Does McLaren Lapeer Region have an emergency room?

Yes. Medicare (CMS) data lists emergency services at McLaren Lapeer Region. In a medical emergency, call 911.

Where is McLaren Lapeer Region?

1375 N Main St, Lapeer, MI 48446, in Lapeer County, Michigan.

What is the phone number of McLaren Lapeer Region?

(810) 667-5500, as listed by Medicare (CMS).

What is the Medicare star rating of McLaren Lapeer Region?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

McLaren Lapeer Region — Lapeer, MI

Quick answers

Does McLaren Lapeer Region have an emergency room?: Yes. Medicare (CMS) data lists emergency services at McLaren Lapeer Region. In a medical emergency, call 911.
Where is McLaren Lapeer Region?: 1375 N Main St, Lapeer, MI 48446, in Lapeer County, Michigan.
What is the phone number of McLaren Lapeer Region?: (810) 667-5500, as listed by Medicare (CMS).
What is the Medicare star rating of McLaren Lapeer Region?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cardiology (heart care)
Orthopedics
General surgery
Physical medicine and rehabilitation
Women's services

Treatments^[4]

Cancer services
Wound care

Programs and centers^[4]

Sleep disorders center
Diagnostic imaging
Laboratory services

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II

Doctors and clinicians (256)

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

Main specialties

Doctors with a page on this site (256)

Aalia Saeed, MDGastroenterology
Aaron K. Clark, MDFamily Practice
Abdalmajid Katranji, MDGeneral Surgery
Abdul K. Alawwa, MDCardiac Electrophysiology
Abhijeet G. Ghatol, MDPulmonary Disease
Adam R. Schwaderer, DODiagnostic Radiology
Adil A. Abdalla, MDInternal Medicine
Ahmad A. Ghabsha, MDInternal Medicine
Ahmad W. Abdel Halim, MDInternal Medicine
Ahmed Shalabi, MDGeneral Surgery
Albana Camaj, DOInternal Medicine
Albert Smith Jr., DOFamily Practice
Alexander Nguyen, DOEmergency Medicine
Alexandra M. Rukstelo, DOPhysical Medicine and Rehabilitation
Ali A. Karrar, MDRheumatology
Alicia McNary, NPNurse Practitioner
Alison J. Kinning, MDVascular Surgery
Allison J. Murphy, MDEmergency Medicine
Allison LapriseNurse Practitioner
Amanda J. Marshall, DPMPodiatry
Amanda L. Laur, NPNurse Practitioner
Ammar Ghanem, MDPulmonary Disease
Amorena L. Tompkins, NPNurse Practitioner
Andrew M. Michail, DOFamily Practice

And 232 more: the button below opens the full list.

Other emergency rooms nearby

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

Ascension Genesys Hospital19 mi · Grand Blanc, MI · Acute Care Hospital
Hurley Medical Center20 mi · Flint, MI · Acute Care Hospital
McLaren Flint21 mi · Flint, MI · Acute Care Hospital
Marlette Regional Hospital22 mi · Marlette, MI · Critical Access Hospital
Ascension Providence Rochester Hospital28 mi · Rochester, MI · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital-Flint21 mi · Flint, MI · Long-Term Acute Care Hospital
Caro Psychiatric Hospital28 mi · Caro, MI · Psychiatric Hospital

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

McLaren Lapeer Region0.0 mi · Lapeer, MI · 5 of 5 stars
Lapeer County Medical Care Facility0.7 mi · Lapeer, MI · 3 of 5 stars
The Orchards at Lapeer1.0 mi · Lapeer, MI · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Residential Home Health and Hospice1.1 mi · Lapeer, MI · 4 of 5 stars
McLaren Hospice10.0 mi · Davison, MI · 4 of 5 stars
Bluebird Hospice, LLC15 mi · Oxford, MI

All hospice providers in the state →

Home health agencies

Residential Home Health and Hospice1.1 mi · Lapeer, MI · 3 of 5 stars
McLaren Home Health10.0 mi · Davison, MI · 4 of 5 stars
Summit Home Health15 mi · Troy, MI · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Premier Dialysis Service Lapeer LLC1.1 mi · Lapeer, MI
RRC - Lapeer1.1 mi · Lapeer, MI · 1 of 5 stars
DaVita Davison Dialysis10.0 mi · Davison, MI · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Lapeer County Surgery Center, LLC1.1 mi · Lapeer, MI
Surgery Center at Health Park19 mi · Grand Blanc, MI
The Center for Gastrointestinal Health at Health Park19 mi · Grand Blanc, MI

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Lapeer Clinic0.8 mi · Lapeer, MI · Community health center
Great Lakes Bay Health Centers Imlay City13 mi · Imlay City, MI · Community health center
Hamilton East Side Clinic16 mi · Burton, MI · Community health center

Clinics and urgent care

Hurley Medical Center1.1 mi · Lapeer, MI · Urgent care center
Lapeer Community Urgent Care PLLC1.1 mi · Lapeer, MI · Urgent care center
Early Solutions Clinic, LLC15 mi · Burton, MI · Urgent care center

Pharmacies

Baldwin Rd Pharmacy Inc1.1 mi · Lapeer, MI · Community/retail pharmacy
Judes Pharmacy LLC1.1 mi · Lapeer, MI · Community/retail pharmacy
Kroger Co of Michigan1.1 mi · Lapeer, MI · Community/retail pharmacy

Assisted living nearby

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

A Touch of Grace 1596, Inc1.1 mi · Lapeer, MI
Beacon Home at Lapeer1.1 mi · Lapeer, MI
Churchill Farms AFC1.1 mi · Lapeer, MI
Devonshire Retirement Village1.1 mi · Lapeer, 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 McLaren Lapeer Region reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	52%National average: 72%
Would definitely recommend the hospital	46%National average: 71%
Nurses “always” communicated well	75%National average: 80%
Doctors “always” communicated well	68%National average: 80%
Staff “always” explained medicines before giving them	53%National average: 62%
Were given information about recovery at home	80%National average: 86%
Room and bathroom “always” clean	51%National average: 74%
Area around the room “always” quiet at night	30%National average: 60%
Completed surveys	533Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0.787No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.58No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.714No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12%
Deaths within 30 days: heart failure patients	14.3%
Deaths within 30 days: pneumonia patients	16.5%
Deaths within 30 days: COPD patients	9.4%
Deaths within 30 days: stroke patients	13.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.18No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.6%
Readmitted within 30 days: heart failure	22.5%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	186 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	55%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

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 81 common services exactly as McLaren Lapeer Region lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

