Does McKenzie Health System have an emergency room?

Yes. Medicare (CMS) data lists emergency services at McKenzie Health System. In a medical emergency, call 911.

Where is McKenzie Health System?

120 N Delaware Street, Sandusky, MI 48471, in Sanilac County, Michigan.

What is the phone number of McKenzie Health System?

(810) 648-3770, as listed by Medicare (CMS).

What is the Medicare star rating of McKenzie Health System?

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.

McKenzie Health System — Phone, Address & ER

Quick answers

Does McKenzie Health System have an emergency room?: Yes. Medicare (CMS) data lists emergency services at McKenzie Health System. In a medical emergency, call 911.
Where is McKenzie Health System?: 120 N Delaware Street, Sandusky, MI 48471, in Sanilac County, Michigan.
What is the phone number of McKenzie Health System?: (810) 648-3770, as listed by Medicare (CMS).
What is the Medicare star rating of McKenzie Health System?: 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^[4]

Programs and centers^[4]

Cardiac Rehabilitation
Pulmonary Rehabilitation
Swing Bed Program
Diabetes Education
Substance Abuse Recovery

Emergency care (hospital website)^[4]

Emergency room	Yes

Doctors and clinicians (112)

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

Main specialties

And 88 more: the button below opens the full list.

Other emergency rooms nearby

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

Deckerville Community Hospital8.8 mi · Deckerville, MI · Critical Access Hospital
Marlette Regional Hospital14 mi · Marlette, MI · Critical Access Hospital
Hills & Dales General Hospital21 mi · Cass City, MI · Critical Access Hospital
McLaren Thumb Region28 mi · Bad Axe, MI · Critical Access Hospital
McLaren Caro Region29 mi · Caro, MI · Critical Access Hospital

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

Other hospitals near Sandusky

Harbor Beach Community Hospital30 mi · Harbor Beach, MI · Critical Access 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

Sanilac Medical Care Facility0.1 mi · Sandusky, MI · 3 of 5 stars
Autumnwood of Deckerville8.6 mi · Deckerville, MI · 4 of 5 stars
Marlette Community Hospital LTCU14 mi · Marlette, MI · 5 of 5 stars

All nursing homes in the state →

Hospice providers

United Hospice Service11 mi · Marlette, MI · 5 of 5 stars
Compass - Cass City21 mi · Cass City, MI · 4 of 5 stars

All hospice providers in the state →

Dialysis facilities

FMC - Sandusky1.0 mi · Sandusky, MI · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Clinics and urgent care

McKenzie Family Healthcare1.0 mi · Sandusky, MI · Rural health clinic
McKenzie Health & Wellness1.0 mi · Sandusky, MI · Rural health clinic
McKenzie Rural Health Clinic1.0 mi · Sandusky, MI · Rural health clinic

Pharmacies

Ehardt's Pharmacy Inc.1.0 mi · Sandusky, MI · Community/retail pharmacy
Wal-Mart Stores East LP1.0 mi · Sandusky, MI · Community/retail pharmacy
Ballentine Pharmacy Inc9.4 mi · Deckerville, MI · Pharmacy

Assisted living nearby

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

Austin Clf1.0 mi · Sandusky, MI
Custer Street1.0 mi · Sandusky, MI
Harrington Farm1.0 mi · Sandusky, MI
Martinez Retirement Home1.0 mi · Sandusky, 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 McKenzie Health System reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	60%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	69%National average: 80%
“Always” got help as soon as they wanted	68%National average: 64%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	93%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	26Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged 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)	16.2%
Readmitted within 30 days: COPD	19.8%
Not reported to Medicare	Readmitted within 30 days: heart attack; 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 failure; Readmitted within 30 days: pneumonia

