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Critical Access Hospital

Memorial Hospital Sweetwater County

Rock Springs, Wyoming · Sweetwater County · Emergency services listed

Summary

Memorial Hospital Sweetwater County is a critical access hospital in Rock Springs, Wyoming. Medicare data lists emergency services. Its official website lists 61 services, specialties and programs. Medicare lists 269 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(307) 362‑3711 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). 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
Not ratedNot rated by CMSMedicare rating
YesBirthing-friendly (CMS)
269Doctors and clinicians
61Services listed

Quick answers

Does Memorial Hospital Sweetwater County have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Memorial Hospital Sweetwater County. In a medical emergency, call 911.
Where is Memorial Hospital Sweetwater County?
1200 College Drive, Rock Springs, WY 82901, in Sweetwater County, Wyoming.
What is the phone number of Memorial Hospital Sweetwater County?
(307) 362-3711, as listed by Medicare (CMS).
What is the Medicare star rating of Memorial Hospital Sweetwater County?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][7][8][11][12][14][15][16]

Conditions treated[8][12][14][15][16]

Treatments[11][12][16]

Procedures[8][11][14][16][17]

Programs and centers[5][10][11][12][13]

  • Sweetwater Cancer Center
  • Cancer survivorship program
  • Caregiver support program
  • Patient Financial Navigation Program
  • Prenatal classes
  • Patient & Family Advisory Program
  • Dialysis clinic
  • Sleep lab

Emergency care (hospital website)[7]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Interpreters and languagesSpanish interpreters can be arranged; Language Line offers 240+ languages including ASL, 24/7[6]

Recognition[13]

  • The Joint Commission accreditation
  • College of American Pathologists laboratory accreditation
  • American College of Radiology accreditation (CT, ultrasound, mammography)
  • American Academy of Sleep Medicine accredited sleep lab

Doctors and clinicians (269)

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

Main specialties

Doctors with a page on this site (269)

And 245 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 →

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean75%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys181Response rate: 17%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients10%
Deaths within 30 days: pneumonia patients13.5%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients12.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee 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 attackToo few cases to report
Readmitted within 30 days: heart failure20%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)150 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)75%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 Wyoming

