMO: $168.95 PHCS Multiplan — HMO: $330.55 Priority Health — PPO: $330.55 United Health Care — PPO: $330.55
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED COMPRE EM	$367.28	$367.28	$168.95 – $366.14
Emergency room visit (high): rates for 10 insurance plans Aetna — HMO: $303.01 Blue Cross — PPO: $366.14 Cofinity — HMO: $341.94 EBL — HMO: $271.79 HAP — PPO: $326.88 Humana — HMO: $330.55 Medicare Manged Care Plans — HMO: $168.95 PHCS Multiplan — HMO: $330.55 Priority Health — PPO: $330.55 United Health Care — PPO: $330.55
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 ER VISIT HIGH COMP/COM HX CHARGE	$810	$810	$372.60 – $807.49
Emergency room visit (high): rates for 10 insurance plans Aetna — HMO: $668.25 Blue Cross — PPO: $807.49 Cofinity — HMO: $754.11 EBL — HMO: $599.40 HAP — PPO: $720.90 Humana — HMO: $729 Medicare Manged Care Plans — HMO: $372.60 PHCS Multiplan — HMO: $729 Priority Health — PPO: $729 United Health Care — PPO: $729

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP3	$105	$105	$48.30 – $104.67
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — HMO: $86.63 Blue Cross — PPO: $104.67 Cofinity — HMO: $97.76 EBL — HMO: $77.70 HAP — PPO: $93.45 Humana — HMO: $94.50 Medicare Manged Care Plans — HMO: $48.30 PHCS Multiplan — HMO: $94.50 Priority Health — PPO: $94.50 United Health Care — PPO: $94.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP	$155	$155	$71.30 – $154.52
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — HMO: $127.88 Blue Cross — PPO: $154.52 Cofinity — HMO: $144.31 EBL — HMO: $114.70 HAP — PPO: $137.95 Humana — HMO: $139.50 Medicare Manged Care Plans — HMO: $71.30 PHCS Multiplan — HMO: $139.50 Priority Health — PPO: $139.50 United Health Care — PPO: $139.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$130	$130	$59.80 – $129.60
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — HMO: $107.25 Blue Cross — PPO: $129.60 Cofinity — HMO: $121.03 EBL — HMO: $96.20 HAP — PPO: $115.70 Humana — HMO: $117 Medicare Manged Care Plans — HMO: $59.80 PHCS Multiplan — HMO: $117 Priority Health — PPO: $117 United Health Care — PPO: $117
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Panel	$44	$44	$20.24 – $43.86
Kidney function panel: rates for 10 insurance plans Aetna — HMO: $36.30 Blue Cross — PPO: $43.86 Cofinity — HMO: $40.96 EBL — HMO: $32.56 HAP — PPO: $39.16 Humana — HMO: $39.60 Medicare Manged Care Plans — HMO: $20.24 PHCS Multiplan — HMO: $39.60 Priority Health — PPO: $39.60 United Health Care — PPO: $39.60
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$105	$105	$48.30 – $104.67
Liver function panel: rates for 10 insurance plans Aetna — HMO: $86.63 Blue Cross — PPO: $104.67 Cofinity — HMO: $97.76 EBL — HMO: $77.70 HAP — PPO: $93.45 Humana — HMO: $94.50 Medicare Manged Care Plans — HMO: $48.30 PHCS Multiplan — HMO: $94.50 Priority Health — PPO: $94.50 United Health Care — PPO: $94.50
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urine Dipstick & Micro	$16	$16	$7.36 – $15.95
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — HMO: $13.20 Blue Cross — PPO: $15.95 Cofinity — HMO: $14.90 EBL — HMO: $11.84 HAP — PPO: $14.24 Humana — HMO: $14.40 Medicare Manged Care Plans — HMO: $7.36 PHCS Multiplan — HMO: $14.40 Priority Health — PPO: $14.40 United Health Care — PPO: $14.40
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Glucose Urine	$18	$18	$8.28 – $17.94
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — HMO: $14.85 Blue Cross — PPO: $17.94 Cofinity — HMO: $16.76 EBL — HMO: $13.32 HAP — PPO: $16.02 Humana — HMO: $16.20 Medicare Manged Care Plans — HMO: $8.28 PHCS Multiplan — HMO: $16.20 Priority Health — PPO: $16.20 United Health Care — PPO: $16.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Acetone Urine	$18	$18	$8.28 – $17.94
