Does Memorial Hospital and Health Care Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Memorial Hospital and Health Care Center. In a medical emergency, call 911.

Where is Memorial Hospital and Health Care Center?

800 W 9th St, Jasper, IN 47546, in Dubois County, Indiana.

What is the phone number of Memorial Hospital and Health Care Center?

(812) 996-2345, as listed by Medicare (CMS).

What is the Medicare star rating of Memorial Hospital and Health Care Center?

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

Memorial Hospital and Health Care Center

Quick answers

Does Memorial Hospital and Health Care Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Memorial Hospital and Health Care Center. In a medical emergency, call 911.
Where is Memorial Hospital and Health Care Center?: 800 W 9th St, Jasper, IN 47546, in Dubois County, Indiana.
What is the phone number of Memorial Hospital and Health Care Center?: (812) 996-2345, as listed by Medicare (CMS).
What is the Medicare star rating of Memorial Hospital and Health Care Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[8][13]

Gynecology
Orthopaedics
Critical care
Emergency care
Pediatrics

Conditions treated^[13]

Treatments^[6][8][13]

Hysterectomy
Endometrial ablation
Laparoscopic surgery
Laser surgery
Cesarean section
Total knee replacement
Total hip replacement
Cardiac catheterization
Cardioversion
Percutaneous coronary intervention

Programs and centers^{[6][7][9][12][13]}

Women's Center (Mary Potter Pavilion) labor and delivery
Level II nursery
Breastfeeding services
Fertility Care Program
Orthopaedic Center of Excellence
Family medicine residency (IU School of Medicine)
Permanent car seat fitting station

Emergency care (hospital website)^[13]

Emergency room	Yes
Trauma designation	Level III

Visiting and practical information

Visiting	Postpartum visitation unrestricted 10-12 and 3-6 daily; two banded labor visitors age 12+. Siblings unrestricted during those hours^[6][7]

Recognition^[11][13]

Accredited by The Joint Commission
Joint Commission disease-specific certification: total knee replacement
Joint Commission disease-specific certification: total hip replacement

Doctors and clinicians (458)

458 doctors and other clinicians list Memorial Hospital and Health Care Center 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 (458)

Aaron F. Blair, MDFamily Practice
Abraham J. Kiesel, PAPhysician Assistant
Adam G. Songer, MDHospitalist
Adam J. Klem, MDFamily Practice
Adam M. Becker, MDUrology
Adam R. Rudolph, MDFamily Practice
Adam R. Wadlington, DOHospitalist
Adam S. Dawkins, MDCardiovascular Disease (Cardiology)
Adetola A. Otesile, MDHospitalist
Adrianna HyamsNurse Practitioner
Adriano M. Duran, DOHospitalist
Ahmed S. Khan, MDInternal Medicine
Akshat Paliwal, MDDiagnostic Radiology
Alexander Huttleston, MDEmergency Medicine
Alexander J. Radnovich, MDPsychiatry
Alexandria J. Carie-Kroeger, NPNurse Practitioner
Alexandria KluegNurse Practitioner
Alexandria Schroeder, NPNurse Practitioner
Alisha M. Shake, MDEmergency Medicine
Amanda K. Mattingly, NPNurse Practitioner
Amanda S. Gaither, CNACertified Registered Nurse Anesthetist (CRNA)
Amber Sager-GrindleNurse Practitioner
Amelia E. Flick, MDAnesthesiology
Amy C. Wigand, MDDiagnostic Radiology

And 434 more: the button below opens the full list.

Other emergency rooms nearby

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

Daviess Community Hospital22 mi · Washington, IN · Acute Care Hospital
Indiana University Health Paoli Hospital28 mi · Paoli, IN · Critical Access Hospital
Ascension St Vincent Warrick30 mi · Boonville, IN · Critical Access Hospital
Perry County Memorial Hospital31 mi · Tell City, IN · Critical Access Hospital
Gibson General Hospital35 mi · Princeton, IN · Critical Access Hospital

Other hospitals nearby

Mission Behavioral Health Hospital5.6 mi · Huntingburg, IN · Psychiatric Hospital
Brentwood Meadows LLC35 mi · Newburgh, IN · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Cathedral Health Care Center0.3 mi · Jasper, IN · 4 of 5 stars
Serenity Spring Senior Living at Northwood1.2 mi · Jasper, IN · 2 of 5 stars
The Timbers of Jasper1.5 mi · Jasper, IN · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Heart to Heart Hospice of Southwest Indiana LLC1.8 mi · Jasper, IN · 4 of 5 stars
Helping Hearts Hospice22 mi · Washington, IN

All hospice providers in the state →

Dialysis facilities

DaVita Jasper Dialysis1.8 mi · Jasper, IN · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Jasper Endoscopy Surgery Center1.8 mi · Jasper, IN
Saint Charles Surgical Pavillion1.8 mi · Jasper, IN

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

Jasper Community Medical Services1.6 mi · Jasper, IN · Community health center
Dale Community Medical Services16 mi · Dale, IN · Community health center
Pike Central Middle School17 mi · Petersburg, IN · Community health center

Clinics and urgent care

Dale Family Medicine16 mi · Dale, IN · Rural health clinic
French Lick Family Medicine18 mi · French Lick, IN · Rural health clinic
Country Health Center18 mi · Montgomery, IN · Rural health clinic

Pharmacies

Buehler's Pharmacy1.8 mi · Jasper, IN · Pharmacy
Deaconess Memorial Medical Center Inc1.8 mi · Jasper, IN · Community/retail pharmacy
Hook-Superx LLC1.8 mi · Jasper, IN · Pharmacy

Assisted living nearby

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

Legacy Living Leasing Jasper, LLC1.8 mi · Jasper, IN

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 Memorial Hospital and Health Care Center 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	70%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	72%National average: 60%
Completed surveys	477Response rate: 28%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.943No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.217Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.3%
Deaths within 30 days: heart failure patients	14.4%
Deaths within 30 days: pneumonia patients	20.3%
Deaths within 30 days: COPD patients	9.7%
Deaths within 30 days: stroke patients	17%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.09No different from the national rate
Complications after hip or knee replacement	3.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.9%
Readmitted within 30 days: heart failure	19.2%
Readmitted within 30 days: pneumonia	16%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	202 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)	69%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Memorial Hospital and Health Care Center 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 →

$ 55 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99204= RVU --> BILL 99203	$249	$87.15	$55.95 – $219.12
New patient office visit (about 30–44 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $149.94 Aetna Better Health of IL — Managed Medicaid: $55.95 Aetna Better Health of KY — Managed Medicaid: $60.57 Alliance Coal — Commercial: $103.28 Allied National — Commercial: $104.78 Ambetter (Commercial-Exchange) — Commercial: $82.32 Anthem IN Medicaid — Managed Medicaid: $102.93 Anthem IN/KY Pathway/Exchange — HMO: $145.22 Anthem Medicare — Medicare Advantage: $74.84 Anthem Pathway Essentials — Commercial: $74.84
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99205= RVU --> BILL 99203	$249	$87.15	$55.95 – $219.12
New patient office visit (about 30–44 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $149.94 Aetna Better Health of IL — Managed Medicaid: $55.95 Aetna Better Health of KY — Managed Medicaid: $60.57 Alliance Coal — Commercial: $103.28 Allied National — Commercial: $104.78 Ambetter (Commercial-Exchange) — Commercial: $82.32 Anthem IN Medicaid — Managed Medicaid: $102.93 Anthem IN/KY Pathway/Exchange — HMO: $145.22 Anthem Medicare — Medicare Advantage: $74.84 Anthem Pathway Essentials — Commercial: $74.84
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244=RVU--> BILL 99203	$249	$87.15	$55.95 – $219.12
New patient office visit (about 30–44 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $149.94 Aetna Better Health of IL — Managed Medicaid: $55.95 Aetna Better Health of KY — Managed Medicaid: $60.57 Alliance Coal — Commercial: $103.28 Allied National — Commercial: $104.78 Ambetter (Commercial-Exchange) — Commercial: $82.32 Anthem IN Medicaid — Managed Medicaid: $102.93 Anthem IN/KY Pathway/Exchange — HMO: $145.22 Anthem Medicare — Medicare Advantage: $74.84 Anthem Pathway Essentials — Commercial: $74.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$369	$129.15	$90.81 – $324.72
New patient office visit (about 45–59 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $213.35 Aetna Better Health of IL — Managed Medicaid: $90.81 Aetna Better Health of KY — Managed Medicaid: $102.79 Alliance Coal — Commercial: $168.58 Allied National — Commercial: $171.02 Ambetter (Commercial-Exchange) — Commercial: $134.38 Anthem IN Medicaid — Managed Medicaid: $154.76 Anthem IN/KY Pathway/Exchange — HMO: $209.88 Anthem Medicare — Medicare Advantage: $122.16 Anthem Pathway Essentials — Commercial: $122.16
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN	Not listed in the file	Not listed in the file	$125.10 – $162.17
New patient office visit (about 45–59 minutes): rates for 4 insurance plans Aetna — Commercial: $125.10 Anthem IN/KY Pathway/Exchange — HMO: $162.17 Anthem Pathway Essentials — Commercial: $125.10 Anthem Traditional/HMO/PPO Pathway — HMO: $162.17
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$451	$157.85	$123.49 – $396.88
New patient office visit (about 60–74 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $270.33 Aetna Better Health of IL — Managed Medicaid: $123.49 Aetna Better Health of KY — Managed Medicaid: $131.98 Alliance Coal — Commercial: $229.04 Allied National — Commercial: $232.36 Ambetter (Commercial-Exchange) — Commercial: $182.57 Anthem IN Medicaid — Managed Medicaid: $204.08 Anthem IN/KY Pathway/Exchange — HMO: $217.84 Anthem Medicare — Medicare Advantage: $165.97 Anthem Pathway Essentials — Commercial: $165.97
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN	Not listed in the file	Not listed in the file	$170.02 – $201.30
New patient office visit (about 60–74 minutes): rates for 4 insurance plans Aetna — Commercial: $170.02 Anthem IN/KY Pathway/Exchange — HMO: $201.30 Anthem Pathway Essentials — Commercial: $170.02 Anthem Traditional/HMO/PPO Pathway — HMO: $201.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99214= RVU --> BILL 99213	$170	$59.50	$40.36 – $149.60
Established patient office visit (about 20–29 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $102.65 Aetna Better Health of IL — Managed Medicaid: $44.67 Aetna Better Health of KY — Managed Medicaid: $40.36 Alliance Coal — Commercial: $83.66 Allied National — Commercial: $84.87 Ambetter (Commercial-Exchange) — Commercial: $66.68 Anthem IN Medicaid — Managed Medicaid: $84.31 Anthem IN/KY Pathway/Exchange — HMO: $90.93 Anthem Medicare — Medicare Advantage: $60.62 Anthem Pathway Essentials — Commercial: $60.62
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99215= RVU --> BILL 99213	$170	$59.50	$40.36 – $149.60
Established patient office visit (about 20–29 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $102.65 Aetna Better Health of IL — Managed Medicaid: $44.67 Aetna Better Health of KY — Managed Medicaid: $40.36 Alliance Coal — Commercial: $83.66 Allied National — Commercial: $84.87 Ambetter (Commercial-Exchange) — Commercial: $66.68 Anthem IN Medicaid — Managed Medicaid: $84.31 Anthem IN/KY Pathway/Exchange — HMO: $90.93 Anthem Medicare — Medicare Advantage: $60.62 Anthem Pathway Essentials — Commercial: $60.62
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244 RVU--> BILL 99213	$170	$59.50	$40.36 – $149.60
Established patient office visit (about 20–29 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $102.65 Aetna Better Health of IL — Managed Medicaid: $44.67 Aetna Better Health of KY — Managed Medicaid: $40.36 Alliance Coal — Commercial: $83.66 Allied National — Commercial: $84.87 Ambetter (Commercial-Exchange) — Commercial: $66.68 Anthem IN Medicaid — Managed Medicaid: $84.31 Anthem IN/KY Pathway/Exchange — HMO: $90.93 Anthem Medicare — Medicare Advantage: $60.62 Anthem Pathway Essentials — Commercial: $60.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$248	$86.80	$61.98 – $218.24
Established patient office visit (about 30–39 minutes): 10 of 79 insurance plan rates Aetna — Commercial: $146 Aetna Better Health of IL — Managed Medicaid: $65.79 Aetna Better Health of KY — Managed Medicaid: $61.98 Alliance Coal — Commercial: $123.11 Allied National — Commercial: $124.89 Ambetter (Commercial-Exchange) — Commercial: $98.13 Anthem IN Medicaid — Managed Medicaid: $119.13 Anthem IN/KY Pathway/Exchange — HMO: $131.91 Anthem Medicare — Medicare Advantage: $89.21 Anthem Pathway Essentials — Commercial: $89.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30-39 MIN	Not listed in the file	Not listed in the file	$91.65 – $105.54
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans Aetna — Commercial: $91.65 Anthem IN/KY Pathway/Exchange — HMO: $105.54 Anthem Pathway Essentials — Commercial: $91.65 Anthem Traditional/HMO/PPO Pathway — HMO: $105.54
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$250	$87.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $220
Office consultation with a specialist (moderate): 10 of 72 insurance plan rates Aetna — Commercial: $178.55 Aetna Better Health of IL — Managed Medicaid: $51.30 Aetna Better Health of KY — Managed Medicaid: $76.53 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter (Commercial-Exchange) — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN/KY Pathway/Exchange — HMO: $106.19 Anthem Medicare — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Pathway Essentials — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Traditional/HMO/PPO Pathway — HMO: $106.19
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$106.19
Office consultation with a specialist (moderate): rates for 2 insurance plans Anthem IN/KY Pathway/Exchange — HMO: $106.19 Anthem Traditional/HMO/PPO Pathway — HMO: $106.19
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$365	$127.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $321.20
Office consultation with a specialist (moderate to high): 10 of 72 insurance plan rates Aetna — Commercial: $252.75 Aetna Better Health of IL — Managed Medicaid: $71.40 Aetna Better Health of KY — Managed Medicaid: $121.37 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter (Commercial-Exchange) — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN/KY Pathway/Exchange — HMO: $162.17 Anthem Medicare — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Pathway Essentials — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Traditional/HMO/PPO Pathway — HMO: $162.17
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$162.17
Office consultation with a specialist (moderate to high): rates for 2 insurance plans Anthem IN/KY Pathway/Exchange — HMO: $162.17 Anthem Traditional/HMO/PPO Pathway — HMO: $162.17
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$135	$47.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $171.62
Preventive checkup, new patient, age 18–39: 10 of 78 insurance plan rates Aetna — Commercial: $171.62 Aetna Better Health of IL — Managed Medicaid: $32.15 Aetna Better Health of KY — Managed Medicaid: $77.60 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter (Commercial-Exchange) — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Medicaid — Managed Medicaid: $120.02 Anthem IN/KY Pathway/Exchange — HMO: $131.20 Anthem Medicare — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Pathway Essentials — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$131.20
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans Anthem IN/KY Pathway/Exchange — HMO: $131.20 Anthem Traditional/HMO/PPO Pathway — HMO: $131.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $131.20
Preventive checkup, new patient, age 18–39: 10 of 69 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health of IL — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health of KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter (Commercial-Exchange) — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Medicaid — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN/KY Pathway/Exchange — HMO: $131.20 Anthem Medicare — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Pathway Essentials — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$135	$47.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $241.68
Preventive checkup, new patient, age 40–64: 10 of 78 insurance plan rates Aetna — Commercial: $202.11 Aetna Better Health of IL — Managed Medicaid: $66.40 Aetna Better Health of KY — Managed Medicaid: $93.99 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter (Commercial-Exchange) — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Medicaid — Managed Medicaid: $138.60 Anthem IN/KY Pathway/Exchange — HMO: $241.68 Anthem Medicare — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Pathway Essentials — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$161.10
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans Anthem IN/KY Pathway/Exchange — HMO: $161.10 Anthem Traditional/HMO/PPO Pathway — HMO: $161.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $241.68
Preventive checkup, new patient, age 40–64: 10 of 69 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health of IL — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health of KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter (Commercial-Exchange) — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Medicaid — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN/KY Pathway/Exchange — HMO: $241.68 Anthem Medicare — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem Pathway Essentials — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT LOW MDM	$212	$74.20	$47.40 – $186.56
Emergency room visit (moderate): 10 of 78 insurance plan rates Aetna — Commercial: $106.61 Aetna Better Health of IL — Managed Medicaid: $49.16 Aetna Better Health of KY — Managed Medicaid: $47.40 Alliance Coal — Commercial: $89.29 Allied National — Commercial: $90.58 Ambetter (Commercial-Exchange) — Commercial: $71.17 Anthem IN Medicaid — Managed Medicaid: $65.36 Anthem IN/KY Pathway/Exchange — HMO: $118.45 Anthem Medicare — Medicare Advantage: $64.70 Anthem Pathway Essentials — Commercial: $64.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$1,384	$456.72	$94.45 – $2,716
Emergency room visit (moderate): 10 of 65 insurance plan rates Aetna — Commercial: $831.78 Aetna Better Health of KY — Managed Medicaid: $346 Alliance Coal — Commercial: $546.39 Allied National — Commercial: $672.48 Ambetter (Commercial-Exchange) — Commercial: $420.30 Anthem IN/KY Pathway/Exchange — HMO: $94.45 Anthem Medicare — Medicare Advantage: $280.20 Anthem Pathway Essentials — Commercial: $280.20 Anthem Traditional/HMO/PPO Pathway — HMO: $899.98 Blue Cross Blue Shield of Illinois — Medicare Advantage: $280.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$1,384	$456.72	$456.72 – $1,217.92
Emergency room visit (moderate): 10 of 13 insurance plan rates Allied National — Commercial: $830.40 Center Care Narrow Select — Commercial: $816.56 Center Care Open Access — Commercial: $885.76 Cigna Behavioral — Commercial: $968.80 ClaimDoc — Commercial: $830.40 First Health — Commercial: $1,024.16 Healthlink — HMO: $1,038 Healthlink — PPO: $1,176.40 HealthScope — Commercial: $826.39 KY Racing Health & Welfare Fund — Commercial: $456.72
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM	$315	$110.25	$74.05 – $277.20
Emergency room visit (moderately high): 10 of 78 insurance plan rates Aetna — Commercial: $164.74 Aetna Better Health of IL — Managed Medicaid: $83.69 Aetna Better Health of KY — Managed Medicaid: $74.05 Alliance Coal — Commercial: $152.05 Allied National — Commercial: $154.25 Ambetter (Commercial-Exchange) — Commercial: $121.20 Anthem IN Medicaid — Managed Medicaid: $111.23 Anthem IN/KY Pathway/Exchange — HMO: $200 Anthem Medicare — Medicare Advantage: $110.18 Anthem Pathway Essentials — Commercial: $110.18
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$2,187	$721.71	$159.95 – $2,716
Emergency room visit (moderately high): 10 of 65 insurance plan rates Aetna — Commercial: $1,314.39 Aetna Better Health of KY — Managed Medicaid: $546.75 Alliance Coal — Commercial: $848.17 Allied National — Commercial: $1,043.90 Ambetter (Commercial-Exchange) — Commercial: $652.44 Anthem IN/KY Pathway/Exchange — HMO: $159.95 Anthem Medicare — Medicare Advantage: $434.96 Anthem Pathway Essentials — Commercial: $434.96 Anthem Traditional/HMO/PPO Pathway — HMO: $1,397.05 Blue Cross Blue Shield of Illinois — Medicare Advantage: $434.96
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$2,187	$721.71	$721.71 – $1,924.56
Emergency room visit (moderately high): 10 of 13 insurance plan rates Allied National — Commercial: $1,312.20 Center Care Narrow Select — Commercial: $1,290.33 Center Care Open Access — Commercial: $1,399.68 Cigna Behavioral — Commercial: $1,530.90 ClaimDoc — Commercial: $1,312.20 First Health — Commercial: $1,618.38 Healthlink — HMO: $1,640.25 Healthlink — PPO: $1,858.95 HealthScope — Commercial: $1,305.86 KY Racing Health & Welfare Fund — Commercial: $721.71
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT HIGH MDM	$469	$164.15	$116.04 – $412.72
Emergency room visit (high): 10 of 78 insurance plan rates Aetna — Commercial: $251.41 Aetna Better Health of IL — Managed Medicaid: $121.28 Aetna Better Health of KY — Managed Medicaid: $116.04 Alliance Coal — Commercial: $220.37 Allied National — Commercial: $223.57 Ambetter (Commercial-Exchange) — Commercial: $175.66 Anthem IN Medicaid — Managed Medicaid: $161.20 Anthem IN/KY Pathway/Exchange — HMO: $290 Anthem Medicare — Medicare Advantage: $159.69 Anthem Pathway Essentials — Commercial: $159.69
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$3,272	$1,079.76	$237.74 – $2,879.36
Emergency room visit (high): 10 of 65 insurance plan rates Aetna — Commercial: $1,966.47 Aetna Better Health of KY — Managed Medicaid: $818 Alliance Coal — Commercial: $1,230.02 Allied National — Commercial: $1,513.87 Ambetter (Commercial-Exchange) — Commercial: $946.17 Anthem IN/KY Pathway/Exchange — HMO: $237.74 Anthem Medicare — Medicare Advantage: $630.78 Anthem Pathway Essentials — Commercial: $630.78 Anthem Traditional/HMO/PPO Pathway — HMO: $2,026 Blue Cross Blue Shield of Illinois — Medicare Advantage: $630.78
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$3,272	$1,079.76	$1,079.76 – $2,879.36
Emergency room visit (high): 10 of 13 insurance plan rates Allied National — Commercial: $1,963.20 Center Care Narrow Select — Commercial: $1,930.48 Center Care Open Access — Commercial: $2,094.08 Cigna Behavioral — Commercial: $2,290.40 ClaimDoc — Commercial: $1,963.20 First Health — Commercial: $2,421.28 Healthlink — HMO: $2,454 Healthlink — PPO: $2,781.20 HealthScope — Commercial: $1,953.71 KY Racing Health & Welfare Fund — Commercial: $1,079.76

