Does Memorial Hospital Biloxi have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Memorial Hospital Biloxi. In a medical emergency, call 911.

Where is Memorial Hospital Biloxi?

150 Reynoir Street, Biloxi, MS 39530, in Harrison County, Mississippi.

What is the phone number of Memorial Hospital Biloxi?

(228) 432-1571, as listed by Medicare (CMS).

What is the Medicare star rating of Memorial Hospital Biloxi?

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

Does Medicare reduce its payments to Memorial Hospital Biloxi for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Memorial Hospital Biloxi under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4842; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Memorial Hospital Biloxi — Phone, Address & ER

Quick answers

Does Memorial Hospital Biloxi have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Memorial Hospital Biloxi. In a medical emergency, call 911.
Where is Memorial Hospital Biloxi?: 150 Reynoir Street, Biloxi, MS 39530, in Harrison County, Mississippi.
What is the phone number of Memorial Hospital Biloxi?: (228) 432-1571, as listed by Medicare (CMS).
What is the Medicare star rating of Memorial Hospital Biloxi?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Memorial Hospital Biloxi for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Memorial Hospital Biloxi under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4842; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Psychiatry/Behavioral Health
Diagnostic Imaging
Cardiology/Heart Health
Ear, Nose & Throat/Otolaryngology
Neurosciences
Pain Management
Pediatrics/Child Health
Surgical Services
Cancer Care/Oncology
Digestive Health/Gastroenterology
Emergency
Inpatient Physician Services
Orthopedics
Palliative & Supportive Care
Rehabilitation
OBGYN/Women's Health

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Main entrance 5:30 a.m.-8 p.m. Mon-Fri; ICU visits 5-6 a.m., 10 a.m.-4 p.m., 8-10 p.m., no one under 12^[4]

Doctors and clinicians (261)

261 doctors and other clinicians list Memorial Hospital Biloxi 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 (261)

Abha Mishra, MDNeurology
Adams W. Moore, MDDiagnostic Radiology
Addie E. Walters, NPNurse Practitioner
Addie H. Holcomb, NPNurse Practitioner
Alchar G. Jackson, NPNurse Practitioner
Alexandria Tanner, NPNurse Practitioner
Alfred E. McNair Jr., MDGastroenterology
Alicia M. McDaniel, NPNurse Practitioner
Aline A. Tomajian, NPNurse Practitioner
Alisha Ware, MDObstetrics/Gynecology
Allison P. Wall, MDHematology/Oncology
Alva Dillon, MDGastroenterology
Amanda Miller, NPNurse Practitioner
Amanda N. Sterling, NPNurse Practitioner
Amanda R. Mizell, NPNurse Practitioner
Amber L. Tarver, NPNurse Practitioner
Amy A. Simpson-Waid, NPNurse Practitioner
Amy E. Benefield, CNACertified Registered Nurse Anesthetist (CRNA)
Amy R. Ochle, NPNurse Practitioner
Andrea K. Barker, MDVascular Surgery
Andrew Borho, PAPhysician Assistant
Andrew J. Peterson, DOInternal Medicine
Angela M. Dauro, PAPhysician Assistant
Antoine B. Rizk, MDCardiovascular Disease (Cardiology)

And 237 more: the button below opens the full list.

Other emergency rooms nearby

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

81st Medical Group (Keesler AFB)1.7 mi · Biloxi, MS · Military Hospital (Department of Defense)
VA Gulf Coast Healthcare System3.5 mi · Biloxi, MS · Federal/VA Acute Care Hospital
Singing River Gulfport12 mi · Gulfport, MS · Acute Care Hospital
Memorial Hospital at Gulfport14 mi · Gulfport, MS · Acute Care Hospital
Singing River Health System21 mi · Pascagoula, MS · Acute Care Hospital

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

Other hospitals near Biloxi

Oceans Behavioral Hospital- Biloxi6.6 mi · Biloxi, MS · Psychiatric Hospital
Gulfport Behavioral Health System13 mi · GPT, MS · Psychiatric Hospital
Encompass Health Rehabilitation Hospital, Partner14 mi · Gulfport, MS · Inpatient Rehabilitation Hospital

All hospitals in Biloxi · Hospitals in Harrison County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Greenbriar Nursing Center4.2 mi · Diberville, MS · 2 of 5 stars
The Pillars of Biloxi4.8 mi · Biloxi, MS · 1 of 5 stars
Sunplex Sub-Acute Center10 mi · Ocean Springs, MS

All nursing homes in the state →

Hospice providers

Saad Hospice of Mississippi3.3 mi · Diberville, MS
Hospice of Light7.1 mi · Ocean Springs, MS · 5 of 5 stars
Traditions Health7.1 mi · Ocean Springs, MS

All hospice providers in the state →

Home health agencies

Saad Home Health and Hospice of MS3.3 mi · Diberville, MS · 4 of 5 stars
Enhabit Home Health of the Gulf Coast8.6 mi · Gulfport, MS · 2.5 of 5 stars
Adoration Home Health8.9 mi · Biloxi, MS · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC Biloxi0.4 mi · Biloxi, MS · 1 of 5 stars
DaVita Gulf Islands HT at Home3.3 mi · Diberville, MS · 4 of 5 stars
FMC Diberville3.3 mi · Diberville, MS · 3 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.

Gulf Coast Outpatient Surgery Center4.6 mi · Biloxi, MS
Popp's Ferry Out-Patient Surgery Center, LLC4.6 mi · Biloxi, MS
Mississippi Eye Surgery Center7.1 mi · Ocean Springs, MS

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

Biloxi Health Center0.6 mi · Biloxi, MS · Community health center
Biloxi Pediatric Health Center0.6 mi · Biloxi, MS · Community health center
Coastal Family Pharmacy - Biloxi0.8 mi · Biloxi, MS · Community health center

Clinics and urgent care

Gulf Coast Urgent Care, LLC0.4 mi · Biloxi, MS · Urgent care center
Maxem Health Urgent Care Diberville3.3 mi · Diberville, MS · Urgent care center
Children's International Medical Group4.6 mi · Biloxi, MS · Rural health clinic

Pharmacies

Cedar Lake Pharmacy0.4 mi · Biloxi, MS · Community/retail pharmacy
Coastal Family Health Center, Inc.0.4 mi · Biloxi, MS · Community/retail pharmacy
St. Vincent de Paul Community Pharmacy, Inc.0.4 mi · Biloxi, MS · Community/retail pharmacy

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	1 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	1 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	2 of 5 stars
Symptoms After Stay	1 of 5 stars
Rated the hospital 9 or 10 out of 10	50%National average: 72%
Would definitely recommend the hospital	52%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	74%National average: 80%
“Always” got help as soon as they wanted	55%National average: 64%
Staff “always” explained medicines before giving them	52%National average: 62%
Were given information about recovery at home	78%National average: 86%
Room and bathroom “always” clean	60%National average: 73%
Completed surveys	199Response rate: 12%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart failure patients	11.5%
Deaths within 30 days: pneumonia patients	14.7%
Deaths within 30 days: stroke patients	15.7%
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.6%
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	19.8%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	141 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	35%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.4842Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure	1.0822More readmissions than expected
Pneumonia	1.0832More readmissions than expected
COPD (chronic lung disease)	0.9872Fewer readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	16.33 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	0.00 out of 100
Person and community engagement (patient survey)	12.00 out of 100
Safety (infections and sepsis care)	33.33 out of 100
Efficiency and cost reduction (Medicare spending)	20.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.02Above the national median hospital (1.00): Medicare spent more

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

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 Biloxi Best hospitals in Mississippi

