Does McLaren Thumb Region have an emergency room?

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

Where is McLaren Thumb Region?

1100 S Van Dyke Rd, Bad Axe, MI 48413, in Huron County, Michigan.

What is the phone number of McLaren Thumb Region?

(989) 269-9521, as listed by Medicare (CMS).

What is the Medicare star rating of McLaren Thumb Region?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

McLaren Thumb Region — Phone, Address, ER & Ratings

Quick answers

Does McLaren Thumb Region have an emergency room?: Yes. Medicare (CMS) data lists emergency services at McLaren Thumb Region. In a medical emergency, call 911.
Where is McLaren Thumb Region?: 1100 S Van Dyke Rd, Bad Axe, MI 48413, in Huron County, Michigan.
What is the phone number of McLaren Thumb Region?: (989) 269-9521, as listed by Medicare (CMS).
What is the Medicare star rating of McLaren Thumb Region?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^{[4][5][6][7][8][9][10]}

Emergency medicine
Cardiology / heart and vascular care
Cancer care (Karmanos Cancer Institute at McLaren Thumb Region)
Obstetrics / birthing center
Women's health
Pulmonology
Sleep medicine
Diagnostic imaging
Laboratory medicine
General surgery
Physical therapy and sports medicine
Primary care
Wound care
Rehabilitation (swing bed program)

Conditions treated^[8]

Asthma
Bronchitis
Chronic obstructive pulmonary disease (COPD)
Emphysema
Lung disease

Treatments^{[4][6][7][10]}

Procedures^[9]

X-ray
CT scan
Digital mammography
3D mammography (tomosynthesis)
Breast ultrasound
Bone density scan
Ultrasound
Echocardiogram
Fluoroscopy
Nuclear medicine imaging

Programs and centers^{[4][6][7][10]}

Birthing center
Sleep center
Wound care center
Swing Bed Program
Cardiac rehab
Karmanos Cancer Institute at McLaren Thumb Region
Community CPR and First Aid classes

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting 8:30 a.m.-8 p.m.; after 8 p.m. enter through main entrance. Birthing center same hours; partners any time^[11]
Interpreters and languages	Hearing-impaired and interpreter services are listed among visitor amenities; the footer links to a system Interpreter Services page^[11]
Patient portal	McLaren Patient Portal

Recognition^[4][6]

Critical Access Hospital

Doctors and clinicians (110)

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

Main specialties

And 86 more: the button below opens the full list.

Other emergency rooms nearby

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

Scheurer Hospital12 mi · Pigeon, MI · Critical Access Hospital
Hills & Dales General Hospital16 mi · Cass City, MI · Critical Access Hospital
Harbor Beach Community Hospital19 mi · Harbor Beach, MI · Critical Access Hospital
Deckerville Community Hospital24 mi · Deckerville, MI · Critical Access Hospital
McKenzie Health System28 mi · Sandusky, MI · Critical Access Hospital

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

Other hospitals near Bad Axe

McLaren Caro Region28 mi · Caro, MI · Critical Access Hospital

Hospitals in Huron 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

Huron County Medical Care Facility0.1 mi · Bad Axe, MI · 5 of 5 stars
Courtney Manor2.5 mi · Bad Axe, MI · 3 of 5 stars
Medilodge of Cass City15 mi · Cass City, MI · 5 of 5 stars

All nursing homes in the state →

Hospice providers

A Change of Seasons Hospice, Inc.11 mi · Pigeon, MI
Compass - Cass City15 mi · Cass City, MI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Seasons Change Home Health Care11 mi · Pigeon, MI · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Bad Axe1.8 mi · Bad Axe, MI · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Great Lakes Bay Health Centers Integrated Care Thumb Area0.2 mi · Bad Axe, MI · Community health center
Great Lakes Bay Health Centers Thumb Area2.0 mi · Bad Axe, MI · Community health center

Clinics and urgent care

McLaren Thumb 1011 Building1.8 mi · Bad Axe, MI · Rural health clinic
McLaren Thumb 1060 Building1.8 mi · Bad Axe, MI · Rural health clinic
McLaren Thumb 1117 Building1.8 mi · Bad Axe, MI · Rural health clinic

Pharmacies

Meijer Inc1.8 mi · Bad Axe, MI · Community/retail pharmacy
Wal-Mart Stores East LP1.8 mi · Bad Axe, MI · Community/retail pharmacy
Walgreen Co1.8 mi · Bad Axe, MI · Pharmacy

Assisted living nearby

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

Meadow Lane Assisted Living & Memory Care1.8 mi · Bad Axe, MI
Shady Acres Assisted Living1.8 mi · Bad Axe, MI
Talaski Adult Foster Care Home1.8 mi · Bad Axe, MI
Rose Gardan, Inc6.4 mi · Elkton, MI

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	60%National average: 72%
Would definitely recommend the hospital	57%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	77%National average: 80%
“Always” got help as soon as they wanted	66%National average: 64%
Staff “always” explained medicines before giving them	52%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	49%National average: 73%
Completed surveys	119Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged 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 failure patients	9.8%
Deaths within 30 days: pneumonia patients	12.2%
Complications after hip or knee replacement	3.6%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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)	16.3%
Readmitted within 30 days: heart failure	20.2%
Readmitted within 30 days: pneumonia	16.7%
Readmitted within 30 days: hip or knee replacement	5.3%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: COPD