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$49	$17.15	$3.47 – $43.12
Basic metabolic panel (blood test): 10 of 78 insurance plan rates Aetna — Commercial: $14.03 Aetna Better Health of IL — Managed Medicaid: $8.28 Aetna Better Health of KY — Managed Medicaid: $8.46 Alliance Coal — Commercial: $8.88 Allied National — Commercial: $11.84 Ambetter (Commercial-Exchange) — Commercial: $8.46 Anthem IN Medicaid — Managed Medicaid: $8.46 Anthem IN/KY Pathway/Exchange — HMO: $3.47 Anthem Medicare — Medicare Advantage: $8.46 Anthem Pathway Essentials — Commercial: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$4.65 – $20.30
Basic metabolic panel (blood test): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $8.46 Alliance Coal — Commercial: $8.46 Allied National — Commercial: $20.30 Ambetter (Commercial-Exchange) — Commercial: $12.69 Anthem IN/KY Pathway/Exchange — HMO: $8.46 Anthem Medicare — Medicare Advantage: $8.46 Anthem Pathway Essentials — Commercial: $8.46 Anthem Traditional/HMO/PPO Pathway — HMO: $8.46 Blue Cross Blue Shield of Illinois — Medicare Advantage: $8.46 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL	$67	$23.45	$5 – $58.96
Comprehensive metabolic panel (blood test): 10 of 78 insurance plan rates Aetna — Commercial: $18.91 Aetna Better Health of IL — Managed Medicaid: $10.36 Aetna Better Health of KY — Managed Medicaid: $10.56 Alliance Coal — Commercial: $11.09 Allied National — Commercial: $14.78 Ambetter (Commercial-Exchange) — Commercial: $10.56 Anthem IN Medicaid — Managed Medicaid: $10.56 Anthem IN/KY Pathway/Exchange — HMO: $5 Anthem Medicare — Medicare Advantage: $10.56 Anthem Pathway Essentials — Commercial: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$78	$27.30	$5 – $68.64
Comprehensive metabolic panel (blood test): 10 of 78 insurance plan rates Aetna — Commercial: $18.91 Aetna Better Health of IL — Managed Medicaid: $10.36 Aetna Better Health of KY — Managed Medicaid: $10.56 Alliance Coal — Commercial: $11.09 Allied National — Commercial: $14.78 Ambetter (Commercial-Exchange) — Commercial: $10.56 Anthem IN Medicaid — Managed Medicaid: $10.56 Anthem IN/KY Pathway/Exchange — HMO: $5 Anthem Medicare — Medicare Advantage: $10.56 Anthem Pathway Essentials — Commercial: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$5.81 – $25.34
Comprehensive metabolic panel (blood test): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $10.56 Alliance Coal — Commercial: $10.56 Allied National — Commercial: $25.34 Ambetter (Commercial-Exchange) — Commercial: $15.84 Anthem IN/KY Pathway/Exchange — HMO: $10.56 Anthem Medicare — Medicare Advantage: $10.56 Anthem Pathway Essentials — Commercial: $10.56 Anthem Traditional/HMO/PPO Pathway — HMO: $10.56 Blue Cross Blue Shield of Illinois — Medicare Advantage: $10.56 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$26.30 – $114.74
Obstetric blood test panel: 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $47.81 Alliance Coal — Commercial: $47.81 Allied National — Commercial: $114.74 Ambetter (Commercial-Exchange) — Commercial: $71.72 Anthem IN/KY Pathway/Exchange — HMO: $47.81 Anthem Medicare — Medicare Advantage: $47.81 Anthem Pathway Essentials — Commercial: $47.81 Anthem Traditional/HMO/PPO Pathway — HMO: $47.81 Blue Cross Blue Shield of Illinois — Medicare Advantage: $47.81 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE	$89	$31.15	$6.02 – $78.32
Cholesterol panel (lipid panel): 10 of 78 insurance plan rates Aetna — Commercial: $26.74 Aetna Better Health of IL — Managed Medicaid: $9.37 Aetna Better Health of KY — Managed Medicaid: $13.39 Alliance Coal — Commercial: $14.06 Allied National — Commercial: $18.75 Ambetter (Commercial-Exchange) — Commercial: $13.39 Anthem IN Medicaid — Managed Medicaid: $13.39 Anthem IN/KY Pathway/Exchange — HMO: $6.02 Anthem Medicare — Medicare Advantage: $13.39 Anthem Pathway Essentials — Commercial: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL	$89	$31.15	$6.02 – $78.32
Cholesterol panel (lipid panel): 10 of 78 insurance plan rates Aetna — Commercial: $26.74 Aetna Better Health of IL — Managed Medicaid: $9.37 Aetna Better Health of KY — Managed Medicaid: $13.39 Alliance Coal — Commercial: $14.06 Allied National — Commercial: $18.75 Ambetter (Commercial-Exchange) — Commercial: $13.39 Anthem IN Medicaid — Managed Medicaid: $13.39 Anthem IN/KY Pathway/Exchange — HMO: $6.02 Anthem Medicare — Medicare Advantage: $13.39 Anthem Pathway Essentials — Commercial: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$7.36 – $32.14
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $13.39 Alliance Coal — Commercial: $13.39 Allied National — Commercial: $32.14 Ambetter (Commercial-Exchange) — Commercial: $20.09 Anthem IN/KY Pathway/Exchange — HMO: $13.39 Anthem Medicare — Medicare Advantage: $13.39 Anthem Pathway Essentials — Commercial: $13.39 Anthem Traditional/HMO/PPO Pathway — HMO: $13.39 Blue Cross Blue Shield of Illinois — Medicare Advantage: $13.39 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL PROFILE	$45	$15.75	$4.11 – $39.60
Kidney function panel: 10 of 78 insurance plan rates Aetna — Commercial: $15.76 Aetna Better Health of IL — Managed Medicaid: $8.52 Aetna Better Health of KY — Managed Medicaid: $8.68 Alliance Coal — Commercial: $9.11 Allied National — Commercial: $12.15 Ambetter (Commercial-Exchange) — Commercial: $8.68 Anthem IN Medicaid — Managed Medicaid: $8.68 Anthem IN/KY Pathway/Exchange — HMO: $4.11 Anthem Medicare — Medicare Advantage: $8.68 Anthem Pathway Essentials — Commercial: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL	$54	$18.90	$4.11 – $47.52
Kidney function panel: 10 of 78 insurance plan rates Aetna — Commercial: $15.76 Aetna Better Health of IL — Managed Medicaid: $8.52 Aetna Better Health of KY — Managed Medicaid: $8.68 Alliance Coal — Commercial: $9.11 Allied National — Commercial: $12.15 Ambetter (Commercial-Exchange) — Commercial: $8.68 Anthem IN Medicaid — Managed Medicaid: $8.68 Anthem IN/KY Pathway/Exchange — HMO: $4.11 Anthem Medicare — Medicare Advantage: $8.68 Anthem Pathway Essentials — Commercial: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$4.77 – $20.83
Kidney function panel: 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $8.68 Alliance Coal — Commercial: $8.68 Allied National — Commercial: $20.83 Ambetter (Commercial-Exchange) — Commercial: $13.02 Anthem IN/KY Pathway/Exchange — HMO: $8.68 Anthem Medicare — Medicare Advantage: $8.68 Anthem Pathway Essentials — Commercial: $8.68 Anthem Traditional/HMO/PPO Pathway — HMO: $8.68 Blue Cross Blue Shield of Illinois — Medicare Advantage: $8.68 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC (LIVER) FUNCTION PANEL	$46	$16.10	$2.99 – $40.48
Liver function panel: 10 of 78 insurance plan rates Aetna — Commercial: $13.57 Aetna Better Health of IL — Managed Medicaid: $7.98 Aetna Better Health of KY — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.58 Allied National — Commercial: $11.44 Ambetter (Commercial-Exchange) — Commercial: $8.17 Anthem IN Medicaid — Managed Medicaid: $8.17 Anthem IN/KY Pathway/Exchange — HMO: $2.99 Anthem Medicare — Medicare Advantage: $8.17 Anthem Pathway Essentials — Commercial: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL	$46	$16.10	$2.99 – $40.48
Liver function panel: 10 of 78 insurance plan rates Aetna — Commercial: $13.57 Aetna Better Health of IL — Managed Medicaid: $7.98 Aetna Better Health of KY — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.58 Allied National — Commercial: $11.44 Ambetter (Commercial-Exchange) — Commercial: $8.17 Anthem IN Medicaid — Managed Medicaid: $8.17 Anthem IN/KY Pathway/Exchange — HMO: $2.99 Anthem Medicare — Medicare Advantage: $8.17 Anthem Pathway Essentials — Commercial: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$4.49 – $19.61
Liver function panel: 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.17 Allied National — Commercial: $19.61 Ambetter (Commercial-Exchange) — Commercial: $12.26 Anthem IN/KY Pathway/Exchange — HMO: $8.17 Anthem Medicare — Medicare Advantage: $8.17 Anthem Pathway Essentials — Commercial: $8.17 Anthem Traditional/HMO/PPO Pathway — HMO: $8.17 Blue Cross Blue Shield of Illinois — Medicare Advantage: $8.17 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS (UA)	$23	$8.05	$2.35 – $20.24
Urine test (automated, with microscope): 10 of 78 insurance plan rates Aetna — Commercial: $5.77 Aetna Better Health of IL — Managed Medicaid: $5.72 Aetna Better Health of KY — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.33 Allied National — Commercial: $4.44 Ambetter (Commercial-Exchange) — Commercial: $3.17 Anthem IN Medicaid — Managed Medicaid: $3.17 Anthem IN/KY Pathway/Exchange — HMO: $2.35 Anthem Medicare — Medicare Advantage: $3.17 Anthem Pathway Essentials — Commercial: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$23	$8.05	$2.35 – $20.24
Urine test (automated, with microscope): 10 of 78 insurance plan rates Aetna — Commercial: $5.77 Aetna Better Health of IL — Managed Medicaid: $5.72 Aetna Better Health of KY — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.33 Allied National — Commercial: $4.44 Ambetter (Commercial-Exchange) — Commercial: $3.17 Anthem IN Medicaid — Managed Medicaid: $3.17 Anthem IN/KY Pathway/Exchange — HMO: $2.35 Anthem Medicare — Medicare Advantage: $3.17 Anthem Pathway Essentials — Commercial: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$1.74 – $7.61
Urine test (automated, with microscope): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.17 Allied National — Commercial: $7.61 Ambetter (Commercial-Exchange) — Commercial: $4.76 Anthem IN/KY Pathway/Exchange — HMO: $3.17 Anthem Medicare — Medicare Advantage: $3.17 Anthem Pathway Essentials — Commercial: $3.17 Anthem Traditional/HMO/PPO Pathway — HMO: $3.17 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3.17 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK ASCORBIC ACID	$18	$6.30	$2.09 – $15.84
Urine test (manual, without microscope): 10 of 78 insurance plan rates Aetna — Commercial: $4.84 Aetna Better Health of IL — Managed Medicaid: $5.20 Aetna Better Health of KY — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Allied National — Commercial: $4.87 Ambetter (Commercial-Exchange) — Commercial: $3.48 Anthem IN Medicaid — Managed Medicaid: $3.48 Anthem IN/KY Pathway/Exchange — HMO: $2.09 Anthem Medicare — Medicare Advantage: $3.48 Anthem Pathway Essentials — Commercial: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK BILIRUBIN	$18	$6.30	$2.09 – $15.84
Urine test (manual, without microscope): 10 of 78 insurance plan rates Aetna — Commercial: $4.84 Aetna Better Health of IL — Managed Medicaid: $5.20 Aetna Better Health of KY — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Allied National — Commercial: $4.87 Ambetter (Commercial-Exchange) — Commercial: $3.48 Anthem IN Medicaid — Managed Medicaid: $3.48 Anthem IN/KY Pathway/Exchange — HMO: $2.09 Anthem Medicare — Medicare Advantage: $3.48 Anthem Pathway Essentials — Commercial: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK BLOOD	$18	$6.30	$2.09 – $15.84
Urine test (manual, without microscope): 10 of 78 insurance plan rates Aetna — Commercial: $4.84 Aetna Better Health of IL — Managed Medicaid: $5.20 Aetna Better Health of KY — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Allied National — Commercial: $4.87 Ambetter (Commercial-Exchange) — Commercial: $3.48 Anthem IN Medicaid — Managed Medicaid: $3.48 Anthem IN/KY Pathway/Exchange — HMO: $2.09 Anthem Medicare — Medicare Advantage: $3.48 Anthem Pathway Essentials — Commercial: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT KETONE, URINE	$18	$6.30	$1.66 – $15.84
Urine test (automated, without microscope): 10 of 78 insurance plan rates Aetna — Commercial: $4.09 Aetna Better Health of IL — Managed Medicaid: $3.44 Aetna Better Health of KY — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.36 Allied National — Commercial: $3.15 Ambetter (Commercial-Exchange) — Commercial: $2.25 Anthem IN Medicaid — Managed Medicaid: $2.25 Anthem IN/KY Pathway/Exchange — HMO: $1.66 Anthem Medicare — Medicare Advantage: $2.25 Anthem Pathway Essentials — Commercial: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18	$6.30	$1.66 – $15.84
Urine test (automated, without microscope): 10 of 78 insurance plan rates Aetna — Commercial: $4.09 Aetna Better Health of IL — Managed Medicaid: $3.44 Aetna Better Health of KY — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.36 Allied National — Commercial: $3.15 Ambetter (Commercial-Exchange) — Commercial: $2.25 Anthem IN Medicaid — Managed Medicaid: $2.25 Anthem IN/KY Pathway/Exchange — HMO: $1.66 Anthem Medicare — Medicare Advantage: $2.25 Anthem Pathway Essentials — Commercial: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.24 – $5.40
Urine test (automated, without microscope): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.25 Allied National — Commercial: $5.40 Ambetter (Commercial-Exchange) — Commercial: $3.38 Anthem IN/KY Pathway/Exchange — HMO: $2.25 Anthem Medicare — Medicare Advantage: $2.25 Anthem Pathway Essentials — Commercial: $2.25 Anthem Traditional/HMO/PPO Pathway — HMO: $2.25 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2.25 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: PSA TOTAL, DIAGNOSTIC	$120	$42	$10.42 – $105.60
PSA (prostate specific antigen) blood test: 10 of 78 insurance plan rates Aetna — Commercial: $33.39 Aetna Better Health of IL — Managed Medicaid: $13.20 Aetna Better Health of KY — Managed Medicaid: $18.39 Alliance Coal — Commercial: $19.31 Allied National — Commercial: $25.75 Ambetter (Commercial-Exchange) — Commercial: $18.39 Anthem IN Medicaid — Managed Medicaid: $18.39 Anthem IN/KY Pathway/Exchange — HMO: $10.42 Anthem Medicare — Medicare Advantage: $18.39 Anthem Pathway Essentials — Commercial: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$50	$17.50	$10.42 – $44
PSA (prostate specific antigen) blood test: 10 of 78 insurance plan rates Aetna — Commercial: $33.39 Aetna Better Health of IL — Managed Medicaid: $13.20 Aetna Better Health of KY — Managed Medicaid: $18.39 Alliance Coal — Commercial: $19.31 Allied National — Commercial: $25.75 Ambetter (Commercial-Exchange) — Commercial: $18.39 Anthem IN Medicaid — Managed Medicaid: $18.39 Anthem IN/KY Pathway/Exchange — HMO: $10.42 Anthem Medicare — Medicare Advantage: $18.39 Anthem Pathway Essentials — Commercial: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$10.11 – $44.14
PSA (prostate specific antigen) blood test: 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $18.39 Alliance Coal — Commercial: $18.39 Allied National — Commercial: $44.14 Ambetter (Commercial-Exchange) — Commercial: $27.59 Anthem IN/KY Pathway/Exchange — HMO: $18.39 Anthem Medicare — Medicare Advantage: $18.39 Anthem Pathway Essentials — Commercial: $18.39 Anthem Traditional/HMO/PPO Pathway — HMO: $18.39 Blue Cross Blue Shield of Illinois — Medicare Advantage: $18.39 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT THYROID STIMULATING HORMONE (TSH)	$96	$33.60	$7.95 – $84.48
Thyroid stimulating hormone (TSH) test: 10 of 78 insurance plan rates Aetna — Commercial: $30.48 Aetna Better Health of IL — Managed Medicaid: $16.42 Aetna Better Health of KY — Managed Medicaid: $16.80 Alliance Coal — Commercial: $17.64 Allied National — Commercial: $23.52 Ambetter (Commercial-Exchange) — Commercial: $16.80 Anthem IN Medicaid — Managed Medicaid: $16.80 Anthem IN/KY Pathway/Exchange — HMO: $7.95 Anthem Medicare — Medicare Advantage: $16.80 Anthem Pathway Essentials — Commercial: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$96	$33.60	$7.95 – $84.48
Thyroid stimulating hormone (TSH) test: 10 of 78 insurance plan rates Aetna — Commercial: $30.48 Aetna Better Health of IL — Managed Medicaid: $16.42 Aetna Better Health of KY — Managed Medicaid: $16.80 Alliance Coal — Commercial: $17.64 Allied National — Commercial: $23.52 Ambetter (Commercial-Exchange) — Commercial: $16.80 Anthem IN Medicaid — Managed Medicaid: $16.80 Anthem IN/KY Pathway/Exchange — HMO: $7.95 Anthem Medicare — Medicare Advantage: $16.80 Anthem Pathway Essentials — Commercial: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$9.24 – $40.32
Thyroid stimulating hormone (TSH) test: 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $16.80 Alliance Coal — Commercial: $16.80 Allied National — Commercial: $40.32 Ambetter (Commercial-Exchange) — Commercial: $25.20 Anthem IN/KY Pathway/Exchange — HMO: $16.80 Anthem Medicare — Medicare Advantage: $16.80 Anthem Pathway Essentials — Commercial: $16.80 Anthem Traditional/HMO/PPO Pathway — HMO: $16.80 Blue Cross Blue Shield of Illinois — Medicare Advantage: $16.80 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W MANUAL DIFFERENTIAL	$39	$13.65	$3.68 – $34.32
Complete blood count (CBC) with differential: 10 of 78 insurance plan rates Aetna — Commercial: $14.13 Aetna Better Health of IL — Managed Medicaid: $5.74 Aetna Better Health of KY — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Allied National — Commercial: $10.88 Ambetter (Commercial-Exchange) — Commercial: $7.77 Anthem IN Medicaid — Managed Medicaid: $7.77 Anthem IN/KY Pathway/Exchange — HMO: $3.68 Anthem Medicare — Medicare Advantage: $7.77 Anthem Pathway Essentials — Commercial: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: MANUAL DIFFERENTIAL	$39	$13.65	$3.68 – $34.32
Complete blood count (CBC) with differential: 10 of 78 insurance plan rates Aetna — Commercial: $14.13 Aetna Better Health of IL — Managed Medicaid: $5.74 Aetna Better Health of KY — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Allied National — Commercial: $10.88 Ambetter (Commercial-Exchange) — Commercial: $7.77 Anthem IN Medicaid — Managed Medicaid: $7.77 Anthem IN/KY Pathway/Exchange — HMO: $3.68 Anthem Medicare — Medicare Advantage: $7.77 Anthem Pathway Essentials — Commercial: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$39	$13.65	$3.68 – $34.32
Complete blood count (CBC) with differential: 10 of 78 insurance plan rates Aetna — Commercial: $14.13 Aetna Better Health of IL — Managed Medicaid: $5.74 Aetna Better Health of KY — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Allied National — Commercial: $10.88 Ambetter (Commercial-Exchange) — Commercial: $7.77 Anthem IN Medicaid — Managed Medicaid: $7.77 Anthem IN/KY Pathway/Exchange — HMO: $3.68 Anthem Medicare — Medicare Advantage: $7.77 Anthem Pathway Essentials — Commercial: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W AUTO DIFF	$39	$13.65	$2.11 – $34.32
Complete blood count (CBC), automated: 10 of 78 insurance plan rates Aetna — Commercial: $11.76 Aetna Better Health of IL — Managed Medicaid: $2.11 Aetna Better Health of KY — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Allied National — Commercial: $9.06 Ambetter (Commercial-Exchange) — Commercial: $6.47 Anthem IN Medicaid — Managed Medicaid: $6.47 Anthem IN/KY Pathway/Exchange — HMO: $3.06 Anthem Medicare — Medicare Advantage: $6.47 Anthem Pathway Essentials — Commercial: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT CBC W AUTO DIFF	$39	$13.65	$2.11 – $34.32
Complete blood count (CBC), automated: 10 of 78 insurance plan rates Aetna — Commercial: $11.76 Aetna Better Health of IL — Managed Medicaid: $2.11 Aetna Better Health of KY — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Allied National — Commercial: $9.06 Ambetter (Commercial-Exchange) — Commercial: $6.47 Anthem IN Medicaid — Managed Medicaid: $6.47 Anthem IN/KY Pathway/Exchange — HMO: $3.06 Anthem Medicare — Medicare Advantage: $6.47 Anthem Pathway Essentials — Commercial: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED	$38	$13.30	$2.11 – $33.44
Complete blood count (CBC), automated: 10 of 78 insurance plan rates Aetna — Commercial: $11.76 Aetna Better Health of IL — Managed Medicaid: $2.11 Aetna Better Health of KY — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Allied National — Commercial: $9.06 Ambetter (Commercial-Exchange) — Commercial: $6.47 Anthem IN Medicaid — Managed Medicaid: $6.47 Anthem IN/KY Pathway/Exchange — HMO: $3.06 Anthem Medicare — Medicare Advantage: $6.47 Anthem Pathway Essentials — Commercial: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME	$26	$9.10	$2.91 – $22.88
Blood clotting time test (prothrombin time, PT): 10 of 78 insurance plan rates Aetna — Commercial: $7.27 Aetna Better Health of IL — Managed Medicaid: $3.82 Aetna Better Health of KY — Managed Medicaid: $4.29 Alliance Coal — Commercial: $4.50 Allied National — Commercial: $6.01 Ambetter (Commercial-Exchange) — Commercial: $4.29 Anthem IN Medicaid — Managed Medicaid: $4.29 Anthem IN/KY Pathway/Exchange — HMO: $2.91 Anthem Medicare — Medicare Advantage: $4.29 Anthem Pathway Essentials — Commercial: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$2.36 – $10.30
Blood clotting time test (prothrombin time, PT): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $4.29 Alliance Coal — Commercial: $4.29 Allied National — Commercial: $10.30 Ambetter (Commercial-Exchange) — Commercial: $6.44 Anthem IN/KY Pathway/Exchange — HMO: $4.29 Anthem Medicare — Medicare Advantage: $4.29 Anthem Pathway Essentials — Commercial: $4.29 Anthem Traditional/HMO/PPO Pathway — HMO: $4.29 Blue Cross Blue Shield of Illinois — Medicare Advantage: $4.29 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: APTT	$33	$11.55	$2.97 – $29.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 78 insurance plan rates Aetna — Commercial: $10.91 Aetna Better Health of IL — Managed Medicaid: $5.88 Aetna Better Health of KY — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.31 Allied National — Commercial: $8.41 Ambetter (Commercial-Exchange) — Commercial: $6.01 Anthem IN Medicaid — Managed Medicaid: $6.01 Anthem IN/KY Pathway/Exchange — HMO: $2.97 Anthem Medicare — Medicare Advantage: $6.01 Anthem Pathway Essentials — Commercial: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$33	$11.55	$2.97 – $29.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 78 insurance plan rates Aetna — Commercial: $10.91 Aetna Better Health of IL — Managed Medicaid: $5.88 Aetna Better Health of KY — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.31 Allied National — Commercial: $8.41 Ambetter (Commercial-Exchange) — Commercial: $6.01 Anthem IN Medicaid — Managed Medicaid: $6.01 Anthem IN/KY Pathway/Exchange — HMO: $2.97 Anthem Medicare — Medicare Advantage: $6.01 Anthem Pathway Essentials — Commercial: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$3.31 – $14.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 46 insurance plan rates Aetna Better Health of KY — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.01 Allied National — Commercial: $14.42 Ambetter (Commercial-Exchange) — Commercial: $9.02 Anthem IN/KY Pathway/Exchange — HMO: $6.01 Anthem Medicare — Medicare Advantage: $6.01 Anthem Pathway Essentials — Commercial: $6.01 Anthem Traditional/HMO/PPO Pathway — HMO: $6.01 Blue Cross Blue Shield of Illinois — Medicare Advantage: $6.01 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $6.01