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: New Patient Visit - Level 3	$138.30	$69.20	$52.19 – $117.35
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $117.35 Cofinity Aetna — Cofinity Aetna: $85.48 HAP - HMO — HAP - HMO: $80.13 McLaren Commercial Ins — McLaren Commercial Ins: $74 Medicaid - Molina — Medicaid - Molina: $54.28 Medicaid - United — Medicaid - United: $52.19 Medicare - Humana — Medicare - Humana: $71.06 Medicare - Molina — Medicare - Molina: $72.48 Medicare - Priority Health — Medicare - Priority Health: $71.06 Medicare - United — Medicare - United: $73.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office Visit Level 3 New Professional 30-44 Minutes 99203	$138	$69	$52.19 – $117.35
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $117.35 Cofinity Aetna — Cofinity Aetna: $85.48 HAP - HMO — HAP - HMO: $80.13 McLaren Commercial Ins — McLaren Commercial Ins: $74 Medicaid - Molina — Medicaid - Molina: $54.28 Medicaid - United — Medicaid - United: $52.19 Medicare - Humana — Medicare - Humana: $71.06 Medicare - Molina — Medicare - Molina: $72.48 Medicare - Priority Health — Medicare - Priority Health: $71.06 Medicare - United — Medicare - United: $73.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: TeleStroke 99203 Office/Other Outpatient New 30-44 Minutes	$178	$89	$52.19 – $117.35
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $117.35 Cofinity Aetna — Cofinity Aetna: $85.48 HAP - HMO — HAP - HMO: $80.13 McLaren Commercial Ins — McLaren Commercial Ins: $74 Medicaid - Molina — Medicaid - Molina: $54.28 Medicaid - United — Medicaid - United: $52.19 Medicare - Humana — Medicare - Humana: $71.06 Medicare - Molina — Medicare - Molina: $72.48 Medicare - Priority Health — Medicare - Priority Health: $71.06 Medicare - United — Medicare - United: $73.19
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New Patient Visit - Level 4	$241.30	$120.70	$84.99 – $179.33
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $179.33 Cofinity Aetna — Cofinity Aetna: $137.30 HAP - HMO — HAP - HMO: $130.19 McLaren Commercial Ins — McLaren Commercial Ins: $125 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Medicare - Humana — Medicare - Humana: $116.02 Medicare - Molina — Medicare - Molina: $118.34 Medicare - Priority Health — Medicare - Priority Health: $116.02 Medicare - United — Medicare - United: $119.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office Visit Level 4 New Professional 45-59 Minutes 99204	$241	$120.50	$84.99 – $179.33
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $179.33 Cofinity Aetna — Cofinity Aetna: $137.30 HAP - HMO — HAP - HMO: $130.19 McLaren Commercial Ins — McLaren Commercial Ins: $125 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Medicare - Humana — Medicare - Humana: $116.02 Medicare - Molina — Medicare - Molina: $118.34 Medicare - Priority Health — Medicare - Priority Health: $116.02 Medicare - United — Medicare - United: $119.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Hospitalist 99204 Office Visit Level 4 New 45-59 Minutes	$241	$120.50	$84.99 – $179.33
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $179.33 Cofinity Aetna — Cofinity Aetna: $137.30 HAP - HMO — HAP - HMO: $130.19 McLaren Commercial Ins — McLaren Commercial Ins: $125 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Medicare - Humana — Medicare - Humana: $116.02 Medicare - Molina — Medicare - Molina: $118.34 Medicare - Priority Health — Medicare - Priority Health: $116.02 Medicare - United — Medicare - United: $119.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Patient Visit - Level 5	$299.50	$149.80	$115.66 – $226.59
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $226.59 Cofinity Aetna — Cofinity Aetna: $186.32 HAP - HMO — HAP - HMO: $177 McLaren Commercial Ins — McLaren Commercial Ins: $168 Medicaid - Molina — Medicaid - Molina: $120.29 Medicaid - United — Medicaid - United: $115.66 Medicare - Humana — Medicare - Humana: $159.14 Medicare - Molina — Medicare - Molina: $162.32 Medicare - Priority Health — Medicare - Priority Health: $159.14 Medicare - United — Medicare - United: $163.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office Visit Level 5 New Professional 60-74 Minutes 99205	$300	$150	$115.66 – $226.59
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $226.59 Cofinity Aetna — Cofinity Aetna: $186.32 HAP - HMO — HAP - HMO: $177 McLaren Commercial Ins — McLaren Commercial Ins: $168 Medicaid - Molina — Medicaid - Molina: $120.29 Medicaid - United — Medicaid - United: $115.66 Medicare - Humana — Medicare - Humana: $159.14 Medicare - Molina — Medicare - Molina: $162.32 Medicare - Priority Health — Medicare - Priority Health: $159.14 Medicare - United — Medicare - United: $163.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Hospitalist 99205 Office Visit Level 5 New 60-74 Minutes	$300	$150	$115.66 – $226.59
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $226.59 Cofinity Aetna — Cofinity Aetna: $186.32 HAP - HMO — HAP - HMO: $177 McLaren Commercial Ins — McLaren Commercial Ins: $168 Medicaid - Molina — Medicaid - Molina: $120.29 Medicaid - United — Medicaid - United: $115.66 Medicare - Humana — Medicare - Humana: $159.14 Medicare - Molina — Medicare - Molina: $162.32 Medicare - Priority Health — Medicare - Priority Health: $159.14 Medicare - United — Medicare - United: $163.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established Patient Visit - Level 3	$90.50	$45.30	$41.96 – $85.82
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $85.82 Cofinity Aetna — Cofinity Aetna: $67.91 HAP - HMO — HAP - HMO: $64.16 McLaren Commercial Ins — McLaren Commercial Ins: $43 Medicaid - Molina — Medicaid - Molina: $43.64 Medicaid - United — Medicaid - United: $41.96 Medicare - Humana — Medicare - Humana: $56.88 Medicare - Molina — Medicare - Molina: $58.02 Medicare - Priority Health — Medicare - Priority Health: $56.88 Medicare - United — Medicare - United: $58.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office Visit Level 3 Est Professional 20-29 Minutes 99213	$90	$45	$41.96 – $85.82
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $85.82 Cofinity Aetna — Cofinity Aetna: $67.91 HAP - HMO — HAP - HMO: $64.16 McLaren Commercial Ins — McLaren Commercial Ins: $43 Medicaid - Molina — Medicaid - Molina: $43.64 Medicaid - United — Medicaid - United: $41.96 Medicare - Humana — Medicare - Humana: $56.88 Medicare - Molina — Medicare - Molina: $58.02 Medicare - Priority Health — Medicare - Priority Health: $56.88 Medicare - United — Medicare - United: $58.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hospitalist 99213 Office Visit Level 3 Est 20-29 Minutes	$90	$45	$41.96 – $85.82
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $85.82 Cofinity Aetna — Cofinity Aetna: $67.91 HAP - HMO — HAP - HMO: $64.16 McLaren Commercial Ins — McLaren Commercial Ins: $43 Medicaid - Molina — Medicaid - Molina: $43.64 Medicaid - United — Medicaid - United: $41.96 Medicare - Humana — Medicare - Humana: $56.88 Medicare - Molina — Medicare - Molina: $58.02 Medicare - Priority Health — Medicare - Priority Health: $56.88 Medicare - United — Medicare - United: $58.59
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established Patient Visit - Level 4	$138.30	$69.20	$61.77 – $124.45
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $124.45 Cofinity Aetna — Cofinity Aetna: $100.26 HAP - HMO — HAP - HMO: $94.55 McLaren Commercial Ins — McLaren Commercial Ins: $72 Medicaid - Molina — Medicaid - Molina: $64.24 Medicaid - United — Medicaid - United: $61.77 Medicare - Humana — Medicare - Humana: $83.74 Medicare - Molina — Medicare - Molina: $85.41 Medicare - Priority Health — Medicare - Priority Health: $83.74 Medicare - United — Medicare - United: $86.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office Visit Level 4 Est Professional 30-39 Minutes 99214	$138	$69	$61.77 – $124.45
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $124.45 Cofinity Aetna — Cofinity Aetna: $100.26 HAP - HMO — HAP - HMO: $94.55 McLaren Commercial Ins — McLaren Commercial Ins: $72 Medicaid - Molina — Medicaid - Molina: $64.24 Medicaid - United — Medicaid - United: $61.77 Medicare - Humana — Medicare - Humana: $83.74 Medicare - Molina — Medicare - Molina: $85.41 Medicare - Priority Health — Medicare - Priority Health: $83.74 Medicare - United — Medicare - United: $86.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hospitalist 99214 Office Visit Level 4 Est 30-39 Minutes	$138	$69	$61.77 – $124.45
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $124.45 Cofinity Aetna — Cofinity Aetna: $100.26 HAP - HMO — HAP - HMO: $94.55 McLaren Commercial Ins — McLaren Commercial Ins: $72 Medicaid - Molina — Medicaid - Molina: $64.24 Medicaid - United — Medicaid - United: $61.77 Medicare - Humana — Medicare - Humana: $83.74 Medicare - Molina — Medicare - Molina: $85.41 Medicare - Priority Health — Medicare - Priority Health: $83.74 Medicare - United — Medicare - United: $86.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office/Outpatient Consult >= 30 mins 99243	$272	$136	$56.02 – $140.07
Office consultation with a specialist (moderate): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $140.07 Cofinity Aetna — Cofinity Aetna: $95.62 Medicaid - Molina — Medicaid - Molina: $58.26 Medicaid - United — Medicaid - United: $56.02 Priority Health — Priority Health: $115.22 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $56.02 United Healthcare — United Healthcare: $109.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Hospitalist 99243 Office/Outpatient Consult >= 30 mins	$272	$136	$56.02 – $140.07
Office consultation with a specialist (moderate): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $140.07 Cofinity Aetna — Cofinity Aetna: $95.62 Medicaid - Molina — Medicaid - Molina: $58.26 Medicaid - United — Medicaid - United: $56.02 Priority Health — Priority Health: $115.22 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $56.02 United Healthcare — United Healthcare: $109.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: ED PRO CONSULTATION, OFFICE/OUTPATIENT, LEVEL III 99243	$272.50	$136.30	$56.02 – $140.07
Office consultation with a specialist (moderate): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $140.07 Cofinity Aetna — Cofinity Aetna: $95.62 Medicaid - Molina — Medicaid - Molina: $58.26 Medicaid - United — Medicaid - United: $56.02 Priority Health — Priority Health: $115.22 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $56.02 United Healthcare — United Healthcare: $109.55
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office/Outpatient Consult >= 40 mins 99244	$381	$190.50	$84.99 – $212.51
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $212.51 Cofinity Aetna — Cofinity Aetna: $145.80 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Priority Health — Priority Health: $175.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $84.99 United Healthcare — United Healthcare: $172.19
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: ED PRO CONSULTATION, OFFICE/OUTPATIENT, LEVEL IV 99244	$380.60	$190.30	$84.99 – $212.51
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $212.51 Cofinity Aetna — Cofinity Aetna: $145.80 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Priority Health — Priority Health: $175.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $84.99 United Healthcare — United Healthcare: $172.19
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Hospitalist 99244 Office/Outpatient Consult >= 40 mins	$381	$190.50	$84.99 – $212.51
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $212.51 Cofinity Aetna — Cofinity Aetna: $145.80 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Priority Health — Priority Health: $175.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $84.99 United Healthcare — United Healthcare: $172.19
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial Comp Preventive Med 18 to 39 years New 99385	$436	$218	$69 – $151.52
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $151.52 Cofinity Aetna — Cofinity Aetna: $98.74 McLaren Commercial Ins — McLaren Commercial Ins: $91 Medicaid - Molina — Medicaid - Molina: $71.76 Medicaid - United — Medicaid - United: $69 Priority Health — Priority Health: $121.93 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $69 United Healthcare — United Healthcare: $109.25
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Initial Comp Preventive Med 18 to 39 years New 99385	$212	$106	$49.27 – $148.40
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans McLaren Commercial Ins — McLaren Commercial Ins: $49.27 Priority Health — Priority Health: $90.29 United Healthcare — United Healthcare: $148.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial Comp Preventive Med 40 to 64 years New 99386	$464	$232	$84.51 – $174.44
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $174.44 Cofinity Aetna — Cofinity Aetna: $119.68 McLaren Commercial Ins — McLaren Commercial Ins: $112 Medicaid - Molina — Medicaid - Molina: $87.89 Medicaid - United — Medicaid - United: $84.51 Priority Health — Priority Health: $147.80 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $84.51 United Healthcare — United Healthcare: $132.32
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Initial Comp Preventive Med 40 to 64 years New 99386	$263	$131.50	$61.12 – $184.10
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans McLaren Commercial Ins — McLaren Commercial Ins: $61.12 Priority Health — Priority Health: $112.01 United Healthcare — United Healthcare: $184.10
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Dept Visit Level III	$1,432	$716	$151.46 – $1,002.40
Emergency room visit (moderate): 10 of 24 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $466.42 Cofinity Aetna — Cofinity Aetna: $750.37 Cofinity Auto — Cofinity Auto: $513.09 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $587.12 McLaren Commercial Ins — McLaren Commercial Ins: $332.80 Medicaid - Meridian — Medicaid - Meridian: $151.46 Medicaid - Midwest — Medicaid - Midwest: $151.46 Medicaid - Molina — Medicaid - Molina: $156 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $151.46 Medicaid - United — Medicaid - United: $151.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Dept Visit History/Exam & Low MDM 99283	$327	$163.50	$44.94 – $112.38
Emergency room visit (moderate): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $112.38 Cofinity Aetna — Cofinity Aetna: $75.17 McLaren Commercial Ins — McLaren Commercial Ins: $79 Medicaid - Molina — Medicaid - Molina: $46.74 Medicaid - United — Medicaid - United: $44.94 Medicare - Humana — Medicare - Humana: $69.52 Medicare - Molina — Medicare - Molina: $70.91 Medicare - Priority Health — Medicare - Priority Health: $69.52 Medicare - United — Medicare - United: $71.61 Priority Health — Priority Health: $90.27
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED PRO EMERGENCY EVALUATION & MANAGEMENT SERVICES 99283	$326.60	$163.30	$44.94 – $112.38
Emergency room visit (moderate): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $112.38 Cofinity Aetna — Cofinity Aetna: $75.17 McLaren Commercial Ins — McLaren Commercial Ins: $79 Medicaid - Molina — Medicaid - Molina: $46.74 Medicaid - United — Medicaid - United: $44.94 Medicare - Humana — Medicare - Humana: $69.52 Medicare - Molina — Medicare - Molina: $70.91 Medicare - Priority Health — Medicare - Priority Health: $69.52 Medicare - United — Medicare - United: $71.61 Priority Health — Priority Health: $90.27
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency Dept Visit Level IV	$2,075	$1,037.50	$232.92 – $1,452.50
Emergency room visit (moderately high): 10 of 24 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $800.23 Cofinity Aetna — Cofinity Aetna: $1,087.30 Cofinity Auto — Cofinity Auto: $789.06 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $850.75 McLaren Commercial Ins — McLaren Commercial Ins: $482.23 Medicaid - Meridian — Medicaid - Meridian: $232.92 Medicaid - Midwest — Medicaid - Midwest: $232.92 Medicaid - Molina — Medicaid - Molina: $239.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $232.92 Medicaid - United — Medicaid - United: $232.92
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Dept Visit History/Exam & Moderate MDM 99284	$464	$232	$76.68 – $191.74
Emergency room visit (moderately high): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $191.74 Cofinity Aetna — Cofinity Aetna: $126.31 McLaren Commercial Ins — McLaren Commercial Ins: $146 Medicaid - Molina — Medicaid - Molina: $79.75 Medicaid - United — Medicaid - United: $76.68 Medicare - Humana — Medicare - Humana: $118.44 Medicare - Molina — Medicare - Molina: $120.81 Medicare - Priority Health — Medicare - Priority Health: $118.44 Medicare - United — Medicare - United: $121.99 Priority Health — Priority Health: $166.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hospitalist 99284 Emergency Dept Visit History/Exam & Moderate MDM	$464	$232	$76.68 – $191.74
Emergency room visit (moderately high): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $191.74 Cofinity Aetna — Cofinity Aetna: $126.31 McLaren Commercial Ins — McLaren Commercial Ins: $146 Medicaid - Molina — Medicaid - Molina: $79.75 Medicaid - United — Medicaid - United: $76.68 Medicare - Humana — Medicare - Humana: $118.44 Medicare - Molina — Medicare - Molina: $120.81 Medicare - Priority Health — Medicare - Priority Health: $118.44 Medicare - United — Medicare - United: $121.99 Priority Health — Priority Health: $166.80
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency Dept Visit Level V	$2,540	$1,270	$335.37 – $1,778
Emergency room visit (high): 10 of 24 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,154.75 Cofinity Aetna — Cofinity Aetna: $1,330.96 Cofinity Auto — Cofinity Auto: $1,136.09 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $1,041.40 McLaren Commercial Ins — McLaren Commercial Ins: $590.30 Medicaid - Meridian — Medicaid - Meridian: $335.37 Medicaid - Midwest — Medicaid - Midwest: $335.37 Medicaid - Molina — Medicaid - Molina: $345.43 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $335.37 Medicaid - United — Medicaid - United: $335.37
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Dept Visit History/Exam & High MDM 99285	$711	$355.50	$111.19 – $278.02
Emergency room visit (high): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $278.02 Cofinity Aetna — Cofinity Aetna: $184.01 McLaren Commercial Ins — McLaren Commercial Ins: $218 Medicaid - Molina — Medicaid - Molina: $115.64 Medicaid - United — Medicaid - United: $111.19 Medicare - Humana — Medicare - Humana: $171.53 Medicare - Molina — Medicare - Molina: $174.96 Medicare - Priority Health — Medicare - Priority Health: $171.53 Medicare - United — Medicare - United: $176.68 Priority Health — Priority Health: $242.54
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED PRO EMERGENCY EVALUATION & MANAGEMENT SERVICES 99285	$711.40	$355.70	$111.19 – $278.02
Emergency room visit (high): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $278.02 Cofinity Aetna — Cofinity Aetna: $184.01 McLaren Commercial Ins — McLaren Commercial Ins: $218 Medicaid - Molina — Medicaid - Molina: $115.64 Medicaid - United — Medicaid - United: $111.19 Medicare - Humana — Medicare - Humana: $171.53 Medicare - Molina — Medicare - Molina: $174.96 Medicare - Priority Health — Medicare - Priority Health: $171.53 Medicare - United — Medicare - United: $176.68 Priority Health — Priority Health: $242.54