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	124 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Too few cases to report	Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as McLaren Thumb Region lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 80 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New Patient Visit - Level 3	$138.30	$69.20	$52.19 – $117.35
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $117.35 Cofinity Aetna — Cofinity Aetna: $85.48 HAP - HMO — HAP - HMO: $80.13 McLaren Commercial Ins — McLaren Commercial Ins: $74 Medicaid - Molina — Medicaid - Molina: $54.28 Medicaid - United — Medicaid - United: $52.19 Medicare - Humana — Medicare - Humana: $71.06 Medicare - Molina — Medicare - Molina: $72.48 Medicare - Priority Health — Medicare - Priority Health: $71.06 Medicare - United — Medicare - United: $73.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office Visit Level 3 New Professional 30-44 Minutes 99203	$138	$69	$52.19 – $117.35
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $117.35 Cofinity Aetna — Cofinity Aetna: $85.48 HAP - HMO — HAP - HMO: $80.13 McLaren Commercial Ins — McLaren Commercial Ins: $74 Medicaid - Molina — Medicaid - Molina: $54.28 Medicaid - United — Medicaid - United: $52.19 Medicare - Humana — Medicare - Humana: $71.06 Medicare - Molina — Medicare - Molina: $72.48 Medicare - Priority Health — Medicare - Priority Health: $71.06 Medicare - United — Medicare - United: $73.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 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 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New Patient Visit - Level 4	$241.30	$120.70	$84.99 – $179.33
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $179.33 Cofinity Aetna — Cofinity Aetna: $137.30 HAP - HMO — HAP - HMO: $130.19 McLaren Commercial Ins — McLaren Commercial Ins: $125 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Medicare - Humana — Medicare - Humana: $116.02 Medicare - Molina — Medicare - Molina: $118.34 Medicare - Priority Health — Medicare - Priority Health: $116.02 Medicare - United — Medicare - United: $119.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office Visit Level 4 New Professional 45-59 Minutes 99204	$241	$120.50	$84.99 – $179.33
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $179.33 Cofinity Aetna — Cofinity Aetna: $137.30 HAP - HMO — HAP - HMO: $130.19 McLaren Commercial Ins — McLaren Commercial Ins: $125 Medicaid - Molina — Medicaid - Molina: $88.39 Medicaid - United — Medicaid - United: $84.99 Medicare - Humana — Medicare - Humana: $116.02 Medicare - Molina — Medicare - Molina: $118.34 Medicare - Priority Health — Medicare - Priority Health: $116.02 Medicare - United — Medicare - United: $119.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 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: New Patient Visit - Level 5	$299.50	$149.80	$115.66 – $226.59
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $226.59 Cofinity Aetna — Cofinity Aetna: $186.32 HAP - HMO — HAP - HMO: $177 McLaren Commercial Ins — McLaren Commercial Ins: $168 Medicaid - Molina — Medicaid - Molina: $120.29 Medicaid - United — Medicaid - United: $115.66 Medicare - Humana — Medicare - Humana: $159.14 Medicare - Molina — Medicare - Molina: $162.32 Medicare - Priority Health — Medicare - Priority Health: $159.14 Medicare - United — Medicare - United: $163.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office Visit Level 5 New Professional 60-74 Minutes 99205	$300	$150	$115.66 – $226.59
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $226.59 Cofinity Aetna — Cofinity Aetna: $186.32 HAP - HMO — HAP - HMO: $177 McLaren Commercial Ins — McLaren Commercial Ins: $168 Medicaid - Molina — Medicaid - Molina: $120.29 Medicaid - United — Medicaid - United: $115.66 Medicare - Humana — Medicare - Humana: $159.14 Medicare - Molina — Medicare - Molina: $162.32 Medicare - Priority Health — Medicare - Priority Health: $159.14 Medicare - United — Medicare - United: $163.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 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: Established Patient Visit - Level 3	$90.50	$45.30	$41.96 – $85.82
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $85.82 Cofinity Aetna — Cofinity Aetna: $67.91 HAP - HMO — HAP - HMO: $64.16 McLaren Commercial Ins — McLaren Commercial Ins: $43 Medicaid - Molina — Medicaid - Molina: $43.64 Medicaid - United — Medicaid - United: $41.96 Medicare - Humana — Medicare - Humana: $56.88 Medicare - Molina — Medicare - Molina: $58.02 Medicare - Priority Health — Medicare - Priority Health: $56.88 Medicare - United — Medicare - United: $58.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office Visit Level 3 Est Professional 20-29 Minutes 99213	$90	$45	$41.96 – $85.82
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $85.82 Cofinity Aetna — Cofinity Aetna: $67.91 HAP - HMO — HAP - HMO: $64.16 McLaren Commercial Ins — McLaren Commercial Ins: $43 Medicaid - Molina — Medicaid - Molina: $43.64 Medicaid - United — Medicaid - United: $41.96 Medicare - Humana — Medicare - Humana: $56.88 Medicare - Molina — Medicare - Molina: $58.02 Medicare - Priority Health — Medicare - Priority Health: $56.88 Medicare - United — Medicare - United: $58.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hospitalist 99213 Office Visit Level 3 Est 20-29 Minutes	$90	$45	$41.96 – $85.82
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $85.82 Cofinity Aetna — Cofinity Aetna: $67.91 HAP - HMO — HAP - HMO: $64.16 McLaren Commercial Ins — McLaren Commercial Ins: $43 Medicaid - Molina — Medicaid - Molina: $43.64 Medicaid - United — Medicaid - United: $41.96 Medicare - Humana — Medicare - Humana: $56.88 Medicare - Molina — Medicare - Molina: $58.02 Medicare - Priority Health — Medicare - Priority Health: $56.88 Medicare - United — Medicare - United: $58.59
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established Patient Visit - Level 4	$138.30	$69.20	$61.77 – $124.45
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $124.45 Cofinity Aetna — Cofinity Aetna: $100.26 HAP - HMO — HAP - HMO: $94.55 McLaren Commercial Ins — McLaren Commercial Ins: $72 Medicaid - Molina — Medicaid - Molina: $64.24 Medicaid - United — Medicaid - United: $61.77 Medicare - Humana — Medicare - Humana: $83.74 Medicare - Molina — Medicare - Molina: $85.41 Medicare - Priority Health — Medicare - Priority Health: $83.74 Medicare - United — Medicare - United: $86.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office Visit Level 4 Est Professional 30-39 Minutes 99214	$138	$69	$61.77 – $124.45
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $124.45 Cofinity Aetna — Cofinity Aetna: $100.26 HAP - HMO — HAP - HMO: $94.55 McLaren Commercial Ins — McLaren Commercial Ins: $72 Medicaid - Molina — Medicaid - Molina: $64.24 Medicaid - United — Medicaid - United: $61.77 Medicare - Humana — Medicare - Humana: $83.74 Medicare - Molina — Medicare - Molina: $85.41 Medicare - Priority Health — Medicare - Priority Health: $83.74 Medicare - United — Medicare - United: $86.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hospitalist 99214 Office Visit Level 4 Est 30-39 Minutes	$138	$69	$61.77 – $124.45
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $124.45 Cofinity Aetna — Cofinity Aetna: $100.26 HAP - HMO — HAP - HMO: $94.55 McLaren Commercial Ins — McLaren Commercial Ins: $72 Medicaid - Molina — Medicaid - Molina: $64.24 Medicaid - United — Medicaid - United: $61.77 Medicare - Humana — Medicare - Humana: $83.74 Medicare - Molina — Medicare - Molina: $85.41 Medicare - Priority Health — Medicare - Priority Health: $83.74 Medicare - United — Medicare - United: $86.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office/Outpatient Consult >= 30 mins 99243	$272	$136	$56.02 – $140.07
Office consultation with a specialist (moderate): rates for 7 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $140.07 Cofinity Aetna — Cofinity Aetna: $95.62 Medicaid - Molina — Medicaid - Molina: $58.26 Medicaid - United — Medicaid - United: $56.02 Priority Health — Priority Health: $115.22 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $56.02 United Healthcare — United Healthcare: $109.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: 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 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
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 (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED PRO EMERGENCY EVALUATION & MANAGEMENT SERVICES 99283	$326.60	$163.30	$44.94 – $112.38
Emergency room visit (moderate): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $112.38 Cofinity Aetna — Cofinity Aetna: $75.17 McLaren Commercial Ins — McLaren Commercial Ins: $79 Medicaid - Molina — Medicaid - Molina: $46.74 Medicaid - United — Medicaid - United: $44.94 Medicare - Humana — Medicare - Humana: $69.52 Medicare - Molina — Medicare - Molina: $70.91 Medicare - Priority Health — Medicare - Priority Health: $69.52 Medicare - United — Medicare - United: $71.61 Priority Health — Priority Health: $90.27
Emergency room visit (moderately high) CPT 99284 · 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: ED PRO EMERGENCY EVALUATION & MANAGEMENT SERVICES 99284	$463.80	$231.90	$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 · 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
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED PRO EMERGENCY EVALUATION & MANAGEMENT SERVICES 99285	$711.40	$355.70	$111.19 – $278.02
Emergency room visit (high): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $278.02 Cofinity Aetna — Cofinity Aetna: $184.01 McLaren Commercial Ins — McLaren Commercial Ins: $218 Medicaid - Molina — Medicaid - Molina: $115.64 Medicaid - United — Medicaid - United: $111.19 Medicare - Humana — Medicare - Humana: $171.53 Medicare - Molina — Medicare - Molina: $174.96 Medicare - Priority Health — Medicare - Priority Health: $171.53 Medicare - United — Medicare - United: $176.68 Priority Health — Priority Health: $242.54