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 · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$627	$219.45	$30.02 – $551.76
CT scan of the head or brain, without contrast: 10 of 78 insurance plan rates Aetna — Commercial: $131.33 Aetna Better Health of IL — Managed Medicaid: $38.60 Aetna Better Health of KY — Managed Medicaid: $36.59 Alliance Coal — Commercial: $51.57 Allied National — Commercial: $52.32 Ambetter (Commercial-Exchange) — Commercial: $37.37 Anthem IN Medicaid — Managed Medicaid: $37.52 Anthem IN/KY Pathway/Exchange — HMO: $54.70 Anthem Medicare — Medicare Advantage: $37.37 Anthem Pathway Essentials — Commercial: $37.37
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,411	$465.63	$102.57 – $1,241.68
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates Aetna — Commercial: $525 Aetna Better Health of KY — Managed Medicaid: $352.75 Alliance Coal — Commercial: $210.54 Allied National — Commercial: $259.13 Ambetter (Commercial-Exchange) — Commercial: $161.96 Anthem IN/KY Pathway/Exchange — HMO: $218.43 Anthem Medicare — Medicare Advantage: $107.97 Anthem Pathway Essentials — Commercial: $107.97 Anthem Traditional/HMO/PPO Pathway — HMO: $218.43 Blue Cross Blue Shield of Illinois — Medicare Advantage: $107.97
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,411	$465.63	$465.63 – $1,241.68
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Allied National — Commercial: $846.60 Center Care Narrow Select — Commercial: $832.49 Center Care Open Access — Commercial: $903.04 Cigna Behavioral — Commercial: $987.70 ClaimDoc — Commercial: $846.60 First Health — Commercial: $1,044.14 Healthlink — HMO: $1,058.25 Healthlink — PPO: $1,199.35 HealthScope — Commercial: $842.51 KY Racing Health & Welfare Fund — Commercial: $465.63
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST	$3,270	$1,079.10	$358.79 – $2,877.60
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates Aetna — Commercial: $900 Aetna Better Health of KY — Managed Medicaid: $817.50 Alliance Coal — Commercial: $736.46 Allied National — Commercial: $906.41 Ambetter (Commercial-Exchange) — Commercial: $566.51 Anthem IN/KY Pathway/Exchange — HMO: $926.54 Anthem Medicare — Medicare Advantage: $377.67 Anthem Pathway Essentials — Commercial: $377.67 Anthem Traditional/HMO/PPO Pathway — HMO: $926.54 Blue Cross Blue Shield of Illinois — Medicare Advantage: $377.67
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$432	$151.20	$86.40 – $380.16
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates Aetna — Commercial: $302.40 Alliance Coal — Commercial: $280.80 Allied National — Commercial: $259.20 Ambetter (Commercial-Exchange) — Commercial: $259.20 Caresource IN Marketplace — Commercial: $151.20 Center Care Narrow Select — Commercial: $259.20 Center Care Open Access — Commercial: $259.20 Chamber Care — TruConnect: $259.20 Cigna Behavioral — Commercial: $259.20 Cigna Direct (POS, POS Open Access, Network, Network Open Ac — Commercial: $259.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST	$3,270	$1,079.10	$1,079.10 – $2,877.60
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Allied National — Commercial: $1,962 Center Care Narrow Select — Commercial: $1,929.30 Center Care Open Access — Commercial: $2,092.80 Cigna Behavioral — Commercial: $2,289 ClaimDoc — Commercial: $1,962 First Health — Commercial: $2,419.80 Healthlink — HMO: $2,452.50 Healthlink — PPO: $2,779.50 HealthScope — Commercial: $1,952.52 KY Racing Health & Welfare Fund — Commercial: $1,079.10
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$126	$44.10	$7.03 – $110.88
Chest X-ray, 2 views: 10 of 78 insurance plan rates Aetna — Commercial: $15.04 Aetna Better Health of IL — Managed Medicaid: $7.03 Aetna Better Health of KY — Managed Medicaid: $8.69 Alliance Coal — Commercial: $13.33 Allied National — Commercial: $13.52 Ambetter (Commercial-Exchange) — Commercial: $9.66 Anthem IN Medicaid — Managed Medicaid: $9.78 Anthem IN/KY Pathway/Exchange — HMO: $10.46 Anthem Medicare — Medicare Advantage: $9.66 Anthem Pathway Essentials — Commercial: $9.66
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$380	$125.40	$67 – $334.40
Chest X-ray, 2 views: 10 of 61 insurance plan rates Aetna — Commercial: $67 Aetna Better Health of KY — Managed Medicaid: $95 Alliance Coal — Commercial: $174.02 Allied National — Commercial: $214.18 Ambetter (Commercial-Exchange) — Commercial: $133.86 Anthem IN/KY Pathway/Exchange — HMO: $229.29 Anthem Medicare — Medicare Advantage: $89.24 Anthem Pathway Essentials — Commercial: $89.24 Anthem Traditional/HMO/PPO Pathway — HMO: $286.62 Blue Cross Blue Shield of Illinois — Medicare Advantage: $89.24
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$380	$125.40	$125.40 – $334.40
Chest X-ray, 2 views: 10 of 13 insurance plan rates Allied National — Commercial: $228 Center Care Narrow Select — Commercial: $224.20 Center Care Open Access — Commercial: $243.20 Cigna Behavioral — Commercial: $266 ClaimDoc — Commercial: $228 First Health — Commercial: $281.20 Healthlink — HMO: $285 Healthlink — PPO: $323 HealthScope — Commercial: $226.90 KY Racing Health & Welfare Fund — Commercial: $125.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$158	$55.30	$37.90 – $139.04
X-ray of the lower spine, at least 4 views: 10 of 78 insurance plan rates Aetna — Commercial: $89.31 Aetna Better Health of IL — Managed Medicaid: $37.90 Aetna Better Health of KY — Managed Medicaid: $38.13 Alliance Coal — Commercial: $64.72 Allied National — Commercial: $65.66 Ambetter (Commercial-Exchange) — Commercial: $46.90 Anthem IN Medicaid — Managed Medicaid: $47.47 Anthem IN/KY Pathway/Exchange — HMO: $62.10 Anthem Medicare — Medicare Advantage: $46.90 Anthem Pathway Essentials — Commercial: $46.90
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS	$736	$242.88	$102.57 – $647.68
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates Aetna — Commercial: $442.34 Aetna Better Health of KY — Managed Medicaid: $184 Alliance Coal — Commercial: $210.54 Allied National — Commercial: $259.13 Ambetter (Commercial-Exchange) — Commercial: $161.96 Anthem IN/KY Pathway/Exchange — HMO: $277.43 Anthem Medicare — Medicare Advantage: $107.97 Anthem Pathway Essentials — Commercial: $107.97 Anthem Traditional/HMO/PPO Pathway — HMO: $346.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $107.97
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS	$736	$242.88	$242.88 – $647.68
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Allied National — Commercial: $441.60 Center Care Narrow Select — Commercial: $434.24 Center Care Open Access — Commercial: $471.04 Cigna Behavioral — Commercial: $515.20 ClaimDoc — Commercial: $441.60 First Health — Commercial: $544.64 Healthlink — HMO: $552 Healthlink — PPO: $625.60 HealthScope — Commercial: $439.47 KY Racing Health & Welfare Fund — Commercial: $242.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$1,638	$573.30	$52.58 – $1,441.44
MRI of the lower back (lumbar spine), without contrast: 10 of 78 insurance plan rates Aetna — Commercial: $230.06 Aetna Better Health of IL — Managed Medicaid: $67.91 Aetna Better Health of KY — Managed Medicaid: $63.56 Alliance Coal — Commercial: $89.81 Allied National — Commercial: $91.11 Ambetter (Commercial-Exchange) — Commercial: $65.08 Anthem IN Medicaid — Managed Medicaid: $65.73 Anthem IN/KY Pathway/Exchange — HMO: $96.20 Anthem Medicare — Medicare Advantage: $65.08 Anthem Pathway Essentials — Commercial: $65.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,047	$675.51	$228.61 – $1,801.36
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates Aetna — Commercial: $900 Aetna Better Health of KY — Managed Medicaid: $511.75 Alliance Coal — Commercial: $469.25 Allied National — Commercial: $577.54 Ambetter (Commercial-Exchange) — Commercial: $360.96 Anthem IN/KY Pathway/Exchange — HMO: $631.93 Anthem Medicare — Medicare Advantage: $240.64 Anthem Pathway Essentials — Commercial: $240.64 Anthem Traditional/HMO/PPO Pathway — HMO: $631.93 Blue Cross Blue Shield of Illinois — Medicare Advantage: $240.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,047	$675.51	$675.51 – $1,801.36
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Allied National — Commercial: $1,228.20 Center Care Narrow Select — Commercial: $1,207.73 Center Care Open Access — Commercial: $1,310.08 Cigna Behavioral — Commercial: $1,432.90 ClaimDoc — Commercial: $1,228.20 First Health — Commercial: $1,514.78 Healthlink — HMO: $1,535.25 Healthlink — PPO: $1,739.95 HealthScope — Commercial: $1,222.26 KY Racing Health & Welfare Fund — Commercial: $675.51
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL	$805	$281.75	$41.05 – $708.40
CT scan of the pelvis, with contrast: 10 of 79 insurance plan rates Aetna — Commercial: $132.75 Aetna Better Health of IL — Managed Medicaid: $75.29 Aetna Better Health of KY — Managed Medicaid: $49.66 Alliance Coal — Commercial: $70.15 Allied National — Commercial: $71.16 Ambetter (Commercial-Exchange) — Commercial: $50.83 Anthem IN Medicaid — Managed Medicaid: $51.31 Anthem IN/KY Pathway/Exchange — HMO: $75.20 Anthem Medicare — Medicare Advantage: $50.83 Anthem Pathway Essentials — Commercial: $50.83
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,315	$763.95	$163.91 – $2,037.20
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Commercial: $525 Aetna Better Health of KY — Managed Medicaid: $578.75 Alliance Coal — Commercial: $351.84 Allied National — Commercial: $433.03 Ambetter (Commercial-Exchange) — Commercial: $270.65 Anthem IN/KY Pathway/Exchange — HMO: $297.01 Anthem Medicare — Medicare Advantage: $180.43 Anthem Pathway Essentials — Commercial: $216.07 Anthem Traditional/HMO/PPO Pathway — HMO: $297.01 Blue Cross Blue Shield of Illinois — Medicare Advantage: $180.43
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,315	$763.95	$763.95 – $2,037.20
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Allied National — Commercial: $1,389 Center Care Narrow Select — Commercial: $1,365.85 Center Care Open Access — Commercial: $1,481.60 Cigna Behavioral — Commercial: $1,620.50 ClaimDoc — Commercial: $1,389 First Health — Commercial: $1,713.10 Healthlink — HMO: $1,736.25 Healthlink — PPO: $1,967.75 HealthScope — Commercial: $1,382.29 KY Racing Health & Welfare Fund — Commercial: $763.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$2,041	$673.53	$228.61 – $1,796.08
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Commercial: $900 Aetna Better Health of KY — Managed Medicaid: $510.25 Alliance Coal — Commercial: $469.25 Allied National — Commercial: $577.54 Ambetter (Commercial-Exchange) — Commercial: $360.96 Anthem IN/KY Pathway/Exchange — HMO: $627.24 Anthem Medicare — Medicare Advantage: $240.64 Anthem Pathway Essentials — Commercial: $240.64 Anthem Traditional/HMO/PPO Pathway — HMO: $627.24 Blue Cross Blue Shield of Illinois — Medicare Advantage: $240.64
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$275	$96.25	$55 – $242
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — Commercial: $192.50 Alliance Coal — Commercial: $178.75 Allied National — Commercial: $165 Ambetter (Commercial-Exchange) — Commercial: $165 Caresource IN Marketplace — Commercial: $96.25 Center Care Narrow Select — Commercial: $165 Center Care Open Access — Commercial: $165 Chamber Care — TruConnect: $165 Cigna Behavioral — Commercial: $165 Cigna Direct (POS, POS Open Access, Network, Network Open Ac — Commercial: $165
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$2,041	$673.53	$673.53 – $1,796.08
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Allied National — Commercial: $1,224.60 Center Care Narrow Select — Commercial: $1,204.19 Center Care Open Access — Commercial: $1,306.24 Cigna Behavioral — Commercial: $1,428.70 ClaimDoc — Commercial: $1,224.60 First Health — Commercial: $1,510.34 Healthlink — HMO: $1,530.75 Healthlink — PPO: $1,734.85 HealthScope — Commercial: $1,218.68 KY Racing Health & Welfare Fund — Commercial: $673.53
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$320	$112	$57.95 – $281.60
CT scan of the abdomen and pelvis, with contrast: 10 of 78 insurance plan rates Aetna — Commercial: $148.64 Aetna Better Health of IL — Managed Medicaid: $57.95 Aetna Better Health of KY — Managed Medicaid: $77.44 Alliance Coal — Commercial: $110.57 Allied National — Commercial: $112.17 Ambetter (Commercial-Exchange) — Commercial: $80.12 Anthem IN Medicaid — Managed Medicaid: $80.35 Anthem IN/KY Pathway/Exchange — HMO: $157.30 Anthem Medicare — Medicare Advantage: $80.12 Anthem Pathway Essentials — Commercial: $80.12
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST	$3,037	$1,002.21	$358.79 – $2,672.56
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Commercial: $525 Aetna Better Health of KY — Managed Medicaid: $759.25 Alliance Coal — Commercial: $736.46 Allied National — Commercial: $906.41 Ambetter (Commercial-Exchange) — Commercial: $566.51 Anthem IN/KY Pathway/Exchange — HMO: $601.10 Anthem Medicare — Medicare Advantage: $377.67 Anthem Pathway Essentials — Commercial: $377.67 Anthem Traditional/HMO/PPO Pathway — HMO: $601.10 Blue Cross Blue Shield of Illinois — Medicare Advantage: $377.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST	$3,037	$1,002.21	$1,002.21 – $2,672.56
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Allied National — Commercial: $1,822.20 Center Care Narrow Select — Commercial: $1,791.83 Center Care Open Access — Commercial: $1,943.68 Cigna Behavioral — Commercial: $2,125.90 ClaimDoc — Commercial: $1,822.20 First Health — Commercial: $2,247.38 Healthlink — HMO: $2,277.75 Healthlink — PPO: $2,581.45 HealthScope — Commercial: $1,813.39 KY Racing Health & Welfare Fund — Commercial: $1,002.21
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$140	$49	$26.56 – $123.20
Ultrasound of the abdomen, complete: 10 of 78 insurance plan rates Aetna — Commercial: $69.02 Aetna Better Health of IL — Managed Medicaid: $26.56 Aetna Better Health of KY — Managed Medicaid: $34.91 Alliance Coal — Commercial: $48.96 Allied National — Commercial: $49.67 Ambetter (Commercial-Exchange) — Commercial: $35.48 Anthem IN Medicaid — Managed Medicaid: $35.61 Anthem IN/KY Pathway/Exchange — HMO: $52.40 Anthem Medicare — Medicare Advantage: $35.48 Anthem Pathway Essentials — Commercial: $35.48
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,471	$485.43	$102.57 – $1,294.48
Ultrasound of the abdomen, complete: 10 of 61 insurance plan rates Aetna — Commercial: $884.07 Aetna Better Health of KY — Managed Medicaid: $367.75 Alliance Coal — Commercial: $210.54 Allied National — Commercial: $259.13 Ambetter (Commercial-Exchange) — Commercial: $161.96 Anthem IN/KY Pathway/Exchange — HMO: $277.43 Anthem Medicare — Medicare Advantage: $107.97 Anthem Pathway Essentials — Commercial: $107.97 Anthem Traditional/HMO/PPO Pathway — HMO: $346.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $107.97
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,471	$485.43	$485.43 – $1,294.48
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Allied National — Commercial: $882.60 Center Care Narrow Select — Commercial: $867.89 Center Care Open Access — Commercial: $941.44 Cigna Behavioral — Commercial: $1,029.70 ClaimDoc — Commercial: $882.60 First Health — Commercial: $1,088.54 Healthlink — HMO: $1,103.25 Healthlink — PPO: $1,250.35 HealthScope — Commercial: $878.33 KY Racing Health & Welfare Fund — Commercial: $485.43
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$443	$155.05	$87.72 – $389.84
Pregnancy ultrasound (after the first trimester): 10 of 78 insurance plan rates Aetna — Commercial: $274.21 Aetna Better Health of IL — Managed Medicaid: $87.72 Aetna Better Health of KY — Managed Medicaid: $99.62 Alliance Coal — Commercial: $167.73 Allied National — Commercial: $170.16 Ambetter (Commercial-Exchange) — Commercial: $121.54 Anthem IN Medicaid — Managed Medicaid: $124.54 Anthem IN/KY Pathway/Exchange — HMO: $143.89 Anthem Medicare — Medicare Advantage: $121.54 Anthem Pathway Essentials — Commercial: $121.54
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$1,636	$539.88	$102.57 – $1,439.68
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates Aetna — Commercial: $983.24 Aetna Better Health of KY — Managed Medicaid: $409 Alliance Coal — Commercial: $210.54 Allied National — Commercial: $259.13 Ambetter (Commercial-Exchange) — Commercial: $161.96 Anthem IN/KY Pathway/Exchange — HMO: $277.43 Anthem Medicare — Medicare Advantage: $107.97 Anthem Pathway Essentials — Commercial: $107.97 Anthem Traditional/HMO/PPO Pathway — HMO: $346.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $107.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB ULTRASOUND >= 14 WEEKS	$201	$66.33	$50.25 – $455
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates Aetna — Commercial: $120.80 Aetna Better Health of KY — Managed Medicaid: $50.25 Alliance Coal — Commercial: $210.54 Allied National — Commercial: $259.13 Ambetter (Commercial-Exchange) — Commercial: $161.96 Anthem IN/KY Pathway/Exchange — HMO: $277.43 Anthem Medicare — Medicare Advantage: $107.97 Anthem Pathway Essentials — Commercial: $107.97 Anthem Traditional/HMO/PPO Pathway — HMO: $346.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $107.97
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$207	$72.45	$71.37 – $182.16
Transvaginal ultrasound: 10 of 78 insurance plan rates Aetna — Commercial: $170.75 Aetna Better Health of IL — Managed Medicaid: $76.76 Aetna Better Health of KY — Managed Medicaid: $71.37 Alliance Coal — Commercial: $146.71 Allied National — Commercial: $148.83 Ambetter (Commercial-Exchange) — Commercial: $106.31 Anthem IN Medicaid — Managed Medicaid: $109.13 Anthem IN/KY Pathway/Exchange — HMO: $105.30 Anthem Medicare — Medicare Advantage: $106.31 Anthem Pathway Essentials — Commercial: $106.31
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$1,560	$514.80	$102.57 – $1,372.80
Transvaginal ultrasound: 10 of 61 insurance plan rates Aetna — Commercial: $937.56 Aetna Better Health of KY — Managed Medicaid: $390 Alliance Coal — Commercial: $210.54 Allied National — Commercial: $259.13 Ambetter (Commercial-Exchange) — Commercial: $161.96 Anthem IN/KY Pathway/Exchange — HMO: $277.43 Anthem Medicare — Medicare Advantage: $107.97 Anthem Pathway Essentials — Commercial: $107.97 Anthem Traditional/HMO/PPO Pathway — HMO: $346.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $107.97
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$1,560	$514.80	$514.80 – $1,372.80
Transvaginal ultrasound: 10 of 13 insurance plan rates Allied National — Commercial: $936 Center Care Narrow Select — Commercial: $920.40 Center Care Open Access — Commercial: $998.40 Cigna Behavioral — Commercial: $1,092 ClaimDoc — Commercial: $936 First Health — Commercial: $1,154.40 Healthlink — HMO: $1,170 Healthlink — PPO: $1,326 HealthScope — Commercial: $931.48 KY Racing Health & Welfare Fund — Commercial: $514.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$601	$198.33	$150.25 – $528.88
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates Aetna — Commercial: $361.20 Aetna Better Health of KY — Managed Medicaid: $150.25 Alliance Coal — Commercial: $291.73 Allied National — Commercial: $360.60 Ambetter (Commercial-Exchange) — Commercial: $360.60 Anthem IN/KY Pathway/Exchange — HMO: $177.72 Anthem Traditional/HMO/PPO Pathway — HMO: $177.72 Center Care Narrow Select — Commercial: $342.57 Center Care Open Access — Commercial: $372.62 Chamber Care — TruConnect: $360.60
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$165	$57.75	$33 – $145.20
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — Commercial: $115.50 Alliance Coal — Commercial: $107.25 Allied National — Commercial: $99 Ambetter (Commercial-Exchange) — Commercial: $99 Caresource IN Marketplace — Commercial: $57.75 Center Care Narrow Select — Commercial: $99 Center Care Open Access — Commercial: $99 Chamber Care — TruConnect: $99 Cigna Behavioral — Commercial: $99 Cigna Direct (POS, POS Open Access, Network, Network Open Ac — Commercial: $99
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$601	$198.33	$198.33 – $528.88
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Allied National — Commercial: $360.60 Center Care Narrow Select — Commercial: $354.59 Center Care Open Access — Commercial: $384.64 Cigna Behavioral — Commercial: $420.70 ClaimDoc — Commercial: $360.60 First Health — Commercial: $444.74 Healthlink — HMO: $450.75 Healthlink — PPO: $510.85 HealthScope — Commercial: $358.86 KY Racing Health & Welfare Fund — Commercial: $198.33
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$762	$251.46	$190.50 – $670.56
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates Aetna — Commercial: $457.96 Aetna Better Health of KY — Managed Medicaid: $190.50 Alliance Coal — Commercial: $369.87 Allied National — Commercial: $457.20 Ambetter (Commercial-Exchange) — Commercial: $457.20 Anthem IN/KY Pathway/Exchange — HMO: $225.32 Anthem Traditional/HMO/PPO Pathway — HMO: $225.32 Center Care Narrow Select — Commercial: $434.34 Center Care Open Access — Commercial: $472.44 Chamber Care — TruConnect: $457.20
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$200	$70	$40 – $176
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial: $140 Alliance Coal — Commercial: $130 Allied National — Commercial: $120 Ambetter (Commercial-Exchange) — Commercial: $120 Caresource IN Marketplace — Commercial: $70 Center Care Narrow Select — Commercial: $120 Center Care Open Access — Commercial: $120 Chamber Care — TruConnect: $120 Cigna Behavioral — Commercial: $120 Cigna Direct (POS, POS Open Access, Network, Network Open Ac — Commercial: $120
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$762	$251.46	$251.46 – $670.56
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Allied National — Commercial: $457.20 Center Care Narrow Select — Commercial: $449.58 Center Care Open Access — Commercial: $487.68 Cigna Behavioral — Commercial: $533.40 ClaimDoc — Commercial: $457.20 First Health — Commercial: $563.88 Healthlink — HMO: $571.50 Healthlink — PPO: $647.70 HealthScope — Commercial: $454.99 KY Racing Health & Welfare Fund — Commercial: $251.46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$546	$180.18	$136.50 – $480.48
Screening mammogram, both breasts: 10 of 38 insurance plan rates Aetna — Commercial: $227 Aetna Better Health of KY — Managed Medicaid: $136.50 Alliance Coal — Commercial: $265.03 Allied National — Commercial: $327.60 Ambetter (Commercial-Exchange) — Commercial: $327.60 Anthem IN/KY Pathway/Exchange — HMO: $264 Anthem Traditional/HMO/PPO Pathway — HMO: $264 Center Care Narrow Select — Commercial: $269 Center Care Open Access — Commercial: $269 Chamber Care — TruConnect: $327.60
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$144	$50.40	$28.80 – $126.72
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial: $100.80 Alliance Coal — Commercial: $93.60 Allied National — Commercial: $86.40 Ambetter (Commercial-Exchange) — Commercial: $86.40 Caresource IN Marketplace — Commercial: $50.40 Center Care Narrow Select — Commercial: $86.40 Center Care Open Access — Commercial: $86.40 Chamber Care — TruConnect: $86.40 Cigna Behavioral — Commercial: $86.40 Cigna Direct (POS, POS Open Access, Network, Network Open Ac — Commercial: $86.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$546	$180.18	$180.18 – $480.48
Screening mammogram, both breasts: 10 of 13 insurance plan rates Allied National — Commercial: $327.60 Center Care Narrow Select — Commercial: $322.14 Center Care Open Access — Commercial: $349.44 Cigna Behavioral — Commercial: $382.20 ClaimDoc — Commercial: $327.60 First Health — Commercial: $404.04 Healthlink — HMO: $409.50 Healthlink — PPO: $464.10 HealthScope — Commercial: $326.02 KY Racing Health & Welfare Fund — Commercial: $180.18