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)	124 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%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: infections caught in the hospital, 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 62 common services exactly as McKenzie Health System lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 24 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 62 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 · Outpatient (no overnight stay) In the file: OV NEW PATIENT DETAILED 30 MIN	$165	$132	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $125.29
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $114.01 Blue_Care_Network — All_Commercial_Plans: $117.35 Blue_Cross — All_Commercial_Plans: $117.35 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $100 Medicaid_Managed_Care — All_Plans: $71.78 Medicare_Advantage — All_Plans: $103.97 Meritain — Domestic: $114.01 Priority_Health — All_Commercial_Plans: $125.29 United_Healthcare — All_Commercial_Plans: $101.98
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OV NEW PATIENT LEVEL 3 DETAILED 30 MIN	$165	$132	$71.78 – $125.29
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $114.01 Blue_Care_Network — All_Commercial_Plans: $117.35 Blue_Cross — All_Commercial_Plans: $117.35 HAP — All_Commercial_Plans: $111.32 McLaren — All_Commercial_Plans: $100 Medicaid_Managed_Care — All_Plans: $71.78 Medicare_Advantage — All_Plans: $103.97 Meritain — Domestic: $114.01 Priority_Health — All_Commercial_Plans: $125.29 United_Healthcare — All_Commercial_Plans: $101.98
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OV NEW MOD-HI 45 MINUTES	$250	$200	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $187.74
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $169.71 Blue_Care_Network — All_Commercial_Plans: $179.33 Blue_Cross — All_Commercial_Plans: $179.33 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $155 Medicaid_Managed_Care — All_Plans: $107.57 Medicare_Advantage — All_Plans: $156.23 Meritain — Domestic: $169.71 Priority_Health — All_Commercial_Plans: $187.74 United_Healthcare — All_Commercial_Plans: $155.85
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OV NEW PATIENT LEVEL 4 COMPREH 45 MIN	$250	$200	$107.57 – $187.74
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $169.71 Blue_Care_Network — All_Commercial_Plans: $179.33 Blue_Cross — All_Commercial_Plans: $179.33 HAP — All_Commercial_Plans: $170.46 McLaren — All_Commercial_Plans: $155 Medicaid_Managed_Care — All_Plans: $107.57 Medicare_Advantage — All_Plans: $156.23 Meritain — Domestic: $169.71 Priority_Health — All_Commercial_Plans: $187.74 United_Healthcare — All_Commercial_Plans: $155.85
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OV NEW MOD-HI 60 MINUTES	$320	$256	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $248.02
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $224.25 Blue_Care_Network — All_Commercial_Plans: $226.59 Blue_Cross — All_Commercial_Plans: $226.59 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $204 Medicaid_Managed_Care — All_Plans: $142.07 Medicare_Advantage — All_Plans: $206.68 Meritain — Domestic: $224.25 Priority_Health — All_Commercial_Plans: $247.58 United_Healthcare — All_Commercial_Plans: $195.97
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OV NEW PATIENT LEVEL 5 MOD-HI 60 MIN	$320	$256	$142.07 – $248.02
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $224.25 Blue_Care_Network — All_Commercial_Plans: $226.59 Blue_Cross — All_Commercial_Plans: $226.59 HAP — All_Commercial_Plans: $211.21 McLaren — All_Commercial_Plans: $204 Medicaid_Managed_Care — All_Plans: $142.07 Medicare_Advantage — All_Plans: $206.68 Meritain — Domestic: $224.25 Priority_Health — All_Commercial_Plans: $247.58 United_Healthcare — All_Commercial_Plans: $195.97
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OV ESTAB LOW-MOD 15 MINUTES	$120	$96	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $102.09
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $91.58 Blue_Care_Network — All_Commercial_Plans: $85.82 Blue_Cross — All_Commercial_Plans: $85.82 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $62.50 Medicaid_Managed_Care — All_Plans: $58.58 Medicare_Advantage — All_Plans: $84.57 Meritain — Domestic: $91.58 Priority_Health — All_Commercial_Plans: $102.09 United_Healthcare — All_Commercial_Plans: $66.65
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: ESTAB PATIENT VISIT LEVEL 3	$120	$96	$58.58 – $102.09
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $91.58 Blue_Care_Network — All_Commercial_Plans: $85.82 Blue_Cross — All_Commercial_Plans: $85.82 HAP — All_Commercial_Plans: $73.93 McLaren — All_Commercial_Plans: $62.50 Medicaid_Managed_Care — All_Plans: $58.58 Medicare_Advantage — All_Plans: $84.57 Meritain — Domestic: $91.58 Priority_Health — All_Commercial_Plans: $102.09 United_Healthcare — All_Commercial_Plans: $66.65
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OV ESTAB MOD-HIGH 25 MINUTES	$175	$140	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $143.99
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $129.75 Blue_Care_Network — All_Commercial_Plans: $124.45 Blue_Cross — All_Commercial_Plans: $124.45 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $98 Medicaid_Managed_Care — All_Plans: $82.43 Medicare_Advantage — All_Plans: $119.29 Meritain — Domestic: $129.75 Priority_Health — All_Commercial_Plans: $143.99 United_Healthcare — All_Commercial_Plans: $100.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: ESTAB PATIENT VISIT LEVEL 4	$175	$140	$82.43 – $143.99
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $129.75 Blue_Care_Network — All_Commercial_Plans: $124.45 Blue_Cross — All_Commercial_Plans: $124.45 HAP — All_Commercial_Plans: $109.19 McLaren — All_Commercial_Plans: $98 Medicaid_Managed_Care — All_Plans: $82.43 Medicare_Advantage — All_Plans: $119.29 Meritain — Domestic: $129.75 Priority_Health — All_Commercial_Plans: $143.99 United_Healthcare — All_Commercial_Plans: $100.37
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULT DETAILED 40 MIN	$233	$186.40	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $179.49
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $121.09 Blue_Care_Network — All_Commercial_Plans: $179.49 Blue_Cross — All_Commercial_Plans: $179.49 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid_Managed_Care — All_Plans: $71.99 Meritain — Domestic: $121.09 Priority_Health — All_Commercial_Plans: $151.22 United_Healthcare — All_Commercial_Plans: $137.38