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$69	$34.50	$6.24 – $62.10
Basic metabolic panel (blood test): 10 of 11 insurance plan rates Cofinity Aetna — Cofinity Aetna: $59.62 Medicaid - Meridian — Medicaid - Meridian: $6.24 Medicaid - Midwest — Medicaid - Midwest: $6.24 Medicaid - Molina — Medicaid - Molina: $6.43 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $6.24 Medicaid - United — Medicaid - United: $6.24 Priority Health — Priority Health: $58.62 Safe Response Program — Safe Response Program: $50 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $6.24 Tricare — Tricare: $24.52
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$85	$42.50	$7.79 – $76.50
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Cofinity Aetna — Cofinity Aetna: $73.44 Medicaid - Meridian — Medicaid - Meridian: $7.79 Medicaid - Midwest — Medicaid - Midwest: $7.79 Medicaid - Molina — Medicaid - Molina: $8.03 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $7.79 Medicaid - United — Medicaid - United: $7.79 Priority Health — Priority Health: $72.21 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $7.79 Tricare — Tricare: $30.20 Workers Compensation — Workers Compensation: $49.80
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OB Panel	$375	$187.50	$35.28 – $337.50
Obstetric blood test panel: rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $35.28 Medicaid - Midwest — Medicaid - Midwest: $35.28 Medicaid - Molina — Medicaid - Molina: $36.34 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $35.28 Medicaid - United — Medicaid - United: $35.28 Priority Health — Priority Health: $318.56 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $35.28 Tricare — Tricare: $133.25
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel Calculated	$131	$65.50	$9.88 – $117.90
Cholesterol panel (lipid panel): rates for 10 insurance plans Cofinity Aetna — Cofinity Aetna: $113.18 Medicaid - Meridian — Medicaid - Meridian: $9.88 Medicaid - Midwest — Medicaid - Midwest: $9.88 Medicaid - Molina — Medicaid - Molina: $10.18 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $9.88 Medicaid - United — Medicaid - United: $9.88 Priority Health — Priority Health: $111.28 Safe Response Program — Safe Response Program: $30 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $9.88 Tricare — Tricare: $46.55
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$85	$42.50	$6.41 – $30.20
Kidney function panel: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $6.41 Medicaid - Midwest — Medicaid - Midwest: $6.41 Medicaid - Molina — Medicaid - Molina: $6.60 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $6.41 Medicaid - United — Medicaid - United: $6.41 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $6.41 Tricare — Tricare: $30.20
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$87	$43.50	$6.03 – $78.30
Liver function panel: rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $6.03 Medicaid - Midwest — Medicaid - Midwest: $6.03 Medicaid - Molina — Medicaid - Molina: $6.21 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $6.03 Medicaid - United — Medicaid - United: $6.03 Priority Health — Priority Health: $73.91 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $6.03 Tricare — Tricare: $30.91
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UAWMICR	$28	$14	$2.34 – $25.20
Urine test (automated, with microscope): rates for 9 insurance plans Medicaid - Meridian — Medicaid - Meridian: $2.34 Medicaid - Midwest — Medicaid - Midwest: $2.34 Medicaid - Molina — Medicaid - Molina: $2.41 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2.34 Medicaid - United — Medicaid - United: $2.34 Priority Health — Priority Health: $23.79 Safe Response Program — Safe Response Program: $25 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $2.34 Tricare — Tricare: $9.95
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urine Dipstick POC Amb	$28	$14	$2.34 – $25
Urine test (automated, with microscope): rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $2.34 Medicaid - Midwest — Medicaid - Midwest: $2.34 Medicaid - Molina — Medicaid - Molina: $2.41 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2.34 Medicaid - United — Medicaid - United: $2.34 Safe Response Program — Safe Response Program: $25 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $2.34 Tricare — Tricare: $9.95
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UACulIf	$28	$14	$1.66 – $25.20
Urine test (automated, without microscope): rates for 10 insurance plans Cofinity Aetna — Cofinity Aetna: $24.19 Medicaid - Meridian — Medicaid - Meridian: $1.66 Medicaid - Midwest — Medicaid - Midwest: $1.66 Medicaid - Molina — Medicaid - Molina: $1.71 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.66 Medicaid - United — Medicaid - United: $1.66 Priority Health — Priority Health: $23.79 Safe Response Program — Safe Response Program: $25 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $1.66 Tricare — Tricare: $9.95
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UAMicIf	$28	$14	$1.66 – $25.20
Urine test (automated, without microscope): rates for 9 insurance plans Medicaid - Meridian — Medicaid - Meridian: $1.66 Medicaid - Midwest — Medicaid - Midwest: $1.66 Medicaid - Molina — Medicaid - Molina: $1.71 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.66 Medicaid - United — Medicaid - United: $1.66 Priority Health — Priority Health: $23.79 Safe Response Program — Safe Response Program: $25 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $1.66 Tricare — Tricare: $9.95
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Dipstick POC Amb	$28	$14	$1.66 – $25.20
Urine test (automated, without microscope): rates for 9 insurance plans Medicaid - Meridian — Medicaid - Meridian: $1.66 Medicaid - Midwest — Medicaid - Midwest: $1.66 Medicaid - Molina — Medicaid - Molina: $1.71 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1.66 Medicaid - United — Medicaid - United: $1.66 Priority Health — Priority Health: $23.79 Safe Response Program — Safe Response Program: $25 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $1.66 Tricare — Tricare: $9.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Diagnostic	$125	$62.50	$13.57 – $112.50
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Cofinity Aetna — Cofinity Aetna: $108 Medicaid - Meridian — Medicaid - Meridian: $13.57 Medicaid - Midwest — Medicaid - Midwest: $13.57 Medicaid - Molina — Medicaid - Molina: $13.98 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $13.57 Medicaid - United — Medicaid - United: $13.57 Priority Health — Priority Health: $106.19 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $13.57 Tricare — Tricare: $44.42
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, Total	$125	$62.50	$13.57 – $44.42
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $13.57 Medicaid - Midwest — Medicaid - Midwest: $13.57 Medicaid - Molina — Medicaid - Molina: $13.98 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $13.57 Medicaid - United — Medicaid - United: $13.57 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $13.57 Tricare — Tricare: $44.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone Reflex Free T4	$144	$72	$12.40 – $129.60
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Cofinity Aetna — Cofinity Aetna: $124.42 Medicaid - Meridian — Medicaid - Meridian: $12.40 Medicaid - Midwest — Medicaid - Midwest: $12.40 Medicaid - Molina — Medicaid - Molina: $12.77 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $12.40 Medicaid - United — Medicaid - United: $12.40 Priority Health — Priority Health: $122.33 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $12.40 Tricare — Tricare: $51.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone	$144	$72	$12.40 – $129.60
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Cofinity Aetna — Cofinity Aetna: $124.42 Medicaid - Meridian — Medicaid - Meridian: $12.40 Medicaid - Midwest — Medicaid - Midwest: $12.40 Medicaid - Molina — Medicaid - Molina: $12.77 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $12.40 Medicaid - United — Medicaid - United: $12.40 Priority Health — Priority Health: $122.33 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $12.40 Tricare — Tricare: $51.17
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w Differential	$85	$42.50	$5.73 – $76.50
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates Cofinity Aetna — Cofinity Aetna: $73.44 Medicaid - Meridian — Medicaid - Meridian: $5.73 Medicaid - Midwest — Medicaid - Midwest: $5.73 Medicaid - Molina — Medicaid - Molina: $5.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $5.73 Medicaid - United — Medicaid - United: $5.73 Priority Health — Priority Health: $72.21 Safe Response Program — Safe Response Program: $50 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $5.73 Tricare — Tricare: $30.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Diff POC	$85	$42.50	$5.73 – $50
Complete blood count (CBC) with differential: rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $5.73 Medicaid - Midwest — Medicaid - Midwest: $5.73 Medicaid - Molina — Medicaid - Molina: $5.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $5.73 Medicaid - United — Medicaid - United: $5.73 Safe Response Program — Safe Response Program: $50 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $5.73 Tricare — Tricare: $30.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W Differential WBC Count POC 85025 Downtime	$85	$42.50	$5.73 – $50
Complete blood count (CBC) with differential: rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $5.73 Medicaid - Midwest — Medicaid - Midwest: $5.73 Medicaid - Molina — Medicaid - Molina: $5.91 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $5.73 Medicaid - United — Medicaid - United: $5.73 Safe Response Program — Safe Response Program: $50 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $5.73 Tricare — Tricare: $30.20
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC No Diff (Hemogram)	$67	$33.50	$4.77 – $60.30
Complete blood count (CBC), automated: rates for 9 insurance plans Medicaid - Meridian — Medicaid - Meridian: $4.77 Medicaid - Midwest — Medicaid - Midwest: $4.77 Medicaid - Molina — Medicaid - Molina: $4.92 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.77 Medicaid - United — Medicaid - United: $4.77 Priority Health — Priority Health: $56.92 Safe Response Program — Safe Response Program: $45 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $4.77 Tricare — Tricare: $23.81
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: White Blood Cell	$67	$33.50	$4.77 – $45
Complete blood count (CBC), automated: rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $4.77 Medicaid - Midwest — Medicaid - Midwest: $4.77 Medicaid - Molina — Medicaid - Molina: $4.92 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.77 Medicaid - United — Medicaid - United: $4.77 Safe Response Program — Safe Response Program: $45 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $4.77 Tricare — Tricare: $23.81
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time and INR	$27	$13.50	$3.17 – $24.30
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Medicaid - Meridian — Medicaid - Meridian: $3.17 Medicaid - Midwest — Medicaid - Midwest: $3.17 Medicaid - Molina — Medicaid - Molina: $3.26 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.17 Medicaid - United — Medicaid - United: $3.17 Priority Health — Priority Health: $22.94 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $3.17 Tricare — Tricare: $9.59 Workers Compensation — Workers Compensation: $15.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: INR POC	$27	$13.50	$3.17 – $23.33
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Cofinity Aetna — Cofinity Aetna: $23.33 Medicaid - Meridian — Medicaid - Meridian: $3.17 Medicaid - Midwest — Medicaid - Midwest: $3.17 Medicaid - Molina — Medicaid - Molina: $3.26 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.17 Medicaid - United — Medicaid - United: $3.17 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $3.17 Tricare — Tricare: $9.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time	$27	$13.50	$3.17 – $9.59
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $3.17 Medicaid - Midwest — Medicaid - Midwest: $3.17 Medicaid - Molina — Medicaid - Molina: $3.26 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $3.17 Medicaid - United — Medicaid - United: $3.17 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $3.17 Tricare — Tricare: $9.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Activated Partial Thromboplastin	$59	$29.50	$4.44 – $53.10
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $4.44 Medicaid - Midwest — Medicaid - Midwest: $4.44 Medicaid - Molina — Medicaid - Molina: $4.57 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.44 Medicaid - United — Medicaid - United: $4.44 Priority Health — Priority Health: $50.12 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $4.44 Tricare — Tricare: $20.96
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin Time	$59	$29.50	$4.44 – $20.96
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $4.44 Medicaid - Midwest — Medicaid - Midwest: $4.44 Medicaid - Molina — Medicaid - Molina: $4.57 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.44 Medicaid - United — Medicaid - United: $4.44 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $4.44 Tricare — Tricare: $20.96
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT With Heparin	$59	$29.50	$4.44 – $20.96
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $4.44 Medicaid - Midwest — Medicaid - Midwest: $4.44 Medicaid - Molina — Medicaid - Molina: $4.57 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4.44 Medicaid - United — Medicaid - United: $4.44 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $4.44 Tricare — Tricare: $20.96