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$82	$28.70	$10.50 – $72.16
Electrocardiogram (ECG/EKG) with reading: 10 of 78 insurance plan rates Aetna — Commercial: $45.96 Aetna Better Health of IL — Managed Medicaid: $13.64 Aetna Better Health of KY — Managed Medicaid: $21.79 Alliance Coal — Commercial: $17.90 Allied National — Commercial: $18.16 Ambetter (Commercial-Exchange) — Commercial: $16.21 Anthem IN Medicaid — Managed Medicaid: $13.13 Anthem IN/KY Pathway/Exchange — HMO: $31.50 Anthem Medicare — Medicare Advantage: $12.97 Anthem Pathway Essentials — Commercial: $12.97
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$704	$246.40	$162.24 – $619.52
Left heart catheterization (diagnostic): 10 of 78 insurance plan rates Aetna — Commercial: $361.79 Aetna Better Health of IL — Managed Medicaid: $162.24 Aetna Better Health of KY — Managed Medicaid: $227.27 Alliance Coal — Commercial: $283.04 Allied National — Commercial: $287.14 Ambetter (Commercial-Exchange) — Commercial: $256.38 Anthem IN Medicaid — Managed Medicaid: $207.34 Anthem IN/KY Pathway/Exchange — HMO: $345.36 Anthem Medicare — Medicare Advantage: $205.10 Anthem Pathway Essentials — Commercial: $205.10
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LHC W/WO LV ANGIO	$11,455	$3,780.15	$2,863.75 – $10,278.26
Left heart catheterization (diagnostic): 10 of 62 insurance plan rates Aetna — Commercial: $6,884.46 Aetna Better Health of KY — Managed Medicaid: $2,863.75 Alliance Coal — Commercial: $6,240.10 Allied National — Commercial: $7,680.12 Ambetter (Commercial-Exchange) — Commercial: $4,800.08 Anthem IN/KY Pathway/Exchange — HMO: $8,222.47 Anthem Medicare — Medicare Advantage: $3,200.05 Anthem Pathway Essentials — Commercial: $3,200.05 Anthem Traditional/HMO/PPO Pathway — HMO: $10,278.26 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,200.05
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LHC W/WO LV ANGIO	$11,455	$3,780.15	$3,780.15 – $10,080.40
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Allied National — Commercial: $6,873 Center Care Narrow Select — Commercial: $6,758.45 Center Care Open Access — Commercial: $7,331.20 Cigna Behavioral — Commercial: $8,018.50 ClaimDoc — Commercial: $6,873 First Health — Commercial: $8,476.70 Healthlink — HMO: $8,591.25 Healthlink — PPO: $9,736.75 HealthScope — Commercial: $6,839.78 KY Racing Health & Welfare Fund — Commercial: $3,780.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$1,689	$591.15	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,486.32
Heart rhythm study (electrophysiology evaluation): 10 of 78 insurance plan rates Aetna — Commercial: $1,461.54 Aetna Better Health of IL — Managed Medicaid: $452.87 Aetna Better Health of KY — Managed Medicaid: $697.01 Alliance Coal — Commercial: $986.24 Allied National — Commercial: $1,000.54 Ambetter (Commercial-Exchange) — Commercial: $893.34 Anthem IN Medicaid — Managed Medicaid: $714.67 Anthem IN/KY Pathway/Exchange — HMO: $970.90 Anthem Medicare — Medicare Advantage: $714.67 Anthem Pathway Essentials — Commercial: $714.67
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMP STUDY WO INDUCTION	$14,654	$4,835.82	$3,663.50 – $23,556.42
Heart rhythm study (electrophysiology evaluation): 10 of 62 insurance plan rates Aetna — Commercial: $8,807.05 Aetna Better Health of KY — Managed Medicaid: $3,663.50 Alliance Coal — Commercial: $14,301.44 Allied National — Commercial: $17,601.77 Ambetter (Commercial-Exchange) — Commercial: $11,001.11 Anthem IN/KY Pathway/Exchange — HMO: $18,844.81 Anthem Medicare — Medicare Advantage: $7,334.07 Anthem Pathway Essentials — Commercial: $7,334.07 Anthem Traditional/HMO/PPO Pathway — HMO: $23,556.42 Blue Cross Blue Shield of Illinois — Medicare Advantage: $7,334.07
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMP STUDY WO INDUCTION	$14,654	$4,835.82	$4,835.82 – $12,895.52
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Allied National — Commercial: $8,792.40 Center Care Narrow Select — Commercial: $8,645.86 Center Care Open Access — Commercial: $9,378.56 Cigna Behavioral — Commercial: $10,257.80 ClaimDoc — Commercial: $8,792.40 First Health — Commercial: $10,843.96 Healthlink — HMO: $10,990.50 Healthlink — PPO: $12,455.90 HealthScope — Commercial: $8,749.90 KY Racing Health & Welfare Fund — Commercial: $4,835.82
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$2,860	$1,001	$659.21 – $2,516.80
Heart rhythm study with ablation for atrial fibrillation: 10 of 78 insurance plan rates Aetna — Commercial: $1,732.98 Aetna Better Health of IL — Managed Medicaid: $709.43 Aetna Better Health of KY — Managed Medicaid: $877.43 Alliance Coal — Commercial: $1,125.72 Allied National — Commercial: $1,142.04 Ambetter (Commercial-Exchange) — Commercial: $1,019.68 Anthem IN Medicaid — Managed Medicaid: $824.01 Anthem IN/KY Pathway/Exchange — HMO: $1,389.58 Anthem Medicare — Medicare Advantage: $815.74 Anthem Pathway Essentials — Commercial: $815.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMP STUDY W/ABLATION AFIB W/TRANSSEPTAL	$46,072	$15,203.76	$11,518 – $74,914.44
Heart rhythm study with ablation for atrial fibrillation: 10 of 62 insurance plan rates Aetna — Commercial: $27,689.27 Aetna Better Health of KY — Managed Medicaid: $11,518 Alliance Coal — Commercial: $45,481.64 Allied National — Commercial: $55,977.41 Ambetter (Commercial-Exchange) — Commercial: $34,985.88 Anthem IN/KY Pathway/Exchange — HMO: $59,930.51 Anthem Medicare — Medicare Advantage: $23,323.92 Anthem Pathway Essentials — Commercial: $23,323.92 Anthem Traditional/HMO/PPO Pathway — HMO: $74,914.44 Blue Cross Blue Shield of Illinois — Medicare Advantage: $23,323.92
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMP STUDY W/ABLATION AFIB W/TRANSSEPTAL	$46,072	$15,203.76	$15,203.76 – $40,543.36
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Allied National — Commercial: $27,643.20 Center Care Narrow Select — Commercial: $27,182.48 Center Care Open Access — Commercial: $29,486.08 Cigna Behavioral — Commercial: $32,250.40 ClaimDoc — Commercial: $27,643.20 First Health — Commercial: $34,093.28 Healthlink — HMO: $34,554 Healthlink — PPO: $39,161.20 HealthScope — Commercial: $27,509.59 KY Racing Health & Welfare Fund — Commercial: $15,203.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$2,250	$787.50	$398.94 – $1,980
Sleep study (overnight, in a sleep lab): 10 of 78 insurance plan rates Aetna — Commercial: $1,084.94 Aetna Better Health of IL — Managed Medicaid: $398.94 Aetna Better Health of KY — Managed Medicaid: $542.42 Alliance Coal — Commercial: $778.17 Allied National — Commercial: $789.45 Ambetter (Commercial-Exchange) — Commercial: $704.86 Anthem IN Medicaid — Managed Medicaid: $568.11 Anthem IN/KY Pathway/Exchange — HMO: $586.26 Anthem Medicare — Medicare Advantage: $563.89 Anthem Pathway Essentials — Commercial: $563.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,613	$1,522.29	$975.42 – $4,059.44
Sleep study (overnight, in a sleep lab): 10 of 62 insurance plan rates Aetna — Commercial: $2,772.41 Aetna Better Health of KY — Managed Medicaid: $1,153.25 Alliance Coal — Commercial: $2,002.18 Allied National — Commercial: $2,464.22 Ambetter (Commercial-Exchange) — Commercial: $1,540.14 Anthem IN/KY Pathway/Exchange — HMO: $2,638.26 Anthem Medicare — Medicare Advantage: $1,026.76 Anthem Pathway Essentials — Commercial: $1,026.76 Anthem Traditional/HMO/PPO Pathway — HMO: $3,297.88 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,026.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,613	$1,522.29	$1,522.29 – $4,059.44
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Allied National — Commercial: $2,767.80 Center Care Narrow Select — Commercial: $2,721.67 Center Care Open Access — Commercial: $2,952.32 Cigna Behavioral — Commercial: $3,229.10 ClaimDoc — Commercial: $2,767.80 First Health — Commercial: $3,413.62 Healthlink — HMO: $3,459.75 Healthlink — PPO: $3,921.05 HealthScope — Commercial: $2,754.42 KY Racing Health & Welfare Fund — Commercial: $1,522.29

