Does Mercy Medical Ctr have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mercy Medical Ctr. In a medical emergency, call 911.

Where is Mercy Medical Ctr?

271 Carew Street, Springfield, MA 01104, in Hampden County, Massachusetts.

What is the phone number of Mercy Medical Ctr?

(413) 748-9000, as listed by Medicare (CMS).

What is the Medicare star rating of Mercy Medical Ctr?

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

Mercy Medical Ctr — Springfield, MA

Quick answers

Does Mercy Medical Ctr have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mercy Medical Ctr. In a medical emergency, call 911.
Where is Mercy Medical Ctr?: 271 Carew Street, Springfield, MA 01104, in Hampden County, Massachusetts.
What is the phone number of Mercy Medical Ctr?: (413) 748-9000, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy Medical Ctr?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Services Hospital (Massachusetts DPH)

Visiting and practical information

Interpreters and languages	Site footer links language assistance pages in about 18 languages; details of interpreter services not read^[7]
Patient portal	MyChart

Doctors and clinicians (540)

540 doctors and other clinicians list Mercy Medical Ctr 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 (540)

Aaron Amardey-Wellington, MDEmergency Medicine
Aaron J. Berkenwald, MDUrology
Adam D. Corrado, MDEmergency Medicine
Adam G. Wychowski, MDInternal Medicine
Adam T. Tyson, MDUrology
Adrienne ThibodeauPhysician Assistant
Agnes Kaufmann, PAPhysician Assistant
Agnes McAuliffe, DOHematology/Oncology
Akash D. Parekh, MDRadiation Oncology
Akinyele K. Lovelace, DOInternal Medicine
Albert J. Cennerazzo, MDInternal Medicine
Aleena Zia, MDInfectious Disease
Aleksandra Ogrodnik, MDGeneral Surgery
Aleli L. Villanueva, MDObstetrics/Gynecology
Alexander M. Berry, MDUrology
Alexxis Washington, NPNurse Practitioner
Alicia A. LincolnNurse Practitioner
Alireza Jarihi, NPNurse Practitioner
Alise M. Bartolucci, NPNurse Practitioner
Alison C. Wyse, CNACertified Registered Nurse Anesthetist (CRNA)
Alison FoelschePhysician Assistant
Alison G. Killelea, MDGeneral Practice
Alison M. Spar, NPNurse Practitioner
Alistair Bell, MDInternal Medicine

And 516 more: the button below opens the full list.

Other emergency rooms nearby

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

Baystate Medical Center0.5 mi · Springfield, MA · Acute Care Hospital
Holyoke Medical Center6.0 mi · Holyoke, MA · Acute Care Hospital
Baystate Noble Hospital8.3 mi · Westfield, MA · Acute Care Hospital
Baystate Wing Hospital13 mi · Palmer, MA · Acute Care Hospital
Johnson Memorial Hospital14 mi · Stafford Springs, CT · Acute Care Hospital

Other hospitals nearby

Miravista Behavioral Health Center4.0 mi · Holyoke, MA · Psychiatric Hospital
Western Massachusetts Hospital5.5 mi · Westfield, MA · Long-Term Acute Care Hospital
Valley Springs Behavioral Health Hospital5.8 mi · Holyoke, MA · Psychiatric Hospital
Encompass Health Rehab Hospital of Western Mass6.9 mi · Ludlow, MA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Agawam North Rehab and Nursing2.7 mi · Agawam, MA · 2 of 5 stars
Agawam South Rehab and Nursing2.7 mi · Agawam, MA · 4 of 5 stars
Agawam West Rehab and Nursing2.7 mi · Agawam, MA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Baystate Hospice2.9 mi · West Springfield, MA · 3 of 5 stars
Harmony Hospice LLC4.2 mi · Chicopee, MA
Beacon Hospice, An Amyedisys Company5.0 mi · Springfield, MA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Aveanna Healthcare0.7 mi · Springfield, MA
Better Healthcare Solutions LLC0.9 mi · Springfield, MA · 1 of 5 stars
Home Care VNA LLC0.9 mi · Springfield, MA

All home health agencies in the state →

Dialysis facilities

FMC - Western Mass. Kidney Center (BMA Springfield)0.9 mi · Springfield, MA · 2 of 5 stars
Springfield Dialysis Center1.8 mi · Springfield, MA · 2 of 5 stars
FMC East Springfield Dialysis (BMA of Massachusetts)2.3 mi · Springfield, MA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Baystate New England Orthopedic Surgery Center0.7 mi · Springfield, MA
Greater Springfield Surgery Center0.7 mi · Springfield, MA
Surgery Center of New England1.8 mi · Springfield, MA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

The Salvation Army0.5 mi · Springfield, MA · Community health center
HSH Health Center & Dental Clinic0.7 mi · Springfield, MA · Community health center
Baystate Brightwood Health Center1.0 mi · Springfield, MA · Community health center