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Memorial Hospital Sweetwater County lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: - NEW PATIENT LEVEL 3 $455 $455 $80.12 – $432.25
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Aetna — All: $432.25
  • Cigna — All: $432.25
  • Educators Mutual Insurance — All: $432.25
  • First Choice — All: $432.25
  • Redirect — All: $432.25
  • Select Health — All: $432.25
  • Tricare — All: $80.12
  • Union Pacific Railroad — All: $432.25
  • United Healthcare — All: $432.25
  • VA Health — All: $80.12
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 Office Visit Level 3 New $455 $455 $80.12 – $432.25
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Aetna — All: $432.25
  • Cigna — All: $432.25
  • Educators Mutual Insurance — All: $432.25
  • First Choice — All: $432.25
  • Redirect — All: $432.25
  • Select Health — All: $432.25
  • Tricare — All: $80.12
  • Union Pacific Railroad — All: $432.25
  • United Healthcare — All: $432.25
  • VA Health — All: $80.12
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203 Office Visit Level 3 New $455 $455 $80.12 – $432.25
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Aetna — All: $432.25
  • Cigna — All: $432.25
  • Educators Mutual Insurance — All: $432.25
  • First Choice — All: $432.25
  • Redirect — All: $432.25
  • Select Health — All: $432.25
  • Tricare — All: $80.12
  • Union Pacific Railroad — All: $432.25
  • United Healthcare — All: $432.25
  • VA Health — All: $80.12
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: - NEW PATIENT LEVEL 4 $655 $655 $130.52 – $622.25
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Aetna — All: $622.25
  • Cigna — All: $622.25
  • Educators Mutual Insurance — All: $622.25
  • First Choice — All: $622.25
  • Redirect — All: $622.25
  • Select Health — All: $622.25
  • Tricare — All: $130.52
  • Union Pacific Railroad — All: $622.25
  • United Healthcare — All: $622.25
  • VA Health — All: $130.52
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 Office Visit Level 4 New $655 $655 $130.52 – $622.25
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Aetna — All: $622.25
  • Cigna — All: $622.25
  • Educators Mutual Insurance — All: $622.25
  • First Choice — All: $622.25
  • Redirect — All: $622.25
  • Select Health — All: $622.25
  • Tricare — All: $130.52
  • Union Pacific Railroad — All: $622.25
  • United Healthcare — All: $622.25
  • VA Health — All: $130.52
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204 Office Visit Level 4 New $655 $655 $130.52 – $622.25
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Aetna — All: $622.25
  • Cigna — All: $622.25
  • Educators Mutual Insurance — All: $622.25
  • First Choice — All: $622.25
  • Redirect — All: $622.25
  • Select Health — All: $622.25
  • Tricare — All: $130.52
  • Union Pacific Railroad — All: $622.25
  • United Healthcare — All: $622.25
  • VA Health — All: $130.52
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: - NEW PATIENT LEVEL 5 $834 $834 $177.55 – $792.30
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Aetna — All: $792.30
  • Cigna — All: $792.30
  • Educators Mutual Insurance — All: $792.30
  • First Choice — All: $792.30
  • Redirect — All: $792.30
  • Select Health — All: $792.30
  • Tricare — All: $177.55
  • Union Pacific Railroad — All: $792.30
  • United Healthcare — All: $792.30
  • VA Health — All: $177.55
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 Office Visit Level 5 New $834 $834 $177.55 – $792.30
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Aetna — All: $792.30
  • Cigna — All: $792.30
  • Educators Mutual Insurance — All: $792.30
  • First Choice — All: $792.30
  • Redirect — All: $792.30
  • Select Health — All: $792.30
  • Tricare — All: $177.55
  • Union Pacific Railroad — All: $792.30
  • United Healthcare — All: $792.30
  • VA Health — All: $177.55
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205 Office Visit Level 5 New $834 $834 $177.55 – $792.30
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Aetna — All: $792.30
  • Cigna — All: $792.30
  • Educators Mutual Insurance — All: $792.30
  • First Choice — All: $792.30
  • Redirect — All: $792.30
  • Select Health — All: $792.30
  • Tricare — All: $177.55
  • Union Pacific Railroad — All: $792.30
  • United Healthcare — All: $792.30
  • VA Health — All: $177.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: - ESTABLISHED PATIENT LEVEL 3 $300 $300 $64.57 – $285
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Aetna — All: $285
  • Cigna — All: $285
  • Educators Mutual Insurance — All: $285
  • First Choice — All: $285
  • Redirect — All: $285
  • Select Health — All: $285
  • Tricare — All: $64.57
  • Union Pacific Railroad — All: $285
  • United Healthcare — All: $285
  • VA Health — All: $64.57
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213 Office Visit Established Pt. Level 3 $300 $300 $64.57 – $285
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Aetna — All: $285
  • Cigna — All: $285
  • Educators Mutual Insurance — All: $285
  • First Choice — All: $285
  • Redirect — All: $285
  • Select Health — All: $285
  • Tricare — All: $64.57
  • Union Pacific Railroad — All: $285
  • United Healthcare — All: $285
  • VA Health — All: $64.57
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 Office Visit Established Pt. Level 3 $300 $300 $64.57 – $285
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Aetna — All: $285
  • Cigna — All: $285
  • Educators Mutual Insurance — All: $285
  • First Choice — All: $285
  • Redirect — All: $285
  • Select Health — All: $285
  • Tricare — All: $64.57
  • Union Pacific Railroad — All: $285
  • United Healthcare — All: $285
  • VA Health — All: $64.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: - ESTABLISHED PATIENT LEVEL 4 $422 $422 $95.25 – $400.90
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Aetna — All: $400.90
  • Cigna — All: $400.90
  • Educators Mutual Insurance — All: $400.90
  • First Choice — All: $400.90
  • Redirect — All: $400.90
  • Select Health — All: $400.90
  • Tricare — All: $95.25
  • Union Pacific Railroad — All: $400.90
  • United Healthcare — All: $400.90
  • VA Health — All: $95.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214 Office Visit Established Pt. Level 4 $422 $422 $95.25 – $400.90
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Aetna — All: $400.90
  • Cigna — All: $400.90
  • Educators Mutual Insurance — All: $400.90
  • First Choice — All: $400.90
  • Redirect — All: $400.90
  • Select Health — All: $400.90
  • Tricare — All: $95.25
  • Union Pacific Railroad — All: $400.90
  • United Healthcare — All: $400.90
  • VA Health — All: $95.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 Office Visit Established Pt. Level 4 $422 $422 $95.25 – $400.90
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Aetna — All: $400.90
  • Cigna — All: $400.90
  • Educators Mutual Insurance — All: $400.90
  • First Choice — All: $400.90
  • Redirect — All: $400.90
  • Select Health — All: $400.90
  • Tricare — All: $95.25
  • Union Pacific Railroad — All: $400.90
  • United Healthcare — All: $400.90
  • VA Health — All: $95.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243 Office Consult New or Est. L3 Pt 40 min $479 $479 $86.42 – $455.05
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Aetna — All: $455.05
  • Cigna — All: $455.05
  • Educators Mutual Insurance — All: $455.05
  • First Choice — All: $455.05
  • Redirect — All: $455.05
  • Select Health — All: $455.05
  • Tricare — All: $86.42
  • Union Pacific Railroad — All: $455.05
  • United Healthcare — All: $455.05
  • VA Health — All: $86.42
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: 99243 Office Consult New or Est. L3 Pt 40 min $479 $479 $86.42 – $455.05
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Aetna — All: $455.05
  • Cigna — All: $455.05
  • Educators Mutual Insurance — All: $455.05
  • First Choice — All: $455.05
  • Redirect — All: $455.05
  • Select Health — All: $455.05
  • Tricare — All: $86.42
  • Union Pacific Railroad — All: $455.05
  • United Healthcare — All: $455.05
  • VA Health — All: $86.42
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99243 Office Consultation, Level 3 $479 $479 $86.42 – $455.05
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Aetna — All: $455.05
  • Cigna — All: $455.05
  • Educators Mutual Insurance — All: $455.05
  • First Choice — All: $455.05
  • Redirect — All: $455.05
  • Select Health — All: $455.05
  • Tricare — All: $86.42
  • Union Pacific Railroad — All: $455.05
  • United Healthcare — All: $455.05
  • VA Health — All: $86.42
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99244 Office Consult New or Est. L4 Pt 60 min $489 $489 $131.73 – $464.55
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
  • Aetna — All: $464.55
  • Cigna — All: $464.55
  • Educators Mutual Insurance — All: $464.55
  • First Choice — All: $464.55
  • Redirect — All: $464.55
  • Select Health — All: $464.55
  • Tricare — All: $131.73
  • Union Pacific Railroad — All: $464.55
  • United Healthcare — All: $464.55
  • VA Health — All: $131.73
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: 99244 Office Consult New or Est. L4 Pt 60 min $489 $489 $131.73 – $464.55
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
  • Aetna — All: $464.55
  • Cigna — All: $464.55
  • Educators Mutual Insurance — All: $464.55
  • First Choice — All: $464.55
  • Redirect — All: $464.55
  • Select Health — All: $464.55
  • Tricare — All: $131.73
  • Union Pacific Railroad — All: $464.55
  • United Healthcare — All: $464.55
  • VA Health — All: $131.73
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385 Initial Comp Preventive Med 18 to 39 years N $376 $376 $91.66 – $357.20
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna — All: $357.20
  • Cigna — All: $357.20
  • Educators Mutual Insurance — All: $357.20
  • First Choice — All: $357.20
  • Redirect — All: $357.20
  • Select Health — All: $357.20
  • Tricare — All: $91.66
  • Union Pacific Railroad — All: $357.20
  • United Healthcare — All: $357.20
  • VA Health — All: $91.66
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: 99385 Initial Comp Preventive Med 18 to 39 years N $376 $376 $91.66 – $357.20
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna — All: $357.20
  • Cigna — All: $357.20
  • Educators Mutual Insurance — All: $357.20
  • First Choice — All: $357.20
  • Redirect — All: $357.20
  • Select Health — All: $357.20
  • Tricare — All: $91.66
  • Union Pacific Railroad — All: $357.20
  • United Healthcare — All: $357.20
  • VA Health — All: $91.66
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385 Preventive Eval Initial New Pt. 18-39 year $376 $376 $91.66 – $357.20
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna — All: $357.20
  • Cigna — All: $357.20
  • Educators Mutual Insurance — All: $357.20
  • First Choice — All: $357.20
  • Redirect — All: $357.20
  • Select Health — All: $357.20
  • Tricare — All: $91.66
  • Union Pacific Railroad — All: $357.20
  • United Healthcare — All: $357.20
  • VA Health — All: $91.66
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386 Initial Comp Preventive Med 40 to 64 years N $427 $427 $111.16 – $405.65
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • Aetna — All: $405.65
  • Cigna — All: $405.65
  • Educators Mutual Insurance — All: $405.65
  • First Choice — All: $405.65
  • Redirect — All: $405.65
  • Select Health — All: $405.65
  • Tricare — All: $111.16
  • Union Pacific Railroad — All: $405.65
  • United Healthcare — All: $405.65
  • VA Health — All: $111.16
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: 99386 Initial Comp Preventive Med 40 to 64 years N $427 $427 $111.16 – $405.65
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • Aetna — All: $405.65
  • Cigna — All: $405.65
  • Educators Mutual Insurance — All: $405.65
  • First Choice — All: $405.65
  • Redirect — All: $405.65
  • Select Health — All: $405.65
  • Tricare — All: $111.16
  • Union Pacific Railroad — All: $405.65
  • United Healthcare — All: $405.65
  • VA Health — All: $111.16
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386 Preventive Eval Initial New Pt. 40-64 year a $427 $427 $111.16 – $405.65
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • Aetna — All: $405.65
  • Cigna — All: $405.65
  • Educators Mutual Insurance — All: $405.65
  • First Choice — All: $405.65
  • Redirect — All: $405.65
  • Select Health — All: $405.65
  • Tricare — All: $111.16
  • Union Pacific Railroad — All: $405.65
  • United Healthcare — All: $405.65
  • VA Health — All: $111.16
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: - Level 3 $744 $744 $68.81 – $706.80
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — All: $706.80
  • Cigna — All: $706.80
  • Educators Mutual Insurance — All: $706.80
  • First Choice — All: $706.80
  • Redirect — All: $706.80
  • Select Health — All: $706.80
  • Tricare — All: $68.81
  • Union Pacific Railroad — All: $706.80
  • United Healthcare — All: $706.80
  • VA Health — All: $68.81
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 Emergency Department Visit, Level 3 $215 $215 $68.81 – $204.25
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — All: $204.25
  • Cigna — All: $204.25
  • Educators Mutual Insurance — All: $204.25
  • First Choice — All: $204.25
  • Redirect — All: $204.25
  • Select Health — All: $204.25
  • Tricare — All: $68.81
  • Union Pacific Railroad — All: $204.25
  • United Healthcare — All: $204.25
  • VA Health — All: $68.81
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 Emergency Department Visit, Level 3 $215 $215 $68.81 – $204.25
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — All: $204.25
  • Cigna — All: $204.25
  • Educators Mutual Insurance — All: $204.25
  • First Choice — All: $204.25
  • Redirect — All: $204.25
  • Select Health — All: $204.25
  • Tricare — All: $68.81
  • Union Pacific Railroad — All: $204.25
  • United Healthcare — All: $204.25
  • VA Health — All: $68.81
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: - Level 4 $1,136 $1,136 $117.04 – $1,079.20
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — All: $1,079.20
  • Cigna — All: $1,079.20
  • Educators Mutual Insurance — All: $1,079.20
  • First Choice — All: $1,079.20
  • Redirect — All: $1,079.20
  • Select Health — All: $1,079.20
  • Tricare — All: $117.04
  • Union Pacific Railroad — All: $1,079.20
  • United Healthcare — All: $1,079.20
  • VA Health — All: $117.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 Emergency Department Visit, Level 4 $393 $393 $117.04 – $373.35
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — All: $373.35
  • Cigna — All: $373.35
  • Educators Mutual Insurance — All: $373.35
  • First Choice — All: $373.35
  • Redirect — All: $373.35
  • Select Health — All: $373.35
  • Tricare — All: $117.04
  • Union Pacific Railroad — All: $373.35
  • United Healthcare — All: $373.35
  • VA Health — All: $117.04
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 Emergency Department Visit, Level 4 $393 $393 $117.04 – $373.35
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — All: $373.35
  • Cigna — All: $373.35
  • Educators Mutual Insurance — All: $373.35
  • First Choice — All: $373.35
  • Redirect — All: $373.35
  • Select Health — All: $373.35
  • Tricare — All: $117.04
  • Union Pacific Railroad — All: $373.35
  • United Healthcare — All: $373.35
  • VA Health — All: $117.04
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: - Level 5 $1,661 $1,661 $169.50 – $1,577.95
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — All: $1,577.95
  • Cigna — All: $1,577.95
  • Educators Mutual Insurance — All: $1,577.95
  • First Choice — All: $1,577.95
  • Redirect — All: $1,577.95
  • Select Health — All: $1,577.95
  • Tricare — All: $169.50
  • Union Pacific Railroad — All: $1,577.95
  • United Healthcare — All: $1,577.95
  • VA Health — All: $169.50
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 Emergency Department Visit, Level 5 $570 $570 $169.50 – $541.50
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — All: $541.50
  • Cigna — All: $541.50
  • Educators Mutual Insurance — All: $541.50
  • First Choice — All: $541.50
  • Redirect — All: $541.50
  • Select Health — All: $541.50
  • Tricare — All: $169.50
  • Union Pacific Railroad — All: $541.50
  • United Healthcare — All: $541.50
  • VA Health — All: $169.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 Emergency Department Visit, Level 5 $570 $570 $169.50 – $541.50
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — All: $541.50
  • Cigna — All: $541.50
  • Educators Mutual Insurance — All: $541.50
  • First Choice — All: $541.50
  • Redirect — All: $541.50
  • Select Health — All: $541.50
  • Tricare — All: $169.50
  • Union Pacific Railroad — All: $541.50
  • United Healthcare — All: $541.50
  • VA Health — All: $169.50

