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Acute Care Hospital

Memorial Hospital of South Bend

South Bend, Indiana · St. Joseph County · Emergency services listed

Summary

Memorial Hospital of South Bend is an acute care hospital in South Bend, Indiana. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 41 services, specialties and programs. Medicare lists 800 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(574) 647‑1000 Directions Website Medicare profile
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Exterior of Memorial Hospital of South Bend
Photo: Xnatedawgx, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
800Doctors and clinicians
41Services listed

Quick answers

Does Memorial Hospital of South Bend have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Memorial Hospital of South Bend. In a medical emergency, call 911.
Where is Memorial Hospital of South Bend?
615 N Michigan St, South Bend, IN 46601, in St. Joseph County, Indiana.
What is the phone number of Memorial Hospital of South Bend?
(574) 647-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Memorial Hospital of South Bend?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][7][12][14]

Conditions treated[4][7][12]

Treatments[4][6][7][9][12][14]

Procedures[4]

Programs and centers[4][5][6][8][11][12][13][14]

  • Beacon Children's Hospital
  • Memorial Leighton Trauma Center
  • Memorial Emergency Care Center
  • Memorial Leighton Heart and Vascular Center
  • Inpatient Rehabilitation Services
  • Memorial Women & Children Services
  • Ortho Neuro Patient Care Center

Emergency care (hospital website)[4][8][9][11][13]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationSpecialized stroke team

Visiting and practical information

VisitingGeneral visiting hours: open 24 hours a day, 7 days a week[15]
ParkingFree surface lot north of Bartlett Street; paid Bartlett Street garage (hourly rates)[4]
Interpreters and languagesFree interpreter services; available at the hospital or by phone 24 hours a day. Tell your nurse[10]

Recognition[6][9][11][13]

  • Level II Trauma Center (verified)
  • CARF accreditation, Acute Inpatient Rehab and Stroke

Doctors and clinicians (800)

800 doctors and other clinicians list Memorial Hospital of South Bend 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 (800)

And 776 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean65%National average: 74%
Area around the room “always” quiet at night48%National average: 60%
Completed surveys535Response rate: 24%

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)0.175Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.368No different from the national benchmark
Surgical site infections after colon surgery1.487No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.838No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.132Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.9%
Deaths within 30 days: heart failure patients15.8%
Deaths within 30 days: pneumonia patients16.7%
Deaths within 30 days: COPD patients13%
Deaths within 30 days: stroke patients12.1%
Deaths within 30 days: coronary bypass surgery (CABG)1.8%
Serious complications (patient safety indicator PSI-90)1.89Worse than the national rate
Complications after hip or knee replacementToo 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 attack14.2%
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia18.2%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: coronary bypass surgery11.2%
Readmitted within 30 days: hip or knee replacementToo 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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)205 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)48%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in IndianaBest hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Memorial Hospital of South Bend 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P Visit - Brief (New) $127 $82.55 $25.40 – $127
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $93.47
  • Aetna — Medicare Advantage: $57.15
  • Anthem — Commercial (excludes Granger): $25.54
  • Anthem — HealthSync: $25.54
  • CHA — Employer Group 4: $76.20
  • CHA — Employer Group 5: $95.25
  • CHA — Employer Group 6: $101.60
  • Cigna — OAP: $88.90
  • Cigna — PPO: $104.14
  • Cigna BH — Commercial: $101.60
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Wound Clinic Level 3-New $306 $198.90 $61.20 – $306
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $225.22
  • Aetna — Medicare Advantage: $137.70
  • Anthem — Commercial (excludes Granger): $61.54
  • Anthem — HealthSync: $61.54
  • CHA — Employer Group 4: $183.60
  • CHA — Employer Group 5: $229.50
  • CHA — Employer Group 6: $244.80
  • Cigna — OAP: $214.20
  • Cigna — PPO: $250.92
  • Cigna BH — Commercial: $244.80
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M New Pt Level 3 (FAC) $106 $68.90 $21.20 – $106
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $78.02
  • Aetna — Medicare Advantage: $47.70
  • Anthem — Commercial (excludes Granger): $21.32
  • Anthem — HealthSync: $21.32
  • CHA — Employer Group 4: $63.60
  • CHA — Employer Group 5: $79.50
  • CHA — Employer Group 6: $84.80
  • Cigna — OAP: $74.20
  • Cigna — PPO: $86.92
  • Cigna BH — Commercial: $84.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 - NEW $463 $300.95 $92.60 – $463
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $340.77
  • Aetna — Medicare Advantage: $208.35
  • Anthem — Commercial (excludes Granger): $93.11
  • Anthem — HealthSync: $93.11
  • CHA — Employer Group 4: $277.80
  • CHA — Employer Group 5: $347.25
  • CHA — Employer Group 6: $370.40
  • Cigna — OAP: $324.10
  • Cigna — PPO: $379.66
  • Cigna BH — Commercial: $370.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M New Pt Level 4 (FAC) $177 $115.05 $35.40 – $177
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $130.27
  • Aetna — Medicare Advantage: $79.65
  • Anthem — Commercial (excludes Granger): $35.59
  • Anthem — HealthSync: $35.59
  • CHA — Employer Group 4: $106.20
  • CHA — Employer Group 5: $132.75
  • CHA — Employer Group 6: $141.60
  • Cigna — OAP: $123.90
  • Cigna — PPO: $145.14
  • Cigna BH — Commercial: $141.60
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 - NEW $463 $300.95 $92.60 – $379.66
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $340.77
  • CHA — Employer Group 5: $347.25
  • CHA — Employer Group 6: $370.40
  • Cigna — OAP: $324.10
  • Cigna — PPO: $379.66
  • Cigna BH — Commercial: $370.40
  • Devoted Healthcare — Medicare Advantage: $92.60
  • Humana — Commercial: $337.99
  • Immergrun — Commercial: $370.40
  • Multiplan — Commercial: $300.95
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 5 - NEW $596 $387.40 $119.20 – $596
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $438.66
  • Aetna — Medicare Advantage: $268.20
  • Anthem — Commercial (excludes Granger): $119.86
  • Anthem — HealthSync: $119.86
  • CHA — Employer Group 4: $357.60
  • CHA — Employer Group 5: $447
  • CHA — Employer Group 6: $476.80
  • Cigna — OAP: $417.20
  • Cigna — PPO: $488.72
  • Cigna BH — Commercial: $476.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M New Pt Level 5 (FAC) $330 $214.50 $66 – $330
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $242.88
  • Aetna — Medicare Advantage: $148.50
  • Anthem — Commercial (excludes Granger): $66.36
  • Anthem — HealthSync: $66.36
  • CHA — Employer Group 4: $198
  • CHA — Employer Group 5: $247.50
  • CHA — Employer Group 6: $264
  • Cigna — OAP: $231
  • Cigna — PPO: $270.60
  • Cigna BH — Commercial: $264
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 5 - NEW $596 $387.40 $119.20 – $488.72
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $438.66
  • CHA — Employer Group 5: $447
  • CHA — Employer Group 6: $476.80
  • Cigna — OAP: $417.20
  • Cigna — PPO: $488.72
  • Cigna BH — Commercial: $476.80
  • Devoted Healthcare — Medicare Advantage: $119.20
  • Humana — Commercial: $435.08
  • Immergrun — Commercial: $476.80
  • Multiplan — Commercial: $387.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P Visit - Brief (Estab) $127 $82.55 $25.40 – $127
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $93.47
  • Aetna — Medicare Advantage: $57.15
  • Anthem — Commercial (excludes Granger): $25.54
  • Anthem — HealthSync: $25.54
  • CHA — Employer Group 4: $76.20
  • CHA — Employer Group 5: $95.25
  • CHA — Employer Group 6: $101.60
  • Cigna — OAP: $88.90
  • Cigna — PPO: $104.14
  • Cigna BH — Commercial: $101.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 3 $231 $150.15 $46.20 – $231
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $170.02
  • Aetna — Medicare Advantage: $103.95
  • Anthem — Commercial (excludes Granger): $46.45
  • Anthem — HealthSync: $46.45
  • CHA — Employer Group 4: $138.60
  • CHA — Employer Group 5: $173.25
  • CHA — Employer Group 6: $184.80
  • Cigna — OAP: $161.70
  • Cigna — PPO: $189.42
  • Cigna BH — Commercial: $184.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT 99213 LYMPHEDEMA FOLLW-UP TREATMENT-3 $129 $83.85 $25.80 – $129
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $94.94
  • Aetna — Medicare Advantage: $58.05
  • Anthem — Commercial (excludes Granger): $25.94
  • Anthem — HealthSync: $25.94
  • CHA — Employer Group 4: $77.40
  • CHA — Employer Group 5: $96.75
  • CHA — Employer Group 6: $103.20
  • Cigna — OAP: $90.30
  • Cigna — PPO: $105.78
  • Cigna BH — Commercial: $103.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Peds Oncology Short Stay II $431 $280.15 $86.20 – $431
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $317.22
  • Aetna — Medicare Advantage: $193.95
  • Anthem — Commercial (excludes Granger): $86.67
  • Anthem — HealthSync: $86.67
  • CHA — Employer Group 4: $258.60
  • CHA — Employer Group 5: $323.25
  • CHA — Employer Group 6: $344.80
  • Cigna — OAP: $301.70
  • Cigna — PPO: $353.42
  • Cigna BH — Commercial: $344.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 $300 $195 $60 – $300
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $220.80
  • Aetna — Medicare Advantage: $135
  • Anthem — Commercial (excludes Granger): $60.33
  • Anthem — HealthSync: $60.33
  • CHA — Employer Group 4: $180
  • CHA — Employer Group 5: $225
  • CHA — Employer Group 6: $240
  • Cigna — OAP: $210
  • Cigna — PPO: $246
  • Cigna BH — Commercial: $240
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT 99214 LYMPHEDEMA TREATMENT (60) $482 $313.30 $96.40 – $482
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $354.75
  • Aetna — Medicare Advantage: $216.90
  • Anthem — Commercial (excludes Granger): $96.93
  • Anthem — HealthSync: $96.93
  • CHA — Employer Group 4: $289.20
  • CHA — Employer Group 5: $361.50
  • CHA — Employer Group 6: $385.60
  • Cigna — OAP: $337.40
  • Cigna — PPO: $395.24
  • Cigna BH — Commercial: $385.60
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 $218.61
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Anthem — Commercial (Granger): $218.61
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 $327.29
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Anthem — Commercial (Granger): $327.29
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 $37.02 – $253.22
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans
  • Anthem — Commercial (Granger): $253.22
  • McLaren — MI Medicaid: $37.02
  • UHC — MI Medicaid: $37.02
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 $37.02 – $310.92
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans
  • Anthem — Commercial (Granger): $310.92
  • McLaren — MI Medicaid: $37.02
  • UHC — MI Medicaid: $37.02
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 3 (Intermediate) (6-8) $826 $536.90 $165.20 – $826
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • Aetna — Commercial: $607.94
  • Aetna — Medicare Advantage: $371.70
  • Anthem — Commercial (excludes Granger): $166.11
  • Anthem — HealthSync: $166.11
  • CHA — Employer Group 4: $495.60
  • CHA — Employer Group 5: $619.50
  • CHA — Employer Group 6: $660.80
  • Cigna — OAP: $578.20
  • Cigna — PPO: $677.32
  • Cigna BH — Commercial: $660.80
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 3 (Intermediate) (6-8) $826 $536.90 $165.20 – $677.32
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Aetna — Commercial: $607.94
  • CHA — Employer Group 5: $619.50
  • CHA — Employer Group 6: $660.80
  • Cigna — OAP: $578.20
  • Cigna — PPO: $677.32
  • Cigna BH — Commercial: $660.80
  • Devoted Healthcare — Medicare Advantage: $165.20
  • Humana — Commercial: $602.98
  • Immergrun — Commercial: $660.80
  • Multiplan — Commercial: $536.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $155.47 – $900.45
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $290.06
  • Anthem — Commercial (excludes Granger): $900.45
  • Anthem — Commercial (Granger): $198.42
  • Anthem — Exchange: $290.06
  • Anthem — HealthSync: $765.38
  • Anthem — Medicare Advantage: $290.06
  • Anthem — Workers Compensation: $551.12
  • Caresource — Exchange: $464.10
  • Devoted Healthcare — Medicare Advantage: $304.56
  • Humana — Medicare Advantage: $290.06
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 4 (Extended) (9-13) $1,291 $839.15 $258.20 – $1,291
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • Aetna — Commercial: $950.18
  • Aetna — Medicare Advantage: $580.95
  • Anthem — Commercial (excludes Granger): $259.62
  • Anthem — HealthSync: $259.62
  • CHA — Employer Group 4: $774.60
  • CHA — Employer Group 5: $968.25
  • CHA — Employer Group 6: $1,032.80
  • Cigna — OAP: $903.70
  • Cigna — PPO: $1,058.62
  • Cigna BH — Commercial: $1,032.80
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 4 (Extended) (9-13) $1,291 $839.15 $258.20 – $1,058.62
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna — Commercial: $950.18
  • CHA — Employer Group 5: $968.25
  • CHA — Employer Group 6: $1,032.80
  • Cigna — OAP: $903.70
  • Cigna — PPO: $1,058.62
  • Cigna BH — Commercial: $1,032.80
  • Devoted Healthcare — Medicare Advantage: $258.20
  • Humana — Commercial: $942.43
  • Immergrun — Commercial: $1,032.80
  • Multiplan — Commercial: $839.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $239.10 – $1,384.77
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $446.08
  • Anthem — Commercial (excludes Granger): $1,384.77
  • Anthem — Commercial (Granger): $336.26
  • Anthem — Exchange: $446.08
  • Anthem — HealthSync: $1,177.05
  • Anthem — Medicare Advantage: $446.08
  • Anthem — Workers Compensation: $847.55
  • Caresource — Exchange: $713.72
  • Devoted Healthcare — Medicare Advantage: $468.38
  • Humana — Medicare Advantage: $446.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 5 (Comprehensive) (>/=14) $1,925 $1,251.25 $385 – $1,925
Emergency room visit (high): 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,416.80
  • Aetna — Medicare Advantage: $866.25
  • Anthem — Commercial (excludes Granger): $387.12
  • Anthem — HealthSync: $387.12
  • CHA — Employer Group 4: $1,155
  • CHA — Employer Group 5: $1,443.75
  • CHA — Employer Group 6: $1,540
  • Cigna — OAP: $1,347.50
  • Cigna — PPO: $1,578.50
  • Cigna BH — Commercial: $1,540
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 5 (Comprehensive) (>/=14) $1,925 $1,251.25 $385 – $1,578.50
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,416.80
  • CHA — Employer Group 5: $1,443.75
  • CHA — Employer Group 6: $1,540
  • Cigna — OAP: $1,347.50
  • Cigna — PPO: $1,578.50
  • Cigna BH — Commercial: $1,540
  • Devoted Healthcare — Medicare Advantage: $385
  • Humana — Commercial: $1,405.25
  • Immergrun — Commercial: $1,540
  • Multiplan — Commercial: $1,251.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $344.26 – $1,993.82
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $642.27
  • Anthem — Commercial (excludes Granger): $1,993.82
  • Anthem — Commercial (Granger): $487.92
  • Anthem — Exchange: $642.27
  • Anthem — HealthSync: $1,694.74
  • Anthem — Medicare Advantage: $642.27
  • Anthem — Workers Compensation: $1,220.31
  • Caresource — Exchange: $1,027.63
  • Devoted Healthcare — Medicare Advantage: $674.38
  • Humana — Medicare Advantage: $642.27

