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Acute Care Hospital

McLeod Loris Hospital

Also listed as: McLeod Health Loris

Loris, South Carolina · Horry County

  • 3655 Mitchell Street, Loris, SC 29569 · Directions
  • (843) 716‑7000
  • Emergency room: not listed
  • Medicare overall rating: 4 of 5 stars
  • Medicare payment reduction for hospital-acquired conditions (fiscal year 2026): no · Medicare payment programs
  • Hospital type: Acute Care Hospital · Ownership: Voluntary non-profit - Private

McLeod Loris Hospital is an acute care hospital at 3655 Mitchell Street, Loris, SC 29569. Phone: (843) 716-7000. Medicare data does not list an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

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

Summary

McLeod Loris Hospital is an acute care hospital in Loris, South Carolina. Medicare data does not list emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 61 services, specialties and programs. Medicare lists 848 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(843) 716‑7000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

Not listedEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
50Beds (hospital website)
848Doctors and clinicians
61Services listed

Quick answers

Does McLeod Loris Hospital have an emergency room?
Medicare (CMS) data does not list emergency services at McLeod Loris Hospital. The closest hospitals that do: Lighthouse Behavioral Health Hospital (19 mi), Conway Medical Center (20 mi) and Grand Strand Regional Medical Center (21 mi). In a medical emergency, call 911.
Where is McLeod Loris Hospital?
3655 Mitchell Street, Loris, SC 29569, in Horry County, South Carolina.
What is the phone number of McLeod Loris Hospital?
(843) 716-7000, as listed by Medicare (CMS).
What is the Medicare star rating of McLeod Loris Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to McLeod Loris Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for McLeod Loris Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1946; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][6]

Conditions treated[6]

Treatments[6]

Procedures[4][6]

Programs and centers[4][6][7][8]

  • Dialysis access center
  • Fast Track Emergency Department
  • Labor and delivery suites with family-centered care
  • Childbirth preparation classes and birthing center tours
  • Center for Health & Fitness Loris
  • Family Connect virtual visits

Visiting and practical information

VisitingInpatient visiting 6 a.m.-9 p.m., four visitors; one may stay overnight. Main entrance open weekdays 6:30 a.m.-8 p.m.; weekends via ER[8]
Patient portalMcLeod MyChart

Doctors and clinicians (848)

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

Main specialties

Doctors with a page on this site (848)

And 824 more: the button below opens the full list.

Nearest emergency rooms

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

Find the closest emergency room to where you are →

Other hospitals near Loris

Hospitals in Horry County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well78%National average: 80%
“Always” got help as soon as they wanted64%National average: 64%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean74%National average: 73%
Completed surveys922Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.496No different from the national benchmark
Surgical site infections after colon surgery1.022No different from the national benchmark
MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.207Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients15.6%
Deaths within 30 days: heart failure patients14.7%
Deaths within 30 days: pneumonia patients16%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients12.7%
Serious complications (patient safety indicator PSI-90)0.78No different from the national rate
Complications after hip or knee replacement4.6%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

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)16.9%
Readmitted within 30 days: heart attack14.2%
Readmitted within 30 days: heart failure22.8%
Readmitted within 30 days: pneumonia18.5%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: hip or knee replacement5.7%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)145 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)73%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.1946Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack0.9191Fewer readmissions than expected
Heart failure1.0563More readmissions than expected
Pneumonia0.9994Fewer readmissions than expected
COPD (chronic lung disease)0.9721Fewer readmissions than expected
Hip or knee replacement0.8806Fewer readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score26.17 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)10.00 out of 100
Person and community engagement (patient survey)63.00 out of 100
Safety (infections and sepsis care)31.67 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.00Same as the national median hospital