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 Panel	$198.10	$99.05	$4.63 – $103.80
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $22.47 Cofinity Aetna — Cofinity Aetna: $103.80 Cofinity Auto — Cofinity Auto: $15.68 Medicaid - Meridian — Medicaid - Meridian: $4.63 Medicaid - Midwest — Medicaid - Midwest: $4.63 Medicaid - Molina — Medicaid - Molina: $4.77 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.63 Medicaid - United — Medicaid - United: $4.63 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $13.20 Medicare - Fidelis — Medicare - Fidelis: $8.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$212.70	$106.35	$5.78 – $111.45
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $39.33 Cofinity Aetna — Cofinity Aetna: $111.45 Cofinity Auto — Cofinity Auto: $19.57 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $87.21 Medicaid - Meridian — Medicaid - Meridian: $5.78 Medicaid - Midwest — Medicaid - Midwest: $5.78 Medicaid - Molina — Medicaid - Molina: $5.95 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $5.78 Medicaid - United — Medicaid - United: $5.78 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $16.48
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OB Panel	$231.70	$115.85	$26.15 – $112.05
Obstetric blood test panel: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $112.05 Medicaid - Meridian — Medicaid - Meridian: $26.15 Medicaid - Midwest — Medicaid - Midwest: $26.15 Medicaid - Molina — Medicaid - Molina: $26.94 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $26.15 Medicaid - United — Medicaid - United: $26.15 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $74.61 Medicare - Fidelis — Medicare - Fidelis: $46.63 Medicare - Humana — Medicare - Humana: $46.63 Medicare - Molina — Medicare - Molina: $46.63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel Calculated	$101.90	$50.95	$7.32 – $53.40
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $29.98 Cofinity Aetna — Cofinity Aetna: $53.40 Cofinity Auto — Cofinity Auto: $24.81 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $41.78 Medicaid - Meridian — Medicaid - Meridian: $7.32 Medicaid - Midwest — Medicaid - Midwest: $7.32 Medicaid - Molina — Medicaid - Molina: $7.54 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $7.32 Medicaid - United — Medicaid - United: $7.32 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $20.89
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$201.50	$100.75	$4.75 – $85.82
Kidney function panel: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $28.06 Medicaid - Meridian — Medicaid - Meridian: $4.75 Medicaid - Midwest — Medicaid - Midwest: $4.75 Medicaid - Molina — Medicaid - Molina: $4.89 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.75 Medicaid - United — Medicaid - United: $4.75 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $13.54 Medicare - Fidelis — Medicare - Fidelis: $8.47 Medicare - Humana — Medicare - Humana: $8.47 Medicare - Molina — Medicare - Molina: $8.47
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$154	$77	$4.47 – $80.70
Liver function panel: 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $19.65 Cofinity Aetna — Cofinity Aetna: $80.70 Medicaid - Meridian — Medicaid - Meridian: $4.47 Medicaid - Midwest — Medicaid - Midwest: $4.47 Medicaid - Molina — Medicaid - Molina: $4.60 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.47 Medicaid - United — Medicaid - United: $4.47 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.75 Medicare - Fidelis — Medicare - Fidelis: $7.97 Medicare - Humana — Medicare - Humana: $7.97
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UAWMICR	$32.30	$16.15	$1.73 – $25
Urine test (automated, with microscope): 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $6.16 Cofinity Aetna — Cofinity Aetna: $16.93 Cofinity Auto — Cofinity Auto: $5.87 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $13.24 Medicaid - Meridian — Medicaid - Meridian: $1.73 Medicaid - Midwest — Medicaid - Midwest: $1.73 Medicaid - Molina — Medicaid - Molina: $1.79 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.73 Medicaid - United — Medicaid - United: $1.73 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $4.95
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urine Dipstick POC Amb	$32.30	$16.15	$1.73 – $25
Urine test (automated, with microscope): 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $6.16 Medicaid - Meridian — Medicaid - Meridian: $1.73 Medicaid - Midwest — Medicaid - Midwest: $1.73 Medicaid - Molina — Medicaid - Molina: $1.79 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.73 Medicaid - United — Medicaid - United: $1.73 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $4.95 Medicare - Fidelis — Medicare - Fidelis: $3.09 Medicare - Humana — Medicare - Humana: $3.09 Medicare - Molina — Medicare - Molina: $3.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urine Dipstick POC Amb	$9.10	$4.55	$1.90 – $25
Urine test (manual, without microscope): 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $6.76 Medicaid - Meridian — Medicaid - Meridian: $1.90 Medicaid - Midwest — Medicaid - Midwest: $1.90 Medicaid - Molina — Medicaid - Molina: $1.96 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.90 Medicaid - United — Medicaid - United: $1.90 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5.43 Medicare - Fidelis — Medicare - Fidelis: $3.39 Medicare - Humana — Medicare - Humana: $3.39 Medicare - Molina — Medicare - Molina: $3.39
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Dip Stick Non-Auto w/o Micro POC 81002 Downtime	$9.10	$4.55	$1.90 – $25
Urine test (manual, without microscope): 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $6.76 Medicaid - Meridian — Medicaid - Meridian: $1.90 Medicaid - Midwest — Medicaid - Midwest: $1.90 Medicaid - Molina — Medicaid - Molina: $1.96 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.90 Medicaid - United — Medicaid - United: $1.90 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5.43 Medicare - Fidelis — Medicare - Fidelis: $3.39 Medicare - Humana — Medicare - Humana: $3.39 Medicare - Molina — Medicare - Molina: $3.39
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UACulIf	$74.60	$37.30	$1.23 – $39.09
Urine test (automated, without microscope): 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4.38 Cofinity Aetna — Cofinity Aetna: $39.09 Cofinity Auto — Cofinity Auto: $4.17 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $30.59 Medicaid - Meridian — Medicaid - Meridian: $1.23 Medicaid - Midwest — Medicaid - Midwest: $1.23 Medicaid - Molina — Medicaid - Molina: $1.27 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.23 Medicaid - United — Medicaid - United: $1.23 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3.51
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UAMicIf	$74.60	$37.30	$1.23 – $39.09
Urine test (automated, without microscope): 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4.38 Cofinity Aetna — Cofinity Aetna: $39.09 Cofinity Auto — Cofinity Auto: $4.17 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $30.59 Medicaid - Meridian — Medicaid - Meridian: $1.23 Medicaid - Midwest — Medicaid - Midwest: $1.23 Medicaid - Molina — Medicaid - Molina: $1.27 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.23 Medicaid - United — Medicaid - United: $1.23 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3.51
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Dipstick POC Amb	$74.60	$37.30	$1.23 – $39.09
Urine test (automated, without microscope): 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4.38 Cofinity Aetna — Cofinity Aetna: $39.09 Cofinity Auto — Cofinity Auto: $4.17 Medicaid - Meridian — Medicaid - Meridian: $1.23 Medicaid - Midwest — Medicaid - Midwest: $1.23 Medicaid - Molina — Medicaid - Molina: $1.27 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.23 Medicaid - United — Medicaid - United: $1.23 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3.51 Medicare - Fidelis — Medicare - Fidelis: $2.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Diagnostic	$181.50	$90.75	$10.06 – $95.11
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $35.70 Cofinity Aetna — Cofinity Aetna: $95.11 Medicaid - Meridian — Medicaid - Meridian: $10.06 Medicaid - Midwest — Medicaid - Midwest: $10.06 Medicaid - Molina — Medicaid - Molina: $10.36 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $10.06 Medicaid - United — Medicaid - United: $10.06 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $28.70 Medicare - Fidelis — Medicare - Fidelis: $17.94 Medicare - Humana — Medicare - Humana: $17.94
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, Total	$181.50	$90.75	$10.06 – $63.33
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $35.70 Medicaid - Meridian — Medicaid - Meridian: $10.06 Medicaid - Midwest — Medicaid - Midwest: $10.06 Medicaid - Molina — Medicaid - Molina: $10.36 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $10.06 Medicaid - United — Medicaid - United: $10.06 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $28.70 Medicare - Fidelis — Medicare - Fidelis: $17.94 Medicare - Humana — Medicare - Humana: $17.94 Medicare - Molina — Medicare - Molina: $17.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone	$166.20	$83.10	$9.19 – $87.09
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $32.62 Cofinity Aetna — Cofinity Aetna: $87.09 Cofinity Auto — Cofinity Auto: $31.13 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $68.14 Medicaid - Meridian — Medicaid - Meridian: $9.19 Medicaid - Midwest — Medicaid - Midwest: $9.19 Medicaid - Molina — Medicaid - Molina: $9.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $9.19 Medicaid - United — Medicaid - United: $9.19 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $26.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone Reflex Free T4	$166.20	$83.10	$9.19 – $87.09
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $32.62 Cofinity Aetna — Cofinity Aetna: $87.09 Cofinity Auto — Cofinity Auto: $31.13 Medicaid - Meridian — Medicaid - Meridian: $9.19 Medicaid - Midwest — Medicaid - Midwest: $9.19 Medicaid - Molina — Medicaid - Molina: $9.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $9.19 Medicaid - United — Medicaid - United: $9.19 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $26.22 Medicare - Fidelis — Medicare - Fidelis: $16.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w Differential	$86	$43	$4.25 – $50
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $15.09 Cofinity Aetna — Cofinity Aetna: $45.06 Cofinity Auto — Cofinity Auto: $14.40 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $35.26 Medicaid - Meridian — Medicaid - Meridian: $4.25 Medicaid - Midwest — Medicaid - Midwest: $4.25 Medicaid - Molina — Medicaid - Molina: $4.38 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.25 Medicaid - United — Medicaid - United: $4.25 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.12
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Diff POC	$79.10	$39.55	$4.25 – $50
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $15.09 Medicaid - Meridian — Medicaid - Meridian: $4.25 Medicaid - Midwest — Medicaid - Midwest: $4.25 Medicaid - Molina — Medicaid - Molina: $4.38 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.25 Medicaid - United — Medicaid - United: $4.25 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.12 Medicare - Fidelis — Medicare - Fidelis: $7.58 Medicare - Humana — Medicare - Humana: $7.58 Medicare - Molina — Medicare - Molina: $7.58
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W Differential WBC Count POC 85025 Downtime	$79.10	$39.55	$4.25 – $50
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $15.09 Medicaid - Meridian — Medicaid - Meridian: $4.25 Medicaid - Midwest — Medicaid - Midwest: $4.25 Medicaid - Molina — Medicaid - Molina: $4.38 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.25 Medicaid - United — Medicaid - United: $4.25 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.12 Medicare - Fidelis — Medicare - Fidelis: $7.58 Medicare - Humana — Medicare - Humana: $7.58 Medicare - Molina — Medicare - Molina: $7.58
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC No Diff (Hemogram)	$41	$20.50	$3.54 – $45
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $12.56 Cofinity Aetna — Cofinity Aetna: $21.48 Cofinity Auto — Cofinity Auto: $11.99 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $16.81 Medicaid - Meridian — Medicaid - Meridian: $3.54 Medicaid - Midwest — Medicaid - Midwest: $3.54 Medicaid - Molina — Medicaid - Molina: $3.65 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.54 Medicaid - United — Medicaid - United: $3.54 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $10.10
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: White Blood Cell	$41	$20.50	$3.54 – $45
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $12.56 Medicaid - Meridian — Medicaid - Meridian: $3.54 Medicaid - Midwest — Medicaid - Midwest: $3.54 Medicaid - Molina — Medicaid - Molina: $3.65 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.54 Medicaid - United — Medicaid - United: $3.54 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $10.10 Medicare - Fidelis — Medicare - Fidelis: $6.31 Medicare - Humana — Medicare - Humana: $6.31 Medicare - Molina — Medicare - Molina: $6.31
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time and INR	$58.50	$29.25	$2.35 – $30.65
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $8.34 Cofinity Aetna — Cofinity Aetna: $30.65 Cofinity Auto — Cofinity Auto: $7.95 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $23.99 Medicaid - Meridian — Medicaid - Meridian: $2.35 Medicaid - Midwest — Medicaid - Midwest: $2.35 Medicaid - Molina — Medicaid - Molina: $2.42 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2.35 Medicaid - United — Medicaid - United: $2.35 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $6.69
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: INR POC	$58.50	$29.25	$2.35 – $30.65
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $8.34 Cofinity Aetna — Cofinity Aetna: $30.65 Medicaid - Meridian — Medicaid - Meridian: $2.35 Medicaid - Midwest — Medicaid - Midwest: $2.35 Medicaid - Molina — Medicaid - Molina: $2.42 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2.35 Medicaid - United — Medicaid - United: $2.35 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $6.69 Medicare - Fidelis — Medicare - Fidelis: $4.18 Medicare - Humana — Medicare - Humana: $4.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: .INR POC	$58.50	$29.25	$2.35 – $8.34
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $8.34 Medicaid - Meridian — Medicaid - Meridian: $2.35 Medicaid - Midwest — Medicaid - Midwest: $2.35 Medicaid - Molina — Medicaid - Molina: $2.42 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2.35 Medicaid - United — Medicaid - United: $2.35 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $6.69 Medicare - Fidelis — Medicare - Fidelis: $4.18 Medicare - Humana — Medicare - Humana: $4.18 Medicare - Molina — Medicare - Molina: $4.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Activated Partial Thromboplastin	$69.30	$34.65	$3.29 – $36.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $11.68 Cofinity Aetna — Cofinity Aetna: $36.31 Cofinity Auto — Cofinity Auto: $11.14 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $28.41 Medicaid - Meridian — Medicaid - Meridian: $3.29 Medicaid - Midwest — Medicaid - Midwest: $3.29 Medicaid - Molina — Medicaid - Molina: $3.39 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.29 Medicaid - United — Medicaid - United: $3.29 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9.38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Activated PTT	$69.30	$34.65	$3.29 – $36.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $11.68 Cofinity Aetna — Cofinity Aetna: $36.31 Cofinity Auto — Cofinity Auto: $11.14 Medicaid - Meridian — Medicaid - Meridian: $3.29 Medicaid - Midwest — Medicaid - Midwest: $3.29 Medicaid - Molina — Medicaid - Molina: $3.39 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.29 Medicaid - United — Medicaid - United: $3.29 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9.38 Medicare - Fidelis — Medicare - Fidelis: $5.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT With Heparin	$69.30	$34.65	$3.29 – $36.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $11.68 Cofinity Aetna — Cofinity Aetna: $36.31 Medicaid - Meridian — Medicaid - Meridian: $3.29 Medicaid - Midwest — Medicaid - Midwest: $3.29 Medicaid - Molina — Medicaid - Molina: $3.39 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.29 Medicaid - United — Medicaid - United: $3.29 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9.38 Medicare - Fidelis — Medicare - Fidelis: $5.86 Medicare - Humana — Medicare - Humana: $5.86