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — HMO: $14.85 Blue Cross — PPO: $17.94 Cofinity — HMO: $16.76 EBL — HMO: $13.32 HAP — PPO: $16.02 Humana — HMO: $16.20 Medicare Manged Care Plans — HMO: $8.28 PHCS Multiplan — HMO: $16.20 Priority Health — PPO: $16.20 United Health Care — PPO: $16.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urine Occult Blood	$21.34	$21.34	$9.82 – $21.27
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — HMO: $17.61 Blue Cross — PPO: $21.27 Cofinity — HMO: $19.87 EBL — HMO: $15.79 HAP — PPO: $18.99 Humana — HMO: $19.21 Medicare Manged Care Plans — HMO: $9.82 PHCS Multiplan — HMO: $19.21 Priority Health — PPO: $19.21 United Health Care — PPO: $19.21
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA Routine1	$11	$11	$5.06 – $10.97
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — HMO: $9.08 Blue Cross — PPO: $10.97 Cofinity — HMO: $10.24 EBL — HMO: $8.14 HAP — PPO: $9.79 Humana — HMO: $9.90 Medicare Manged Care Plans — HMO: $5.06 PHCS Multiplan — HMO: $9.90 Priority Health — PPO: $9.90 United Health Care — PPO: $9.90
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA Dipstick.	$262.09	$262.09	$120.56 – $261.28
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — HMO: $216.22 Blue Cross — PPO: $261.28 Cofinity — HMO: $244.01 EBL — HMO: $193.95 HAP — PPO: $233.26 Humana — HMO: $235.88 Medicare Manged Care Plans — HMO: $120.56 PHCS Multiplan — HMO: $235.88 Priority Health — PPO: $235.88 United Health Care — PPO: $235.88
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003-Urinalysis for any consituents-automated-w/o micro	$21.13	$21.13	$9.72 – $21.06
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — HMO: $17.43 Blue Cross — PPO: $21.06 Cofinity — HMO: $19.67 EBL — HMO: $15.64 HAP — PPO: $18.81 Humana — HMO: $19.02 Medicare Manged Care Plans — HMO: $9.72 PHCS Multiplan — HMO: $19.02 Priority Health — PPO: $19.02 United Health Care — PPO: $19.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specific Antigen	$94	$94	$43.24 – $93.71
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — HMO: $77.55 Blue Cross — PPO: $93.71 Cofinity — HMO: $87.51 EBL — HMO: $69.56 HAP — PPO: $83.66 Humana — HMO: $84.60 Medicare Manged Care Plans — HMO: $43.24 PHCS Multiplan — HMO: $84.60 Priority Health — PPO: $84.60 United Health Care — PPO: $84.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$86	$86	$39.56 – $85.73
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — HMO: $70.95 Blue Cross — PPO: $85.73 Cofinity — HMO: $80.07 EBL — HMO: $63.64 HAP — PPO: $76.54 Humana — HMO: $77.40 Medicare Manged Care Plans — HMO: $39.56 PHCS Multiplan — HMO: $77.40 Priority Health — PPO: $77.40 United Health Care — PPO: $77.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/Auto Diff	$40	$40	$18.40 – $39.88
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — HMO: $33 Blue Cross — PPO: $39.88 Cofinity — HMO: $37.24 EBL — HMO: $29.60 HAP — PPO: $35.60 Humana — HMO: $36 Medicare Manged Care Plans — HMO: $18.40 PHCS Multiplan — HMO: $36 Priority Health — PPO: $36 United Health Care — PPO: $36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/Man Diff	$40	$40	$18.40 – $39.88
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — HMO: $33 Blue Cross — PPO: $39.88 Cofinity — HMO: $37.24 EBL — HMO: $29.60 HAP — PPO: $35.60 Humana — HMO: $36 Medicare Manged Care Plans — HMO: $18.40 PHCS Multiplan — HMO: $36 Priority Health — PPO: $36 United Health Care — PPO: $36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT	$22	$22	$10.12 – $21.93
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — HMO: $18.15 Blue Cross — PPO: $21.93 Cofinity — HMO: $20.48 EBL — HMO: $16.28 HAP — PPO: $19.58 Humana — HMO: $19.80 Medicare Manged Care Plans — HMO: $10.12 PHCS Multiplan — HMO: $19.80 Priority Health — PPO: $19.80 United Health Care — PPO: $19.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$31	$31	$14.26 – $30.90