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICEOP CONSULT LEVEL 3	$233	$186.40	$71.99 – $179.49
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $121.09 Blue_Care_Network — All_Commercial_Plans: $179.49 Blue_Cross — All_Commercial_Plans: $179.49 HAP — All_Commercial_Plans: $119.71 Medicaid_Managed_Care — All_Plans: $71.99 Meritain — Domestic: $121.09 Priority_Health — All_Commercial_Plans: $151.22 United_Healthcare — All_Commercial_Plans: $137.38
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULT MOD-HI 60 MIN	$349	$279.20	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $256.18
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $173.65 Blue_Care_Network — All_Commercial_Plans: $256.18 Blue_Cross — All_Commercial_Plans: $256.18 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid_Managed_Care — All_Plans: $102.45 Meritain — Domestic: $173.65 Priority_Health — All_Commercial_Plans: $215.83 United_Healthcare — All_Commercial_Plans: $201.45
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICEOP CONSULT LEVEL 4	$349	$279.20	$102.45 – $256.18
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $173.65 Blue_Care_Network — All_Commercial_Plans: $256.18 Blue_Cross — All_Commercial_Plans: $256.18 HAP — All_Commercial_Plans: $175.68 Medicaid_Managed_Care — All_Plans: $102.45 Meritain — Domestic: $173.65 Priority_Health — All_Commercial_Plans: $215.83 United_Healthcare — All_Commercial_Plans: $201.45
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV MED NEW PATIENT 18-39 YRS	$205	$164	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $169.72
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $133.43 Blue_Care_Network — All_Commercial_Plans: $150.35 Blue_Cross — All_Commercial_Plans: $150.35 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $131 Medicaid_Managed_Care — All_Plans: $99.37 Meritain — Domestic: $133.43 Priority_Health — All_Commercial_Plans: $169.72 United_Healthcare — All_Commercial_Plans: $125.45
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV MED NEW PATIENT 40-64 YRS OLD	$235	$188	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $195.60
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $154.03 Blue_Care_Network — All_Commercial_Plans: $173.27 Blue_Cross — All_Commercial_Plans: $173.27 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $154 Medicaid_Managed_Care — All_Plans: $117.10 Meritain — Domestic: $154.03 Priority_Health — All_Commercial_Plans: $195.60 United_Healthcare — All_Commercial_Plans: $146.96
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PHYS CHG ER MODERATE SEVERITY	$205	$164	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $114
Emergency room visit (moderate): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $75.17 Blue_Care_Network — All_Commercial_Plans: $112.38 Blue_Cross — All_Commercial_Plans: $112.38 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $79 Medicaid_Managed_Care — All_Plans: $105.73 Medicare_Advantage — All_Plans: $66.85 Meritain — Domestic: $75.17 Priority_Health — All_Commercial_Plans: $114 United_Healthcare — All_Commercial_Plans: $68.07
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER ROOM 99283	$460	$368	$105.73 – $416.53
Emergency room visit (moderate): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $105.73 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER DEPT VISIT MOD COMPLEXITY & SEVERITY	$205	$164	$60.42 – $114
Emergency room visit (moderate): rates for 9 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $75.17 Blue_Care_Network — All_Commercial_Plans: $112.38 Blue_Cross — All_Commercial_Plans: $112.38 HAP — All_Commercial_Plans: $60.42 McLaren — All_Commercial_Plans: $79 Medicare_Advantage — All_Plans: $66.85 Meritain — Domestic: $75.17 Priority_Health — All_Commercial_Plans: $114 United_Healthcare — All_Commercial_Plans: $68.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PHYS CHG ER MOD COMPLX-DETAIL EXAM	$297	$237.60	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $203.10
Emergency room visit (moderately high): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $126.31 Blue_Care_Network — All_Commercial_Plans: $191.20 Blue_Cross — All_Commercial_Plans: $191.20 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $146 Medicaid_Managed_Care — All_Plans: $105.73 Medicare_Advantage — All_Plans: $114.21 Meritain — Domestic: $126.31 Priority_Health — All_Commercial_Plans: $203.10 United_Healthcare — All_Commercial_Plans: $125.42
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER ROOM 99284	$742	$593.60	$105.73 – $671.88
Emergency room visit (moderately high): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $105.73 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER DEPT VISIT MOD COMPLEXHIGH SEVERITY	$297	$237.60	$114.21 – $203.10
Emergency room visit (moderately high): rates for 9 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $126.31 Blue_Care_Network — All_Commercial_Plans: $191.20 Blue_Cross — All_Commercial_Plans: $191.20 HAP — All_Commercial_Plans: $115.79 McLaren — All_Commercial_Plans: $146 Medicare_Advantage — All_Plans: $114.21 Meritain — Domestic: $126.31 Priority_Health — All_Commercial_Plans: $203.10 United_Healthcare — All_Commercial_Plans: $125.42
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PHYS CHG ER HIGH SEVERITY	$449	$359.20	$0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $299.15
Emergency room visit (high): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $184.01 Blue_Care_Network — All_Commercial_Plans: $276.95 Blue_Cross — All_Commercial_Plans: $276.95 HAP — All_Commercial_Plans: $0.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) McLaren — All_Commercial_Plans: $218 Medicaid_Managed_Care — All_Plans: $105.73 Medicare_Advantage — All_Plans: $165.75 Meritain — Domestic: $184.01 Priority_Health — All_Commercial_Plans: $299.15 United_Healthcare — All_Commercial_Plans: $187.57
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER ROOM 99285	$953	$762.40	$105.73 – $862.94
Emergency room visit (high): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $105.73 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER PHYSICIAN 99285	$326	$260.80	$165.75 – $299.15
Emergency room visit (high): rates for 6 insurance plans Blue_Care_Network — All_Commercial_Plans: $276.95 Blue_Cross — All_Commercial_Plans: $276.95 HAP — All_Commercial_Plans: $169.16 McLaren — All_Commercial_Plans: $218 Medicare_Advantage — All_Plans: $165.75 Priority_Health — All_Commercial_Plans: $299.15