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Brain/Head w/o Contrast	$1,770	$885	$78.48 – $1,593
CT scan of the head or brain, without contrast: rates for 10 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Priority Health — Priority Health: $1,503.62 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $628.93 United Healthcare — United Healthcare: $1,454.94 Workers Compensation — Workers Compensation: $1,037.10
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	$1,770	$885	$78.48 – $628.93
CT scan of the head or brain, without contrast: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $628.93
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT Brain/Head w/o Cont Stroke Protocol - Report	$106.60	$53.30	$25.56 – $63.91
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $63.91 Cofinity Aetna — Cofinity Aetna: $51.78 McLaren Commercial Ins — McLaren Commercial Ins: $49.26 Medicaid - Molina — Medicaid - Molina: $26.58 Medicaid - United — Medicaid - United: $25.56 Medicare - Humana — Medicare - Humana: $38.76 Medicare - Molina — Medicare - Molina: $39.54 Medicare - Priority Health — Medicare - Priority Health: $38.76 Medicare - United — Medicare - United: $39.92 Priority Health — Priority Health: $58.03
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain w/ + w/o Contrast	$2,786	$1,393	$263.56 – $2,507.40
MRI of the brain, before and after contrast: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $263.56 Medicaid - Midwest — Medicaid - Midwest: $263.56 Medicaid - Molina — Medicaid - Molina: $271.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $263.56 Medicaid - United — Medicaid - United: $263.56 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $263.56 Tricare — Tricare: $989.94
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC w/ + w/o Contrast	$2,786	$1,393	$263.56 – $989.94
MRI of the brain, before and after contrast: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $263.56 Medicaid - Midwest — Medicaid - Midwest: $263.56 Medicaid - Molina — Medicaid - Molina: $271.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $263.56 Medicaid - United — Medicaid - United: $263.56 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $263.56 Tricare — Tricare: $989.94
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Pituitary w/ + w/o Contrast	$2,786	$1,393	$263.56 – $989.94
MRI of the brain, before and after contrast: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $263.56 Medicaid - Midwest — Medicaid - Midwest: $263.56 Medicaid - Molina — Medicaid - Molina: $271.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $263.56 Medicaid - United — Medicaid - United: $263.56 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $263.56 Tricare — Tricare: $989.94
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views	$151	$75.50	$53.65 – $135.90
Chest X-ray, 2 views: rates for 10 insurance plans Cofinity Aetna — Cofinity Aetna: $130.46 McLaren Commercial Ins — McLaren Commercial Ins: $78.99 Medicaid - Meridian — Medicaid - Meridian: $64.98 Medicaid - Midwest — Medicaid - Midwest: $64.98 Medicaid - Molina — Medicaid - Molina: $66.93 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $64.98 Medicaid - United — Medicaid - United: $64.98 Priority Health — Priority Health: $128.27 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $64.98 Tricare — Tricare: $53.65
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Add On - 71046 XR Chest 2 Views	$151	$75.50	$53.65 – $66.93
Chest X-ray, 2 views: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $64.98 Medicaid - Midwest — Medicaid - Midwest: $64.98 Medicaid - Molina — Medicaid - Molina: $66.93 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $64.98 Medicaid - United — Medicaid - United: $64.98 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $64.98 Tricare — Tricare: $53.65
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest Inspiration /+ Expiration	$151	$75.50	$53.65 – $66.93
Chest X-ray, 2 views: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $64.98 Medicaid - Midwest — Medicaid - Midwest: $64.98 Medicaid - Molina — Medicaid - Molina: $66.93 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $64.98 Medicaid - United — Medicaid - United: $64.98 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $64.98 Tricare — Tricare: $53.65
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral 4+ Views	$348	$174	$78.48 – $313.20
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $123.65
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	$1,830	$915	$178.39 – $1,647
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans McLaren Commercial Ins — McLaren Commercial Ins: $957.27 Medicaid - Meridian — Medicaid - Meridian: $178.39 Medicaid - Midwest — Medicaid - Midwest: $178.39 Medicaid - Molina — Medicaid - Molina: $183.74 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $178.39 Medicaid - United — Medicaid - United: $178.39 Priority Health — Priority Health: $1,554.59 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $178.39 Tricare — Tricare: $650.25
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	$2,334	$1,167	$131.38 – $829.34
CT scan of the pelvis, with contrast: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $131.38 Medicaid - Midwest — Medicaid - Midwest: $131.38 Medicaid - Molina — Medicaid - Molina: $135.32 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $131.38 Medicaid - United — Medicaid - United: $131.38 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $131.38 Tricare — Tricare: $829.34
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 · Outpatient (no overnight stay) · modifier 26 In the file: MRI Lower Joint w/o Contrast Left - Report	$177.80	$88.90	$40.68 – $119
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $101.73 Cofinity Aetna — Cofinity Aetna: $82.86 McLaren Commercial Ins — McLaren Commercial Ins: $119 Medicaid - Molina — Medicaid - Molina: $42.31 Medicaid - United — Medicaid - United: $40.68 Medicare - Humana — Medicare - Humana: $61.67 Medicare - Molina — Medicare - Molina: $62.90 Medicare - Priority Health — Medicare - Priority Health: $61.67 Medicare - United — Medicare - United: $63.52 Priority Health — Priority Health: $93.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI Lower Joint w/o Contrast Right - Report	$177.80	$88.90	$40.68 – $119
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $101.73 Cofinity Aetna — Cofinity Aetna: $82.86 McLaren Commercial Ins — McLaren Commercial Ins: $119 Medicaid - Molina — Medicaid - Molina: $42.31 Medicaid - United — Medicaid - United: $40.68 Medicare - Humana — Medicare - Humana: $61.67 Medicare - Molina — Medicare - Molina: $62.90 Medicare - Priority Health — Medicare - Priority Health: $61.67 Medicare - United — Medicare - United: $63.52 Priority Health — Priority Health: $93.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI Hip w/o Contrast Left - Report	$177.80	$88.90	$40.68 – $119
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $101.73 Cofinity Aetna — Cofinity Aetna: $82.86 McLaren Commercial Ins — McLaren Commercial Ins: $119 Medicaid - Molina — Medicaid - Molina: $42.31 Medicaid - United — Medicaid - United: $40.68 Medicare - Humana — Medicare - Humana: $61.67 Medicare - Molina — Medicare - Molina: $62.90 Medicare - Priority Health — Medicare - Priority Health: $61.67 Medicare - United — Medicare - United: $63.52 Priority Health — Priority Health: $93.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen and Pelvis w/ Contrast	$4,669	$2,334.50	$263.56 – $4,202.10
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Cofinity Aetna — Cofinity Aetna: $4,034.02 McLaren Commercial Ins — McLaren Commercial Ins: $2,442.35 Medicaid - Meridian — Medicaid - Meridian: $263.56 Medicaid - Midwest — Medicaid - Midwest: $263.56 Medicaid - Molina — Medicaid - Molina: $271.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $263.56 Medicaid - United — Medicaid - United: $263.56 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $263.56 Tricare — Tricare: $1,659.03
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Add On - CT Abd/Pelvis w/ Contrast	$4,669	$2,334.50	$263.56 – $3,966.32
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Medicaid - Meridian — Medicaid - Meridian: $263.56 Medicaid - Midwest — Medicaid - Midwest: $263.56 Medicaid - Molina — Medicaid - Molina: $271.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $263.56 Medicaid - United — Medicaid - United: $263.56 Priority Health — Priority Health: $3,966.32 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $263.56 Tricare — Tricare: $1,659.03 Workers Compensation — Workers Compensation: $2,735.72
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Enterography Abd/Pelvis w/Cont	$4,669	$2,334.50	$263.56 – $1,659.03
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $263.56 Medicaid - Midwest — Medicaid - Midwest: $263.56 Medicaid - Molina — Medicaid - Molina: $271.47 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $263.56 Medicaid - United — Medicaid - United: $263.56 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $263.56 Tricare — Tricare: $1,659.03
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete	$597	$298.50	$78.48 – $212.13
Ultrasound of the abdomen, complete: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $212.13
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	$493	$246.50	$78.48 – $443.70
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Priority Health — Priority Health: $418.80 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $175.18
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
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: DP OB US Greater Than 14 weeks, Single, In Office 76805	$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	$700	$350	$78.48 – $630
Transvaginal ultrasound: rates for 8 insurance plans McLaren Commercial Ins — McLaren Commercial Ins: $366.17 Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $248.73
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ADD ON - US Transvag AMB	$700	$350	$78.48 – $248.73
Transvaginal ultrasound: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $248.73
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non-OB	$700	$350	$78.48 – $630
Transvaginal ultrasound: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $78.48 Medicaid - Midwest — Medicaid - Midwest: $78.48 Medicaid - Molina — Medicaid - Molina: $80.83 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $78.48 Medicaid - United — Medicaid - United: $78.48 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $78.48 Tricare — Tricare: $248.73
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: MG Mammo Implant Diagnostic Bilateral	$253	$126.50	$89.90
Diagnostic mammogram, both breasts: rates for 1 insurance plan Tricare — Tricare: $89.90
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Diagnostic Bilateral	$253	$126.50	$89.90
Diagnostic mammogram, both breasts: rates for 1 insurance plan Tricare — Tricare: $89.90
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Add On - MG Mammo Diagnostic Bilat	$253	$126.50	$89.90
Diagnostic mammogram, both breasts: rates for 1 insurance plan Tricare — Tricare: $89.90
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Add On - MG Mammo Screening Bilateral	$253	$126.50	$89.90 – $227.70
Screening mammogram, both breasts: rates for 4 insurance plans Cofinity Aetna — Cofinity Aetna: $218.59 McLaren Commercial Ins — McLaren Commercial Ins: $132.34 Priority Health — Priority Health: $214.92 Tricare — Tricare: $89.90
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Implant Screening Bilateral	$253	$126.50	$89.90
Screening mammogram, both breasts: rates for 1 insurance plan Tricare — Tricare: $89.90
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Screening Bilateral	$253	$126.50	$89.90
Screening mammogram, both breasts: rates for 1 insurance plan Tricare — Tricare: $89.90