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — HMO: $25.58 Blue Cross — PPO: $30.90 Cofinity — HMO: $28.86 EBL — HMO: $22.94 HAP — PPO: $27.59 Humana — HMO: $27.90 Medicare Manged Care Plans — HMO: $14.26 PHCS Multiplan — HMO: $27.90 Priority Health — PPO: $27.90 United Health Care — PPO: $27.90

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head or Brain w/o Contrast	$911	$911	$419.06 – $908.18
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — HMO: $751.58 Blue Cross — PPO: $908.18 Cofinity — HMO: $848.14 EBL — HMO: $674.14 HAP — PPO: $810.79 Humana — HMO: $819.90 Medicare Manged Care Plans — HMO: $419.06 PHCS Multiplan — HMO: $819.90 Priority Health — PPO: $819.90 United Health Care — PPO: $819.90
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head and C-Spine w/o Contrast	$911	$911	$419.06 – $908.18
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — HMO: $751.58 Blue Cross — PPO: $908.18 Cofinity — HMO: $848.14 EBL — HMO: $674.14 HAP — PPO: $810.79 Humana — HMO: $819.90 Medicare Manged Care Plans — HMO: $419.06 PHCS Multiplan — HMO: $819.90 Priority Health — PPO: $819.90 United Health Care — PPO: $819.90
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head and Facial Bones w/o Contrast	$911	$911	$419.06 – $908.18
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — HMO: $751.58 Blue Cross — PPO: $908.18 Cofinity — HMO: $848.14 EBL — HMO: $674.14 HAP — PPO: $810.79 Humana — HMO: $819.90 Medicare Manged Care Plans — HMO: $419.06 PHCS Multiplan — HMO: $819.90 Priority Health — PPO: $819.90 United Health Care — PPO: $819.90
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views	$189	$189	$86.94 – $188.41
Chest X-ray, 2 views: rates for 10 insurance plans Aetna — HMO: $155.93 Blue Cross — PPO: $188.41 Cofinity — HMO: $175.96 EBL — HMO: $139.86 HAP — PPO: $168.21 Humana — HMO: $170.10 Medicare Manged Care Plans — HMO: $86.94 PHCS Multiplan — HMO: $170.10 Priority Health — PPO: $170.10 United Health Care — PPO: $170.10
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 50 In the file: XR Chest Decubitus Bilateral	$263.71	$263.71	$121.31 – $262.89
Chest X-ray, 2 views: rates for 10 insurance plans Aetna — HMO: $217.56 Blue Cross — PPO: $262.89 Cofinity — HMO: $245.51 EBL — HMO: $195.15 HAP — PPO: $234.70 Humana — HMO: $237.34 Medicare Manged Care Plans — HMO: $121.31 PHCS Multiplan — HMO: $237.34 Priority Health — PPO: $237.34 United Health Care — PPO: $237.34
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbar 5 Views	$321	$321	$147.66 – $320
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Aetna — HMO: $264.83 Blue Cross — PPO: $320 Cofinity — HMO: $298.85 EBL — HMO: $237.54 HAP — PPO: $285.69 Humana — HMO: $288.90 Medicare Manged Care Plans — HMO: $147.66 PHCS Multiplan — HMO: $288.90 Priority Health — PPO: $288.90 United Health Care — PPO: $288.90
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral Min 4 Views	$321	$321	$147.66 – $320
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Aetna — HMO: $264.83 Blue Cross — PPO: $320 Cofinity — HMO: $298.85 EBL — HMO: $237.54 HAP — PPO: $285.69 Humana — HMO: $288.90 Medicare Manged Care Plans — HMO: $147.66 PHCS Multiplan — HMO: $288.90 Priority Health — PPO: $288.90 United Health Care — PPO: $288.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w/ Contrast	$2,385	$2,385	$1,097.10 – $2,377.61
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — HMO: $1,967.63 Blue Cross — PPO: $2,377.61 Cofinity — HMO: $2,220.44 EBL — HMO: $1,764.90 HAP — PPO: $2,122.65 Humana — HMO: $2,146.50 Medicare Manged Care Plans — HMO: $1,097.10 PHCS Multiplan — HMO: $2,146.50 Priority Health — PPO: $2,146.50 United Health Care — PPO: $2,146.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen/Pelvis w/ Contrast	$2,988	$2,988	$1,374.48 – $2,978.74