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BMP Basic Metabolic Panel $122 $79.30 $24.40 – $122
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • Aetna — Commercial: $89.79
  • Aetna — Medicare Advantage: $54.90
  • Anthem — Commercial (excludes Granger): $24.53
  • Anthem — HealthSync: $24.53
  • CHA — Employer Group 4: $73.20
  • CHA — Employer Group 5: $91.50
  • CHA — Employer Group 6: $97.60
  • Cigna — OAP: $85.40
  • Cigna — PPO: $100.04
  • Cigna BH — Commercial: $97.60
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMP Basic Metabolic Panel $122 $79.30 $24.40 – $100.04
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — Commercial: $89.79
  • CHA — Employer Group 5: $91.50
  • CHA — Employer Group 6: $97.60
  • Cigna — OAP: $85.40
  • Cigna — PPO: $100.04
  • Cigna BH — Commercial: $97.60
  • Devoted Healthcare — Medicare Advantage: $24.40
  • Humana — Commercial: $89.06
  • Immergrun — Commercial: $97.60
  • Multiplan — Commercial: $79.30
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $4.53 – $16.07
Basic metabolic panel (blood test): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Anthem — Commercial (excludes Granger): $8.46
  • Anthem — Commercial (Granger): $6.70
  • Anthem — Exchange: $8.46
  • Anthem — HealthSync: $7.19
  • Anthem — IN Medicaid HCC: $8.46
  • Anthem — IN Medicaid HHW: $8.46
  • Anthem — IN Medicaid HIP: $8.46
  • Anthem — Medicare Advantage: $8.46
  • Anthem — Pathways for Aging: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic PanelComprehensive $104 $67.60 $20.80 – $104
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Aetna — Commercial: $76.54
  • Aetna — Medicare Advantage: $46.80
  • Anthem — Commercial (excludes Granger): $20.91
  • Anthem — HealthSync: $20.91
  • CHA — Employer Group 4: $62.40
  • CHA — Employer Group 5: $78
  • CHA — Employer Group 6: $83.20
  • Cigna — OAP: $72.80
  • Cigna — PPO: $85.28
  • Cigna BH — Commercial: $83.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Metabolic PanelComprehensive $104 $67.60 $20.80 – $85.28
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — Commercial: $76.54
  • CHA — Employer Group 5: $78
  • CHA — Employer Group 6: $83.20
  • Cigna — OAP: $72.80
  • Cigna — PPO: $85.28
  • Cigna BH — Commercial: $83.20
  • Devoted Healthcare — Medicare Advantage: $20.80
  • Humana — Commercial: $75.92
  • Immergrun — Commercial: $83.20
  • Multiplan — Commercial: $67.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $5.66 – $20.06
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Anthem — Commercial (excludes Granger): $10.56
  • Anthem — Commercial (Granger): $9.65
  • Anthem — Exchange: $10.56
  • Anthem — HealthSync: $8.98
  • Anthem — IN Medicaid HCC: $10.56
  • Anthem — IN Medicaid HHW: $10.56
  • Anthem — IN Medicaid HIP: $10.56
  • Anthem — Medicare Advantage: $10.56
  • Anthem — Pathways for Aging: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $25.63 – $90.84
Obstetric blood test panel: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Anthem — Commercial (excludes Granger): $47.81
  • Anthem — Commercial (Granger): $45.57
  • Anthem — Exchange: $47.81
  • Anthem — HealthSync: $40.64
  • Anthem — IN Medicaid HCC: $47.81
  • Anthem — IN Medicaid HHW: $47.81
  • Anthem — IN Medicaid HIP: $47.81
  • Anthem — Medicare Advantage: $47.81
  • Anthem — Pathways for Aging: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $296 $192.40 $59.20 – $296
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Aetna — Commercial: $217.86
  • Aetna — Medicare Advantage: $133.20
  • Anthem — Commercial (excludes Granger): $59.53
  • Anthem — HealthSync: $59.53
  • CHA — Employer Group 4: $177.60
  • CHA — Employer Group 5: $222
  • CHA — Employer Group 6: $236.80
  • Cigna — OAP: $207.20
  • Cigna — PPO: $242.72
  • Cigna BH — Commercial: $236.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 80061 LIPID PANEL $296 $192.40 $59.20 – $296
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Aetna — Commercial: $217.86
  • Aetna — Medicare Advantage: $133.20
  • Anthem — Commercial (excludes Granger): $59.53
  • Anthem — HealthSync: $59.53
  • CHA — Employer Group 4: $177.60
  • CHA — Employer Group 5: $222
  • CHA — Employer Group 6: $236.80
  • Cigna — OAP: $207.20
  • Cigna — PPO: $242.72
  • Cigna BH — Commercial: $236.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel $296 $192.40 $59.20 – $242.72
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • Aetna — Commercial: $217.86
  • CHA — Employer Group 5: $222
  • CHA — Employer Group 6: $236.80
  • Cigna — OAP: $207.20
  • Cigna — PPO: $242.72
  • Cigna BH — Commercial: $236.80
  • Devoted Healthcare — Medicare Advantage: $59.20
  • Humana — Commercial: $216.08
  • Immergrun — Commercial: $236.80
  • Multiplan — Commercial: $192.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal $198 $128.70 $39.60 – $198
Kidney function panel: 10 of 18 insurance plan rates
  • Aetna — Commercial: $145.73
  • Aetna — Medicare Advantage: $89.10
  • Anthem — Commercial (excludes Granger): $39.82
  • Anthem — HealthSync: $39.82
  • CHA — Employer Group 4: $118.80
  • CHA — Employer Group 5: $148.50
  • CHA — Employer Group 6: $158.40
  • Cigna — OAP: $138.60
  • Cigna — PPO: $162.36
  • Cigna BH — Commercial: $158.40
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal $198 $128.70 $39.60 – $162.36
Kidney function panel: 10 of 12 insurance plan rates
  • Aetna — Commercial: $145.73
  • CHA — Employer Group 5: $148.50
  • CHA — Employer Group 6: $158.40
  • Cigna — OAP: $138.60
  • Cigna — PPO: $162.36
  • Cigna BH — Commercial: $158.40
  • Devoted Healthcare — Medicare Advantage: $39.60
  • Humana — Commercial: $144.54
  • Immergrun — Commercial: $158.40
  • Multiplan — Commercial: $128.70
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $4.65 – $16.49
Kidney function panel: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $8.68
  • Anthem — Commercial (excludes Granger): $8.68
  • Anthem — Commercial (Granger): $7.93
  • Anthem — Exchange: $8.68
  • Anthem — HealthSync: $7.38
  • Anthem — IN Medicaid HCC: $8.68
  • Anthem — IN Medicaid HHW: $8.68
  • Anthem — IN Medicaid HIP: $8.68
  • Anthem — Medicare Advantage: $8.68
  • Anthem — Pathways for Aging: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $133 $86.45 $26.60 – $133
Liver function panel: 10 of 18 insurance plan rates
  • Aetna — Commercial: $97.89
  • Aetna — Medicare Advantage: $59.85
  • Anthem — Commercial (excludes Granger): $26.75
  • Anthem — HealthSync: $26.75
  • CHA — Employer Group 4: $79.80
  • CHA — Employer Group 5: $99.75
  • CHA — Employer Group 6: $106.40
  • Cigna — OAP: $93.10
  • Cigna — PPO: $109.06
  • Cigna BH — Commercial: $106.40
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $133 $86.45 $26.60 – $109.06
Liver function panel: 10 of 12 insurance plan rates
  • Aetna — Commercial: $97.89
  • CHA — Employer Group 5: $99.75
  • CHA — Employer Group 6: $106.40
  • Cigna — OAP: $93.10
  • Cigna — PPO: $109.06
  • Cigna BH — Commercial: $106.40
  • Devoted Healthcare — Medicare Advantage: $26.60
  • Humana — Commercial: $97.09
  • Immergrun — Commercial: $106.40
  • Multiplan — Commercial: $86.45
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $4.38 – $15.52
Liver function panel: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Anthem — Commercial (excludes Granger): $8.17
  • Anthem — Commercial (Granger): $5.77
  • Anthem — Exchange: $8.17
  • Anthem — HealthSync: $6.94
  • Anthem — IN Medicaid HCC: $8.17
  • Anthem — IN Medicaid HHW: $8.17
  • Anthem — IN Medicaid HIP: $8.17
  • Anthem — Medicare Advantage: $8.17
  • Anthem — Pathways for Aging: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Urinalysis Complete $52 $33.80 $10.40 – $52
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Aetna — Commercial: $38.27
  • Aetna — Medicare Advantage: $23.40
  • Anthem — Commercial (excludes Granger): $10.46
  • Anthem — HealthSync: $10.46
  • CHA — Employer Group 4: $31.20
  • CHA — Employer Group 5: $39
  • CHA — Employer Group 6: $41.60
  • Cigna — OAP: $36.40
  • Cigna — PPO: $42.64
  • Cigna BH — Commercial: $41.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Scrn w/Micro + Cult if Ind $52 $33.80 $10.40 – $52
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Aetna — Commercial: $38.27
  • Aetna — Medicare Advantage: $23.40
  • Anthem — Commercial (excludes Granger): $10.46
  • Anthem — HealthSync: $10.46
  • CHA — Employer Group 4: $31.20
  • CHA — Employer Group 5: $39
  • CHA — Employer Group 6: $41.60
  • Cigna — OAP: $36.40
  • Cigna — PPO: $42.64
  • Cigna BH — Commercial: $41.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA Urinalysis Complete $52 $33.80 $10.40 – $42.64
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial: $38.27
  • CHA — Employer Group 5: $39
  • CHA — Employer Group 6: $41.60
  • Cigna — OAP: $36.40
  • Cigna — PPO: $42.64
  • Cigna BH — Commercial: $41.60
  • Devoted Healthcare — Medicare Advantage: $10.40
  • Humana — Commercial: $37.96
  • Immergrun — Commercial: $41.60
  • Multiplan — Commercial: $33.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $1.87 – $6.61
Urine test (manual, without microscope): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $3.48
  • Anthem — Commercial (excludes Granger): $3.48
  • Anthem — Commercial (Granger): $4.03
  • Anthem — Exchange: $3.48
  • Anthem — HealthSync: $2.96
  • Anthem — IN Medicaid HCC: $3.48
  • Anthem — IN Medicaid HHW: $3.48
  • Anthem — IN Medicaid HIP: $3.48
  • Anthem — Medicare Advantage: $3.48
  • Anthem — Pathways for Aging: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Urinalysis Macroscopic Only $47 $30.55 $9.40 – $47
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Aetna — Commercial: $34.59
  • Aetna — Medicare Advantage: $21.15
  • Anthem — Commercial (excludes Granger): $9.45
  • Anthem — HealthSync: $9.45
  • CHA — Employer Group 4: $28.20
  • CHA — Employer Group 5: $35.25
  • CHA — Employer Group 6: $37.60
  • Cigna — OAP: $32.90
  • Cigna — PPO: $38.54
  • Cigna BH — Commercial: $37.60
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA Urinalysis Macroscopic Only $47 $30.55 $9.40 – $38.54
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial: $34.59
  • CHA — Employer Group 5: $35.25
  • CHA — Employer Group 6: $37.60
  • Cigna — OAP: $32.90
  • Cigna — PPO: $38.54
  • Cigna BH — Commercial: $37.60
  • Devoted Healthcare — Medicare Advantage: $9.40
  • Humana — Commercial: $34.31
  • Immergrun — Commercial: $37.60
  • Multiplan — Commercial: $30.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.21 – $4.28
Urine test (automated, without microscope): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Anthem — Commercial (excludes Granger): $2.25
  • Anthem — Commercial (Granger): $3.20
  • Anthem — Exchange: $2.25
  • Anthem — HealthSync: $1.91
  • Anthem — IN Medicaid HCC: $2.25
  • Anthem — IN Medicaid HHW: $2.25
  • Anthem — IN Medicaid HIP: $2.25
  • Anthem — Medicare Advantage: $2.25
  • Anthem — Pathways for Aging: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate-specific Antigen (PSA), Free:Total Ratio Reflex $355 $230.75 $71 – $355
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $261.28
  • Aetna — Medicare Advantage: $159.75
  • Anthem — Commercial (excludes Granger): $71.39
  • Anthem — HealthSync: $71.39
  • CHA — Employer Group 4: $213
  • CHA — Employer Group 5: $266.25
  • CHA — Employer Group 6: $284
  • Cigna — OAP: $248.50
  • Cigna — PPO: $291.10
  • Cigna BH — Commercial: $284
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Diagnostic $355 $230.75 $71 – $355
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $261.28
  • Aetna — Medicare Advantage: $159.75
  • Anthem — Commercial (excludes Granger): $71.39
  • Anthem — HealthSync: $71.39
  • CHA — Employer Group 4: $213
  • CHA — Employer Group 5: $266.25
  • CHA — Employer Group 6: $284
  • Cigna — OAP: $248.50
  • Cigna — PPO: $291.10
  • Cigna BH — Commercial: $284
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Screening $355 $230.75 $71 – $355
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $261.28
  • Aetna — Medicare Advantage: $159.75
  • Anthem — Commercial (excludes Granger): $71.39
  • Anthem — HealthSync: $71.39
  • CHA — Employer Group 4: $213
  • CHA — Employer Group 5: $266.25
  • CHA — Employer Group 6: $284
  • Cigna — OAP: $248.50
  • Cigna — PPO: $291.10
  • Cigna BH — Commercial: $284
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone Sensitive $355 $230.75 $71 – $355
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $261.28
  • Aetna — Medicare Advantage: $159.75
  • Anthem — Commercial (excludes Granger): $71.39
  • Anthem — HealthSync: $71.39
  • CHA — Employer Group 4: $213
  • CHA — Employer Group 5: $266.25
  • CHA — Employer Group 6: $284
  • Cigna — OAP: $248.50
  • Cigna — PPO: $291.10
  • Cigna BH — Commercial: $284
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4 $355 $230.75 $71 – $355
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Aetna — Commercial: $261.28
  • Aetna — Medicare Advantage: $159.75
  • Anthem — Commercial (excludes Granger): $71.39
  • Anthem — HealthSync: $71.39
  • CHA — Employer Group 4: $213
  • CHA — Employer Group 5: $266.25
  • CHA — Employer Group 6: $284
  • Cigna — OAP: $248.50
  • Cigna — PPO: $291.10
  • Cigna BH — Commercial: $284
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone Sensitive $355 $230.75 $71 – $291.10
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • Aetna — Commercial: $261.28
  • CHA — Employer Group 5: $266.25
  • CHA — Employer Group 6: $284
  • Cigna — OAP: $248.50
  • Cigna — PPO: $291.10
  • Cigna BH — Commercial: $284
  • Devoted Healthcare — Medicare Advantage: $71
  • Humana — Commercial: $259.15
  • Immergrun — Commercial: $284
  • Multiplan — Commercial: $230.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC wDiff $99 $64.35 $19.80 – $99
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • Aetna — Commercial: $72.86
  • Aetna — Medicare Advantage: $44.55
  • Anthem — Commercial (excludes Granger): $19.91
  • Anthem — HealthSync: $19.91
  • CHA — Employer Group 4: $59.40
  • CHA — Employer Group 5: $74.25
  • CHA — Employer Group 6: $79.20
  • Cigna — OAP: $69.30
  • Cigna — PPO: $81.18
  • Cigna BH — Commercial: $79.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC wDiff $99 $64.35 $19.80 – $81.18
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • Aetna — Commercial: $72.86
  • CHA — Employer Group 5: $74.25
  • CHA — Employer Group 6: $79.20
  • Cigna — OAP: $69.30
  • Cigna — PPO: $81.18
  • Cigna BH — Commercial: $79.20
  • Devoted Healthcare — Medicare Advantage: $19.80
  • Humana — Commercial: $72.27
  • Immergrun — Commercial: $79.20
  • Multiplan — Commercial: $64.35
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $4.16 – $14.76
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Anthem — Commercial (excludes Granger): $7.77
  • Anthem — Commercial (Granger): $7.10
  • Anthem — Exchange: $7.77
  • Anthem — HealthSync: $6.60
  • Anthem — IN Medicaid HCC: $7.77
  • Anthem — IN Medicaid HHW: $7.77
  • Anthem — IN Medicaid HIP: $7.77
  • Anthem — Medicare Advantage: $7.77
  • Anthem — Pathways for Aging: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC $141 $91.65 $28.20 – $141
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • Aetna — Commercial: $103.78
  • Aetna — Medicare Advantage: $63.45
  • Anthem — Commercial (excludes Granger): $28.36
  • Anthem — HealthSync: $28.36
  • CHA — Employer Group 4: $84.60
  • CHA — Employer Group 5: $105.75
  • CHA — Employer Group 6: $112.80
  • Cigna — OAP: $98.70
  • Cigna — PPO: $115.62
  • Cigna BH — Commercial: $112.80
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC $141 $91.65 $28.20 – $115.62
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Aetna — Commercial: $103.78
  • CHA — Employer Group 5: $105.75
  • CHA — Employer Group 6: $112.80
  • Cigna — OAP: $98.70
  • Cigna — PPO: $115.62
  • Cigna BH — Commercial: $112.80
  • Devoted Healthcare — Medicare Advantage: $28.20
  • Humana — Commercial: $102.93
  • Immergrun — Commercial: $112.80
  • Multiplan — Commercial: $91.65
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $3.47 – $12.29
Complete blood count (CBC), automated: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Anthem — Commercial (excludes Granger): $6.47
  • Anthem — Commercial (Granger): $5.91
  • Anthem — Exchange: $6.47
  • Anthem — HealthSync: $5.50
  • Anthem — IN Medicaid HCC: $6.47
  • Anthem — IN Medicaid HHW: $6.47
  • Anthem — IN Medicaid HIP: $6.47
  • Anthem — Medicare Advantage: $6.47
  • Anthem — Pathways for Aging: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 Prothrombin Time POC PT $77 $50.05 $15.40 – $77
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $56.67
  • Aetna — Medicare Advantage: $34.65
  • Anthem — Commercial (excludes Granger): $15.48
  • Anthem — HealthSync: $15.48
  • CHA — Employer Group 4: $46.20
  • CHA — Employer Group 5: $57.75
  • CHA — Employer Group 6: $61.60
  • Cigna — OAP: $53.90
  • Cigna — PPO: $63.14
  • Cigna BH — Commercial: $61.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT $77 $50.05 $15.40 – $77
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $56.67
  • Aetna — Medicare Advantage: $34.65
  • Anthem — Commercial (excludes Granger): $15.48
  • Anthem — HealthSync: $15.48
  • CHA — Employer Group 4: $46.20
  • CHA — Employer Group 5: $57.75
  • CHA — Employer Group 6: $61.60
  • Cigna — OAP: $53.90
  • Cigna — PPO: $63.14
  • Cigna BH — Commercial: $61.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 PROTHROMBIN TIME $77 $50.05 $15.40 – $77
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $56.67
  • Aetna — Medicare Advantage: $34.65
  • Anthem — Commercial (excludes Granger): $15.48
  • Anthem — HealthSync: $15.48
  • CHA — Employer Group 4: $46.20
  • CHA — Employer Group 5: $57.75
  • CHA — Employer Group 6: $61.60
  • Cigna — OAP: $53.90
  • Cigna — PPO: $63.14
  • Cigna BH — Commercial: $61.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 THROMBOPLASTIN TIME PARTIAL $114 $74.10 $22.80 – $114
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $83.90
  • Aetna — Medicare Advantage: $51.30
  • Anthem — Commercial (excludes Granger): $22.93
  • Anthem — HealthSync: $22.93
  • CHA — Employer Group 4: $68.40
  • CHA — Employer Group 5: $85.50
  • CHA — Employer Group 6: $91.20
  • Cigna — OAP: $79.80
  • Cigna — PPO: $93.48
  • Cigna BH — Commercial: $91.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $114 $74.10 $22.80 – $114
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $83.90
  • Aetna — Medicare Advantage: $51.30
  • Anthem — Commercial (excludes Granger): $22.93
  • Anthem — HealthSync: $22.93
  • CHA — Employer Group 4: $68.40
  • CHA — Employer Group 5: $85.50
  • CHA — Employer Group 6: $91.20
  • Cigna — OAP: $79.80
  • Cigna — PPO: $93.48
  • Cigna BH — Commercial: $91.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT with Mixing Studies if Indicated $114 $74.10 $22.80 – $114
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Aetna — Commercial: $83.90
  • Aetna — Medicare Advantage: $51.30
  • Anthem — Commercial (excludes Granger): $22.93
  • Anthem — HealthSync: $22.93
  • CHA — Employer Group 4: $68.40
  • CHA — Employer Group 5: $85.50
  • CHA — Employer Group 6: $91.20
  • Cigna — OAP: $79.80
  • Cigna — PPO: $93.48
  • Cigna BH — Commercial: $91.20

