Quick answers
- Does Memorial Hospital of Converse County have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Memorial Hospital of Converse County. In a medical emergency, call 911.
- Where is Memorial Hospital of Converse County?
- 111 South 5th Street, Douglas, WY 82633, in Converse County, Wyoming.
- What is the phone number of Memorial Hospital of Converse County?
- (307) 358-2122, as listed by Medicare (CMS).
- What is the Medicare star rating of Memorial Hospital of Converse County?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[4][5][6][8][10][12][13][14]
- Behavioral health
- Cardiopulmonary
- Ear, nose and throat
- Internal medicine
- Neurology
- Neurosurgery
- Neuropsychology
- Podiatry
- Primary care
- General surgery
- Orthopedic and spine surgery
- Radiology
- Sleep medicine
- Pediatrics
- Labor and delivery
- Women's health
- Emergency medicine
- Cardiology
- Orthopedic surgery
- Robotic surgery
- Sports medicine
- Bariatric surgery
Conditions treated[5][8][14]
- Heart attack
- Stroke
- Broken bones
- Asthma
- COPD
- Respiratory failure
- Pneumonia
- RSV
- Congestive heart failure
- Concussion
- ACL tears
- Ankle sprains
- Shin splints
- Muscle strains
- Dislocated joints
- Fractured or bruised bones
Treatments[4][8][14]
- Infusion therapy
- Rehabilitation
- Diabetic and nutrition education
- Electrocardiogram (ECG)
- Cardiac stress testing
- Holter monitor testing
- Pulmonary function testing
- Nebulizer treatments
- Ventilator management
- Sleep study (polysomnography)
- Physical therapy
- Hydrotherapy
Procedures[4][9][11][13]
- Robotic surgery
- Bariatric surgery
- Mammography
- Arthroscopic knee surgery
- Anterior hip replacement
- Shoulder replacement
- Ligament reconstruction
- Hernia surgery
- Gallbladder surgery
- Appendix surgery
- Colon surgery
- MRI
- CT scan
- Ultrasound
- Nuclear medicine
Programs and centers[12][13][14]
- Bariatric surgery program
- Sports medicine program
- Total joint replacement class
Emergency care (hospital website)[4][5]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
| Parking | ER parking and entrance are in the alley on the east side; overflow parking is past the generator units near Oak Street[5] |
|---|
Doctors and clinicians (199)
199 doctors and other clinicians list Memorial Hospital of Converse County 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
- Family Practice30
- Nurse Practitioner30
- Physician Assistant29
- Orthopedic Surgery11
- Internal Medicine11
- Certified Registered Nurse Anesthetist (CRNA)7
- Urology7
- Neurosurgery5
- Diagnostic Radiology5
- General Surgery5
- Critical Care (Intensivists)5
- Gastroenterology4
Doctors with a page on this site (199)
- Abigail Turnbough, DOInternal Medicine
- Abraham Kaslow, MDVascular Surgery
- Adrian Fluture, MDInterventional Cardiology
- Aimee E. Gough, MDGeneral Surgery
- Allan B. Wicks, MDCardiovascular Disease (Cardiology)
- Allison E. Barnett, PAPhysician Assistant
- Amanda K. Dykes, NPNurse Practitioner
- Amanda L. Etheridge, MDInternal Medicine
- Amber N. Kinner, DOHospitalist
- Amir A. Emami, DOInternal Medicine
- Andrew Kunkel, DOInternal Medicine
- Andrius Lescauskas, DOFamily Practice
- Angelo M. Santiago, MDNeurology
- Ann M. Haack, PAPhysician Assistant
- Anne Macguire, MDRheumatology
- Annette M. Russell, PAPhysician Assistant
- Arianne E. Staffileno, NPNurse Practitioner
- Ashley M. LittletonRegistered Dietitian or Nutrition Professional
- Ashley M. Oviedo Lopez, NPNurse Practitioner
- Audrey Klawiter, DOFamily Practice
- Austin P. Dinkel, DOFamily Practice
- Bengt J. Grua, MDAnesthesiology
- Benjamin R. Widener, MDRheumatology
- Branden Lassen, PAPhysician Assistant
And 175 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Summit Medical Center43 mi · Casper, WY · Acute Care Hospital
- Banner Wyoming Medical Center47 mi · Casper, WY · Acute Care Hospital
- Niobrara County Hospital District47 mi · Lusk, WY · Critical Access Hospital
- Platte County Hospital54 mi · Wheatland, WY · Critical Access Hospital
- Community Hospital76 mi · Torrington, WY · Critical Access Hospital
Other hospitals nearby
- Elkhorn Valley Rehabilitation Hospital LLC41 mi · Casper, WY · Inpatient Rehabilitation Hospital
- Wyoming Behavioral Institute47 mi · Casper, WY · Psychiatric Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Summit Ridge Skilled Nursing & Rehabilitation0.7 mi · Douglas, WY · 2 of 5 stars
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.