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

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 South CarolinaBest hospitals in South Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as McLeod Loris Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 74 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $552 $391.92 $430.56 – $441.60
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $441.60
  • BCBS — Choice: $347.93
  • BCBS — HIX: $57.75
  • BCBS — Preferred: $322
  • BCBS — State: $160.25
  • UHC — Commercial: $430.56
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $697 $494.87 $543.66 – $557.60
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $557.60
  • BCBS — Choice: $440.26
  • BCBS — HIX: $89.77
  • BCBS — Preferred: $407.46
  • BCBS — State: $218.07
  • UHC — Commercial: $543.66
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $999 $709.29 $779.22 – $799.20
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $799.20
  • BCBS — Choice: $626.84
  • BCBS — HIX: $112.86
  • BCBS — Preferred: $580.13
  • BCBS — State: $300.54
  • UHC — Commercial: $779.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $426 $302.46 $332.28 – $340.80
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $340.80
  • BCBS — Choice: $267.37
  • BCBS — HIX: $38.78
  • BCBS — Preferred: $247.45
  • BCBS — State: $126.34
  • UHC — Commercial: $332.28
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC FMC, MOHA, AND CCM HOSPITAL CLINIC FACILITY FEE $124 $88.04 $96.72 – $99.20
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $99.20
  • BCBS — Choice: $267.37
  • BCBS — HIX: $38.78
  • BCBS — Preferred: $247.45
  • BCBS — State: $126.34
  • UHC — Commercial: $96.72
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC IR CLINIC OUTPATIENT ESTABLISHED CONSULT $426 $302.46 $332.28 – $340.80
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $340.80
  • BCBS — Choice: $267.37
  • BCBS — HIX: $38.78
  • BCBS — Preferred: $247.45
  • BCBS — State: $126.34
  • UHC — Commercial: $332.28
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $552 $391.92 $430.56 – $441.60
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Aetna — Commercial: $441.60
  • BCBS — Choice: $347.93
  • BCBS — HIX: $58.17
  • BCBS — Preferred: $322
  • BCBS — State: $169.61
  • UHC — Commercial: $430.56
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: HC INITIAL PREV MED NEW PT 18-39YRS $143 $101.53 $32.75 – $114.40
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
  • Aetna — Commercial: $114.40
  • BCBS — Choice: $98.10
  • BCBS — HIX: $32.75
  • BCBS — Preferred: $81.94
  • BCBS — State: $71.50
  • UHC — Commercial: $111.54
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: HC INITIAL PREV MED NEW PT 40-64YRS $161 $114.31 $36.87 – $128.80
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans
  • Aetna — Commercial: $128.80
  • BCBS — Choice: $110.45
  • BCBS — HIX: $36.87
  • BCBS — Preferred: $92.25
  • BCBS — State: $80.50
  • UHC — Commercial: $125.58
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT $1,431 $1,016.01 $239.47 – $3,135
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $269.71
  • Aetna — Commercial: $1,144.80
  • Aetna — Medicare Advantage: $258.37
  • Allwell — Medicare Advantage: $269.71
  • AMBetter — Medicare Advantage: $453.73
  • BCBS — Choice: $890.48
  • BCBS — HIX: $120.08
  • BCBS — Medicare Advantage: $252.07
  • BCBS — Preferred: $824.12
  • BCBS — State: $405.96
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT $2,119 $1,504.49 $368.27 – $5,363
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $414.78
  • Aetna — Commercial: $1,695.20
  • Aetna — Medicare Advantage: $397.34
  • Allwell — Medicare Advantage: $414.78
  • AMBetter — Medicare Advantage: $697.77
  • BCBS — Choice: $1,417.74
  • BCBS — HIX: $163.80
  • BCBS — Medicare Advantage: $387.65
  • BCBS — Preferred: $1,312.09
  • BCBS — State: $646.68
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT $3,292 $2,337.32 $530.23 – $6,518
Emergency room visit (high): 10 of 21 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $597.21
  • Aetna — Commercial: $2,633.60
  • Aetna — Medicare Advantage: $572.10
  • Allwell — Medicare Advantage: $597.21
  • AMBetter — Medicare Advantage: $1,004.66
  • BCBS — Choice: $2,094.64
  • BCBS — HIX: $215.20
  • BCBS — Medicare Advantage: $558.14
  • BCBS — Preferred: $1,938.54
  • BCBS — State: $960.84

