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Acute Care Hospital

McLaren Macomb

Mount Clemens, Michigan · Macomb County · Emergency services listed

McLaren Macomb is an acute care hospital at 1000 Harrington St, Mount Clemens, MI 48043. Phone: (586) 493-8000. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

McLaren Macomb is an acute care hospital in Mount Clemens, Michigan. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 10 services, specialties and programs. Medicare lists 453 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(586) 493‑8000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
288Beds (hospital website)
453Doctors and clinicians
10Services listed

Quick answers

Does McLaren Macomb have an emergency room?
Yes. Medicare (CMS) data lists emergency services at McLaren Macomb. In a medical emergency, call 911.
Where is McLaren Macomb?
1000 Harrington St, Mount Clemens, MI 48043, in Macomb County, Michigan.
What is the phone number of McLaren Macomb?
(586) 493-8000, as listed by Medicare (CMS).
What is the Medicare star rating of McLaren Macomb?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to McLaren Macomb for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to McLaren Macomb under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.7710; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Treatments[4]

  • Cancer care
  • Bariatric and metabolic care

Procedures[4]

  • Robotic surgery (da Vinci)

Programs and centers[4]

  • Stroke program
  • Graduate medical education

Emergency care (hospital website)[4]

Emergency roomYes
Trauma designationLevel II
Stroke designationCertified Comprehensive Stroke Center

Recognition[4]

  • Accredited chest pain center
  • Accredited bariatric and metabolic center

Doctors and clinicians (453)

453 doctors and other clinicians list McLaren Macomb 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 (453)

And 429 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Mount Clemens

All hospitals in Mount Clemens · Hospitals in Macomb County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

  • Mount Clemens0.3 mi · Mount Clemens, MI · Community health center
  • Groesbeck1.4 mi · Clinton Township, MI · Community health center
  • Advantage Health8.1 mi · Warren, MI · Community health center

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1059%National average: 72%
Would definitely recommend the hospital55%National average: 71%
Nurses “always” communicated well73%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted51%National average: 64%
Staff “always” explained medicines before giving them53%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean59%National average: 73%
Completed surveys636Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.323No different from the national benchmark
Surgical site infections after colon surgery0.45No different from the national benchmark
MRSA bloodstream infections0.771No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.382No different from the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients11.3%
Deaths within 30 days: heart failure patients10.9%
Deaths within 30 days: pneumonia patients16.6%
Deaths within 30 days: COPD patients10.4%
Deaths within 30 days: stroke patients11.6%
Serious complications (patient safety indicator PSI-90)1.2No different from the national rate
Too few cases to reportDeaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16.5%
Readmitted within 30 days: heart attack14.2%
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia18.7%
Readmitted within 30 days: COPD20.3%
Readmitted within 30 days: coronary bypass surgery11.6%
Too few cases to reportReadmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)178 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)68%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for McLaren Macomb, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.7710Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0805More readmissions than expected
Heart failure1.0477More readmissions than expected
Pneumonia0.9953Fewer readmissions than expected
COPD (chronic lung disease)0.9780Fewer readmissions than expected
Coronary bypass surgery (CABG)0.9920Fewer readmissions than expected
No result publishedHip or knee replacement (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.02Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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

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

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

Show the prices of 81 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 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: Hospitalist 99203 Office Visit Level 3 New 30-44 Minutes $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: 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 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: 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: TeleStroke 99204 Office/Other Outpatient New 45-59 Minutes $268 $134 $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: 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: 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: TeleStroke 99205 Office/Other Outpatient New 60-74 Minutes $339 $169.50 $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: 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 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 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
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
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: 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) 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 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 $60.84 – $143.10
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Cofinity Aetna — Cofinity Aetna: $130.91
  • McLaren Commercial Ins — McLaren Commercial Ins: $60.84
  • Priority Health — Priority Health: $118.89
  • United Healthcare — United Healthcare: $143.10
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 $75.48 – $177.53
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Cofinity Aetna — Cofinity Aetna: $162.40
  • McLaren Commercial Ins — McLaren Commercial Ins: $75.48
  • Priority Health — Priority Health: $147.49
  • United Healthcare — United Healthcare: $177.53
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Dept Visit Level III $465 $232.50 $133.45 – $450
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $348.52
  • Cofinity Aetna — Cofinity Aetna: $287.14
  • Cofinity Auto — Cofinity Auto: $332.71
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $241.80
  • McLaren Commercial Ins — McLaren Commercial Ins: $133.45
  • Medicaid - Meridian — Medicaid - Meridian: $151.46
  • Medicaid - Midwest — Medicaid - Midwest: $151.46
  • Medicaid - Molina — Medicaid - Molina: $180
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $151.46
  • Medicaid - United — Medicaid - United: $159.03
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: TeleStroke 99283 Emergency Dept Visit History/Exam & Low MDM $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 (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency Dept Visit Level IV $826 $413 $180 – $664.47
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $597.95
  • Cofinity Aetna — Cofinity Aetna: $510.06
  • Cofinity Auto — Cofinity Auto: $591
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $429.52
  • McLaren Commercial Ins — McLaren Commercial Ins: $237.06
  • Medicaid - Meridian — Medicaid - Meridian: $232.92
  • Medicaid - Midwest — Medicaid - Midwest: $232.92
  • Medicaid - Molina — Medicaid - Molina: $180
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $232.92
  • Medicaid - United — Medicaid - United: $244.57
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: TeleStroke 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 $1,209 $604.50 $180 – $956.71
Emergency room visit (high): 10 of 24 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $862.84
  • Cofinity Aetna — Cofinity Aetna: $746.56
  • Cofinity Auto — Cofinity Auto: $865.04
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $628.68
  • McLaren Commercial Ins — McLaren Commercial Ins: $346.98
  • Medicaid - Meridian — Medicaid - Meridian: $335.37
  • Medicaid - Midwest — Medicaid - Midwest: $335.37
  • Medicaid - Molina — Medicaid - Molina: $180
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $335.37
  • Medicaid - United — Medicaid - United: $352.13
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: TeleStroke 99285 Emergency Dept Visit History/Exam & High MDM $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