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 Brain/Head w/o Contrast	$1,623.70	$811.85	$58.17 – $1,136.59
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $282.67 Cofinity Aetna — Cofinity Aetna: $850.82 Cofinity Auto — Cofinity Auto: $197.05 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $665.72 McLaren Commercial Ins — McLaren Commercial Ins: $377.35 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Brain/Head w/o Cont Stroke Protocol	$1,623.70	$811.85	$58.17 – $566.51
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $282.67 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94 Medicare - Fidelis — Medicare - Fidelis: $103.71 Medicare - Humana — Medicare - Humana: $103.71 Medicare - Molina — Medicare - Molina: $103.71
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT Brain/Head w/o Cont Stroke Protocol - Report	$106.60	$53.30	$25.56 – $63.91
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $63.91 Cofinity Aetna — Cofinity Aetna: $51.78 McLaren Commercial Ins — McLaren Commercial Ins: $49.26 Medicaid - Molina — Medicaid - Molina: $26.58 Medicaid - United — Medicaid - United: $25.56 Medicare - Humana — Medicare - Humana: $38.76 Medicare - Molina — Medicare - Molina: $39.54 Medicare - Priority Health — Medicare - Priority Health: $38.76 Medicare - United — Medicare - United: $39.92 Priority Health — Priority Health: $58.03
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain w/ + w/o Contrast	$4,389.70	$2,194.85	$195.35 – $3,072.79
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $892.14 Cofinity Aetna — Cofinity Aetna: $2,300.20 Cofinity Auto — Cofinity Auto: $661.77 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $1,799.78 McLaren Commercial Ins — McLaren Commercial Ins: $1,020.17 Medicaid - Meridian — Medicaid - Meridian: $195.35 Medicaid - Midwest — Medicaid - Midwest: $195.35 Medicaid - Molina — Medicaid - Molina: $201.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $195.35 Medicaid - United — Medicaid - United: $195.35
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC w/ + w/o Contrast	$4,389.70	$2,194.85	$195.35 – $3,072.79
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $892.14 Cofinity Aetna — Cofinity Aetna: $2,300.20 Medicaid - Meridian — Medicaid - Meridian: $195.35 Medicaid - Midwest — Medicaid - Midwest: $195.35 Medicaid - Molina — Medicaid - Molina: $201.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $195.35 Medicaid - United — Medicaid - United: $195.35 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28 Medicare - Fidelis — Medicare - Fidelis: $348.30 Medicare - Humana — Medicare - Humana: $348.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Pituitary w/ + w/o Contrast	$4,389.70	$2,194.85	$195.35 – $1,782.66
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $892.14 McLaren Commercial Ins — McLaren Commercial Ins: $1,020.17 Medicaid - Meridian — Medicaid - Meridian: $195.35 Medicaid - Midwest — Medicaid - Midwest: $195.35 Medicaid - Molina — Medicaid - Molina: $201.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $195.35 Medicaid - United — Medicaid - United: $195.35 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28 Medicare - Fidelis — Medicare - Fidelis: $348.30 Medicare - Humana — Medicare - Humana: $348.30
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views	$280.30	$140.15	$48.16 – $196.21
Chest X-ray, 2 views: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $96.52 Cofinity Aetna — Cofinity Aetna: $146.88 Cofinity Auto — Cofinity Auto: $163.16 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $114.92 McLaren Commercial Ins — McLaren Commercial Ins: $65.14 Medicaid - Meridian — Medicaid - Meridian: $48.16 Medicaid - Midwest — Medicaid - Midwest: $48.16 Medicaid - Molina — Medicaid - Molina: $49.61 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $48.16 Medicaid - United — Medicaid - United: $48.16
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest Inspiration /+ Expiration	$280.30	$140.15	$48.16 – $146.88
Chest X-ray, 2 views: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $96.52 Cofinity Aetna — Cofinity Aetna: $146.88 Medicaid - Meridian — Medicaid - Meridian: $48.16 Medicaid - Midwest — Medicaid - Midwest: $48.16 Medicaid - Molina — Medicaid - Molina: $49.61 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $48.16 Medicaid - United — Medicaid - United: $48.16 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $137.40 Medicare - Fidelis — Medicare - Fidelis: $85.87 Medicare - Humana — Medicare - Humana: $85.87
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: XR Chest 2 Views - Report	$27.40	$13.70	$6.60 – $16.51
Chest X-ray, 2 views: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $16.51 Cofinity Aetna — Cofinity Aetna: $12.35 McLaren Commercial Ins — McLaren Commercial Ins: $11.48 Medicaid - Molina — Medicaid - Molina: $6.86 Medicaid - United — Medicaid - United: $6.60 Medicare - Humana — Medicare - Humana: $9.83 Medicare - Molina — Medicare - Molina: $10.03 Medicare - Priority Health — Medicare - Priority Health: $9.83 Medicare - United — Medicare - United: $10.12 Priority Health — Priority Health: $15.12
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral 4+ Views	$539.20	$269.60	$58.17 – $377.44
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $162.72 Cofinity Aetna — Cofinity Aetna: $282.54 Cofinity Auto — Cofinity Auto: $197.05 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $221.07 McLaren Commercial Ins — McLaren Commercial Ins: $125.31 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: XR Spine Lumbosacral 4+ Views - Report	$41	$20.50	$8.09 – $20.24
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $20.24 Cofinity Aetna — Cofinity Aetna: $14.71 McLaren Commercial Ins — McLaren Commercial Ins: $12.20 Medicaid - Molina — Medicaid - Molina: $8.41 Medicaid - United — Medicaid - United: $8.09 Medicare - Humana — Medicare - Humana: $12.46 Medicare - Molina — Medicare - Molina: $12.71 Medicare - Priority Health — Medicare - Priority Health: $12.46 Medicare - United — Medicare - United: $12.83 Priority Health — Priority Health: $18.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar w/o Contrast	$3,091.90	$1,545.95	$132.22 – $2,164.33
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $514.33 Cofinity Aetna — Cofinity Aetna: $1,620.16 Cofinity Auto — Cofinity Auto: $447.91 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $1,267.68 McLaren Commercial Ins — McLaren Commercial Ins: $718.56 Medicaid - Meridian — Medicaid - Meridian: $132.22 Medicaid - Midwest — Medicaid - Midwest: $132.22 Medicaid - Molina — Medicaid - Molina: $136.19 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $132.22 Medicaid - United — Medicaid - United: $132.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI Spine Lumbar w/o Contrast - Report	$195.70	$97.90	$44.52 – $128
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $111.31 Cofinity Aetna — Cofinity Aetna: $90.66 McLaren Commercial Ins — McLaren Commercial Ins: $128 Medicaid - Molina — Medicaid - Molina: $46.30 Medicaid - United — Medicaid - United: $44.52 Medicare - Humana — Medicare - Humana: $67.28 Medicare - Molina — Medicare - Molina: $68.63 Medicare - Priority Health — Medicare - Priority Health: $67.28 Medicare - United — Medicare - United: $69.30 Priority Health — Priority Health: $101.93
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w/ Contrast	$1,977	$988.50	$97.38 – $1,383.90
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $726.68 Medicaid - Meridian — Medicaid - Meridian: $97.38 Medicaid - Midwest — Medicaid - Midwest: $97.38 Medicaid - Molina — Medicaid - Molina: $100.30 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $97.38 Medicaid - United — Medicaid - United: $97.38 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $277.79 Medicare - Fidelis — Medicare - Fidelis: $173.62 Medicare - Humana — Medicare - Humana: $173.62 Medicare - Molina — Medicare - Molina: $173.62
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT Pelvis w/ Contrast - Report	$150.40	$75.20	$34.72 – $86.81
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $86.81 Cofinity Aetna — Cofinity Aetna: $70.80 McLaren Commercial Ins — McLaren Commercial Ins: $75.60 Medicaid - Molina — Medicaid - Molina: $36.11 Medicaid - United — Medicaid - United: $34.72 Medicare - Humana — Medicare - Humana: $52.58 Medicare - Molina — Medicare - Molina: $53.63 Medicare - Priority Health — Medicare - Priority Health: $52.58 Medicare - United — Medicare - United: $54.16 Priority Health — Priority Health: $79.50
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	$2,150.90	$1,075.45	$132.22 – $1,127.07
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $590.16 Cofinity Aetna — Cofinity Aetna: $1,127.07 Cofinity Auto — Cofinity Auto: $447.91 McLaren Commercial Ins — McLaren Commercial Ins: $499.87 Medicaid - Meridian — Medicaid - Meridian: $132.22 Medicaid - Midwest — Medicaid - Midwest: $132.22 Medicaid - Molina — Medicaid - Molina: $136.19 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $132.22 Medicaid - United — Medicaid - United: $132.22 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $377.19
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI Ankle w/o Contrast Left	$2,150.90	$1,075.45	$132.22 – $1,127.07
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $590.16 Cofinity Aetna — Cofinity Aetna: $1,127.07 Cofinity Auto — Cofinity Auto: $447.91 Medicaid - Meridian — Medicaid - Meridian: $132.22 Medicaid - Midwest — Medicaid - Midwest: $132.22 Medicaid - Molina — Medicaid - Molina: $136.19 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $132.22 Medicaid - United — Medicaid - United: $132.22 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $377.19 Medicare - Fidelis — Medicare - Fidelis: $235.74
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	$2,150.90	$1,075.45	$132.22 – $1,505.63
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $590.16 Cofinity Auto — Cofinity Auto: $447.91 Medicaid - Meridian — Medicaid - Meridian: $132.22 Medicaid - Midwest — Medicaid - Midwest: $132.22 Medicaid - Molina — Medicaid - Molina: $136.19 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $132.22 Medicaid - United — Medicaid - United: $132.22 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $377.19 Medicare - Fidelis — Medicare - Fidelis: $235.74 Medicare - Humana — Medicare - Humana: $235.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Add On - CT Abd/Pelvis w/ Contrast	$2,183.20	$1,091.60	$195.35 – $1,528.24
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $911.46 Cofinity Aetna — Cofinity Aetna: $1,144 Cofinity Auto — Cofinity Auto: $661.77 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $895.11 McLaren Commercial Ins — McLaren Commercial Ins: $507.38 Medicaid - Meridian — Medicaid - Meridian: $195.35 Medicaid - Midwest — Medicaid - Midwest: $195.35 Medicaid - Molina — Medicaid - Molina: $201.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $195.35 Medicaid - United — Medicaid - United: $195.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen and Pelvis w/ Contrast	$2,183.20	$1,091.60	$195.35 – $1,528.24
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $911.46 Cofinity Aetna — Cofinity Aetna: $1,144 Cofinity Auto — Cofinity Auto: $661.77 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $895.11 McLaren Commercial Ins — McLaren Commercial Ins: $507.38 Medicaid - Meridian — Medicaid - Meridian: $195.35 Medicaid - Midwest — Medicaid - Midwest: $195.35 Medicaid - Molina — Medicaid - Molina: $201.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $195.35 Medicaid - United — Medicaid - United: $195.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Enterography Abd/Pelvis w/Cont	$2,183.20	$1,091.60	$195.35 – $911.46
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $911.46 Medicaid - Meridian — Medicaid - Meridian: $195.35 Medicaid - Midwest — Medicaid - Midwest: $195.35 Medicaid - Molina — Medicaid - Molina: $201.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $195.35 Medicaid - United — Medicaid - United: $195.35 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28 Medicare - Fidelis — Medicare - Fidelis: $348.30 Medicare - Humana — Medicare - Humana: $348.30 Medicare - Molina — Medicare - Molina: $348.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete	$779.30	$389.65	$58.17 – $545.51
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $319.90 Cofinity Aetna — Cofinity Aetna: $408.35 McLaren Commercial Ins — McLaren Commercial Ins: $181.11 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94 Medicare - Fidelis — Medicare - Fidelis: $103.71
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: US Abdomen Complete - Report	$105.40	$52.70	$24.28 – $60.72
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $60.72 Cofinity Aetna — Cofinity Aetna: $45.43 McLaren Commercial Ins — McLaren Commercial Ins: $46.75 Medicaid - Molina — Medicaid - Molina: $25.25 Medicaid - United — Medicaid - United: $24.28 Medicare - Humana — Medicare - Humana: $36.74 Medicare - Molina — Medicare - Molina: $37.47 Medicare - Priority Health — Medicare - Priority Health: $36.74 Medicare - United — Medicare - United: $37.84 Priority Health — Priority Health: $55.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB Greater Than 14 Weeks	$866.80	$433.40	$58.17 – $454.20
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $359.90 Cofinity Aetna — Cofinity Aetna: $454.20 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94 Medicare - Fidelis — Medicare - Fidelis: $103.71 Medicare - Humana — Medicare - Humana: $103.71
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: WH OB US Greater Than 14 weeks, Single	$866.80	$433.40	$58.17 – $359.90
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $359.90 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94 Medicare - Fidelis — Medicare - Fidelis: $103.71 Medicare - Humana — Medicare - Humana: $103.71 Medicare - Molina — Medicare - Molina: $103.71
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: US OB Greater Than 14 Weeks - Report	$105.40	$52.70	$30.03 – $75.10
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $75.10 Cofinity Aetna — Cofinity Aetna: $56.09 McLaren Commercial Ins — McLaren Commercial Ins: $56.35 Medicaid - Molina — Medicaid - Molina: $31.23 Medicaid - United — Medicaid - United: $30.03 Medicare - Humana — Medicare - Humana: $45.87 Medicare - Molina — Medicare - Molina: $46.79 Medicare - Priority Health — Medicare - Priority Health: $45.87 Medicare - United — Medicare - United: $47.25 Priority Health — Priority Health: $68.27
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ADD ON - US Transvag	$968.60	$484.30	$58.17 – $678.02
Transvaginal ultrasound: 10 of 22 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $351.61 Cofinity Aetna — Cofinity Aetna: $507.55 Cofinity Auto — Cofinity Auto: $197.05 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $397.13 McLaren Commercial Ins — McLaren Commercial Ins: $225.10 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: WH US Transvaginal	$968.60	$484.30	$58.17 – $351.61
Transvaginal ultrasound: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $351.61 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94 Medicare - Fidelis — Medicare - Fidelis: $103.71 Medicare - Humana — Medicare - Humana: $103.71 Medicare - Molina — Medicare - Molina: $103.71
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ADD ON - US Transvag AMB	$931.30	$465.65	$58.17 – $351.61
Transvaginal ultrasound: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $351.61 Medicaid - Meridian — Medicaid - Meridian: $58.17 Medicaid - Midwest — Medicaid - Midwest: $58.17 Medicaid - Molina — Medicaid - Molina: $59.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $58.17 Medicaid - United — Medicaid - United: $58.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94 Medicare - Fidelis — Medicare - Fidelis: $103.71 Medicare - Humana — Medicare - Humana: $103.71 Medicare - Molina — Medicare - Molina: $103.71
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: MG Mammo Implant Diagnostic Left - Report	$90.30	$45.20	$24.28 – $60.72
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $60.72 Cofinity Aetna — Cofinity Aetna: $45.43 McLaren Commercial Ins — McLaren Commercial Ins: $41 Medicaid - Molina — Medicaid - Molina: $25.25 Medicaid - United — Medicaid - United: $24.28 Medicare - Humana — Medicare - Humana: $37.12 Medicare - Molina — Medicare - Molina: $37.86 Medicare - Priority Health — Medicare - Priority Health: $37.12 Medicare - United — Medicare - United: $38.23 Priority Health — Priority Health: $55.60
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: MG Mammo Implant Diagnostic Right - Report	$90.30	$45.20	$24.28 – $60.72
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $60.72 Cofinity Aetna — Cofinity Aetna: $45.43 McLaren Commercial Ins — McLaren Commercial Ins: $41 Medicaid - Molina — Medicaid - Molina: $25.25 Medicaid - United — Medicaid - United: $24.28 Medicare - Humana — Medicare - Humana: $37.12 Medicare - Molina — Medicare - Molina: $37.86 Medicare - Priority Health — Medicare - Priority Health: $37.12 Medicare - United — Medicare - United: $38.23 Priority Health — Priority Health: $55.60
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: MG Diagnostic Same Day Addl View Right - Report	$90.30	$45.20	$24.28 – $60.72
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $60.72 Cofinity Aetna — Cofinity Aetna: $45.43 McLaren Commercial Ins — McLaren Commercial Ins: $41 Medicaid - Molina — Medicaid - Molina: $25.25 Medicaid - United — Medicaid - United: $24.28 Medicare - Humana — Medicare - Humana: $37.12 Medicare - Molina — Medicare - Molina: $37.86 Medicare - Priority Health — Medicare - Priority Health: $37.12 Medicare - United — Medicare - United: $38.23 Priority Health — Priority Health: $55.60
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Add On - MG Mammo Diagnostic Bilat	$851.10	$425.55	$197.80 – $595.77
Diagnostic mammogram, both breasts: rates for 5 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $461.93 Cofinity Aetna — Cofinity Aetna: $445.98 McLaren Commercial Ins — McLaren Commercial Ins: $197.80 Priority Health — Priority Health: $362.48 United Healthcare — United Healthcare: $595.77
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Diagnostic Bilateral	$851.10	$425.55	$296.95 – $595.77
Diagnostic mammogram, both breasts: rates for 4 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $461.93 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $348.95 Priority Health — Priority Health: $362.48 United Healthcare — United Healthcare: $595.77
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Implant Diagnostic Bilateral	$851.10	$425.55	$461.93
Diagnostic mammogram, both breasts: rates for 1 insurance plan Blue Cross Blue Shield — Blue Cross Blue Shield: $461.93
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Add On - MG Mammo Screening Bilateral	$712.70	$356.35	$165.63 – $498.89
Screening mammogram, both breasts: rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $381.96 Cofinity Aetna — Cofinity Aetna: $373.45 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $292.21 McLaren Commercial Ins — McLaren Commercial Ins: $165.63 Priority Health — Priority Health: $303.54 United Healthcare — United Healthcare: $498.89 Workers Compensation — Workers Compensation: $194.54
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Screening Bilateral	$712.70	$356.35	$165.63 – $498.89
Screening mammogram, both breasts: rates for 5 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $381.96 Cofinity Aetna — Cofinity Aetna: $373.45 McLaren Commercial Ins — McLaren Commercial Ins: $165.63 Priority Health — Priority Health: $303.54 United Healthcare — United Healthcare: $498.89
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Implant Screening Bilateral	$712.70	$356.35	$381.96
Screening mammogram, both breasts: rates for 1 insurance plan Blue Cross Blue Shield — Blue Cross Blue Shield: $381.96