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel $179 $179 $170.05 – $179
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All: $170.05
  • Cigna — All: $170.05
  • Educators Mutual Insurance — All: $170.05
  • First Choice — All: $170.05
  • Redirect — All: $170.05
  • Select Health — All: $170.05
  • Tricare — All: $179
  • Union Pacific Railroad — All: $170.05
  • United Healthcare — All: $170.05
  • VA Health — All: $179
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: L- BASIC METABOLIC CORPORATE $39 $39 $37.05 – $39
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All: $37.05
  • Cigna — All: $37.05
  • Educators Mutual Insurance — All: $37.05
  • First Choice — All: $37.05
  • Redirect — All: $37.05
  • Select Health — All: $37.05
  • Tricare — All: $39
  • Union Pacific Railroad — All: $37.05
  • United Healthcare — All: $37.05
  • VA Health — All: $39
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $201 $201 $190.95 – $201
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — All: $190.95
  • Cigna — All: $190.95
  • Educators Mutual Insurance — All: $190.95
  • First Choice — All: $190.95
  • Redirect — All: $190.95
  • Select Health — All: $190.95
  • Tricare — All: $201
  • Union Pacific Railroad — All: $190.95
  • United Healthcare — All: $190.95
  • VA Health — All: $201
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 Not listed in the file
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Tricare — All: 100% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
  • VA Health — All: 100% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $200 $200 $190 – $200
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — All: $190
  • Cigna — All: $190
  • Educators Mutual Insurance — All: $190
  • First Choice — All: $190
  • Redirect — All: $190
  • Select Health — All: $190
  • Tricare — All: $200
  • Union Pacific Railroad — All: $190
  • United Healthcare — All: $190
  • VA Health — All: $200
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel with Direct LDL $200 $200 $190 – $200
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — All: $190
  • Cigna — All: $190
  • Educators Mutual Insurance — All: $190
  • First Choice — All: $190
  • Redirect — All: $190
  • Select Health — All: $190
  • Tricare — All: $200
  • Union Pacific Railroad — All: $190
  • United Healthcare — All: $190
  • VA Health — All: $200
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $191 $191 $181.45 – $191
Kidney function panel: rates for 10 insurance plans
  • Aetna — All: $181.45
  • Cigna — All: $181.45
  • Educators Mutual Insurance — All: $181.45
  • First Choice — All: $181.45
  • Redirect — All: $181.45
  • Select Health — All: $181.45
  • Tricare — All: $191
  • Union Pacific Railroad — All: $181.45
  • United Healthcare — All: $181.45
  • VA Health — All: $191
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $233 $233 $221.35 – $233
Liver function panel: rates for 10 insurance plans
  • Aetna — All: $221.35
  • Cigna — All: $221.35
  • Educators Mutual Insurance — All: $221.35
  • First Choice — All: $221.35
  • Redirect — All: $221.35
  • Select Health — All: $221.35
  • Tricare — All: $233
  • Union Pacific Railroad — All: $221.35
  • United Healthcare — All: $221.35
  • VA Health — All: $233
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Microscopic $88 $88 $83.60 – $88
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — All: $83.60
  • Cigna — All: $83.60
  • Educators Mutual Insurance — All: $83.60
  • First Choice — All: $83.60
  • Redirect — All: $83.60
  • Select Health — All: $83.60
  • Tricare — All: $88
  • Union Pacific Railroad — All: $83.60
  • United Healthcare — All: $83.60
  • VA Health — All: $88
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis with Microscopic , Culture if indicated $88 $88 $83.60 – $88
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — All: $83.60
  • Cigna — All: $83.60
  • Educators Mutual Insurance — All: $83.60
  • First Choice — All: $83.60
  • Redirect — All: $83.60
  • Select Health — All: $83.60
  • Tricare — All: $88
  • Union Pacific Railroad — All: $83.60
  • United Healthcare — All: $83.60
  • VA Health — All: $88
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick Clinic POC (RE) $48 $48 $45.60 – $48
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — All: $45.60
  • Cigna — All: $45.60
  • Educators Mutual Insurance — All: $45.60
  • First Choice — All: $45.60
  • Redirect — All: $45.60
  • Select Health — All: $45.60
  • Tricare — All: $48
  • Union Pacific Railroad — All: $45.60
  • United Healthcare — All: $45.60
  • VA Health — All: $48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Dipstick Clinic POC (RE) $48 $48 $45.60 – $48
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — All: $45.60
  • Cigna — All: $45.60
  • Educators Mutual Insurance — All: $45.60
  • First Choice — All: $45.60
  • Redirect — All: $45.60
  • Select Health — All: $45.60
  • Tricare — All: $48
  • Union Pacific Railroad — All: $45.60
  • United Healthcare — All: $45.60
  • VA Health — All: $48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Dipstick $48 $48 $45.60 – $48
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — All: $45.60
  • Cigna — All: $45.60
  • Educators Mutual Insurance — All: $45.60
  • First Choice — All: $45.60
  • Redirect — All: $45.60
  • Select Health — All: $45.60
  • Tricare — All: $48
  • Union Pacific Railroad — All: $45.60
  • United Healthcare — All: $45.60
  • VA Health — All: $48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis with Microscopic if Indicated $48 $48 $45.60 – $48
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — All: $45.60
  • Cigna — All: $45.60
  • Educators Mutual Insurance — All: $45.60
  • First Choice — All: $45.60
  • Redirect — All: $45.60
  • Select Health — All: $45.60
  • Tricare — All: $48
  • Union Pacific Railroad — All: $45.60
  • United Healthcare — All: $45.60
  • VA Health — All: $48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick Urology Clinic POC (RE) $48 $48 $45.60 – $48
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — All: $45.60
  • Cigna — All: $45.60
  • Educators Mutual Insurance — All: $45.60
  • First Choice — All: $45.60
  • Redirect — All: $45.60
  • Select Health — All: $45.60
  • Tricare — All: $48
  • Union Pacific Railroad — All: $45.60
  • United Healthcare — All: $45.60
  • VA Health — All: $48
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: L- PROTEIN S FREE,ANTIGEN TOTAL $233 $233 $221.35 – $233
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — All: $221.35
  • Cigna — All: $221.35
  • Educators Mutual Insurance — All: $221.35
  • First Choice — All: $221.35
  • Redirect — All: $221.35
  • Select Health — All: $221.35
  • Tricare — All: $233
  • Union Pacific Railroad — All: $221.35
  • United Healthcare — All: $221.35
  • VA Health — All: $233
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA Ultra Sensitive ARUP $233 $233 $221.35 – $233
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — All: $221.35
  • Cigna — All: $221.35
  • Educators Mutual Insurance — All: $221.35
  • First Choice — All: $221.35
  • Redirect — All: $221.35
  • Select Health — All: $221.35
  • Tricare — All: $233
  • Union Pacific Railroad — All: $221.35
  • United Healthcare — All: $221.35
  • VA Health — All: $233
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA, Percent Free ARUP $233 $233 $221.35 – $233
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — All: $221.35
  • Cigna — All: $221.35
  • Educators Mutual Insurance — All: $221.35
  • First Choice — All: $221.35
  • Redirect — All: $221.35
  • Select Health — All: $221.35
  • Tricare — All: $233
  • Union Pacific Railroad — All: $221.35
  • United Healthcare — All: $221.35
  • VA Health — All: $233
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH with Reflex to FT4 $233 $233 $221.35 – $233
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — All: $221.35
  • Cigna — All: $221.35
  • Educators Mutual Insurance — All: $221.35
  • First Choice — All: $221.35
  • Redirect — All: $221.35
  • Select Health — All: $221.35
  • Tricare — All: $233
  • Union Pacific Railroad — All: $221.35
  • United Healthcare — All: $221.35
  • VA Health — All: $233
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $233 $233 $221.35 – $233
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — All: $221.35
  • Cigna — All: $221.35
  • Educators Mutual Insurance — All: $221.35
  • First Choice — All: $221.35
  • Redirect — All: $221.35
  • Select Health — All: $221.35
  • Tricare — All: $233
  • Union Pacific Railroad — All: $221.35
  • United Healthcare — All: $221.35
  • VA Health — All: $233
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone ARUP $215 $215 $204.25 – $215
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — All: $204.25
  • Cigna — All: $204.25
  • Educators Mutual Insurance — All: $204.25
  • First Choice — All: $204.25
  • Redirect — All: $204.25
  • Select Health — All: $204.25
  • Tricare — All: $215
  • Union Pacific Railroad — All: $204.25
  • United Healthcare — All: $204.25
  • VA Health — All: $215
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Differential $172 $172 $163.40 – $172
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — All: $163.40
  • Cigna — All: $163.40
  • Educators Mutual Insurance — All: $163.40
  • First Choice — All: $163.40
  • Redirect — All: $163.40
  • Select Health — All: $163.40
  • Tricare — All: $172
  • Union Pacific Railroad — All: $163.40
  • United Healthcare — All: $163.40
  • VA Health — All: $172
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/o Differential $126 $126 $119.70 – $126
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — All: $119.70
  • Cigna — All: $119.70
  • Educators Mutual Insurance — All: $119.70
  • First Choice — All: $119.70
  • Redirect — All: $119.70
  • Select Health — All: $119.70
  • Tricare — All: $126
  • Union Pacific Railroad — All: $119.70
  • United Healthcare — All: $119.70
  • VA Health — All: $126
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Antiphospholipid Syndrome Reflex Panel ARUP $104 $104 $98.80 – $104
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — All: $98.80
  • Cigna — All: $98.80
  • Educators Mutual Insurance — All: $98.80
  • First Choice — All: $98.80
  • Redirect — All: $98.80
  • Select Health — All: $98.80
  • Tricare — All: $104
  • Union Pacific Railroad — All: $98.80
  • United Healthcare — All: $98.80
  • VA Health — All: $104
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR $110 $110 $104.50 – $110
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — All: $104.50
  • Cigna — All: $104.50
  • Educators Mutual Insurance — All: $104.50
  • First Choice — All: $104.50
  • Redirect — All: $104.50
  • Select Health — All: $104.50
  • Tricare — All: $110
  • Union Pacific Railroad — All: $104.50
  • United Healthcare — All: $104.50
  • VA Health — All: $110
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR (Capillary) $110 $110 $104.50 – $110
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — All: $104.50
  • Cigna — All: $104.50
  • Educators Mutual Insurance — All: $104.50
  • First Choice — All: $104.50
  • Redirect — All: $104.50
  • Select Health — All: $104.50
  • Tricare — All: $110
  • Union Pacific Railroad — All: $104.50
  • United Healthcare — All: $104.50
  • VA Health — All: $110
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Activated PTT $98 $98 $93.10 – $98
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — All: $93.10
  • Cigna — All: $93.10
  • Educators Mutual Insurance — All: $93.10
  • First Choice — All: $93.10
  • Redirect — All: $93.10
  • Select Health — All: $93.10
  • Tricare — All: $98
  • Union Pacific Railroad — All: $93.10
  • United Healthcare — All: $93.10
  • VA Health — All: $98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: BILL_PTT T $78 $78 $74.10 – $78
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — All: $74.10
  • Cigna — All: $74.10
  • Educators Mutual Insurance — All: $74.10
  • First Choice — All: $74.10
  • Redirect — All: $74.10
  • Select Health — All: $74.10
  • Tricare — All: $78
  • Union Pacific Railroad — All: $74.10
  • United Healthcare — All: $74.10
  • VA Health — All: $78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Partial Thromboplastin Time Ratio, Treated Reflex ARUP $102 $102 $96.90 – $102
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — All: $96.90
  • Cigna — All: $96.90
  • Educators Mutual Insurance — All: $96.90
  • First Choice — All: $96.90
  • Redirect — All: $96.90
  • Select Health — All: $96.90
  • Tricare — All: $102
  • Union Pacific Railroad — All: $96.90
  • United Healthcare — All: $96.90
  • VA Health — All: $102