Clinics and urgent care
- Glenrock Health Center24 mi · Glenrock, WY · Rural health clinic
- Oregon Trail Rural Health Clinic24 mi · Rolling Hills, WY · Rural health clinic
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 of Converse County reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 4 of 5 stars |
|---|---|
| Overall rating of the hospital | 4 of 5 stars |
| Would recommend the hospital | 5 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Quiet at night | 4 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 78%National average: 72% |
| Would definitely recommend the hospital | 79%National average: 71% |
| Nurses “always” communicated well | 81%National average: 80% |
| Doctors “always” communicated well | 81%National average: 80% |
| Staff “always” explained medicines before giving them | 63%National average: 62% |
| Were given information about recovery at home | 89%National average: 86% |
| Room and bathroom “always” clean | 75%National average: 74% |
| Area around the room “always” quiet at night | 68%National average: 60% |
| Completed surveys | 107Response rate: 30% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | Not reported to Medicare |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | Not reported to Medicare |
| Surgical site infections after colon surgery | Not reported to Medicare |
| Surgical site infections after abdominal hysterectomy | Not reported to Medicare |
| MRSA bloodstream infections | Not reported to Medicare |
| Clostridioides difficile (C. diff) intestinal infections | Not reported to Medicare |
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | Too few cases to report |
|---|---|
| Deaths within 30 days: heart failure patients | Too few cases to report |
| Deaths within 30 days: pneumonia patients | 18.8% |
| Deaths within 30 days: COPD patients | 9.3% |
| Deaths within 30 days: stroke patients | Too few cases to report |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | Not reported to Medicare |
| Complications after hip or knee replacement | Too few cases to report |
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | Too few cases to report |
| Readmitted within 30 days: heart failure | Too few cases to report |
| Readmitted within 30 days: pneumonia | 16.7% |
| Readmitted within 30 days: COPD | Too few cases to report |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | Too few cases to report |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Low (under 20,000) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 114 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 1%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | Too few cases to report |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 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.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Memorial Hospital of Converse County 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 →
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) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN | $132 | $75.24 | $132 |
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $123 | $70.11 | Not listed in the file |
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25_AF In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $123 | $70.11 | Not listed in the file |
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN | $201 | $114.57 | $201 |
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $187 | $106.59 | Not listed in the file |
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25_AF In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $187 | $106.59 | Not listed in the file |
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN | $760 | $433.20 | $309 |
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25_AF In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $230 | $131.10 | Not listed in the file |
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $247 | $140.79 | Not listed in the file |
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN | $208 | $118.56 | $127 |
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $83 | $47.31 | $83 |
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 27 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $83 | $47.31 | Not listed in the file |
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN | $130 | $74.10 | $130 |
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $121 | $68.97 | $121 |
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $121 | $68.97 | Not listed in the file |
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | $485 | $276.45 | $160 |
Office consultation with a specialist (moderate): rates for 7 insurance plans
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| 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 | $225 | $128.25 | $225 |
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | $774 | $441.18 | $229 |
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 | $427 | $243.39 | $182 |
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 | $487 | $277.59 | $209 |
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $78 | $44.46 | $78 |
Emergency room visit (moderate): rates for 7 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $860 | $490.20 | $123 |
Emergency room visit (moderate): rates for 7 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $803 | $457.71 | $123 |