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Memorial Hospital Biloxi lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 87 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BFC Limited - New Patient - Lactation Consult Charges	$150.50	$105.35	$67.85 – $118.74
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $74.90 CIGNA — MARKETPLACE: $60.20 CIGNA — MEDICARE ADVANTAGE: $75.25 CIGNA — PPO: $90.30 CIGNA EVERNORTH — ALL PRODUCTS: $105.35 DEVOTED HEALTH — MEDICARE ADVANTAGE: $45.15 FIRST CHOICE — DRG: $75.25 FIRST CHOICE — PERCENTAGE: $108.36 FIRST HEALTH — ALL PRODUCTS: $108.36 FOX EVERETT — HUB: $60.20
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Telemanagement Interm New	$577.30	$404.11	$67.85 – $118.74
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $74.90 CIGNA — MARKETPLACE: $230.92 CIGNA — MEDICARE ADVANTAGE: $288.65 CIGNA — PPO: $346.38 CIGNA EVERNORTH — ALL PRODUCTS: $404.11 DEVOTED HEALTH — MEDICARE ADVANTAGE: $173.19 FIRST CHOICE — DRG: $288.65 FIRST CHOICE — PERCENTAGE: $415.66 FIRST HEALTH — ALL PRODUCTS: $415.66 FOX EVERETT — HUB: $230.92
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Coumadin Clinic Interm New	$577.30	$404.11	$67.85 – $118.74
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $74.90 CIGNA — MARKETPLACE: $230.92 CIGNA — MEDICARE ADVANTAGE: $288.65 CIGNA — PPO: $346.38 CIGNA EVERNORTH — ALL PRODUCTS: $404.11 DEVOTED HEALTH — MEDICARE ADVANTAGE: $173.19 FIRST CHOICE — DRG: $288.65 FIRST CHOICE — PERCENTAGE: $415.66 FIRST HEALTH — ALL PRODUCTS: $415.66 FOX EVERETT — HUB: $230.92
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BFC Complex - New Patient - Lactation Consult Charges	$218.60	$153.02	$110.43 – $193.25
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $121.50 CIGNA — MARKETPLACE: $87.44 CIGNA — MEDICARE ADVANTAGE: $109.30 CIGNA — PPO: $131.16 CIGNA EVERNORTH — ALL PRODUCTS: $153.02 DEVOTED HEALTH — MEDICARE ADVANTAGE: $65.58 FIRST CHOICE — DRG: $109.30 FIRST CHOICE — PERCENTAGE: $157.39 FIRST HEALTH — ALL PRODUCTS: $157.39 FOX EVERETT — HUB: $87.44
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Telemangement Complex New	$867.70	$607.39	$110.43 – $193.25
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $121.50 CIGNA — MARKETPLACE: $347.08 CIGNA — MEDICARE ADVANTAGE: $433.85 CIGNA — PPO: $520.62 CIGNA EVERNORTH — ALL PRODUCTS: $607.39 DEVOTED HEALTH — MEDICARE ADVANTAGE: $260.31 FIRST CHOICE — DRG: $433.85 FIRST CHOICE — PERCENTAGE: $624.74 FIRST HEALTH — ALL PRODUCTS: $624.74 FOX EVERETT — HUB: $347.08
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Coumadin Clinic Extensive New	$1,157	$809.90	$110.43 – $193.25
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $121.50 CIGNA — MARKETPLACE: $462.80 CIGNA — MEDICARE ADVANTAGE: $578.50 CIGNA — PPO: $694.20 CIGNA EVERNORTH — ALL PRODUCTS: $809.90 DEVOTED HEALTH — MEDICARE ADVANTAGE: $347.10 FIRST CHOICE — DRG: $578.50 FIRST CHOICE — PERCENTAGE: $833.04 FIRST HEALTH — ALL PRODUCTS: $833.04 FOX EVERETT — HUB: $462.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BFC Extensive - New Patient - Lactation Consult Charges	$498.30	$348.81	$150.03 – $262.55
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $164.75 CIGNA — MARKETPLACE: $199.32 CIGNA — MEDICARE ADVANTAGE: $249.15 CIGNA — PPO: $298.98 CIGNA EVERNORTH — ALL PRODUCTS: $348.81 DEVOTED HEALTH — MEDICARE ADVANTAGE: $149.49 FIRST CHOICE — DRG: $249.15 FIRST CHOICE — PERCENTAGE: $358.78 FIRST HEALTH — ALL PRODUCTS: $358.78 FOX EVERETT — HUB: $199.32
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Telemanagement Extensive New	$1,157	$809.90	$150.03 – $262.55
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $164.75 CIGNA — MARKETPLACE: $462.80 CIGNA — MEDICARE ADVANTAGE: $578.50 CIGNA — PPO: $694.20 CIGNA EVERNORTH — ALL PRODUCTS: $809.90 DEVOTED HEALTH — MEDICARE ADVANTAGE: $347.10 FIRST CHOICE — DRG: $578.50 FIRST CHOICE — PERCENTAGE: $833.04 FIRST HEALTH — ALL PRODUCTS: $833.04 FOX EVERETT — HUB: $462.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Coumadin Clinic Complex New	$867.70	$607.39	$150.03 – $262.55
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $164.75 CIGNA — MARKETPLACE: $347.08 CIGNA — MEDICARE ADVANTAGE: $433.85 CIGNA — PPO: $520.62 CIGNA EVERNORTH — ALL PRODUCTS: $607.39 DEVOTED HEALTH — MEDICARE ADVANTAGE: $260.31 FIRST CHOICE — DRG: $433.85 FIRST CHOICE — PERCENTAGE: $624.74 FIRST HEALTH — ALL PRODUCTS: $624.74 FOX EVERETT — HUB: $347.08
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M professional 99213	$178	$124.60	$54.64 – $95.62
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $60.17 CIGNA — MARKETPLACE: $71.20 CIGNA — MEDICARE ADVANTAGE: $89 CIGNA — PPO: $106.80 CIGNA EVERNORTH — ALL PRODUCTS: $124.60 DEVOTED HEALTH — MEDICARE ADVANTAGE: $53.40 FIRST CHOICE — DRG: $89 FIRST CHOICE — PERCENTAGE: $128.16 FIRST HEALTH — ALL PRODUCTS: $128.16 FOX EVERETT — HUB: $71.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BFC Limited - Est. Patient - Lactation Consult Charges	$150.50	$105.35	$54.64 – $95.62
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $60.17 CIGNA — MARKETPLACE: $60.20 CIGNA — MEDICARE ADVANTAGE: $75.25 CIGNA — PPO: $90.30 CIGNA EVERNORTH — ALL PRODUCTS: $105.35 DEVOTED HEALTH — MEDICARE ADVANTAGE: $45.15 FIRST CHOICE — DRG: $75.25 FIRST CHOICE — PERCENTAGE: $108.36 FIRST HEALTH — ALL PRODUCTS: $108.36 FOX EVERETT — HUB: $60.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Telemangement Interm Est	$577.30	$404.11	$54.64 – $95.62
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $60.17 CIGNA — MARKETPLACE: $230.92 CIGNA — MEDICARE ADVANTAGE: $288.65 CIGNA — PPO: $346.38 CIGNA EVERNORTH — ALL PRODUCTS: $404.11 DEVOTED HEALTH — MEDICARE ADVANTAGE: $173.19 FIRST CHOICE — DRG: $288.65 FIRST CHOICE — PERCENTAGE: $415.66 FIRST HEALTH — ALL PRODUCTS: $415.66 FOX EVERETT — HUB: $230.92
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BFC Complex - Est. Patient - Lactation Consult Charges	$218.60	$153.02	$80.59 – $141.03
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $88.47 CIGNA — MARKETPLACE: $87.44 CIGNA — MEDICARE ADVANTAGE: $109.30 CIGNA — PPO: $131.16 CIGNA EVERNORTH — ALL PRODUCTS: $153.02 DEVOTED HEALTH — MEDICARE ADVANTAGE: $65.58 FIRST CHOICE — DRG: $109.30 FIRST CHOICE — PERCENTAGE: $157.39 FIRST HEALTH — ALL PRODUCTS: $157.39 FOX EVERETT — HUB: $87.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Telemangement Complex Est	$867.70	$607.39	$80.59 – $141.03
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $88.47 CIGNA — MARKETPLACE: $347.08 CIGNA — MEDICARE ADVANTAGE: $433.85 CIGNA — PPO: $520.62 CIGNA EVERNORTH — ALL PRODUCTS: $607.39 DEVOTED HEALTH — MEDICARE ADVANTAGE: $260.31 FIRST CHOICE — DRG: $433.85 FIRST CHOICE — PERCENTAGE: $624.74 FIRST HEALTH — ALL PRODUCTS: $624.74 FOX EVERETT — HUB: $347.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHF Coumadin Clinic Extensive Est	$1,157	$809.90	$80.59 – $141.03
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates AETNA — ALL PRODUCTS: $88.47 CIGNA — MARKETPLACE: $462.80 CIGNA — MEDICARE ADVANTAGE: $578.50 CIGNA — PPO: $694.20 CIGNA EVERNORTH — ALL PRODUCTS: $809.90 DEVOTED HEALTH — MEDICARE ADVANTAGE: $347.10 FIRST CHOICE — DRG: $578.50 FIRST CHOICE — PERCENTAGE: $833.04 FIRST HEALTH — ALL PRODUCTS: $833.04 FOX EVERETT — HUB: $462.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$107.63
Office consultation with a specialist (moderate): rates for 1 insurance plan AETNA — ALL PRODUCTS: $107.63
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$172.24
Office consultation with a specialist (moderate to high): rates for 1 insurance plan AETNA — ALL PRODUCTS: $172.24
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	$101.15
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan AETNA — ALL PRODUCTS: $101.15
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	$122.65
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan AETNA — ALL PRODUCTS: $122.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3	$1,434.35	$1,004.05	$238.83 – $1,359
Emergency room visit (moderate): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $65.71 AETNA — MEDICARE ADVANTAGE: $250.77 BLUE CROSS — MEDICARE ADVANTAGE: $248.38 CIGNA — MARKETPLACE: $573.74 CIGNA — MEDICARE ADVANTAGE: $238.83 CIGNA — PPO: $860.61 CIGNA EVERNORTH — ALL PRODUCTS: $1,004.05 DEVOTED HEALTH — MEDICARE ADVANTAGE: $243.61 FIRST CHOICE — DRG: $437.25 FIRST CHOICE — PERCENTAGE: $1,032.73
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4	$2,152	$1,506.40	$365.07 – $2,830
Emergency room visit (moderately high): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $111.20 AETNA — MEDICARE ADVANTAGE: $383.32 BLUE CROSS — MEDICARE ADVANTAGE: $379.67 CIGNA — MARKETPLACE: $860.80 CIGNA — MEDICARE ADVANTAGE: $365.07 CIGNA — PPO: $1,291.20 CIGNA EVERNORTH — ALL PRODUCTS: $1,506.40 DEVOTED HEALTH — MEDICARE ADVANTAGE: $372.37 FIRST CHOICE — DRG: $687.31 FIRST CHOICE — PERCENTAGE: $1,549.44
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5	$2,868.15	$2,007.71	$521.04 – $4,711
Emergency room visit (high): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $161.53 AETNA — MEDICARE ADVANTAGE: $547.09 BLUE CROSS — MEDICARE ADVANTAGE: $541.88 CIGNA — MARKETPLACE: $1,147.26 CIGNA — MEDICARE ADVANTAGE: $521.04 CIGNA — PPO: $1,720.89 CIGNA EVERNORTH — ALL PRODUCTS: $2,007.71 DEVOTED HEALTH — MEDICARE ADVANTAGE: $531.46 FIRST CHOICE — DRG: $986.55 FIRST CHOICE — PERCENTAGE: $2,065.07