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: Amb Electrocardiogram, Routine With at Least 12 leads 93000	$34.20	$17.10	$14.67 – $31.16
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $18.06 Cofinity Aetna — Cofinity Aetna: $18.76 McLaren Commercial Ins — McLaren Commercial Ins: $31.16 Medicare - Humana — Medicare - Humana: $14.67 Medicare - Molina — Medicare - Molina: $14.96 Medicare - Priority Health — Medicare - Priority Health: $14.67 Medicare - United — Medicare - United: $15.11 Priority Health — Priority Health: $20.24 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $14.67 U of M Health Plan — U of M Health Plan: $16.87
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: CV ECG Report	$34.20	$17.10	$14.67 – $31.16
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $18.06 Cofinity Aetna — Cofinity Aetna: $18.76 McLaren Commercial Ins — McLaren Commercial Ins: $31.16 Medicare - Humana — Medicare - Humana: $14.67 Medicare - Molina — Medicare - Molina: $14.96 Medicare - Priority Health — Medicare - Priority Health: $14.67 Medicare - United — Medicare - United: $15.11 Priority Health — Priority Health: $20.24 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $14.67 U of M Health Plan — U of M Health Plan: $16.87
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 26 In the file: SP Lt heart cath incl intraproc inj for lt ventriculography, imaging supervision & interpret 93452	$821.20	$410.60	$146.76 – $366.96
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $366.96 Cofinity Aetna — Cofinity Aetna: $310.26 McLaren Commercial Ins — McLaren Commercial Ins: $281.29 Medicaid - Molina — Medicaid - Molina: $152.63 Medicaid - United — Medicaid - United: $146.76 Medicare - Humana — Medicare - Humana: $229.91 Medicare - Molina — Medicare - Molina: $234.51 Medicare - Priority Health — Medicare - Priority Health: $229.91 Medicare - United — Medicare - United: $236.81 Priority Health — Priority Health: $324.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · modifier 26 In the file: SP Comp EP w/o Induction or Attempted Induction of Arrhythmia (w/o Ablation) 93619	$3,093.10	$1,546.60	$238.13 – $595.45
Heart rhythm study (electrophysiology evaluation): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $595.45 Cofinity Aetna — Cofinity Aetna: $508.93 McLaren Commercial Ins — McLaren Commercial Ins: $473.79 Medicaid - Molina — Medicaid - Molina: $247.66 Medicaid - United — Medicaid - United: $238.13 Medicare - Humana — Medicare - Humana: $372.66 Medicare - Molina — Medicare - Molina: $380.11 Medicare - Priority Health — Medicare - Priority Health: $372.66 Medicare - United — Medicare - United: $383.84 Priority Health — Priority Health: $527.34
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: SP Comp EP Eval, w/Atrial Fibrillation (AFIB) Ablation by Pulm Vein Isolat 93656	$3,335.20	$1,667.60	$590.44 – $1,722.99
Heart rhythm study with ablation for atrial fibrillation: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,476.37 Cofinity Aetna — Cofinity Aetna: $1,265.10 McLaren Commercial Ins — McLaren Commercial Ins: $1,163 Medicaid - Molina — Medicaid - Molina: $614.06 Medicaid - United — Medicaid - United: $590.44 Medicare - Humana — Medicare - Humana: $812.84 Medicare - Molina — Medicare - Molina: $829.10 Medicare - Priority Health — Medicare - Priority Health: $812.84 Medicare - United — Medicare - United: $837.23 Priority Health — Priority Health: $1,303.74
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6/> Yrs 4/> Param	$5,561.40	$2,780.70	$556.51 – $3,892.98
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,948.68 Cofinity Aetna — Cofinity Aetna: $2,914.17 McLaren Commercial Ins — McLaren Commercial Ins: $1,292.47 Medicaid - Meridian — Medicaid - Meridian: $556.51 Medicaid - Midwest — Medicaid - Midwest: $556.51 Medicaid - Molina — Medicaid - Molina: $573.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $556.51 Medicaid - United — Medicaid - United: $556.51 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,587.58 Medicare - Fidelis — Medicare - Fidelis: $992.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 26 In the file: DP Polysom 6/GrtrThn Yrs 4/GrtrThn Param 95810	$1,084.30	$542.20	$73.91 – $197.45
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $145.74 Cofinity Aetna — Cofinity Aetna: $132.51 McLaren Commercial Ins — McLaren Commercial Ins: $197.45 Medicaid - Molina — Medicaid - Molina: $76.87 Medicaid - United — Medicaid - United: $73.91 Medicare - Humana — Medicare - Humana: $117.06 Medicare - Molina — Medicare - Molina: $119.40 Medicare - Priority Health — Medicare - Priority Health: $117.06 Medicare - United — Medicare - United: $120.57 Priority Health — Priority Health: $156.96

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic Exercise Ea 15 Min 97110	$54.80	$27.40	$22.29 – $32.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $31.77 Cofinity Aetna — Cofinity Aetna: $22.29 McLaren Commercial Ins — McLaren Commercial Ins: $28 Medicare - Humana — Medicare - Humana: $27.91 Medicare - Molina — Medicare - Molina: $28.47 Medicare - Priority Health — Medicare - Priority Health: $27.91 Medicare - United — Medicare - United: $28.75 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $27.91 U of M Health Plan — U of M Health Plan: $32.10 United Healthcare — United Healthcare: $29.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT Therapeutic Exercise Units	$230.40	$115.20	$45.83 – $120.73
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $45.83 Cofinity Aetna — Cofinity Aetna: $120.73 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $94.46 McLaren Commercial Ins — McLaren Commercial Ins: $53.54 Priority Health — Priority Health: $98.13 Workers Compensation — Workers Compensation: $62.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT Therapeutic Exercise Units	$230.40	$115.20	$45.83 – $98.13
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $45.83 Priority Health — Priority Health: $98.13 Workers Compensation — Workers Compensation: $62.89
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Low Complexity	$370.20	$185.10	$135.40
Physical therapy evaluation (low complexity): rates for 3 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $135.40 Priority Health — Priority Health: $157.67 Workers Compensation — Workers Compensation: $101.05
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Moderate Complexity	$427.10	$213.55	$135.40
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $135.40 Cofinity Aetna — Cofinity Aetna: $223.80 Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $175.11 McLaren Commercial Ins — McLaren Commercial Ins: $99.26
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, High Complexity	$556.20	$278.10	$135.40
Physical therapy evaluation (high complexity): rates for 1 insurance plan Blue Cross Blue Shield — Blue Cross Blue Shield: $135.40
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psychotherapy, 30 Mins 90832	$201.20	$100.60	$87.89 – $250.72
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Medicaid - Meridian — Medicaid - Meridian: $87.89 Medicaid - Midwest — Medicaid - Midwest: $87.89 Medicaid - Molina — Medicaid - Molina: $90.52 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $87.89 Medicaid - United — Medicaid - United: $87.89 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72 Medicare - Fidelis — Medicare - Fidelis: $156.70 Medicare - Humana — Medicare - Humana: $156.70 Medicare - Molina — Medicare - Molina: $156.70 Medicare - Priority Health — Medicare - Priority Health: $156.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 Mins 90832	$125.90	$63	$45.87 – $89.46
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $89.46 Cofinity Aetna — Cofinity Aetna: $77.05 HAP - HMO — HAP - HMO: $67.88 McLaren Commercial Ins — McLaren Commercial Ins: $52.64 Medicaid - Molina — Medicaid - Molina: $47.70 Medicaid - United — Medicaid - United: $45.87 Medicare - Humana — Medicare - Humana: $69.14 Medicare - Molina — Medicare - Molina: $70.52 Medicare - Priority Health — Medicare - Priority Health: $69.14 Medicare - United — Medicare - United: $71.21
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psychotherapy, 45 Mins 90834	$201.20	$100.60	$87.89 – $250.72
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Medicaid - Meridian — Medicaid - Meridian: $87.89 Medicaid - Midwest — Medicaid - Midwest: $87.89 Medicaid - Molina — Medicaid - Molina: $90.52 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $87.89 Medicaid - United — Medicaid - United: $87.89 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72 Medicare - Fidelis — Medicare - Fidelis: $156.70 Medicare - Humana — Medicare - Humana: $156.70 Medicare - Molina — Medicare - Molina: $156.70 Medicare - Priority Health — Medicare - Priority Health: $156.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 Mins 90834	$160.20	$80.10	$60.50 – $118.02
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $118.02 Cofinity Aetna — Cofinity Aetna: $102.21 HAP - HMO — HAP - HMO: $89.67 McLaren Commercial Ins — McLaren Commercial Ins: $78.98 Medicaid - Molina — Medicaid - Molina: $62.92 Medicaid - United — Medicaid - United: $60.50 Medicare - Humana — Medicare - Humana: $91.44 Medicare - Molina — Medicare - Molina: $93.27 Medicare - Priority Health — Medicare - Priority Health: $91.44 Medicare - United — Medicare - United: $94.18
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psychotherapy, 60 Mins 90837	$201.20	$100.60	$87.89 – $250.72
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Medicaid - Meridian — Medicaid - Meridian: $87.89 Medicaid - Midwest — Medicaid - Midwest: $87.89 Medicaid - Molina — Medicaid - Molina: $90.52 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $87.89 Medicaid - United — Medicaid - United: $87.89 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72 Medicare - Fidelis — Medicare - Fidelis: $156.70 Medicare - Humana — Medicare - Humana: $156.70 Medicare - Molina — Medicare - Molina: $156.70 Medicare - Priority Health — Medicare - Priority Health: $156.70
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 Mins 90837	$221.70	$110.90	$89.59 – $174.72
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $174.72 Cofinity Aetna — Cofinity Aetna: $150.18 HAP - HMO — HAP - HMO: $132.36 McLaren Commercial Ins — McLaren Commercial Ins: $119.16 Medicaid - Molina — Medicaid - Molina: $93.17 Medicaid - United — Medicaid - United: $89.59 Medicare - Humana — Medicare - Humana: $134.63 Medicare - Molina — Medicare - Molina: $137.32 Medicare - Priority Health — Medicare - Priority Health: $134.63 Medicare - United — Medicare - United: $138.67
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Family, Couples Psychotherapy W/O Patient 90846	$201.20	$100.60	$87.74 – $250.72
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $87.74 Medicaid - Meridian — Medicaid - Meridian: $87.89 Medicaid - Midwest — Medicaid - Midwest: $87.89 Medicaid - Molina — Medicaid - Molina: $90.52 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $87.89 Medicaid - United — Medicaid - United: $87.89 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72 Medicare - Fidelis — Medicare - Fidelis: $156.70 Medicare - Humana — Medicare - Humana: $156.70 Medicare - Molina — Medicare - Molina: $156.70
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family, Couples Psychotherapy W/O Patient 90846	$257.90	$129	$96.60 – $161.91
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $161.91 Cofinity Aetna — Cofinity Aetna: $110.42 HAP - HMO — HAP - HMO: $96.60 McLaren Commercial Ins — McLaren Commercial Ins: $100.61 Medicare - Humana — Medicare - Humana: $98.75 Medicare - Molina — Medicare - Molina: $100.73 Medicare - Priority Health — Medicare - Priority Health: $98.75 Medicare - United — Medicare - United: $101.71 Priority Health — Priority Health: $107.43 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $98.75
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: TMED Family Psych TX wo pt 50min 90846	$219	$109.50	$96.60 – $161.91
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $161.91 Cofinity Aetna — Cofinity Aetna: $110.42 HAP - HMO — HAP - HMO: $96.60 McLaren Commercial Ins — McLaren Commercial Ins: $100.61 Medicare - Humana — Medicare - Humana: $98.75 Medicare - Molina — Medicare - Molina: $100.73 Medicare - Priority Health — Medicare - Priority Health: $98.75 Medicare - United — Medicare - United: $101.71 Priority Health — Priority Health: $107.43 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $98.75
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Family, Couples Psychotherapy With Patient 90847	$201.20	$100.60	$70.20 – $250.72
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $73.04 Medicaid - Meridian — Medicaid - Meridian: $87.89 Medicaid - Midwest — Medicaid - Midwest: $87.89 Medicaid - Molina — Medicaid - Molina: $90.52 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $87.89 Medicaid - United — Medicaid - United: $87.89 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72 Medicare - Fidelis — Medicare - Fidelis: $156.70 Medicare - Humana — Medicare - Humana: $156.70 Medicare - Molina — Medicare - Molina: $156.70
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family, Couples Psychotherapy With Patient 90847	$234.10	$117.10	$68.24 – $133.14
Family psychotherapy, with the patient: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $133.14 Cofinity Aetna — Cofinity Aetna: $115.11 HAP - HMO — HAP - HMO: $100.86 McLaren Commercial Ins — McLaren Commercial Ins: $119.42 Medicaid - Molina — Medicaid - Molina: $70.97 Medicaid - United — Medicaid - United: $68.24 Medicare - Humana — Medicare - Humana: $102.38 Medicare - Molina — Medicare - Molina: $104.43 Medicare - Priority Health — Medicare - Priority Health: $102.38 Medicare - United — Medicare - United: $105.45
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: TMED Family Psych TX w pt 50min 90847	$234	$117	$68.24 – $133.14
Family psychotherapy, with the patient: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $133.14 Cofinity Aetna — Cofinity Aetna: $115.11 HAP - HMO — HAP - HMO: $100.86 McLaren Commercial Ins — McLaren Commercial Ins: $119.42 Medicaid - Molina — Medicaid - Molina: $70.97 Medicaid - United — Medicaid - United: $68.24 Medicare - Humana — Medicare - Humana: $102.38 Medicare - Molina — Medicare - Molina: $104.43 Medicare - Priority Health — Medicare - Priority Health: $102.38 Medicare - United — Medicare - United: $105.45
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Group Therapy 90853	$116.90	$58.45	$38.44 – $144.34
Group psychotherapy: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $38.44 Medicaid - Meridian — Medicaid - Meridian: $50.60 Medicaid - Midwest — Medicaid - Midwest: $50.60 Medicaid - Molina — Medicaid - Molina: $52.12 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $50.60 Medicaid - United — Medicaid - United: $50.60 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $144.34 Medicare - Fidelis — Medicare - Fidelis: $90.21 Medicare - Humana — Medicare - Humana: $90.21 Medicare - Molina — Medicare - Molina: $90.21
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group Therapy 90853	$116.90	$58.50	$16.17 – $33.78
Group psychotherapy: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $31.50 Cofinity Aetna — Cofinity Aetna: $27.14 HAP - HMO — HAP - HMO: $23.85 McLaren Commercial Ins — McLaren Commercial Ins: $33.78 Medicaid - Molina — Medicaid - Molina: $16.81 Medicaid - United — Medicaid - United: $16.17 Medicare - Humana — Medicare - Humana: $24.28 Medicare - Molina — Medicare - Molina: $24.77 Medicare - Priority Health — Medicare - Priority Health: $24.28 Medicare - United — Medicare - United: $25.01