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL $313 $222.23 $8.46 – $250.40
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $9.05
  • Aetna — Commercial: $250.40
  • Aetna — Medicare Advantage: $8.67
  • Allwell — Medicare Advantage: $9.05
  • AMBetter — Medicare Advantage: $15.23
  • Asolute Total Care — Medicaid: $20.79
  • BCBS — Choice: $236.31
  • BCBS — HIX: $28.95
  • BCBS — Medicare Advantage: $8.46
  • BCBS — Preferred: $218.70
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC METABOLIC PANEL COMPREHENSIVE $366 $259.86 $10.56 – $292.80
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $11.30
  • Aetna — Commercial: $292.80
  • Aetna — Medicare Advantage: $10.82
  • Allwell — Medicare Advantage: $11.30
  • AMBetter — Medicare Advantage: $19.01
  • Asolute Total Care — Medicaid: $23.48
  • BCBS — Choice: $426.32
  • BCBS — HIX: $33.99
  • BCBS — Medicare Advantage: $10.56
  • BCBS — Preferred: $394.55
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $165 $117.15 $13.39 – $132
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $14.33
  • Aetna — Commercial: $132
  • Aetna — Medicare Advantage: $13.72
  • Allwell — Medicare Advantage: $14.33
  • AMBetter — Medicare Advantage: $24.10
  • Asolute Total Care — Medicaid: $24.09
  • BCBS — Choice: $126.95
  • BCBS — HIX: $41.54
  • BCBS — Medicare Advantage: $13.39
  • BCBS — Preferred: $117.49
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL $193 $137.03 $8.68 – $154.40
Kidney function panel: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $9.29
  • Aetna — Commercial: $154.40
  • Aetna — Medicare Advantage: $8.90
  • Allwell — Medicare Advantage: $9.29
  • AMBetter — Medicare Advantage: $15.62
  • Asolute Total Care — Medicaid: $21.32
  • BCBS — Choice: $78.36
  • BCBS — HIX: $35.24
  • BCBS — Medicare Advantage: $8.68
  • BCBS — Preferred: $72.53
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL $285 $202.35 $8.17 – $228
Liver function panel: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $8.74
  • Aetna — Commercial: $228
  • Aetna — Medicare Advantage: $8.37
  • Allwell — Medicare Advantage: $8.74
  • AMBetter — Medicare Advantage: $14.71
  • Asolute Total Care — Medicaid: $20.06
  • BCBS — Choice: $231.70
  • BCBS — HIX: $39.02
  • BCBS — Medicare Advantage: $8.17
  • BCBS — Preferred: $214.44
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC $146 $103.66 $3.17 – $116.80
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $3.39
  • Aetna — Commercial: $116.80
  • Aetna — Medicare Advantage: $3.25
  • Allwell — Medicare Advantage: $3.39
  • AMBetter — Medicare Advantage: $5.71
  • Asolute Total Care — Medicaid: $7.76
  • BCBS — Choice: $98.73
  • BCBS — HIX: $12.59
  • BCBS — Medicare Advantage: $3.17
  • BCBS — Preferred: $91.37
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINALYSIS NONAUTO W/O SCOPE - SPECIFIC GRAVITY URINE $65 $46.15 $3.48 – $75
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $3.72
  • Aetna — Commercial: $52
  • Aetna — Medicare Advantage: $3.57
  • Allwell — Medicare Advantage: $3.72
  • AMBetter — Medicare Advantage: $6.26
  • Asolute Total Care — Medicaid: $6.27
  • BCBS — Choice: $18.17
  • BCBS — HIX: $10.07
  • BCBS — Medicare Advantage: $3.48
  • BCBS — Preferred: $16.82
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINALYSIS NONAUTO W/O SCOPE - URINE DIPSTICK $65 $46.15 $3.48 – $75
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $3.72
  • Aetna — Commercial: $52
  • Aetna — Medicare Advantage: $3.57
  • Allwell — Medicare Advantage: $3.72
  • AMBetter — Medicare Advantage: $6.26
  • Asolute Total Care — Medicaid: $6.27
  • BCBS — Choice: $18.17
  • BCBS — HIX: $10.07
  • BCBS — Medicare Advantage: $3.48
  • BCBS — Preferred: $16.82
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINALYSIS NONAUTO W/O SCOPE - POCT PH, URINE, QUAL, DIPSTICK $65 $46.15 $3.48 – $75
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $3.72
  • Aetna — Commercial: $52
  • Aetna — Medicare Advantage: $3.57
  • Allwell — Medicare Advantage: $3.72
  • AMBetter — Medicare Advantage: $6.26
  • Asolute Total Care — Medicaid: $6.27
  • BCBS — Choice: $18.17
  • BCBS — HIX: $10.07
  • BCBS — Medicare Advantage: $3.48
  • BCBS — Preferred: $16.82
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/O SCOPE $129 $91.59 $2.25 – $103.20
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $2.41
  • Aetna — Commercial: $103.20
  • Aetna — Medicare Advantage: $2.31
  • Allwell — Medicare Advantage: $2.41
  • AMBetter — Medicare Advantage: $4.05
  • Asolute Total Care — Medicaid: $5.53
  • BCBS — Choice: $99.62
  • BCBS — HIX: $11.33
  • BCBS — Medicare Advantage: $2.25
  • BCBS — Preferred: $92.20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/O SCOPE - HEMOGLOBIN FREE URINE $103 $73.13 $2.25 – $82.40
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $2.41
  • Aetna — Commercial: $82.40
  • Aetna — Medicare Advantage: $2.31
  • Allwell — Medicare Advantage: $2.41
  • AMBetter — Medicare Advantage: $4.05
  • Asolute Total Care — Medicaid: $5.53
  • BCBS — Choice: $99.62
  • BCBS — HIX: $11.33
  • BCBS — Medicare Advantage: $2.25
  • BCBS — Preferred: $92.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA $173 $122.83 $18.39 – $138.40
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $19.68
  • Aetna — Commercial: $138.40
  • Aetna — Medicare Advantage: $18.85
  • Allwell — Medicare Advantage: $19.68
  • AMBetter — Medicare Advantage: $33.10
  • Asolute Total Care — Medicaid: $45.18
  • BCBS — Choice: $218.33
  • BCBS — HIX: $75.53
  • BCBS — Medicare Advantage: $18.39
  • BCBS — Preferred: $202.06
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE $173 $122.83 $18.39 – $138.40
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $19.68
  • Aetna — Commercial: $138.40
  • Aetna — Medicare Advantage: $18.85
  • Allwell — Medicare Advantage: $19.68
  • AMBetter — Medicare Advantage: $33.10
  • Asolute Total Care — Medicaid: $45.18
  • BCBS — Choice: $218.33
  • BCBS — HIX: $75.53
  • BCBS — Medicare Advantage: $18.39
  • BCBS — Preferred: $202.06
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE $173 $122.83 $18.39 – $138.40
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $19.68
  • Aetna — Commercial: $138.40
  • Aetna — Medicare Advantage: $18.85
  • Allwell — Medicare Advantage: $19.68
  • AMBetter — Medicare Advantage: $33.10
  • Asolute Total Care — Medicaid: $45.18
  • BCBS — Choice: $218.33
  • BCBS — HIX: $75.53
  • BCBS — Medicare Advantage: $18.39
  • BCBS — Preferred: $202.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE $197 $139.87 $16.80 – $157.60
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $17.98
  • Aetna — Commercial: $157.60
  • Aetna — Medicare Advantage: $17.22
  • Allwell — Medicare Advantage: $17.98
  • AMBetter — Medicare Advantage: $30.24
  • Asolute Total Care — Medicaid: $41.25
  • BCBS — Choice: $221.57
  • BCBS — HIX: $55.39
  • BCBS — Medicare Advantage: $16.80
  • BCBS — Preferred: $205.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH) $197 $139.87 $16.80 – $157.60
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $17.98
  • Aetna — Commercial: $157.60
  • Aetna — Medicare Advantage: $17.22
  • Allwell — Medicare Advantage: $17.98
  • AMBetter — Medicare Advantage: $30.24
  • Asolute Total Care — Medicaid: $41.25
  • BCBS — Choice: $221.57
  • BCBS — HIX: $55.39
  • BCBS — Medicare Advantage: $16.80
  • BCBS — Preferred: $205.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC ASSAY THYROID STIM HORMONE THYROID CASCADE PROFILE $197 $139.87 $16.80 – $157.60
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $17.98
  • Aetna — Commercial: $157.60
  • Aetna — Medicare Advantage: $17.22
  • Allwell — Medicare Advantage: $17.98
  • AMBetter — Medicare Advantage: $30.24
  • Asolute Total Care — Medicaid: $41.25
  • BCBS — Choice: $221.57
  • BCBS — HIX: $55.39
  • BCBS — Medicare Advantage: $16.80
  • BCBS — Preferred: $205.06
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC COMPLETE CBC & AUTO DIFF WBC $171 $121.41 $7.77 – $136.80
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $8.31
  • Aetna — Commercial: $136.80
  • Aetna — Medicare Advantage: $7.96
  • Allwell — Medicare Advantage: $8.31
  • AMBetter — Medicare Advantage: $13.99
  • Asolute Total Care — Medicaid: $18.22
  • BCBS — Choice: $164.69
  • BCBS — HIX: $25.18
  • BCBS — Medicare Advantage: $7.77
  • BCBS — Preferred: $152.42
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC COMPLETE CBC - CBC $123 $87.33 $6.47 – $98.40
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $6.92
  • Aetna — Commercial: $98.40
  • Aetna — Medicare Advantage: $6.63
  • Allwell — Medicare Advantage: $6.92
  • AMBetter — Medicare Advantage: $11.65
  • Asolute Total Care — Medicaid: $14.63
  • BCBS — Choice: $134.72
  • BCBS — HIX: $20.14
  • BCBS — Medicare Advantage: $6.47
  • BCBS — Preferred: $124.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME - PROTIME-INR $124 $88.04 $4.29 – $99.20
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $4.59
  • Aetna — Commercial: $99.20
  • Aetna — Medicare Advantage: $4.40
  • Allwell — Medicare Advantage: $4.59
  • AMBetter — Medicare Advantage: $7.72
  • Asolute Total Care — Medicaid: $9.64
  • BCBS — Choice: $78.81
  • BCBS — HIX: $17.62
  • BCBS — Medicare Advantage: $4.29
  • BCBS — Preferred: $72.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY $74 $52.54 $4.29 – $75
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $4.59
  • Aetna — Commercial: $59.20
  • Aetna — Medicare Advantage: $4.40
  • Allwell — Medicare Advantage: $4.59
  • AMBetter — Medicare Advantage: $7.72
  • Asolute Total Care — Medicaid: $9.64
  • BCBS — Choice: $78.81
  • BCBS — HIX: $17.62
  • BCBS — Medicare Advantage: $4.29
  • BCBS — Preferred: $72.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC THROMBOPLAS TIME PARTIAL - APTT $109 $77.39 $6.01 – $87.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $6.43
  • Aetna — Commercial: $87.20
  • Aetna — Medicare Advantage: $6.16
  • Allwell — Medicare Advantage: $6.43
  • AMBetter — Medicare Advantage: $10.82
  • Asolute Total Care — Medicaid: $14.75
  • BCBS — Choice: $73.41
  • BCBS — HIX: $21.39
  • BCBS — Medicare Advantage: $6.01
  • BCBS — Preferred: $67.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC THROMBOPLASTIN TIME PARTIAL - MIXING STUDIES $109 $77.39 $6.01 – $87.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $6.43
  • Aetna — Commercial: $87.20
  • Aetna — Medicare Advantage: $6.16
  • Allwell — Medicare Advantage: $6.43
  • AMBetter — Medicare Advantage: $10.82
  • Asolute Total Care — Medicaid: $14.75
  • BCBS — Choice: $73.41
  • BCBS — HIX: $21.39
  • BCBS — Medicare Advantage: $6.01
  • BCBS — Preferred: $67.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC THROMBOPLASTIN TIME PARTIAL - PTT HIGH DOSE HEPARIN LEVEL $109 $77.39 $6.01 – $87.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $6.43
  • Aetna — Commercial: $87.20
  • Aetna — Medicare Advantage: $6.16
  • Allwell — Medicare Advantage: $6.43
  • AMBetter — Medicare Advantage: $10.82
  • Asolute Total Care — Medicaid: $14.75
  • BCBS — Choice: $73.41
  • BCBS — HIX: $21.39
  • BCBS — Medicare Advantage: $6.01
  • BCBS — Preferred: $67.94