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — HMO: $2,465.10 Blue Cross — PPO: $2,978.74 Cofinity — HMO: $2,781.83 EBL — HMO: $2,211.12 HAP — PPO: $2,659.32 Humana — HMO: $2,689.20 Medicare Manged Care Plans — HMO: $1,374.48 PHCS Multiplan — HMO: $2,689.20 Priority Health — PPO: $2,689.20 United Health Care — PPO: $2,689.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abd/Pelvis/Chest/Neck ST w/Contrast	$2,988	$2,988	$1,374.48 – $2,978.74
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — HMO: $2,465.10 Blue Cross — PPO: $2,978.74 Cofinity — HMO: $2,781.83 EBL — HMO: $2,211.12 HAP — PPO: $2,659.32 Humana — HMO: $2,689.20 Medicare Manged Care Plans — HMO: $1,374.48 PHCS Multiplan — HMO: $2,689.20 Priority Health — PPO: $2,689.20 United Health Care — PPO: $2,689.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177-CT ABD/PELVIS W	$2,988	$2,988	$1,374.48 – $2,978.74
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — HMO: $2,465.10 Blue Cross — PPO: $2,978.74 Cofinity — HMO: $2,781.83 EBL — HMO: $2,211.12 HAP — PPO: $2,659.32 Humana — HMO: $2,689.20 Medicare Manged Care Plans — HMO: $1,374.48 PHCS Multiplan — HMO: $2,689.20 Priority Health — PPO: $2,689.20 United Health Care — PPO: $2,689.20
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete	$637	$637	$293.02 – $635.03
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna — HMO: $525.53 Blue Cross — PPO: $635.03 Cofinity — HMO: $593.05 EBL — HMO: $471.38 HAP — PPO: $566.93 Humana — HMO: $573.30 Medicare Manged Care Plans — HMO: $293.02 PHCS Multiplan — HMO: $573.30 Priority Health — PPO: $573.30 United Health Care — PPO: $573.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700-US ABDOMEN	$637	$637	$293.02 – $635.03
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna — HMO: $525.53 Blue Cross — PPO: $635.03 Cofinity — HMO: $593.05 EBL — HMO: $471.38 HAP — PPO: $566.93 Humana — HMO: $573.30 Medicare Manged Care Plans — HMO: $293.02 PHCS Multiplan — HMO: $573.30 Priority Health — PPO: $573.30 United Health Care — PPO: $573.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Pregnancy After 1st Trimester	$721	$721	$331.66 – $718.76
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans Aetna — HMO: $594.83 Blue Cross — PPO: $718.76 Cofinity — HMO: $671.25 EBL — HMO: $533.54 HAP — PPO: $641.69 Humana — HMO: $648.90 Medicare Manged Care Plans — HMO: $331.66 PHCS Multiplan — HMO: $648.90 Priority Health — PPO: $648.90 United Health Care — PPO: $648.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB Complete	$721	$721	$331.66 – $718.76
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans Aetna — HMO: $594.83 Blue Cross — PPO: $718.76 Cofinity — HMO: $671.25 EBL — HMO: $533.54 HAP — PPO: $641.69 Humana — HMO: $648.90 Medicare Manged Care Plans — HMO: $331.66 PHCS Multiplan — HMO: $648.90 Priority Health — PPO: $648.90 United Health Care — PPO: $648.90
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non-OB	$705	$705	$324.30 – $702.81
Transvaginal ultrasound: rates for 10 insurance plans Aetna — HMO: $581.63 Blue Cross — PPO: $702.81 Cofinity — HMO: $656.36 EBL — HMO: $521.70 HAP — PPO: $627.45 Humana — HMO: $634.50 Medicare Manged Care Plans — HMO: $324.30 PHCS Multiplan — HMO: $634.50 Priority Health — PPO: $634.50 United Health Care — PPO: $634.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830-US TRANSVAGINAL	$705	$705	$324.30 – $702.81
Transvaginal ultrasound: rates for 10 insurance plans Aetna — HMO: $581.63 Blue Cross — PPO: $702.81 Cofinity — HMO: $656.36 EBL — HMO: $521.70 HAP — PPO: $627.45 Humana — HMO: $634.50 Medicare Manged Care Plans — HMO: $324.30 PHCS Multiplan — HMO: $634.50 Priority Health — PPO: $634.50 United Health Care — PPO: $634.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA Mammogram Diagnostic Left w/ Tomo	$288	$288	$132.48 – $287.11