Clinics and urgent care

AFC Physicians of Massachusetts, PC2.9 mi · West Springfield, MA · Urgent care center
Health-Md Urgent Care2.9 mi · West Springfield, MA · Urgent care center
Patriot Urgent Care Professionals PC2.9 mi · West Springfield, MA · Urgent care center

Pharmacies

Baystate Medical Center, Inc.0.7 mi · Springfield, MA · Clinic pharmacy
Baystate Medical Center, Inc.0.7 mi · Springfield, MA · Community/retail pharmacy
Baystate Medical Center, Inc.0.7 mi · Springfield, MA · Community/retail pharmacy

Assisted living nearby

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

Eagle Point Living9.1 mi · Suffield, CT
Suffield by the River9.1 mi · Suffield, CT
All American Assisted Living at Enfield9.4 mi · Enfield, CT
Stonebrook Village at Windsor Locks13 mi · Windsor Locks, CT

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	62%National average: 74%
Area around the room “always” quiet at night	50%National average: 60%
Completed surveys	541Response rate: 18%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.405No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.405No different from the national benchmark
Surgical site infections after colon surgery	1.169No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.153Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.7%
Deaths within 30 days: heart failure patients	12.3%
Deaths within 30 days: pneumonia patients	16.2%
Deaths within 30 days: COPD patients	8.5%
Deaths within 30 days: stroke patients	14.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.93No different from the national rate
Complications after hip or knee replacement	3.5%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.5%
Readmitted within 30 days: heart failure	22.9%
Readmitted within 30 days: pneumonia	18%
Readmitted within 30 days: COPD	20.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.2%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	275 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	8%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	51%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 Springfield Best hospitals in Massachusetts

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Mercy Medical Ctr 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 →