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC (PICCOLO)	$76	$60.80	$7 – $68.82
Basic metabolic panel (blood test): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $7 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC	$76	$60.80	$7 – $68.82
Basic metabolic panel (blood test): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $7 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 90 In the file: RL BMP	$61	$48.80	$7 – $55.24
Basic metabolic panel (blood test): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $7 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP	$95	$76	$8.74 – $86.02
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $8.74 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 90 In the file: RL CMP	$63	$50.40	$8.74 – $57.05
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $8.74 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$115	$92	$11.09 – $104.13
Cholesterol panel (lipid panel): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $11.09 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 90 In the file: RL LIPID PANEL	$58	$46.40	$11.09 – $52.52
Cholesterol panel (lipid panel): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $11.09 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier QW In the file: LIPID PROFILE	$23	$18.40	$10.71 – $17.01
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $12.72 Blue_Care_Network — All_Commercial_Plans: $16.58 Blue_Cross — All_Commercial_Plans: $16.58 HAP — All_Commercial_Plans: $17.01 McLaren — All_Commercial_Plans: $16.59 Medicaid_Managed_Care — All_Plans: $11.09 Meritain — Domestic: $12.72 Priority_Health — All_Commercial_Plans: $13.32 United_Healthcare — All_Commercial_Plans: $10.71
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$77	$61.60	$7.19 – $69.72
Kidney function panel: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $7.19 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 90 In the file: RL RENAL FUNCTION PANEL	$63	$50.40	$7.19 – $57.05
Kidney function panel: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $7.19 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION	$43	$34.40	$6.76 – $38.94
Liver function panel: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $6.76 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 90 In the file: RL HEPATIC FUNCTION	$61	$48.80	$6.76 – $55.24
Liver function panel: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $6.76 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS CHG	$29	$23.20	$2.62 – $26.26
Urine test (automated, with microscope): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $2.62 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA PERFORM MICROSCOPIC	$29	$23.20	$2.62 – $26.26
Urine test (automated, with microscope): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $2.62 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 90 In the file: RL UA COMPLETE W CULTURE IF INDICATED	$55	$44	$2.62 – $49.80
Urine test (automated, with microscope): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $2.62 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS DIP STICK	$5	$4	$2.88 – $3.57
Urine test (manual, without microscope): rates for 9 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $3.31 Blue_Care_Network — All_Commercial_Plans: $3.48 Blue_Cross — All_Commercial_Plans: $3.48 HAP — All_Commercial_Plans: $3.40 McLaren — All_Commercial_Plans: $3.50 Medicaid_Managed_Care — All_Plans: $2.88 Meritain — Domestic: $3.31 Priority_Health — All_Commercial_Plans: $3.33 United_Healthcare — All_Commercial_Plans: $3.57
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS W/O MICRO	$18	$14.40	$1.87 – $16.30
Urine test (automated, without microscope): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $1.87 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: SPECIFIC GRAVITY	$18	$14.40	$1.87 – $16.30
Urine test (automated, without microscope): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $1.87 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 90 In the file: RL PH URINE	$53	$42.40	$1.87 – $47.99
Urine test (automated, without microscope): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $1.87 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL	$165	$132	$15.23 – $149.41
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $15.23 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: RL PSA DIAGNOSTIC	$73	$58.40	$15.23 – $66.10
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $15.23 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: RL PROSTATE HEALTH INDEX (PHI) SERUM	$84	$67.20	$15.23 – $76.06
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $15.23 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$149	$119.20	$13.91 – $134.92
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $13.91 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH W/ REFLEX TO FT4	$149	$119.20	$13.91 – $134.92
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $13.91 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 90 In the file: RL TSH W/ REFLEX TO FT4	$62	$49.60	$13.91 – $56.14
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $13.91 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CHARGE CBC AUTO.DIFF	$71	$56.80	$6.43 – $64.29
Complete blood count (CBC) with differential: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $6.43 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 90 In the file: RL CBC W DIFF REFLEX TO PATH REVIEW	$61	$48.80	$6.43 – $55.24
Complete blood count (CBC) with differential: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $6.43 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 90 In the file: RL CBC W AUTO DIFF	$61	$48.80	$6.43 – $55.24
Complete blood count (CBC) with differential: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $6.43 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC NO DIFFERENTIAL	$43	$34.40	$5.35 – $38.94
Complete blood count (CBC), automated: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $5.35 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CHARGE HEMOGRAM	$43	$34.40	$5.35 – $38.94
Complete blood count (CBC), automated: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $5.35 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 90 In the file: RL CBC - NO DIFF	$56	$44.80	$5.35 – $50.71
Complete blood count (CBC), automated: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $5.35 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$37	$29.60	$3.55 – $33.50
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $3.55 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 90 In the file: RL PT THERAPUTIC	$55	$44	$3.55 – $49.80
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $3.55 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 90 In the file: RL PT INR	$55	$44	$3.55 – $49.80
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $3.55 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT	$53	$42.40	$4.98 – $47.99
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $4.98 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 90 In the file: RL PTT	$44	$35.20	$4.98 – $39.84
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $4.98 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 90 In the file: RL LAC PNL APTT(S)	$67	$53.60	$4.98 – $60.67
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $4.98 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)