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel $35.60 $17.80 $4.63 – $50
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $35.71
  • Cofinity Aetna — Cofinity Aetna: $21.98
  • Cofinity Auto — Cofinity Auto: $15.68
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $18.51
  • 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: $4.86
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $13.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel $60.70 $30.35 $5.78 – $62.48
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $62.48
  • Cofinity Aetna — Cofinity Aetna: $37.48
  • Cofinity Auto — Cofinity Auto: $19.57
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $31.56
  • 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: $6.07
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $16.48
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OB Panel $214.20 $107.10 $26.15 – $178.03
Obstetric blood test panel: 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $178.03
  • Cofinity Aetna — Cofinity Aetna: $132.27
  • 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: $27.46
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $74.61
  • Medicare - Fidelis — Medicare - Fidelis: $48.49
  • Medicare - Humana — Medicare - Humana: $46.63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel Calculated $101.90 $50.95 $7.32 – $62.92
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $47.63
  • Cofinity Aetna — Cofinity Aetna: $62.92
  • Cofinity Auto — Cofinity Auto: $24.81
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $52.99
  • 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: $7.69
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $20.89
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel $43.30 $21.65 $4.75 – $44.59
Kidney function panel: 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $44.59
  • Cofinity Aetna — Cofinity Aetna: $26.74
  • 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: $4.99
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $13.54
  • Medicare - Fidelis — Medicare - Fidelis: $8.80
  • Medicare - Humana — Medicare - Humana: $8.47
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel $44.10 $22.05 $4.47 – $31.22
Liver function panel: 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $31.22
  • Cofinity Aetna — Cofinity Aetna: $27.23
  • Cofinity Auto — Cofinity Auto: $15.14
  • 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: $4.69
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.75
  • Medicare - Fidelis — Medicare - Fidelis: $8.29
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UAWMICR $43 $21.50 $1.73 – $26.55
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $9.79
  • Cofinity Aetna — Cofinity Aetna: $26.55
  • Cofinity Auto — Cofinity Auto: $5.87
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $22.36
  • 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: $1.82
  • 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 $43 $21.50 $1.73 – $26.55
Urine test (automated, with microscope): 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $9.79
  • Cofinity Aetna — Cofinity Aetna: $26.55
  • 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: $1.82
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $4.95
  • Medicare - Fidelis — Medicare - Fidelis: $3.22
  • Medicare - Humana — Medicare - Humana: $3.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urine Dipstick POC Amb $29.30 $14.65 $1.90 – $25
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $10.74
  • 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: $2
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5.43
  • Medicare - Fidelis — Medicare - Fidelis: $3.53
  • Medicare - Humana — Medicare - Humana: $3.39
  • Medicare - Molina — Medicare - Molina: $3.46
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Dip Stick Non-Auto w/o Micro POC 81002 Downtime $29.30 $14.65 $1.90 – $25
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $10.74
  • 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: $2
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5.43
  • Medicare - Fidelis — Medicare - Fidelis: $3.53
  • Medicare - Humana — Medicare - Humana: $3.39
  • Medicare - Molina — Medicare - Molina: $3.46
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UACulIf $32.50 $16.25 $1.23 – $25
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6.95
  • Cofinity Aetna — Cofinity Aetna: $20.07
  • Cofinity Auto — Cofinity Auto: $4.17
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $16.90
  • 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: $1.29
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3.51
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UAMicIf $32.50 $16.25 $1.23 – $25
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6.95
  • Cofinity Aetna — Cofinity Aetna: $20.07
  • Cofinity Auto — Cofinity Auto: $4.17
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $16.90
  • 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: $1.29
  • 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 $32.50 $16.25 $1.23 – $25
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6.95
  • Cofinity Aetna — Cofinity Aetna: $20.07
  • 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: $1.29
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3.51
  • Medicare - Fidelis — Medicare - Fidelis: $2.28
  • Medicare - Humana — Medicare - Humana: $2.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Diagnostic $181.50 $90.75 $10.06 – $112.08
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $56.73
  • Cofinity Aetna — Cofinity Aetna: $112.08
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $94.38
  • 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: $10.56
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $28.70
  • Medicare - Fidelis — Medicare - Fidelis: $18.65
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, Total $181.50 $90.75 $10.06 – $112.08
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $56.73
  • Cofinity Aetna — Cofinity Aetna: $112.08
  • 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: $10.56
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $28.70
  • Medicare - Fidelis — Medicare - Fidelis: $18.65
  • Medicare - Humana — Medicare - Humana: $17.94
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 – $102.63
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $51.83
  • Cofinity Aetna — Cofinity Aetna: $102.63
  • Cofinity Auto — Cofinity Auto: $31.13
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $86.42
  • 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: $9.65
  • 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 $166.20 $83.10 $9.19 – $102.63
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $51.83
  • Cofinity Aetna — Cofinity Aetna: $102.63
  • Cofinity Auto — Cofinity Auto: $31.13
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $86.42
  • 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: $9.65
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $26.22
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w Differential $86 $43 $4.25 – $53.11
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $23.98
  • Cofinity Aetna — Cofinity Aetna: $53.11
  • Cofinity Auto — Cofinity Auto: $14.40
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $44.72
  • 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: $4.46
  • 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 $76.40 $38.20 $4.25 – $50
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $23.98
  • 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: $4.46
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.12
  • Medicare - Fidelis — Medicare - Fidelis: $7.88
  • Medicare - Humana — Medicare - Humana: $7.58
  • Medicare - Molina — Medicare - Molina: $7.73
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W Differential WBC Count POC 85025 Downtime $76.40 $38.20 $4.25 – $50
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $23.98
  • 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: $4.46
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $12.12
  • Medicare - Fidelis — Medicare - Fidelis: $7.88
  • Medicare - Humana — Medicare - Humana: $7.58
  • Medicare - Molina — Medicare - Molina: $7.73
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: $19.95
  • Cofinity Aetna — Cofinity Aetna: $25.32
  • Cofinity Auto — Cofinity Auto: $11.99
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $21.32
  • 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: $3.72
  • 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: $19.95
  • 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: $3.72
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $10.10
  • Medicare - Fidelis — Medicare - Fidelis: $6.56
  • Medicare - Humana — Medicare - Humana: $6.31
  • Medicare - Molina — Medicare - Molina: $6.44
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 – $36.12
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $13.25
  • Cofinity Aetna — Cofinity Aetna: $36.12
  • Cofinity Auto — Cofinity Auto: $7.95
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $30.42
  • 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: $2.46
  • 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 $40.80 $20.40 $2.35 – $25.19
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $13.25
  • Cofinity Aetna — Cofinity Aetna: $25.19
  • 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: $2.46
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $6.69
  • Medicare - Fidelis — Medicare - Fidelis: $4.35
  • Medicare - Humana — Medicare - Humana: $4.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time $58.50 $29.25 $2.35 – $13.25
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $13.25
  • 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: $2.46
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $6.69
  • Medicare - Fidelis — Medicare - Fidelis: $4.35
  • Medicare - Humana — Medicare - Humana: $4.18
  • Medicare - Molina — Medicare - Molina: $4.27
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Activated Partial Thromboplastin $69.30 $34.65 $3.29 – $42.79
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $18.55
  • Cofinity Aetna — Cofinity Aetna: $42.79
  • Cofinity Auto — Cofinity Auto: $11.14
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $36.04
  • 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: $3.45
  • 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 – $42.79
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $18.55
  • Cofinity Aetna — Cofinity Aetna: $42.79
  • 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: $3.45
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9.38
  • Medicare - Fidelis — Medicare - Fidelis: $6.10
  • Medicare - Humana — Medicare - Humana: $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 – $42.79
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $18.55
  • Cofinity Aetna — Cofinity Aetna: $42.79
  • 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: $3.45
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9.38
  • Medicare - Fidelis — Medicare - Fidelis: $6.10
  • Medicare - Humana — Medicare - Humana: $5.86