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR 70450 CT Head $1,373 $892.45 $274.60 – $1,373
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,010.53
  • Aetna — Medicare Advantage: $617.85
  • Anthem — Commercial (excludes Granger): $276.11
  • Anthem — HealthSync: $276.11
  • CHA — Employer Group 4: $823.80
  • CHA — Employer Group 5: $1,029.75
  • CHA — Employer Group 6: $1,098.40
  • Cigna — OAP: $961.10
  • Cigna — PPO: $1,125.86
  • Cigna BH — Commercial: $1,098.40
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 $1,373 $892.45 $274.60 – $1,373
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,010.53
  • Aetna — Medicare Advantage: $617.85
  • Anthem — Commercial (excludes Granger): $276.11
  • Anthem — HealthSync: $276.11
  • CHA — Employer Group 4: $823.80
  • CHA — Employer Group 5: $1,029.75
  • CHA — Employer Group 6: $1,098.40
  • Cigna — OAP: $961.10
  • Cigna — PPO: $1,125.86
  • Cigna BH — Commercial: $1,098.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ROM Brain W-O Contrast $1,373 $892.45 $274.60 – $1,373
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,010.53
  • Aetna — Medicare Advantage: $617.85
  • Anthem — Commercial (excludes Granger): $276.11
  • Anthem — HealthSync: $276.11
  • CHA — Employer Group 4: $823.80
  • CHA — Employer Group 5: $1,029.75
  • CHA — Employer Group 6: $1,098.40
  • Cigna — OAP: $961.10
  • Cigna — PPO: $1,125.86
  • Cigna BH — Commercial: $1,098.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain W W-O Contrast $2,541 $1,651.65 $508.20 – $2,541
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,870.18
  • Aetna — Medicare Advantage: $1,143.45
  • Anthem — Commercial (excludes Granger): $511
  • Anthem — HealthSync: $511
  • CHA — Employer Group 4: $1,524.60
  • CHA — Employer Group 5: $1,905.75
  • CHA — Employer Group 6: $2,032.80
  • Cigna — OAP: $1,778.70
  • Cigna — PPO: $2,083.62
  • Cigna BH — Commercial: $2,032.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain Perfusion W W/O Contrast $2,541 $1,651.65 $508.20 – $2,541
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,870.18
  • Aetna — Medicare Advantage: $1,143.45
  • Anthem — Commercial (excludes Granger): $511
  • Anthem — HealthSync: $511
  • CHA — Employer Group 4: $1,524.60
  • CHA — Employer Group 5: $1,905.75
  • CHA — Employer Group 6: $2,032.80
  • Cigna — OAP: $1,778.70
  • Cigna — PPO: $2,083.62
  • Cigna BH — Commercial: $2,032.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Brain W W-O Contrast $2,541 $1,651.65 $508.20 – $2,083.62
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,870.18
  • CHA — Employer Group 5: $1,905.75
  • CHA — Employer Group 6: $2,032.80
  • Cigna — OAP: $1,778.70
  • Cigna — PPO: $2,083.62
  • Cigna BH — Commercial: $2,032.80
  • Devoted Healthcare — Medicare Advantage: $508.20
  • Humana — Commercial: $1,854.93
  • Immergrun — Commercial: $2,032.80
  • Multiplan — Commercial: $1,651.65
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX Chest PA Lateral $302 $196.30 $60.40 – $302
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $222.27
  • Aetna — Medicare Advantage: $135.90
  • Anthem — Commercial (excludes Granger): $60.73
  • Anthem — HealthSync: $60.73
  • CHA — Employer Group 4: $181.20
  • CHA — Employer Group 5: $226.50
  • CHA — Employer Group 6: $241.60
  • Cigna — OAP: $211.40
  • Cigna — PPO: $247.64
  • Cigna BH — Commercial: $241.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX CHEST BILAT LATERAL DECUBITUS $302 $196.30 $60.40 – $302
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $222.27
  • Aetna — Medicare Advantage: $135.90
  • Anthem — Commercial (excludes Granger): $60.73
  • Anthem — HealthSync: $60.73
  • CHA — Employer Group 4: $181.20
  • CHA — Employer Group 5: $226.50
  • CHA — Employer Group 6: $241.60
  • Cigna — OAP: $211.40
  • Cigna — PPO: $247.64
  • Cigna BH — Commercial: $241.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX CHEST INSPIRATION & EXPIRATION ONLY $302 $196.30 $60.40 – $302
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $222.27
  • Aetna — Medicare Advantage: $135.90
  • Anthem — Commercial (excludes Granger): $60.73
  • Anthem — HealthSync: $60.73
  • CHA — Employer Group 4: $181.20
  • CHA — Employer Group 5: $226.50
  • CHA — Employer Group 6: $241.60
  • Cigna — OAP: $211.40
  • Cigna — PPO: $247.64
  • Cigna BH — Commercial: $241.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX EOS Lumbar Spine AP/Lat/Flx/Ext 72110 $519 $337.35 $103.80 – $519
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $381.98
  • Aetna — Medicare Advantage: $233.55
  • Anthem — Commercial (excludes Granger): $104.37
  • Anthem — HealthSync: $104.37
  • CHA — Employer Group 4: $311.40
  • CHA — Employer Group 5: $389.25
  • CHA — Employer Group 6: $415.20
  • Cigna — OAP: $363.30
  • Cigna — PPO: $425.58
  • Cigna BH — Commercial: $415.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX Spine Lumbar 4 Views $519 $337.35 $103.80 – $519
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • Aetna — Commercial: $381.98
  • Aetna — Medicare Advantage: $233.55
  • Anthem — Commercial (excludes Granger): $104.37
  • Anthem — HealthSync: $104.37
  • CHA — Employer Group 4: $311.40
  • CHA — Employer Group 5: $389.25
  • CHA — Employer Group 6: $415.20
  • Cigna — OAP: $363.30
  • Cigna — PPO: $425.58
  • Cigna BH — Commercial: $415.20
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX EOS Lumbar Spine AP/Lat/Flx/Ext 72110 $519 $337.35 $103.80 – $425.58
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Commercial: $381.98
  • CHA — Employer Group 5: $389.25
  • CHA — Employer Group 6: $415.20
  • Cigna — OAP: $363.30
  • Cigna — PPO: $425.58
  • Cigna BH — Commercial: $415.20
  • Devoted Healthcare — Medicare Advantage: $103.80
  • Humana — Commercial: $378.87
  • Immergrun — Commercial: $415.20
  • Multiplan — Commercial: $337.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Lumbar Spine W-O Contrast $2,032 $1,320.80 $406.40 – $2,032
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,495.55
  • Aetna — Medicare Advantage: $914.40
  • Anthem — Commercial (excludes Granger): $408.64
  • Anthem — HealthSync: $408.64
  • CHA — Employer Group 4: $1,219.20
  • CHA — Employer Group 5: $1,524
  • CHA — Employer Group 6: $1,625.60
  • Cigna — OAP: $1,422.40
  • Cigna — PPO: $1,666.24
  • Cigna BH — Commercial: $1,625.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Lumbar Spine W-O Contrast $2,032 $1,320.80 $406.40 – $1,666.24
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,495.55
  • CHA — Employer Group 5: $1,524
  • CHA — Employer Group 6: $1,625.60
  • Cigna — OAP: $1,422.40
  • Cigna — PPO: $1,666.24
  • Cigna BH — Commercial: $1,625.60
  • Devoted Healthcare — Medicare Advantage: $406.40
  • Humana — Commercial: $1,483.36
  • Immergrun — Commercial: $1,625.60
  • Multiplan — Commercial: $1,320.80
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 Not listed in the file Not listed in the file $135.73 – $1,164
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $253.22
  • Anthem — Commercial (excludes Granger): $786.08
  • Anthem — Commercial (Granger): $1,164
  • Anthem — Exchange: $253.22
  • Anthem — HealthSync: $668.17
  • Anthem — IN Medicaid HCC: $457.59
  • Anthem — IN Medicaid HHW: $457.59
  • Anthem — IN Medicaid HIP: $457.59
  • Anthem — Medicare Advantage: $253.22
  • Anthem — Pathways for Aging: $457.59
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W-Contrast $2,714 $1,764.10 $542.80 – $2,714
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,997.50
  • Aetna — Medicare Advantage: $1,221.30
  • Anthem — Commercial (excludes Granger): $545.79
  • Anthem — HealthSync: $545.79
  • CHA — Employer Group 4: $1,628.40
  • CHA — Employer Group 5: $2,035.50
  • CHA — Employer Group 6: $2,171.20
  • Cigna — OAP: $1,899.80
  • Cigna — PPO: $2,225.48
  • Cigna BH — Commercial: $2,171.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ROM Pelvis W-O Contrast $2,714 $1,764.10 $542.80 – $2,714
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,997.50
  • Aetna — Medicare Advantage: $1,221.30
  • Anthem — Commercial (excludes Granger): $545.79
  • Anthem — HealthSync: $545.79
  • CHA — Employer Group 4: $1,628.40
  • CHA — Employer Group 5: $2,035.50
  • CHA — Employer Group 6: $2,171.20
  • Cigna — OAP: $1,899.80
  • Cigna — PPO: $2,225.48
  • Cigna BH — Commercial: $2,171.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W-Contrast $2,714 $1,764.10 $542.80 – $2,225.48
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,997.50
  • CHA — Employer Group 5: $2,035.50
  • CHA — Employer Group 6: $2,171.20
  • Cigna — OAP: $1,899.80
  • Cigna — PPO: $2,225.48
  • Cigna BH — Commercial: $2,171.20
  • Devoted Healthcare — Medicare Advantage: $542.80
  • Humana — Commercial: $1,981.22
  • Immergrun — Commercial: $2,171.20
  • Multiplan — Commercial: $1,764.10
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 Not listed in the file Not listed in the file $135.73 – $1,164
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $253.22
  • Anthem — Commercial (excludes Granger): $786.08
  • Anthem — Commercial (Granger): $1,164
  • Anthem — Exchange: $253.22
  • Anthem — HealthSync: $668.17
  • Anthem — IN Medicaid HCC: $504.93
  • Anthem — IN Medicaid HHW: $504.93
  • Anthem — IN Medicaid HIP: $504.93
  • Anthem — Medicare Advantage: $253.22
  • Anthem — Pathways for Aging: $504.93
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MR Lower Ext Joint W-O Contrast RT $2,032 $1,320.80 $406.40 – $2,032
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,495.55
  • Aetna — Medicare Advantage: $914.40
  • Anthem — Commercial (excludes Granger): $408.64
  • Anthem — HealthSync: $408.64
  • CHA — Employer Group 4: $1,219.20
  • CHA — Employer Group 5: $1,524
  • CHA — Employer Group 6: $1,625.60
  • Cigna — OAP: $1,422.40
  • Cigna — PPO: $1,666.24
  • Cigna BH — Commercial: $1,625.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MR Knee LT Presurgical Planning $2,032 $1,320.80 $406.40 – $2,032
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,495.55
  • Aetna — Medicare Advantage: $914.40
  • Anthem — Commercial (excludes Granger): $408.64
  • Anthem — HealthSync: $408.64
  • CHA — Employer Group 4: $1,219.20
  • CHA — Employer Group 5: $1,524
  • CHA — Employer Group 6: $1,625.60
  • Cigna — OAP: $1,422.40