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 WO CONTRAST	$896	$716.80	$69.23 – $811.33
CT scan of the head or brain, without contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $69.23 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W/W/O CONTRAST	$4,883	$3,906.40	$206.82 – $4,421.56
MRI of the brain, before and after contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $206.82 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC W/W/O CONTRAST	$4,883	$3,906.40	$206.82 – $4,421.56
MRI of the brain, before and after contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $206.82 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI PITUITARY W/W/O CONTRAST	$4,883	$3,906.40	$206.82 – $4,421.56
MRI of the brain, before and after contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $206.82 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEW XRAY	$132	$105.60	$21.51 – $119.53
Chest X-ray, 2 views: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $21.51 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEW XRAY FREQ	$132	$105.60	$21.51 – $119.53
Chest X-ray, 2 views: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $21.51 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBOSACRAL COMPLETE	$233	$186.40	$33.23 – $210.98
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $33.23 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINE LUMBAR W/O CONTRAST	$2,490	$1,992	$123.97 – $2,254.70
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $123.97 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/ IV CONTRAST ONLY+	$1,732	$1,385.60	$146.97 – $1,568.33
CT scan of the pelvis, with contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $146.97 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/ ORAL , IV CONTRAST+	$1,732	$1,385.60	$146.97 – $1,568.33
CT scan of the pelvis, with contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $146.97 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI KNEE W/O CONTRAST LEFT	$2,490	$1,992	$131.85 – $2,254.70
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $131.85 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI KNEE W/O CONTRAST RIGHT	$2,490	$1,992	$131.85 – $2,254.70
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $131.85 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI LOWER JOINT W/O CONTRAST LEFT	$2,490	$1,992	$131.85 – $2,254.70
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $131.85 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD /PELVIS W ORAL / IV CONTRAST+	$2,388	$1,910.40	$195.75 – $2,162.33
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $195.75 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD/PELVIS WITH IV CONTRAST ONLY+	$2,388	$1,910.40	$195.75 – $2,162.33
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $195.75 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$759	$607.20	$73.70 – $687.27
Ultrasound of the abdomen, complete: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $73.70 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIC TRANSVAGINAL	$756	$604.80	$75.19 – $684.56
Transvaginal ultrasound: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $75.19 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DIGITAL MAMM DIAGNOSTIC UNILATERAL	$641	$512.80	$80.30 – $580.43
Diagnostic mammogram, one breast: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $80.30 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DIGITAL MAMM DIAGNOSTIC BILATERAL	$807	$645.60	$101.18 – $730.74
Diagnostic mammogram, both breasts: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $101.18 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: DIGITAL MAMM SCREENING BILATERAL	$399	$319.20	$82.01 – $361.29
Screening mammogram, both breasts: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $82.01 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG W/INTERPRETATION&REPORT	$34	$27.20	$9.16 – $31.16
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $18.76 Blue_Care_Network — All_Commercial_Plans: $18.06 Blue_Cross — All_Commercial_Plans: $18.06 HAP — All_Commercial_Plans: $18.83 McLaren — All_Commercial_Plans: $31.16 Medicaid_Managed_Care — All_Plans: $9.16 Medicare_Advantage — All_Plans: $13.19 Meritain — Domestic: $18.76 Priority_Health — All_Commercial_Plans: $20.24 United_Healthcare — All_Commercial_Plans: $24.12
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG WINTERPRETATION&REPORT	$34	$27.20	$9.16 – $31.16
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $18.76 Blue_Care_Network — All_Commercial_Plans: $18.06 Blue_Cross — All_Commercial_Plans: $18.06 HAP — All_Commercial_Plans: $18.83 McLaren — All_Commercial_Plans: $31.16 Medicaid_Managed_Care — All_Plans: $9.16 Medicare_Advantage — All_Plans: $13.19 Meritain — Domestic: $18.76 Priority_Health — All_Commercial_Plans: $20.24 United_Healthcare — All_Commercial_Plans: $24.12
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG+	$139	$111.20	$9.16 – $125.86
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $9.16 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)