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel	$564.85	$395.40	$8.46 – $8.97
Basic metabolic panel (blood test): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $17.17 AETNA — MEDICARE ADVANTAGE: $8.88 BLUE CROSS — MEDICARE ADVANTAGE: $8.80 CIGNA — MARKETPLACE: $8.88 CIGNA — MEDICARE ADVANTAGE: $282.43 CIGNA — PPO: $338.91 CIGNA EVERNORTH — ALL PRODUCTS: $395.40 DEVOTED HEALTH — MEDICARE ADVANTAGE: $8.63 FIRST CHOICE — DRG: $282.43 FIRST CHOICE — PERCENTAGE: $406.69
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$8.88
Basic metabolic panel (blood test): rates for 1 insurance plan CIGNA — MARKETPLACE: $8.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mar Chem	$58.25	$40.78	$9.50 – $21.44
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $21.44 AETNA — MEDICARE ADVANTAGE: $11.09 BLUE CROSS — MEDICARE ADVANTAGE: $10.98 CIGNA — MARKETPLACE: $11.09 CIGNA — MEDICARE ADVANTAGE: $29.13 CIGNA — PPO: $34.95 CIGNA EVERNORTH — ALL PRODUCTS: $40.78 DEVOTED HEALTH — MEDICARE ADVANTAGE: $10.77 FIRST CHOICE — DRG: $29.13 FIRST CHOICE — PERCENTAGE: $41.94
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$792.85	$555	$9.50 – $21.44
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $21.44 AETNA — MEDICARE ADVANTAGE: $11.09 BLUE CROSS — MEDICARE ADVANTAGE: $10.98 CIGNA — MARKETPLACE: $11.09 CIGNA — MEDICARE ADVANTAGE: $396.43 CIGNA — PPO: $475.71 CIGNA EVERNORTH — ALL PRODUCTS: $555 DEVOTED HEALTH — MEDICARE ADVANTAGE: $10.77 FIRST CHOICE — DRG: $396.43 FIRST CHOICE — PERCENTAGE: $570.85
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vet Chem Pnl	$34.80	$24.36	$9.50 – $21.44
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $21.44 AETNA — MEDICARE ADVANTAGE: $11.09 BLUE CROSS — MEDICARE ADVANTAGE: $10.98 CIGNA — MARKETPLACE: $11.09 CIGNA — MEDICARE ADVANTAGE: $17.40 CIGNA — PPO: $20.88 CIGNA EVERNORTH — ALL PRODUCTS: $24.36 DEVOTED HEALTH — MEDICARE ADVANTAGE: $10.77 FIRST CHOICE — DRG: $17.40 FIRST CHOICE — PERCENTAGE: $25.06
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel	$805.75	$564.03	$47.81 – $50.68
Obstetric blood test panel: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $97.05 AETNA — MEDICARE ADVANTAGE: $50.20 BLUE CROSS — MEDICARE ADVANTAGE: $49.72 CIGNA — MARKETPLACE: $50.20 CIGNA — MEDICARE ADVANTAGE: $402.88 CIGNA — PPO: $483.45 CIGNA EVERNORTH — ALL PRODUCTS: $564.03 DEVOTED HEALTH — MEDICARE ADVANTAGE: $48.77 FIRST CHOICE — DRG: $402.88 FIRST CHOICE — PERCENTAGE: $580.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cardio IQ(R) Advanced Lipid Panel QV92145	$61.10	$42.77	$13.39 – $14.19
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $27.18 AETNA — MEDICARE ADVANTAGE: $14.06 BLUE CROSS — MEDICARE ADVANTAGE: $13.93 CIGNA — MARKETPLACE: $14.06 CIGNA — MEDICARE ADVANTAGE: $30.55 CIGNA — PPO: $36.66 CIGNA EVERNORTH — ALL PRODUCTS: $42.77 DEVOTED HEALTH — MEDICARE ADVANTAGE: $13.66 FIRST CHOICE — DRG: $30.55 FIRST CHOICE — PERCENTAGE: $43.99
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid	$297.85	$208.50	$12.05 – $27.18
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $27.18 AETNA — MEDICARE ADVANTAGE: $14.06 BLUE CROSS — MEDICARE ADVANTAGE: $13.93 CIGNA — MARKETPLACE: $14.06 CIGNA — MEDICARE ADVANTAGE: $148.93 CIGNA — PPO: $178.71 CIGNA EVERNORTH — ALL PRODUCTS: $208.50 DEVOTED HEALTH — MEDICARE ADVANTAGE: $13.66 FIRST CHOICE — DRG: $148.93 FIRST CHOICE — PERCENTAGE: $214.45
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NMR LipoProfile with Graph LC-123810	$152.50	$106.75	$12.05 – $27.18
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $27.18 AETNA — MEDICARE ADVANTAGE: $14.06 BLUE CROSS — MEDICARE ADVANTAGE: $13.93 CIGNA — MARKETPLACE: $14.06 CIGNA — MEDICARE ADVANTAGE: $76.25 CIGNA — PPO: $91.50 CIGNA EVERNORTH — ALL PRODUCTS: $106.75 DEVOTED HEALTH — MEDICARE ADVANTAGE: $13.66 FIRST CHOICE — DRG: $76.25 FIRST CHOICE — PERCENTAGE: $109.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$659.40	$461.58	$7.81 – $17.62
Kidney function panel: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $17.62 AETNA — MEDICARE ADVANTAGE: $9.11 BLUE CROSS — MEDICARE ADVANTAGE: $9.03 CIGNA — MARKETPLACE: $9.11 CIGNA — MEDICARE ADVANTAGE: $329.70 CIGNA — PPO: $395.64 CIGNA EVERNORTH — ALL PRODUCTS: $461.58 DEVOTED HEALTH — MEDICARE ADVANTAGE: $8.85 FIRST CHOICE — DRG: $329.70 FIRST CHOICE — PERCENTAGE: $474.77
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: zzRenalPnl - Stone County	$924.80	$647.36	$8.68 – $9.20
Kidney function panel: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $17.62 AETNA — MEDICARE ADVANTAGE: $9.11 BLUE CROSS — MEDICARE ADVANTAGE: $9.03 CIGNA — MARKETPLACE: $9.11 CIGNA — MEDICARE ADVANTAGE: $462.40 CIGNA — PPO: $554.88 CIGNA EVERNORTH — ALL PRODUCTS: $647.36 DEVOTED HEALTH — MEDICARE ADVANTAGE: $8.85 FIRST CHOICE — DRG: $462.40 FIRST CHOICE — PERCENTAGE: $665.86
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$9.11
Kidney function panel: rates for 1 insurance plan CIGNA — MARKETPLACE: $9.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$562.20	$393.54	$7.35 – $16.59
Liver function panel: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $16.59 AETNA — MEDICARE ADVANTAGE: $8.58 BLUE CROSS — MEDICARE ADVANTAGE: $8.50 CIGNA — MARKETPLACE: $8.58 CIGNA — MEDICARE ADVANTAGE: $281.10 CIGNA — PPO: $337.32 CIGNA EVERNORTH — ALL PRODUCTS: $393.54 DEVOTED HEALTH — MEDICARE ADVANTAGE: $8.33 FIRST CHOICE — DRG: $281.10 FIRST CHOICE — PERCENTAGE: $404.78
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis	$418.65	$293.06	$2.85 – $6.44
Urine test (automated, with microscope): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $6.44 AETNA — MEDICARE ADVANTAGE: $3.33 BLUE CROSS — MEDICARE ADVANTAGE: $3.30 CIGNA — MARKETPLACE: $3.33 CIGNA — MEDICARE ADVANTAGE: $209.33 CIGNA — PPO: $251.19 CIGNA EVERNORTH — ALL PRODUCTS: $293.06 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3.23 FIRST CHOICE — DRG: $209.33 FIRST CHOICE — PERCENTAGE: $301.43
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Culture if indicated	$418.65	$293.06	$3.17 – $3.36
Urine test (automated, with microscope): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $6.44 AETNA — MEDICARE ADVANTAGE: $3.33 BLUE CROSS — MEDICARE ADVANTAGE: $3.30 CIGNA — MARKETPLACE: $3.33 CIGNA — MEDICARE ADVANTAGE: $209.33 CIGNA — PPO: $251.19 CIGNA EVERNORTH — ALL PRODUCTS: $293.06 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3.23 FIRST CHOICE — DRG: $209.33 FIRST CHOICE — PERCENTAGE: $301.43
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: pH Urine	$192.70	$134.89	$3.13 – $7.06
Urine test (manual, without microscope): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $7.06 AETNA — MEDICARE ADVANTAGE: $3.65 BLUE CROSS — MEDICARE ADVANTAGE: $3.62 CIGNA — MARKETPLACE: $3.65 CIGNA — MEDICARE ADVANTAGE: $96.35 CIGNA — PPO: $115.62 CIGNA EVERNORTH — ALL PRODUCTS: $134.89 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3.55 FIRST CHOICE — DRG: $96.35 FIRST CHOICE — PERCENTAGE: $138.74
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Non-automated	$133.60	$93.52	$3.13 – $7.06
Urine test (manual, without microscope): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $7.06 AETNA — MEDICARE ADVANTAGE: $3.65 BLUE CROSS — MEDICARE ADVANTAGE: $3.62 CIGNA — MARKETPLACE: $3.65 CIGNA — MEDICARE ADVANTAGE: $66.80 CIGNA — PPO: $80.16 CIGNA EVERNORTH — ALL PRODUCTS: $93.52 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3.55 FIRST CHOICE — DRG: $66.80 FIRST CHOICE — PERCENTAGE: $96.19
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bile in Stool	$251.65	$176.16	$3.48 – $3.69
Urine test (manual, without microscope): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $7.06 AETNA — MEDICARE ADVANTAGE: $3.65 BLUE CROSS — MEDICARE ADVANTAGE: $3.62 CIGNA — MARKETPLACE: $3.65 CIGNA — MEDICARE ADVANTAGE: $125.83 CIGNA — PPO: $150.99 CIGNA EVERNORTH — ALL PRODUCTS: $176.16 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3.55 FIRST CHOICE — DRG: $125.83 FIRST CHOICE — PERCENTAGE: $181.19
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Macroscopic (Dipstick Only)	$284.55	$199.19	$2.25 – $2.39
Urine test (automated, without microscope): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $4.57 AETNA — MEDICARE ADVANTAGE: $2.36 BLUE CROSS — MEDICARE ADVANTAGE: $2.34 CIGNA — MARKETPLACE: $2.36 CIGNA — MEDICARE ADVANTAGE: $142.28 CIGNA — PPO: $170.73 CIGNA EVERNORTH — ALL PRODUCTS: $199.19 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2.30 FIRST CHOICE — DRG: $142.28 FIRST CHOICE — PERCENTAGE: $204.88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.36
Urine test (automated, without microscope): rates for 1 insurance plan CIGNA — MARKETPLACE: $2.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Ag Free and Total QV-31348	$67.75	$47.43	$16.55 – $37.33
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $37.33 AETNA — MEDICARE ADVANTAGE: $19.31 BLUE CROSS — MEDICARE ADVANTAGE: $19.13 CIGNA — MARKETPLACE: $19.31 CIGNA — MEDICARE ADVANTAGE: $33.88 CIGNA — PPO: $40.65 CIGNA EVERNORTH — ALL PRODUCTS: $47.43 DEVOTED HEALTH — MEDICARE ADVANTAGE: $18.76 FIRST CHOICE — DRG: $33.88 FIRST CHOICE — PERCENTAGE: $48.78
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen Total - Cancer Monitoring	$553.10	$387.17	$16.55 – $37.33
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $37.33 AETNA — MEDICARE ADVANTAGE: $19.31 BLUE CROSS — MEDICARE ADVANTAGE: $19.13 CIGNA — MARKETPLACE: $19.31 CIGNA — MEDICARE ADVANTAGE: $276.55 CIGNA — PPO: $331.86 CIGNA EVERNORTH — ALL PRODUCTS: $387.17 DEVOTED HEALTH — MEDICARE ADVANTAGE: $18.76 FIRST CHOICE — DRG: $276.55 FIRST CHOICE — PERCENTAGE: $398.23
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Post Prostatectomy QV-14808	$51.11	$35.78	$16.55 – $37.33
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $37.33 AETNA — MEDICARE ADVANTAGE: $19.31 BLUE CROSS — MEDICARE ADVANTAGE: $19.13 CIGNA — MARKETPLACE: $19.31 CIGNA — MEDICARE ADVANTAGE: $25.56 CIGNA — PPO: $30.67 CIGNA EVERNORTH — ALL PRODUCTS: $35.78 DEVOTED HEALTH — MEDICARE ADVANTAGE: $18.76 FIRST CHOICE — DRG: $25.56 FIRST CHOICE — PERCENTAGE: $36.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID AB EVAL TSH CHG	$177.95	$124.57	$15.12 – $34.10
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $34.10 AETNA — MEDICARE ADVANTAGE: $17.64 BLUE CROSS — MEDICARE ADVANTAGE: $17.47 CIGNA — MARKETPLACE: $17.64 CIGNA — MEDICARE ADVANTAGE: $88.98 CIGNA — PPO: $106.77 CIGNA EVERNORTH — ALL PRODUCTS: $124.57 DEVOTED HEALTH — MEDICARE ADVANTAGE: $17.14 FIRST CHOICE — DRG: $88.98 FIRST CHOICE — PERCENTAGE: $128.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$701.30	$490.91	$15.12 – $34.10
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $34.10 AETNA — MEDICARE ADVANTAGE: $17.64 BLUE CROSS — MEDICARE ADVANTAGE: $17.47 CIGNA — MARKETPLACE: $17.64 CIGNA — MEDICARE ADVANTAGE: $350.65 CIGNA — PPO: $420.78 CIGNA EVERNORTH — ALL PRODUCTS: $490.91 DEVOTED HEALTH — MEDICARE ADVANTAGE: $17.14 FIRST CHOICE — DRG: $350.65 FIRST CHOICE — PERCENTAGE: $504.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$17.64
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan CIGNA — MARKETPLACE: $17.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Automated Diff	$674.65	$472.26	$6.99 – $15.77
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $15.77 AETNA — MEDICARE ADVANTAGE: $8.16 BLUE CROSS — MEDICARE ADVANTAGE: $8.08 CIGNA — MARKETPLACE: $8.16 CIGNA — MEDICARE ADVANTAGE: $337.33 CIGNA — PPO: $404.79 CIGNA EVERNORTH — ALL PRODUCTS: $472.26 DEVOTED HEALTH — MEDICARE ADVANTAGE: $7.93 FIRST CHOICE — DRG: $337.33 FIRST CHOICE — PERCENTAGE: $485.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$8.16
Complete blood count (CBC) with differential: rates for 1 insurance plan CIGNA — MARKETPLACE: $8.16
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .MDiff Rfx Clinic	$499.05	$349.34	$6.47 – $6.86
Complete blood count (CBC), automated: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $13.13 AETNA — MEDICARE ADVANTAGE: $6.79 BLUE CROSS — MEDICARE ADVANTAGE: $6.73 CIGNA — MARKETPLACE: $6.79 CIGNA — MEDICARE ADVANTAGE: $249.53 CIGNA — PPO: $299.43 CIGNA EVERNORTH — ALL PRODUCTS: $349.34 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6.60 FIRST CHOICE — DRG: $249.53 FIRST CHOICE — PERCENTAGE: $359.32
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .MDiff Rfx	$530.95	$371.67	$6.47 – $6.86
Complete blood count (CBC), automated: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $13.13 AETNA — MEDICARE ADVANTAGE: $6.79 BLUE CROSS — MEDICARE ADVANTAGE: $6.73 CIGNA — MARKETPLACE: $6.79 CIGNA — MEDICARE ADVANTAGE: $265.48 CIGNA — PPO: $318.57 CIGNA EVERNORTH — ALL PRODUCTS: $371.67 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6.60 FIRST CHOICE — DRG: $265.48 FIRST CHOICE — PERCENTAGE: $382.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBCnoDif	$318.35	$222.85	$5.82 – $13.13
Complete blood count (CBC), automated: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $13.13 AETNA — MEDICARE ADVANTAGE: $6.79 BLUE CROSS — MEDICARE ADVANTAGE: $6.73 CIGNA — MARKETPLACE: $6.79 CIGNA — MEDICARE ADVANTAGE: $159.18 CIGNA — PPO: $191.01 CIGNA EVERNORTH — ALL PRODUCTS: $222.85 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6.60 FIRST CHOICE — DRG: $159.18 FIRST CHOICE — PERCENTAGE: $229.21
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ANTIPHOSPHOLIPID AB PANEL CHG G	$109.15	$76.41	$4.29 – $4.55
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $8.71 AETNA — MEDICARE ADVANTAGE: $4.50 BLUE CROSS — MEDICARE ADVANTAGE: $4.46 CIGNA — MARKETPLACE: $4.50 CIGNA — MEDICARE ADVANTAGE: $54.58 CIGNA — PPO: $65.49 CIGNA EVERNORTH — ALL PRODUCTS: $76.41 DEVOTED HEALTH — MEDICARE ADVANTAGE: $4.38 FIRST CHOICE — DRG: $54.58 FIRST CHOICE — PERCENTAGE: $78.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MixStudy	$159.80	$111.86	$3.86 – $8.71
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $8.71 AETNA — MEDICARE ADVANTAGE: $4.50 BLUE CROSS — MEDICARE ADVANTAGE: $4.46 CIGNA — MARKETPLACE: $4.50 CIGNA — MEDICARE ADVANTAGE: $79.90 CIGNA — PPO: $95.88 CIGNA EVERNORTH — ALL PRODUCTS: $111.86 DEVOTED HEALTH — MEDICARE ADVANTAGE: $4.38 FIRST CHOICE — DRG: $79.90 FIRST CHOICE — PERCENTAGE: $115.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT/PTT	$159.80	$111.86	$4.29 – $4.55
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $8.71 AETNA — MEDICARE ADVANTAGE: $4.50 BLUE CROSS — MEDICARE ADVANTAGE: $4.46 CIGNA — MARKETPLACE: $4.50 CIGNA — MEDICARE ADVANTAGE: $79.90 CIGNA — PPO: $95.88 CIGNA EVERNORTH — ALL PRODUCTS: $111.86 DEVOTED HEALTH — MEDICARE ADVANTAGE: $4.38 FIRST CHOICE — DRG: $79.90 FIRST CHOICE — PERCENTAGE: $115.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TP LUPUS ANTICOAG CHGA	$227.85	$159.50	$6.01 – $6.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $12.20 AETNA — MEDICARE ADVANTAGE: $6.31 BLUE CROSS — MEDICARE ADVANTAGE: $6.25 CIGNA — MARKETPLACE: $6.31 CIGNA — MEDICARE ADVANTAGE: $113.93 CIGNA — PPO: $136.71 CIGNA EVERNORTH — ALL PRODUCTS: $159.50 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6.13 FIRST CHOICE — DRG: $113.93 FIRST CHOICE — PERCENTAGE: $164.05
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ANTIPHOSPHOLIPID AB PANEL CHG F	$109.15	$76.41	$5.41 – $12.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $12.20 AETNA — MEDICARE ADVANTAGE: $6.31 BLUE CROSS — MEDICARE ADVANTAGE: $6.25 CIGNA — MARKETPLACE: $6.31 CIGNA — MEDICARE ADVANTAGE: $54.58 CIGNA — PPO: $65.49 CIGNA EVERNORTH — ALL PRODUCTS: $76.41 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6.13 FIRST CHOICE — DRG: $54.58 FIRST CHOICE — PERCENTAGE: $78.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mixing Study PTT	$154.90	$108.43	$6.01 – $6.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $12.20 AETNA — MEDICARE ADVANTAGE: $6.31 BLUE CROSS — MEDICARE ADVANTAGE: $6.25 CIGNA — MARKETPLACE: $6.31 CIGNA — MEDICARE ADVANTAGE: $77.45 CIGNA — PPO: $92.94 CIGNA EVERNORTH — ALL PRODUCTS: $108.43 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6.13 FIRST CHOICE — DRG: $77.45 FIRST CHOICE — PERCENTAGE: $111.53