  • Cigna — PPO: $1,666.24
  • Cigna BH — Commercial: $1,625.60
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 $4,978 $3,235.70 $995.60 – $4,978
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $3,663.81
  • Aetna — Medicare Advantage: $2,240.10
  • Anthem — Commercial (excludes Granger): $1,001.08
  • Anthem — HealthSync: $1,001.08
  • CHA — Employer Group 4: $2,986.80
  • CHA — Employer Group 5: $3,733.50
  • CHA — Employer Group 6: $3,982.40
  • Cigna — OAP: $3,484.60
  • Cigna — PPO: $4,081.96
  • Cigna BH — Commercial: $3,982.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis W-Contrast $4,978 $3,235.70 $995.60 – $4,978
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $3,663.81
  • Aetna — Medicare Advantage: $2,240.10
  • Anthem — Commercial (excludes Granger): $1,001.08
  • Anthem — HealthSync: $1,001.08
  • CHA — Employer Group 4: $2,986.80
  • CHA — Employer Group 5: $3,733.50
  • CHA — Employer Group 6: $3,982.40
  • Cigna — OAP: $3,484.60
  • Cigna — PPO: $4,081.96
  • Cigna BH — Commercial: $3,982.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ROM Abdomen and Pelvis W-Contr $4,978 $3,235.70 $995.60 – $4,978
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $3,663.81
  • Aetna — Medicare Advantage: $2,240.10
  • Anthem — Commercial (excludes Granger): $1,001.08
  • Anthem — HealthSync: $1,001.08
  • CHA — Employer Group 4: $2,986.80
  • CHA — Employer Group 5: $3,733.50
  • CHA — Employer Group 6: $3,982.40
  • Cigna — OAP: $3,484.60
  • Cigna — PPO: $4,081.96
  • Cigna BH — Commercial: $3,982.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,026 $666.90 $205.20 – $1,026
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • Aetna — Commercial: $755.14
  • Aetna — Medicare Advantage: $461.70
  • Anthem — Commercial (excludes Granger): $206.33
  • Anthem — HealthSync: $206.33
  • CHA — Employer Group 4: $615.60
  • CHA — Employer Group 5: $769.50
  • CHA — Employer Group 6: $820.80
  • Cigna — OAP: $718.20
  • Cigna — PPO: $841.32
  • Cigna BH — Commercial: $820.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VL Abdomen Complete $1,026 $666.90 $205.20 – $1,026
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • Aetna — Commercial: $755.14
  • Aetna — Medicare Advantage: $461.70
  • Anthem — Commercial (excludes Granger): $206.33
  • Anthem — HealthSync: $206.33
  • CHA — Employer Group 4: $615.60
  • CHA — Employer Group 5: $769.50
  • CHA — Employer Group 6: $820.80
  • Cigna — OAP: $718.20
  • Cigna — PPO: $841.32
  • Cigna BH — Commercial: $820.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,026 $666.90 $205.20 – $841.32
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates
  • Aetna — Commercial: $755.14
  • CHA — Employer Group 5: $769.50
  • CHA — Employer Group 6: $820.80
  • Cigna — OAP: $718.20
  • Cigna — PPO: $841.32
  • Cigna BH — Commercial: $820.80
  • Devoted Healthcare — Medicare Advantage: $205.20
  • Humana — Commercial: $748.98
  • Immergrun — Commercial: $820.80
  • Multiplan — Commercial: $666.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Wks $617 $401.05 $123.40 – $617
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • Aetna — Commercial: $454.11
  • Aetna — Medicare Advantage: $277.65
  • Anthem — Commercial (excludes Granger): $124.08
  • Anthem — HealthSync: $124.08
  • CHA — Employer Group 4: $370.20
  • CHA — Employer Group 5: $462.75
  • CHA — Employer Group 6: $493.60
  • Cigna — OAP: $431.90
  • Cigna — PPO: $505.94
  • Cigna BH — Commercial: $493.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Wks $617 $401.05 $123.40 – $505.94
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates
  • Aetna — Commercial: $454.11
  • CHA — Employer Group 5: $462.75
  • CHA — Employer Group 6: $493.60
  • Cigna — OAP: $431.90
  • Cigna — PPO: $505.94
  • Cigna BH — Commercial: $493.60
  • Devoted Healthcare — Medicare Advantage: $123.40
  • Humana — Commercial: $450.41
  • Immergrun — Commercial: $493.60
  • Multiplan — Commercial: $401.05
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 $59.71 – $345.83
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $111.40
  • Anthem — Commercial (excludes Granger): $345.83
  • Anthem — Commercial (Granger): $277.71
  • Anthem — Exchange: $111.40
  • Anthem — HealthSync: $293.96
  • Anthem — IN Medicaid HCC: $263.41
  • Anthem — IN Medicaid HHW: $263.41
  • Anthem — IN Medicaid HIP: $263.41
  • Anthem — Medicare Advantage: $111.40
  • Anthem — Pathways for Aging: $263.41
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB $626 $406.90 $125.20 – $626
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • Aetna — Commercial: $460.74
  • Aetna — Medicare Advantage: $281.70
  • Anthem — Commercial (excludes Granger): $125.89
  • Anthem — HealthSync: $125.89
  • CHA — Employer Group 4: $375.60
  • CHA — Employer Group 5: $469.50
  • CHA — Employer Group 6: $500.80
  • Cigna — OAP: $438.20
  • Cigna — PPO: $513.32
  • Cigna BH — Commercial: $500.80
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Transvaginal Non OB $626 $406.90 $125.20 – $513.32
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • Aetna — Commercial: $460.74
  • CHA — Employer Group 5: $469.50
  • CHA — Employer Group 6: $500.80
  • Cigna — OAP: $438.20
  • Cigna — PPO: $513.32
  • Cigna BH — Commercial: $500.80
  • Devoted Healthcare — Medicare Advantage: $125.20
  • Humana — Commercial: $456.98
  • Immergrun — Commercial: $500.80
  • Multiplan — Commercial: $406.90
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $59.71 – $345.83
Transvaginal ultrasound: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $111.40
  • Anthem — Commercial (excludes Granger): $345.83
  • Anthem — Commercial (Granger): $203.23
  • Anthem — Exchange: $111.40
  • Anthem — HealthSync: $293.96
  • Anthem — IN Medicaid HCC: $249.91
  • Anthem — IN Medicaid HHW: $249.91
  • Anthem — IN Medicaid HIP: $249.91
  • Anthem — Medicare Advantage: $111.40
  • Anthem — Pathways for Aging: $249.91
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $61.07 – $255.68
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $113.63
  • Anthem — Commercial (excludes Granger): $78.15
  • Anthem — Commercial (Granger): $211
  • Anthem — Exchange: $113.63
  • Anthem — HealthSync: $66.43
  • Anthem — IN Medicaid HCC: $255.68
  • Anthem — IN Medicaid HHW: $255.68
  • Anthem — IN Medicaid HIP: $255.68
  • Anthem — Medicare Advantage: $113.63
  • Anthem — Pathways for Aging: $255.68
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MA Digital Diagnostic Mammo RT $560 $364 $112 – $560
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $412.16
  • Aetna — Medicare Advantage: $252
  • Anthem — Commercial (excludes Granger): $112.62
  • Anthem — HealthSync: $112.62
  • CHA — Employer Group 4: $336
  • CHA — Employer Group 5: $420
  • CHA — Employer Group 6: $448
  • Cigna — OAP: $392
  • Cigna — PPO: $459.20
  • Cigna BH — Commercial: $448
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG,RT In the file: MA Digital Diag Mammo RT-SameDay $560 $364 $112 – $560
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • Aetna — Commercial: $412.16
  • Aetna — Medicare Advantage: $252
  • Anthem — Commercial (excludes Granger): $112.62
  • Anthem — HealthSync: $112.62
  • CHA — Employer Group 4: $336
  • CHA — Employer Group 5: $420
  • CHA — Employer Group 6: $448
  • Cigna — OAP: $392
  • Cigna — PPO: $459.20
  • Cigna BH — Commercial: $448
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo $729 $473.85 $145.80 – $729
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates
  • Aetna — Commercial: $536.54
  • Aetna — Medicare Advantage: $328.05
  • Anthem — Commercial (excludes Granger): $146.60
  • Anthem — HealthSync: $146.60
  • CHA — Employer Group 4: $437.40
  • CHA — Employer Group 5: $546.75
  • CHA — Employer Group 6: $583.20
  • Cigna — OAP: $510.30
  • Cigna — PPO: $597.78
  • Cigna BH — Commercial: $583.20
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo $729 $473.85 $145.80 – $597.78
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • Aetna — Commercial: $536.54
  • CHA — Employer Group 5: $546.75
  • CHA — Employer Group 6: $583.20
  • Cigna — OAP: $510.30
  • Cigna — PPO: $597.78
  • Cigna BH — Commercial: $583.20
  • Devoted Healthcare — Medicare Advantage: $145.80
  • Humana — Commercial: $532.17
  • Immergrun — Commercial: $583.20
  • Multiplan — Commercial: $473.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $76.84 – $327.17
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $143.34
  • Anthem — Commercial (excludes Granger): $99.63
  • Anthem — Commercial (Granger): $211
  • Anthem — Exchange: $143.34
  • Anthem — HealthSync: $84.69
  • Anthem — IN Medicaid HCC: $327.17
  • Anthem — IN Medicaid HHW: $327.17
  • Anthem — IN Medicaid HIP: $327.17
  • Anthem — Medicare Advantage: $143.34
  • Anthem — Pathways for Aging: $327.17
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Screening Mammo $496 $322.40 $99.20 – $496
Screening mammogram, both breasts: 10 of 18 insurance plan rates
  • Aetna — Commercial: $365.06
  • Aetna — Medicare Advantage: $223.20
  • Anthem — Commercial (excludes Granger): $99.75
  • Anthem — HealthSync: $99.75
  • CHA — Employer Group 4: $297.60
  • CHA — Employer Group 5: $372
  • CHA — Employer Group 6: $396.80
  • Cigna — OAP: $347.20
  • Cigna — PPO: $406.72
  • Cigna BH — Commercial: $396.80
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Digital Screening Mammo $496 $322.40 $99.20 – $406.72
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • Aetna — Commercial: $365.06
  • CHA — Employer Group 5: $372
  • CHA — Employer Group 6: $396.80
  • Cigna — OAP: $347.20
  • Cigna — PPO: $406.72
  • Cigna BH — Commercial: $396.80
  • Devoted Healthcare — Medicare Advantage: $99.20
  • Humana — Commercial: $362.08
  • Immergrun — Commercial: $396.80
  • Multiplan — Commercial: $322.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $62.21 – $270.19
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $116.03
  • Anthem — Commercial (excludes Granger): $82.47
  • Anthem — Commercial (Granger): $211
  • Anthem — Exchange: $116.03
  • Anthem — HealthSync: $70.10
  • Anthem — IN Medicaid HCC: $270.19
  • Anthem — IN Medicaid HHW: $270.19
  • Anthem — IN Medicaid HIP: $270.19
  • Anthem — Medicare Advantage: $116.03
  • Anthem — Pathways for Aging: $270.19