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Amb Electrocardiogram, Routine With at Least 12 leads 93000	$34.20	$17.10	$14.67 – $31.16
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $18.06 Cofinity Aetna — Cofinity Aetna: $18.76 McLaren Commercial Ins — McLaren Commercial Ins: $31.16 Medicare - Humana — Medicare - Humana: $14.67 Medicare - Molina — Medicare - Molina: $14.96 Medicare - Priority Health — Medicare - Priority Health: $14.67 Medicare - United — Medicare - United: $15.11 Priority Health — Priority Health: $20.24 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $14.67 U of M Health Plan — U of M Health Plan: $16.87
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: CV ECG Report	$34.20	$17.10	$14.67 – $31.16
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $18.06 Cofinity Aetna — Cofinity Aetna: $18.76 McLaren Commercial Ins — McLaren Commercial Ins: $31.16 Medicare - Humana — Medicare - Humana: $14.67 Medicare - Molina — Medicare - Molina: $14.96 Medicare - Priority Health — Medicare - Priority Health: $14.67 Medicare - United — Medicare - United: $15.11 Priority Health — Priority Health: $20.24 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $14.67 U of M Health Plan — U of M Health Plan: $16.87
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: CCL Lv Gram Only	$5,001	$2,500.50	$1,777 – $2,444.92
Left heart catheterization (diagnostic): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $2,373.71 Medicaid - Midwest — Medicaid - Midwest: $2,373.71 Medicaid - Molina — Medicaid - Molina: $2,444.92 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2,373.71 Medicaid - United — Medicaid - United: $2,373.71 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $2,373.71 Tricare — Tricare: $1,777
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 26 In the file: SP Lt heart cath incl intraproc inj for lt ventriculography, imaging supervision & interpret 93452	$821.20	$410.60	$146.76 – $366.96
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $366.96 Cofinity Aetna — Cofinity Aetna: $310.26 McLaren Commercial Ins — McLaren Commercial Ins: $281.29 Medicaid - Molina — Medicaid - Molina: $152.63 Medicaid - United — Medicaid - United: $146.76 Medicare - Humana — Medicare - Humana: $229.91 Medicare - Molina — Medicare - Molina: $234.51 Medicare - Priority Health — Medicare - Priority Health: $229.91 Medicare - United — Medicare - United: $236.81 Priority Health — Priority Health: $324.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · modifier 26 In the file: SP Comp EP w/o Induction or Attempted Induction of Arrhythmia (w/o Ablation) 93619	$3,093.10	$1,546.60	$238.13 – $595.45
Heart rhythm study (electrophysiology evaluation): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $595.45 Cofinity Aetna — Cofinity Aetna: $508.93 McLaren Commercial Ins — McLaren Commercial Ins: $473.79 Medicaid - Molina — Medicaid - Molina: $247.66 Medicaid - United — Medicaid - United: $238.13 Medicare - Humana — Medicare - Humana: $372.66 Medicare - Molina — Medicare - Molina: $380.11 Medicare - Priority Health — Medicare - Priority Health: $372.66 Medicare - United — Medicare - United: $383.84 Priority Health — Priority Health: $527.34
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: SP Comp EP Eval, w/Atrial Fibrillation (AFIB) Ablation by Pulm Vein Isolat 93656	$3,335.20	$1,667.60	$590.44 – $1,722.99
Heart rhythm study with ablation for atrial fibrillation: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $1,476.37 Cofinity Aetna — Cofinity Aetna: $1,265.10 McLaren Commercial Ins — McLaren Commercial Ins: $1,163 Medicaid - Molina — Medicaid - Molina: $614.06 Medicaid - United — Medicaid - United: $590.44 Medicare - Humana — Medicare - Humana: $812.84 Medicare - Molina — Medicare - Molina: $829.10 Medicare - Priority Health — Medicare - Priority Health: $812.84 Medicare - United — Medicare - United: $837.23 Priority Health — Priority Health: $1,303.74
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6/> Yrs 4/> Param	$2,750	$1,375	$750.83 – $2,475
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans Medicaid - Meridian — Medicaid - Meridian: $750.83 Medicaid - Midwest — Medicaid - Midwest: $750.83 Medicaid - Molina — Medicaid - Molina: $773.36 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $750.83 Medicaid - United — Medicaid - United: $750.83 Priority Health — Priority Health: $2,336.13 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $750.83 Tricare — Tricare: $977.15
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 26 In the file: DP Polysom 6/GrtrThn Yrs 4/GrtrThn Param 95810	$1,084.30	$542.20	$73.91 – $197.45
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $145.74 Cofinity Aetna — Cofinity Aetna: $132.51 McLaren Commercial Ins — McLaren Commercial Ins: $197.45 Medicaid - Molina — Medicaid - Molina: $76.87 Medicaid - United — Medicaid - United: $73.91 Medicare - Humana — Medicare - Humana: $117.06 Medicare - Molina — Medicare - Molina: $119.40 Medicare - Priority Health — Medicare - Priority Health: $117.06 Medicare - United — Medicare - United: $120.57 Priority Health — Priority Health: $156.96