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

ServiceHospital chargeCash priceInsurance 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 $1,609.90 $804.95 $58.17 – $1,086.68
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $449.11
  • Cofinity Aetna — Cofinity Aetna: $994.11
  • Cofinity Auto — Cofinity Auto: $197.05
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $837.15
  • McLaren Commercial Ins — McLaren Commercial Ins: $462.04
  • 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: $61.08
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 $1,609.90 $804.95 $58.17 – $1,086.68
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $449.11
  • Cofinity Aetna — Cofinity Aetna: $994.11
  • Cofinity Auto — Cofinity Auto: $197.05
  • McLaren Commercial Ins — McLaren Commercial Ins: $462.04
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
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 Contrast - 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 $4,432.30 $2,216.15 $195.35 – $2,991.80
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,417.47
  • Cofinity Aetna — Cofinity Aetna: $2,736.95
  • Cofinity Auto — Cofinity Auto: $661.77
  • McLaren Commercial Ins — McLaren Commercial Ins: $1,272.07
  • 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: $205.12
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Pituitary w/ + w/o Contrast $4,432.30 $2,216.15 $195.35 – $2,991.80
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,417.47
  • Cofinity Aetna — Cofinity Aetna: $2,736.95
  • 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: $205.12
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28
  • Medicare - Fidelis — Medicare - Fidelis: $362.23
  • Medicare - Humana — Medicare - Humana: $348.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC w/ + w/o Contrast $4,432.30 $2,216.15 $195.35 – $2,485.63
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,417.47
  • 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: $205.12
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28
  • Medicare - Fidelis — Medicare - Fidelis: $362.23
  • Medicare - Humana — Medicare - Humana: $348.30
  • Medicare - Molina — Medicare - Molina: $355.27
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views $376.20 $188.10 $48.16 – $253.94
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $153.35
  • Cofinity Aetna — Cofinity Aetna: $232.30
  • Cofinity Auto — Cofinity Auto: $163.16
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $195.62
  • McLaren Commercial Ins — McLaren Commercial Ins: $107.97
  • 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: $50.57
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest Inspiration /+ Expiration $376.20 $188.10 $48.16 – $153.35
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $153.35
  • 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: $50.57
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $137.40
  • Medicare - Fidelis — Medicare - Fidelis: $89.31
  • Medicare - Humana — Medicare - Humana: $85.87
  • Medicare - Molina — Medicare - Molina: $87.59
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Add On - 71046 XR Chest 2 Views $376.20 $188.10 $48.16 – $153.35
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $153.35
  • 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: $50.57
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $137.40
  • Medicare - Fidelis — Medicare - Fidelis: $89.31
  • Medicare - Humana — Medicare - Humana: $85.87
  • Medicare - Molina — Medicare - Molina: $87.59
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral 4+ Views $449.10 $224.55 $58.17 – $303.14
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $258.53
  • Cofinity Aetna — Cofinity Aetna: $277.32
  • Cofinity Auto — Cofinity Auto: $197.05
  • McLaren Commercial Ins — McLaren Commercial Ins: $128.89
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
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 $3,589.10 $1,794.55 $132.22 – $2,422.64
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $817.19
  • Cofinity Aetna — Cofinity Aetna: $2,216.27
  • Cofinity Auto — Cofinity Auto: $447.91
  • McLaren Commercial Ins — McLaren Commercial Ins: $1,030.07
  • 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: $138.83
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $377.19
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 $1,529.10 $764.55 $97.38 – $1,154.58
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,154.58
  • Cofinity Auto — Cofinity Auto: $329.88
  • 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: $102.25
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $277.79
  • Medicare - Fidelis — Medicare - Fidelis: $180.56
  • Medicare - Humana — Medicare - Humana: $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 LT In the file: MRI Knee w/o Contrast Left $2,740.70 $1,370.35 $132.22 – $1,849.97
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $937.67
  • Cofinity Aetna — Cofinity Aetna: $1,692.38
  • Cofinity Auto — Cofinity Auto: $447.91
  • McLaren Commercial Ins — McLaren Commercial Ins: $786.58
  • 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: $138.83
  • 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 RT In the file: MRI Knee w/o Contrast Right $2,740.70 $1,370.35 $132.22 – $1,849.97
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $937.67
  • Cofinity Aetna — Cofinity Aetna: $1,692.38
  • Cofinity Auto — Cofinity Auto: $447.91
  • McLaren Commercial Ins — McLaren Commercial Ins: $786.58
  • 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: $138.83
  • 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 Hip w/o Contrast Left $2,740.70 $1,370.35 $132.22 – $1,849.97
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: $937.67
  • Cofinity Auto — Cofinity Auto: $447.91
  • McLaren Commercial Ins — McLaren Commercial Ins: $786.58