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head or Brain w/o Contrast	$5,025	$3,517.50	$81.46 – $419
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $230.16 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $2,010 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $3,015 CIGNA EVERNORTH — ALL PRODUCTS: $3,517.50 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $3,618
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain w/o Contrast Code Gray	$5,025	$3,517.50	$91.47 – $167.75
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $230.16 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $2,010 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $3,015 CIGNA EVERNORTH — ALL PRODUCTS: $3,517.50 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $3,618
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain w/o Contrast Stroke Protocol	$5,025	$3,517.50	$91.47 – $167.75
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $230.16 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $2,010 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $3,015 CIGNA EVERNORTH — ALL PRODUCTS: $3,517.50 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $3,618
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast	$8,500	$5,950	$284.93 – $1,465.68
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $673.35 AETNA — MEDICARE ADVANTAGE: $320.49 BLUE CROSS — MEDICARE ADVANTAGE: $317.44 CIGNA — MARKETPLACE: $3,400 CIGNA — MEDICARE ADVANTAGE: $305.23 CIGNA — PPO: $5,100 CIGNA EVERNORTH — ALL PRODUCTS: $5,950 DEVOTED HEALTH — MEDICARE ADVANTAGE: $311.34 FIRST CHOICE — DRG: $695.77 FIRST CHOICE — PERCENTAGE: $6,120
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain w/o+w Contrast - Planning	$1,500	$1,050	$284.93 – $1,465.68
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $673.35 AETNA — MEDICARE ADVANTAGE: $320.49 BLUE CROSS — MEDICARE ADVANTAGE: $317.44 CIGNA — MARKETPLACE: $600 CIGNA — MEDICARE ADVANTAGE: $305.23 CIGNA — PPO: $900 CIGNA EVERNORTH — ALL PRODUCTS: $1,050 DEVOTED HEALTH — MEDICARE ADVANTAGE: $311.34 FIRST CHOICE — DRG: $695.77 FIRST CHOICE — PERCENTAGE: $1,080
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain/Pituitary w/o+w Contrast	$8,500	$5,950	$305.23 – $566.67
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $673.35 AETNA — MEDICARE ADVANTAGE: $320.49 BLUE CROSS — MEDICARE ADVANTAGE: $317.44 CIGNA — MARKETPLACE: $3,400 CIGNA — MEDICARE ADVANTAGE: $305.23 CIGNA — PPO: $5,100 CIGNA EVERNORTH — ALL PRODUCTS: $5,950 DEVOTED HEALTH — MEDICARE ADVANTAGE: $311.34 FIRST CHOICE — DRG: $695.77 FIRST CHOICE — PERCENTAGE: $6,120
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 Views (Routine)	$950	$665	$64.37 – $346.32
Chest X-ray, 2 views: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $64.37 AETNA — MEDICARE ADVANTAGE: $79.95 BLUE CROSS — MEDICARE ADVANTAGE: $79.18 CIGNA — MARKETPLACE: $380 CIGNA — MEDICARE ADVANTAGE: $76.14 CIGNA — PPO: $570 CIGNA EVERNORTH — ALL PRODUCTS: $665 DEVOTED HEALTH — MEDICARE ADVANTAGE: $77.66 FIRST CHOICE — DRG: $152.83 FIRST CHOICE — PERCENTAGE: $684
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$21.68
Chest X-ray, 2 views: rates for 1 insurance plan AETNA — ALL PRODUCTS: $21.68
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$42.70
Chest X-ray, 2 views: rates for 1 insurance plan AETNA — ALL PRODUCTS: $42.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbar Comp w/obliq (Routine)	$932.05	$652.44	$81.46 – $419
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $97.74 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $372.82 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $559.23 CIGNA EVERNORTH — ALL PRODUCTS: $652.44 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $671.08
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$25.87
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan AETNA — ALL PRODUCTS: $25.87
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$71.87
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan AETNA — ALL PRODUCTS: $71.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine L w/o Contr Routine	$6,740.02	$4,718.01	$181.55 – $933.88
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $404.77 AETNA — MEDICARE ADVANTAGE: $219.19 BLUE CROSS — MEDICARE ADVANTAGE: $217.11 CIGNA — MARKETPLACE: $2,696.01 CIGNA — MEDICARE ADVANTAGE: $208.75 CIGNA — PPO: $4,044.01 CIGNA EVERNORTH — ALL PRODUCTS: $4,718.01 DEVOTED HEALTH — MEDICARE ADVANTAGE: $212.93 FIRST CHOICE — DRG: $434.75 FIRST CHOICE — PERCENTAGE: $4,852.81
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast	$6,740.02	$4,718.01	$181.55 – $933.88
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $404.77 AETNA — MEDICARE ADVANTAGE: $219.19 BLUE CROSS — MEDICARE ADVANTAGE: $217.11 CIGNA — MARKETPLACE: $2,696.01 CIGNA — MEDICARE ADVANTAGE: $208.75 CIGNA — PPO: $4,044.01 CIGNA EVERNORTH — ALL PRODUCTS: $4,718.01 DEVOTED HEALTH — MEDICARE ADVANTAGE: $212.93 FIRST CHOICE — DRG: $434.75 FIRST CHOICE — PERCENTAGE: $4,852.81
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast Planning	$1,500	$1,050	$181.55 – $933.88
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $404.77 AETNA — MEDICARE ADVANTAGE: $219.19 BLUE CROSS — MEDICARE ADVANTAGE: $217.11 CIGNA — MARKETPLACE: $600 CIGNA — MEDICARE ADVANTAGE: $208.75 CIGNA — PPO: $900 CIGNA EVERNORTH — ALL PRODUCTS: $1,050 DEVOTED HEALTH — MEDICARE ADVANTAGE: $212.93 FIRST CHOICE — DRG: $434.75 FIRST CHOICE — PERCENTAGE: $1,080
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$5,977.24	$4,184.07	$136.13 – $700.24
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $478.27 AETNA — MEDICARE ADVANTAGE: $161.13 BLUE CROSS — MEDICARE ADVANTAGE: $159.60 CIGNA — MARKETPLACE: $2,390.90 CIGNA — MEDICARE ADVANTAGE: $153.46 CIGNA — PPO: $3,586.34 CIGNA EVERNORTH — ALL PRODUCTS: $4,184.07 DEVOTED HEALTH — MEDICARE ADVANTAGE: $156.53 FIRST CHOICE — DRG: $337.50 FIRST CHOICE — PERCENTAGE: $4,303.61
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$123.68
CT scan of the pelvis, with contrast: rates for 1 insurance plan AETNA — ALL PRODUCTS: $123.68
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$354.59
CT scan of the pelvis, with contrast: rates for 1 insurance plan AETNA — ALL PRODUCTS: $354.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extremity Lower Jnt. Planning	$2,282	$1,597.40	$181.55 – $933.88
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $424.54 AETNA — MEDICARE ADVANTAGE: $219.19 BLUE CROSS — MEDICARE ADVANTAGE: $217.11 CIGNA — MARKETPLACE: $912.80 CIGNA — MEDICARE ADVANTAGE: $208.75 CIGNA — PPO: $1,369.20 CIGNA EVERNORTH — ALL PRODUCTS: $1,597.40 DEVOTED HEALTH — MEDICARE ADVANTAGE: $212.93 FIRST CHOICE — DRG: $434.75 FIRST CHOICE — PERCENTAGE: $1,643.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip w/o Contrast Bilateral (Routine)	$6,542.05	$4,579.44	$181.55 – $933.88
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $424.54 AETNA — MEDICARE ADVANTAGE: $219.19 BLUE CROSS — MEDICARE ADVANTAGE: $217.11 CIGNA — MARKETPLACE: $2,616.82 CIGNA — MEDICARE ADVANTAGE: $208.75 CIGNA — PPO: $3,925.23 CIGNA EVERNORTH — ALL PRODUCTS: $4,579.44 DEVOTED HEALTH — MEDICARE ADVANTAGE: $212.93 FIRST CHOICE — DRG: $434.75 FIRST CHOICE — PERCENTAGE: $4,710.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Knee w/o Contrast Left (Routine)	$6,542.05	$4,579.44	$181.55 – $933.88
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $424.54 AETNA — MEDICARE ADVANTAGE: $219.19 BLUE CROSS — MEDICARE ADVANTAGE: $217.11 CIGNA — MARKETPLACE: $2,616.82 CIGNA — MEDICARE ADVANTAGE: $208.75 CIGNA — PPO: $3,925.23 CIGNA EVERNORTH — ALL PRODUCTS: $4,579.44 DEVOTED HEALTH — MEDICARE ADVANTAGE: $212.93 FIRST CHOICE — DRG: $434.75 FIRST CHOICE — PERCENTAGE: $4,710.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis Routine w/ Contrast	$10,175.44	$7,122.81	$305.23 – $566.67
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $669.68 AETNA — MEDICARE ADVANTAGE: $320.49 BLUE CROSS — MEDICARE ADVANTAGE: $317.44 CIGNA — MARKETPLACE: $4,070.18 CIGNA — MEDICARE ADVANTAGE: $305.23 CIGNA — PPO: $6,105.26 CIGNA EVERNORTH — ALL PRODUCTS: $7,122.81 DEVOTED HEALTH — MEDICARE ADVANTAGE: $311.34 FIRST CHOICE — DRG: $695.77 FIRST CHOICE — PERCENTAGE: $7,326.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Enterography w/ Contrast	$10,175.44	$7,122.81	$305.23 – $566.67
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $669.68 AETNA — MEDICARE ADVANTAGE: $320.49 BLUE CROSS — MEDICARE ADVANTAGE: $317.44 CIGNA — MARKETPLACE: $4,070.18 CIGNA — MEDICARE ADVANTAGE: $305.23 CIGNA — PPO: $6,105.26 CIGNA EVERNORTH — ALL PRODUCTS: $7,122.81 DEVOTED HEALTH — MEDICARE ADVANTAGE: $311.34 FIRST CHOICE — DRG: $695.77 FIRST CHOICE — PERCENTAGE: $7,326.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$194.74
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan AETNA — ALL PRODUCTS: $194.74
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$2,154.08	$1,507.86	$81.46 – $419
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $227.89 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $861.63 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $1,292.45 CIGNA EVERNORTH — ALL PRODUCTS: $1,507.86 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $1,550.94
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete w/Fatty Meal	$2,154.08	$1,507.86	$81.46 – $419
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $227.89 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $861.63 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $1,292.45 CIGNA EVERNORTH — ALL PRODUCTS: $1,507.86 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $1,550.94
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Comp Portable	$2,154.08	$1,507.86	$91.47 – $167.75
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $227.89 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $861.63 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $1,292.45 CIGNA EVERNORTH — ALL PRODUCTS: $1,507.86 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $1,550.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$91.47 – $167.75
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $262.26 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MEDICARE ADVANTAGE: $91.47 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 HUMANA — MEDICARE ADVANTAGE: $96.96 MAGNOLIA HEALTH — ALL PRODUCTS: $142.56 MAGNOLIA HEALTH — MEDICAID: $92.38 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $96.04
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$97.92
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan AETNA — ALL PRODUCTS: $97.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$164.35
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan AETNA — ALL PRODUCTS: $164.35
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-OB	$1,691.72	$1,184.20	$81.46 – $419
Transvaginal ultrasound: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $231.46 AETNA — MEDICARE ADVANTAGE: $96.04 BLUE CROSS — MEDICARE ADVANTAGE: $95.13 CIGNA — MARKETPLACE: $676.69 CIGNA — MEDICARE ADVANTAGE: $91.47 CIGNA — PPO: $1,015.03 CIGNA EVERNORTH — ALL PRODUCTS: $1,184.20 DEVOTED HEALTH — MEDICARE ADVANTAGE: $93.30 FIRST CHOICE — DRG: $205.70 FIRST CHOICE — PERCENTAGE: $1,218.04
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$68.36
Transvaginal ultrasound: rates for 1 insurance plan AETNA — ALL PRODUCTS: $68.36
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$163.10
Transvaginal ultrasound: rates for 1 insurance plan AETNA — ALL PRODUCTS: $163.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Uni Diag Digital Left	$714.30	$500.01	$168.11 – $178.20
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $242.17 AETNA — MEDICARE ADVANTAGE: $176.52 BLUE CROSS — MEDICARE ADVANTAGE: $174.83 CIGNA — MARKETPLACE: $76.72 CIGNA — MEDICARE ADVANTAGE: $357.15 CIGNA — PPO: $428.58 CIGNA EVERNORTH — ALL PRODUCTS: $500.01 DEVOTED HEALTH — MEDICARE ADVANTAGE: $171.47 FIRST CHOICE — DRG: $357.15 FIRST CHOICE — PERCENTAGE: $514.30
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Special Addt'l Dig Views LT	$100	$70	$168.11 – $178.20
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $242.17 AETNA — MEDICARE ADVANTAGE: $176.52 BLUE CROSS — MEDICARE ADVANTAGE: $174.83 CIGNA — MARKETPLACE: $76.72 CIGNA — MEDICARE ADVANTAGE: $50 CIGNA — PPO: $60 CIGNA EVERNORTH — ALL PRODUCTS: $70 DEVOTED HEALTH — MEDICARE ADVANTAGE: $171.47 FIRST CHOICE — DRG: $50 FIRST CHOICE — PERCENTAGE: $72
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Special Uni Diag LT w/Tomo	$123.90	$86.73	$65.76 – $343.16
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $242.17 AETNA — MEDICARE ADVANTAGE: $176.52 BLUE CROSS — MEDICARE ADVANTAGE: $174.83 CIGNA — MARKETPLACE: $76.72 CIGNA — MEDICARE ADVANTAGE: $61.95 CIGNA — PPO: $74.34 CIGNA EVERNORTH — ALL PRODUCTS: $86.73 DEVOTED HEALTH — MEDICARE ADVANTAGE: $171.47 FIRST CHOICE — DRG: $61.95 FIRST CHOICE — PERCENTAGE: $89.21
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Special Bilat Diag Digital	$150	$105	$213.08 – $225.86
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $305.70 AETNA — MEDICARE ADVANTAGE: $223.73 BLUE CROSS — MEDICARE ADVANTAGE: $221.60 CIGNA — MARKETPLACE: $98.36 CIGNA — MEDICARE ADVANTAGE: $75 CIGNA — PPO: $90 CIGNA EVERNORTH — ALL PRODUCTS: $105 DEVOTED HEALTH — MEDICARE ADVANTAGE: $217.34 FIRST CHOICE — DRG: $75 FIRST CHOICE — PERCENTAGE: $108
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Bilateral Diag Digital	$714.80	$500.36	$213.08 – $225.86
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $305.70 AETNA — MEDICARE ADVANTAGE: $223.73 BLUE CROSS — MEDICARE ADVANTAGE: $221.60 CIGNA — MARKETPLACE: $98.36 CIGNA — MEDICARE ADVANTAGE: $357.40 CIGNA — PPO: $428.88 CIGNA EVERNORTH — ALL PRODUCTS: $500.36 DEVOTED HEALTH — MEDICARE ADVANTAGE: $217.34 FIRST CHOICE — DRG: $357.40 FIRST CHOICE — PERCENTAGE: $514.66
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Bilateral Diagnostic 2D/3D	$714.80	$500.36	$213.08 – $225.86
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $305.70 AETNA — MEDICARE ADVANTAGE: $223.73 BLUE CROSS — MEDICARE ADVANTAGE: $221.60 CIGNA — MARKETPLACE: $98.36 CIGNA — MEDICARE ADVANTAGE: $357.40 CIGNA — PPO: $428.88 CIGNA EVERNORTH — ALL PRODUCTS: $500.36 DEVOTED HEALTH — MEDICARE ADVANTAGE: $217.34 FIRST CHOICE — DRG: $357.40 FIRST CHOICE — PERCENTAGE: $514.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Special Bilat Screening Dig	$100	$70	$172.34 – $182.68
Screening mammogram, both breasts: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $245.93 AETNA — MEDICARE ADVANTAGE: $180.96 BLUE CROSS — MEDICARE ADVANTAGE: $179.23 CIGNA — MARKETPLACE: $81.11 CIGNA — MEDICARE ADVANTAGE: $50 CIGNA — PPO: $60 CIGNA EVERNORTH — ALL PRODUCTS: $70 DEVOTED HEALTH — MEDICARE ADVANTAGE: $175.79 FIRST CHOICE — DRG: $50 FIRST CHOICE — PERCENTAGE: $72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Bilateral Screening Digital	$436.20	$305.34	$172.34 – $182.68
Screening mammogram, both breasts: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $245.93 AETNA — MEDICARE ADVANTAGE: $180.96 BLUE CROSS — MEDICARE ADVANTAGE: $179.23 CIGNA — MARKETPLACE: $81.11 CIGNA — MEDICARE ADVANTAGE: $218.10 CIGNA — PPO: $261.72 CIGNA EVERNORTH — ALL PRODUCTS: $305.34 DEVOTED HEALTH — MEDICARE ADVANTAGE: $175.79 FIRST CHOICE — DRG: $218.10 FIRST CHOICE — PERCENTAGE: $314.06
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Bilateral Screening 2D/3D	$436.20	$305.34	$172.34 – $182.68
Screening mammogram, both breasts: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $245.93 AETNA — MEDICARE ADVANTAGE: $180.96 BLUE CROSS — MEDICARE ADVANTAGE: $179.23 CIGNA — MARKETPLACE: $81.11 CIGNA — MEDICARE ADVANTAGE: $218.10 CIGNA — PPO: $261.72 CIGNA EVERNORTH — ALL PRODUCTS: $305.34 DEVOTED HEALTH — MEDICARE ADVANTAGE: $175.79 FIRST CHOICE — DRG: $218.10 FIRST CHOICE — PERCENTAGE: $314.06