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION	$2,977.64	$1,488.82	$2,094.62 – $5,975.39
Removal of breast growth (open surgery): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $3,652.37 Medicaid - Meridian — Medicaid - Meridian: $2,094.62 Medicaid - Midwest — Medicaid - Midwest: $2,094.62 Medicaid - Molina — Medicaid - Molina: $2,157.45 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2,094.62 Medicaid - United — Medicaid - United: $2,094.62 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,975.39 Medicare - Fidelis — Medicare - Fidelis: $3,734.62 Medicare - Humana — Medicare - Humana: $3,734.62 Medicare - Molina — Medicare - Molina: $3,734.62
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: SP Excision of cyst, fibroadenoma, or other tumor, open, male or female, 1+ lesions 19120	$1,256.40	$628.20	$271.79 – $679.60
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $679.60 Cofinity Aetna — Cofinity Aetna: $495.64 HAP - HMO — HAP - HMO: $414.27 McLaren Commercial Ins — McLaren Commercial Ins: $418 Medicaid - Molina — Medicaid - Molina: $282.66 Medicaid - United — Medicaid - United: $271.79 Medicare - Humana — Medicare - Humana: $399.57 Medicare - Molina — Medicare - Molina: $407.56 Medicare - Priority Health — Medicare - Priority Health: $399.57 Medicare - United — Medicare - United: $411.56
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Hospitalist SP 19120 Exc Cyst/Fibroadenoma/Other Tumor Open male/Female 1+ Lesions	$1,256.40	$628.20	$271.79 – $679.60
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $679.60 Cofinity Aetna — Cofinity Aetna: $495.64 HAP - HMO — HAP - HMO: $414.27 McLaren Commercial Ins — McLaren Commercial Ins: $418 Medicaid - Molina — Medicaid - Molina: $282.66 Medicaid - United — Medicaid - United: $271.79 Medicare - Humana — Medicare - Humana: $399.57 Medicare - Molina — Medicare - Molina: $407.56 Medicare - Priority Health — Medicare - Priority Health: $399.57 Medicare - United — Medicare - United: $411.56
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	$50,014.20	$25,007.10	$7,038.15 – $23,658.95
Total hip replacement: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $23,658.95 Medicaid - Meridian — Medicaid - Meridian: $7,038.15 Medicaid - Midwest — Medicaid - Midwest: $7,038.15 Medicaid - Molina — Medicaid - Molina: $7,249.30 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $7,038.15 Medicaid - United — Medicaid - United: $7,038.15 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $20,078 Medicare - Fidelis — Medicare - Fidelis: $12,548.75 Medicare - Humana — Medicare - Humana: $12,548.75 Medicare - Molina — Medicare - Molina: $12,548.75
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Hospitalist SP 27130 Arthroplasty, acetab & prox femoral prosthet rplcmt, w/ or w/o auto/allograft	$11,172.90	$5,586.50	$829.21 – $2,277.79
Total hip replacement: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,277.79 Cofinity Aetna — Cofinity Aetna: $1,646.18 McLaren Commercial Ins — McLaren Commercial Ins: $1,897.84 Medicaid - Molina — Medicaid - Molina: $862.38 Medicaid - United — Medicaid - United: $829.21 Medicare - Humana — Medicare - Humana: $1,145.30 Medicare - Molina — Medicare - Molina: $1,168.21 Medicare - Priority Health — Medicare - Priority Health: $1,145.30 Medicare - United — Medicare - United: $1,179.66 Priority Health — Priority Health: $1,872.02
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: SP Arthroplasty, acetab and prox femoral prosthetic rplcmt, w/ or w/o autograft or allograft 27130	$11,172.90	$5,586.50	$829.21 – $2,277.79
Total hip replacement: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,277.79 Cofinity Aetna — Cofinity Aetna: $1,646.18 McLaren Commercial Ins — McLaren Commercial Ins: $1,897.84 Medicaid - Molina — Medicaid - Molina: $862.38 Medicaid - United — Medicaid - United: $829.21 Medicare - Humana — Medicare - Humana: $1,145.30 Medicare - Molina — Medicare - Molina: $1,168.21 Medicare - Priority Health — Medicare - Priority Health: $1,145.30 Medicare - United — Medicare - United: $1,179.66 Priority Health — Priority Health: $1,872.02
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY	$50,187.99	$25,094	$7,038.15 – $23,071.15
Total knee replacement: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $23,071.15 Medicaid - Meridian — Medicaid - Meridian: $7,038.15 Medicaid - Midwest — Medicaid - Midwest: $7,038.15 Medicaid - Molina — Medicaid - Molina: $7,249.30 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $7,038.15 Medicaid - United — Medicaid - United: $7,038.15 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $20,078 Medicare - Fidelis — Medicare - Fidelis: $12,548.75 Medicare - Humana — Medicare - Humana: $12,548.75 Medicare - Molina — Medicare - Molina: $12,548.75
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: SP Total Knee Arthroplasty 27447	$11,256.50	$5,628.30	$828.14 – $2,274.87
Total knee replacement: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,274.87 Cofinity Aetna — Cofinity Aetna: $1,644.50 McLaren Commercial Ins — McLaren Commercial Ins: $2,037.43 Medicaid - Molina — Medicaid - Molina: $861.27 Medicaid - United — Medicaid - United: $828.14 Medicare - Humana — Medicare - Humana: $1,143.32 Medicare - Molina — Medicare - Molina: $1,166.19 Medicare - Priority Health — Medicare - Priority Health: $1,143.32 Medicare - United — Medicare - United: $1,177.62 Priority Health — Priority Health: $1,869.11
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Hospitalist SP 27447 Total Knee Arthroplasty	$11,256.50	$5,628.30	$828.14 – $2,274.87
Total knee replacement: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,274.87 Cofinity Aetna — Cofinity Aetna: $1,644.50 McLaren Commercial Ins — McLaren Commercial Ins: $2,037.43 Medicaid - Molina — Medicaid - Molina: $861.27 Medicaid - United — Medicaid - United: $828.14 Medicare - Humana — Medicare - Humana: $1,143.32 Medicare - Molina — Medicare - Molina: $1,166.19 Medicare - Priority Health — Medicare - Priority Health: $1,143.32 Medicare - United — Medicare - United: $1,177.62 Priority Health — Priority Health: $1,869.11
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SP Arthroscopy, shoulder, surgical; decomp.of subacromial space w/ partial acromioplasty, 29826	$889.50	$444.80	$109.70 – $247.15
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $216.30 Cofinity Aetna — Cofinity Aetna: $221.06 McLaren Commercial Ins — McLaren Commercial Ins: $181.81 Medicaid - Molina — Medicaid - Molina: $114.09 Medicaid - United — Medicaid - United: $109.70 Medicare - Humana — Medicare - Humana: $147.49 Medicare - Molina — Medicare - Molina: $150.44 Medicare - Priority Health — Medicare - Priority Health: $147.49 Medicare - United — Medicare - United: $151.91 Priority Health — Priority Health: $247.15
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Hospitalist SP 29826 Arthroscopy, shoulder, surg; decomp subacromial space w/ partl acromioplasty	$889.50	$444.80	$109.70 – $247.15
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $216.30 Cofinity Aetna — Cofinity Aetna: $221.06 McLaren Commercial Ins — McLaren Commercial Ins: $181.81 Medicaid - Molina — Medicaid - Molina: $114.09 Medicaid - United — Medicaid - United: $109.70 Medicare - Humana — Medicare - Humana: $147.49 Medicare - Molina — Medicare - Molina: $150.44 Medicare - Priority Health — Medicare - Priority Health: $147.49 Medicare - United — Medicare - United: $151.91 Priority Health — Priority Health: $247.15
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	$8,496.14	$4,248.07	$1,774.80 – $5,063.05
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4,192.60 Medicaid - Meridian — Medicaid - Meridian: $1,774.80 Medicaid - Midwest — Medicaid - Midwest: $1,774.80 Medicaid - Molina — Medicaid - Molina: $1,828.05 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,774.80 Medicaid - United — Medicaid - United: $1,774.80 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,063.05 Medicare - Fidelis — Medicare - Fidelis: $3,164.40 Medicare - Humana — Medicare - Humana: $3,164.40 Medicare - Molina — Medicare - Molina: $3,164.40
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: SP Knee Arthroscopy/Surg w/Meniscect - Med OR Lat incl Debride/Shav Artic Cartlag 29881	$3,600.70	$1,800.40	$354.43 – $973.61
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $973.61 Cofinity Aetna — Cofinity Aetna: $692.81 McLaren Commercial Ins — McLaren Commercial Ins: $840 Medicaid - Molina — Medicaid - Molina: $368.61 Medicaid - United — Medicaid - United: $354.43 Medicare - Humana — Medicare - Humana: $501.15 Medicare - Molina — Medicare - Molina: $511.17 Medicare - Priority Health — Medicare - Priority Health: $501.15 Medicare - United — Medicare - United: $516.18 Priority Health — Priority Health: $799.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Hospitalist SP 29881 Knee Arthroscopy/Surg w/Meniscectomy - Med OR Lat w/ Debride/Shav Artic Cartil	$3,600.70	$1,800.40	$354.43 – $973.61
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $973.61 Cofinity Aetna — Cofinity Aetna: $692.81 McLaren Commercial Ins — McLaren Commercial Ins: $840 Medicaid - Molina — Medicaid - Molina: $368.61 Medicaid - United — Medicaid - United: $354.43 Medicare - Humana — Medicare - Humana: $501.15 Medicare - Molina — Medicare - Molina: $511.17 Medicare - Priority Health — Medicare - Priority Health: $501.15 Medicare - United — Medicare - United: $516.18 Priority Health — Priority Health: $799.59
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS	$5,699.27	$2,849.64	$3,235.87 – $9,231.08
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $3,676.47 Medicaid - Meridian — Medicaid - Meridian: $3,235.87 Medicaid - Midwest — Medicaid - Midwest: $3,235.87 Medicaid - Molina — Medicaid - Molina: $3,332.94 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3,235.87 Medicaid - United — Medicaid - United: $3,235.87 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9,231.08 Medicare - Fidelis — Medicare - Fidelis: $5,769.42 Medicare - Humana — Medicare - Humana: $5,769.42 Medicare - Molina — Medicare - Molina: $5,769.42
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: SP Removal tonsils and adenoids, younger than age 12 42820	$1,457.50	$728.80	$189.36 – $473.48
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $473.48 Cofinity Aetna — Cofinity Aetna: $372.40 HAP - HMO — HAP - HMO: $286.20 McLaren Commercial Ins — McLaren Commercial Ins: $315.17 Medicaid - Molina — Medicaid - Molina: $196.93 Medicaid - United — Medicaid - United: $189.36 Medicare - Humana — Medicare - Humana: $254.37 Medicare - Molina — Medicare - Molina: $259.46 Medicare - Priority Health — Medicare - Priority Health: $254.37 Medicare - United — Medicare - United: $262
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Egd Diagnostic Brush Wash	$8,105.90	$4,052.95	$512.85 – $1,463.01
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $908.15 Medicaid - Meridian — Medicaid - Meridian: $512.85 Medicaid - Midwest — Medicaid - Midwest: $512.85 Medicaid - Molina — Medicaid - Molina: $528.23 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $512.85 Medicaid - United — Medicaid - United: $512.85 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,463.01 Medicare - Fidelis — Medicare - Fidelis: $914.38 Medicare - Humana — Medicare - Humana: $914.38 Medicare - Molina — Medicare - Molina: $914.38
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: BP EGD flex transoral; diag inc collect specimen brush/wash when performed 43235	$2,913.50	$1,456.75	$512.85 – $1,463.01
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $908.15 Medicaid - Meridian — Medicaid - Meridian: $512.85 Medicaid - Midwest — Medicaid - Midwest: $512.85 Medicaid - Molina — Medicaid - Molina: $528.23 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $512.85 Medicaid - United — Medicaid - United: $512.85 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,463.01 Medicare - Fidelis — Medicare - Fidelis: $914.38 Medicare - Humana — Medicare - Humana: $914.38 Medicare - Molina — Medicare - Molina: $914.38
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: SP Esophagogastroduodenoscopy, flex, Transoral, Diagnostic (sep px) 43235	$751.40	$375.70	$77.75 – $233.16
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $194.40 Cofinity Aetna — Cofinity Aetna: $154.56 HAP - HMO — HAP - HMO: $116.60 McLaren Commercial Ins — McLaren Commercial Ins: $233.16 Medicaid - Molina — Medicaid - Molina: $80.86 Medicaid - United — Medicaid - United: $77.75 Medicare - Humana — Medicare - Humana: $108.60 Medicare - Molina — Medicare - Molina: $110.77 Medicare - Priority Health — Medicare - Priority Health: $108.60 Medicare - United — Medicare - United: $111.86
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Egd Biopsy Single/Multiple	$2,821.20	$1,410.60	$512.85 – $1,463.01
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,102.13 Medicaid - Meridian — Medicaid - Meridian: $512.85 Medicaid - Midwest — Medicaid - Midwest: $512.85 Medicaid - Molina — Medicaid - Molina: $528.23 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $512.85 Medicaid - United — Medicaid - United: $512.85 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,463.01 Medicare - Fidelis — Medicare - Fidelis: $914.38 Medicare - Humana — Medicare - Humana: $914.38 Medicare - Molina — Medicare - Molina: $914.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: SP Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 43239	$888.20	$444.10	$87.33 – $276.56
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $218.37 Cofinity Aetna — Cofinity Aetna: $174.42 HAP - HMO — HAP - HMO: $131.84 McLaren Commercial Ins — McLaren Commercial Ins: $276.56 Medicaid - Molina — Medicaid - Molina: $90.82 Medicaid - United — Medicaid - United: $87.33 Medicare - Humana — Medicare - Humana: $121.55 Medicare - Molina — Medicare - Molina: $123.98 Medicare - Priority Health — Medicare - Priority Health: $121.55 Medicare - United — Medicare - United: $125.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hospitalist SP 43239 EGD, flex transoral; w bx sngl/multi	$888.20	$444.10	$87.33 – $276.56
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $218.37 Cofinity Aetna — Cofinity Aetna: $174.42 HAP - HMO — HAP - HMO: $131.84 McLaren Commercial Ins — McLaren Commercial Ins: $276.56 Medicaid - Molina — Medicaid - Molina: $90.82 Medicaid - United — Medicaid - United: $87.33 Medicare - Humana — Medicare - Humana: $121.55 Medicare - Molina — Medicare - Molina: $123.98 Medicare - Priority Health — Medicare - Priority Health: $121.55 Medicare - United — Medicare - United: $125.20
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY	$5,521.53	$2,760.77	$498.71 – $1,422.68
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,028.65 Medicaid - Meridian — Medicaid - Meridian: $498.71 Medicaid - Midwest — Medicaid - Midwest: $498.71 Medicaid - Molina — Medicaid - Molina: $513.67 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $498.71 Medicaid - United — Medicaid - United: $498.71 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,422.68 Medicare - Fidelis — Medicare - Fidelis: $889.17 Medicare - Humana — Medicare - Humana: $889.17 Medicare - Molina — Medicare - Molina: $889.17
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: SP Colonoscopy Flx Dx w/collect Spec when Pfrmd 45378	$1,138.60	$569.30	$116.72 – $349.72
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $291.86 Cofinity Aetna — Cofinity Aetna: $233.35 HAP - HMO — HAP - HMO: $178.59 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.39 Medicaid - United — Medicaid - United: $116.72 Medicare - Humana — Medicare - Humana: $162.54 Medicare - Molina — Medicare - Molina: $165.79 Medicare - Priority Health — Medicare - Priority Health: $162.54 Medicare - United — Medicare - United: $167.42
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hospitalist BP 45378 Colonoscopy Flx Dx w/collect Spec when Pfrmd	$1,138.60	$569.30	$116.72 – $349.72
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $291.86 Cofinity Aetna — Cofinity Aetna: $233.35 HAP - HMO — HAP - HMO: $178.59 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.39 Medicaid - United — Medicaid - United: $116.72 Medicare - Humana — Medicare - Humana: $162.54 Medicare - Molina — Medicare - Molina: $165.79 Medicare - Priority Health — Medicare - Priority Health: $162.54 Medicare - United — Medicare - United: $167.42
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY	$5,778.23	$2,889.12	$644.96 – $1,839.89
Colonoscopy with biopsy: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,128.58 Medicaid - Meridian — Medicaid - Meridian: $644.96 Medicaid - Midwest — Medicaid - Midwest: $644.96 Medicaid - Molina — Medicaid - Molina: $664.31 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $644.96 Medicaid - United — Medicaid - United: $644.96 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,839.89 Medicare - Fidelis — Medicare - Fidelis: $1,149.93 Medicare - Humana — Medicare - Humana: $1,149.93 Medicare - Molina — Medicare - Molina: $1,149.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: SP Colonoscopy, flexible; with biopsy, single or multiple 45380	$1,359.10	$679.60	$126.95 – $419.80
Colonoscopy with biopsy: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $317.43 Cofinity Aetna — Cofinity Aetna: $253.54 HAP - HMO — HAP - HMO: $193.91 McLaren Commercial Ins — McLaren Commercial Ins: $419.80 Medicaid - Molina — Medicaid - Molina: $132.03 Medicaid - United — Medicaid - United: $126.95 Medicare - Humana — Medicare - Humana: $175.35 Medicare - Molina — Medicare - Molina: $178.86 Medicare - Priority Health — Medicare - Priority Health: $175.35 Medicare - United — Medicare - United: $180.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hospitalist SP 45380 Colonoscopy, flex; w biopsy, single/multiple	$1,359.10	$679.60	$126.95 – $419.80
Colonoscopy with biopsy: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $317.43 Cofinity Aetna — Cofinity Aetna: $253.54 HAP - HMO — HAP - HMO: $193.91 McLaren Commercial Ins — McLaren Commercial Ins: $419.80 Medicaid - Molina — Medicaid - Molina: $132.03 Medicaid - United — Medicaid - United: $126.95 Medicare - Humana — Medicare - Humana: $175.35 Medicare - Molina — Medicare - Molina: $178.86 Medicare - Priority Health — Medicare - Priority Health: $175.35 Medicare - United — Medicare - United: $180.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL	$5,094.79	$2,547.40	$644.96 – $1,839.89
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,128.58 Medicaid - Meridian — Medicaid - Meridian: $644.96 Medicaid - Midwest — Medicaid - Midwest: $644.96 Medicaid - Molina — Medicaid - Molina: $664.31 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $644.96 Medicaid - United — Medicaid - United: $644.96 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,839.89 Medicare - Fidelis — Medicare - Fidelis: $1,149.93 Medicare - Humana — Medicare - Humana: $1,149.93 Medicare - Molina — Medicare - Molina: $1,149.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: SP Lesion Removal Colonoscopy 45385	$1,624.50	$812.30	$159.96 – $497.92
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $399.98 Cofinity Aetna — Cofinity Aetna: $320.90 HAP - HMO — HAP - HMO: $245.56 McLaren Commercial Ins — McLaren Commercial Ins: $497.92 Medicaid - Molina — Medicaid - Molina: $166.36 Medicaid - United — Medicaid - United: $159.96 Medicare - Humana — Medicare - Humana: $220.65 Medicare - Molina — Medicare - Molina: $225.06 Medicare - Priority Health — Medicare - Priority Health: $220.65 Medicare - United — Medicare - United: $227.27
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hospitalist SP 45385 Lesion Removal Colonoscopy	$1,624.50	$812.30	$159.96 – $497.92