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic Exercise Ea 15 Min 97110	$54.80	$27.40	$22.29 – $32.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $31.77 Cofinity Aetna — Cofinity Aetna: $22.29 McLaren Commercial Ins — McLaren Commercial Ins: $28 Medicare - Humana — Medicare - Humana: $27.91 Medicare - Molina — Medicare - Molina: $28.47 Medicare - Priority Health — Medicare - Priority Health: $27.91 Medicare - United — Medicare - United: $28.75 Traditional Medicare HMO/PPO — Traditional Medicare HMO/PPO: $27.91 U of M Health Plan — U of M Health Plan: $32.10 United Healthcare — United Healthcare: $29.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT Therapeutic Exercise Units	$135	$67.50	$47.97 – $114.68
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans McLaren Commercial Ins — McLaren Commercial Ins: $70.62 Priority Health — Priority Health: $114.68 Tricare — Tricare: $47.97 United Healthcare — United Healthcare: $110.97 Workers Compensation — Workers Compensation: $79.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT Therapeutic Exercise Units	$135	$67.50	$47.97 – $79.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans McLaren Commercial Ins — McLaren Commercial Ins: $70.62 Tricare — Tricare: $47.97 Workers Compensation — Workers Compensation: $79.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Low Complexity	$186	$93	$66.09 – $158.01
Physical therapy evaluation (low complexity): rates for 4 insurance plans Priority Health — Priority Health: $158.01 Tricare — Tricare: $66.09 United Healthcare — United Healthcare: $152.89 Workers Compensation — Workers Compensation: $108.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, Moderate Complexity	$186	$93	$66.09
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Tricare — Tricare: $66.09
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Units, High Complexity	$186	$93	$66.09
Physical therapy evaluation (high complexity): rates for 1 insurance plan Tricare — Tricare: $66.09
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 · 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 · 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 · 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 · 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 · Outpatient (no overnight stay) In the file: Group Therapy 90853	$116.90	$58.50	$16.17 – $33.78
Group psychotherapy: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $31.50 Cofinity Aetna — Cofinity Aetna: $27.14 HAP - HMO — HAP - HMO: $23.85 McLaren Commercial Ins — McLaren Commercial Ins: $33.78 Medicaid - Molina — Medicaid - Molina: $16.81 Medicaid - United — Medicaid - United: $16.17 Medicare - Humana — Medicare - Humana: $24.28 Medicare - Molina — Medicare - Molina: $24.77 Medicare - Priority Health — Medicare - Priority Health: $24.28 Medicare - United — Medicare - United: $25.01