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 GP In the file: PT EXERCISE	$127	$101.60	$18.96 – $115
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $18.96 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT EXERCISE 15 MINUTES	$127	$101.60	$18.96 – $115
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $18.96 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION, LOW COMPLEXITY	$302	$241.60	$64.54 – $273.46
Physical therapy evaluation (low complexity): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $64.54 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION, MODERATE COMPLEXITY	$302	$241.60	$64.54 – $273.46
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $64.54 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION, HIGH COMPLEXITY	$302	$241.60	$64.54 – $273.46
Physical therapy evaluation (high complexity): rates for 10 insurance plans Medicaid_Managed_Care — All_Plans: $64.54 Aetna_Cofinity_Meritain — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) Blue_Care_Network — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) Blue_Cross — All_Commercial_Plans: 90.55% (a percentage in the contract, not a dollar amount) HAP — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount) McLaren — All_Commercial_Plans: 83% (a percentage in the contract, not a dollar amount) Medicare_Advantage — All_Plans: 63% (a percentage in the contract, not a dollar amount) Meritain — Domestic: 78% (a percentage in the contract, not a dollar amount) Priority_Health — All_Commercial_Plans: 85% (a percentage in the contract, not a dollar amount) United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 30 MINUTES	$124	$99.20	$46.37 – $98.70
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $86.27 Blue_Care_Network — All_Commercial_Plans: $98.70 Blue_Cross — All_Commercial_Plans: $98.70 HAP — All_Commercial_Plans: $54.31 McLaren — All_Commercial_Plans: $70 Medicaid_Managed_Care — All_Plans: $46.37 Medicare_Advantage — All_Plans: $76.09 Meritain — Domestic: $86.27 Priority_Health — All_Commercial_Plans: $89.84 United_Healthcare — All_Commercial_Plans: $75.92
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 45 MINUTES	$163	$130.40	$61.15 – $130.20
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $114.30 Blue_Care_Network — All_Commercial_Plans: $130.20 Blue_Cross — All_Commercial_Plans: $130.20 HAP — All_Commercial_Plans: $80.51 McLaren — All_Commercial_Plans: $90 Medicaid_Managed_Care — All_Plans: $61.15 Medicare_Advantage — All_Plans: $100.38 Meritain — Domestic: $114.30 Priority_Health — All_Commercial_Plans: $125.49 United_Healthcare — All_Commercial_Plans: $98.79
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 60 MINUTES	$240	$192	$88.61 – $191.94
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $167.95 Blue_Care_Network — All_Commercial_Plans: $191.94 Blue_Cross — All_Commercial_Plans: $191.94 HAP — All_Commercial_Plans: $95 McLaren — All_Commercial_Plans: $132.59 Medicaid_Managed_Care — All_Plans: $88.61 Medicare_Advantage — All_Plans: $148.75 Meritain — Domestic: $167.95 Priority_Health — All_Commercial_Plans: $175.88 United_Healthcare — All_Commercial_Plans: $144.97