Emergency room visit (moderate): rates for 7 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $148 | $84.36 | $148 |
Emergency room visit (moderately high): rates for 7 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $1,282 | $730.74 | $206 |
Emergency room visit (moderately high): rates for 7 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,198 | $682.86 | $206 |
Emergency room visit (moderately high): rates for 7 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM | $1,849 | $1,053.93 | $300 |
Emergency room visit (high): rates for 7 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM | $1,869 | $1,065.33 | $300 |
Emergency room visit (high): rates for 7 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,746 | $995.22 | $300 |
Emergency room visit (high): rates for 7 insurance plans
| |||
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: METABOLIC PANEL TOTAL CA | $109 | $62.13 | $13 |
Basic metabolic panel (blood test): rates for 7 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $372 | $212.04 | $13 |
Basic metabolic panel (blood test): rates for 7 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $186 | $106.02 | Not listed in the file |
Basic metabolic panel (blood test): rates for 7 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL | $155 | $88.35 | $16 |
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $442 | $251.94 | $16 |
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $221 | $125.97 | Not listed in the file |
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL | $118 | $67.26 | $21 |
Cholesterol panel (lipid panel): rates for 7 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $173 | $98.61 | $21 |
Cholesterol panel (lipid panel): rates for 7 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL | $142 | $80.94 | $13 |
Kidney function panel: rates for 7 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $146 | $83.22 | $13 |
Kidney function panel: rates for 7 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL | $113 | $64.41 | $13 |
Liver function panel: rates for 7 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL | $201 | $114.57 | $13 |
Liver function panel: rates for 7 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE | $46 | $26.22 | $4.90 |
Urine test (automated, with microscope): rates for 7 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $131 | $74.67 | $4.90 |
Urine test (automated, with microscope): rates for 7 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $86 | $49.02 | Not listed in the file |
Urine test (automated, with microscope): rates for 7 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE | $40 | $22.80 | $5.40 |
Urine test (manual, without microscope): rates for 7 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST | $45 | $25.65 | $5.40 |
Urine test (manual, without microscope): rates for 7 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: URINALYSIS; MANUAL TEST | $34 | $19.38 | Not listed in the file |
Urine test (manual, without microscope): rates for 7 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE | $26 | $14.82 | $3.50 |
Urine test (automated, without microscope): rates for 7 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST | $62 | $35.34 | $3.50 |
Urine test (automated, without microscope): rates for 7 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: AUTOMATED URINALYSIS TEST | $62 | $35.34 | Not listed in the file |
Urine test (automated, without microscope): rates for 7 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL | $136 | $77.52 | $29 |
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $193 | $110.01 | $29 |
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $121 | $68.97 | $26 |
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC | $85 | $48.45 | $12 |
Complete blood count (CBC) with differential: rates for 7 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $42 | $23.94 | $12 |
Complete blood count (CBC) with differential: rates for 7 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $42 | $23.94 | Not listed in the file |
Complete blood count (CBC) with differential: rates for 7 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED | $80 | $45.60 | $10 |
Complete blood count (CBC), automated: rates for 7 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $83 | $47.31 | $10 |
Complete blood count (CBC), automated: rates for 7 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $83 | $47.31 | Not listed in the file |
Complete blood count (CBC), automated: rates for 7 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $57 | $32.49 | $6.65 |
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME | $72 | $41.04 | $6.65 |
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_GF In the file: BLOOD TEST; CLOTTING TIME | $72 | $41.04 | Not listed in the file |
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $78 | $44.46 | $9.30 |
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $126 | $71.82 | $9.30 |
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
| |||
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/BRAIN W/O DYE | $2,346 | $1,337.22 | $280 |
CT scan of the head or brain, without contrast: rates for 7 insurance plans
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $2,192 | $1,249.44 | $280 |
CT scan of the head or brain, without contrast: rates for 7 insurance plans
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT HEAD/BRAIN W/O DYE | $700 | $399 | $102 |