$ 23 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$175	$175	$50 – $175
New patient office visit (about 30–44 minutes): 10 of 766 insurance plan rates ALIGN SENIOR CARE — MEDICARE: $70.48 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $70.48 AMERIGROUP MEDICAID — MEDICAID: $60.79 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $60.79 AMERIHEALTH MEDICARE — MEDICARE: $70.48 AMISH MENNONITE — MEDICAID: $60.79 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $60.79 AURORA SPECIAL NEEDS — MEDICARE: $70.48 AVMED MEDICARE — MEDICARE: $70.48 BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $70.48
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$203	$203	$50 – $203
New patient office visit (about 30–44 minutes): 10 of 766 insurance plan rates AETNA MEDICARE TRANSPLANT — MEDICARE: $70.48 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $60.79 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $70.48 ALLY ALIGN CARE ADV — MEDICARE: $70.48 AMERIHEALTH MEDICARE — MEDICARE: $70.48 AMISH MENNONITE — MEDICAID: $60.79 ANDRIE INC — WORKERS COMP: $50 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $60.79 BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $70.48 BCCCP-MICHIGAN — MEDICAID: $60.79
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$330	$330	$75.36 – $330
New patient office visit (about 45–59 minutes): 10 of 766 insurance plan rates AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $99.46 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $99.46 ALIGN SENIOR CARE — MEDICARE: $115.47 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $99.46 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $115.47 ALLY ALIGN CARE ADV — MEDICARE: $115.47 AMERIGROUP MEDICAID — MEDICAID: $99.46 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $99.46 ANDRIE INC — WORKERS COMP: $75.36 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $99.46
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level	$449	$449	$94.43 – $449
New patient office visit (about 60–74 minutes): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $158.19 AETNA — AETNA: $302.32 AETNA MEDICAID — MEDICAID: $133.14 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $158.19 AETNA MEDICARE TRANSPLANT — MEDICARE: $158.19 ALIGN SENIOR CARE — MEDICARE: $158.19 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $158.19 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $133.14 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $158.19 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $133.14
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$140	$140	$32.96 – $140
Established patient office visit (about 20–29 minutes): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $56.96 AETNA — AETNA: $91.72 AETNA DOMESTIC — AETNA: $91.72 AETNA MEDICAID — MEDICAID: $48.56 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $56.96 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $56.96 AETNA MEDICARE TRANSPLANT — MEDICARE: $56.96 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $48.56 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $48.56 ALIGN SENIOR CARE — MEDICARE: $56.96
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$163	$163	$32.96 – $163
Established patient office visit (about 20–29 minutes): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $56.96 AETNA DOMESTIC — AETNA: $91.72 AETNA MEDICAID — MEDICAID: $48.56 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $56.96 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $56.96 AETNA MEDICARE TRANSPLANT — MEDICARE: $56.96 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $48.56 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $48.56 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $56.96 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $48.56
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Low Pro 20-29 Mins (Restricted Method II CAH)	Not listed in the file	$581.75	$28.60 – $9,113
Established patient office visit (about 20–29 minutes): 10 of 112 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $2,416.04 AETNA — AETNA: $2,416.04 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $56.96 ALLIED BENEFIT SYSTEMS — AETNA: $2,416.04 BCBS GENERIC — BCBS PPO: $2,546 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $56.96 BCN DOMESTIC — BCBS PPO: $2,546 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $2,546 BLUE CARE NETWORK — BCBS PPO: $2,546 BLUE CROSS - AK (PREMERA) — BCBS PPO: $2,546
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$241	$241	$49.39 – $241
Established patient office visit (about 30–39 minutes): 10 of 767 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $83.70 AETNA — AETNA: $141.13 AETNA MEDICAID — MEDICAID: $71.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.70 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $71.77 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $71.77 ALIGN SENIOR CARE — MEDICARE: $83.70 ALLEGIANCE — CIGNA: $143.80 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $71.77 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $83.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$300	$300	$74.79 – $300
Established patient office visit (about 30–39 minutes): 10 of 767 insurance plan rates AETNA DOMESTIC — AETNA: $195.34 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $136.44 AETNA MEDICARE TRANSPLANT — MEDICARE: $136.44 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $96.15 ALIGN SENIOR CARE — MEDICARE: $136.44 ALLEGIANCE — CIGNA: $191.37 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $136.44 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $136.44 AMERICAN HEALTH PLAN — MEDICARE: $136.44 AMERIHEALTH MEDICARE — MEDICARE: $136.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$199	$199	$66.40 – $199
Preventive checkup, new patient, age 18–39: 10 of 552 insurance plan rates AETNA DOMESTIC — AETNA: $169.05 AETNA MEDICAID — MEDICAID: $76.05 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.46 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $76.05 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $76.05 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $76.05 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $76.05 AMERIGROUP MEDICAID — MEDICAID: $76.05 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $76.05 ANDRIE INC — WORKERS COMP: $199