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$11.48 – $24.40
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans AETNA — ALL PRODUCTS: $24.40 MAGNOLIA HEALTH — ALL PRODUCTS: $20.09 MOLINA — MSCAN: $11.59 UHC — CHIP: $11.48 UHC — MSCAN: $11.48
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LHC - Only (no Coronaries)	$8,502.40	$5,951.68	$2,836.39 – $8,003
Left heart catheterization (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,559.56 AETNA — MEDICARE ADVANTAGE: $2,978.21 BLUE CROSS — MEDICARE ADVANTAGE: $2,949.85 CIGNA — MARKETPLACE: $3,400.96 CIGNA — MEDICARE ADVANTAGE: $2,836.39 CIGNA — PPO: $5,101.44 CIGNA EVERNORTH — ALL PRODUCTS: $5,951.68 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,893.12 FIRST CHOICE — DRG: $5,478.81 FIRST CHOICE — PERCENTAGE: $6,121.73
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$414.10
Left heart catheterization (diagnostic): rates for 1 insurance plan AETNA — ALL PRODUCTS: $414.10
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,145.46
Left heart catheterization (diagnostic): rates for 1 insurance plan AETNA — ALL PRODUCTS: $1,145.46
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP- Comp study (RA/RV/HIS) w/o Attempt/Induction	$28,617	$20,031.90	$1,141.29 – $12,105.29
Heart rhythm study (electrophysiology evaluation): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,141.29 AETNA — MEDICARE ADVANTAGE: $7,165.19 BLUE CROSS — MEDICARE ADVANTAGE: $7,096.95 CIGNA — MARKETPLACE: $11,446.80 CIGNA — MEDICARE ADVANTAGE: $6,823.99 CIGNA — PPO: $17,170.20 CIGNA EVERNORTH — ALL PRODUCTS: $20,031.90 DEVOTED HEALTH — MEDICARE ADVANTAGE: $6,960.47 FIRST CHOICE — DRG: $11,484.50 FIRST CHOICE — PERCENTAGE: $20,604.24
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$677.99
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — ALL PRODUCTS: $677.99
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$463.30
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — ALL PRODUCTS: $463.30
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ablation- Comp EP Study w/AFib Ablation by Pul Vein	$44,169.20	$30,918.44	$10,701 – $41,162.81
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,941.96 AETNA — MEDICARE ADVANTAGE: $24,011.64 BLUE CROSS — MEDICARE ADVANTAGE: $23,782.96 CIGNA — MARKETPLACE: $17,667.68 CIGNA — MEDICARE ADVANTAGE: $22,868.23 CIGNA — PPO: $26,501.52 CIGNA EVERNORTH — ALL PRODUCTS: $30,918.44 DEVOTED HEALTH — MEDICARE ADVANTAGE: $23,325.59 FIRST CHOICE — DRG: $40,543.82 FIRST CHOICE — PERCENTAGE: $31,801.82
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EEG Polysomnography, Attended, without CPAP	$2,614.97	$1,830.48	$774.65 – $1,832.24
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $1,007.87 AETNA — MEDICARE ADVANTAGE: $788.88 BLUE CROSS — MEDICARE ADVANTAGE: $781.37 CIGNA — MARKETPLACE: $1,045.99 CIGNA — MEDICARE ADVANTAGE: $751.32 CIGNA — PPO: $1,568.98 CIGNA EVERNORTH — ALL PRODUCTS: $1,830.48 DEVOTED HEALTH — MEDICARE ADVANTAGE: $766.35 FIRST CHOICE — DRG: $1,738.28 FIRST CHOICE — PERCENTAGE: $1,882.78
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnograpy Attended, without CPap, Partial	$2,614.97	$1,830.48	$774.65 – $1,832.24
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $1,007.87 AETNA — MEDICARE ADVANTAGE: $788.88 BLUE CROSS — MEDICARE ADVANTAGE: $781.37 CIGNA — MARKETPLACE: $1,045.99 CIGNA — MEDICARE ADVANTAGE: $751.32 CIGNA — PPO: $1,568.98 CIGNA EVERNORTH — ALL PRODUCTS: $1,830.48 DEVOTED HEALTH — MEDICARE ADVANTAGE: $766.35 FIRST CHOICE — DRG: $1,738.28 FIRST CHOICE — PERCENTAGE: $1,882.78
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$215.33
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan AETNA — ALL PRODUCTS: $215.33