CT scan of the head or brain, without contrast: rates for 7 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE | $5,581 | $3,181.17 | $851 |
MRI of the brain, before and after contrast: rates for 7 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $5,215 | $2,972.55 | $851 |
MRI of the brain, before and after contrast: rates for 7 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI BRAIN STEM W/O & W/DYE | $1,633 | $930.81 | $277 |
MRI of the brain, before and after contrast: rates for 7 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $476 | $271.32 | $86 |
Chest X-ray, 2 views: rates for 7 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS | $444 | $253.08 | $86 |
Chest X-ray, 2 views: rates for 7 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: X-RAY EXAM CHEST 2 VIEWS | $104 | $59.28 | $26 |
Chest X-ray, 2 views: rates for 7 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $883 | $503.31 | $132 |
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $825 | $470.25 | $132 |
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $103 | $58.71 | $32 |
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE | $3,723 | $2,122.11 | $509 |
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $3,479 | $1,983.03 | $509 |
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI LUMBAR SPINE W/O DYE | $1,074 | $612.18 | $179 |
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST | $2,946 | $1,679.22 | $614 |
CT scan of the pelvis, with contrast: rates for 7 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE | $3,153 | $1,797.21 | $614 |
CT scan of the pelvis, with contrast: rates for 7 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT PELVIS W/DYE | $508 | $289.56 | $140 |
CT scan of the pelvis, with contrast: rates for 7 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE | $3,102 | $1,768.14 | $539 |
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $2,899 | $1,652.43 | $539 |
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI JNT OF LWR EXTRE W/O DYE | $866 | $493.62 | $164 |
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST | $5,430 | $3,095.10 | $813 |
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $5,074 | $2,892.18 | $813 |
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT ABD & PELVIS W/CONTRAST | $1,060 | $604.20 | $220 |
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE | $1,394 | $794.58 | $299 |
Ultrasound of the abdomen, complete: rates for 7 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,302 | $742.14 | $299 |
Ultrasound of the abdomen, complete: rates for 7 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: US EXAM ABDOM COMPLETE | $187 | $106.59 | $97 |
Ultrasound of the abdomen, complete: rates for 7 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS | $1,194 | $680.58 | $348 |
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $1,115 | $635.55 | $348 |
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: OB US >= 14 WKS SNGL FETUS | $294 | $167.58 | $120 |
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB | $970 | $552.90 | $309 |
Transvaginal ultrasound: rates for 7 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $906 | $516.42 | $309 |
Transvaginal ultrasound: rates for 7 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: TRANSVAGINAL US NON-OB | $205 | $116.85 | $85 |
Transvaginal ultrasound: rates for 7 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI | $512 | $291.84 | $321 |
Diagnostic mammogram, one breast: rates for 7 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $478 | $272.46 | $321 |
Diagnostic mammogram, one breast: rates for 7 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD UNI | $167 | $95.19 | $97 |
Diagnostic mammogram, one breast: rates for 7 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $618 | $352.26 | $405 |
Diagnostic mammogram, both breasts: rates for 7 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $577 | $328.89 | $405 |
Diagnostic mammogram, both breasts: rates for 7 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD BI | $192 | $109.44 | $120 |
Diagnostic mammogram, both breasts: rates for 7 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $555 | $316.35 | $329 |
Screening mammogram, both breasts: rates for 7 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY | $518 | $295.26 | $329 |
Screening mammogram, both breasts: rates for 7 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: SCR MAMMO BI INCL CAD | $158 | $90.06 | $92 |
Screening mammogram, both breasts: rates for 7 insurance plans
| |||
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) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE | $24 | $13.68 | $20 |
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM | $4,786 | $2,728.02 | $861 |
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $4,178 | $2,381.46 | $861 |
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
| |||
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: THERAPEUTIC EXERCISES | $103 | $58.71 | $42 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $115 | $65.55 | $42 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $115 | $65.55 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $217 | $123.69 | $142 |
Physical therapy evaluation (low complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $202 | $115.14 | $142 |
Physical therapy evaluation (low complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $202 | $115.14 | Not listed in the file |