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: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $109.71
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Tricare — All: $109.71
  • VA Health — All: $109.71
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Brain/Head Stroke Alert $1,605 $1,605 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Head w/o Contrast $1,605 $1,605 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $330.77
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Tricare — All: $330.77
  • VA Health — All: $330.77
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI Brain w/ + w/o Contrast $5,393 $5,393 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $34
Chest X-ray, 2 views: rates for 10 insurance plans
  • Tricare — All: $34
  • VA Health — All: $34
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XR Chest 2 Views $376 $376 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR Chest 2 Views $147 $147 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $52.69
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Tricare — All: $52.69
  • VA Health — All: $52.69
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XR Spine Lumbosacral 4+ Views $564 $564 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR Spine Lumbosacral 4+ Views $266 $266 Not listed in the file
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 $198.54
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Tricare — All: $198.54
  • VA Health — All: $198.54
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI Spine Lumbar w/o Contrast $4,152 $4,152 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W/ CONTRAST $2,783 $2,783 $238.21 – $2,643.85
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — All: $2,643.85
  • Cigna — All: $2,643.85
  • Educators Mutual Insurance — All: $2,643.85
  • First Choice — All: $2,643.85
  • Redirect — All: $2,643.85
  • Select Health — All: $2,643.85
  • Tricare — All: $238.21
  • Union Pacific Railroad — All: $2,643.85
  • United Healthcare — All: $2,643.85
  • VA Health — All: $238.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Pelvis w/ Contrast $2,579 $2,579 Not listed in the file
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 $210.68
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Tricare — All: $210.68
  • VA Health — All: $210.68
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI Ankle w/o Contrast Left $4,152 $4,152 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI Ankle w/o Contrast Right $4,152 $4,152 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file $315.24
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Tricare — All: $315.24
  • VA Health — All: $315.24
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT ABD AND PELVIS W CONTRAST $5,235 $5,235 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Abdomen and Pelvis w/ Contrast $5,438 $5,438 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $117.51
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Tricare — All: $117.51
  • VA Health — All: $117.51
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US Abdomen Complete $1,225 $1,225 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US Abdomen Complete w/ Ejection Fraction $1,225 $1,225 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 Ultrasound, Pregnant Uterus, Complete $494 $494 $137.06 – $469.30
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — All: $469.30
  • Cigna — All: $469.30
  • Educators Mutual Insurance — All: $469.30
  • First Choice — All: $469.30
  • Redirect — All: $469.30
  • Select Health — All: $469.30
  • Tricare — All: $137.06
  • Union Pacific Railroad — All: $469.30
  • United Healthcare — All: $469.30
  • VA Health — All: $137.06
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: 76805 Ultrasound, Pregnant Uterus, Complete $494 $494 $137.06 – $469.30
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — All: $469.30
  • Cigna — All: $469.30
  • Educators Mutual Insurance — All: $469.30
  • First Choice — All: $469.30
  • Redirect — All: $469.30
  • Select Health — All: $469.30
  • Tricare — All: $137.06
  • Union Pacific Railroad — All: $469.30
  • United Healthcare — All: $469.30
  • VA Health — All: $137.06
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US OB Greater Than 14 Weeks $944 $944 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 Ultrasound, Transvaginal $739 $739 $120.78 – $702.05
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — All: $702.05
  • Cigna — All: $702.05
  • Educators Mutual Insurance — All: $702.05
  • First Choice — All: $702.05
  • Redirect — All: $702.05
  • Select Health — All: $702.05
  • Tricare — All: $120.78
  • Union Pacific Railroad — All: $702.05
  • United Healthcare — All: $702.05
  • VA Health — All: $120.78
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: 76830 Ultrasound, Transvaginal $739 $739 $120.78 – $702.05
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — All: $702.05
  • Cigna — All: $702.05
  • Educators Mutual Insurance — All: $702.05
  • First Choice — All: $702.05
  • Redirect — All: $702.05
  • Select Health — All: $702.05
  • Tricare — All: $120.78
  • Union Pacific Railroad — All: $702.05
  • United Healthcare — All: $702.05
  • VA Health — All: $120.78
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL $935 $935 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG IMPLANT UNI L W/CAD $633 $633 $126.78 – $601.35
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — All: $601.35
  • Cigna — All: $601.35
  • Educators Mutual Insurance — All: $601.35
  • First Choice — All: $601.35
  • Redirect — All: $601.35
  • Select Health — All: $601.35
  • Tricare — All: $126.78
  • Union Pacific Railroad — All: $601.35
  • United Healthcare — All: $601.35
  • VA Health — All: $126.78
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG IMPLANT UNI L WO CAD $527 $527 $126.78 – $500.65
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — All: $500.65
  • Cigna — All: $500.65
  • Educators Mutual Insurance — All: $500.65
  • First Choice — All: $500.65
  • Redirect — All: $500.65
  • Select Health — All: $500.65
  • Tricare — All: $126.78
  • Union Pacific Railroad — All: $500.65
  • United Healthcare — All: $500.65
  • VA Health — All: $126.78
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG IMPLANT UNI R W CAD $633 $633 $126.78 – $601.35
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — All: $601.35
  • Cigna — All: $601.35
  • Educators Mutual Insurance — All: $601.35
  • First Choice — All: $601.35
  • Redirect — All: $601.35
  • Select Health — All: $601.35
  • Tricare — All: $126.78
  • Union Pacific Railroad — All: $601.35
  • United Healthcare — All: $601.35
  • VA Health — All: $126.78
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG DX BILAT W CAD $661 $661 $160.47 – $627.95
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All: $627.95
  • Cigna — All: $627.95
  • Educators Mutual Insurance — All: $627.95
  • First Choice — All: $627.95
  • Redirect — All: $627.95
  • Select Health — All: $627.95
  • Tricare — All: $160.47
  • Union Pacific Railroad — All: $627.95
  • United Healthcare — All: $627.95
  • VA Health — All: $160.47
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG DX BILAT W/O CAD $589 $589 $160.47 – $559.55
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All: $559.55
  • Cigna — All: $559.55
  • Educators Mutual Insurance — All: $559.55
  • First Choice — All: $559.55
  • Redirect — All: $559.55
  • Select Health — All: $559.55
  • Tricare — All: $160.47
  • Union Pacific Railroad — All: $559.55
  • United Healthcare — All: $559.55
  • VA Health — All: $160.47
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG DX IMP BIL W/O CAD $624 $624 $160.47 – $592.80
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All: $592.80
  • Cigna — All: $592.80
  • Educators Mutual Insurance — All: $592.80
  • First Choice — All: $592.80
  • Redirect — All: $592.80
  • Select Health — All: $592.80
  • Tricare — All: $160.47
  • Union Pacific Railroad — All: $592.80
  • United Healthcare — All: $592.80
  • VA Health — All: $160.47
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG SCREEN BILAT W CAD $576 $576 $129.56 – $547.20
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All: $547.20
  • Cigna — All: $547.20
  • Educators Mutual Insurance — All: $547.20
  • First Choice — All: $547.20
  • Redirect — All: $547.20
  • Select Health — All: $547.20
  • Tricare — All: $129.56
  • Union Pacific Railroad — All: $547.20
  • United Healthcare — All: $547.20
  • VA Health — All: $129.56
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG SCREEN IMP BILAT W CAD $669 $669 $129.56 – $635.55
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All: $635.55
  • Cigna — All: $635.55
  • Educators Mutual Insurance — All: $635.55
  • First Choice — All: $635.55
  • Redirect — All: $635.55
  • Select Health — All: $635.55
  • Tricare — All: $129.56
  • Union Pacific Railroad — All: $635.55
  • United Healthcare — All: $635.55
  • VA Health — All: $129.56
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DG SCREEN IMP UNI LT $604 $604 $129.56 – $573.80
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All: $573.80
  • Cigna — All: $573.80
  • Educators Mutual Insurance — All: $573.80
  • First Choice — All: $573.80
  • Redirect — All: $573.80
  • Select Health — All: $573.80
  • Tricare — All: $129.56
  • Union Pacific Railroad — All: $573.80
  • United Healthcare — All: $573.80
  • VA Health — All: $129.56