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Units	$684	$478.80	$37.31 – $39.55
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $41.82 AETNA — MEDICARE ADVANTAGE: $39.18 BLUE CROSS — MEDICARE ADVANTAGE: $38.80 CIGNA — MARKETPLACE: $28.04 CIGNA — MEDICARE ADVANTAGE: $342 CIGNA — PPO: $410.40 CIGNA EVERNORTH — ALL PRODUCTS: $478.80 DEVOTED HEALTH — MEDICARE ADVANTAGE: $38.06 FIRST CHOICE — DRG: $342 FIRST CHOICE — PERCENTAGE: $492.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Assistant Units	$684	$478.80	$24.03 – $175
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $41.82 AETNA — MEDICARE ADVANTAGE: $39.18 BLUE CROSS — MEDICARE ADVANTAGE: $38.80 CIGNA — MARKETPLACE: $28.04 CIGNA — MEDICARE ADVANTAGE: $342 CIGNA — PPO: $410.40 CIGNA EVERNORTH — ALL PRODUCTS: $478.80 DEVOTED HEALTH — MEDICARE ADVANTAGE: $38.06 FIRST CHOICE — DRG: $342 FIRST CHOICE — PERCENTAGE: $492.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Assistant Units	$684	$478.80	$24.03 – $175
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $41.82 AETNA — MEDICARE ADVANTAGE: $39.18 BLUE CROSS — MEDICARE ADVANTAGE: $38.80 CIGNA — MARKETPLACE: $105 CIGNA — MEDICARE ADVANTAGE: $342 CIGNA — PPO: $410.40 CIGNA EVERNORTH — ALL PRODUCTS: $478.80 DEVOTED HEALTH — MEDICARE ADVANTAGE: $38.06 FIRST CHOICE — DRG: $342 FIRST CHOICE — PERCENTAGE: $492.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Units, Low Complexity	$617.40	$432.18	$82.20 – $175
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $142.33 AETNA — MEDICARE ADVANTAGE: $132.75 BLUE CROSS — MEDICARE ADVANTAGE: $131.49 CIGNA — MARKETPLACE: $105 CIGNA — MEDICARE ADVANTAGE: $308.70 CIGNA — PPO: $370.44 CIGNA EVERNORTH — ALL PRODUCTS: $432.18 DEVOTED HEALTH — MEDICARE ADVANTAGE: $128.96 FIRST CHOICE — DRG: $308.70 FIRST CHOICE — PERCENTAGE: $444.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Units, Moderate Complexity	$686	$480.20	$82.20 – $175
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $142.33 AETNA — MEDICARE ADVANTAGE: $132.75 BLUE CROSS — MEDICARE ADVANTAGE: $131.49 CIGNA — MARKETPLACE: $105 CIGNA — MEDICARE ADVANTAGE: $343 CIGNA — PPO: $411.60 CIGNA EVERNORTH — ALL PRODUCTS: $480.20 DEVOTED HEALTH — MEDICARE ADVANTAGE: $128.96 FIRST CHOICE — DRG: $343 FIRST CHOICE — PERCENTAGE: $493.92
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Units, High Complexity	$754.60	$528.22	$82.20 – $175
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $142.33 AETNA — MEDICARE ADVANTAGE: $132.75 BLUE CROSS — MEDICARE ADVANTAGE: $131.49 CIGNA — MARKETPLACE: $105 CIGNA — MEDICARE ADVANTAGE: $377.30 CIGNA — PPO: $452.76 CIGNA EVERNORTH — ALL PRODUCTS: $528.22 DEVOTED HEALTH — MEDICARE ADVANTAGE: $128.96 FIRST CHOICE — DRG: $377.30 FIRST CHOICE — PERCENTAGE: $543.31
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MBH Indv Therapy 30 Min Partial	$477.70	$334.39	$155.29 – $279.53
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $69.97 AETNA — MEDICARE ADVANTAGE: $163.06 BLUE CROSS — MEDICARE ADVANTAGE: $161.50 CIGNA — MARKETPLACE: $191.08 CIGNA — MEDICARE ADVANTAGE: $155.29 CIGNA — PPO: $286.62 CIGNA EVERNORTH — ALL PRODUCTS: $334.39 DEVOTED HEALTH — MEDICARE ADVANTAGE: $158.40 FIRST CHOICE — DRG: $252.80 FIRST CHOICE — PERCENTAGE: $343.94
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MBH IndvTherapy 45 Min Partial	$729.55	$510.69	$155.29 – $279.53
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $123.60 AETNA — MEDICARE ADVANTAGE: $163.06 BLUE CROSS — MEDICARE ADVANTAGE: $161.50 CIGNA — MARKETPLACE: $291.82 CIGNA — MEDICARE ADVANTAGE: $155.29 CIGNA — PPO: $437.73 CIGNA EVERNORTH — ALL PRODUCTS: $510.69 DEVOTED HEALTH — MEDICARE ADVANTAGE: $158.40 FIRST CHOICE — DRG: $252.80 FIRST CHOICE — PERCENTAGE: $525.28
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MBH Indv Therapy 60 Min Partial	$1,111.30	$777.91	$155.29 – $279.53
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $142.14 AETNA — MEDICARE ADVANTAGE: $163.06 BLUE CROSS — MEDICARE ADVANTAGE: $161.50 CIGNA — MARKETPLACE: $444.52 CIGNA — MEDICARE ADVANTAGE: $155.29 CIGNA — PPO: $666.78 CIGNA EVERNORTH — ALL PRODUCTS: $777.91 DEVOTED HEALTH — MEDICARE ADVANTAGE: $158.40 FIRST CHOICE — DRG: $252.80 FIRST CHOICE — PERCENTAGE: $800.14
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MBH Family Tx without Patient Partial	$703.20	$492.24	$155.29 – $279.53
Family psychotherapy, without the patient: 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $123.60 AETNA — MEDICARE ADVANTAGE: $163.06 BLUE CROSS — MEDICARE ADVANTAGE: $161.50 CIGNA — MARKETPLACE: $281.28 CIGNA — MEDICARE ADVANTAGE: $155.29 CIGNA — PPO: $421.92 CIGNA EVERNORTH — ALL PRODUCTS: $492.24 DEVOTED HEALTH — MEDICARE ADVANTAGE: $158.40 FIRST CHOICE — DRG: $252.80 FIRST CHOICE — PERCENTAGE: $506.30
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MBH Family Tx with Patient Partial	$819.10	$573.37	$155.29 – $279.53
Family psychotherapy, with the patient: 10 of 28 insurance plan rates AETNA — ALL PRODUCTS: $123.60 AETNA — MEDICARE ADVANTAGE: $163.06 BLUE CROSS — MEDICARE ADVANTAGE: $161.50 CIGNA — MARKETPLACE: $327.64 CIGNA — MEDICARE ADVANTAGE: $155.29 CIGNA — PPO: $491.46 CIGNA EVERNORTH — ALL PRODUCTS: $573.37 DEVOTED HEALTH — MEDICARE ADVANTAGE: $158.40 FIRST CHOICE — DRG: $252.80 FIRST CHOICE — PERCENTAGE: $589.75
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$61.80 – $149.02
Group psychotherapy: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $61.80 AETNA — MEDICARE ADVANTAGE: $93.33 BLUE CROSS — MEDICARE ADVANTAGE: $92.44 CIGNA — MEDICARE ADVANTAGE: $88.88 DEVOTED HEALTH — MEDICARE ADVANTAGE: $90.66 FIRST CHOICE — DRG: $141.38 HUMANA — MEDICARE ADVANTAGE: $94.21 MAGNOLIA HEALTH — ALL PRODUCTS: $115.57 MAGNOLIA HEALTH — MEDICAID: $89.77 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $93.33