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$241	$241	$66.40 – $241
Preventive checkup, new patient, age 40–64: 10 of 552 insurance plan rates AETNA MEDICAID — MEDICAID: $92.30 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.98 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $92.30 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $92.30 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $92.30 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $92.30 AMISH MENNONITE — MEDICAID: $92.30 ANDRIE INC — WORKERS COMP: $241 BCCP — MEDICAID: $92.30 BLUE CARE NETWORK — BCBS HMO: $185.11
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$148	$148	$30.67 – $148
Emergency room visit (moderate): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $68.08 AETNA — AETNA: $128.22 AETNA MEDICAID — MEDICAID: $52.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $68.08 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $68.08 ALIGN SENIOR CARE — MEDICARE: $68.08 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $52.15 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $68.08 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $68.08 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $68.08
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$174	$174	$30.67 – $174
Emergency room visit (moderate): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $57.87 AETNA — AETNA: $108.99 AETNA MEDICAID — MEDICAID: $44.33 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $57.87 ALIGN SENIOR CARE — MEDICARE: $57.87 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $57.87 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $44.33 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $57.87 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $57.87 ALLY ALIGN CARE ADV — MEDICARE: $57.87
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe	$1,091	$709.15	$220.19 – $2,581
Emergency room visit (moderate): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,188.84 AETNA — AETNA: $1,188.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $320.61 ALLEGIANCE — CIGNA: $442.88 ALLIED BENEFIT SYSTEMS — AETNA: $1,188.84 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $818.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $818.25 BCBS GENERIC — BCBS PPO: $388.88 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $320.61 BCN DOMESTIC — BCBS PPO: $388.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$253	$253	$56.62 – $253
Emergency room visit (moderately high): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $115.77 AETNA MEDICAID — MEDICAID: $87.75 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $87.75 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $115.77 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $87.75 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $87.75 AMERIGROUP MEDICAID — MEDICAID: $87.75 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $87.75 AMISH MENNONITE — MEDICAID: $87.75 BCBS GENERIC — BCBS HMO: $192.49
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$296	$296	$56.62 – $296
Emergency room visit (moderately high): 10 of 766 insurance plan rates AETNA — AETNA: $235.30 AETNA MEDICAID — MEDICAID: $87.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $115.77 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $115.77 AETNA MEDICARE TRANSPLANT — MEDICARE: $115.77 ALIGN SENIOR CARE — MEDICARE: $115.77 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $115.77 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $87.75 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $115.77 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $87.75
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$1,229	$798.85	$378.59 – $2,581
Emergency room visit (moderately high): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,312.53 AETNA — AETNA: $1,312.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $490.07 ALLEGIANCE — CIGNA: $676.99 ALLIED BENEFIT SYSTEMS — AETNA: $1,312.53 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $921.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $921.75 BCBS GENERIC — BCBS PPO: $628.45 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $490.07 BCN DOMESTIC — BCBS PPO: $628.45
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$367	$367	$84.20 – $367
Emergency room visit (high): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $167.95 AETNA — AETNA: $341.70 AETNA MEDICAID — MEDICAID: $127.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $167.95 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $167.95 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $127.50 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $167.95 AMERIGROUP MEDICAID — MEDICAID: $127.50 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $127.50 AMERIHEALTH MEDICARE — MEDICARE: $167.95
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$428	$428	$84.20 – $428
Emergency room visit (high): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $142.76 AETNA — AETNA: $290.45 AETNA DOMESTIC — AETNA: $290.45 AETNA MEDICAID — MEDICAID: $108.38 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $142.76 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $142.76 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $108.38 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $142.76 ALLY ALIGN CARE ADV — MEDICARE: $142.76 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $142.76
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 Sane_Safe	$1,386	$900.90	$378.59 – $2,581
Emergency room visit (high): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,414.76 AETNA — AETNA: $1,414.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $699.44 ALLEGIANCE — CIGNA: $966.21 ALLIED BENEFIT SYSTEMS — AETNA: $1,414.76 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,039.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,039.50 BCBS GENERIC — BCBS PPO: $916.08 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $699.44 BCN DOMESTIC — BCBS PPO: $916.08