  • 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: $138.83
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $377.19
  • Medicare - Fidelis — Medicare - Fidelis: $245.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen and Pelvis w/ Contrast $1,826.10 $913.05 $195.35 – $1,448.16
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,448.16
  • Cofinity Aetna — Cofinity Aetna: $1,127.62
  • Cofinity Auto — Cofinity Auto: $661.77
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $949.57
  • McLaren Commercial Ins — McLaren Commercial Ins: $524.09
  • 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: $205.12
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Add On - CT Abd/Pelvis w/ Contrast $1,826.10 $913.05 $195.35 – $1,448.16
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,448.16
  • Cofinity Aetna — Cofinity Aetna: $1,127.62
  • Cofinity Auto — Cofinity Auto: $661.77
  • McLaren Commercial Ins — McLaren Commercial Ins: $524.09
  • 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: $205.12
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Enterography Abd/Pelvis w/Cont $1,826.10 $913.05 $195.35 – $1,448.16
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,448.16
  • Cofinity Aetna — Cofinity Aetna: $1,127.62
  • 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: $205.12
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $557.28
  • Medicare - Fidelis — Medicare - Fidelis: $362.23
  • Medicare - Humana — Medicare - Humana: $348.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete $1,325.40 $662.70 $58.17 – $894.65
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $508.26
  • Cofinity Aetna — Cofinity Aetna: $818.43
  • Cofinity Auto — Cofinity Auto: $197.05
  • McLaren Commercial Ins — McLaren Commercial Ins: $380.39
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
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 $1,322.20 $661.10 $58.17 – $892.49
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $571.82
  • Cofinity Aetna — Cofinity Aetna: $816.46
  • Cofinity Auto — Cofinity Auto: $197.05
  • McLaren Commercial Ins — McLaren Commercial Ins: $379.47
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: WH OB US Greater Than 14 weeks, Single $1,322.20 $661.10 $58.17 – $892.49
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $571.82
  • Cofinity Aetna — Cofinity Aetna: $816.46
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
  • Medicare - Fidelis — Medicare - Fidelis: $107.86
  • Medicare - Humana — Medicare - Humana: $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 $542.40 $271.20 $58.17 – $558.65
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $558.65
  • Cofinity Aetna — Cofinity Aetna: $334.93
  • Cofinity Auto — Cofinity Auto: $197.05
  • McLaren Commercial Ins — McLaren Commercial Ins: $155.67
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non-OB $542.40 $271.20 $58.17 – $558.65
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $558.65
  • Cofinity Aetna — Cofinity Aetna: $334.93
  • McLaren Commercial Ins — McLaren Commercial Ins: $155.67
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
  • Medicare - Fidelis — Medicare - Fidelis: $107.86
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ADD ON - US Transvag AMB $363.50 $181.75 $58.17 – $558.65
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $558.65
  • Cofinity Aetna — Cofinity Aetna: $224.46
  • McLaren Commercial Ins — McLaren Commercial Ins: $104.32
  • 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: $61.08
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $165.94
  • Medicare - Fidelis — Medicare - Fidelis: $107.86
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: MG Mammo 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 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 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, both breasts CPT 77066 · Inpatient or outpatient In the file: Add On - MG Mammo Diagnostic Bilat $772.60 $386.30 $221.74 – $733.93
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $733.93
  • Cofinity Aetna — Cofinity Aetna: $477.08
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $401.75
  • McLaren Commercial Ins — McLaren Commercial Ins: $221.74
  • Priority Health — Priority Health: $433.27
  • United Healthcare — United Healthcare: $521.51
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Diagnostic Bilateral $772.60 $386.30 $733.93
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $733.93
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Implant Diagnostic Bilateral $772.60 $386.30 $733.93
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $733.93
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Add On - MG Mammo Screening Bilateral $603.30 $301.65 $173.15 – $606.86
Screening mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $606.86
  • Cofinity Aetna — Cofinity Aetna: $372.54
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $313.72
  • McLaren Commercial Ins — McLaren Commercial Ins: $173.15
  • Priority Health — Priority Health: $338.33
  • United Healthcare — United Healthcare: $407.23
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Screening Bilateral $603.30 $301.65 $173.15 – $606.86
Screening mammogram, both breasts: rates for 5 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $606.86
  • Cofinity Aetna — Cofinity Aetna: $372.54
  • McLaren Commercial Ins — McLaren Commercial Ins: $173.15
  • Priority Health — Priority Health: $338.33
  • United Healthcare — United Healthcare: $407.23
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Implant Screening Bilateral $603.30 $301.65 $276.19 – $606.86
Screening mammogram, both breasts: rates for 4 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $606.86
  • Cofinity Aetna — Cofinity Aetna: $372.54
  • Priority Health — Priority Health: $338.33
  • United Healthcare — United Healthcare: $407.23