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$3,425.65 – $6,166.16
Removal of breast growth (open surgery): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $594.59 AETNA — MEDICARE ADVANTAGE: $3,596.93 BLUE CROSS — MEDICARE ADVANTAGE: $3,562.67 CIGNA — MEDICARE ADVANTAGE: $3,425.65 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,494.16 FIRST CHOICE — DRG: $5,966.25 HUMANA — MEDICARE ADVANTAGE: $3,631.18 MAGNOLIA HEALTH — ALL PRODUCTS: $4,942.26 MAGNOLIA HEALTH — MEDICAID: $3,459.90 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $3,596.93
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	$2,477.87 – $24,556.92
Total hip replacement: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,477.87 AETNA — MEDICARE ADVANTAGE: $11,794.30 BLUE CROSS — MEDICARE ADVANTAGE: $11,681.98 CIGNA — MEDICARE ADVANTAGE: $11,232.67 DEVOTED HEALTH — MEDICARE ADVANTAGE: $11,457.32 FIRST CHOICE — DRG: $23,297.59 HUMANA — MEDICARE ADVANTAGE: $11,906.63 MAGNOLIA HEALTH — ALL PRODUCTS: $17,064.64 MAGNOLIA HEALTH — MEDICAID: $11,345 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $11,794.30
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	$11,232.67 – $20,218.80
Total knee replacement: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,475.56 AETNA — MEDICARE ADVANTAGE: $11,794.30 BLUE CROSS — MEDICARE ADVANTAGE: $11,681.98 CIGNA — MEDICARE ADVANTAGE: $11,232.67 DEVOTED HEALTH — MEDICARE ADVANTAGE: $11,457.32 FIRST CHOICE — DRG: $23,297.59 HUMANA — MEDICARE ADVANTAGE: $11,906.63 MAGNOLIA HEALTH — ALL PRODUCTS: $17,064.64 MAGNOLIA HEALTH — MEDICAID: $11,345 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $11,794.30
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	$335.83
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan AETNA — ALL PRODUCTS: $335.83
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,039.60 – $5,639.95
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,039.60 AETNA — MEDICARE ADVANTAGE: $3,005.84 BLUE CROSS — MEDICARE ADVANTAGE: $2,977.21 CIGNA — MEDICARE ADVANTAGE: $2,862.70 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,919.95 FIRST CHOICE — DRG: $5,350.72 HUMANA — MEDICARE ADVANTAGE: $3,034.46 MAGNOLIA HEALTH — ALL PRODUCTS: $4,196.87 MAGNOLIA HEALTH — MEDICAID: $2,891.33 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $3,005.84
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	$562.44 – $10,128.83
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $562.44 AETNA — MEDICARE ADVANTAGE: $5,438.27 BLUE CROSS — MEDICARE ADVANTAGE: $5,386.48 CIGNA — MEDICARE ADVANTAGE: $5,179.31 DEVOTED HEALTH — MEDICARE ADVANTAGE: $5,282.89 FIRST CHOICE — DRG: $9,609.40 HUMANA — MEDICARE ADVANTAGE: $5,490.07 MAGNOLIA HEALTH — ALL PRODUCTS: $7,593.06 MAGNOLIA HEALTH — MEDICAID: $5,231.10 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $5,438.27
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP EGD with Bravo PH Monitoring	$2,834.55	$1,984.19	$238.27 – $1,611.46
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $238.27 AETNA — MEDICARE ADVANTAGE: $833.21 BLUE CROSS — MEDICARE ADVANTAGE: $825.27 CIGNA — MARKETPLACE: $1,133.82 CIGNA — MEDICARE ADVANTAGE: $793.53 CIGNA — PPO: $1,700.73 CIGNA EVERNORTH — ALL PRODUCTS: $1,984.19 DEVOTED HEALTH — MEDICARE ADVANTAGE: $809.40 FIRST CHOICE — DRG: $1,528.82 FIRST CHOICE — PERCENTAGE: $2,040.88
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD with Bravo PH Monitoring	$2,834.55	$1,984.19	$238.27 – $1,611.46
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $238.27 AETNA — MEDICARE ADVANTAGE: $833.21 BLUE CROSS — MEDICARE ADVANTAGE: $825.27 CIGNA — MARKETPLACE: $1,133.82 CIGNA — MEDICARE ADVANTAGE: $793.53 CIGNA — PPO: $1,700.73 CIGNA EVERNORTH — ALL PRODUCTS: $1,984.19 DEVOTED HEALTH — MEDICARE ADVANTAGE: $809.40 FIRST CHOICE — DRG: $1,528.82 FIRST CHOICE — PERCENTAGE: $2,040.88
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD	$2,834.55	$1,984.19	$238.27 – $1,611.46
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $238.27 AETNA — MEDICARE ADVANTAGE: $833.21 BLUE CROSS — MEDICARE ADVANTAGE: $825.27 CIGNA — MARKETPLACE: $1,133.82 CIGNA — MEDICARE ADVANTAGE: $793.53 CIGNA — PPO: $1,700.73 CIGNA EVERNORTH — ALL PRODUCTS: $1,984.19 DEVOTED HEALTH — MEDICARE ADVANTAGE: $809.40 FIRST CHOICE — DRG: $1,528.82 FIRST CHOICE — PERCENTAGE: $2,040.88
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP EGD With Bx	$3,470.60	$2,429.42	$268.71 – $1,611.46
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $268.71 AETNA — MEDICARE ADVANTAGE: $833.21 BLUE CROSS — MEDICARE ADVANTAGE: $825.27 CIGNA — MARKETPLACE: $1,388.24 CIGNA — MEDICARE ADVANTAGE: $793.53 CIGNA — PPO: $2,082.36 CIGNA EVERNORTH — ALL PRODUCTS: $2,429.42 DEVOTED HEALTH — MEDICARE ADVANTAGE: $809.40 FIRST CHOICE — DRG: $1,528.82 FIRST CHOICE — PERCENTAGE: $2,498.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD With Bx	$3,470.60	$2,429.42	$268.71 – $1,611.46
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $268.71 AETNA — MEDICARE ADVANTAGE: $833.21 BLUE CROSS — MEDICARE ADVANTAGE: $825.27 CIGNA — MARKETPLACE: $1,388.24 CIGNA — MEDICARE ADVANTAGE: $793.53 CIGNA — PPO: $2,082.36 CIGNA EVERNORTH — ALL PRODUCTS: $2,429.42 DEVOTED HEALTH — MEDICARE ADVANTAGE: $809.40 FIRST CHOICE — DRG: $1,528.82 FIRST CHOICE — PERCENTAGE: $2,498.83
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Colonoscopy	$4,752.75	$3,326.93	$359.44 – $1,580.44
Colonoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $359.44 AETNA — MEDICARE ADVANTAGE: $854.31 BLUE CROSS — MEDICARE ADVANTAGE: $846.17 CIGNA — MARKETPLACE: $1,901.10 CIGNA — MEDICARE ADVANTAGE: $813.63 CIGNA — PPO: $2,851.65 CIGNA EVERNORTH — ALL PRODUCTS: $3,326.93 DEVOTED HEALTH — MEDICARE ADVANTAGE: $829.90 FIRST CHOICE — DRG: $1,499.39 FIRST CHOICE — PERCENTAGE: $3,421.98
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy	$4,752.75	$3,326.93	$359.44 – $1,580.44
Colonoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $359.44 AETNA — MEDICARE ADVANTAGE: $854.31 BLUE CROSS — MEDICARE ADVANTAGE: $846.17 CIGNA — MARKETPLACE: $1,901.10 CIGNA — MEDICARE ADVANTAGE: $813.63 CIGNA — PPO: $2,851.65 CIGNA EVERNORTH — ALL PRODUCTS: $3,326.93 DEVOTED HEALTH — MEDICARE ADVANTAGE: $829.90 FIRST CHOICE — DRG: $1,499.39 FIRST CHOICE — PERCENTAGE: $3,421.98
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$179.72
Colonoscopy (diagnostic): rates for 1 insurance plan AETNA — ALL PRODUCTS: $179.72
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Colonoscopy With Bx	$5,132.55	$3,592.79	$1,046.95 – $3,001
Colonoscopy with biopsy: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $390.60 AETNA — MEDICARE ADVANTAGE: $1,099.30 BLUE CROSS — MEDICARE ADVANTAGE: $1,088.83 CIGNA — MARKETPLACE: $2,053.02 CIGNA — MEDICARE ADVANTAGE: $1,046.95 CIGNA — PPO: $3,079.53 CIGNA EVERNORTH — ALL PRODUCTS: $3,592.79 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,067.89 FIRST CHOICE — DRG: $1,959.26 FIRST CHOICE — PERCENTAGE: $3,695.44
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy With Bx	$5,132.55	$3,592.79	$1,046.95 – $3,001
Colonoscopy with biopsy: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $390.60 AETNA — MEDICARE ADVANTAGE: $1,099.30 BLUE CROSS — MEDICARE ADVANTAGE: $1,088.83 CIGNA — MARKETPLACE: $2,053.02 CIGNA — MEDICARE ADVANTAGE: $1,046.95 CIGNA — PPO: $3,079.53 CIGNA EVERNORTH — ALL PRODUCTS: $3,592.79 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,067.89 FIRST CHOICE — DRG: $1,959.26 FIRST CHOICE — PERCENTAGE: $3,695.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Colonoscopy Polypectomy	$6,534.90	$4,574.43	$1,046.95 – $3,001
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $496.86 AETNA — MEDICARE ADVANTAGE: $1,099.30 BLUE CROSS — MEDICARE ADVANTAGE: $1,088.83 CIGNA — MARKETPLACE: $2,613.96 CIGNA — MEDICARE ADVANTAGE: $1,046.95 CIGNA — PPO: $3,920.94 CIGNA EVERNORTH — ALL PRODUCTS: $4,574.43 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,067.89 FIRST CHOICE — DRG: $1,959.26 FIRST CHOICE — PERCENTAGE: $4,705.13
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Polypectomy	$6,534.90	$4,574.43	$496.86 – $2,065.17
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $496.86 AETNA — MEDICARE ADVANTAGE: $1,099.30 BLUE CROSS — MEDICARE ADVANTAGE: $1,088.83 CIGNA — MARKETPLACE: $2,613.96 CIGNA — MEDICARE ADVANTAGE: $1,046.95 CIGNA — PPO: $3,920.94 CIGNA EVERNORTH — ALL PRODUCTS: $4,574.43 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,067.89 FIRST CHOICE — DRG: $1,959.26 FIRST CHOICE — PERCENTAGE: $4,705.13
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	$1,046.95 – $1,884.51
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $503.48 AETNA — MEDICARE ADVANTAGE: $1,099.30 BLUE CROSS — MEDICARE ADVANTAGE: $1,088.83 CIGNA — MEDICARE ADVANTAGE: $1,046.95 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,067.89 FIRST CHOICE — DRG: $1,959.26 HUMANA — MEDICARE ADVANTAGE: $1,109.77 MAGNOLIA HEALTH — ALL PRODUCTS: $1,530.08 MAGNOLIA HEALTH — MEDICAID: $1,057.42 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $1,099.30
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Screening Colonoscopy	$1,367.57	$957.30	$813.63 – $1,981
Screening colonoscopy (not high risk): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $138.43 AETNA — MEDICARE ADVANTAGE: $854.31 BLUE CROSS — MEDICARE ADVANTAGE: $846.17 CIGNA — MARKETPLACE: $547.03 CIGNA — MEDICARE ADVANTAGE: $813.63 CIGNA — PPO: $820.54 CIGNA EVERNORTH — ALL PRODUCTS: $957.30 DEVOTED HEALTH — MEDICARE ADVANTAGE: $829.90 FIRST CHOICE — DRG: $1,499.39 FIRST CHOICE — PERCENTAGE: $984.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Colonoscopy	$4,752.75	$3,326.93	$813.63 – $1,981
Screening colonoscopy (not high risk): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $138.43 AETNA — MEDICARE ADVANTAGE: $854.31 BLUE CROSS — MEDICARE ADVANTAGE: $846.17 CIGNA — MARKETPLACE: $1,901.10 CIGNA — MEDICARE ADVANTAGE: $813.63 CIGNA — PPO: $2,851.65 CIGNA EVERNORTH — ALL PRODUCTS: $3,326.93 DEVOTED HEALTH — MEDICARE ADVANTAGE: $829.90 FIRST CHOICE — DRG: $1,499.39 FIRST CHOICE — PERCENTAGE: $3,421.98
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$69.31
Screening colonoscopy (not high risk): rates for 1 insurance plan AETNA — ALL PRODUCTS: $69.31
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	$5,289.28 – $9,520.71
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,284.56 AETNA — MEDICARE ADVANTAGE: $5,553.75 BLUE CROSS — MEDICARE ADVANTAGE: $5,500.85 CIGNA — MEDICARE ADVANTAGE: $5,289.28 DEVOTED HEALTH — MEDICARE ADVANTAGE: $5,395.07 FIRST CHOICE — DRG: $9,560.23 HUMANA — MEDICARE ADVANTAGE: $5,606.64 MAGNOLIA HEALTH — ALL PRODUCTS: $7,481.30 MAGNOLIA HEALTH — MEDICAID: $5,342.17 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $5,553.75
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	$1,015.28 – $6,336.23
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,015.28 AETNA — MEDICARE ADVANTAGE: $3,289.15 BLUE CROSS — MEDICARE ADVANTAGE: $3,257.82 CIGNA — MEDICARE ADVANTAGE: $3,132.52 DEVOTED HEALTH — MEDICARE ADVANTAGE: $3,195.17 FIRST CHOICE — DRG: $6,011.30 HUMANA — MEDICARE ADVANTAGE: $3,320.47 MAGNOLIA HEALTH — ALL PRODUCTS: $4,485.78 MAGNOLIA HEALTH — MEDICAID: $3,163.85 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $3,289.15
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,509.09 – $3,565.87
Prostate biopsy: rates for 8 insurance plans FIRST CHOICE — DRG: $3,383 MAGNOLIA HEALTH — ALL PRODUCTS: $2,640.91 MHG — ALL PRODUCTS: $3,565.87 MOLINA — ALL PRODUCTS: $2,760.07 MOLINA — MSCAN: $1,524.18 SAS NON-MHG — ALL PRODUCTS: $3,383 UHC — CHIP: $1,509.09 UHC — MSCAN: $1,509.09
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$9,300.13 – $16,740.23
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,623.77 AETNA — MEDICARE ADVANTAGE: $9,765.14 BLUE CROSS — MEDICARE ADVANTAGE: $9,672.13 CIGNA — MEDICARE ADVANTAGE: $9,300.13 DEVOTED HEALTH — MEDICARE ADVANTAGE: $9,486.13 FIRST CHOICE — DRG: $16,828.45 HUMANA — MEDICARE ADVANTAGE: $9,858.14 MAGNOLIA HEALTH — ALL PRODUCTS: $13,346.74 MAGNOLIA HEALTH — MEDICAID: $9,393.13 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $9,765.14
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	$407.92 – $5,225.14
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $407.92 AETNA — MEDICARE ADVANTAGE: $2,973.80 BLUE CROSS — MEDICARE ADVANTAGE: $2,945.48 CIGNA — MEDICARE ADVANTAGE: $2,832.19 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,888.83 FIRST CHOICE — DRG: $4,957.19 HUMANA — MEDICARE ADVANTAGE: $3,002.12 MAGNOLIA HEALTH — ALL PRODUCTS: $4,053.61 MAGNOLIA HEALTH — MEDICAID: $2,860.51 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $2,973.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR Inj Epi or Subarach L or S	$3,912.25	$2,738.58	$617.58 – $1,981
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $240.32 AETNA — MEDICARE ADVANTAGE: $648.46 BLUE CROSS — MEDICARE ADVANTAGE: $642.28 CIGNA — MARKETPLACE: $1,564.90 CIGNA — MEDICARE ADVANTAGE: $617.58 CIGNA — PPO: $2,347.35 CIGNA EVERNORTH — ALL PRODUCTS: $2,738.58 DEVOTED HEALTH — MEDICARE ADVANTAGE: $629.93 FIRST CHOICE — DRG: $1,199.76 FIRST CHOICE — PERCENTAGE: $2,816.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR Inject Epi or Subarachnoid L or S	$3,912.25	$2,738.58	$617.58 – $1,981
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $240.32 AETNA — MEDICARE ADVANTAGE: $648.46 BLUE CROSS — MEDICARE ADVANTAGE: $642.28 CIGNA — MARKETPLACE: $1,564.90 CIGNA — MEDICARE ADVANTAGE: $617.58 CIGNA — PPO: $2,347.35 CIGNA EVERNORTH — ALL PRODUCTS: $2,738.58 DEVOTED HEALTH — MEDICARE ADVANTAGE: $629.93 FIRST CHOICE — DRG: $1,199.76 FIRST CHOICE — PERCENTAGE: $2,816.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR INJ Epi or Subarachnoid L or S	$3,912.25	$2,738.58	$617.58 – $1,981
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $240.32 AETNA — MEDICARE ADVANTAGE: $648.46 BLUE CROSS — MEDICARE ADVANTAGE: $642.28 CIGNA — MARKETPLACE: $1,564.90 CIGNA — MEDICARE ADVANTAGE: $617.58 CIGNA — PPO: $2,347.35 CIGNA EVERNORTH — ALL PRODUCTS: $2,738.58 DEVOTED HEALTH — MEDICARE ADVANTAGE: $629.93 FIRST CHOICE — DRG: $1,199.76 FIRST CHOICE — PERCENTAGE: $2,816.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR INJ Transforaminal Epi L or S	$1,377.45	$964.22	$773.83 – $1,981
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $267.94 AETNA — MEDICARE ADVANTAGE: $812.52 BLUE CROSS — MEDICARE ADVANTAGE: $804.79 CIGNA — MARKETPLACE: $550.98 CIGNA — MEDICARE ADVANTAGE: $773.83 CIGNA — PPO: $826.47 CIGNA EVERNORTH — ALL PRODUCTS: $964.22 DEVOTED HEALTH — MEDICARE ADVANTAGE: $789.31 FIRST CHOICE — DRG: $1,555.35 FIRST CHOICE — PERCENTAGE: $991.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR INJ Transforaminal Epi L or S Left	$1,377.45	$964.22	$773.83 – $1,981
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $267.94 AETNA — MEDICARE ADVANTAGE: $812.52 BLUE CROSS — MEDICARE ADVANTAGE: $804.79 CIGNA — MARKETPLACE: $550.98 CIGNA — MEDICARE ADVANTAGE: $773.83 CIGNA — PPO: $826.47 CIGNA EVERNORTH — ALL PRODUCTS: $964.22 DEVOTED HEALTH — MEDICARE ADVANTAGE: $789.31 FIRST CHOICE — DRG: $1,555.35 FIRST CHOICE — PERCENTAGE: $991.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR INJ Transforaminal Epi L or S Right	$1,377.45	$964.22	$773.83 – $1,981
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $267.94 AETNA — MEDICARE ADVANTAGE: $812.52 BLUE CROSS — MEDICARE ADVANTAGE: $804.79 CIGNA — MARKETPLACE: $550.98 CIGNA — MEDICARE ADVANTAGE: $773.83 CIGNA — PPO: $826.47 CIGNA EVERNORTH — ALL PRODUCTS: $964.22 DEVOTED HEALTH — MEDICARE ADVANTAGE: $789.31 FIRST CHOICE — DRG: $1,555.35 FIRST CHOICE — PERCENTAGE: $991.76
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	$1,708.46 – $3,075.22
Carpal tunnel release: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,026.05 AETNA — MEDICARE ADVANTAGE: $1,793.88 BLUE CROSS — MEDICARE ADVANTAGE: $1,776.79 CIGNA — MEDICARE ADVANTAGE: $1,708.46 DEVOTED HEALTH — MEDICARE ADVANTAGE: $1,742.62 FIRST CHOICE — DRG: $3,317.62 HUMANA — MEDICARE ADVANTAGE: $1,810.96 MAGNOLIA HEALTH — ALL PRODUCTS: $2,503.43 MAGNOLIA HEALTH — MEDICAID: $1,725.54 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $1,793.88
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG Capsulotomy	$1,410	$987	$430.67 – $1,002.26
Laser treatment of clouding after cataract surgery: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $712.80 AETNA — MEDICARE ADVANTAGE: $505.26 BLUE CROSS — MEDICARE ADVANTAGE: $500.45 CIGNA — MARKETPLACE: $564 CIGNA — MEDICARE ADVANTAGE: $481.20 CIGNA — PPO: $846 CIGNA EVERNORTH — ALL PRODUCTS: $987 DEVOTED HEALTH — MEDICARE ADVANTAGE: $490.82 FIRST CHOICE — DRG: $950.86 FIRST CHOICE — PERCENTAGE: $1,015.20
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG laser capsulotomy	$1,410	$987	$430.67 – $1,002.26
Laser treatment of clouding after cataract surgery: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $712.80 AETNA — MEDICARE ADVANTAGE: $505.26 BLUE CROSS — MEDICARE ADVANTAGE: $500.45 CIGNA — MARKETPLACE: $564 CIGNA — MEDICARE ADVANTAGE: $481.20 CIGNA — PPO: $846 CIGNA EVERNORTH — ALL PRODUCTS: $987 DEVOTED HEALTH — MEDICARE ADVANTAGE: $490.82 FIRST CHOICE — DRG: $950.86 FIRST CHOICE — PERCENTAGE: $1,015.20
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	$2,019.13 – $3,634.44
Cataract removal with lens implant: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $1,258.60 AETNA — MEDICARE ADVANTAGE: $2,120.09 BLUE CROSS — MEDICARE ADVANTAGE: $2,099.90 CIGNA — MEDICARE ADVANTAGE: $2,019.13 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,059.52 FIRST CHOICE — DRG: $3,923.59 HUMANA — MEDICARE ADVANTAGE: $2,140.28 MAGNOLIA HEALTH — ALL PRODUCTS: $3,021.53 MAGNOLIA HEALTH — MEDICAID: $2,039.33 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $2,120.09