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — HMO: $237.60 Blue Cross — PPO: $287.11 Cofinity — HMO: $268.13 EBL — HMO: $213.12 HAP — PPO: $256.32 Humana — HMO: $259.20 Medicare Manged Care Plans — HMO: $132.48 PHCS Multiplan — HMO: $259.20 Priority Health — PPO: $259.20 United Health Care — PPO: $259.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA Mammogram Diagnostic Right w/ Tomo	$288	$288	$132.48 – $287.11
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — HMO: $237.60 Blue Cross — PPO: $287.11 Cofinity — HMO: $268.13 EBL — HMO: $213.12 HAP — PPO: $256.32 Humana — HMO: $259.20 Medicare Manged Care Plans — HMO: $132.48 PHCS Multiplan — HMO: $259.20 Priority Health — PPO: $259.20 United Health Care — PPO: $259.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA Mammogram Digital Diagnostic Left	$288	$288	$132.48 – $287.11
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — HMO: $237.60 Blue Cross — PPO: $287.11 Cofinity — HMO: $268.13 EBL — HMO: $213.12 HAP — PPO: $256.32 Humana — HMO: $259.20 Medicare Manged Care Plans — HMO: $132.48 PHCS Multiplan — HMO: $259.20 Priority Health — PPO: $259.20 United Health Care — PPO: $259.20
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Mammogram Diagnostic Bilateral	$370	$370	$170.20 – $368.85
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — HMO: $305.25 Blue Cross — PPO: $368.85 Cofinity — HMO: $344.47 EBL — HMO: $273.80 HAP — PPO: $329.30 Humana — HMO: $333 Medicare Manged Care Plans — HMO: $170.20 PHCS Multiplan — HMO: $333 Priority Health — PPO: $333 United Health Care — PPO: $333
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Mammogram Diagnostic Bilat w/ Tomo	$370	$370	$170.20 – $368.85
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — HMO: $305.25 Blue Cross — PPO: $368.85 Cofinity — HMO: $344.47 EBL — HMO: $273.80 HAP — PPO: $329.30 Humana — HMO: $333 Medicare Manged Care Plans — HMO: $170.20 PHCS Multiplan — HMO: $333 Priority Health — PPO: $333 United Health Care — PPO: $333
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Mammogram Digital Screening	$305	$305	$140.30 – $304.05
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — HMO: $251.63 Blue Cross — PPO: $304.05 Cofinity — HMO: $283.96 EBL — HMO: $225.70 HAP — PPO: $271.45 Humana — HMO: $274.50 Medicare Manged Care Plans — HMO: $140.30 PHCS Multiplan — HMO: $274.50 Priority Health — PPO: $274.50 United Health Care — PPO: $274.50
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Mammogram Screening Bilat w/ Tomo	$305	$305	$140.30 – $304.05
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — HMO: $251.63 Blue Cross — PPO: $304.05 Cofinity — HMO: $283.96 EBL — HMO: $225.70 HAP — PPO: $271.45 Humana — HMO: $274.50 Medicare Manged Care Plans — HMO: $140.30 PHCS Multiplan — HMO: $274.50 Priority Health — PPO: $274.50 United Health Care — PPO: $274.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: QC ELECTROCARDIOGRAM, COMPLETE, 12 LEAD	$23.69	$23.69	$10.90 – $23.62
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — HMO: $19.54 Blue Cross — PPO: $23.62 Cofinity — HMO: $22.06 EBL — HMO: $17.53 HAP — PPO: $21.08 Humana — HMO: $21.32 Medicare Manged Care Plans — HMO: $10.90 PHCS Multiplan — HMO: $21.32 Priority Health — PPO: $21.32 United Health Care — PPO: $21.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Sleep Study	$4,118	$4,118	$1,894.28 – $4,105.23
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans Aetna — HMO: $3,397.35 Blue Cross — PPO: $4,105.23 Cofinity — HMO: $3,833.86 EBL — HMO: $3,047.32 HAP — PPO: $3,665.02 Humana — HMO: $3,706.20 Medicare Manged Care Plans — HMO: $1,894.28 PHCS Multiplan — HMO: $3,706.20 Priority Health — PPO: $3,706.20 United Health Care — PPO: $3,706.20