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance 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 · Inpatient or outpatient In the file: CCL Lv Gram Only $7,763.60 $3,881.80 $1,319.69 – $5,019.04
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,319.69
  • Medicaid - Meridian — Medicaid - Meridian: $1,759.38
  • Medicaid - Midwest — Medicaid - Midwest: $1,759.38
  • Medicaid - Molina — Medicaid - Molina: $1,812.16
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,759.38
  • Medicaid - United — Medicaid - United: $1,847.35
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,019.04
  • Medicare - Fidelis — Medicare - Fidelis: $3,262.38
  • Medicare - Humana — Medicare - Humana: $3,136.90
  • Medicare - Molina — Medicare - Molina: $3,199.64
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 · Inpatient or outpatient In the file: EP Study w/o Induct Arrhythmia $21,173.60 $10,586.80 $4,150.69 – $11,840.84
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $10,017.05
  • Medicaid - Meridian — Medicaid - Meridian: $4,150.69
  • Medicaid - Midwest — Medicaid - Midwest: $4,150.69
  • Medicaid - Molina — Medicaid - Molina: $4,275.21
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4,150.69
  • Medicaid - United — Medicaid - United: $4,358.23
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $11,840.84
  • Medicare - Fidelis — Medicare - Fidelis: $7,696.54
  • Medicare - Humana — Medicare - Humana: $7,400.52
  • Medicare - Molina — Medicare - Molina: $7,548.53
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 · Inpatient or outpatient In the file: EP A-FIBRILLATION ABLATION with EP Study $60,163.60 $30,081.80 $485.84 – $38,281.38
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $485.84
  • Medicaid - Meridian — Medicaid - Meridian: $13,419.17
  • Medicaid - Midwest — Medicaid - Midwest: $13,419.17
  • Medicaid - Molina — Medicaid - Molina: $13,821.74
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $13,419.17
  • Medicaid - United — Medicaid - United: $14,090.13
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $38,281.38
  • Medicare - Fidelis — Medicare - Fidelis: $24,882.90
  • Medicare - Humana — Medicare - Humana: $23,925.86
  • Medicare - Molina — Medicare - Molina: $24,404.38
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 $4,879.50 $2,439.75 $556.51 – $3,293.66
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $850.51
  • Cofinity Aetna — Cofinity Aetna: $3,013.09
  • Cofinity group 15892 & 15893 — Cofinity group 15892 & 15893: $2,537.34
  • McLaren Commercial Ins — McLaren Commercial Ins: $1,400.42
  • 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: $584.34
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,587.58
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