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST $2,727 $1,936.17 $91.97 – $3,696
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $103.58
  • Aetna — Commercial: $2,181.60
  • Aetna — Medicare Advantage: $99.23
  • Allwell — Medicare Advantage: $103.58
  • AMBetter — Medicare Advantage: $174.25
  • Asolute Total Care — Medicaid: $470.60
  • BCBS — Choice: $1,239.22
  • BCBS — HIX: $528.69
  • BCBS — Medicare Advantage: $96.81
  • BCBS — Preferred: $1,146.87
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST $6,115 $4,341.65 $308.86 – $6,020
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $347.88
  • Aetna — Commercial: $4,892
  • Aetna — Medicare Advantage: $333.24
  • Allwell — Medicare Advantage: $347.88
  • AMBetter — Medicare Advantage: $585.21
  • Asolute Total Care — Medicaid: $2,478.86
  • BCBS — Choice: $3,401.30
  • BCBS — HIX: $1,434.45
  • BCBS — Medicare Advantage: $325.12
  • BCBS — Preferred: $3,147.84
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS $357 $253.47 $26.53 – $285.60
Chest X-ray, 2 views: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $85.77
  • Aetna — Commercial: $285.60
  • Aetna — Medicare Advantage: $82.16
  • Allwell — Medicare Advantage: $85.77
  • AMBetter — Medicare Advantage: $144.28
  • Asolute Total Care — Medicaid: $27.32
  • BCBS — Choice: $285.22
  • BCBS — HIX: $121.55
  • BCBS — Medicare Advantage: $80.16
  • BCBS — Preferred: $263.97
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS $968 $687.28 $88.49 – $774.40
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $103.58
  • Aetna — Commercial: $774.40
  • Aetna — Medicare Advantage: $99.23
  • Allwell — Medicare Advantage: $103.58
  • AMBetter — Medicare Advantage: $174.25
  • Asolute Total Care — Medicaid: $91.14
  • BCBS — Choice: $477.92
  • BCBS — HIX: $205.27
  • BCBS — Medicare Advantage: $96.81
  • BCBS — Preferred: $442.31
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST $4,737 $3,363.27 $209.05 – $6,020
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $235.46
  • Aetna — Commercial: $3,789.60
  • Aetna — Medicare Advantage: $225.55
  • Allwell — Medicare Advantage: $235.46
  • AMBetter — Medicare Advantage: $396.09
  • Asolute Total Care — Medicaid: $1,245.66
  • BCBS — Choice: $2,220.45
  • BCBS — HIX: $995.46
  • BCBS — Medicare Advantage: $220.05
  • BCBS — Preferred: $2,054.98
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST $3,530 $2,506.30 $153.96 – $3,696
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $173.41
  • Aetna — Commercial: $2,824
  • Aetna — Medicare Advantage: $166.11
  • Allwell — Medicare Advantage: $173.41
  • AMBetter — Medicare Advantage: $291.71
  • Asolute Total Care — Medicaid: $681.41
  • BCBS — Choice: $1,886.91
  • BCBS — HIX: $725.11
  • BCBS — Medicare Advantage: $162.06
  • BCBS — Preferred: $1,746.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE WO CONT $5,002 $3,551.42 $209.05 – $6,020
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $235.46
  • Aetna — Commercial: $4,001.60
  • Aetna — Medicare Advantage: $225.55
  • Allwell — Medicare Advantage: $235.46
  • AMBetter — Medicare Advantage: $396.09
  • Asolute Total Care — Medicaid: $1,116.05
  • BCBS — Choice: $2,220.45
  • BCBS — HIX: $995.46
  • BCBS — Medicare Advantage: $220.05
  • BCBS — Preferred: $2,054.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST $6,811 $4,835.81 $308.86 – $5,448.80
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $347.88
  • Aetna — Commercial: $5,448.80
  • Aetna — Medicare Advantage: $333.24
  • Allwell — Medicare Advantage: $347.88
  • AMBetter — Medicare Advantage: $585.21
  • Asolute Total Care — Medicaid: $681.41
  • BCBS — Choice: $3,773.80
  • BCBS — HIX: $725.11
  • BCBS — Medicare Advantage: $325.12
  • BCBS — Preferred: $3,492.57
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE $1,811 $1,285.81 $91.97 – $1,448.80
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $103.58
  • Aetna — Commercial: $1,448.80
  • Aetna — Medicare Advantage: $99.23
  • Allwell — Medicare Advantage: $103.58
  • AMBetter — Medicare Advantage: $174.25
  • Asolute Total Care — Medicaid: $196.55
  • BCBS — Choice: $618.07
  • BCBS — HIX: $251.09
  • BCBS — Medicare Advantage: $96.81
  • BCBS — Preferred: $572.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST $1,500 $1,065 $91.97 – $1,200
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $103.58
  • Aetna — Commercial: $1,200
  • Aetna — Medicare Advantage: $99.23
  • Allwell — Medicare Advantage: $103.58
  • AMBetter — Medicare Advantage: $174.25
  • Asolute Total Care — Medicaid: $209.24
  • BCBS — Choice: $618.07
  • BCBS — HIX: $251.09
  • BCBS — Medicare Advantage: $96.81
  • BCBS — Preferred: $572.01
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON-OB $1,090 $773.90 $91.97 – $872
Transvaginal ultrasound: 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $103.58
  • Aetna — Commercial: $872
  • Aetna — Medicare Advantage: $99.23
  • Allwell — Medicare Advantage: $103.58
  • AMBetter — Medicare Advantage: $174.25
  • Asolute Total Care — Medicaid: $151.94
  • BCBS — Choice: $618.07
  • BCBS — HIX: $251.09
  • BCBS — Medicare Advantage: $96.81
  • BCBS — Preferred: $572.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC $472 $335.12 $57.98 – $537.26
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $121.37
  • Aetna — Commercial: $377.60
  • Aetna — Medicare Advantage: $116.27
  • Allwell — Medicare Advantage: $121.37
  • AMBetter — Medicare Advantage: $204.17
  • Asolute Total Care — Medicaid: $59.72
  • BCBS — Choice: $323.79
  • BCBS — HIX: $108.09
  • BCBS — Medicare Advantage: $113.43
  • BCBS — Preferred: $270.46
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL $585 $415.35 $72.87 – $688.85
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $152.91
  • Aetna — Commercial: $468
  • Aetna — Medicare Advantage: $146.48
  • Allwell — Medicare Advantage: $152.91
  • AMBetter — Medicare Advantage: $257.24
  • Asolute Total Care — Medicaid: $75.06
  • BCBS — Choice: $401.31
  • BCBS — HIX: $133.97
  • BCBS — Medicare Advantage: $142.91
  • BCBS — Preferred: $335.20
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $414 $293.94 $62.75 – $568.03
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $123.78
  • Aetna — Commercial: $331.20
  • Aetna — Medicare Advantage: $118.57
  • Allwell — Medicare Advantage: $123.78
  • AMBetter — Medicare Advantage: $208.22
  • Asolute Total Care — Medicaid: $64.63
  • BCBS — Choice: $264.49
  • BCBS — HIX: $94.81
  • BCBS — Medicare Advantage: $115.68
  • BCBS — Preferred: $244.78