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXC TUMOR BREAST, 1 OR MORE LESIONS	$1,048	$838.40	$336.11 – $837.78
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $609.37 Blue_Care_Network — All_Commercial_Plans: $837.78 Blue_Cross — All_Commercial_Plans: $837.78 HAP — All_Commercial_Plans: $496.56 McLaren — All_Commercial_Plans: $475.05 Medicaid_Managed_Care — All_Plans: $336.11 Medicare_Advantage — All_Plans: $489.63 Meritain — Domestic: $609.37 Priority_Health — All_Commercial_Plans: $492.61 United_Healthcare — All_Commercial_Plans: $460.53
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLAS WWO AUTOGRAFT	$2,791	$2,232.80	$829.21 – $11,203.42
Total hip replacement: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $1,709.49 Blue_Care_Network — All_Commercial_Plans: $2,260.24 Blue_Cross — All_Commercial_Plans: $2,260.24 HAP — All_Commercial_Plans: $1,497.97 McLaren — All_Commercial_Plans: $1,897.84 Medicaid_Managed_Care — All_Plans: $829.21 Medicare_Advantage — All_Plans: $1,221.57 Meritain — Domestic: $1,709.49 Priority_Health — All_Commercial_Plans: $11,203.42 United_Healthcare — All_Commercial_Plans: $1,604.65
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: ARTHROPLASTY TOTAL KNEE M&L COMPARTMENTS	$2,789	$2,231.20	$828.14 – $11,011.05
Total knee replacement: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $1,707.75 Blue_Care_Network — All_Commercial_Plans: $2,256.73 Blue_Cross — All_Commercial_Plans: $2,256.73 HAP — All_Commercial_Plans: $1,599.93 McLaren — All_Commercial_Plans: $2,037.43 Medicaid_Managed_Care — All_Plans: $828.14 Medicare_Advantage — All_Plans: $1,220.01 Meritain — Domestic: $1,707.75 Priority_Health — All_Commercial_Plans: $11,011.05 United_Healthcare — All_Commercial_Plans: $1,723.54
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: DECOMPRESS SUBCROMINAL SPACE WPARTIAL ADD ON	$356	$284.80	$109.70 – $744.52
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $229.56 Blue_Care_Network — All_Commercial_Plans: $214.20 Blue_Cross — All_Commercial_Plans: $214.20 HAP — All_Commercial_Plans: $186.35 McLaren — All_Commercial_Plans: $182.50 Medicaid_Managed_Care — All_Plans: $109.70 Medicare_Advantage — All_Plans: $162.97 Meritain — Domestic: $229.56 Priority_Health — All_Commercial_Plans: $259.52 United_Healthcare — All_Commercial_Plans: $744.52
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: DECOMPRESS SUBCROMINAL SPACE W PARTIAL	$356	$284.80	$109.70 – $744.52
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $229.56 Blue_Care_Network — All_Commercial_Plans: $214.20 Blue_Cross — All_Commercial_Plans: $214.20 HAP — All_Commercial_Plans: $186.35 McLaren — All_Commercial_Plans: $182.50 Medicaid_Managed_Care — All_Plans: $109.70 Medicare_Advantage — All_Plans: $162.97 Meritain — Domestic: $229.56 Priority_Health — All_Commercial_Plans: $259.52 United_Healthcare — All_Commercial_Plans: $744.52
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHROS KNEE WMENISCECTOMY M OR L	$1,206	$964.80	$354.43 – $2,358.36
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $719.46 Blue_Care_Network — All_Commercial_Plans: $965.42 Blue_Cross — All_Commercial_Plans: $965.42 HAP — All_Commercial_Plans: $563.38 McLaren — All_Commercial_Plans: $840 Medicaid_Managed_Care — All_Plans: $354.43 Medicare_Advantage — All_Plans: $516.68 Meritain — Domestic: $719.46 Priority_Health — All_Commercial_Plans: $2,358.36 United_Healthcare — All_Commercial_Plans: $699.44
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHROS KNEE W MENISCECTOMY	$1,206	$964.80	$354.43 – $2,358.36
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $719.46 Blue_Care_Network — All_Commercial_Plans: $965.42 Blue_Cross — All_Commercial_Plans: $965.42 HAP — All_Commercial_Plans: $563.38 McLaren — All_Commercial_Plans: $840 Medicaid_Managed_Care — All_Plans: $354.43 Medicare_Advantage — All_Plans: $516.68 Meritain — Domestic: $719.46 Priority_Health — All_Commercial_Plans: $2,358.36 United_Healthcare — All_Commercial_Plans: $699.44
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	$590	$472	$189.36 – $3,288.49
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $372.40 Blue_Care_Network — All_Commercial_Plans: $471.35 Blue_Cross — All_Commercial_Plans: $471.35 HAP — All_Commercial_Plans: $300.33 McLaren — All_Commercial_Plans: $315.17 Medicaid_Managed_Care — All_Plans: $189.36 Medicare_Advantage — All_Plans: $275.87 Meritain — Domestic: $372.40 Priority_Health — All_Commercial_Plans: $3,288.49 United_Healthcare — All_Commercial_Plans: $459.87
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD	$572	$457.60	$181.90 – $477.66
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $357.63 Blue_Care_Network — All_Commercial_Plans: $459.63 Blue_Cross — All_Commercial_Plans: $459.63 HAP — All_Commercial_Plans: $302.23 McLaren — All_Commercial_Plans: $416.28 Medicaid_Managed_Care — All_Plans: $181.90 Medicare_Advantage — All_Plans: $258.27 Meritain — Domestic: $357.63 Priority_Health — All_Commercial_Plans: $214.86 United_Healthcare — All_Commercial_Plans: $477.66
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY DIAGNOSTIC	$572	$457.60	$181.90 – $514.86
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $357.63 Blue_Care_Network — All_Commercial_Plans: $459.63 Blue_Cross — All_Commercial_Plans: $459.63 HAP — All_Commercial_Plans: $302.23 McLaren — All_Commercial_Plans: $416.28 Medicaid_Managed_Care — All_Plans: $181.90 Medicare_Advantage — All_Plans: $258.27 Meritain — Domestic: $357.63 Priority_Health — All_Commercial_Plans: $514.86 United_Healthcare — All_Commercial_Plans: $477.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY W/BIOPSY	$271	$216.80	$87.33 – $348.66
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $174.42 Blue_Care_Network — All_Commercial_Plans: $218.37 Blue_Cross — All_Commercial_Plans: $218.37 HAP — All_Commercial_Plans: $348.66 McLaren — All_Commercial_Plans: $276.56 Medicaid_Managed_Care — All_Plans: $87.33 Medicare_Advantage — All_Plans: $128.22 Meritain — Domestic: $174.42 Priority_Health — All_Commercial_Plans: $244.61 United_Healthcare — All_Commercial_Plans: 86% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY W BIOPSY	$751	$600.80	$235.15 – $872.95
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $466.58 Blue_Care_Network — All_Commercial_Plans: $600.77 Blue_Cross — All_Commercial_Plans: $600.77 HAP — All_Commercial_Plans: $348.66 McLaren — All_Commercial_Plans: $465.11 Medicaid_Managed_Care — All_Plans: $235.15 Medicare_Advantage — All_Plans: $332.73 Meritain — Domestic: $466.58 Priority_Health — All_Commercial_Plans: $872.95 United_Healthcare — All_Commercial_Plans: $549.47
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY WBIOPSY	$751	$600.80	$235.15 – $872.95
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $466.58 Blue_Care_Network — All_Commercial_Plans: $600.77 Blue_Cross — All_Commercial_Plans: $600.77 HAP — All_Commercial_Plans: $348.66 McLaren — All_Commercial_Plans: $465.11 Medicaid_Managed_Care — All_Plans: $235.15 Medicare_Advantage — All_Plans: $332.73 Meritain — Domestic: $466.58 Priority_Health — All_Commercial_Plans: $872.95 United_Healthcare — All_Commercial_Plans: $549.47
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONSCOPY	$678	$542.40	$215.77 – $807.93
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $424.79 Blue_Care_Network — All_Commercial_Plans: $542.72 Blue_Cross — All_Commercial_Plans: $542.72 HAP — All_Commercial_Plans: $402.03 McLaren — All_Commercial_Plans: $518.54 Medicaid_Managed_Care — All_Plans: $215.77 Medicare_Advantage — All_Plans: $308.90 Meritain — Domestic: $424.79 Priority_Health — All_Commercial_Plans: $807.93 United_Healthcare — All_Commercial_Plans: $627.67