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Basic Metabolic Panel (Calcium Total)	$104	$67.60	$8.29 – $392
Basic metabolic panel (blood test): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $15.74 AETNA — AETNA: $15.74 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29 ALLEGIANCE — CIGNA: $14.04 ALLIED BENEFIT SYSTEMS — AETNA: $15.74 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $78 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $78 BCBS GENERIC — BCBS PPO: $16.61 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $8.29 BCN DOMESTIC — BCBS PPO: $16.61
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$104	$67.60	$8.29 – $392
Basic metabolic panel (blood test): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $15.74 AETNA — AETNA: $15.74 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29 ALLEGIANCE — CIGNA: $14.04 ALLIED BENEFIT SYSTEMS — AETNA: $15.74 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $78 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $78 BCBS GENERIC — BCBS PPO: $16.61 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $8.29 BCN DOMESTIC — BCBS PPO: $16.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Comprehensive Metabolic Panel	$35	$22.75	$10.35 – $392
Comprehensive metabolic panel (blood test): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $19.64 AETNA — AETNA: $19.64 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35 ALLEGIANCE — CIGNA: $17.52 ALLIED BENEFIT SYSTEMS — AETNA: $19.64 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $26.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $26.25 BCBS GENERIC — BCBS PPO: $20.62 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $10.35 BCN DOMESTIC — BCBS PPO: $20.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$151	$98.15	$10.35 – $392
Comprehensive metabolic panel (blood test): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $19.64 AETNA — AETNA: $19.64 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35 ALLEGIANCE — CIGNA: $17.52 ALLIED BENEFIT SYSTEMS — AETNA: $19.64 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $113.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $113.25 BCBS GENERIC — BCBS PPO: $20.62 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $10.35 BCN DOMESTIC — BCBS PPO: $20.62
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$59	$38.35	$13.12 – $392
Cholesterol panel (lipid panel): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $24.91 AETNA — AETNA: $24.91 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12 ALLEGIANCE — CIGNA: $22.21 ALLIED BENEFIT SYSTEMS — AETNA: $24.91 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $44.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $44.25 BCBS GENERIC — BCBS PPO: $26.35 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $13.12 BCN DOMESTIC — BCBS PPO: $26.35
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Lipid Panel	$54	$35.10	$13.12 – $392
Cholesterol panel (lipid panel): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $24.91 AETNA — AETNA: $24.91 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12 ALLEGIANCE — CIGNA: $22.21 ALLIED BENEFIT SYSTEMS — AETNA: $24.91 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $40.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $40.50 BCBS GENERIC — BCBS PPO: $26.35 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $13.12 BCN DOMESTIC — BCBS PPO: $26.35
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$48	$31.20	$8.51 – $392
Kidney function panel: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $16.14 AETNA — AETNA: $16.14 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51 ALLEGIANCE — CIGNA: $14.40 ALLIED BENEFIT SYSTEMS — AETNA: $16.14 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $36 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $36 BCBS GENERIC — BCBS PPO: $17.18 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $8.51 BCN DOMESTIC — BCBS PPO: $17.18
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$42	$27.30	$8.01 – $392
Liver function panel: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $15.20 AETNA — AETNA: $15.20 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01 ALLEGIANCE — CIGNA: $13.55 ALLIED BENEFIT SYSTEMS — AETNA: $15.20 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $31.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $31.50 BCBS GENERIC — BCBS PPO: $16.04 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $8.01 BCN DOMESTIC — BCBS PPO: $16.04
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$49	$31.85	$3.11 – $392
Urine test (automated, with microscope): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5.90 AETNA — AETNA: $5.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11 ALLEGIANCE — CIGNA: $5.26 ALLIED BENEFIT SYSTEMS — AETNA: $5.90 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $36.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $36.75 BCBS GENERIC — BCBS PPO: $6.30 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $3.11 BCN DOMESTIC — BCBS PPO: $6.30
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Urinalysis With Microscopy Automated	$49	$31.85	$3.11 – $392
Urine test (automated, with microscope): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5.90 AETNA — AETNA: $5.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11 ALLEGIANCE — CIGNA: $5.26 ALLIED BENEFIT SYSTEMS — AETNA: $5.90 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $36.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $36.75 BCBS GENERIC — BCBS PPO: $6.30 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $3.11 BCN DOMESTIC — BCBS PPO: $6.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	Not listed in the file	$773.50	$2.94 – $611.79
Urine test (automated, with microscope): 10 of 118 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5.90 AETNA — AETNA: $5.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $249.82 ALLEGIANCE — CIGNA: $345.10 ALLIED BENEFIT SYSTEMS — AETNA: $5.90 BCBS GENERIC — BCBS PPO: $6.30 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $249.82 BCN DOMESTIC — BCBS PPO: $6.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $6.30 BLUE CARE NETWORK — BCBS PPO: $6.30
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$23	$14.95	$2.21 – $392
Urine test (automated, without microscope): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4.19 AETNA — AETNA: $4.19 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21 ALLEGIANCE — CIGNA: $3.73 ALLIED BENEFIT SYSTEMS — AETNA: $4.19 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $17.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $17.25 BCBS GENERIC — BCBS PPO: $4.58 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $2.21 BCN DOMESTIC — BCBS PPO: $4.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	Not listed in the file	$663.65	$2.08 – $392
Urine test (automated, without microscope): 10 of 120 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4.19 AETNA — AETNA: $4.19 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.21 ALLEGIANCE — CIGNA: $141.19 ALLIED BENEFIT SYSTEMS — AETNA: $4.19 BCBS GENERIC — BCBS PPO: $4.58 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $102.21 BCN DOMESTIC — BCBS PPO: $4.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $4.58 BLUE CARE NETWORK — BCBS PPO: $4.58
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Prostate Specific Antigen Total	$59	$38.35	$18.02 – $392