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$65	$22.75	$19.41 – $57.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 78 insurance plan rates Aetna — Commercial: $48.69 Aetna Better Health of IL — Managed Medicaid: $19.41 Aetna Better Health of KY — Managed Medicaid: $20.90 Alliance Coal — Commercial: $28.92 Allied National — Commercial: $38.56 Ambetter (Commercial-Exchange) — Commercial: $34.42 Anthem IN Medicaid — Managed Medicaid: $27.57 Anthem IN/KY Pathway/Exchange — HMO: $23.55 Anthem Medicare — Medicare Advantage: $27.54 Anthem Pathway Essentials — Commercial: $27.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT CPM TREATMENT	$204	$67.32	$42.73 – $251
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Aetna — Commercial: $114.76 Aetna Better Health of KY — Managed Medicaid: $51 Alliance Coal — Commercial: $53.76 Allied National — Commercial: $122.40 Ambetter (Commercial-Exchange) — Commercial: $42.73 Anthem IN/KY Pathway/Exchange — HMO: $62 Anthem Traditional/HMO/PPO Pathway — HMO: $77 Center Care Narrow Select — Commercial: $108.30 Center Care Open Access — Commercial: $117.80 Chamber Care — TruConnect: $122.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISE 15 MIN	$200	$66	$42.73 – $251
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Aetna — Commercial: $114.76 Aetna Better Health of KY — Managed Medicaid: $50 Alliance Coal — Commercial: $53.76 Allied National — Commercial: $120 Ambetter (Commercial-Exchange) — Commercial: $42.73 Anthem IN/KY Pathway/Exchange — HMO: $62 Anthem Traditional/HMO/PPO Pathway — HMO: $77 Center Care Narrow Select — Commercial: $108.30 Center Care Open Access — Commercial: $117.80 Chamber Care — TruConnect: $120
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN LOW COMPLX	$351	$115.83	$87.75 – $308.88
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates Aetna — Commercial: $198.11 Aetna Better Health of KY — Managed Medicaid: $87.75 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $210.60 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $186.96 Center Care Open Access — Commercial: $203.36 Chamber Care — TruConnect: $210.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN II LOW COMPLX	$351	$115.83	$87.75 – $308.88
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates Aetna — Commercial: $198.11 Aetna Better Health of KY — Managed Medicaid: $87.75 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $210.60 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $186.96 Center Care Open Access — Commercial: $203.36 Chamber Care — TruConnect: $210.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 30 MIN LOW COMPLX	$351	$115.83	$87.75 – $308.88
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates Aetna — Commercial: $198.11 Aetna Better Health of KY — Managed Medicaid: $87.75 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $210.60 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $186.96 Center Care Open Access — Commercial: $203.36 Chamber Care — TruConnect: $210.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN MOD COMPLEX	$527	$173.91	$115 – $463.76
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Aetna — Commercial: $297.17 Aetna Better Health of KY — Managed Medicaid: $131.75 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $316.20 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $280.44 Center Care Open Access — Commercial: $305.04 Chamber Care — TruConnect: $316.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN II MOD COMPLEX	$527	$173.91	$115 – $463.76
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Aetna — Commercial: $297.17 Aetna Better Health of KY — Managed Medicaid: $131.75 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $316.20 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $280.44 Center Care Open Access — Commercial: $305.04 Chamber Care — TruConnect: $316.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 30 MIN MOD COMPLEX	$527	$173.91	$115 – $463.76
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Aetna — Commercial: $297.17 Aetna Better Health of KY — Managed Medicaid: $131.75 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $316.20 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $280.44 Center Care Open Access — Commercial: $305.04 Chamber Care — TruConnect: $316.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN HIGH COMPLEX	$632	$208.56	$115 – $556.16
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Aetna — Commercial: $356.36 Aetna Better Health of KY — Managed Medicaid: $158 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $379.20 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $336.30 Center Care Open Access — Commercial: $365.80 Chamber Care — TruConnect: $379.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN II HIGH COMPLEX	$632	$208.56	$115 – $556.16
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Aetna — Commercial: $356.36 Aetna Better Health of KY — Managed Medicaid: $158 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $379.20 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $336.30 Center Care Open Access — Commercial: $365.80 Chamber Care — TruConnect: $379.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 30 MIN HIGH COMPLEX	$632	$208.56	$115 – $556.16
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Aetna — Commercial: $356.36 Aetna Better Health of KY — Managed Medicaid: $158 Alliance Coal — Commercial: $183.75 Allied National — Commercial: $379.20 Ambetter (Commercial-Exchange) — Commercial: $146.06 Anthem IN/KY Pathway/Exchange — HMO: $115 Anthem Traditional/HMO/PPO Pathway — HMO: $144 Center Care Narrow Select — Commercial: $336.30 Center Care Open Access — Commercial: $365.80 Chamber Care — TruConnect: $379.20
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$159	$55.65	$46.94 – $139.92
Psychotherapy, 30 minutes: 10 of 79 insurance plan rates Aetna — Commercial: $108.02 Aetna Better Health of IL — Managed Medicaid: $46.98 Aetna Better Health of KY — Managed Medicaid: $46.94 Alliance Coal — Commercial: $93.36 Allied National — Commercial: $94.71 Ambetter (Commercial-Exchange) — Commercial: $84.56 Anthem IN Medicaid — Managed Medicaid: $74.78 Anthem IN/KY Pathway/Exchange — HMO: $66.81 Anthem Medicare — Medicare Advantage: $67.65 Anthem Pathway Essentials — Commercial: $67.65
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 30 MINUTES	$234	$77.22	$58.50 – $502.91
Psychotherapy, 30 minutes: 10 of 62 insurance plan rates Aetna — Commercial: $140.63 Aetna Better Health of KY — Managed Medicaid: $58.50 Alliance Coal — Commercial: $305.31 Allied National — Commercial: $375.77 Ambetter (Commercial-Exchange) — Commercial: $234.86 Anthem IN/KY Pathway/Exchange — HMO: $402.32 Anthem Medicare — Medicare Advantage: $156.57 Anthem Pathway Essentials — Commercial: $156.57 Anthem Traditional/HMO/PPO Pathway — HMO: $502.91 Blue Cross Blue Shield of Illinois — Medicare Advantage: $156.57
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 30 MINUTES	$234	$77.22	$77.22 – $205.92
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates Allied National — Commercial: $140.40 Center Care Narrow Select — Commercial: $138.06 Center Care Open Access — Commercial: $149.76 Cigna Behavioral — Commercial: $163.80 ClaimDoc — Commercial: $140.40 First Health — Commercial: $173.16 Healthlink — HMO: $175.50 Healthlink — PPO: $198.90 HealthScope — Commercial: $139.72 KY Racing Health & Welfare Fund — Commercial: $77.22
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$188	$65.80	$62.03 – $165.44
Psychotherapy, 45 minutes: 10 of 79 insurance plan rates Aetna — Commercial: $140.32 Aetna Better Health of IL — Managed Medicaid: $62.03 Aetna Better Health of KY — Managed Medicaid: $62.66 Alliance Coal — Commercial: $123.21 Allied National — Commercial: $124.99 Ambetter (Commercial-Exchange) — Commercial: $111.60 Anthem IN Medicaid — Managed Medicaid: $98.73 Anthem IN/KY Pathway/Exchange — HMO: $82.39 Anthem Medicare — Medicare Advantage: $89.28 Anthem Pathway Essentials — Commercial: $89.28
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 45 MINUTES	$419	$138.27	$104.75 – $502.91
Psychotherapy, 45 minutes: 10 of 62 insurance plan rates Aetna — Commercial: $251.82 Aetna Better Health of KY — Managed Medicaid: $104.75 Alliance Coal — Commercial: $305.31 Allied National — Commercial: $375.77 Ambetter (Commercial-Exchange) — Commercial: $234.86 Anthem IN/KY Pathway/Exchange — HMO: $402.32 Anthem Medicare — Medicare Advantage: $156.57 Anthem Pathway Essentials — Commercial: $156.57 Anthem Traditional/HMO/PPO Pathway — HMO: $502.91 Blue Cross Blue Shield of Illinois — Medicare Advantage: $156.57
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 45 MINUTES	$419	$138.27	$138.27 – $368.72
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates Allied National — Commercial: $251.40 Center Care Narrow Select — Commercial: $247.21 Center Care Open Access — Commercial: $268.16 Cigna Behavioral — Commercial: $293.30 ClaimDoc — Commercial: $251.40 First Health — Commercial: $310.06 Healthlink — HMO: $314.25 Healthlink — PPO: $356.15 HealthScope — Commercial: $250.18 KY Racing Health & Welfare Fund — Commercial: $138.27
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$298	$104.30	$91.58 – $262.24
Psychotherapy, 60 minutes: 10 of 79 insurance plan rates Aetna — Commercial: $205.59 Aetna Better Health of IL — Managed Medicaid: $91.58 Aetna Better Health of KY — Managed Medicaid: $93.67 Alliance Coal — Commercial: $182.28 Allied National — Commercial: $184.93 Ambetter (Commercial-Exchange) — Commercial: $165.11 Anthem IN Medicaid — Managed Medicaid: $145.54 Anthem IN/KY Pathway/Exchange — HMO: $124.27 Anthem Medicare — Medicare Advantage: $132.09 Anthem Pathway Essentials — Commercial: $132.09
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 60 MINUTES	$470	$155.10	$117.50 – $502.91
Psychotherapy, 60 minutes: 10 of 62 insurance plan rates Aetna — Commercial: $282.47 Aetna Better Health of KY — Managed Medicaid: $117.50 Alliance Coal — Commercial: $305.31 Allied National — Commercial: $375.77 Ambetter (Commercial-Exchange) — Commercial: $234.86 Anthem IN/KY Pathway/Exchange — HMO: $402.32 Anthem Medicare — Medicare Advantage: $156.57 Anthem Pathway Essentials — Commercial: $156.57 Anthem Traditional/HMO/PPO Pathway — HMO: $502.91 Blue Cross Blue Shield of Illinois — Medicare Advantage: $156.57
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 60 MINUTES	$470	$155.10	$155.10 – $413.60
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates Allied National — Commercial: $282 Center Care Narrow Select — Commercial: $277.30 Center Care Open Access — Commercial: $300.80 Cigna Behavioral — Commercial: $329 ClaimDoc — Commercial: $282 First Health — Commercial: $347.80 Healthlink — HMO: $352.50 Healthlink — PPO: $399.50 HealthScope — Commercial: $280.64 KY Racing Health & Welfare Fund — Commercial: $155.10
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$243	$85.05	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $213.84
Family psychotherapy, without the patient: 10 of 79 insurance plan rates Aetna — Commercial: $137.84 Aetna Better Health of IL — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health of KY — Managed Medicaid: $75.73 Alliance Coal — Commercial: $133.10 Allied National — Commercial: $135.03 Ambetter (Commercial-Exchange) — Commercial: $120.56 Anthem IN Medicaid — Managed Medicaid: $93.87 Anthem IN/KY Pathway/Exchange — HMO: $89.09 Anthem Medicare — Medicare Advantage: $96.45 Anthem Pathway Essentials — Commercial: $96.45
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$95.12 – $502.91
Family psychotherapy, without the patient: 10 of 40 insurance plan rates Aetna — Commercial: $95.12 Alliance Coal — Commercial: $305.31 Allied National — Commercial: $375.77 Ambetter (Commercial-Exchange) — Commercial: $234.86 Anthem IN/KY Pathway/Exchange — HMO: $402.32 Anthem Medicare — Medicare Advantage: $156.57 Anthem Pathway Essentials — Commercial: $156.57 Anthem Traditional/HMO/PPO Pathway — HMO: $502.91 Blue Cross Blue Shield of Illinois — Medicare Advantage: $156.57 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $156.57
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$236	$82.60	$69.80 – $207.68
Family psychotherapy, with the patient: 10 of 79 insurance plan rates Aetna — Commercial: $146.20 Aetna Better Health of IL — Managed Medicaid: $69.80 Aetna Better Health of KY — Managed Medicaid: $78.18 Alliance Coal — Commercial: $138.84 Allied National — Commercial: $140.85 Ambetter (Commercial-Exchange) — Commercial: $125.76 Anthem IN Medicaid — Managed Medicaid: $98.37 Anthem IN/KY Pathway/Exchange — HMO: $95.91 Anthem Medicare — Medicare Advantage: $100.61 Anthem Pathway Essentials — Commercial: $100.61
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$99.39 – $502.91
Family psychotherapy, with the patient: 10 of 40 insurance plan rates Aetna — Commercial: $99.39 Alliance Coal — Commercial: $305.31 Allied National — Commercial: $375.77 Ambetter (Commercial-Exchange) — Commercial: $234.86 Anthem IN/KY Pathway/Exchange — HMO: $402.32 Anthem Medicare — Medicare Advantage: $156.57 Anthem Pathway Essentials — Commercial: $156.57 Anthem Traditional/HMO/PPO Pathway — HMO: $502.91 Blue Cross Blue Shield of Illinois — Medicare Advantage: $156.57 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $156.57
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$120	$42	$18.46 – $105.60
Group psychotherapy: 10 of 79 insurance plan rates Aetna — Commercial: $43.73 Aetna Better Health of IL — Managed Medicaid: $33.70 Aetna Better Health of KY — Managed Medicaid: $18.82 Alliance Coal — Commercial: $32.73 Allied National — Commercial: $33.21 Ambetter (Commercial-Exchange) — Commercial: $29.65 Anthem IN Medicaid — Managed Medicaid: $23.07 Anthem IN/KY Pathway/Exchange — HMO: $29 Anthem Medicare — Medicare Advantage: $23.72 Anthem Pathway Essentials — Commercial: $23.72
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY SESSION - MH	$263	$86.79	$65.75 – $370
Group psychotherapy: 10 of 62 insurance plan rates Aetna — Commercial: $158.06 Aetna Better Health of KY — Managed Medicaid: $65.75 Alliance Coal — Commercial: $170.70 Allied National — Commercial: $210.10 Ambetter (Commercial-Exchange) — Commercial: $131.31 Anthem IN/KY Pathway/Exchange — HMO: $224.92 Anthem Medicare — Medicare Advantage: $87.54 Anthem Pathway Essentials — Commercial: $87.54 Anthem Traditional/HMO/PPO Pathway — HMO: $281.15 Blue Cross Blue Shield of Illinois — Medicare Advantage: $87.54
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY SESSION - MH	$263	$86.79	$86.79 – $231.44
Group psychotherapy: 10 of 13 insurance plan rates Allied National — Commercial: $157.80 Center Care Narrow Select — Commercial: $155.17 Center Care Open Access — Commercial: $168.32 Cigna Behavioral — Commercial: $184.10 ClaimDoc — Commercial: $157.80 First Health — Commercial: $194.62 Healthlink — HMO: $197.25 Healthlink — PPO: $223.55 HealthScope — Commercial: $157.04 KY Racing Health & Welfare Fund — Commercial: $86.79