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance 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 $47.19
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Anthem — Commercial (Granger): $47.19
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left Heart Cath w/o Coronaries $11,992 $7,794.80 $2,398.40 – $11,992
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates
  • Aetna — Commercial: $8,826.11
  • Aetna — Medicare Advantage: $5,396.40
  • Anthem — Commercial (excludes Granger): $2,411.59
  • Anthem — HealthSync: $2,411.59
  • CHA — Employer Group 4: $7,195.20
  • CHA — Employer Group 5: $8,994
  • CHA — Employer Group 6: $9,593.60
  • Cigna — OAP: $8,394.40
  • Cigna — PPO: $9,833.44
  • Cigna BH — Commercial: $9,593.60
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Left Heart Cath w/o Coronaries $11,992 $7,794.80 $2,398.40 – $9,833.44
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Commercial: $8,826.11
  • CHA — Employer Group 5: $8,994
  • CHA — Employer Group 6: $9,593.60
  • Cigna — OAP: $8,394.40
  • Cigna — PPO: $9,833.44
  • Cigna BH — Commercial: $9,593.60
  • Devoted Healthcare — Medicare Advantage: $2,398.40
  • Humana — Commercial: $8,754.16
  • Immergrun — Commercial: $9,593.60
  • Multiplan — Commercial: $7,794.80
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $666.54 – $10,459.87
Left heart catheterization (diagnostic): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $3,369.45
  • Anthem — Commercial (excludes Granger): $10,459.87
  • Anthem — Commercial (Granger): $666.54
  • Anthem — Exchange: $3,369.45
  • Anthem — HealthSync: $8,890.89
  • Anthem — IN Medicaid HCC: $8,683.74
  • Anthem — IN Medicaid HHW: $8,683.74
  • Anthem — IN Medicaid HIP: $8,683.74
  • Anthem — Medicare Advantage: $3,369.45
  • Anthem — Pathways for Aging: $8,683.74
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP Stimulation & Recording Study $10,232 $6,650.80 $2,046.40 – $10,232
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates
  • Aetna — Commercial: $7,530.75
  • Aetna — Medicare Advantage: $4,604.40
  • Anthem — Commercial (excludes Granger): $2,057.66
  • Anthem — HealthSync: $2,057.66
  • CHA — Employer Group 4: $6,139.20
  • CHA — Employer Group 5: $7,674
  • CHA — Employer Group 6: $8,185.60
  • Cigna — OAP: $7,162.40
  • Cigna — PPO: $8,390.24
  • Cigna BH — Commercial: $8,185.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP Stimulation & Recording Study $10,232 $6,650.80 $2,046.40 – $8,390.24
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates
  • Aetna — Commercial: $7,530.75
  • CHA — Employer Group 5: $7,674
  • CHA — Employer Group 6: $8,185.60
  • Cigna — OAP: $7,162.40
  • Cigna — PPO: $8,390.24
  • Cigna BH — Commercial: $8,185.60
  • Devoted Healthcare — Medicare Advantage: $2,046.40
  • Humana — Commercial: $7,469.36
  • Immergrun — Commercial: $8,185.60
  • Multiplan — Commercial: $6,650.80
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $1,873.84 – $24,676.72
Heart rhythm study (electrophysiology evaluation): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $7,949.15
  • Anthem — Commercial (excludes Granger): $24,676.72
  • Anthem — Commercial (Granger): $1,873.84
  • Anthem — Exchange: $7,949.15
  • Anthem — HealthSync: $20,975.21
  • Anthem — IN Medicaid HCC: $13,051.74
  • Anthem — IN Medicaid HHW: $13,051.74
  • Anthem — IN Medicaid HIP: $13,051.74
  • Anthem — Medicare Advantage: $7,949.15
  • Anthem — Pathways for Aging: $13,051.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comp EPS w/Afib and PVI $63,700 $41,405 $12,740 – $63,700
Heart rhythm study with ablation for atrial fibrillation: 10 of 18 insurance plan rates
  • Aetna — Commercial: $46,883.20
  • Aetna — Medicare Advantage: $28,665
  • Anthem — Commercial (excludes Granger): $12,810.07
  • Anthem — HealthSync: $12,810.07
  • CHA — Employer Group 4: $38,220
  • CHA — Employer Group 5: $47,775
  • CHA — Employer Group 6: $50,960
  • Cigna — OAP: $44,590
  • Cigna — PPO: $52,234
  • Cigna BH — Commercial: $50,960
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comp EPS w/Afib and PVI $63,700 $41,405 $12,740 – $52,234
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Aetna — Commercial: $46,883.20
  • CHA — Employer Group 5: $47,775
  • CHA — Employer Group 6: $50,960
  • Cigna — OAP: $44,590
  • Cigna — PPO: $52,234
  • Cigna BH — Commercial: $50,960
  • Devoted Healthcare — Medicare Advantage: $12,740
  • Humana — Commercial: $46,501
  • Immergrun — Commercial: $50,960
  • Multiplan — Commercial: $41,405
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $2,681.89 – $79,779.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $25,699.55
  • Anthem — Commercial (excludes Granger): $79,779.70
  • Anthem — Commercial (Granger): $2,681.89
  • Anthem — Exchange: $25,699.55
  • Anthem — HealthSync: $67,812.75
  • Anthem — IN Medicaid HCC: $26,103.48
  • Anthem — IN Medicaid HHW: $26,103.48
  • Anthem — IN Medicaid HIP: $26,103.48
  • Anthem — Medicare Advantage: $25,699.55
  • Anthem — Pathways for Aging: $26,103.48
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC SLEEP STUDY $4,596 $2,987.40 $919.20 – $4,596
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • Aetna — Commercial: $3,382.66
  • Aetna — Medicare Advantage: $2,068.20
  • Anthem — Commercial (excludes Granger): $924.26
  • Anthem — HealthSync: $924.26
  • CHA — Employer Group 4: $2,757.60
  • CHA — Employer Group 5: $3,447
  • CHA — Employer Group 6: $3,676.80
  • Cigna — OAP: $3,217.20
  • Cigna — PPO: $3,768.72
  • Cigna BH — Commercial: $3,676.80
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC SLEEP STUDY $4,596 $2,987.40 $919.20 – $3,768.72
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna — Commercial: $3,382.66
  • CHA — Employer Group 5: $3,447
  • CHA — Employer Group 6: $3,676.80
  • Cigna — OAP: $3,217.20
  • Cigna — PPO: $3,768.72
  • Cigna BH — Commercial: $3,676.80
  • Devoted Healthcare — Medicare Advantage: $919.20
  • Humana — Commercial: $3,355.08
  • Immergrun — Commercial: $3,676.80
  • Multiplan — Commercial: $2,987.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $3,559.88
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $1,065.80
  • Anthem — Commercial (excludes Granger): $3,308.58
  • Anthem — Commercial (Granger): $1,131.48
  • Anthem — Exchange: $1,065.80
  • Anthem — HealthSync: $2,812.30
  • Anthem — IN Medicaid HCC: $3,559.88
  • Anthem — IN Medicaid HHW: $3,559.88
  • Anthem — IN Medicaid HIP: $3,559.88
  • Anthem — Medicare Advantage: $1,065.80
  • Anthem — Pathways for Aging: $3,559.88