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: SP Excision of cyst, fibroadenoma, or other tumor, open, male or female, 1+ lesions 19120	$1,256.40	$628.20	$271.79 – $679.60
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $679.60 Cofinity Aetna — Cofinity Aetna: $495.64 HAP - HMO — HAP - HMO: $414.27 McLaren Commercial Ins — McLaren Commercial Ins: $418 Medicaid - Molina — Medicaid - Molina: $282.66 Medicaid - United — Medicaid - United: $271.79 Medicare - Humana — Medicare - Humana: $399.57 Medicare - Molina — Medicare - Molina: $407.56 Medicare - Priority Health — Medicare - Priority Health: $399.57 Medicare - United — Medicare - United: $411.56
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Fibroadenoma/Tmr Breast Open Male/Female >=1 Lesions 19120	$785.60	$392.80	$271.79 – $679.60
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $679.60 Cofinity Aetna — Cofinity Aetna: $495.64 HAP - HMO — HAP - HMO: $414.27 McLaren Commercial Ins — McLaren Commercial Ins: $418 Medicaid - Molina — Medicaid - Molina: $282.66 Medicaid - United — Medicaid - United: $271.79 Medicare - Humana — Medicare - Humana: $399.57 Medicare - Molina — Medicare - Molina: $407.56 Medicare - Priority Health — Medicare - Priority Health: $399.57 Medicare - United — Medicare - United: $411.56
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Hospitalist SP 19120 Exc Cyst/Fibroadenoma/Other Tumor Open male/Female 1+ Lesions	$1,256.40	$628.20	$271.79 – $679.60
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $679.60 Cofinity Aetna — Cofinity Aetna: $495.64 HAP - HMO — HAP - HMO: $414.27 McLaren Commercial Ins — McLaren Commercial Ins: $418 Medicaid - Molina — Medicaid - Molina: $282.66 Medicaid - United — Medicaid - United: $271.79 Medicare - Humana — Medicare - Humana: $399.57 Medicare - Molina — Medicare - Molina: $407.56 Medicare - Priority Health — Medicare - Priority Health: $399.57 Medicare - United — Medicare - United: $411.56
Total hip replacement CPT 27130 · 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 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 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	$45,533.20	$22,766.60	$9,495.71 – $16,179.23
Total hip replacement: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $9,495.71 Medicaid - Midwest — Medicaid - Midwest: $9,495.71 Medicaid - Molina — Medicaid - Molina: $9,780.58 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $9,495.71 Medicaid - United — Medicaid - United: $9,495.71 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $9,495.71 Tricare — Tricare: $16,179.23
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
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY	$42,648.49	$21,324.25	$9,495.71 – $15,154.21
Total knee replacement: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $9,495.71 Medicaid - Midwest — Medicaid - Midwest: $9,495.71 Medicaid - Molina — Medicaid - Molina: $9,780.58 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $9,495.71 Medicaid - United — Medicaid - United: $9,495.71 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $9,495.71 Tricare — Tricare: $15,154.21
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 · 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
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	$14,588.54	$7,294.27	$2,394.52 – $5,183.72
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $2,394.52 Medicaid - Midwest — Medicaid - Midwest: $2,394.52 Medicaid - Molina — Medicaid - Molina: $2,466.36 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2,394.52 Medicaid - United — Medicaid - United: $2,394.52 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $2,394.52 Tricare — Tricare: $5,183.72
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 · 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: BP EGD flex transoral; diag inc collect specimen brush/wash when performed 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 · 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
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Egd Biopsy Single/Multiple	$5,564.63	$2,782.32	$691.92 – $1,977.27
Upper GI endoscopy with biopsy: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $691.92 Medicaid - Midwest — Medicaid - Midwest: $691.92 Medicaid - Molina — Medicaid - Molina: $712.68 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $691.92 Medicaid - United — Medicaid - United: $691.92 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $691.92 Tricare — Tricare: $1,977.27
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: SP Colonoscopy Flx Dx w/collect Spec when Pfrmd 45378	$1,138.60	$569.30	$116.72 – $349.72
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $291.86 Cofinity Aetna — Cofinity Aetna: $233.35 HAP - HMO — HAP - HMO: $178.59 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.39 Medicaid - United — Medicaid - United: $116.72 Medicare - Humana — Medicare - Humana: $162.54 Medicare - Molina — Medicare - Molina: $165.79 Medicare - Priority Health — Medicare - Priority Health: $162.54 Medicare - United — Medicare - United: $167.42
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hospitalist SP 45378 Colonoscopy Flx Dx w/collect Spec when Pfrmd	$1,138.60	$569.30	$116.72 – $349.72
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $291.86 Cofinity Aetna — Cofinity Aetna: $233.35 HAP - HMO — HAP - HMO: $178.59 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.39 Medicaid - United — Medicaid - United: $116.72 Medicare - Humana — Medicare - Humana: $162.54 Medicare - Molina — Medicare - Molina: $165.79 Medicare - Priority Health — Medicare - Priority Health: $162.54 Medicare - United — Medicare - United: $167.42
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hospitalist BP 45378 Colonoscopy Flx Dx w/collect Spec when Pfrmd	$1,138.60	$569.30	$116.72 – $349.72
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $291.86 Cofinity Aetna — Cofinity Aetna: $233.35 HAP - HMO — HAP - HMO: $178.59 McLaren Commercial Ins — McLaren Commercial Ins: $349.72 Medicaid - Molina — Medicaid - Molina: $121.39 Medicaid - United — Medicaid - United: $116.72 Medicare - Humana — Medicare - Humana: $162.54 Medicare - Molina — Medicare - Molina: $165.79 Medicare - Priority Health — Medicare - Priority Health: $162.54 Medicare - United — Medicare - United: $167.42
Colonoscopy with biopsy CPT 45380 · 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 biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY	$7,027.90	$3,513.95	$870.16 – $2,497.21
Colonoscopy with biopsy: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $870.16 Medicaid - Midwest — Medicaid - Midwest: $870.16 Medicaid - Molina — Medicaid - Molina: $896.27 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $870.16 Medicaid - United — Medicaid - United: $870.16 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $870.16 Tricare — Tricare: $2,497.21
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
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL	$6,818.61	$3,409.31	$870.16 – $2,422.84
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $870.16 Medicaid - Midwest — Medicaid - Midwest: $870.16 Medicaid - Molina — Medicaid - Molina: $896.27 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $870.16 Medicaid - United — Medicaid - United: $870.16 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $870.16 Tricare — Tricare: $2,422.84
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 · 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
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON CA SCRN NOT HI RSK IND	$5,605.45	$2,802.73	$672.84 – $1,991.77
Screening colonoscopy (not high risk): rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $672.84 Medicaid - Midwest — Medicaid - Midwest: $672.84 Medicaid - Molina — Medicaid - Molina: $693.03 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $672.84 Medicaid - United — Medicaid - United: $672.84 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $672.84 Tricare — Tricare: $1,991.77
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
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$16,079.63	$8,039.82	$4,305.76 – $5,713.54
Gallbladder removal by laparoscope: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $4,305.76 Medicaid - Midwest — Medicaid - Midwest: $4,305.76 Medicaid - Molina — Medicaid - Molina: $4,434.93 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $4,305.76 Medicaid - United — Medicaid - United: $4,305.76 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $4,305.76 Tricare — Tricare: $5,713.54
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
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	$14,506.64	$7,253.32	$2,604.45 – $5,154.62
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $2,604.45 Medicaid - Midwest — Medicaid - Midwest: $2,604.45 Medicaid - Molina — Medicaid - Molina: $2,682.58 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $2,604.45 Medicaid - United — Medicaid - United: $2,604.45 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $2,604.45 Tricare — Tricare: $5,154.62
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Prostate Biopsy, Needle/Punch-1 or more 55700	$354.40	$177.20	$82.22 – $205.58