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,436.57
Vaginal delivery, with care before and after: rates for 1 insurance plan AETNA — ALL PRODUCTS: $2,436.57
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,684.24
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan AETNA — ALL PRODUCTS: $2,684.24
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Successful - VBAC Status	$8,729.30	$6,110.51	$2,541.46
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $2,541.46 CIGNA — MARKETPLACE: $3,491.72 CIGNA — MEDICARE ADVANTAGE: $4,364.65 CIGNA — PPO: $5,237.58 CIGNA EVERNORTH — ALL PRODUCTS: $6,110.51 DEVOTED HEALTH — MEDICARE ADVANTAGE: $2,618.79 FIRST CHOICE — DRG: $4,364.65 FIRST CHOICE — PERCENTAGE: $6,285.10 FIRST HEALTH — ALL PRODUCTS: $6,285.10 FOX EVERETT — HUB: $3,491.72

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	$66,548.38 – $132,948.25
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates AETNA — ALL PRODUCTS: $120,729.53 AETNA — MEDICARE ADVANTAGE: $69,875.80 BLUE CROSS — MEDICARE ADVANTAGE: $69,210.32 CIGNA — MARKETPLACE: $95,137.73 CIGNA — MEDICARE ADVANTAGE: $66,548.38 DEVOTED HEALTH — MEDICARE ADVANTAGE: $67,879.35 FIRST CHOICE — DRG: $95,382.30 FOX EVERETT — HUB: $100,762.84 HUMANA — MEDICARE ADVANTAGE: $70,541.28 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $69,875.80
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 1 insurance plan MOLINA — ALL PRODUCTS: 193% (a percentage in the contract, not a dollar amount)
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 joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$15,815.37 – $26,213.75
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $23,804.55 CIGNA — MARKETPLACE: $18,758.55 FIRST CHOICE — DRG: $18,806.78 FOX EVERETT — HUB: $19,867.67 MHG — ALL PRODUCTS: $19,867.67 MPCN — ALL PRODUCTS: $20,735.68 SAS NON-MHG — ALL PRODUCTS: $18,131.66 UHC — ALL PRODUCTS: $22,305.80 UHC — EXCHANGE FACILITY: $26,213.75 CIGNA — PPO: 50% (a percentage in the contract, not a dollar amount)
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	$15,815.37 – $26,213.75
Hip or knee replacement (major joint of the leg), without major complications: rates for 8 insurance plans AETNA — MEDICARE ADVANTAGE: $16,606.14 BLUE CROSS — MEDICARE ADVANTAGE: $16,447.98 CIGNA — MEDICARE ADVANTAGE: $15,815.37 DEVOTED HEALTH — MEDICARE ADVANTAGE: $16,131.68 HUMANA — MEDICARE ADVANTAGE: $16,764.29 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $16,606.14 UHC — MEDICARE ADVANTAGE PPO: $15,815.37 WELL CARE — MEDICARE ADVANTAGE: $16,606.14
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 JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	Not listed in the file	Not listed in the file	$15,815.37 – $26,213.75
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans BLUE CROSS — ALL PRODUCTS: $23,322 BLUE CROSS — BC STATE: $21,218.40
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	$18,209 – $33,177.27
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates AETNA — ALL PRODUCTS: $30,128.08 AETNA — MEDICARE ADVANTAGE: $20,081.52 BLUE CROSS — MEDICARE ADVANTAGE: $19,890.27 CIGNA — MARKETPLACE: $23,741.64 CIGNA — MEDICARE ADVANTAGE: $19,125.26 DEVOTED HEALTH — MEDICARE ADVANTAGE: $19,507.77 FIRST CHOICE — DRG: $23,802.68 FOX EVERETT — HUB: $25,145.39 HUMANA — MEDICARE ADVANTAGE: $20,272.78 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $20,081.52
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION W/O CC/MCC	Not listed in the file	Not listed in the file	$18,209 – $33,177.27
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans BLUE CROSS — ALL PRODUCTS: $18,209 BLUE CROSS — BC STATE: $20,732.25
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	$7,844.55 – $16,861.11
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates AETNA — ALL PRODUCTS: $15,311.48 AETNA — MEDICARE ADVANTAGE: $11,938.36 BLUE CROSS — MEDICARE ADVANTAGE: $11,824.66 CIGNA — MARKETPLACE: $12,065.81 CIGNA — MEDICARE ADVANTAGE: $11,369.87 DEVOTED HEALTH — MEDICARE ADVANTAGE: $11,597.27 FIRST CHOICE — DRG: $12,096.83 FOX EVERETT — HUB: $12,779.21 HUMANA — MEDICARE ADVANTAGE: $12,052.06 MAGNOLIA HEALTH — MEDICARE ADVANTAGE: $11,938.36
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC	Not listed in the file	Not listed in the file	$7,844.55 – $16,861.11
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans BLUE CROSS — ALL PRODUCTS: $8,205 BLUE CROSS — BC STATE: $7,844.55

Source: Memorial Hospital Biloxi’s standard charges file (memorialhealthsystem.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 17, 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	150 Reynoir Street, Biloxi, MS 39530
County	Harrison County
State	Mississippi
Phone	(228) 432‑1571
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	250007
Name in Medicare records	MEMORIAL HOSPITAL BILOXI
Profile level	Medicare data + hospital website
Official website	wearememorial.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Memorial Hospital Biloxi - General Information — wearememorial.com

Memorial Hospital Biloxi

Summary

Profile from official sources

At a glance