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $14.80 – $52.33
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $27.54
  • Anthem — Commercial (excludes Granger): $27.54
  • Anthem — Commercial (Granger): $46.36
  • Anthem — Exchange: $27.54
  • Anthem — HealthSync: $23.41
  • Anthem — Medicare Advantage: $27.54
  • Anthem — Workers Compensation: $52.33
  • Caresource — Exchange: $44.06
  • Devoted Healthcare — Medicare Advantage: $28.92
  • Humana — Medicare Advantage: $27.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,KX In the file: PT 97110 THERAPY I - 15 MIN KX $133 $86.45 $26.60 – $133
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $97.89
  • Aetna — Medicare Advantage: $59.85
  • Anthem — Commercial (excludes Granger): $26.75
  • Anthem — HealthSync: $26.75
  • CHA — Employer Group 4: $79.80
  • CHA — Employer Group 5: $99.75
  • CHA — Employer Group 6: $106.40
  • Cigna — OAP: $93.10
  • Cigna — PPO: $109.06
  • Cigna BH — Commercial: $106.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT 97110 THERAPY II - 15 MIN $133 $86.45 $26.60 – $133
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • Aetna — Commercial: $97.89
  • Aetna — Medicare Advantage: $59.85
  • Anthem — Commercial (excludes Granger): $26.75
  • Anthem — HealthSync: $26.75
  • CHA — Employer Group 4: $79.80
  • CHA — Employer Group 5: $99.75
  • CHA — Employer Group 6: $106.40
  • Cigna — OAP: $93.10
  • Cigna — PPO: $109.06
  • Cigna BH — Commercial: $106.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $50.42 – $186.19
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $93.69
  • Anthem — Commercial (excludes Granger): $93.69
  • Anthem — Commercial (Granger): $186.19
  • Anthem — Exchange: $93.69
  • Anthem — HealthSync: $79.64
  • Anthem — Medicare Advantage: $93.69
  • Anthem — Workers Compensation: $178.01
  • Caresource — Exchange: $149.90
  • Devoted Healthcare — Medicare Advantage: $98.37
  • Humana — Medicare Advantage: $93.69
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT 97161 THERAPY EVALUATION - 15 MIN/4 $261 $169.65 $52.20 – $261
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
  • Aetna — Commercial: $192.10
  • Aetna — Medicare Advantage: $117.45
  • Anthem — Commercial (excludes Granger): $52.49
  • Anthem — HealthSync: $52.49
  • CHA — Employer Group 4: $156.60
  • CHA — Employer Group 5: $195.75
  • CHA — Employer Group 6: $208.80
  • Cigna — OAP: $182.70
  • Cigna — PPO: $214.02
  • Cigna BH — Commercial: $208.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPY EVALUATION - 15 MIN $261 $169.65 $52.20 – $261
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
  • Aetna — Commercial: $192.10
  • Aetna — Medicare Advantage: $117.45
  • Anthem — Commercial (excludes Granger): $52.49
  • Anthem — HealthSync: $52.49
  • CHA — Employer Group 4: $156.60
  • CHA — Employer Group 5: $195.75
  • CHA — Employer Group 6: $208.80
  • Cigna — OAP: $182.70
  • Cigna — PPO: $214.02
  • Cigna BH — Commercial: $208.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $50.42 – $186.19
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $93.69
  • Anthem — Commercial (excludes Granger): $93.69
  • Anthem — Commercial (Granger): $186.19
  • Anthem — Exchange: $93.69
  • Anthem — HealthSync: $79.64
  • Anthem — Medicare Advantage: $93.69
  • Anthem — Workers Compensation: $178.01
  • Caresource — Exchange: $149.90
  • Devoted Healthcare — Medicare Advantage: $98.37
  • Humana — Medicare Advantage: $93.69
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT 97162 THERAPY EVALUATION - 30 MIN/5 $288 $187.20 $57.60 – $288
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
  • Aetna — Commercial: $211.97
  • Aetna — Medicare Advantage: $129.60
  • Anthem — Commercial (excludes Granger): $57.92
  • Anthem — HealthSync: $57.92
  • CHA — Employer Group 4: $172.80
  • CHA — Employer Group 5: $216
  • CHA — Employer Group 6: $230.40
  • Cigna — OAP: $201.60
  • Cigna — PPO: $236.16
  • Cigna BH — Commercial: $230.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPY EVALUATION - 30 MIN $288 $187.20 $57.60 – $288
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
  • Aetna — Commercial: $211.97
  • Aetna — Medicare Advantage: $129.60
  • Anthem — Commercial (excludes Granger): $57.92
  • Anthem — HealthSync: $57.92
  • CHA — Employer Group 4: $172.80
  • CHA — Employer Group 5: $216
  • CHA — Employer Group 6: $230.40
  • Cigna — OAP: $201.60
  • Cigna — PPO: $236.16
  • Cigna BH — Commercial: $230.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $50.42 – $186.19
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $93.69
  • Anthem — Commercial (excludes Granger): $93.69
  • Anthem — Commercial (Granger): $186.19
  • Anthem — Exchange: $93.69
  • Anthem — HealthSync: $79.64
  • Anthem — Medicare Advantage: $93.69
  • Anthem — Workers Compensation: $178.01
  • Caresource — Exchange: $149.90
  • Devoted Healthcare — Medicare Advantage: $98.37
  • Humana — Medicare Advantage: $93.69
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT 97163 THERAPY EVALUATION - 60 MIN/5 $553 $359.45 $110.60 – $553
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
  • Aetna — Commercial: $407.01
  • Aetna — Medicare Advantage: $248.85
  • Anthem — Commercial (excludes Granger): $111.21
  • Anthem — HealthSync: $111.21
  • CHA — Employer Group 4: $331.80
  • CHA — Employer Group 5: $414.75
  • CHA — Employer Group 6: $442.40
  • Cigna — OAP: $387.10
  • Cigna — PPO: $453.46
  • Cigna BH — Commercial: $442.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPY EVALUATION - 60 MIN $553 $359.45 $110.60 – $553
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
  • Aetna — Commercial: $407.01
  • Aetna — Medicare Advantage: $248.85
  • Anthem — Commercial (excludes Granger): $111.21
  • Anthem — HealthSync: $111.21
  • CHA — Employer Group 4: $331.80
  • CHA — Employer Group 5: $414.75
  • CHA — Employer Group 6: $442.40
  • Cigna — OAP: $387.10
  • Cigna — PPO: $453.46
  • Cigna BH — Commercial: $442.40
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $90.22 – $522.52
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $168.32
  • Anthem — Commercial (excludes Granger): $522.52
  • Anthem — Commercial (Granger): $144.58
  • Anthem — Exchange: $168.32
  • Anthem — HealthSync: $444.14
  • Anthem — Medicare Advantage: $168.32
  • Anthem — Workers Compensation: $319.81
  • Caresource — Exchange: $269.31
  • Devoted Healthcare — Medicare Advantage: $176.73
  • Humana — Medicare Advantage: $168.32
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $90.22 – $522.52
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $168.32
  • Anthem — Commercial (excludes Granger): $522.52
  • Anthem — Commercial (Granger): $178.83
  • Anthem — Exchange: $168.32
  • Anthem — HealthSync: $444.14
  • Anthem — Medicare Advantage: $168.32
  • Anthem — Workers Compensation: $319.81
  • Caresource — Exchange: $269.31
  • Devoted Healthcare — Medicare Advantage: $176.73
  • Humana — Medicare Advantage: $168.32
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL PSYCHOTHERAPY (MCARE) $482 $313.30 $96.40 – $482
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • Aetna — Commercial: $354.75
  • Aetna — Medicare Advantage: $216.90
  • Anthem — Commercial (excludes Granger): $96.93
  • Anthem — HealthSync: $96.93
  • CHA — Employer Group 4: $289.20
  • CHA — Employer Group 5: $361.50
  • CHA — Employer Group 6: $385.60
  • Cigna — OAP: $337.40
  • Cigna — PPO: $395.24
  • Cigna BH — Commercial: $385.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL PSYCHOTHERAPY $482 $313.30 $96.40 – $482
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • Aetna — Commercial: $354.75
  • Aetna — Medicare Advantage: $216.90
  • Anthem — Commercial (excludes Granger): $96.93
  • Anthem — HealthSync: $96.93
  • CHA — Employer Group 4: $289.20
  • CHA — Employer Group 5: $361.50
  • CHA — Employer Group 6: $385.60
  • Cigna — OAP: $337.40
  • Cigna — PPO: $395.24
  • Cigna BH — Commercial: $385.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL PSYCHOTHERAPY (MCAID) $482 $313.30 $96.40 – $482
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • Aetna — Commercial: $354.75
  • Aetna — Medicare Advantage: $216.90
  • Anthem — Commercial (excludes Granger): $96.93
  • Anthem — HealthSync: $96.93
  • CHA — Employer Group 4: $289.20
  • CHA — Employer Group 5: $361.50
  • CHA — Employer Group 6: $385.60
  • Cigna — OAP: $337.40
  • Cigna — PPO: $395.24
  • Cigna BH — Commercial: $385.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $90.22 – $522.52
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $168.32
  • Anthem — Commercial (excludes Granger): $522.52
  • Anthem — Commercial (Granger): $173.08
  • Anthem — Exchange: $168.32
  • Anthem — HealthSync: $444.14
  • Anthem — Medicare Advantage: $168.32
  • Anthem — Workers Compensation: $319.81
  • Caresource — Exchange: $269.31
  • Devoted Healthcare — Medicare Advantage: $176.73
  • Humana — Medicare Advantage: $168.32
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $90.22 – $522.52
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $168.32
  • Anthem — Commercial (excludes Granger): $522.52
  • Anthem — Commercial (Granger): $201.03
  • Anthem — Exchange: $168.32
  • Anthem — HealthSync: $444.14
  • Anthem — Medicare Advantage: $168.32
  • Anthem — Workers Compensation: $319.81
  • Caresource — Exchange: $269.31
  • Devoted Healthcare — Medicare Advantage: $176.73
  • Humana — Medicare Advantage: $168.32
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 $51.94 – $300.83
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $96.91
  • Anthem — Commercial (excludes Granger): $300.83
  • Anthem — Commercial (Granger): $61.07
  • Anthem — Exchange: $96.91
  • Anthem — HealthSync: $255.70
  • Anthem — Medicare Advantage: $96.91
  • Anthem — Workers Compensation: $184.12
  • Caresource — Exchange: $155.05
  • Devoted Healthcare — Medicare Advantage: $101.75
  • Humana — Medicare Advantage: $96.91