Physical therapy evaluation (low complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | $272 | $155.04 | $142 |
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $254 | $144.78 | $142 |
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $254 | $144.78 | Not listed in the file |
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | $310 | $176.70 | $142 |
Physical therapy evaluation (high complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $289 | $164.73 | $142 |
Physical therapy evaluation (high complexity): rates for 7 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $289 | $164.73 | Not listed in the file |
Physical therapy evaluation (high complexity): rates for 7 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES | $200 | $114 | $106 |
Psychotherapy, 30 minutes: rates for 7 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES | $264 | $150.48 | $140 |
Psychotherapy, 45 minutes: rates for 7 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES | $388 | $221.16 | $206 |
Psychotherapy, 60 minutes: rates for 7 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $286 | $163.02 | $134 |
Family psychotherapy, without the patient: rates for 7 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN | $295 | $168.15 | $139 |
Family psychotherapy, with the patient: rates for 7 insurance plans
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY | $70 | $39.90 | $37 |
Group psychotherapy: rates for 7 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION | $642 | $365.94 | $642 |
Removal of breast growth (open surgery): rates for 7 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY | $13,698 | $7,807.86 | $3,206 |
Total hip replacement: rates for 7 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80 In the file: TOTAL HIP ARTHROPLASTY | $3,610 | $2,057.70 | Not listed in the file |
Total hip replacement: rates for 7 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $14,532 | $8,283.24 | Not listed in the file |
Total hip replacement: rates for 7 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY | $1,991 | $1,134.87 | $1,991 |
Total knee replacement: rates for 7 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $15,195 | $8,661.15 | $3,423 |
Total knee replacement: rates for 7 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80 In the file: TOTAL KNEE ARTHROPLASTY | $2,817 | $1,605.69 | Not listed in the file |
Total knee replacement: rates for 7 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION | $229 | $130.53 | $229 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80 In the file: SHO ARTHRS SRG DECOMPRESSION | $1,385 | $789.45 | Not listed in the file |
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $2,906.25 | $1,656.56 | Not listed in the file |
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY | $6,928 | $3,948.96 | $1,216 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80 In the file: KNEE ARTHROSCOPY/SURGERY | $1,316 | $750.12 | Not listed in the file |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $8,228 | $4,689.96 | Not listed in the file |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS | $2,560 | $1,459.20 | $659 |
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $4,832 | $2,754.24 | $659 |
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH | $1,287 | $733.59 | $326 |
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $3,366 | $1,918.62 | $326 |
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,202 | $685.14 | $326 |
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE | $1,821 | $1,037.97 | $385 |
Upper GI endoscopy with biopsy: rates for 7 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $3,445.50 | $1,963.94 | $385 |
Upper GI endoscopy with biopsy: rates for 7 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $426 | $242.82 | $385 |
Upper GI endoscopy with biopsy: rates for 7 insurance plans
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| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $487 | $277.59 | $486 |
Colonoscopy (diagnostic): rates for 7 insurance plans
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| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY | $522 | $297.54 | $486 |
Colonoscopy (diagnostic): rates for 7 insurance plans
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| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,525 | $2,009.25 | $486 |
Colonoscopy (diagnostic): rates for 7 insurance plans
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| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY | $2,336 | $1,331.52 | $580 |
Colonoscopy with biopsy: rates for 7 insurance plans
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| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,445.50 | $1,963.94 | $580 |
Colonoscopy with biopsy: rates for 7 insurance plans
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| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $580 | $330.60 | $580 |
Colonoscopy with biopsy: rates for 7 insurance plans
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| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL | $3,106 | $1,770.42 | $688 |
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
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| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $653 | $372.21 | $653 |
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