ServiceHospital chargeCash priceInsurance 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 $94.40 $47.20 $27.09 – $58.29
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $44
  • Cofinity Aetna — Cofinity Aetna: $58.29
  • McLaren Commercial Ins — McLaren Commercial Ins: $27.09
  • Priority Health — Priority Health: $52.94
  • Workers Compensation — Workers Compensation: $30.88
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT Therapeutic Exercise Units $94.40 $47.20 $27.09 – $56.83
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $44
  • McLaren Commercial Ins — McLaren Commercial Ins: $27.09
  • Priority Health — Priority Health: $52.94
  • Workers Compensation — Workers Compensation: $30.88
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Low Complexity $141.80 $70.90 $46.38 – $130.01
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $130.01
  • Priority Health — Priority Health: $79.52
  • Workers Compensation — Workers Compensation: $46.38
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Moderate Complexity $212.90 $106.45 $69.64 – $131.47
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $130.01
  • Cofinity Aetna — Cofinity Aetna: $131.47
  • Priority Health — Priority Health: $119.39
  • Workers Compensation — Workers Compensation: $69.64
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, High Complexity $319 $159.50 $130.01
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $130.01
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 16 insurance plan rates
  • Cofinity Auto — Cofinity Auto: $143.96
  • 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: $92.28
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72
  • Medicare - Fidelis — Medicare - Fidelis: $162.97
  • Medicare - Humana — Medicare - Humana: $156.70
  • Medicare - Molina — Medicare - Molina: $159.83
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: $92.28
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72
  • Medicare - Fidelis — Medicare - Fidelis: $162.97
  • Medicare - Humana — Medicare - Humana: $156.70
  • Medicare - Molina — Medicare - Molina: $159.83
  • 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: $92.28
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72
  • Medicare - Fidelis — Medicare - Fidelis: $162.97
  • Medicare - Humana — Medicare - Humana: $156.70
  • Medicare - Molina — Medicare - Molina: $159.83
  • 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 $25.31 – $250.72
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $25.31
  • 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: $92.28
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72
  • Medicare - Fidelis — Medicare - Fidelis: $162.97
  • Medicare - Humana — Medicare - Humana: $156.70
  • Medicare - Molina — Medicare - Molina: $159.83
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 $21.07 – $250.72
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $21.07
  • 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: $92.28
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $250.72
  • Medicare - Fidelis — Medicare - Fidelis: $162.97
  • Medicare - Humana — Medicare - Humana: $156.70
  • Medicare - Molina — Medicare - Molina: $159.83
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 $11.09 – $144.34
Group psychotherapy: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $11.09
  • 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: $53.13
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $144.34
  • Medicare - Fidelis — Medicare - Fidelis: $93.82
  • Medicare - Humana — Medicare - Humana: $90.21
  • Medicare - Molina — Medicare - Molina: $92.02
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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Exc Cyst/Fibroadenoma/Tmr Breast Open Male/Female >=1 Lesions 19120 $3,714.50 $1,857.25 $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: $5,434.44
  • 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: $2,199.35
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,975.39
  • Medicare - Fidelis — Medicare - Fidelis: $3,884.01
  • Medicare - Humana — Medicare - Humana: $3,734.62
  • Medicare - Molina — Medicare - Molina: $3,809.31
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION $14,008.77 $7,004.39 $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: $5,434.44
  • 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: $2,199.35
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,975.39
  • Medicare - Fidelis — Medicare - Fidelis: $3,884.01
  • Medicare - Humana — Medicare - Humana: $3,734.62
  • Medicare - Molina — Medicare - Molina: $3,809.31
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
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY $67,916.10 $33,958.05 $7,038.15 – $35,202.65
Total hip replacement: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $35,202.65
  • 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: $7,390.06
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $20,078
  • Medicare - Fidelis — Medicare - Fidelis: $13,050.70
  • Medicare - Humana — Medicare - Humana: $12,548.75
  • Medicare - Molina — Medicare - Molina: $12,799.73
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 $59,353.09 $29,676.55 $7,038.15 – $34,328.05
Total knee replacement: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $34,328.05
  • 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: $7,390.06
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $20,078
  • Medicare - Fidelis — Medicare - Fidelis: $13,050.70
  • Medicare - Humana — Medicare - Humana: $12,548.75
  • Medicare - Molina — Medicare - Molina: $12,799.73
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 $19,712.70 $9,856.35 $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: $3,766.35
  • 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: $1,863.54
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,063.05