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $399.98 Cofinity Aetna — Cofinity Aetna: $320.90 HAP - HMO — HAP - HMO: $245.56 McLaren Commercial Ins — McLaren Commercial Ins: $497.92 Medicaid - Molina — Medicaid - Molina: $166.36 Medicaid - United — Medicaid - United: $159.96 Medicare - Humana — Medicare - Humana: $220.65 Medicare - Molina — Medicare - Molina: $225.06 Medicare - Priority Health — Medicare - Priority Health: $220.65 Medicare - United — Medicare - United: $227.27
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: SP Colonoscopy w/endoscopr US 45391	$627.40	$313.70	$162.09 – $439.20
Ultrasound of the lower bowel by endoscope: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $405.31 Cofinity Aetna — Cofinity Aetna: $325.52 McLaren Commercial Ins — McLaren Commercial Ins: $322.18 Medicaid - Molina — Medicaid - Molina: $168.57 Medicaid - United — Medicaid - United: $162.09 Medicare - Humana — Medicare - Humana: $222.82 Medicare - Molina — Medicare - Molina: $227.28 Medicare - Priority Health — Medicare - Priority Health: $222.82 Medicare - United — Medicare - United: $229.50 Priority Health — Priority Health: $384.95
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON CA SCRN NOT HI RSK IND	$4,075.79	$2,037.90	$498.71 – $1,422.68
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,028.65 Medicaid - Meridian — Medicaid - Meridian: $498.71 Medicaid - Midwest — Medicaid - Midwest: $498.71 Medicaid - Molina — Medicaid - Molina: $513.67 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $498.71 Medicaid - United — Medicaid - United: $498.71 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,422.68 Medicare - Fidelis — Medicare - Fidelis: $889.17 Medicare - Humana — Medicare - Humana: $889.17 Medicare - Molina — Medicare - Molina: $889.17
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: BP Colorectal Cancer Screening; Colonoscopy, individual not meeting criteria for high risk G0121	$1,643.60	$821.80	$116.94 – $349.72
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $292.40 Cofinity Aetna — Cofinity Aetna: $183.46 HAP - HMO — HAP - HMO: $176.06 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.62 Medicaid - United — Medicaid - United: $116.94 Medicare - Humana — Medicare - Humana: $162.92 Medicare - Molina — Medicare - Molina: $166.18 Medicare - Priority Health — Medicare - Priority Health: $162.92 Medicare - United — Medicare - United: $167.81
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: SP Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121	$1,643.60	$821.80	$116.94 – $349.72
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $292.40 Cofinity Aetna — Cofinity Aetna: $183.46 HAP - HMO — HAP - HMO: $176.06 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.62 Medicaid - United — Medicaid - United: $116.94 Medicare - Humana — Medicare - Humana: $162.92 Medicare - Molina — Medicare - Molina: $166.18 Medicare - Priority Health — Medicare - Priority Health: $162.92 Medicare - United — Medicare - United: $167.81
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$16,421.40	$8,210.70	$3,191.39 – $9,104.22
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $6,611.77 Medicaid - Meridian — Medicaid - Meridian: $3,191.39 Medicaid - Midwest — Medicaid - Midwest: $3,191.39 Medicaid - Molina — Medicaid - Molina: $3,287.14 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3,191.39 Medicaid - United — Medicaid - United: $3,191.39 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9,104.22 Medicare - Fidelis — Medicare - Fidelis: $5,690.13 Medicare - Humana — Medicare - Humana: $5,690.13 Medicare - Molina — Medicare - Molina: $5,690.13
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: SP Laparoscopic Cholecystectomy 47562	$2,812.50	$1,406.30	$427.28 – $1,068.40
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,068.40 Cofinity Aetna — Cofinity Aetna: $852.68 McLaren Commercial Ins — McLaren Commercial Ins: $760.58 Medicaid - Molina — Medicaid - Molina: $444.37 Medicaid - United — Medicaid - United: $427.28 Medicare - Humana — Medicare - Humana: $625.52 Medicare - Molina — Medicare - Molina: $638.03 Medicare - Priority Health — Medicare - Priority Health: $625.52 Medicare - United — Medicare - United: $644.29 Priority Health — Priority Health: $1,010.32
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Hospitalist SP 47562 Laparoscopic Cholecystectomy	$2,812.50	$1,406.30	$427.28 – $1,068.40
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,068.40 Cofinity Aetna — Cofinity Aetna: $852.68 McLaren Commercial Ins — McLaren Commercial Ins: $760.58 Medicaid - Molina — Medicaid - Molina: $444.37 Medicaid - United — Medicaid - United: $427.28 Medicare - Humana — Medicare - Humana: $625.52 Medicare - Molina — Medicare - Molina: $638.03 Medicare - Priority Health — Medicare - Priority Health: $625.52 Medicare - United — Medicare - United: $644.29 Priority Health — Priority Health: $1,010.32
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	$9,836.90	$4,918.45	$1,930.40 – $5,506.91
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4,999.75 Medicaid - Meridian — Medicaid - Meridian: $1,930.40 Medicaid - Midwest — Medicaid - Midwest: $1,930.40 Medicaid - Molina — Medicaid - Molina: $1,988.31 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,930.40 Medicaid - United — Medicaid - United: $1,930.40 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,506.91 Medicare - Fidelis — Medicare - Fidelis: $3,441.82 Medicare - Humana — Medicare - Humana: $3,441.82 Medicare - Molina — Medicare - Molina: $3,441.82
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: SP Repair initial inguinal hernia, age 5 years or older; reducible 49505	$2,352.50	$1,176.30	$339.52 – $848.96
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $848.96 Cofinity Aetna — Cofinity Aetna: $676.01 McLaren Commercial Ins — McLaren Commercial Ins: $530.98 Medicaid - Molina — Medicaid - Molina: $353.10 Medicaid - United — Medicaid - United: $339.52 Medicare - Humana — Medicare - Humana: $500.79 Medicare - Molina — Medicare - Molina: $510.81 Medicare - Priority Health — Medicare - Priority Health: $500.79 Medicare - United — Medicare - United: $515.81 Priority Health — Priority Health: $802.37
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Hospitalist SP 49505 Repair initial inguinal hernia age 5yrs or older; reducible	$2,352.50	$1,176.30	$339.52 – $848.96
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $848.96 Cofinity Aetna — Cofinity Aetna: $676.01 McLaren Commercial Ins — McLaren Commercial Ins: $530.98 Medicaid - Molina — Medicaid - Molina: $353.10 Medicaid - United — Medicaid - United: $339.52 Medicare - Humana — Medicare - Humana: $500.79 Medicare - Molina — Medicare - Molina: $510.81 Medicare - Priority Health — Medicare - Priority Health: $500.79 Medicare - United — Medicare - United: $515.81 Priority Health — Priority Health: $802.37
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE	$11,314.21	$5,657.11	$1,120.53 – $3,196.59
Prostate biopsy: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,034.51 Medicaid - Meridian — Medicaid - Meridian: $1,120.53 Medicaid - Midwest — Medicaid - Midwest: $1,120.53 Medicaid - Molina — Medicaid - Molina: $1,154.15 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,120.53 Medicaid - United — Medicaid - United: $1,120.53 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,196.59 Medicare - Fidelis — Medicare - Fidelis: $1,997.87 Medicare - Humana — Medicare - Humana: $1,997.87 Medicare - Molina — Medicare - Molina: $1,997.87
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: SP Prostate Biopsy, Needle/Punch - 1 or more 55700	$802	$401	$82.22 – $205.58
Prostate biopsy: rates for 9 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $205.58 Cofinity Aetna — Cofinity Aetna: $164.89 HAP - HMO — HAP - HMO: $125.09 McLaren Commercial Ins — McLaren Commercial Ins: $151 Medicaid - Molina — Medicaid - Molina: $85.51 Medicaid - United — Medicaid - United: $82.22 Priority Health — Priority Health: $185.41 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $82.22 United Healthcare — United Healthcare: $197.22
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: US Biopsy Prostate - Report	$354.40	$177.20	$82.22 – $205.58
Prostate biopsy: rates for 9 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $205.58 Cofinity Aetna — Cofinity Aetna: $164.89 HAP - HMO — HAP - HMO: $125.09 McLaren Commercial Ins — McLaren Commercial Ins: $151 Medicaid - Molina — Medicaid - Molina: $85.51 Medicaid - United — Medicaid - United: $82.22 Priority Health — Priority Health: $185.41 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $82.22 United Healthcare — United Healthcare: $197.22
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPARO RADICAL PROSTATECTOMY	$53,068.46	$26,534.23	$5,694.94 – $18,368.75
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $18,368.75 Medicaid - Meridian — Medicaid - Meridian: $5,694.94 Medicaid - Midwest — Medicaid - Midwest: $5,694.94 Medicaid - Molina — Medicaid - Molina: $5,865.79 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $5,694.94 Medicaid - United — Medicaid - United: $5,694.94 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $16,246.17 Medicare - Fidelis — Medicare - Fidelis: $10,153.85 Medicare - Humana — Medicare - Humana: $10,153.85 Medicare - Molina — Medicare - Molina: $10,153.85
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: SP Lap Prostatectomy Retropubic Radcl incl Nrv Sparing/Robotic assist 55866	$6,633.40	$3,316.70	$761.69 – $2,446.44
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,904.58 Cofinity Aetna — Cofinity Aetna: $1,519.41 McLaren Commercial Ins — McLaren Commercial Ins: $2,014.16 Medicaid - Molina — Medicaid - Molina: $792.16 Medicaid - United — Medicaid - United: $761.69 Medicare - Humana — Medicare - Humana: $1,071.41 Medicare - Molina — Medicare - Molina: $1,092.84 Medicare - Priority Health — Medicare - Priority Health: $1,071.41 Medicare - United — Medicare - United: $1,103.55 Priority Health — Priority Health: $1,706.64
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Hospitalist SP 55866 Lap Prostatectomy Retropubic Radcl inc Nrv Sparing/Robotic assist	$6,633.40	$3,316.70	$761.69 – $2,446.44
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,904.58 Cofinity Aetna — Cofinity Aetna: $1,519.41 McLaren Commercial Ins — McLaren Commercial Ins: $2,014.16 Medicaid - Molina — Medicaid - Molina: $792.16 Medicaid - United — Medicaid - United: $761.69 Medicare - Humana — Medicare - Humana: $1,071.41 Medicare - Molina — Medicare - Molina: $1,092.84 Medicare - Priority Health — Medicare - Priority Health: $1,071.41 Medicare - United — Medicare - United: $1,103.55 Priority Health — Priority Health: $1,706.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY	$6,901.48	$3,450.74	$1,739.20 – $4,961.49
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4,229.66 Medicaid - Meridian — Medicaid - Meridian: $1,739.20 Medicaid - Midwest — Medicaid - Midwest: $1,739.20 Medicaid - Molina — Medicaid - Molina: $1,791.38 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,739.20 Medicaid - United — Medicaid - United: $1,739.20 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $4,961.49 Medicare - Fidelis — Medicare - Fidelis: $3,100.93 Medicare - Humana — Medicare - Humana: $3,100.93 Medicare - Molina — Medicare - Molina: $3,100.93
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: SP Hysteroscopy, Surgical; With Sampling (Biopsy) Of Endometrium/Polypectomy, W/Wo D & C 58558	$1,426	$713	$147.82 – $392.53
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $369.62 Cofinity Aetna — Cofinity Aetna: $274.96 HAP - HMO — HAP - HMO: $228.39 McLaren Commercial Ins — McLaren Commercial Ins: $301.40 Medicaid - Molina — Medicaid - Molina: $153.73 Medicaid - United — Medicaid - United: $147.82 Medicare - Humana — Medicare - Humana: $203.65 Medicare - Molina — Medicare - Molina: $207.72 Medicare - Priority Health — Medicare - Priority Health: $203.65 Medicare - United — Medicare - United: $209.76
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hospitalist SP 58558 Hysteroscopy Bx Endometrium&/Polypc w wo D&C	$1,426	$713	$147.82 – $392.53
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $369.62 Cofinity Aetna — Cofinity Aetna: $274.96 HAP - HMO — HAP - HMO: $228.39 McLaren Commercial Ins — McLaren Commercial Ins: $301.40 Medicaid - Molina — Medicaid - Molina: $153.73 Medicaid - United — Medicaid - United: $147.82 Medicare - Humana — Medicare - Humana: $203.65 Medicare - Molina — Medicare - Molina: $207.72 Medicare - Priority Health — Medicare - Priority Health: $203.65 Medicare - United — Medicare - United: $209.76
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Injection Interlaminar Lumbar/Sacral w/ Guidance 62323	$2,291.10	$1,145.55	$378.81 – $1,080.64
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $774.26 Medicaid - Meridian — Medicaid - Meridian: $378.81 Medicaid - Midwest — Medicaid - Midwest: $378.81 Medicaid - Molina — Medicaid - Molina: $390.17 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $378.81 Medicaid - United — Medicaid - United: $378.81 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,080.64 Medicare - Fidelis — Medicare - Fidelis: $675.40 Medicare - Humana — Medicare - Humana: $675.40 Medicare - Molina — Medicare - Molina: $675.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323- IR Inj Epid/Subarac Lum/Sacr w/ Img	$2,291.10	$1,145.55	$378.81 – $1,080.64
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $774.26 Medicaid - Meridian — Medicaid - Meridian: $378.81 Medicaid - Midwest — Medicaid - Midwest: $378.81 Medicaid - Molina — Medicaid - Molina: $390.17 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $378.81 Medicaid - United — Medicaid - United: $378.81 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,080.64 Medicare - Fidelis — Medicare - Fidelis: $675.40 Medicare - Humana — Medicare - Humana: $675.40 Medicare - Molina — Medicare - Molina: $675.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC	$2,658.88	$1,329.44	$378.81 – $1,080.64
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $774.26 Medicaid - Meridian — Medicaid - Meridian: $378.81 Medicaid - Midwest — Medicaid - Midwest: $378.81 Medicaid - Molina — Medicaid - Molina: $390.17 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $378.81 Medicaid - United — Medicaid - United: $378.81 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,080.64 Medicare - Fidelis — Medicare - Fidelis: $675.40 Medicare - Humana — Medicare - Humana: $675.40 Medicare - Molina — Medicare - Molina: $675.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Injection Anesthetic/Steroid Transforaminal w/Guide Lumbar/Sacral Single Lvl 64483	$2,377.30	$1,188.65	$486.99 – $1,389.25
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,092.96 Cofinity Aetna — Cofinity Aetna: $1,245.71 Medicaid - Meridian — Medicaid - Meridian: $486.99 Medicaid - Midwest — Medicaid - Midwest: $486.99 Medicaid - Molina — Medicaid - Molina: $501.60 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $486.99 Medicaid - United — Medicaid - United: $486.99 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,389.25 Medicare - Fidelis — Medicare - Fidelis: $868.28 Medicare - Humana — Medicare - Humana: $868.28
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483-CT Inject Lmbr/Scrl Foramina Epid	$2,377.30	$1,188.65	$486.99 – $1,389.25
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,092.96 Medicaid - Meridian — Medicaid - Meridian: $486.99 Medicaid - Midwest — Medicaid - Midwest: $486.99 Medicaid - Molina — Medicaid - Molina: $501.60 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $486.99 Medicaid - United — Medicaid - United: $486.99 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,389.25 Medicare - Fidelis — Medicare - Fidelis: $868.28 Medicare - Humana — Medicare - Humana: $868.28 Medicare - Molina — Medicare - Molina: $868.28
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: XR Injection Lmbr/Scrl Foramina Epidural - Report	$191.70	$95.90	$70.93 – $177.58
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $177.36 Cofinity Aetna — Cofinity Aetna: $139.99 HAP - HMO — HAP - HMO: $107.88 McLaren Commercial Ins — McLaren Commercial Ins: $115.09 Medicaid - Molina — Medicaid - Molina: $73.77 Medicaid - United — Medicaid - United: $70.93 Medicare - Humana — Medicare - Humana: $97.48 Medicare - Molina — Medicare - Molina: $99.43 Medicare - Priority Health — Medicare - Priority Health: $97.48 Medicare - United — Medicare - United: $100.40
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY	$5,448.16	$2,724.08	$1,068.17 – $3,047.20
Carpal tunnel release: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $2,619.80 Medicaid - Meridian — Medicaid - Meridian: $1,068.17 Medicaid - Midwest — Medicaid - Midwest: $1,068.17 Medicaid - Molina — Medicaid - Molina: $1,100.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,068.17 Medicaid - United — Medicaid - United: $1,068.17 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,047.20 Medicare - Fidelis — Medicare - Fidelis: $1,904.50 Medicare - Humana — Medicare - Humana: $1,904.50 Medicare - Molina — Medicare - Molina: $1,904.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: SP Neuroplasty And/Or Transposition; Median Nerve At Carpal Tunnel 64721	$1,666.90	$833.50	$287.34 – $718.48
Carpal tunnel release: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $718.48 Cofinity Aetna — Cofinity Aetna: $556.29 HAP - HMO — HAP - HMO: $421.98 McLaren Commercial Ins — McLaren Commercial Ins: $441.66 Medicaid - Molina — Medicaid - Molina: $298.83 Medicaid - United — Medicaid - United: $287.34 Medicare - Humana — Medicare - Humana: $407.61 Medicare - Molina — Medicare - Molina: $415.76 Medicare - Priority Health — Medicare - Priority Health: $407.61 Medicare - United — Medicare - United: $419.84
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Hospitalist SP 64721 Neuroplasty And/Or Transposition; Median Nerve At Carpal Tunnel	$1,666.90	$833.50	$287.34 – $718.48
Carpal tunnel release: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $718.48 Cofinity Aetna — Cofinity Aetna: $556.29 HAP - HMO — HAP - HMO: $421.98 McLaren Commercial Ins — McLaren Commercial Ins: $441.66 Medicaid - Molina — Medicaid - Molina: $298.83 Medicaid - United — Medicaid - United: $287.34 Medicare - Humana — Medicare - Humana: $407.61 Medicare - Molina — Medicare - Molina: $415.76 Medicare - Priority Health — Medicare - Priority Health: $407.61 Medicare - United — Medicare - United: $419.84
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: CATARACT SURG W/IOL 1 STAGE	$6,102.94	$3,051.47	$1,247.56 – $4,254.73
Cataract removal with lens implant: 10 of 16 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $4,254.73 Medicaid - Meridian — Medicaid - Meridian: $1,247.56 Medicaid - Midwest — Medicaid - Midwest: $1,247.56 Medicaid - Molina — Medicaid - Molina: $1,284.99 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,247.56 Medicaid - United — Medicaid - United: $1,247.56 Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,558.96 Medicare - Fidelis — Medicare - Fidelis: $2,224.35 Medicare - Humana — Medicare - Humana: $2,224.35 Medicare - Molina — Medicare - Molina: $2,224.35
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: SP Cataract surgery w IOL prosthesis (1 stage procedure) 66984	$2,797.40	$1,398.70	$343.57 – $859.08
Cataract removal with lens implant: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $859.08 Cofinity Aetna — Cofinity Aetna: $700.48 McLaren Commercial Ins — McLaren Commercial Ins: $738 Medicaid - Molina — Medicaid - Molina: $357.31 Medicaid - United — Medicaid - United: $343.57 Medicare - Humana — Medicare - Humana: $447.39 Medicare - Molina — Medicare - Molina: $456.34 Medicare - Priority Health — Medicare - Priority Health: $447.39 Medicare - United — Medicare - United: $460.81 Priority Health — Priority Health: $776.30