PSA (prostate specific antigen) blood test: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $34.21 AETNA — AETNA: $34.21 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLEGIANCE — CIGNA: $30.51 ALLIED BENEFIT SYSTEMS — AETNA: $34.21 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $44.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $44.25 BCBS GENERIC — BCBS PPO: $36.09 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $18.02 BCN DOMESTIC — BCBS PPO: $36.09
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total	$107	$69.55	$18.02 – $392
PSA (prostate specific antigen) blood test: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $34.21 AETNA — AETNA: $34.21 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLEGIANCE — CIGNA: $30.51 ALLIED BENEFIT SYSTEMS — AETNA: $34.21 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $80.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $80.25 BCBS GENERIC — BCBS PPO: $36.09 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $18.02 BCN DOMESTIC — BCBS PPO: $36.09
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Thyroid Stimulating Hormone	$50	$32.50	$16.46 – $392
Thyroid stimulating hormone (TSH) test: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $31.25 AETNA — AETNA: $31.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLEGIANCE — CIGNA: $27.87 ALLIED BENEFIT SYSTEMS — AETNA: $31.25 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $37.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $37.50 BCBS GENERIC — BCBS PPO: $33.22 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $16.46 BCN DOMESTIC — BCBS PPO: $33.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$79	$51.35	$16.46 – $392
Thyroid stimulating hormone (TSH) test: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $31.25 AETNA — AETNA: $31.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLEGIANCE — CIGNA: $27.87 ALLIED BENEFIT SYSTEMS — AETNA: $31.25 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $59.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $59.25 BCBS GENERIC — BCBS PPO: $33.22 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $16.46 BCN DOMESTIC — BCBS PPO: $33.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 224576 Thyroid Stimulating Hormone	$50	$32.50	$16.46 – $392
Thyroid stimulating hormone (TSH) test: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $31.25 AETNA — AETNA: $31.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLEGIANCE — CIGNA: $27.87 ALLIED BENEFIT SYSTEMS — AETNA: $31.25 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $37.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $37.50 BCBS GENERIC — BCBS PPO: $33.22 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $16.46 BCN DOMESTIC — BCBS PPO: $33.22
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$79	$51.35	$7.61 – $392
Complete blood count (CBC) with differential: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $14.45 AETNA — AETNA: $14.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61 ALLEGIANCE — CIGNA: $12.89 ALLIED BENEFIT SYSTEMS — AETNA: $14.45 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $59.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $59.25 BCBS GENERIC — BCBS PPO: $15.47 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $7.61 BCN DOMESTIC — BCBS PPO: $15.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$52	$33.80	$6.34 – $392
Complete blood count (CBC), automated: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $12.03 AETNA — AETNA: $12.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34 ALLEGIANCE — CIGNA: $10.73 ALLIED BENEFIT SYSTEMS — AETNA: $12.03 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $39 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $39 BCBS GENERIC — BCBS PPO: $12.60 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $6.34 BCN DOMESTIC — BCBS PPO: $12.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated	Not listed in the file	$4,125.22	$6 – $4,750.45
Complete blood count (CBC), automated: 10 of 107 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,939.77 ALLEGIANCE — CIGNA: $2,679.61 BCBS GENERIC — BCBS PPO: $12.60 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,939.77 BCN DOMESTIC — BCBS PPO: $12.60 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $12.60 BLUE CARE NETWORK — BCBS PPO: $12.60 BLUE CROSS - AK (PREMERA) — BCBS PPO: $12.60 BLUE CROSS - AL — BCBS PPO: $12.60 BLUE CROSS - AR — BCBS PPO: $12.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 500070 Prothrombin Time	$24	$15.60	$4.20 – $392
Blood clotting time test (prothrombin time, PT): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $7.98 AETNA — AETNA: $7.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLEGIANCE — CIGNA: $7.12 ALLIED BENEFIT SYSTEMS — AETNA: $7.98 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18 BCBS GENERIC — BCBS PPO: $7.45 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $4.20 BCN DOMESTIC — BCBS PPO: $7.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Prothrombin Time	$16	$10.40	$4.20 – $392
Blood clotting time test (prothrombin time, PT): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $7.98 AETNA — AETNA: $7.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLEGIANCE — CIGNA: $7.12 ALLIED BENEFIT SYSTEMS — AETNA: $7.98 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $12 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $12 BCBS GENERIC — BCBS PPO: $7.45 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $4.20 BCN DOMESTIC — BCBS PPO: $7.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Prothrombin Time	$24	$15.60	$4.20 – $392
Blood clotting time test (prothrombin time, PT): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $7.98 AETNA — AETNA: $7.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLEGIANCE — CIGNA: $7.12 ALLIED BENEFIT SYSTEMS — AETNA: $7.98 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18 BCBS GENERIC — BCBS PPO: $7.45 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $4.20 BCN DOMESTIC — BCBS PPO: $7.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt)	$38	$24.70	$5.89 – $392
Blood clotting test (partial thromboplastin time, PTT): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $11.18 AETNA — AETNA: $11.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLEGIANCE — CIGNA: $9.97 ALLIED BENEFIT SYSTEMS — AETNA: $11.18 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $28.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $28.50 BCBS GENERIC — BCBS PPO: $12.03 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $5.89 BCN DOMESTIC — BCBS PPO: $12.03
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3502730 Thromboplastin Time Partial (Ptt)	$26	$16.90	$5.89 – $392
Blood clotting test (partial thromboplastin time, PTT): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $11.18 AETNA — AETNA: $11.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLEGIANCE — CIGNA: $9.97 ALLIED BENEFIT SYSTEMS — AETNA: $11.18 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $19.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $19.50 BCBS GENERIC — BCBS PPO: $12.03 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $5.89 BCN DOMESTIC — BCBS PPO: $12.03
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 2500780 Thromboplastin Time Partial (Ptt)	$26	$16.90	$5.89 – $392
Blood clotting test (partial thromboplastin time, PTT): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $11.18 AETNA — AETNA: $11.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLEGIANCE — CIGNA: $9.97 ALLIED BENEFIT SYSTEMS — AETNA: $11.18 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $19.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $19.50 BCBS GENERIC — BCBS PPO: $12.03 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $5.89 BCN DOMESTIC — BCBS PPO: $12.03