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: 93000 EKG w/ 12+ leads; Tracing/Interp/Report $61 $61 $14.30 – $57.95
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • Aetna — All: $57.95
  • Cigna — All: $57.95
  • Educators Mutual Insurance — All: $57.95
  • First Choice — All: $57.95
  • Redirect — All: $57.95
  • Select Health — All: $57.95
  • Tricare — All: $14.30
  • Union Pacific Railroad — All: $57.95
  • United Healthcare — All: $57.95
  • VA Health — All: $14.30
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: 93000 EKG w/ 12+ leads; Tracing/Interp/Report $61 $61 $14.30 – $57.95
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • Aetna — All: $57.95
  • Cigna — All: $57.95
  • Educators Mutual Insurance — All: $57.95
  • First Choice — All: $57.95
  • Redirect — All: $57.95
  • Select Health — All: $57.95
  • Tricare — All: $14.30
  • Union Pacific Railroad — All: $57.95
  • United Healthcare — All: $57.95
  • VA Health — All: $14.30
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: EKG GLOBAL WITH INTERP AND RPT CHARGE $603 $603 $14.30 – $572.85
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • Aetna — All: $572.85
  • Cigna — All: $572.85
  • Educators Mutual Insurance — All: $572.85
  • First Choice — All: $572.85
  • Redirect — All: $572.85
  • Select Health — All: $572.85
  • Tricare — All: $14.30
  • Union Pacific Railroad — All: $572.85
  • United Healthcare — All: $572.85
  • VA Health — All: $14.30
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 $891.26
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Tricare — All: $891.26
  • VA Health — All: $891.26
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file Not listed in the file
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Tricare — All: 100% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
  • VA Health — All: 100% (a percentage in the contract, not a dollar amount)
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 $894.55
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • Tricare — All: $894.55
  • VA Health — All: $894.55
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAPHY CHARGE. $6,301 $6,301 $632.93 – $5,985.95
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Aetna — All: $5,985.95
  • Cigna — All: $5,985.95
  • Educators Mutual Insurance — All: $5,985.95
  • First Choice — All: $5,985.95
  • Redirect — All: $5,985.95
  • Select Health — All: $5,985.95
  • Tricare — All: $632.93
  • Union Pacific Railroad — All: $5,985.95
  • United Healthcare — All: $5,985.95
  • VA Health — All: $632.93

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: 97110 Therapeutic exercise, each 15 minutes $64 $64 $29.40 – $60.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — All: $60.80
  • Cigna — All: $60.80
  • Educators Mutual Insurance — All: $60.80
  • First Choice — All: $60.80
  • Redirect — All: $60.80
  • Select Health — All: $60.80
  • Tricare — All: $29.40
  • Union Pacific Railroad — All: $60.80
  • United Healthcare — All: $60.80
  • VA Health — All: $29.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: 97110 Therapeutic exercise, each 15 minutes $64 $64 $29.40 – $60.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — All: $60.80
  • Cigna — All: $60.80
  • Educators Mutual Insurance — All: $60.80
  • First Choice — All: $60.80
  • Redirect — All: $60.80
  • Select Health — All: $60.80
  • Tricare — All: $29.40
  • Union Pacific Railroad — All: $60.80
  • United Healthcare — All: $60.80
  • VA Health — All: $29.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CO In the file: OT Therapeutic Exercise Assistant Units $115 $115 Not listed in the file
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 $100.53
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Tricare — All: $100.53
  • VA Health — All: $100.53
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Low Complexity Units $172 $172 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Low Complex Units $172 $172 Not listed in the file
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 $100.53
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Tricare — All: $100.53
  • VA Health — All: $100.53
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Moderate Complexity Units $245 $245 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Moderate Complex Units $245 $245 Not listed in the file
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 $100.53
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Tricare — All: $100.53
  • VA Health — All: $100.53
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation High Complexity Units $358 $358 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT High Complex Units $358 $358 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90832 Psych follow up 20-30 minutes $247 $247 $67.50 – $234.65
Psychotherapy, 30 minutes: rates for 10 insurance plans
  • Aetna — All: $234.65
  • Cigna — All: $234.65
  • Educators Mutual Insurance — All: $234.65
  • First Choice — All: $234.65
  • Redirect — All: $234.65
  • Select Health — All: $234.65
  • Tricare — All: $67.50
  • Union Pacific Railroad — All: $234.65
  • United Healthcare — All: $234.65
  • VA Health — All: $67.50
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: 90832 Psych follow up 20-30 minutes $247 $247 $67.50 – $234.65
Psychotherapy, 30 minutes: rates for 10 insurance plans
  • Aetna — All: $234.65
  • Cigna — All: $234.65
  • Educators Mutual Insurance — All: $234.65
  • First Choice — All: $234.65
  • Redirect — All: $234.65
  • Select Health — All: $234.65
  • Tricare — All: $67.50
  • Union Pacific Railroad — All: $234.65
  • United Healthcare — All: $234.65
  • VA Health — All: $67.50
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90834 Psych follow up 45-50 minutes $326 $326 $89.28 – $309.70
Psychotherapy, 45 minutes: rates for 10 insurance plans
  • Aetna — All: $309.70
  • Cigna — All: $309.70
  • Educators Mutual Insurance — All: $309.70
  • First Choice — All: $309.70
  • Redirect — All: $309.70
  • Select Health — All: $309.70
  • Tricare — All: $89.28
  • Union Pacific Railroad — All: $309.70
  • United Healthcare — All: $309.70
  • VA Health — All: $89.28
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: 90834 Psych follow up 45-50 minutes $326 $326 $89.28 – $309.70
Psychotherapy, 45 minutes: rates for 10 insurance plans
  • Aetna — All: $309.70
  • Cigna — All: $309.70
  • Educators Mutual Insurance — All: $309.70
  • First Choice — All: $309.70
  • Redirect — All: $309.70
  • Select Health — All: $309.70
  • Tricare — All: $89.28
  • Union Pacific Railroad — All: $309.70
  • United Healthcare — All: $309.70
  • VA Health — All: $89.28
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90837 Psych Follow Up 60 Minutes $487 $487 $131.77 – $462.65
Psychotherapy, 60 minutes: rates for 10 insurance plans
  • Aetna — All: $462.65
  • Cigna — All: $462.65
  • Educators Mutual Insurance — All: $462.65
  • First Choice — All: $462.65
  • Redirect — All: $462.65
  • Select Health — All: $462.65
  • Tricare — All: $131.77
  • Union Pacific Railroad — All: $462.65
  • United Healthcare — All: $462.65
  • VA Health — All: $131.77
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: 90837 Psych Follow Up 60 Minutes $487 $487 $131.77 – $462.65
Psychotherapy, 60 minutes: rates for 10 insurance plans
  • Aetna — All: $462.65
  • Cigna — All: $462.65
  • Educators Mutual Insurance — All: $462.65
  • First Choice — All: $462.65
  • Redirect — All: $462.65
  • Select Health — All: $462.65
  • Tricare — All: $131.77
  • Union Pacific Railroad — All: $462.65
  • United Healthcare — All: $462.65
  • VA Health — All: $131.77
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 $96.18
Family psychotherapy, without the patient: rates for 10 insurance plans
  • Tricare — All: $96.18
  • VA Health — All: $96.18
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
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 $100.49
Family psychotherapy, with the patient: rates for 10 insurance plans
  • Tricare — All: $100.49
  • VA Health — All: $100.49
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
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 $23.69
Group psychotherapy: rates for 10 insurance plans
  • Tricare — All: $23.69
  • VA Health — All: $23.69
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)