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $14,920 $10,593.20 $5,432.60 – $15,900
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $11,936
  • Asolute Total Care — Medicaid: $5,595.58
  • BCBS — Choice: $17,046.67
  • BCBS — HIX: $5,610.98
  • BCBS — Preferred: $15,776.34
  • BCBS — State: $7,695.90
  • BCBS Healthy Blue — Medicaid: $5,432.60
  • Cigna — Commercial: $15,900
  • Medicaid — Medicaid: $5,432.60
  • Molina — Medicaid: $5,704.23
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $17,367
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • UHC — Commercial: $17,367
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $12,903 $9,161.13 $2,477.24 – $15,900
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna — Commercial: $10,322.40
  • Asolute Total Care — Medicaid: $2,551.56
  • BCBS — Choice: $22,432.70
  • BCBS — HIX: $5,516.98
  • BCBS — Preferred: $20,761
  • BCBS — State: $9,672.66
  • BCBS Healthy Blue — Medicaid: $2,477.24
  • Cigna — Commercial: $15,900
  • Medicaid — Medicaid: $2,477.24
  • Molina — Medicaid: $2,601.10
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $20,341
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • UHC — Commercial: $20,341
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN $55,764 $39,592.44 $2,477.24 – $44,611.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna — Commercial: $44,611.20
  • Asolute Total Care — Medicaid: $2,551.56
  • BCBS — Choice: $45,816.61
  • BCBS — HIX: $7,001.08
  • BCBS — Preferred: $42,402.34
  • BCBS — State: $19,626.84
  • BCBS Healthy Blue — Medicaid: $2,477.24
  • Cigna — Commercial: $35,000
  • Medicaid — Medicaid: $2,477.24
  • Molina — Medicaid: $2,601.10
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION Not listed in the file Not listed in the file $23,639
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • UHC — Commercial: $23,639
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOM 6 YRS OR OLDER $5,734 $4,071.14 $668.68 – $4,873.90
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $991.02
  • Aetna — Commercial: $4,587.20
  • Aetna — Medicare Advantage: $949.35
  • Allwell — Medicare Advantage: $991.02
  • AMBetter — Medicare Advantage: $1,667.14
  • Asolute Total Care — Medicaid: $688.74
  • BCBS — Choice: $4,895.01
  • BCBS — HIX: $1,798.38
  • BCBS — Medicare Advantage: $926.19
  • BCBS — Preferred: $4,530.23