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR CT Head/Brain W/O Contrast	$279	$279	$25.56 – $279
CT scan of the head or brain, without contrast: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.45 AETNA — AETNA: $279 AETNA DOMESTIC — AETNA: $279 AETNA MEDICAID — MEDICAID: $85.83 AETNA MEDICARE TRANSPLANT — MEDICARE: $108.45 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $85.83 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $85.83 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $108.45 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $85.83 ALLY ALIGN CARE ADV — MEDICARE: $108.45
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$1,426	$926.90	$122.79 – $1,426
CT scan of the head or brain, without contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $134.57 AETNA — AETNA: $134.57 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.79 ALLEGIANCE — CIGNA: $169.62 ALLIED BENEFIT SYSTEMS — AETNA: $134.57 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,069.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,069.50 BCBS GENERIC — BCBS PPO: $128.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $122.79 BCN DOMESTIC — BCBS PPO: $128.66
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CT Head/Brain W/O Contrast	Not listed in the file	$355.57	$25.56 – $355.57
CT scan of the head or brain, without contrast: 10 of 765 insurance plan rates AETNA — AETNA: $342.22 AETNA MEDICAID — MEDICAID: $85.83 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.45 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $85.83 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $85.83 ALIGN SENIOR CARE — MEDICARE: $108.45 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.45 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $85.83 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.45 ALLY ALIGN CARE ADV — MEDICARE: $108.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR MRI Brain W/O Contrast Followed by Contrast Material	$841	$841	$69.01 – $841
MRI of the brain, before and after contrast: 10 of 765 insurance plan rates AETNA DOMESTIC — AETNA: $841 ALIGN SENIOR CARE — MEDICARE: $323.06 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $323.06 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $323.06 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $458.09 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $323.06 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $323.06 AMERIGROUP MEDICAID — MEDICAID: $458.09 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $458.09 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $458.09
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast	$3,043	$1,977.95	$392 – $3,043
MRI of the brain, before and after contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $424.45 AETNA — AETNA: $424.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $409.74 ALLEGIANCE — CIGNA: $566.02 ALLIED BENEFIT SYSTEMS — AETNA: $424.45 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,282.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,282.25 BCBS GENERIC — BCBS PPO: $441.28 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $409.74 BCN DOMESTIC — BCBS PPO: $441.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MRI Brain W/O Contrast Followed by Contrast Material	Not listed in the file	$851.63	$69.01 – $851.63
MRI of the brain, before and after contrast: 10 of 765 insurance plan rates AETNA — AETNA: $851.63 AETNA DOMESTIC — AETNA: $851.63 AETNA MEDICARE TRANSPLANT — MEDICARE: $323.06 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $458.09 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $458.09 ALIGN SENIOR CARE — MEDICARE: $323.06 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $323.06 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $323.06 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $458.09 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $323.06
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Xr Chest 2 Views	$86	$86	$6.60 – $86
Chest X-ray, 2 views: 10 of 765 insurance plan rates AETNA MEDICAID — MEDICAID: $26.41 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $33.70 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $26.41 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $26.41 ALIGN SENIOR CARE — MEDICARE: $33.70 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $26.41 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $33.70 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $26.41 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $33.70 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $33.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$276	$179.40	$46.26 – $392
Chest X-ray, 2 views: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $46.26 AETNA — AETNA: $46.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.21 ALLEGIANCE — CIGNA: $141.19 ALLIED BENEFIT SYSTEMS — AETNA: $46.26 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $207 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $207 BCBS GENERIC — BCBS PPO: $71.24 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $102.21 BCN DOMESTIC — BCBS PPO: $71.24
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Xr Chest 2 Views	Not listed in the file	$84.87	$3.30 – $84.87
Chest X-ray, 2 views: 10 of 765 insurance plan rates AETNA DOMESTIC — AETNA: $84.87 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $26.41 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $26.41 ALIGN SENIOR CARE — MEDICARE: $33.70 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $33.70 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $26.41 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $33.70 AMERIGROUP MEDICAID — MEDICAID: $26.41 AMISH MENNONITE — MEDICAID: $26.41 ANDRIE INC — WORKERS COMP: $84.87
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Xr Lumbosacral Spine >= 4 Views	$134	$134	$8.09 – $134
X-ray of the lower spine, at least 4 views: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $54.60 AETNA MEDICAID — MEDICAID: $40.51 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $54.60 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $40.51 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $40.51 ALIGN SENIOR CARE — MEDICARE: $54.60 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $54.60 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $54.60 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $40.51 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $54.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views	$422	$274.30	$80.83 – $422
X-ray of the lower spine, at least 4 views: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $81.71 AETNA — AETNA: $81.71 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.79 ALLEGIANCE — CIGNA: $169.62 ALLIED BENEFIT SYSTEMS — AETNA: $81.71 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $316.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $316.50 BCBS GENERIC — BCBS PPO: $128.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $122.79 BCN DOMESTIC — BCBS PPO: $128.66
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Xr Lumbosacral Spine >= 4 Views	Not listed in the file	$157.16	$8.09 – $157.16
X-ray of the lower spine, at least 4 views: 10 of 765 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $54.60 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $40.51 ALIGN SENIOR CARE — MEDICARE: $54.60 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $40.51 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $54.60 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $54.60 AMERIGROUP MEDICAID — MEDICAID: $40.51 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $40.51 ANDRIE INC — WORKERS COMP: $30.97 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $40.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR MRI Lumbar Spine W/O Contrast	$505	$505	$44.52 – $505