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: 19120 Excision of cyst, fibroadenoma, or other ben $1,295 $1,295 $413.32 – $1,230.25
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Aetna — All: $1,230.25
  • Cigna — All: $1,230.25
  • Educators Mutual Insurance — All: $1,230.25
  • First Choice — All: $1,230.25
  • Redirect — All: $1,230.25
  • Select Health — All: $1,230.25
  • Tricare — All: $413.32
  • Union Pacific Railroad — All: $1,230.25
  • United Healthcare — All: $1,230.25
  • VA Health — All: $413.32
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: 19120 Excision of cyst, fibroadenoma, or other ben $1,295 $1,295 $413.32 – $1,230.25
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Aetna — All: $1,230.25
  • Cigna — All: $1,230.25
  • Educators Mutual Insurance — All: $1,230.25
  • First Choice — All: $1,230.25
  • Redirect — All: $1,230.25
  • Select Health — All: $1,230.25
  • Tricare — All: $413.32
  • Union Pacific Railroad — All: $1,230.25
  • United Healthcare — All: $1,230.25
  • VA Health — All: $413.32
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27130 Arthroplasty, acetabular and proximal femora $11,105 $11,105 $1,263.05 – $10,549.75
Total hip replacement: rates for 10 insurance plans
  • Aetna — All: $10,549.75
  • Cigna — All: $10,549.75
  • Educators Mutual Insurance — All: $10,549.75
  • First Choice — All: $10,549.75
  • Redirect — All: $10,549.75
  • Select Health — All: $10,549.75
  • Tricare — All: $1,263.05
  • Union Pacific Railroad — All: $10,549.75
  • United Healthcare — All: $10,549.75
  • VA Health — All: $1,263.05
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: 27130 Arthroplasty, acetabular and proximal femora $11,105 $11,105 $1,263.05 – $10,549.75
Total hip replacement: rates for 10 insurance plans
  • Aetna — All: $10,549.75
  • Cigna — All: $10,549.75
  • Educators Mutual Insurance — All: $10,549.75
  • First Choice — All: $10,549.75
  • Redirect — All: $10,549.75
  • Select Health — All: $10,549.75
  • Tricare — All: $1,263.05
  • Union Pacific Railroad — All: $10,549.75
  • United Healthcare — All: $10,549.75
  • VA Health — All: $1,263.05
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 27447 Arthroplasty, knee, condyle and plateau; med $12,984 $12,984 $1,261.16 – $12,334.80
Total knee replacement: rates for 10 insurance plans
  • Aetna — All: $12,334.80
  • Cigna — All: $12,334.80
  • Educators Mutual Insurance — All: $12,334.80
  • First Choice — All: $12,334.80
  • Redirect — All: $12,334.80
  • Select Health — All: $12,334.80
  • Tricare — All: $1,261.16
  • Union Pacific Railroad — All: $12,334.80
  • United Healthcare — All: $12,334.80
  • VA Health — All: $1,261.16
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: 27447 Arthroplasty, knee, condyle and plateau; med $12,984 $12,984 $1,261.16 – $12,334.80
Total knee replacement: rates for 10 insurance plans
  • Aetna — All: $12,334.80
  • Cigna — All: $12,334.80
  • Educators Mutual Insurance — All: $12,334.80
  • First Choice — All: $12,334.80
  • Redirect — All: $12,334.80
  • Select Health — All: $12,334.80
  • Tricare — All: $1,261.16
  • Union Pacific Railroad — All: $12,334.80
  • United Healthcare — All: $12,334.80
  • VA Health — All: $1,261.16
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29826 Arthroscopy, shoulder, surgical; decompress $5,263 $5,263 $165.93 – $4,999.85
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • Aetna — All: $4,999.85
  • Cigna — All: $4,999.85
  • Educators Mutual Insurance — All: $4,999.85
  • First Choice — All: $4,999.85
  • Redirect — All: $4,999.85
  • Select Health — All: $4,999.85
  • Tricare — All: $165.93
  • Union Pacific Railroad — All: $4,999.85
  • United Healthcare — All: $4,999.85
  • VA Health — All: $165.93
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: 29826 Arthroscopy, shoulder, surgical; decompress $5,263 $5,263 $165.93 – $4,999.85
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • Aetna — All: $4,999.85
  • Cigna — All: $4,999.85
  • Educators Mutual Insurance — All: $4,999.85
  • First Choice — All: $4,999.85
  • Redirect — All: $4,999.85
  • Select Health — All: $4,999.85
  • Tricare — All: $165.93
  • Union Pacific Railroad — All: $4,999.85
  • United Healthcare — All: $4,999.85
  • VA Health — All: $165.93
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 29881 Arthroscopy, knee, surgical; with meniscecto $5,263 $5,263 $543.43 – $4,999.85
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Aetna — All: $4,999.85
  • Cigna — All: $4,999.85
  • Educators Mutual Insurance — All: $4,999.85
  • First Choice — All: $4,999.85
  • Redirect — All: $4,999.85
  • Select Health — All: $4,999.85
  • Tricare — All: $543.43
  • Union Pacific Railroad — All: $4,999.85
  • United Healthcare — All: $4,999.85
  • VA Health — All: $543.43
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: 29881 Arthroscopy, knee, surgical; with meniscecto $5,263 $5,263 $543.43 – $4,999.85
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Aetna — All: $4,999.85
  • Cigna — All: $4,999.85
  • Educators Mutual Insurance — All: $4,999.85
  • First Choice — All: $4,999.85
  • Redirect — All: $4,999.85
  • Select Health — All: $4,999.85
  • Tricare — All: $543.43
  • Union Pacific Railroad — All: $4,999.85
  • United Healthcare — All: $4,999.85
  • VA Health — All: $543.43
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 42820 Tonsillectomy and adenoidectomy; younger tha $1,019 $1,019 $292.08 – $968.05
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Aetna — All: $968.05
  • Cigna — All: $968.05
  • Educators Mutual Insurance — All: $968.05
  • First Choice — All: $968.05
  • Redirect — All: $968.05
  • Select Health — All: $968.05
  • Tricare — All: $292.08
  • Union Pacific Railroad — All: $968.05
  • United Healthcare — All: $968.05
  • VA Health — All: $292.08
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: 42820 Tonsillectomy and adenoidectomy; younger tha $1,019 $1,019 $292.08 – $968.05
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Aetna — All: $968.05
  • Cigna — All: $968.05
  • Educators Mutual Insurance — All: $968.05
  • First Choice — All: $968.05
  • Redirect — All: $968.05
  • Select Health — All: $968.05
  • Tricare — All: $292.08
  • Union Pacific Railroad — All: $968.05
  • United Healthcare — All: $968.05
  • VA Health — All: $292.08
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43235 Esophagogastroduodenoscopy, flexible, transo $1,291 $1,291 $119.34 – $1,226.45
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — All: $1,226.45
  • Cigna — All: $1,226.45
  • Educators Mutual Insurance — All: $1,226.45
  • First Choice — All: $1,226.45
  • Redirect — All: $1,226.45
  • Select Health — All: $1,226.45
  • Tricare — All: $119.34
  • Union Pacific Railroad — All: $1,226.45
  • United Healthcare — All: $1,226.45
  • VA Health — All: $119.34
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: 43235 Esophagogastroduodenoscopy, flexible, transo $1,291 $1,291 $119.34 – $1,226.45
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — All: $1,226.45
  • Cigna — All: $1,226.45
  • Educators Mutual Insurance — All: $1,226.45
  • First Choice — All: $1,226.45
  • Redirect — All: $1,226.45
  • Select Health — All: $1,226.45
  • Tricare — All: $119.34
  • Union Pacific Railroad — All: $1,226.45
  • United Healthcare — All: $1,226.45
  • VA Health — All: $119.34
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239 Esophagogastroduodenoscopy, flexible, transo $1,353 $1,353 $134.71 – $1,285.35
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Aetna — All: $1,285.35
  • Cigna — All: $1,285.35
  • Educators Mutual Insurance — All: $1,285.35
  • First Choice — All: $1,285.35
  • Redirect — All: $1,285.35
  • Select Health — All: $1,285.35
  • Tricare — All: $134.71
  • Union Pacific Railroad — All: $1,285.35
  • United Healthcare — All: $1,285.35
  • VA Health — All: $134.71
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: 43239 Esophagogastroduodenoscopy, flexible, transo $1,353 $1,353 $134.71 – $1,285.35
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Aetna — All: $1,285.35
  • Cigna — All: $1,285.35
  • Educators Mutual Insurance — All: $1,285.35
  • First Choice — All: $1,285.35
  • Redirect — All: $1,285.35
  • Select Health — All: $1,285.35
  • Tricare — All: $134.71
  • Union Pacific Railroad — All: $1,285.35
  • United Healthcare — All: $1,285.35
  • VA Health — All: $134.71
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378 Colonoscopy, flexible; diagnostic, including $1,410 $1,410 $178.81 – $1,339.50
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — All: $1,339.50
  • Cigna — All: $1,339.50
  • Educators Mutual Insurance — All: $1,339.50
  • First Choice — All: $1,339.50
  • Redirect — All: $1,339.50
  • Select Health — All: $1,339.50
  • Tricare — All: $178.81
  • Union Pacific Railroad — All: $1,339.50
  • United Healthcare — All: $1,339.50
  • VA Health — All: $178.81
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: 45378 Colonoscopy, flexible; diagnostic, including $1,410 $1,410 $178.81 – $1,339.50
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — All: $1,339.50
  • Cigna — All: $1,339.50
  • Educators Mutual Insurance — All: $1,339.50
  • First Choice — All: $1,339.50
  • Redirect — All: $1,339.50
  • Select Health — All: $1,339.50
  • Tricare — All: $178.81
  • Union Pacific Railroad — All: $1,339.50
  • United Healthcare — All: $1,339.50
  • VA Health — All: $178.81
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45380 Colonoscopy, flexible; with biopsy, single o $2,176 $2,176 $194.34 – $2,067.20
Colonoscopy with biopsy: rates for 10 insurance plans
  • Aetna — All: $2,067.20
  • Cigna — All: $2,067.20
  • Educators Mutual Insurance — All: $2,067.20
  • First Choice — All: $2,067.20
  • Redirect — All: $2,067.20
  • Select Health — All: $2,067.20
  • Tricare — All: $194.34
  • Union Pacific Railroad — All: $2,067.20
  • United Healthcare — All: $2,067.20
  • VA Health — All: $194.34
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: 45380 Colonoscopy, flexible; with biopsy, single o $2,176 $2,176 $194.34 – $2,067.20
Colonoscopy with biopsy: rates for 10 insurance plans
  • Aetna — All: $2,067.20
  • Cigna — All: $2,067.20
  • Educators Mutual Insurance — All: $2,067.20
  • First Choice — All: $2,067.20
  • Redirect — All: $2,067.20
  • Select Health — All: $2,067.20
  • Tricare — All: $194.34
  • Union Pacific Railroad — All: $2,067.20
  • United Healthcare — All: $2,067.20
  • VA Health — All: $194.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor $1,741 $1,741 $245.78 – $1,653.95
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Aetna — All: $1,653.95
  • Cigna — All: $1,653.95
  • Educators Mutual Insurance — All: $1,653.95
  • First Choice — All: $1,653.95
  • Redirect — All: $1,653.95
  • Select Health — All: $1,653.95
  • Tricare — All: $245.78
  • Union Pacific Railroad — All: $1,653.95
  • United Healthcare — All: $1,653.95
  • VA Health — All: $245.78
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor $1,741 $1,741 $245.78 – $1,653.95
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Aetna — All: $1,653.95
  • Cigna — All: $1,653.95
  • Educators Mutual Insurance — All: $1,653.95
  • First Choice — All: $1,653.95
  • Redirect — All: $1,653.95
  • Select Health — All: $1,653.95
  • Tricare — All: $245.78
  • Union Pacific Railroad — All: $1,653.95
  • United Healthcare — All: $1,653.95
  • VA Health — All: $245.78
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 $249.27
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
  • Tricare — All: $249.27
  • VA Health — All: $249.27
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: G0121 Colorectal Cancer Screen $968 $968 $179.08 – $919.60
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Aetna — All: $919.60
  • Cigna — All: $919.60
  • Educators Mutual Insurance — All: $919.60
  • First Choice — All: $919.60
  • Redirect — All: $919.60
  • Select Health — All: $919.60
  • Tricare — All: $179.08
  • Union Pacific Railroad — All: $919.60
  • United Healthcare — All: $919.60
  • VA Health — All: $179.08
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 47562 Laparoscopy, surgical; cholecystectomy $2,345 $2,345 $646.55 – $2,227.75
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Aetna — All: $2,227.75
  • Cigna — All: $2,227.75
  • Educators Mutual Insurance — All: $2,227.75
  • First Choice — All: $2,227.75
  • Redirect — All: $2,227.75
  • Select Health — All: $2,227.75
  • Tricare — All: $646.55
  • Union Pacific Railroad — All: $2,227.75
  • United Healthcare — All: $2,227.75
  • VA Health — All: $646.55
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: 47562 Laparoscopy, surgical; cholecystectomy $2,345 $2,345 $646.55 – $2,227.75
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Aetna — All: $2,227.75
  • Cigna — All: $2,227.75
  • Educators Mutual Insurance — All: $2,227.75
  • First Choice — All: $2,227.75
  • Redirect — All: $2,227.75
  • Select Health — All: $2,227.75
  • Tricare — All: $646.55
  • Union Pacific Railroad — All: $2,227.75
  • United Healthcare — All: $2,227.75
  • VA Health — All: $646.55
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 49505 Repair initial inguinal hernia, age 5 years $2,246 $2,246 $514.53 – $2,133.70
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Aetna — All: $2,133.70
  • Cigna — All: $2,133.70
  • Educators Mutual Insurance — All: $2,133.70
  • First Choice — All: $2,133.70
  • Redirect — All: $2,133.70
  • Select Health — All: $2,133.70
  • Tricare — All: $514.53
  • Union Pacific Railroad — All: $2,133.70
  • United Healthcare — All: $2,133.70
  • VA Health — All: $514.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: 49505 Repair initial inguinal hernia, age 5 years $2,246 $2,246 $514.53 – $2,133.70
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Aetna — All: $2,133.70
  • Cigna — All: $2,133.70
  • Educators Mutual Insurance — All: $2,133.70
  • First Choice — All: $2,133.70
  • Redirect — All: $2,133.70
  • Select Health — All: $2,133.70
  • Tricare — All: $514.53
  • Union Pacific Railroad — All: $2,133.70
  • United Healthcare — All: $2,133.70
  • VA Health — All: $514.53
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55700 Biopsy of prostate $879 $879 $126.34 – $835.05
Prostate biopsy: rates for 10 insurance plans
  • Aetna — All: $835.05
  • Cigna — All: $835.05
  • Educators Mutual Insurance — All: $835.05
  • First Choice — All: $835.05
  • Redirect — All: $835.05
  • Select Health — All: $835.05
  • Tricare — All: $126.34
  • Union Pacific Railroad — All: $835.05
  • United Healthcare — All: $835.05
  • VA Health — All: $126.34
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: 55700 Biopsy of prostate $879 $879 $126.34 – $835.05
Prostate biopsy: rates for 10 insurance plans
  • Aetna — All: $835.05
  • Cigna — All: $835.05
  • Educators Mutual Insurance — All: $835.05
  • First Choice — All: $835.05
  • Redirect — All: $835.05
  • Select Health — All: $835.05
  • Tricare — All: $126.34
  • Union Pacific Railroad — All: $835.05
  • United Healthcare — All: $835.05
  • VA Health — All: $126.34
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ENDORECT NEEDLE GUIDE BX $5,047 $5,047 $126.34 – $4,794.65
Prostate biopsy: rates for 10 insurance plans
  • Aetna — All: $4,794.65
  • Cigna — All: $4,794.65
  • Educators Mutual Insurance — All: $4,794.65
  • First Choice — All: $4,794.65
  • Redirect — All: $4,794.65
  • Select Health — All: $4,794.65
  • Tricare — All: $126.34
  • Union Pacific Railroad — All: $4,794.65
  • United Healthcare — All: $4,794.65
  • VA Health — All: $126.34
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 $1,164.40
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
  • Tricare — All: $1,164.40
  • VA Health — All: $1,164.40
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 58558 Hysteroscopy, surgical; w/ biopsy of endomet $4,917 $4,917 $225.64 – $4,671.15
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Aetna — All: $4,671.15
  • Cigna — All: $4,671.15
  • Educators Mutual Insurance — All: $4,671.15
  • First Choice — All: $4,671.15
  • Redirect — All: $4,671.15
  • Select Health — All: $4,671.15
  • Tricare — All: $225.64
  • Union Pacific Railroad — All: $4,671.15
  • United Healthcare — All: $4,671.15
  • VA Health — All: $225.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: 58558 Hysteroscopy, surgical; w/ biopsy of endomet $4,917 $4,917 $225.64 – $4,671.15
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Aetna — All: $4,671.15
  • Cigna — All: $4,671.15
  • Educators Mutual Insurance — All: $4,671.15
  • First Choice — All: $4,671.15
  • Redirect — All: $4,671.15
  • Select Health — All: $4,671.15
  • Tricare — All: $225.64
  • Union Pacific Railroad — All: $4,671.15
  • United Healthcare — All: $4,671.15
  • VA Health — All: $225.64
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 $97.46
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Tricare — All: $97.46
  • VA Health — All: $97.46
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Injection Lmbr/Scrl Epidural $3,978 $3,978 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $109.61
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Tricare — All: $109.61
  • VA Health — All: $109.61
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64721 Neuroplasty and/or transposition; median ner $4,307 $4,307 $442.09 – $4,091.65
Carpal tunnel release: rates for 10 insurance plans
  • Aetna — All: $4,091.65
  • Cigna — All: $4,091.65
  • Educators Mutual Insurance — All: $4,091.65
  • First Choice — All: $4,091.65
  • Redirect — All: $4,091.65
  • Select Health — All: $4,091.65
  • Tricare — All: $442.09
  • Union Pacific Railroad — All: $4,091.65
  • United Healthcare — All: $4,091.65
  • VA Health — All: $442.09
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: 64721 Neuroplasty and/or transposition; median ner $4,307 $4,307 $442.09 – $4,091.65
Carpal tunnel release: rates for 10 insurance plans
  • Aetna — All: $4,091.65
  • Cigna — All: $4,091.65
  • Educators Mutual Insurance — All: $4,091.65
  • First Choice — All: $4,091.65
  • Redirect — All: $4,091.65
  • Select Health — All: $4,091.65
  • Tricare — All: $442.09
  • Union Pacific Railroad — All: $4,091.65
  • United Healthcare — All: $4,091.65
  • VA Health — All: $442.09
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 $310.73
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • Tricare — All: $310.73
  • VA Health — All: $310.73
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
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 $537.42
Cataract removal with lens implant: rates for 10 insurance plans
  • Tricare — All: $537.42
  • VA Health — All: $537.42
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)