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: HC PT THERAPEUTIC EXERCISES $196 $139.16 $22.81 – $462
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $29.45
  • Aetna — Commercial: $156.80
  • Aetna — Medicare Advantage: $28.21
  • Allwell — Medicare Advantage: $29.45
  • AMBetter — Medicare Advantage: $49.54
  • Asolute Total Care — Medicaid: $23.49
  • BCBS — Choice: $140.77
  • BCBS — HIX: $27.70
  • BCBS — Medicare Advantage: $27.52
  • BCBS — Preferred: $130.28
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: HC OT THERAPEUTIC EXERCISES $196 $139.16 $22.81 – $462
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $29.45
  • Aetna — Commercial: $156.80
  • Aetna — Medicare Advantage: $28.21
  • Allwell — Medicare Advantage: $29.45
  • AMBetter — Medicare Advantage: $49.54
  • Asolute Total Care — Medicaid: $23.49
  • BCBS — Choice: $140.77
  • BCBS — HIX: $27.70
  • BCBS — Medicare Advantage: $27.52
  • BCBS — Preferred: $130.28
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $134 $95.14 $90.72 – $462
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $100.25
  • Aetna — Commercial: $107.20
  • Aetna — Medicare Advantage: $96.03
  • Allwell — Medicare Advantage: $100.25
  • AMBetter — Medicare Advantage: $168.64
  • Asolute Total Care — Medicaid: $93.45
  • BCBS — Choice: $403.15
  • BCBS — HIX: $65.47
  • BCBS — Medicare Advantage: $93.69
  • BCBS — Preferred: $373.11
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $263 $186.73 $90.72 – $462
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $100.25
  • Aetna — Commercial: $210.40
  • Aetna — Medicare Advantage: $96.03
  • Allwell — Medicare Advantage: $100.25
  • AMBetter — Medicare Advantage: $168.64
  • Asolute Total Care — Medicaid: $93.45
  • BCBS — Choice: $403.15
  • BCBS — HIX: $65.47
  • BCBS — Medicare Advantage: $93.69
  • BCBS — Preferred: $373.11
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $393 $279.03 $90.72 – $462
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $100.25
  • Aetna — Commercial: $314.40
  • Aetna — Medicare Advantage: $96.03
  • Allwell — Medicare Advantage: $100.25
  • AMBetter — Medicare Advantage: $168.64
  • Asolute Total Care — Medicaid: $93.45
  • BCBS — Choice: $403.15
  • BCBS — HIX: $65.47
  • BCBS — Medicare Advantage: $93.69
  • BCBS — Preferred: $373.11
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES $218 $154.78 $49.92 – $285.22
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $156.51
  • Aetna — Commercial: $174.40
  • Aetna — Medicare Advantage: $149.92
  • Allwell — Medicare Advantage: $156.51
  • AMBetter — Medicare Advantage: $263.28
  • BCBS — Choice: $512.05
  • BCBS — HIX: $49.92
  • BCBS — Medicare Advantage: $146.27
  • BCBS — Preferred: $473.89
  • BCBS — State: $257.04