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,895	$663.25	$263.73 – $1,667.60
Removal of breast growth (open surgery): 10 of 79 insurance plan rates Aetna — Commercial: $724.73 Aetna Better Health of IL — Managed Medicaid: $292.39 Aetna Better Health of KY — Managed Medicaid: $263.73 Alliance Coal — Commercial: $517.29 Allied National — Commercial: $524.79 Ambetter (Commercial-Exchange) — Commercial: $468.56 Anthem IN Medicaid — Managed Medicaid: $468.98 Anthem IN/KY Pathway/Exchange — HMO: $505.98 Anthem Medicare — Medicare Advantage: $374.85 Anthem Pathway Essentials — Commercial: $374.85
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$382.54 – $12,023.11
Removal of breast growth (open surgery): 10 of 43 insurance plan rates Aetna — Commercial: $382.54 Alliance Coal — Commercial: $7,299.42 Allied National — Commercial: $8,983.90 Ambetter (Commercial-Exchange) — Commercial: $5,614.94 Anthem IN/KY Pathway/Exchange — HMO: $9,618.32 Anthem Medicare — Medicare Advantage: $3,743.29 Anthem Pathway Essentials — Commercial: $3,743.29 Anthem Traditional/HMO/PPO Pathway — HMO: $12,023.11 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,743.29 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3,743.29
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$6,157	$2,154.95	$926.91 – $5,418.16
Total hip replacement: 10 of 78 insurance plan rates Aetna — Commercial: $4,055.24 Aetna Better Health of IL — Managed Medicaid: $1,271.96 Aetna Better Health of KY — Managed Medicaid: $1,300.74 Alliance Coal — Commercial: $1,592.63 Allied National — Commercial: $1,615.71 Ambetter (Commercial-Exchange) — Commercial: $1,442.60 Anthem IN Medicaid — Managed Medicaid: $1,158.64 Anthem IN/KY Pathway/Exchange — HMO: $1,975 Anthem Medicare — Medicare Advantage: $1,154.08 Anthem Pathway Essentials — Commercial: $1,154.08
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,278.56 – $31,019.52
Total hip replacement: 10 of 42 insurance plan rates Alliance Coal — Commercial: $25,203.36 Allied National — Commercial: $31,019.52 Ambetter (Commercial-Exchange) — Commercial: $19,387.20 Anthem IN/KY Pathway/Exchange — HMO: $19,004 Anthem Medicare — Medicare Advantage: $12,924.80 Anthem Pathway Essentials — Commercial: $12,924.80 Anthem Traditional/HMO/PPO Pathway — HMO: $19,004 Blue Cross Blue Shield of Illinois — Medicare Advantage: $12,924.80 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $12,924.80 Caresource IN Marketplace — Commercial: $19,387.20
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$6,094	$2,132.90	$925.69 – $5,362.72
Total knee replacement: 10 of 78 insurance plan rates Aetna — Commercial: $4,049.89 Aetna Better Health of IL — Managed Medicaid: $1,269.86 Aetna Better Health of KY — Managed Medicaid: $1,373.97 Alliance Coal — Commercial: $1,590.77 Allied National — Commercial: $1,613.82 Ambetter (Commercial-Exchange) — Commercial: $1,440.91 Anthem IN Medicaid — Managed Medicaid: $1,157.11 Anthem IN/KY Pathway/Exchange — HMO: $2,089.40 Anthem Medicare — Medicare Advantage: $1,152.73 Anthem Pathway Essentials — Commercial: $1,152.73
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,278.56 – $31,019.52
Total knee replacement: 10 of 42 insurance plan rates Alliance Coal — Commercial: $25,203.36 Allied National — Commercial: $31,019.52 Ambetter (Commercial-Exchange) — Commercial: $19,387.20 Anthem IN/KY Pathway/Exchange — HMO: $19,004 Anthem Medicare — Medicare Advantage: $12,924.80 Anthem Pathway Essentials — Commercial: $12,924.80 Anthem Traditional/HMO/PPO Pathway — HMO: $19,004 Blue Cross Blue Shield of Illinois — Medicare Advantage: $12,924.80 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $12,924.80 Caresource IN Marketplace — Commercial: $19,387.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$3,876	$1,356.60	$122.66 – $3,410.88
Shoulder arthroscopy: shaving of shoulder bone: 10 of 78 insurance plan rates Aetna — Commercial: $536.66 Aetna Better Health of IL — Managed Medicaid: $169.85 Aetna Better Health of KY — Managed Medicaid: $610.22 Alliance Coal — Commercial: $210.89 Allied National — Commercial: $213.95 Ambetter (Commercial-Exchange) — Commercial: $191.02 Anthem IN Medicaid — Managed Medicaid: $153.33 Anthem IN/KY Pathway/Exchange — HMO: $940.30 Anthem Medicare — Medicare Advantage: $152.82 Anthem Pathway Essentials — Commercial: $152.82
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$3,139 – $3,517
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans United Healthcare — Commercial: $3,517 United Healthcare Nexus — Commercial: $3,139
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$3,400	$1,190	$396.85 – $2,992
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 78 insurance plan rates Aetna — Commercial: $1,736.21 Aetna Better Health of IL — Managed Medicaid: $534.49 Aetna Better Health of KY — Managed Medicaid: $519.01 Alliance Coal — Commercial: $682.20 Allied National — Commercial: $692.09 Ambetter (Commercial-Exchange) — Commercial: $617.94 Anthem IN Medicaid — Managed Medicaid: $496.06 Anthem IN/KY Pathway/Exchange — HMO: $791.70 Anthem Medicare — Medicare Advantage: $494.35 Anthem Pathway Essentials — Commercial: $494.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$3,019.77 – $10,209.76
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 42 insurance plan rates Alliance Coal — Commercial: $6,198.48 Allied National — Commercial: $7,628.90 Ambetter (Commercial-Exchange) — Commercial: $4,768.07 Anthem IN/KY Pathway/Exchange — HMO: $8,167.67 Anthem Medicare — Medicare Advantage: $3,178.71 Anthem Pathway Essentials — Commercial: $3,178.71 Anthem Traditional/HMO/PPO Pathway — HMO: $10,209.76 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,178.71 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3,178.71 Caresource IN Marketplace — Commercial: $4,768.07
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$1,200	$420	$200.07 – $1,056
Removal of tonsils and adenoids (under age 12): 10 of 78 insurance plan rates Aetna — Commercial: $699.79 Aetna Better Health of IL — Managed Medicaid: $200.07 Aetna Better Health of KY — Managed Medicaid: $209.24 Alliance Coal — Commercial: $368.68 Allied National — Commercial: $374.02 Ambetter (Commercial-Exchange) — Commercial: $333.95 Anthem IN Medicaid — Managed Medicaid: $269.23 Anthem IN/KY Pathway/Exchange — HMO: $396.92 Anthem Medicare — Medicare Advantage: $267.16 Anthem Pathway Essentials — Commercial: $267.16
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,463.46 – $18,471.74
Removal of tonsils and adenoids (under age 12): 10 of 42 insurance plan rates Alliance Coal — Commercial: $11,214.47 Allied National — Commercial: $13,802.42 Ambetter (Commercial-Exchange) — Commercial: $8,626.52 Anthem IN/KY Pathway/Exchange — HMO: $14,777.14 Anthem Medicare — Medicare Advantage: $5,751.01 Anthem Pathway Essentials — Commercial: $5,751.01 Anthem Traditional/HMO/PPO Pathway — HMO: $18,471.74 Blue Cross Blue Shield of Illinois — Medicare Advantage: $5,751.01 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $5,751.01 Caresource IN Marketplace — Commercial: $8,626.52
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$905	$316.75	$110.31 – $796.40
Upper GI endoscopy (diagnostic): 10 of 79 insurance plan rates Aetna — Commercial: $539.29 Aetna Better Health of IL — Managed Medicaid: $118.42 Aetna Better Health of KY — Managed Medicaid: $159.52 Alliance Coal — Commercial: $152.23 Allied National — Commercial: $154.43 Ambetter (Commercial-Exchange) — Commercial: $137.89 Anthem IN Medicaid — Managed Medicaid: $262.16 Anthem IN/KY Pathway/Exchange — HMO: $372 Anthem Medicare — Medicare Advantage: $110.31 Anthem Pathway Essentials — Commercial: $110.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$113.05 – $5,627
Upper GI endoscopy (diagnostic): 10 of 43 insurance plan rates Aetna — Commercial: $113.05 Alliance Coal — Commercial: $1,735.91 Allied National — Commercial: $2,136.50 Ambetter (Commercial-Exchange) — Commercial: $1,335.32 Anthem IN/KY Pathway/Exchange — HMO: $2,287.38 Anthem Medicare — Medicare Advantage: $890.21 Anthem Pathway Essentials — Commercial: $890.21 Anthem Traditional/HMO/PPO Pathway — HMO: $2,859.27 Blue Cross Blue Shield of Illinois — Medicare Advantage: $890.21 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $890.21
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,300	$455	$124.21 – $1,144
Upper GI endoscopy with biopsy: 10 of 79 insurance plan rates Aetna — Commercial: $608.93 Aetna Better Health of IL — Managed Medicaid: $133.93 Aetna Better Health of KY — Managed Medicaid: $179.22 Alliance Coal — Commercial: $171.41 Allied National — Commercial: $173.89 Ambetter (Commercial-Exchange) — Commercial: $155.26 Anthem IN Medicaid — Managed Medicaid: $342.36 Anthem IN/KY Pathway/Exchange — HMO: $382 Anthem Medicare — Medicare Advantage: $124.21 Anthem Pathway Essentials — Commercial: $124.21
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$127.67 – $5,627
Upper GI endoscopy with biopsy: 10 of 43 insurance plan rates Aetna — Commercial: $127.67 Alliance Coal — Commercial: $1,735.91 Allied National — Commercial: $2,136.50 Ambetter (Commercial-Exchange) — Commercial: $1,335.32 Anthem IN/KY Pathway/Exchange — HMO: $2,287.38 Anthem Medicare — Medicare Advantage: $890.21 Anthem Pathway Essentials — Commercial: $890.21 Anthem Traditional/HMO/PPO Pathway — HMO: $2,859.27 Blue Cross Blue Shield of Illinois — Medicare Advantage: $890.21 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $890.21
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$1,269	$444.15	$165.58 – $1,116.72
Colonoscopy (diagnostic): 10 of 79 insurance plan rates Aetna — Commercial: $759.37 Aetna Better Health of IL — Managed Medicaid: $178.60 Aetna Better Health of KY — Managed Medicaid: $176.59 Alliance Coal — Commercial: $228.50 Allied National — Commercial: $231.81 Ambetter (Commercial-Exchange) — Commercial: $206.98 Anthem IN Medicaid — Managed Medicaid: $309.95 Anthem IN/KY Pathway/Exchange — HMO: $297.75 Anthem Medicare — Medicare Advantage: $165.58 Anthem Pathway Essentials — Commercial: $165.58
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$852.66 – $5,020
Colonoscopy (diagnostic): 10 of 46 insurance plan rates Aetna — Commercial: $2,000 Alliance Coal — Commercial: $1,750.20 Allied National — Commercial: $2,154.10 Ambetter (Commercial-Exchange) — Commercial: $1,346.31 Anthem IN/KY Pathway/Exchange — HMO: $2,112 Anthem Medicare — Medicare Advantage: $897.54 Anthem Pathway Essentials — Commercial: $897.54 Anthem Traditional/HMO/PPO Pathway — HMO: $2,112 Blue Cross Blue Shield of Illinois — Medicare Advantage: $897.54 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $897.54
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$101.95 – $140.18
Colonoscopy (diagnostic): rates for 2 insurance plans Chamber Care — TruConnect: $140.18 Immergrun — Commercial: $101.95
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$1,517	$530.95	$180.09 – $1,334.96
Colonoscopy with biopsy: 10 of 79 insurance plan rates Aetna — Commercial: $818.41 Aetna Better Health of IL — Managed Medicaid: $193.80 Aetna Better Health of KY — Managed Medicaid: $191.77 Alliance Coal — Commercial: $248.52 Allied National — Commercial: $252.13 Ambetter (Commercial-Exchange) — Commercial: $225.11 Anthem IN Medicaid — Managed Medicaid: $394.97 Anthem IN/KY Pathway/Exchange — HMO: $258.77 Anthem Medicare — Medicare Advantage: $180.09 Anthem Pathway Essentials — Commercial: $180.09
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$184.53 – $5,627
Colonoscopy with biopsy: 10 of 43 insurance plan rates Aetna — Commercial: $184.53 Alliance Coal — Commercial: $2,259.82 Allied National — Commercial: $2,781.31 Ambetter (Commercial-Exchange) — Commercial: $1,738.32 Anthem IN/KY Pathway/Exchange — HMO: $2,977.73 Anthem Medicare — Medicare Advantage: $1,158.88 Anthem Pathway Essentials — Commercial: $1,158.88 Anthem Traditional/HMO/PPO Pathway — HMO: $3,722.22 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,158.88 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,158.88
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$1,698	$594.30	$227.59 – $1,494.24
Colonoscopy with removal of polyps (snare): 10 of 79 insurance plan rates Aetna — Commercial: $1,102.62 Aetna Better Health of IL — Managed Medicaid: $245.44 Aetna Better Health of KY — Managed Medicaid: $243.98 Alliance Coal — Commercial: $314.07 Allied National — Commercial: $318.63 Ambetter (Commercial-Exchange) — Commercial: $284.49 Anthem IN Medicaid — Managed Medicaid: $414.24 Anthem IN/KY Pathway/Exchange — HMO: $730 Anthem Medicare — Medicare Advantage: $227.59 Anthem Pathway Essentials — Commercial: $227.59
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$233.60 – $5,627
Colonoscopy with removal of polyps (snare): 10 of 43 insurance plan rates Aetna — Commercial: $233.60 Alliance Coal — Commercial: $2,259.82 Allied National — Commercial: $2,781.31 Ambetter (Commercial-Exchange) — Commercial: $1,738.32 Anthem IN/KY Pathway/Exchange — HMO: $2,977.73 Anthem Medicare — Medicare Advantage: $1,158.88 Anthem Pathway Essentials — Commercial: $1,158.88 Anthem Traditional/HMO/PPO Pathway — HMO: $3,722.22 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,158.88 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,158.88
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	$1,202	$420.70	$186.62 – $1,057.76
Ultrasound of the lower bowel by endoscope: 10 of 78 insurance plan rates Aetna — Commercial: $539.04 Aetna Better Health of IL — Managed Medicaid: $204 Aetna Better Health of KY — Managed Medicaid: $247.04 Alliance Coal — Commercial: $318.82 Allied National — Commercial: $323.44 Ambetter (Commercial-Exchange) — Commercial: $288.79 Anthem IN Medicaid — Managed Medicaid: $233.27 Anthem IN/KY Pathway/Exchange — HMO: $350.81 Anthem Medicare — Medicare Advantage: $231.03 Anthem Pathway Essentials — Commercial: $231.03
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,100.94 – $5,627
Ultrasound of the lower bowel by endoscope: 10 of 42 insurance plan rates Alliance Coal — Commercial: $2,259.82 Allied National — Commercial: $2,781.31 Ambetter (Commercial-Exchange) — Commercial: $1,738.32 Anthem IN/KY Pathway/Exchange — HMO: $2,977.73 Anthem Medicare — Medicare Advantage: $1,158.88 Anthem Pathway Essentials — Commercial: $1,158.88 Anthem Traditional/HMO/PPO Pathway — HMO: $3,722.22 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,158.88 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,158.88 Caresource IN Marketplace — Commercial: $1,738.32
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$709	$248.15	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $623.92
Screening colonoscopy (not high risk): 10 of 79 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health of IL — Managed Medicaid: $179.05 Aetna Better Health of KY — Managed Medicaid: $150.28 Alliance Coal — Commercial: $228.72 Allied National — Commercial: $232.04 Ambetter (Commercial-Exchange) — Commercial: $165.74 Anthem IN Medicaid — Managed Medicaid: $310.11 Anthem IN/KY Pathway/Exchange — HMO: $347.38 Anthem Medicare — Medicare Advantage: $165.74 Anthem Pathway Essentials — Commercial: $165.74
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$867.35 – $3,524
Screening colonoscopy (not high risk): 10 of 46 insurance plan rates Aetna — Commercial: $2,000 Alliance Coal — Commercial: $1,780.35 Allied National — Commercial: $2,191.20 Ambetter (Commercial-Exchange) — Commercial: $1,369.50 Anthem IN/KY Pathway/Exchange — HMO: $2,112 Anthem Medicare — Medicare Advantage: $913 Anthem Pathway Essentials — Commercial: $913 Anthem Traditional/HMO/PPO Pathway — HMO: $2,112 Blue Cross Blue Shield of Illinois — Medicare Advantage: $913 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $913
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$102.16
Screening colonoscopy (not high risk): rates for 1 insurance plan Immergrun — Commercial: $102.16
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$2,906	$1,017.10	$472.28 – $2,557.28
Gallbladder removal by laparoscope: 10 of 78 insurance plan rates Aetna — Commercial: $1,961.76 Aetna Better Health of IL — Managed Medicaid: $647.90 Aetna Better Health of KY — Managed Medicaid: $522.64 Alliance Coal — Commercial: $810.94 Allied National — Commercial: $822.70 Ambetter (Commercial-Exchange) — Commercial: $734.55 Anthem IN Medicaid — Managed Medicaid: $590.35 Anthem IN/KY Pathway/Exchange — HMO: $892 Anthem Medicare — Medicare Advantage: $587.64 Anthem Pathway Essentials — Commercial: $587.64
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,383.05 – $18,199.88
Gallbladder removal by laparoscope: 10 of 42 insurance plan rates Alliance Coal — Commercial: $11,049.42 Allied National — Commercial: $13,599.29 Ambetter (Commercial-Exchange) — Commercial: $8,499.56 Anthem IN/KY Pathway/Exchange — HMO: $14,559.65 Anthem Medicare — Medicare Advantage: $5,666.37 Anthem Pathway Essentials — Commercial: $5,666.37 Anthem Traditional/HMO/PPO Pathway — HMO: $18,199.88 Blue Cross Blue Shield of Illinois — Medicare Advantage: $5,666.37 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $5,666.37 Caresource IN Marketplace — Commercial: $8,499.56
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,761	$616.35	$350.04 – $1,549.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 78 insurance plan rates Aetna — Commercial: $1,177.15 Aetna Better Health of IL — Managed Medicaid: $387.05 Aetna Better Health of KY — Managed Medicaid: $350.04 Alliance Coal — Commercial: $644.93 Allied National — Commercial: $654.28 Ambetter (Commercial-Exchange) — Commercial: $584.18 Anthem IN Medicaid — Managed Medicaid: $469.18 Anthem IN/KY Pathway/Exchange — HMO: $557 Anthem Medicare — Medicare Advantage: $467.34 Anthem Pathway Essentials — Commercial: $467.34
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,227.66 – $10,912.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 42 insurance plan rates Alliance Coal — Commercial: $6,625.20 Allied National — Commercial: $8,154.10 Ambetter (Commercial-Exchange) — Commercial: $5,096.31 Anthem IN/KY Pathway/Exchange — HMO: $8,729.93 Anthem Medicare — Medicare Advantage: $3,397.54 Anthem Pathway Essentials — Commercial: $3,397.54 Anthem Traditional/HMO/PPO Pathway — HMO: $10,912.60 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,397.54 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3,397.54 Caresource IN Marketplace — Commercial: $5,096.31
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$667	$233.45	$69.83 – $586.96
Prostate biopsy: 10 of 79 insurance plan rates Aetna — Commercial: $304.12 Aetna Better Health of IL — Managed Medicaid: $113.60 Aetna Better Health of KY — Managed Medicaid: $69.83 Alliance Coal — Commercial: $161.92 Allied National — Commercial: $164.26 Ambetter (Commercial-Exchange) — Commercial: $146.66 Anthem IN Medicaid — Managed Medicaid: $220.22 Anthem IN/KY Pathway/Exchange — HMO: $113.56 Anthem Medicare — Medicare Advantage: $117.33 Anthem Pathway Essentials — Commercial: $117.33
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI	$4,149	$1,369.17	$1,037.25 – $6,424.59
Prostate biopsy: 10 of 63 insurance plan rates Aetna — Commercial: $2,493.55 Aetna Better Health of KY — Managed Medicaid: $1,037.25 Alliance Coal — Commercial: $3,900.47 Allied National — Commercial: $4,800.58 Ambetter (Commercial-Exchange) — Commercial: $3,000.36 Anthem IN/KY Pathway/Exchange — HMO: $5,139.58 Anthem Medicare — Medicare Advantage: $2,000.24 Anthem Pathway Essentials — Commercial: $2,000.24 Anthem Traditional/HMO/PPO Pathway — HMO: $6,424.59 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,000.24
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI	$4,149	$1,369.17	$1,369.17 – $3,651.12
Prostate biopsy: 10 of 13 insurance plan rates Allied National — Commercial: $2,489.40 Center Care Narrow Select — Commercial: $2,447.91 Center Care Open Access — Commercial: $2,655.36 Cigna Behavioral — Commercial: $2,904.30 ClaimDoc — Commercial: $2,489.40 First Health — Commercial: $3,070.26 Healthlink — HMO: $3,111.75 Healthlink — PPO: $3,526.65 HealthScope — Commercial: $2,477.37 KY Racing Health & Welfare Fund — Commercial: $1,369.17
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	$7,100	$2,485	$872.65 – $6,248
Prostate removal by laparoscope (radical prostatectomy): 10 of 78 insurance plan rates Aetna — Commercial: $3,316.09 Aetna Better Health of IL — Managed Medicaid: $990.55 Aetna Better Health of KY — Managed Medicaid: $1,223.28 Alliance Coal — Commercial: $1,496.50 Allied National — Commercial: $1,518.19 Ambetter (Commercial-Exchange) — Commercial: $1,355.52 Anthem IN Medicaid — Managed Medicaid: $1,090.81 Anthem IN/KY Pathway/Exchange — HMO: $2,370 Anthem Medicare — Medicare Advantage: $1,084.42 Anthem Pathway Essentials — Commercial: $1,084.42
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$9,603.42 – $32,468.82
Prostate removal by laparoscope (radical prostatectomy): 10 of 42 insurance plan rates Alliance Coal — Commercial: $19,712.28 Allied National — Commercial: $24,261.26 Ambetter (Commercial-Exchange) — Commercial: $15,163.29 Anthem IN/KY Pathway/Exchange — HMO: $25,974.60 Anthem Medicare — Medicare Advantage: $10,108.86 Anthem Pathway Essentials — Commercial: $10,108.86 Anthem Traditional/HMO/PPO Pathway — HMO: $32,468.82 Blue Cross Blue Shield of Illinois — Medicare Advantage: $10,108.86 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $10,108.86 Caresource IN Marketplace — Commercial: $15,163.29
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$4,200	$1,470	$160.70 – $3,696
Hysteroscopy with biopsy of the uterus lining: 10 of 79 insurance plan rates Aetna — Commercial: $1,643.56 Aetna Better Health of IL — Managed Medicaid: $160.70 Aetna Better Health of KY — Managed Medicaid: $213.26 Alliance Coal — Commercial: $286.29 Allied National — Commercial: $290.44 Ambetter (Commercial-Exchange) — Commercial: $259.32 Anthem IN Medicaid — Managed Medicaid: $1,194.51 Anthem IN/KY Pathway/Exchange — HMO: $221.83 Anthem Medicare — Medicare Advantage: $207.46 Anthem Pathway Essentials — Commercial: $207.46
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$212.88 – $9,861.29
Hysteroscopy with biopsy of the uterus lining: 10 of 43 insurance plan rates Aetna — Commercial: $212.88 Alliance Coal — Commercial: $5,986.93 Allied National — Commercial: $7,368.53 Ambetter (Commercial-Exchange) — Commercial: $4,605.33 Anthem IN/KY Pathway/Exchange — HMO: $7,888.90 Anthem Medicare — Medicare Advantage: $3,070.22 Anthem Pathway Essentials — Commercial: $3,070.22 Anthem Traditional/HMO/PPO Pathway — HMO: $9,861.29 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,070.22 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3,070.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$670	$234.50	$67.44 – $589.60
Spinal injection, lower back (epidural), with imaging guidance: 10 of 79 insurance plan rates Aetna — Commercial: $384.67 Aetna Better Health of IL — Managed Medicaid: $67.44 Aetna Better Health of KY — Managed Medicaid: $81.33 Alliance Coal — Commercial: $125.18 Allied National — Commercial: $126.99 Ambetter (Commercial-Exchange) — Commercial: $113.39 Anthem IN Medicaid — Managed Medicaid: $236.30 Anthem IN/KY Pathway/Exchange — HMO: $97.56 Anthem Medicare — Medicare Advantage: $90.71 Anthem Pathway Essentials — Commercial: $90.71
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR SACRAL W IMAGING	$3,416	$1,127.28	$645.17 – $3,949
Spinal injection, lower back (epidural), with imaging guidance: 10 of 63 insurance plan rates Aetna — Commercial: $2,053.02 Aetna Better Health of KY — Managed Medicaid: $854 Alliance Coal — Commercial: $1,324.30 Allied National — Commercial: $1,629.91 Ambetter (Commercial-Exchange) — Commercial: $1,018.70 Anthem IN/KY Pathway/Exchange — HMO: $1,745 Anthem Medicare — Medicare Advantage: $679.13 Anthem Pathway Essentials — Commercial: $679.13 Anthem Traditional/HMO/PPO Pathway — HMO: $2,181.29 Blue Cross Blue Shield of Illinois — Medicare Advantage: $679.13
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,416	$1,127.28	$645.17 – $3,949
Spinal injection, lower back (epidural), with imaging guidance: 10 of 62 insurance plan rates Aetna — Commercial: $2,053.02 Aetna Better Health of KY — Managed Medicaid: $854 Alliance Coal — Commercial: $1,324.30 Allied National — Commercial: $1,629.91 Ambetter (Commercial-Exchange) — Commercial: $1,018.70 Anthem IN/KY Pathway/Exchange — HMO: $1,745 Anthem Medicare — Medicare Advantage: $679.13 Anthem Pathway Essentials — Commercial: $679.13 Anthem Traditional/HMO/PPO Pathway — HMO: $2,181.29 Blue Cross Blue Shield of Illinois — Medicare Advantage: $679.13
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$730	$255.50	$88.25 – $642.40
Nerve root injection, lower back, with imaging guidance: 10 of 79 insurance plan rates Aetna — Commercial: $431.74 Aetna Better Health of IL — Managed Medicaid: $88.25 Aetna Better Health of KY — Managed Medicaid: $149.91 Alliance Coal — Commercial: $140.54 Allied National — Commercial: $142.58 Ambetter (Commercial-Exchange) — Commercial: $127.30 Anthem IN Medicaid — Managed Medicaid: $225.68 Anthem IN/KY Pathway/Exchange — HMO: $102.74 Anthem Medicare — Medicare Advantage: $101.84 Anthem Pathway Essentials — Commercial: $101.84
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE	$2,003	$660.99	$500.75 – $3,949
Nerve root injection, lower back, with imaging guidance: 10 of 63 insurance plan rates Aetna — Commercial: $1,203.80 Aetna Better Health of KY — Managed Medicaid: $500.75 Alliance Coal — Commercial: $1,745.46 Allied National — Commercial: $2,148.26 Ambetter (Commercial-Exchange) — Commercial: $1,342.67 Anthem IN/KY Pathway/Exchange — HMO: $2,299.97 Anthem Medicare — Medicare Advantage: $895.11 Anthem Pathway Essentials — Commercial: $895.11 Anthem Traditional/HMO/PPO Pathway — HMO: $2,875.01 Blue Cross Blue Shield of Illinois — Medicare Advantage: $895.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$2,003	$660.99	$500.75 – $3,949
Nerve root injection, lower back, with imaging guidance: 10 of 62 insurance plan rates Aetna — Commercial: $1,203.80 Aetna Better Health of KY — Managed Medicaid: $500.75 Alliance Coal — Commercial: $1,745.46 Allied National — Commercial: $2,148.26 Ambetter (Commercial-Exchange) — Commercial: $1,342.67 Anthem IN/KY Pathway/Exchange — HMO: $2,299.97 Anthem Medicare — Medicare Advantage: $895.11 Anthem Pathway Essentials — Commercial: $895.11 Anthem Traditional/HMO/PPO Pathway — HMO: $2,875.01 Blue Cross Blue Shield of Illinois — Medicare Advantage: $895.11
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,935	$677.25	$284.77 – $1,702.80
Carpal tunnel release: 10 of 79 insurance plan rates Aetna — Commercial: $1,113.95 Aetna Better Health of IL — Managed Medicaid: $429.10 Aetna Better Health of KY — Managed Medicaid: $284.77 Alliance Coal — Commercial: $553.19 Allied National — Commercial: $561.20 Ambetter (Commercial-Exchange) — Commercial: $501.08 Anthem IN Medicaid — Managed Medicaid: $408.83 Anthem IN/KY Pathway/Exchange — HMO: $466.35 Anthem Medicare — Medicare Advantage: $400.86 Anthem Pathway Essentials — Commercial: $400.86
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$408.55 – $6,967
Carpal tunnel release: 10 of 43 insurance plan rates Aetna — Commercial: $408.55 Alliance Coal — Commercial: $3,697.41 Allied National — Commercial: $4,550.66 Ambetter (Commercial-Exchange) — Commercial: $2,844.17 Anthem IN/KY Pathway/Exchange — HMO: $4,872.02 Anthem Medicare — Medicare Advantage: $1,896.11 Anthem Pathway Essentials — Commercial: $1,896.11 Anthem Traditional/HMO/PPO Pathway — HMO: $6,090.13 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,896.11 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,896.11
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY	$1,314	$459.90	$192.76 – $1,156.32
Laser treatment of clouding after cataract surgery: 10 of 79 insurance plan rates Aetna — Commercial: $621.06 Aetna Better Health of IL — Managed Medicaid: $291.12 Aetna Better Health of KY — Managed Medicaid: $192.76 Alliance Coal — Commercial: $387.31 Allied National — Commercial: $392.92 Ambetter (Commercial-Exchange) — Commercial: $350.83 Anthem IN Medicaid — Managed Medicaid: $306.46 Anthem IN/KY Pathway/Exchange — HMO: $249.50 Anthem Medicare — Medicare Advantage: $280.66 Anthem Pathway Essentials — Commercial: $280.66
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$290.36 – $3,949
Laser treatment of clouding after cataract surgery: 10 of 43 insurance plan rates Aetna — Commercial: $290.36 Alliance Coal — Commercial: $1,113.12 Allied National — Commercial: $1,369.99 Ambetter (Commercial-Exchange) — Commercial: $856.25 Anthem IN/KY Pathway/Exchange — HMO: $1,466.74 Anthem Medicare — Medicare Advantage: $570.83 Anthem Pathway Essentials — Commercial: $570.83 Anthem Traditional/HMO/PPO Pathway — HMO: $1,833.46 Blue Cross Blue Shield of Illinois — Medicare Advantage: $570.83 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $570.83
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$3,841	$1,344.35	$398.54 – $3,380.08
Cataract removal with lens implant: 10 of 78 insurance plan rates Aetna — Commercial: $1,401.17 Aetna Better Health of IL — Managed Medicaid: $511.61 Aetna Better Health of KY — Managed Medicaid: $424.10 Alliance Coal — Commercial: $678.71 Allied National — Commercial: $688.55 Ambetter (Commercial-Exchange) — Commercial: $614.78 Anthem IN Medicaid — Managed Medicaid: $498.17 Anthem IN/KY Pathway/Exchange — HMO: $766.16 Anthem Medicare — Medicare Advantage: $491.82 Anthem Pathway Essentials — Commercial: $491.82
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,174.09 – $7,350.52
Cataract removal with lens implant: 10 of 42 insurance plan rates Alliance Coal — Commercial: $4,462.61 Allied National — Commercial: $5,492.45 Ambetter (Commercial-Exchange) — Commercial: $3,432.78 Anthem IN/KY Pathway/Exchange — HMO: $5,880.31 Anthem Medicare — Medicare Advantage: $2,288.52 Anthem Pathway Essentials — Commercial: $2,288.52 Anthem Traditional/HMO/PPO Pathway — HMO: $7,350.52 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,288.52 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $2,288.52 Caresource IN Marketplace — Commercial: $3,432.78