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: 59400 Routine obstetric care including antepartum $7,513 $7,513 $2,366.80 – $7,137.35
Vaginal delivery, with care before and after: rates for 10 insurance plans
  • Aetna — All: $7,137.35
  • Cigna — All: $7,137.35
  • Educators Mutual Insurance — All: $7,137.35
  • First Choice — All: $7,137.35
  • Redirect — All: $7,137.35
  • Select Health — All: $7,137.35
  • Tricare — All: $2,366.80
  • Union Pacific Railroad — All: $7,137.35
  • United Healthcare — All: $7,137.35
  • VA Health — All: $2,366.80
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: 59400 Routine obstetric care including antepartum $7,513 $7,513 $2,366.80 – $7,137.35
Vaginal delivery, with care before and after: rates for 10 insurance plans
  • Aetna — All: $7,137.35
  • Cigna — All: $7,137.35
  • Educators Mutual Insurance — All: $7,137.35
  • First Choice — All: $7,137.35
  • Redirect — All: $7,137.35
  • Select Health — All: $7,137.35
  • Tricare — All: $2,366.80
  • Union Pacific Railroad — All: $7,137.35
  • United Healthcare — All: $7,137.35
  • VA Health — All: $2,366.80
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59510 Routine obstetric care including antepartum $9,226 $9,226 $2,622.88 – $8,764.70
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
  • Aetna — All: $8,764.70
  • Cigna — All: $8,764.70
  • Educators Mutual Insurance — All: $8,764.70
  • First Choice — All: $8,764.70
  • Redirect — All: $8,764.70
  • Select Health — All: $8,764.70
  • Tricare — All: $2,622.88
  • Union Pacific Railroad — All: $8,764.70
  • United Healthcare — All: $8,764.70
  • VA Health — All: $2,622.88
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: 59510 Routine obstetric care including antepartum $9,226 $9,226 $2,622.88 – $8,764.70
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
  • Aetna — All: $8,764.70
  • Cigna — All: $8,764.70
  • Educators Mutual Insurance — All: $8,764.70
  • First Choice — All: $8,764.70
  • Redirect — All: $8,764.70
  • Select Health — All: $8,764.70
  • Tricare — All: $2,622.88
  • Union Pacific Railroad — All: $8,764.70
  • United Healthcare — All: $8,764.70
  • VA Health — All: $2,622.88
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 59610 Routine obstetric care including antepartum $7,810 $7,810 $2,471.97 – $7,419.50
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
  • Aetna — All: $7,419.50
  • Cigna — All: $7,419.50
  • Educators Mutual Insurance — All: $7,419.50
  • First Choice — All: $7,419.50
  • Redirect — All: $7,419.50
  • Select Health — All: $7,419.50
  • Tricare — All: $2,471.97
  • Union Pacific Railroad — All: $7,419.50
  • United Healthcare — All: $7,419.50
  • VA Health — All: $2,471.97
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Hospital (facility) fee In the file: 59610 Routine obstetric care including antepartum $7,810 $7,810 $2,471.97 – $7,419.50
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
  • Aetna — All: $7,419.50
  • Cigna — All: $7,419.50
  • Educators Mutual Insurance — All: $7,419.50
  • First Choice — All: $7,419.50
  • Redirect — All: $7,419.50
  • Select Health — All: $7,419.50
  • Tricare — All: $2,471.97
  • Union Pacific Railroad — All: $7,419.50
  • United Healthcare — All: $7,419.50
  • VA Health — All: $2,471.97