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion Not listed in the file Not listed in the file $14,603
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Cigna — Commercial: $14,603
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $10,918
Removal of breast growth (open surgery): rates for 1 insurance plan
  • UHC — Commercial: $10,918
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $21,721
Total hip replacement: rates for 1 insurance plan
  • UHC — Commercial: $21,721
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $21,721
Total knee replacement: rates for 1 insurance plan
  • UHC — Commercial: $21,721
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $14,603
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Cigna — Commercial: $14,603
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS Not listed in the file Not listed in the file $1,679
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • UHC — Commercial: $1,679
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $20,079
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Cigna — Commercial: $20,079
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $15,012
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • UHC — Commercial: $15,012
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $14,603
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Cigna — Commercial: $14,603
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $10,918
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • UHC — Commercial: $10,918
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $10,110
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Cigna — Commercial: $10,110
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPR GI ENDOSCOPY DIAGNOSIS Not listed in the file Not listed in the file $8,667
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • UHC — Commercial: $8,667
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $11,592
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY BIOPSY Not listed in the file Not listed in the file $8,667
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • UHC — Commercial: $8,667
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $11,592
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $8,667
Colonoscopy (diagnostic): rates for 1 insurance plan
  • UHC — Commercial: $8,667
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $11,592
Colonoscopy with biopsy: rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $8,667
Colonoscopy with biopsy: rates for 1 insurance plan
  • UHC — Commercial: $8,667
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $11,592
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: LESION REMOVAL COLONOSCOPY Not listed in the file Not listed in the file $8,667
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • UHC — Commercial: $8,667
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $11,592
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $8,667
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • UHC — Commercial: $8,667
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $11,592
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLOREC CNCR SCR;COLNSCPY NO HI RSK Not listed in the file Not listed in the file $7,558
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • UHC — Commercial: $7,558
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $25,000
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Cigna — Commercial: $25,000
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $20,341
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • UHC — Commercial: $20,341
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $20,079
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Cigna — Commercial: $20,079
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $15,012
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • UHC — Commercial: $15,012
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate Not listed in the file Not listed in the file $11,592
Prostate biopsy: rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $8,667
Prostate biopsy: rates for 1 insurance plan
  • UHC — Commercial: $8,667
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $21,721
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • UHC — Commercial: $21,721
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $14,603
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Cigna — Commercial: $14,603
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $10,918
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • UHC — Commercial: $10,918
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $4,880 $3,464.80 $341.16 – $3,904
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Aetna — Commercial: $3,904
  • Asolute Total Care — Medicaid: $351.39
  • BCBS — Choice: $3,083.13
  • BCBS — HIX: $1,005.69
  • BCBS — Preferred: $2,853.38
  • BCBS — State: $780.30
  • BCBS Healthy Blue — Medicaid: $341.16
  • Medicaid — Medicaid: $341.16
  • Molina — Medicaid: $358.22
  • Select Health — Medicaid: $358.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $10,110
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Cigna — Commercial: $10,110
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN Not listed in the file Not listed in the file $7,558
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • UHC — Commercial: $7,558
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $4,880 $3,464.80 $543.25 – $3,904
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Commercial: $3,904
  • Asolute Total Care — Medicaid: $559.55
  • BCBS — Choice: $3,083.13
  • BCBS — HIX: $1,005.69
  • BCBS — Preferred: $2,853.38
  • BCBS — State: $780.30
  • BCBS Healthy Blue — Medicaid: $543.25
  • Medicaid — Medicaid: $543.25
  • Molina — Medicaid: $570.42
  • Select Health — Medicaid: $570.42
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $10,110
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Cigna — Commercial: $10,110
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL Not listed in the file Not listed in the file $7,558
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • UHC — Commercial: $7,558
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $11,592
Carpal tunnel release: rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $10,918
Carpal tunnel release: rates for 1 insurance plan
  • UHC — Commercial: $10,918
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery Not listed in the file Not listed in the file $11,592
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Cigna — Commercial: $11,592
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $7,558
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • UHC — Commercial: $7,558
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $31,618
Cataract removal with lens implant: rates for 1 insurance plan
  • Cigna — Commercial: $31,618
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT SURG W/IOL 1 STAGE Not listed in the file Not listed in the file $10,918
Cataract removal with lens implant: rates for 1 insurance plan
  • UHC — Commercial: $10,918