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 $1,131.81 – $12,452.93
Removal of breast growth (open surgery): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $4,011.48
  • Anthem — Commercial (excludes Granger): $12,452.93
  • Anthem — Commercial (Granger): $1,131.81
  • Anthem — Exchange: $4,011.48
  • Anthem — HealthSync: $10,584.99
  • Anthem — IN Medicaid HCC: $1,905.42
  • Anthem — IN Medicaid HHW: $1,905.42
  • Anthem — IN Medicaid HIP: $1,905.42
  • Anthem — Medicare Advantage: $4,011.48
  • Anthem — Pathways for Aging: $1,905.42
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 $3,811.75 – $41,843.24
Total hip replacement: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $13,479.02
  • Anthem — Commercial (excludes Granger): $41,843.24
  • Anthem — Commercial (Granger): $3,811.75
  • Anthem — Exchange: $13,479.02
  • Anthem — HealthSync: $35,566.76
  • Anthem — IN Medicaid HCC: $26,103.48
  • Anthem — IN Medicaid HHW: $26,103.48
  • Anthem — IN Medicaid HIP: $26,103.48
  • Anthem — Medicare Advantage: $13,479.02
  • Anthem — Pathways for Aging: $26,103.48
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 $4,032.54 – $41,843.24
Total knee replacement: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $13,479.02
  • Anthem — Commercial (excludes Granger): $41,843.24
  • Anthem — Commercial (Granger): $4,032.54
  • Anthem — Exchange: $13,479.02
  • Anthem — HealthSync: $35,566.76
  • Anthem — IN Medicaid HCC: $26,103.48
  • Anthem — IN Medicaid HHW: $26,103.48
  • Anthem — IN Medicaid HIP: $26,103.48
  • Anthem — Medicare Advantage: $13,479.02
  • Anthem — Pathways for Aging: $26,103.48
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 $1,814.78 – $1,905.42
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Anthem — Commercial (Granger): $1,814.78
  • Anthem — IN Medicaid HCC: $1,905.42
  • Anthem — IN Medicaid HHW: $1,905.42
  • Anthem — IN Medicaid HIP: $1,905.42
  • Anthem — Pathways for Aging: $1,905.42
  • Caresource — IN Medicaid HHW: $1,905.42
  • Caresource — IN Medicaid HIP: $1,905.42
  • Humana — Pathways for Aging: $1,905.42
  • MdWise — IN Medicaid HHW: $1,905.42
  • MdWise — IN Medicaid HIP: $1,905.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $1,527.98 – $10,551.56
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $3,398.99
  • Anthem — Commercial (excludes Granger): $10,551.56
  • Anthem — Commercial (Granger): $1,527.98
  • Anthem — Exchange: $3,398.99
  • Anthem — HealthSync: $8,968.83
  • Anthem — IN Medicaid HCC: $2,273.62
  • Anthem — IN Medicaid HHW: $2,273.62
  • Anthem — IN Medicaid HIP: $2,273.62
  • Anthem — Medicare Advantage: $3,398.99
  • Anthem — Pathways for Aging: $2,273.62
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 $766.06 – $19,237.88
Removal of tonsils and adenoids (under age 12): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $6,197.13
  • Anthem — Commercial (excludes Granger): $19,237.88
  • Anthem — Commercial (Granger): $766.06
  • Anthem — Exchange: $6,197.13
  • Anthem — HealthSync: $16,352.20
  • Anthem — IN Medicaid HCC: $3,121.64
  • Anthem — IN Medicaid HHW: $3,121.64
  • Anthem — IN Medicaid HIP: $3,121.64
  • Anthem — Medicare Advantage: $6,197.13
  • Anthem — Pathways for Aging: $3,121.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHGASTRODSCPY DIAG BRUSH WASH $1,340 $871 $268 – $1,340
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates
  • Aetna — Commercial: $986.24
  • Aetna — Medicare Advantage: $603
  • Anthem — Commercial (excludes Granger): $269.47
  • Anthem — HealthSync: $269.47
  • CHA — Employer Group 4: $804
  • CHA — Employer Group 5: $1,005
  • CHA — Employer Group 6: $1,072
  • Cigna — OAP: $938
  • Cigna — PPO: $1,098.80
  • Cigna BH — Commercial: $1,072
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESOPHGASTRODSCPY DIAG BRUSH WASH $1,340 $871 $268 – $1,098.80
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Commercial: $986.24
  • CHA — Employer Group 5: $1,005
  • CHA — Employer Group 6: $1,072
  • Cigna — OAP: $938
  • Cigna — PPO: $1,098.80
  • Cigna BH — Commercial: $1,072
  • Devoted Healthcare — Medicare Advantage: $268
  • Humana — Commercial: $978.20
  • Immergrun — Commercial: $1,072
  • Multiplan — Commercial: $871
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $526.44 – $3,048.97
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $982.17
  • Anthem — Commercial (excludes Granger): $3,048.97
  • Anthem — Commercial (Granger): $641.15
  • Anthem — Exchange: $982.17
  • Anthem — HealthSync: $2,591.62
  • Anthem — IN Medicaid HCC: $2,273.62
  • Anthem — IN Medicaid HHW: $2,273.62
  • Anthem — IN Medicaid HIP: $2,273.62
  • Anthem — Medicare Advantage: $982.17
  • Anthem — Pathways for Aging: $2,273.62
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $526.44 – $3,048.97
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $982.17
  • Anthem — Commercial (excludes Granger): $3,048.97
  • Anthem — Commercial (Granger): $707.21
  • Anthem — Exchange: $982.17
  • Anthem — HealthSync: $2,591.62
  • Anthem — IN Medicaid HCC: $2,273.62
  • Anthem — IN Medicaid HHW: $2,273.62
  • Anthem — IN Medicaid HIP: $2,273.62
  • Anthem — Medicare Advantage: $982.17
  • Anthem — Pathways for Aging: $2,273.62
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $511.93 – $2,964.90
Colonoscopy (diagnostic): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $955.09
  • Anthem — Commercial (excludes Granger): $2,964.90
  • Anthem — Commercial (Granger): $1,002.17
  • Anthem — Exchange: $955.09
  • Anthem — HealthSync: $2,520.17
  • Anthem — IN Medicaid HCC: $2,273.62
  • Anthem — IN Medicaid HHW: $2,273.62
  • Anthem — IN Medicaid HIP: $2,273.62
  • Anthem — Medicare Advantage: $955.09
  • Anthem — Pathways for Aging: $2,273.62
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $662.06 – $3,834.41
Colonoscopy with biopsy: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $1,235.18
  • Anthem — Commercial (excludes Granger): $3,834.41
  • Anthem — Commercial (Granger): $1,203.32
  • Anthem — Exchange: $1,235.18
  • Anthem — HealthSync: $3,259.24
  • Anthem — IN Medicaid HCC: $3,121.64
  • Anthem — IN Medicaid HHW: $3,121.64
  • Anthem — IN Medicaid HIP: $3,121.64
  • Anthem — Medicare Advantage: $1,235.18
  • Anthem — Pathways for Aging: $3,121.64
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $662.06 – $3,834.41
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $1,235.18
  • Anthem — Commercial (excludes Granger): $3,834.41
  • Anthem — Commercial (Granger): $1,358.91
  • Anthem — Exchange: $1,235.18
  • Anthem — HealthSync: $3,259.24
  • Anthem — IN Medicaid HCC: $3,121.64
  • Anthem — IN Medicaid HHW: $3,121.64
  • Anthem — IN Medicaid HIP: $3,121.64
  • Anthem — Medicare Advantage: $1,235.18
  • Anthem — Pathways for Aging: $3,121.64
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 $662.06 – $3,834.41
Ultrasound of the lower bowel by endoscope: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $1,235.18
  • Anthem — Commercial (excludes Granger): $3,834.41
  • Anthem — Commercial (Granger): $677.06
  • Anthem — Exchange: $1,235.18
  • Anthem — HealthSync: $3,259.24
  • Anthem — IN Medicaid HCC: $3,121.64
  • Anthem — IN Medicaid HHW: $3,121.64
  • Anthem — IN Medicaid HIP: $3,121.64
  • Anthem — Medicare Advantage: $1,235.18
  • Anthem — Pathways for Aging: $3,121.64
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $511.93 – $2,964.90
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
  • Aetna — Medicare Advantage: $955.09
  • Anthem — Commercial (excludes Granger): $2,964.90
  • Anthem — Commercial (Granger): $806.16
  • Anthem — Exchange: $955.09
  • Anthem — HealthSync: $2,520.17
  • Anthem — Medicare Advantage: $955.09
  • Anthem — Workers Compensation: $1,814.67
  • Caresource — Exchange: $1,528.14
  • Devoted Healthcare — Medicare Advantage: $1,002.84
  • Humana — Medicare Advantage: $955.09
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 $1,721.56 – $18,973.51
Gallbladder removal by laparoscope: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $6,111.96
  • Anthem — Commercial (excludes Granger): $18,973.51
  • Anthem — Commercial (Granger): $1,721.56
  • Anthem — Exchange: $6,111.96
  • Anthem — HealthSync: $16,127.48
  • Anthem — IN Medicaid HCC: $4,211.34
  • Anthem — IN Medicaid HHW: $4,211.34
  • Anthem — IN Medicaid HIP: $4,211.34
  • Anthem — Medicare Advantage: $6,111.96
  • Anthem — Pathways for Aging: $4,211.34
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $1,096.47 – $11,476.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $3,696.97
  • Anthem — Commercial (excludes Granger): $11,476.60
  • Anthem — Commercial (Granger): $1,096.47
  • Anthem — Exchange: $3,696.97
  • Anthem — HealthSync: $9,755.11
  • Anthem — IN Medicaid HCC: $2,273.62
  • Anthem — IN Medicaid HHW: $2,273.62
  • Anthem — IN Medicaid HIP: $2,273.62
  • Anthem — Medicare Advantage: $3,696.97
  • Anthem — Pathways for Aging: $2,273.62
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR 55700 Biopsy Prostate $3,800 $2,470 $760 – $3,800
Prostate biopsy: 10 of 18 insurance plan rates
  • Aetna — Commercial: $2,796.80
  • Aetna — Medicare Advantage: $1,710
  • Anthem — Commercial (excludes Granger): $764.18
  • Anthem — HealthSync: $764.18
  • CHA — Employer Group 4: $2,280
  • CHA — Employer Group 5: $2,850
  • CHA — Employer Group 6: $3,040
  • Cigna — OAP: $2,660
  • Cigna — PPO: $3,116
  • Cigna BH — Commercial: $3,040
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR 55700 Biopsy Prostate $3,800 $2,470 $760 – $3,116
Prostate biopsy: 10 of 12 insurance plan rates
  • Aetna — Commercial: $2,796.80
  • CHA — Employer Group 5: $2,850
  • CHA — Employer Group 6: $3,040
  • Cigna — OAP: $2,660
  • Cigna — PPO: $3,116
  • Cigna BH — Commercial: $3,040
  • Devoted Healthcare — Medicare Advantage: $760
  • Humana — Commercial: $2,774
  • Immergrun — Commercial: $3,040
  • Multiplan — Commercial: $2,470
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 $555.49 – $6,661.80
Prostate biopsy: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $2,145.97
  • Anthem — Commercial (excludes Granger): $6,661.80
  • Anthem — Commercial (Granger): $555.49
  • Anthem — Exchange: $2,145.97
  • Anthem — HealthSync: $5,662.53
  • Anthem — IN Medicaid HCC: $1,728.79
  • Anthem — IN Medicaid HHW: $1,728.79
  • Anthem — IN Medicaid HIP: $1,728.79
  • Anthem — Medicare Advantage: $2,145.97
  • Anthem — Pathways for Aging: $1,728.79
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 $4,211.53 – $33,857.57
Prostate removal by laparoscope (radical prostatectomy): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $10,906.59
  • Anthem — Commercial (excludes Granger): $33,857.57
  • Anthem — Commercial (Granger): $4,211.53
  • Anthem — Exchange: $10,906.59
  • Anthem — HealthSync: $28,778.94
  • Anthem — IN Medicaid HCC: $26,103.48
  • Anthem — IN Medicaid HHW: $26,103.48
  • Anthem — IN Medicaid HIP: $26,103.48
  • Anthem — Medicare Advantage: $10,906.59
  • Anthem — Pathways for Aging: $26,103.48
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 $1,785.31 – $10,339.90
Hysteroscopy with biopsy of the uterus lining: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $3,330.81
  • Anthem — Commercial (excludes Granger): $10,339.90
  • Anthem — Commercial (Granger): $3,733.45
  • Anthem — Exchange: $3,330.81
  • Anthem — HealthSync: $8,788.92
  • Anthem — IN Medicaid HCC: $1,905.42
  • Anthem — IN Medicaid HHW: $1,905.42
  • Anthem — IN Medicaid HIP: $1,905.42
  • Anthem — Medicare Advantage: $3,330.81
  • Anthem — Pathways for Aging: $1,905.42
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR 62323 INJ L Spine Imag $2,096 $1,362.40 $419.20 – $2,096
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • Aetna — Commercial: $1,542.66
  • Aetna — Medicare Advantage: $943.20
  • Anthem — Commercial (excludes Granger): $421.51
  • Anthem — HealthSync: $421.51
  • CHA — Employer Group 4: $1,257.60
  • CHA — Employer Group 5: $1,572
  • CHA — Employer Group 6: $1,676.80
  • Cigna — OAP: $1,467.20
  • Cigna — PPO: $1,718.72
  • Cigna BH — Commercial: $1,676.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR 62323 INJ L Spine Imag $2,096 $1,362.40 $419.20 – $1,718.72
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,542.66
  • CHA — Employer Group 5: $1,572
  • CHA — Employer Group 6: $1,676.80
  • Cigna — OAP: $1,467.20
  • Cigna — PPO: $1,718.72
  • Cigna BH — Commercial: $1,676.80
  • Devoted Healthcare — Medicare Advantage: $419.20
  • Humana — Commercial: $1,530.08
  • Immergrun — Commercial: $1,676.80
  • Multiplan — Commercial: $1,362.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $388.85 – $2,252.10
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $725.47
  • Anthem — Commercial (excludes Granger): $2,252.10
  • Anthem — Commercial (Granger): $445.73
  • Anthem — Exchange: $725.47
  • Anthem — HealthSync: $1,914.29
  • Anthem — IN Medicaid HCC: $1,905.42
  • Anthem — IN Medicaid HHW: $1,905.42
  • Anthem — IN Medicaid HIP: $1,905.42
  • Anthem — Medicare Advantage: $725.47
  • Anthem — Pathways for Aging: $1,905.42
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR 64483 Nerve Root Inj Lumbar $2,756 $1,791.40 $551.20 – $2,756
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
  • Aetna — Commercial: $2,028.42
  • Aetna — Medicare Advantage: $1,240.20
  • Anthem — Commercial (excludes Granger): $554.23
  • Anthem — HealthSync: $554.23
  • CHA — Employer Group 4: $1,653.60
  • CHA — Employer Group 5: $2,067
  • CHA — Employer Group 6: $2,204.80
  • Cigna — OAP: $1,929.20
  • Cigna — PPO: $2,259.92
  • Cigna BH — Commercial: $2,204.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Inj Anes Ster-Lumbar $2,756 $1,791.40 $551.20 – $2,756
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
  • Aetna — Commercial: $2,028.42
  • Aetna — Medicare Advantage: $1,240.20
  • Anthem — Commercial (excludes Granger): $554.23
  • Anthem — HealthSync: $554.23
  • CHA — Employer Group 4: $1,653.60
  • CHA — Employer Group 5: $2,067
  • CHA — Employer Group 6: $2,204.80
  • Cigna — OAP: $1,929.20
  • Cigna — PPO: $2,259.92
  • Cigna BH — Commercial: $2,204.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR 64483 Nerve Root Inj Lumbar $2,756 $1,791.40 $551.20 – $2,259.92
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Commercial: $2,028.42
  • CHA — Employer Group 5: $2,067
  • CHA — Employer Group 6: $2,204.80
  • Cigna — OAP: $1,929.20
  • Cigna — PPO: $2,259.92
  • Cigna BH — Commercial: $2,204.80
  • Devoted Healthcare — Medicare Advantage: $551.20
  • Humana — Commercial: $2,011.88
  • Immergrun — Commercial: $2,204.80
  • Multiplan — Commercial: $1,791.40
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 $946.99 – $6,350.48
Carpal tunnel release: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $2,045.69
  • Anthem — Commercial (excludes Granger): $6,350.48
  • Anthem — Commercial (Granger): $946.99
  • Anthem — Exchange: $2,045.69
  • Anthem — HealthSync: $5,397.90
  • Anthem — IN Medicaid HCC: $1,728.79
  • Anthem — IN Medicaid HHW: $1,728.79
  • Anthem — IN Medicaid HIP: $1,728.79
  • Anthem — Medicare Advantage: $2,045.69
  • Anthem — Pathways for Aging: $1,728.79
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $308.04 – $1,784.07
Laser treatment of clouding after cataract surgery: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $574.71
  • Anthem — Commercial (excludes Granger): $1,784.07
  • Anthem — Commercial (Granger): $733.11
  • Anthem — Exchange: $574.71
  • Anthem — HealthSync: $1,516.46
  • Anthem — IN Medicaid HCC: $1,728.79
  • Anthem — IN Medicaid HHW: $1,728.79
  • Anthem — IN Medicaid HIP: $1,728.79
  • Anthem — Medicare Advantage: $574.71
  • Anthem — Pathways for Aging: $1,728.79
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 $1,280.64 – $7,416.99
Cataract removal with lens implant: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $2,389.25
  • Anthem — Commercial (excludes Granger): $7,416.99
  • Anthem — Commercial (Granger): $1,478.69
  • Anthem — Exchange: $2,389.25
  • Anthem — HealthSync: $6,304.44
  • Anthem — IN Medicaid HCC: $4,315.74
  • Anthem — IN Medicaid HHW: $4,315.74
  • Anthem — IN Medicaid HIP: $4,315.74
  • Anthem — Medicare Advantage: $2,389.25
  • Anthem — Pathways for Aging: $4,315.74