Prostate biopsy: rates for 9 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $205.58 Cofinity Aetna — Cofinity Aetna: $164.89 HAP - HMO — HAP - HMO: $125.09 McLaren Commercial Ins — McLaren Commercial Ins: $151 Medicaid - Molina — Medicaid - Molina: $85.51 Medicaid - United — Medicaid - United: $82.22 Priority Health — Priority Health: $185.41 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $82.22 United Healthcare — United Healthcare: $197.22
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: SP Prostate Biopsy, Needle/Punch - 1 or more 55700	$802	$401	$82.22 – $205.58
Prostate biopsy: rates for 9 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $205.58 Cofinity Aetna — Cofinity Aetna: $164.89 HAP - HMO — HAP - HMO: $125.09 McLaren Commercial Ins — McLaren Commercial Ins: $151 Medicaid - Molina — Medicaid - Molina: $85.51 Medicaid - United — Medicaid - United: $82.22 Priority Health — Priority Health: $185.41 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $82.22 United Healthcare — United Healthcare: $197.22
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: US Biopsy Prostate - Report	$354.40	$177.20	$82.22 – $205.58
Prostate biopsy: rates for 9 insurance plans Blue Cross Blue Shield — Blue Cross Blue Shield: $205.58 Cofinity Aetna — Cofinity Aetna: $164.89 HAP - HMO — HAP - HMO: $125.09 McLaren Commercial Ins — McLaren Commercial Ins: $151 Medicaid - Molina — Medicaid - Molina: $85.51 Medicaid - United — Medicaid - United: $82.22 Priority Health — Priority Health: $185.41 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $82.22 United Healthcare — United Healthcare: $197.22
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · 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
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
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: SP Hysteroscopy, Surgical; With Sampling (Biopsy) Of Endometrium/Polypectomy, W/Wo D & C 58558	$1,426	$713	$147.82 – $392.53
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $369.62 Cofinity Aetna — Cofinity Aetna: $274.96 HAP - HMO — HAP - HMO: $228.39 McLaren Commercial Ins — McLaren Commercial Ins: $301.40 Medicaid - Molina — Medicaid - Molina: $153.73 Medicaid - United — Medicaid - United: $147.82 Medicare - Humana — Medicare - Humana: $203.65 Medicare - Molina — Medicare - Molina: $207.72 Medicare - Priority Health — Medicare - Priority Health: $203.65 Medicare - United — Medicare - United: $209.76
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hospitalist SP 58558 Hysteroscopy Bx Endometrium&/Polypc w wo D&C	$1,426	$713	$147.82 – $392.53
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $369.62 Cofinity Aetna — Cofinity Aetna: $274.96 HAP - HMO — HAP - HMO: $228.39 McLaren Commercial Ins — McLaren Commercial Ins: $301.40 Medicaid - Molina — Medicaid - Molina: $153.73 Medicaid - United — Medicaid - United: $147.82 Medicare - Humana — Medicare - Humana: $203.65 Medicare - Molina — Medicare - Molina: $207.72 Medicare - Priority Health — Medicare - Priority Health: $203.65 Medicare - United — Medicare - United: $209.76
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 · Outpatient (no overnight stay) In the file: SP Inject Diagnostic or Therap Sub Not Incl Neurolytic Sub Lumbar or Sacral W/Imaging Gdnce 62323	$239.60	$119.80	$63.26 – $158.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $158.18 Cofinity Aetna — Cofinity Aetna: $125.55 HAP - HMO — HAP - HMO: $96.66 McLaren Commercial Ins — McLaren Commercial Ins: $106.11 Medicaid - Molina — Medicaid - Molina: $65.79 Medicaid - United — Medicaid - United: $63.26 Medicare - Humana — Medicare - Humana: $87.76 Medicare - Molina — Medicare - Molina: $89.52 Medicare - Priority Health — Medicare - Priority Health: $87.76 Medicare - United — Medicare - United: $90.39
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: CT Injection Lmbr/Scrl Epidural - Report	$239.60	$119.80	$63.26 – $158.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $158.18 Cofinity Aetna — Cofinity Aetna: $125.55 HAP - HMO — HAP - HMO: $96.66 McLaren Commercial Ins — McLaren Commercial Ins: $106.11 Medicaid - Molina — Medicaid - Molina: $65.79 Medicaid - United — Medicaid - United: $63.26 Medicare - Humana — Medicare - Humana: $87.76 Medicare - Molina — Medicare - Molina: $89.52 Medicare - Priority Health — Medicare - Priority Health: $87.76 Medicare - United — Medicare - United: $90.39
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: XR Injection Lmbr/Scrl Epidural - Report	$239.60	$119.80	$63.26 – $158.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $158.18 Cofinity Aetna — Cofinity Aetna: $125.55 HAP - HMO — HAP - HMO: $96.66 McLaren Commercial Ins — McLaren Commercial Ins: $106.11 Medicaid - Molina — Medicaid - Molina: $65.79 Medicaid - United — Medicaid - United: $63.26 Medicare - Humana — Medicare - Humana: $87.76 Medicare - Molina — Medicare - Molina: $89.52 Medicare - Priority Health — Medicare - Priority Health: $87.76 Medicare - United — Medicare - United: $90.39
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: XR Injection Lmbr/Scrl Foramina Epidural - Report	$191.70	$95.90	$70.93 – $177.58
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $177.36 Cofinity Aetna — Cofinity Aetna: $139.99 HAP - HMO — HAP - HMO: $107.88 McLaren Commercial Ins — McLaren Commercial Ins: $115.09 Medicaid - Molina — Medicaid - Molina: $73.77 Medicaid - United — Medicaid - United: $70.93 Medicare - Humana — Medicare - Humana: $97.48 Medicare - Molina — Medicare - Molina: $99.43 Medicare - Priority Health — Medicare - Priority Health: $97.48 Medicare - United — Medicare - United: $100.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: CT Injection Lmbr/Scrl Foramina Epidural - Report	$191.70	$95.90	$70.93 – $177.58
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $177.36 Cofinity Aetna — Cofinity Aetna: $139.99 HAP - HMO — HAP - HMO: $107.88 McLaren Commercial Ins — McLaren Commercial Ins: $115.09 Medicaid - Molina — Medicaid - Molina: $73.77 Medicaid - United — Medicaid - United: $70.93 Medicare - Humana — Medicare - Humana: $97.48 Medicare - Molina — Medicare - Molina: $99.43 Medicare - Priority Health — Medicare - Priority Health: $97.48 Medicare - United — Medicare - United: $100.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: SP Injection Transforaminal Epidural W/Image; Lumbar or Sacral, Single 64483	$1,089.30	$544.70	$70.93 – $177.58
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $177.36 Cofinity Aetna — Cofinity Aetna: $139.99 HAP - HMO — HAP - HMO: $107.88 McLaren Commercial Ins — McLaren Commercial Ins: $115.09 Medicaid - Molina — Medicaid - Molina: $73.77 Medicaid - United — Medicaid - United: $70.93 Medicare - Humana — Medicare - Humana: $97.48 Medicare - Molina — Medicare - Molina: $99.43 Medicare - Priority Health — Medicare - Priority Health: $97.48 Medicare - United — Medicare - United: $100.40
Carpal tunnel release CPT 64721 · 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
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY	$5,160.02	$2,580.01	$1,441.14 – $1,833.50
Carpal tunnel release: rates for 7 insurance plans Medicaid - Meridian — Medicaid - Meridian: $1,441.14 Medicaid - Midwest — Medicaid - Midwest: $1,441.14 Medicaid - Molina — Medicaid - Molina: $1,484.38 Medicaid - Total Healthcare — Medicaid - Total Healthcare: $1,441.14 Medicaid - United — Medicaid - United: $1,441.14 Traditional Medicaid HMO/PPO — Traditional Medicaid HMO/PPO: $1,441.14 Tricare — Tricare: $1,833.50
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: SP Cataract surgery w IOL prosthesis (1 stage procedure) 66984	$2,797.40	$1,398.70	$343.57 – $859.08
Cataract removal with lens implant: 10 of 14 insurance plan rates Blue Cross Blue Shield — Blue Cross Blue Shield: $859.08 Cofinity Aetna — Cofinity Aetna: $700.48 McLaren Commercial Ins — McLaren Commercial Ins: $738 Medicaid - Molina — Medicaid - Molina: $357.31 Medicaid - United — Medicaid - United: $343.57 Medicare - Humana — Medicare - Humana: $447.39 Medicare - Molina — Medicare - Molina: $456.34 Medicare - Priority Health — Medicare - Priority Health: $447.39 Medicare - United — Medicare - United: $460.81 Priority Health — Priority Health: $776.30

Pregnancy and childbirth

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

Source: McLaren Thumb Region’s standard charges file (mclaren.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 31, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	1100 S Van Dyke Rd, Bad Axe, MI 48413
County	Huron County
State	Michigan
Phone	(989) 269‑9521
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
CMS Certification Number	231340
Name in Medicare records	MCLAREN THUMB REGION
Profile level	Medicare data + hospital website
Official website	mclaren.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

About McLaren Thumb Region — mclaren.org
Emergency Department - McLaren Thumb Region — mclaren.org
McLaren Thumb Region Hospital — mclaren.org
Locations (McLaren Thumb filter) — mclaren.org
Pulmonary Services at McLaren Thumb Region — mclaren.org
Diagnostic Imaging - McLaren Thumb Region — mclaren.org
Swing Bed Program — mclaren.org
Patient and Visitor Information at McLaren Thumb Region — mclaren.org

McLaren Thumb Region

Summary

Profile from official sources

At a glance