  • Medicare - Fidelis — Medicare - Fidelis: $3,290.98
  • Medicare - Humana — Medicare - Humana: $3,164.40
  • Medicare - Molina — Medicare - Molina: $3,227.69
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 $16,763.02 $8,381.51 $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: $3,302.69
  • 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: $3,397.66
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9,231.08
  • Medicare - Fidelis — Medicare - Fidelis: $6,000.20
  • Medicare - Humana — Medicare - Humana: $5,769.42
  • Medicare - Molina — Medicare - Molina: $5,884.81
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 $2,557.30 $1,278.65 $180 – $1,463.01
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,351.26
  • Medicaid - Meridian — Medicaid - Meridian: $512.85
  • Medicaid - Midwest — Medicaid - Midwest: $512.85
  • Medicaid - Molina — Medicaid - Molina: $180
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $512.85
  • Medicaid - United — Medicaid - United: $538.49
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,463.01
  • Medicare - Fidelis — Medicare - Fidelis: $950.96
  • Medicare - Humana — Medicare - Humana: $914.38
  • Medicare - Molina — Medicare - Molina: $450
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 (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hospitalist SP 43235 Esophagogastroduodenoscopy, flex, Transoral, Diagnostic (sep px) $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 $2,789.10 $1,394.55 $180 – $1,639.88
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,639.88
  • Medicaid - Meridian — Medicaid - Meridian: $512.85
  • Medicaid - Midwest — Medicaid - Midwest: $512.85
  • Medicaid - Molina — Medicaid - Molina: $180
  • Medicaid - Total Healthcare — Medicaid - Total Healthcare: $512.85
  • Medicaid - United — Medicaid - United: $538.49
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,463.01
  • Medicare - Fidelis — Medicare - Fidelis: $950.96
  • Medicare - Humana — Medicare - Humana: $914.38
  • Medicare - Molina — Medicare - Molina: $450
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: Hospitalist BP 45378 Colonoscopy Flx Dx w/collect Spec when Pfrmd $2,448.40 $1,224.20 $498.71 – $1,422.68
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $924.07
  • 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: $523.64
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,422.68
  • Medicare - Fidelis — Medicare - Fidelis: $924.74
  • Medicare - Humana — Medicare - Humana: $889.17
  • Medicare - Molina — Medicare - Molina: $906.96
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY $6,127.06 $3,063.53 $498.71 – $1,422.68
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $924.07
  • 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: $523.64
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,422.68
  • Medicare - Fidelis — Medicare - Fidelis: $924.74
  • Medicare - Humana — Medicare - Humana: $889.17
  • Medicare - Molina — Medicare - Molina: $906.96
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 with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY $5,596.52 $2,798.26 $644.96 – $1,839.89
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,679.23
  • 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: $677.20
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,839.89
  • Medicare - Fidelis — Medicare - Fidelis: $1,195.93
  • Medicare - Humana — Medicare - Humana: $1,149.93
  • Medicare - Molina — Medicare - Molina: $1,172.93
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 $4,986.84 $2,493.42 $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: $1,679.23
  • 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: $677.20
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,839.89
  • Medicare - Fidelis — Medicare - Fidelis: $1,195.93
  • Medicare - Humana — Medicare - Humana: $1,149.93
  • Medicare - Molina — Medicare - Molina: $1,172.93
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 $3,954.78 $1,977.39 $498.71 – $1,422.68
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $924.07
  • 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: $523.64
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,422.68
  • Medicare - Fidelis — Medicare - Fidelis: $924.74
  • Medicare - Humana — Medicare - Humana: $889.17
  • Medicare - Molina — Medicare - Molina: $906.96
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
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
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY $30,804.54 $15,402.27 $3,191.39 – $9,104.22
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $5,939.57
  • 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: $3,350.96
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $9,104.22
  • Medicare - Fidelis — Medicare - Fidelis: $5,917.74
  • Medicare - Humana — Medicare - Humana: $5,690.13
  • Medicare - Molina — Medicare - Molina: $5,803.94
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 $28,107.09 $14,053.55 $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: $4,491.44
  • 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: $2,026.92
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $5,506.91
  • Medicare - Fidelis — Medicare - Fidelis: $3,579.49
  • Medicare - Humana — Medicare - Humana: $3,441.82
  • Medicare - Molina — Medicare - Molina: $3,510.66
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: 55700-US Biopsy Prostate $2,781.70 $1,390.85 $1,120.53 – $3,196.59
Prostate biopsy: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,827.67
  • 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: $1,176.56
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,196.59
  • Medicare - Fidelis — Medicare - Fidelis: $2,077.79
  • Medicare - Humana — Medicare - Humana: $1,997.87
  • Medicare - Molina — Medicare - Molina: $2,037.83