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONSCOPY DIAGNOSTIC	$678	$542.40	$215.77 – $807.93
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $424.79 Blue_Care_Network — All_Commercial_Plans: $542.72 Blue_Cross — All_Commercial_Plans: $542.72 HAP — All_Commercial_Plans: $402.03 McLaren — All_Commercial_Plans: $518.54 Medicaid_Managed_Care — All_Plans: $215.77 Medicare_Advantage — All_Plans: $308.90 Meritain — Domestic: $424.79 Priority_Health — All_Commercial_Plans: $807.93 United_Healthcare — All_Commercial_Plans: $627.67
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONSCOPY W BIOPSY	$864	$691.20	$273.07 – $974.97
Colonoscopy with biopsy: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $540.49 Blue_Care_Network — All_Commercial_Plans: $691.85 Blue_Cross — All_Commercial_Plans: $691.85 HAP — All_Commercial_Plans: $478.98 McLaren — All_Commercial_Plans: $602.03 Medicaid_Managed_Care — All_Plans: $273.07 Medicare_Advantage — All_Plans: $389.13 Meritain — Domestic: $540.49 Priority_Health — All_Commercial_Plans: $974.97 United_Healthcare — All_Commercial_Plans: $749.63
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONSCOPY WITH BIOPSY	$864	$691.20	$273.07 – $974.97
Colonoscopy with biopsy: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $540.49 Blue_Care_Network — All_Commercial_Plans: $691.85 Blue_Cross — All_Commercial_Plans: $691.85 HAP — All_Commercial_Plans: $478.98 McLaren — All_Commercial_Plans: $602.03 Medicaid_Managed_Care — All_Plans: $273.07 Medicare_Advantage — All_Plans: $389.13 Meritain — Domestic: $540.49 Priority_Health — All_Commercial_Plans: $974.97 United_Healthcare — All_Commercial_Plans: $749.63
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONSCOPY REM TUMOR,POLY,LES SNARE	$906	$724.80	$286.70 – $1,011.37
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $568.12 Blue_Care_Network — All_Commercial_Plans: $724.34 Blue_Cross — All_Commercial_Plans: $724.34 HAP — All_Commercial_Plans: $540.18 McLaren — All_Commercial_Plans: $666.74 Medicaid_Managed_Care — All_Plans: $286.70 Medicare_Advantage — All_Plans: $410.84 Meritain — Domestic: $568.12 Priority_Health — All_Commercial_Plans: $1,011.37 United_Healthcare — All_Commercial_Plans: $844.45
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLONSCOPY SCREENING LOW RISK	$380	$304	$215.98 – $807.93
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $336.94 Blue_Care_Network — All_Commercial_Plans: $543.25 Blue_Cross — All_Commercial_Plans: $543.25 HAP — All_Commercial_Plans: $402.03 McLaren — All_Commercial_Plans: $405 Medicaid_Managed_Care — All_Plans: $215.98 Medicare_Advantage — All_Plans: $309.28 Meritain — Domestic: $336.94 Priority_Health — All_Commercial_Plans: $807.93 United_Healthcare — All_Commercial_Plans: $627.67
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLONOSCOPY SCREENING LOW RISK	$380	$304	$215.98 – $807.93
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $336.94 Blue_Care_Network — All_Commercial_Plans: $543.25 Blue_Cross — All_Commercial_Plans: $543.25 HAP — All_Commercial_Plans: $402.03 McLaren — All_Commercial_Plans: $405 Medicaid_Managed_Care — All_Plans: $215.98 Medicare_Advantage — All_Plans: $309.28 Meritain — Domestic: $336.94 Priority_Health — All_Commercial_Plans: $807.93 United_Healthcare — All_Commercial_Plans: $627.67
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,327	$1,061.60	$427.28 – $3,893.58
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $852.68 Blue_Care_Network — All_Commercial_Plans: $1,060.94 Blue_Cross — All_Commercial_Plans: $1,060.94 HAP — All_Commercial_Plans: $777.57 McLaren — All_Commercial_Plans: $760.58 Medicaid_Managed_Care — All_Plans: $427.28 Medicare_Advantage — All_Plans: $635 Meritain — Domestic: $852.68 Priority_Health — All_Commercial_Plans: $3,893.58 United_Healthcare — All_Commercial_Plans: $1,123.01
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAP CHOLECYSTECTOMY	$1,305	$1,044	$427.28 – $3,893.58
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $852.68 Blue_Care_Network — All_Commercial_Plans: $1,060.94 Blue_Cross — All_Commercial_Plans: $1,060.94 HAP — All_Commercial_Plans: $777.57 McLaren — All_Commercial_Plans: $760.58 Medicaid_Managed_Care — All_Plans: $427.28 Medicare_Advantage — All_Plans: $635 Meritain — Domestic: $852.68 Priority_Health — All_Commercial_Plans: $3,893.58 United_Healthcare — All_Commercial_Plans: $1,123.01
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: REPAIR INIT HERNIA INGUINAL 5YR OR OVER	$1,038	$830.40	$339.52 – $2,565.44
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $676.01 Blue_Care_Network — All_Commercial_Plans: $842.57 Blue_Cross — All_Commercial_Plans: $842.57 HAP — All_Commercial_Plans: $537.63 McLaren — All_Commercial_Plans: $530.98 Medicaid_Managed_Care — All_Plans: $339.52 Medicare_Advantage — All_Plans: $503.06 Meritain — Domestic: $676.01 Priority_Health — All_Commercial_Plans: $2,565.44 United_Healthcare — All_Commercial_Plans: $785.07
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: NEUROPLASTY MEDIAN NERVE CARPAL TUN	$888	$710.40	$292.24 – $1,658.04
Carpal tunnel release: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $587.69 Blue_Care_Network — All_Commercial_Plans: $724.34 Blue_Cross — All_Commercial_Plans: $724.34 HAP — All_Commercial_Plans: $436.08 McLaren — All_Commercial_Plans: $442.91 Medicaid_Managed_Care — All_Plans: $292.24 Medicare_Advantage — All_Plans: $422.98 Meritain — Domestic: $587.69 Priority_Health — All_Commercial_Plans: $1,658.04 United_Healthcare — All_Commercial_Plans: $468.78
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: NEUROPLASTY MEDIAN NERVE @CARPAL TUNNEL	$888	$710.40	$292.24 – $1,658.04
Carpal tunnel release: rates for 10 insurance plans Aetna_Cofinity_Meritain — All_Commercial_Plans: $587.69 Blue_Care_Network — All_Commercial_Plans: $724.34 Blue_Cross — All_Commercial_Plans: $724.34 HAP — All_Commercial_Plans: $436.08 McLaren — All_Commercial_Plans: $442.91 Medicaid_Managed_Care — All_Plans: $292.24 Medicare_Advantage — All_Plans: $422.98 Meritain — Domestic: $587.69 Priority_Health — All_Commercial_Plans: $1,658.04 United_Healthcare — All_Commercial_Plans: $468.78

Source: McKenzie Health System’s standard charges file (mckenziehealth.org, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on May 31, 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	120 N Delaware Street, Sandusky, MI 48471
County	Sanilac County
State	Michigan
Phone	(810) 648‑3770
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	231314
Name in Medicare records	MCKENZIE HEALTH SYSTEM
Profile level	Medicare data + hospital website
Official website	mckenziehealth.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.

McKenzie Health System — mckenziehealth.org

McKenzie Health System

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]

Doctors and clinicians (112)

Main specialties

Doctors with a page on this site (112)

Other emergency rooms nearby

Other hospitals near Sandusky

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Dialysis facilities

Community care nearby

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

McKenzie Health System

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4]

Programs and centers[4]

Emergency care (hospital website)[4]

Doctors and clinicians (112)

Main specialties

Doctors with a page on this site (112)

Other emergency rooms nearby

Other hospitals near Sandusky

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Dialysis facilities

Community care nearby

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]