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: Therapeutic Exercise Charges	$108	$108	$49.68 – $107.67
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — HMO: $89.10 Blue Cross — PPO: $107.67 Cofinity — HMO: $100.55 EBL — HMO: $79.92 HAP — PPO: $96.12 Humana — HMO: $97.20 Medicare Manged Care Plans — HMO: $49.68 PHCS Multiplan — HMO: $97.20 Priority Health — PPO: $97.20 United Health Care — PPO: $97.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: Therapeutic Exercises	$108	$108	$49.68 – $107.67
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — HMO: $89.10 Blue Cross — PPO: $107.67 Cofinity — HMO: $100.55 EBL — HMO: $79.92 HAP — PPO: $96.12 Humana — HMO: $97.20 Medicare Manged Care Plans — HMO: $49.68 PHCS Multiplan — HMO: $97.20 Priority Health — PPO: $97.20 United Health Care — PPO: $97.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: Therapeutic Exercise Charges	$86	$86	$39.56 – $85.73
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — HMO: $70.95 Blue Cross — PPO: $85.73 Cofinity — HMO: $80.07 EBL — HMO: $63.64 HAP — PPO: $76.54 Humana — HMO: $77.40 Medicare Manged Care Plans — HMO: $39.56 PHCS Multiplan — HMO: $77.40 Priority Health — PPO: $77.40 United Health Care — PPO: $77.40
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Low Complex Units	$278	$278	$127.88 – $277.14
Physical therapy evaluation (low complexity): rates for 10 insurance plans Aetna — HMO: $229.35 Blue Cross — PPO: $277.14 Cofinity — HMO: $258.82 EBL — HMO: $205.72 HAP — PPO: $247.42 Humana — HMO: $250.20 Medicare Manged Care Plans — HMO: $127.88 PHCS Multiplan — HMO: $250.20 Priority Health — PPO: $250.20 United Health Care — PPO: $250.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Moderate Complex Units	$285	$285	$131.10 – $284.12
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans Aetna — HMO: $235.13 Blue Cross — PPO: $284.12 Cofinity — HMO: $265.34 EBL — HMO: $210.90 HAP — PPO: $253.65 Humana — HMO: $256.50 Medicare Manged Care Plans — HMO: $131.10 PHCS Multiplan — HMO: $256.50 Priority Health — PPO: $256.50 United Health Care — PPO: $256.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT High Complex Units	$285	$285	$131.10 – $284.12
Physical therapy evaluation (high complexity): rates for 10 insurance plans Aetna — HMO: $235.13 Blue Cross — PPO: $284.12 Cofinity — HMO: $265.34 EBL — HMO: $210.90 HAP — PPO: $253.65 Humana — HMO: $256.50 Medicare Manged Care Plans — HMO: $131.10 PHCS Multiplan — HMO: $256.50 Priority Health — PPO: $256.50 United Health Care — PPO: $256.50

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: US Biopsy Prostate	$2,232	$2,232	$1,026.72 – $2,225.08
Prostate biopsy: rates for 10 insurance plans Aetna — HMO: $1,841.40 Blue Cross — PPO: $2,225.08 Cofinity — HMO: $2,077.99 EBL — HMO: $1,651.68 HAP — PPO: $1,986.48 Humana — HMO: $2,008.80 Medicare Manged Care Plans — HMO: $1,026.72 PHCS Multiplan — HMO: $2,008.80 Priority Health — PPO: $2,008.80 United Health Care — PPO: $2,008.80

Source: Marlette Regional Hospital’s standard charges file (aspirerhs.org, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on January 25, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	2770 Main Street, Marlette, MI 48453
County	Sanilac County
State	Michigan
Phone	(989) 635‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	231330
Name in Medicare records	MARLETTE REGIONAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	aspirerhs.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Aspire Rural Health System | Healthcare Solutions — aspirerhs.org
Covenant Cancer Care Center at Aspire Marlette - Aspire Rural Health System — aspirerhs.org
Marlette Cardiopulmonary Rehab - Aspire Rural Health System — aspirerhs.org
Emergency Services - Aspire Rural Health System — aspirerhs.org

Marlette Regional Hospital

Summary

Profile from official sources

At a glance