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BP Prostate Biopsy, Needle/Punch-1 or more 55700 $2,781.70 $1,390.85 $1,120.53 – $3,196.59
Prostate biopsy: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,827.67
  • 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: $1,176.56
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,196.59
  • Medicare - Fidelis — Medicare - Fidelis: $2,077.79
  • Medicare - Humana — Medicare - Humana: $1,997.87
  • Medicare - Molina — Medicare - Molina: $2,037.83
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Prostate Biopsy, Needle/Punch-1 or more 55700 $2,781.70 $1,390.85 $1,120.53 – $3,196.59
Prostate biopsy: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,827.67
  • 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: $1,176.56
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,196.59
  • Medicare - Fidelis — Medicare - Fidelis: $2,077.79
  • Medicare - Humana — Medicare - Humana: $1,997.87
  • Medicare - Molina — Medicare - Molina: $2,037.83
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 $16,375.57 $8,187.79 $1,739.20 – $6,293.40
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6,293.40
  • 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: $1,826.16
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $4,961.49
  • Medicare - Fidelis — Medicare - Fidelis: $3,224.97
  • Medicare - Humana — Medicare - Humana: $3,100.93
  • Medicare - Molina — Medicare - Molina: $3,162.95
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: Hysteroscopy w/Sampling Endometrium &/or Polypectomy w/wo D & C 58558 $2,585 $1,292.50 $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: 62323- IR Inj Epid/Subarac Lum/Sacr w/ Img $2,089.40 $1,044.70 $378.81 – $1,410.35
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $695.55
  • Cofinity Aetna — Cofinity Aetna: $1,290.20
  • Cofinity Auto — Cofinity Auto: $1,283.26
  • 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: $397.75
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,080.64
  • Medicare - Fidelis — Medicare - Fidelis: $702.42
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323-XR Injection Lmbr/Scrl Epidural $2,089.40 $1,044.70 $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: $695.55
  • 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: $397.75
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,080.64
  • Medicare - Fidelis — Medicare - Fidelis: $702.42
  • Medicare - Humana — Medicare - Humana: $675.40
  • Medicare - Molina — Medicare - Molina: $688.91
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323- CT Injection Lmbr/Scrl Epidural $2,089.40 $1,044.70 $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: $695.55
  • 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: $397.75
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,080.64
  • Medicare - Fidelis — Medicare - Fidelis: $702.42
  • Medicare - Humana — Medicare - Humana: $675.40
  • Medicare - Molina — Medicare - Molina: $688.91
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 $1,797.80 $898.90 $486.99 – $1,389.25
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $981.84
  • Cofinity Aetna — Cofinity Aetna: $1,110.14
  • 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: $511.34
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,389.25
  • Medicare - Fidelis — Medicare - Fidelis: $903.01
  • Medicare - Humana — Medicare - Humana: $868.28
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483-XR Inject Lmbr/Scrl Foramina Epid $1,797.80 $898.90 $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: $981.84
  • 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: $511.34
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,389.25
  • Medicare - Fidelis — Medicare - Fidelis: $903.01
  • Medicare - Humana — Medicare - Humana: $868.28
  • Medicare - Molina — Medicare - Molina: $885.65
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483-CT Inject Lmbr/Scrl Foramina Epid $1,797.80 $898.90 $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: $981.84
  • 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: $511.34
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $1,389.25
  • Medicare - Fidelis — Medicare - Fidelis: $903.01
  • Medicare - Humana — Medicare - Humana: $868.28
  • Medicare - Molina — Medicare - Molina: $885.65
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY $10,445.50 $5,222.75 $1,068.17 – $3,898.05
Carpal tunnel release: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,898.05
  • 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: $1,121.57
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,047.20
  • Medicare - Fidelis — Medicare - Fidelis: $1,980.68
  • Medicare - Humana — Medicare - Humana: $1,904.50
  • Medicare - Molina — Medicare - Molina: $1,942.59
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 $10,437.98 $5,218.99 $1,247.56 – $6,330.70
Cataract removal with lens implant: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6,330.70
  • 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: $1,309.94
  • Medicare - Employee Benefit Logistics — Medicare - Employee Benefit Logistics: $3,558.96
  • Medicare - Fidelis — Medicare - Fidelis: $2,313.32
  • Medicare - Humana — Medicare - Humana: $2,224.35
  • Medicare - Molina — Medicare - Molina: $2,268.84
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

ServiceHospital chargeCash priceInsurance 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 Macomb’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 typeAcute Care Hospital
Address1000 Harrington St, Mount Clemens, MI 48043
CountyMacomb County
StateMichigan
Phone(586) 493‑8000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number230227
Name in Medicare recordsMCLAREN MACOMB
Profile levelMedicare data + hospital website
Official websitemclaren.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. About McLaren Macomb — mclaren.org