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 $4,367.96
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Anthem — Commercial (Granger): $4,367.96
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 $4,367.96
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Anthem — Commercial (Granger): $4,367.96
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $4,486.17
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Anthem — Commercial (Granger): $4,486.17

Source: Memorial Hospital of South Bend’s standard charges file (beaconhealthsystem.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (beaconhealthsystem.org), because the hospital has no cms-hpt.txt file; both are required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address615 N Michigan St, South Bend, IN 46601
CountySt. Joseph County
StateIndiana
Phone(574) 647‑1000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number150058
Name in Medicare recordsMEMORIAL HOSPITAL OF SOUTH BEND
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMemorial Hospital
Official websitelocations.beaconhealthsystem.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Memorial Hospital - Beacon Health System — locations.beaconhealthsystem.org
  2. Memorial Hospital Outpatient Infusion Center - Beacon Health System — locations.beaconhealthsystem.org
  3. Memorial Hospital Inpatient Rehabilitation Services - Beacon Health System — locations.beaconhealthsystem.org
  4. Memorial Hospital Radiation Oncology Center - Beacon Health System — locations.beaconhealthsystem.org
  5. Emergency and Trauma Care — beaconhealthsystem.org
  6. Stroke care > Beacon Health System — beaconhealthsystem.org
  7. Language Interpreters — beaconhealthsystem.org
  8. Memorial Leighton Trauma Center - Beacon Health System — locations.beaconhealthsystem.org
  9. Memorial Hospital Ortho Neuro Patient Care Center - Beacon Health System — locations.beaconhealthsystem.org
  10. Memorial Emergency Care Center - Beacon Health System — locations.beaconhealthsystem.org
  11. Memorial Women & Children Services - Beacon Health System — locations.beaconhealthsystem.org
  12. Visiting Hours & Policies > Beacon Health System — beaconhealthsystem.org