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$6,700	$2,345	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,896
Vaginal delivery, with care before and after: 10 of 78 insurance plan rates Aetna — Commercial: $3,550.05 Aetna Better Health of IL — Managed Medicaid: $1,840.25 Aetna Better Health of KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $2,929.59 Allied National — Commercial: $2,972.05 Ambetter (Commercial-Exchange) — Commercial: $2,653.61 Anthem IN Medicaid — Managed Medicaid: $2,152.43 Anthem IN/KY Pathway/Exchange — HMO: $2,263.19 Anthem Medicare — Medicare Advantage: $2,122.89 Anthem Pathway Essentials — Commercial: $2,122.89
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$7,200	$2,520	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,336
Cesarean delivery (C-section), with care before and after: 10 of 78 insurance plan rates Aetna — Commercial: $4,057.18 Aetna Better Health of IL — Managed Medicaid: $2,046.31 Aetna Better Health of KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,232.14 Allied National — Commercial: $3,278.98 Ambetter (Commercial-Exchange) — Commercial: $2,927.66 Anthem IN Medicaid — Managed Medicaid: $2,376.66 Anthem IN/KY Pathway/Exchange — HMO: $2,263.19 Anthem Medicare — Medicare Advantage: $2,342.13 Anthem Pathway Essentials — Commercial: $2,342.13
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$6,026	$2,109.10	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,302.88
Vaginal delivery after a previous C-section, with care before and after: 10 of 78 insurance plan rates Aetna — Commercial: $2,847.16 Aetna Better Health of IL — Managed Medicaid: $1,938.17 Aetna Better Health of KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,045.18 Allied National — Commercial: $3,089.31 Ambetter (Commercial-Exchange) — Commercial: $2,758.31 Anthem IN Medicaid — Managed Medicaid: $2,239.04 Anthem IN/KY Pathway/Exchange — HMO: $2,324.44 Anthem Medicare — Medicare Advantage: $2,206.65 Anthem Pathway Essentials — Commercial: $2,206.65