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $45,128.32 – $278,418.49
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 20 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $67,469.94
  • Aetna — Medicare Advantage: $64,632.42
  • Allwell — Medicare Advantage: $67,469.94
  • AMBetter — Medicare Advantage: $113,500.83
  • BCBS — Choice: $252,602.30
  • BCBS — HIX: $45,128.32
  • BCBS — Medicare Advantage: $63,056.02
  • BCBS — Preferred: $254,053.91
  • BCBS — State: $136,301
  • Cigna — Commercial: $278,418.49
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $12,432.92 – $54,896.49
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $13,303.22
  • Aetna — Medicare Advantage: $12,743.74
  • Allwell — Medicare Advantage: $13,303.22
  • AMBetter — Medicare Advantage: $22,379.25
  • BCBS — Choice: $53,949.49
  • BCBS — HIX: $21,526.25
  • BCBS — Medicare Advantage: $12,432.92
  • BCBS — Preferred: $54,259.51
  • BCBS — State: $26,077
  • Cigna — Commercial: $54,896.49
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $14,407.29 – $69,479.40
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $16,837.14
  • Aetna — Medicare Advantage: $16,129.03
  • Allwell — Medicare Advantage: $16,837.14
  • AMBetter — Medicare Advantage: $28,324.16
  • BCBS — Choice: $52,795.62
  • BCBS — HIX: $14,407.29
  • BCBS — Medicare Advantage: $15,735.64
  • BCBS — Preferred: $53,099.01
  • BCBS — State: $29,689
  • Cigna — Commercial: $69,479.40
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $7,861.09 – $35,310.32
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates
  • Absolute Total Care MMP — Medicare Advantage: $8,556.85
  • Aetna — Medicare Advantage: $8,196.98
  • Allwell — Medicare Advantage: $8,556.85
  • AMBetter — Medicare Advantage: $14,394.70
  • BCBS — Choice: $23,544.36
  • BCBS — HIX: $7,861.09
  • BCBS — Medicare Advantage: $7,997.06
  • BCBS — Preferred: $23,679.66
  • BCBS — State: $15,741
  • Cigna — Commercial: $35,310.32

Source: McLeod Loris Hospital’s standard charges file (mcleodhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 20, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address3655 Mitchell Street, Loris, SC 29569
CountyHorry County
StateSouth Carolina
Phone(843) 716‑7000
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number420105
Name in Medicare recordsMCLEOD LORIS HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMcLeod Health Loris
Official websitemcleodhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. McLeod Health Loris — mcleodhealth.org
  2. McLeod Loris Services | Providing the Services You Need — mcleodhealth.org
  3. Contact Information for McLeod Loris — McLeod Health — mcleodhealth.org
  4. Visitation Policies Loris - McLeod Health — mcleodhealth.org