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: SP Total Obstetrical Care W/ Vaginal Delivery 59400	$7,617.50	$3,808.80	$2,043 – $3,504.67
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $3,504.67 Cofinity Aetna — Cofinity Aetna: $2,800 McLaren Commercial Ins — McLaren Commercial Ins: $2,043 Medicaid - Molina — Medicaid - Molina: $2,309.56 Medicaid - United — Medicaid - United: $2,220.73 Medicare - Humana — Medicare - Humana: $2,205 Medicare - Molina — Medicare - Molina: $2,249.10 Medicare - Priority Health — Medicare - Priority Health: $2,205 Medicare - United — Medicare - United: $2,271.15 Priority Health — Priority Health: $3,400.06
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Hospitalist SP 59400 OB Care, Vaginal Delivery & Postpartum	$7,617.50	$3,808.80	$2,043 – $3,504.67
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $3,504.67 Cofinity Aetna — Cofinity Aetna: $2,800 McLaren Commercial Ins — McLaren Commercial Ins: $2,043 Medicaid - Molina — Medicaid - Molina: $2,309.56 Medicaid - United — Medicaid - United: $2,220.73 Medicare - Humana — Medicare - Humana: $2,205 Medicare - Molina — Medicare - Molina: $2,249.10 Medicare - Priority Health — Medicare - Priority Health: $2,205 Medicare - United — Medicare - United: $2,271.15 Priority Health — Priority Health: $3,400.06
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: SP Total Ob Care;Cesarean Delivery 59510	$8,039.10	$4,019.60	$2,309 – $3,780.59
Cesarean delivery (C-section), with care before and after: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $3,504.67 Cofinity Aetna — Cofinity Aetna: $2,800 McLaren Commercial Ins — McLaren Commercial Ins: $2,309 Medicaid - Molina — Medicaid - Molina: $2,574.79 Medicaid - United — Medicaid - United: $2,475.76 Medicare - Humana — Medicare - Humana: $2,471.54 Medicare - Molina — Medicare - Molina: $2,520.97 Medicare - Priority Health — Medicare - Priority Health: $2,471.54 Medicare - United — Medicare - United: $2,545.69 Priority Health — Priority Health: $3,780.59
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: SP Routine Ob Care Incl antepartum care Vag Dlvry & Postpartum Care after prev C-sect 59610	$7,631.10	$3,815.60	$2,140 – $3,679.92
Vaginal delivery after a previous C-section, with care before and after: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $3,679.92 Cofinity Aetna — Cofinity Aetna: $2,800 McLaren Commercial Ins — McLaren Commercial Ins: $2,140 Medicaid - Molina — Medicaid - Molina: $2,429.22 Medicaid - United — Medicaid - United: $2,335.79 Medicare - Humana — Medicare - Humana: $2,330.18 Medicare - Molina — Medicare - Molina: $2,376.78 Medicare - Priority Health — Medicare - Priority Health: $2,330.18 Medicare - United — Medicare - United: $2,400.09 Priority Health — Priority Health: $3,564.47

Source: McLaren Lapeer Region’s standard charges file (mclaren.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 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	Acute Care Hospital
Address	1375 N Main St, Lapeer, MI 48446
County	Lapeer County
State	Michigan
Phone	(810) 667‑5500
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	230193
Name in Medicare records	MCLAREN LAPEER REGION
Profile level	Medicare data + hospital website
Official website	mclaren.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
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.

About McLaren Lapeer Region — mclaren.org

McLaren Lapeer Region

Summary

Profile from official sources

At a glance