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee 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	$39,203.83 – $254,201.19
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 55 insurance plan rates Aetna — Commercial: $145,084.11 Aetna Better Health of KY — Managed Medicaid: $39,203.83 Alliance Coal — Commercial: $147,623.42 Allied National — Commercial: $181,690.37 Ambetter (Commercial-Exchange) — Commercial: $121,126.91 Anthem IN/KY Pathway/Exchange — HMO: $203,362.88 Anthem Medicare — Medicare Advantage: $75,704.32 Anthem Pathway Essentials — Commercial: $75,704.32 Anthem Traditional/HMO/PPO Pathway — HMO: $254,201.19 Blue Cross Blue Shield of Illinois — Medicare Advantage: $75,704.32
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee 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	$7,659.67 – $49,665.96
Hip or knee replacement (major joint of the leg), without major complications: 10 of 55 insurance plan rates Aetna — Commercial: $28,346.61 Aetna Better Health of KY — Managed Medicaid: $7,659.67 Alliance Coal — Commercial: $29,474.04 Allied National — Commercial: $36,275.74 Ambetter (Commercial-Exchange) — Commercial: $24,183.82 Anthem IN/KY Pathway/Exchange — HMO: $39,733.14 Anthem Medicare — Medicare Advantage: $15,114.89 Anthem Pathway Essentials — Commercial: $15,114.89 Anthem Traditional/HMO/PPO Pathway — HMO: $49,665.96 Blue Cross Blue Shield of Illinois — Medicare Advantage: $15,114.89
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,616.53 – $62,354.42
Neck (cervical) spinal fusion, without complications: 10 of 55 insurance plan rates Aetna — Commercial: $35,588.48 Aetna Better Health of KY — Managed Medicaid: $9,616.53 Alliance Coal — Commercial: $36,803.50 Allied National — Commercial: $45,296.62 Ambetter (Commercial-Exchange) — Commercial: $30,197.74 Anthem IN/KY Pathway/Exchange — HMO: $49,884.01 Anthem Medicare — Medicare Advantage: $18,873.59 Anthem Pathway Essentials — Commercial: $18,873.59 Anthem Traditional/HMO/PPO Pathway — HMO: $62,354.42 Blue Cross Blue Shield of Illinois — Medicare Advantage: $18,873.59
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$4,869.20 – $31,572.32
Uterus and ovary surgery (not for cancer), without complications: 10 of 55 insurance plan rates Aetna — Commercial: $18,019.75 Aetna Better Health of KY — Managed Medicaid: $4,869.20 Alliance Coal — Commercial: $19,022.29 Allied National — Commercial: $23,412.05 Ambetter (Commercial-Exchange) — Commercial: $15,608.03 Anthem IN/KY Pathway/Exchange — HMO: $25,258.10 Anthem Medicare — Medicare Advantage: $9,755.02 Anthem Pathway Essentials — Commercial: $9,755.02 Anthem Traditional/HMO/PPO Pathway — HMO: $31,572.32 Blue Cross Blue Shield of Illinois — Medicare Advantage: $9,755.02

Source: Memorial Hospital and Health Care Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 11, 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 type	Acute Care Hospital
Address	800 W 9th St, Jasper, IN 47546
County	Dubois County
State	Indiana
Phone	(812) 996‑2345
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150115
Name in Medicare records	MEMORIAL HOSPITAL AND HEALTH CARE CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Deaconess Memorial Medical Center
Official website	deaconess.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Women's Services - Deaconess Memorial Medical Center | Deaconess — deaconess.com
Labor and Delivery - Deaconess Memorial Medical Center | Deaconess — deaconess.com
Gynecological Services - Deaconess Memorial Medical Center | Deaconess — deaconess.com
After Delivery - Deaconess Memorial Medical Center | Deaconess — deaconess.com
Deaconess Memorial Medical Center Patient Care & Safety — deaconess.com
Indiana University School of Medicine Family Medicine Residency at Deaconess Memorial — deaconess.com
Nursing by Department - Deaconess Memorial Medical Center — deaconess.com