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| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,525 | $2,009.25 | $688 |
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
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| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND | $2,123 | $1,210.11 | Not listed in the file |
Screening colonoscopy (not high risk): rates for 7 insurance plans
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| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,525 | $2,009.25 | Not listed in the file |
Screening colonoscopy (not high risk): rates for 7 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $487 | $277.59 | Not listed in the file |
Screening colonoscopy (not high risk): rates for 7 insurance plans
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| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $8,172 | $4,658.04 | $1,462 |
Gallbladder removal by laparoscope: rates for 7 insurance plans
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| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $7,169 | $4,086.33 | $1,462 |
Gallbladder removal by laparoscope: rates for 7 insurance plans
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| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80 In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $1,481 | $844.17 | Not listed in the file |
Gallbladder removal by laparoscope: rates for 7 insurance plans
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| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR | $677 | $385.89 | $677 |
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
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| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $632 | $360.24 | $632 |
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
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| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $5,103 | $2,908.71 | $1,159 |
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $3,112 | $1,773.84 | $598 |
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY | $518 | $295.26 | $518 |
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $4,641 | $2,645.37 | $598 |
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC | $132 | $75.24 | $132 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $857 | $488.49 | $228 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $386 | $220.02 | $254 |
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $857 | $488.49 | $254 |
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: NJX AA&/STRD TFRM EPI L/S 1 | $578 | $329.46 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY | $557 | $317.49 | $557 |
Carpal tunnel release: rates for 7 insurance plans
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: CARPAL TUNNEL SURGERY | $5,685 | $3,240.45 | Not listed in the file |
Carpal tunnel release: rates for 7 insurance plans
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $836 | $476.52 | Not listed in the file |
Carpal tunnel release: rates for 7 insurance plans
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| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $4,053 | $2,310.21 | Not listed in the file |
Cataract removal with lens implant: rates for 7 insurance plans
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| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $4,221 | $2,405.97 | Not listed in the file |
Cataract removal with lens implant: rates for 7 insurance plans
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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) · Doctor (professional) fee In the file: OBSTETRICAL CARE | $6,737 | $3,840.09 | $4,741 |
Vaginal delivery, with care before and after: rates for 7 insurance plans
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| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY | $8,690 | $4,953.30 | $5,240 |
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
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| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: VBAC DELIVERY | $7,287 | $4,153.59 | $4,969 |
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
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Source: Memorial Hospital of Converse County’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 25, 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 | Critical Access Hospital |
|---|---|
| Address | 111 South 5th Street, Douglas, WY 82633 |
| County | Converse County |
| State | Wyoming |
| Phone | (307) 358‑2122 |
| Emergency services | Yes |
| Ownership | Government - Local |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 531302 |
| Name in Medicare records | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Profile level | Medicare data + hospital website |
| Official website | conversehospital.com |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Memorial Hospital of Converse County — conversehospital.com
- 24/7 Emergency Room in Douglas, WY — conversehospital.com
- Orthopedic and Spine Surgery Wyoming Expert Care — conversehospital.com
- Cardiopulmonary | MHCC — conversehospital.com
- General Surgery — conversehospital.com
- Robotic Surgery — conversehospital.com
- Advanced Radiology & Imaging — conversehospital.com
- Bariatric Surgery & Weight Loss — conversehospital.com
- Orthopedic Care | MHCC — conversehospital.com
- Sports Medicine Injury Recovery | MHCC — conversehospital.com