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file Not listed in the file
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Tricare — All: 100% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
  • VA Health — All: 100% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Tricare — All: 100% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
  • VA Health — All: 100% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 10 insurance plans
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Tricare — All: 100% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
  • VA Health — All: 100% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 10 insurance plans
  • Aetna — All: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — All: 95% (a percentage in the contract, not a dollar amount)
  • Educators Mutual Insurance — All: 95% (a percentage in the contract, not a dollar amount)
  • First Choice — All: 95% (a percentage in the contract, not a dollar amount)
  • Redirect — All: 95% (a percentage in the contract, not a dollar amount)
  • Select Health — All: 95% (a percentage in the contract, not a dollar amount)
  • Tricare — All: 100% (a percentage in the contract, not a dollar amount)
  • Union Pacific Railroad — All: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All: 95% (a percentage in the contract, not a dollar amount)
  • VA Health — All: 100% (a percentage in the contract, not a dollar amount)

Source: Memorial Hospital Sweetwater County’s standard charges file (sweetwater.goredde.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 29, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address1200 College Drive, Rock Springs, WY 82901
CountySweetwater County
StateWyoming
Phone(307) 362‑3711
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number531318
Name in Medicare recordsMEMORIAL HOSPITAL SWEETWATER COUNTY
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMemorial Hospital of Sweetwater County
Official websitesweetwatermemorial.com
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

  1. Home | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  2. Patient Financial Navigation Program | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  3. Translation Services | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  4. Emergency Care | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  5. Imaging & Radiology | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  6. Patient & Family Advisory Program | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  7. Obstetrics & Women's Health | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  8. Cancer Treatment | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  9. Awards & Accreditations | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  10. Cardiopulmonary | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  11. Neurology | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  12. Orthopedics | Memorial Hospital of Sweetwater County — sweetwatermemorial.com
  13. Mako Total Hip Replacement | Memorial Hospital of Sweetwater County — sweetwatermemorial.com