MRI of the lower back (lumbar spine), without contrast: 10 of 765 insurance plan rates AETNA MEDICAID — MEDICAID: $258.25 AETNA MEDICARE TRANSPLANT — MEDICARE: $195.27 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $258.25 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $258.25 ALIGN SENIOR CARE — MEDICARE: $195.27 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $195.27 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $258.25 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $195.27 AMERIGROUP MEDICAID — MEDICAID: $258.25 AMERIHEALTH MEDICARE — MEDICARE: $195.27
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$2,416	$1,570.40	$247.06 – $2,416
MRI of the lower back (lumbar spine), without contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $247.06 AETNA — AETNA: $247.06 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.23 ALLEGIANCE — CIGNA: $387.11 ALLIED BENEFIT SYSTEMS — AETNA: $247.06 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,812 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,812 BCBS GENERIC — BCBS PPO: $263.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $280.23 BCN DOMESTIC — BCBS PPO: $263.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MRI Lumbar Spine W/O Contrast	Not listed in the file	$560.52	$44.52 – $560.52
MRI of the lower back (lumbar spine), without contrast: 10 of 765 insurance plan rates AETNA DOMESTIC — AETNA: $560.52 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $195.27 AETNA MEDICARE TRANSPLANT — MEDICARE: $195.27 ALIGN SENIOR CARE — MEDICARE: $195.27 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $195.27 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $258.25 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $258.25 ALLY ALIGN CARE ADV — MEDICARE: $195.27 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $195.27 AMERICAN HEALTH PLAN — MEDICARE: $195.27
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR CT Pelvis W/Contrast	$606	$606	$34.72 – $606
CT scan of the pelvis, with contrast: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $230.88 AETNA — AETNA: $559.93 AETNA MEDICAID — MEDICAID: $183.21 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $230.88 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $230.88 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $183.21 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $183.21 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $230.88 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $183.21 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $230.88
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast	$1,452	$943.80	$206 – $1,452
CT scan of the pelvis, with contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $345.42 AETNA — AETNA: $345.42 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $206 ALLEGIANCE — CIGNA: $284.58 ALLIED BENEFIT SYSTEMS — AETNA: $345.42 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,089 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,089 BCBS GENERIC — BCBS PPO: $230.70 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $206 BCN DOMESTIC — BCBS PPO: $230.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CT Pelvis W/Contrast	Not listed in the file	$605.09	$34.72 – $605.09
CT scan of the pelvis, with contrast: 10 of 765 insurance plan rates AETNA DOMESTIC — AETNA: $559.93 AETNA MEDICAID — MEDICAID: $183.21 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $230.88 AETNA MEDICARE TRANSPLANT — MEDICARE: $230.88 ALIGN SENIOR CARE — MEDICARE: $230.88 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $230.88 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $230.88 ALLY ALIGN CARE ADV — MEDICARE: $230.88 AMERICAN HEALTH PLAN — MEDICARE: $230.88 AMERIHEALTH MEDICARE — MEDICARE: $230.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR MRI Lower Extremity Joint W/O Contrast	$536	$536	$40.68 – $536
MRI of a leg joint (such as the knee), without contrast: 10 of 765 insurance plan rates AETNA MEDICARE TRANSPLANT — MEDICARE: $208.59 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $273.51 ALIGN SENIOR CARE — MEDICARE: $208.59 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $273.51 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $208.59 AMERIGROUP MEDICAID — MEDICAID: $273.51 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $273.51 ANDRIE INC — WORKERS COMP: $323.45 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $273.51 AURORA SPECIAL NEEDS — MEDICARE: $208.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl	$2,070	$1,345.50	$263.66 – $2,070
MRI of a leg joint (such as the knee), without contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $283.85 AETNA — AETNA: $283.85 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.23 ALLEGIANCE — CIGNA: $387.11 ALLIED BENEFIT SYSTEMS — AETNA: $283.85 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,552.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,552.50 BCBS GENERIC — BCBS PPO: $263.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $280.23 BCN DOMESTIC — BCBS PPO: $263.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt	$1,380	$897	$263.66 – $1,380
MRI of a leg joint (such as the knee), without contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $283.85 AETNA — AETNA: $283.85 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.23 ALLEGIANCE — CIGNA: $387.11 ALLIED BENEFIT SYSTEMS — AETNA: $283.85 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,035 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,035 BCBS GENERIC — BCBS PPO: $263.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $280.23 BCN DOMESTIC — BCBS PPO: $263.66
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR CT Abdomen & Pelvis W/Contrast	$802	$802	$54.95 – $802
CT scan of the abdomen and pelvis, with contrast: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $306.98 AETNA — AETNA: $468.09 AETNA DOMESTIC — AETNA: $468.09 AETNA MEDICAID — MEDICAID: $249.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $306.98 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $306.98 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $306.98 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $249.98 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $306.98 ALLY ALIGN CARE ADV — MEDICARE: $306.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$1,295	$841.75	$392 – $1,295
CT scan of the abdomen and pelvis, with contrast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $433.73 AETNA — AETNA: $433.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $409.74 ALLEGIANCE — CIGNA: $566.02 ALLIED BENEFIT SYSTEMS — AETNA: $433.73 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $971.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $971.25 BCBS GENERIC — BCBS PPO: $441.28 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $409.74 BCN DOMESTIC — BCBS PPO: $441.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CT Abdomen & Pelvis W/Contrast	Not listed in the file	$815.13	$54.95 – $815.13
CT scan of the abdomen and pelvis, with contrast: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $306.98 AETNA — AETNA: $468.09 AETNA DOMESTIC — AETNA: $468.09 AETNA MEDICAID — MEDICAID: $249.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $306.98 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $306.98 AETNA MEDICARE TRANSPLANT — MEDICARE: $306.98 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $306.98 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $249.98 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $306.98
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Abdomen Complete	$299	$299	$24.28 – $299
Ultrasound of the abdomen, complete: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $116.42 AETNA — AETNA: $285.27 AETNA MEDICAID — MEDICAID: $91.81 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $116.42 ALIGN SENIOR CARE — MEDICARE: $116.42 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $116.42 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $91.81 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $116.42 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $116.42 ALLY ALIGN CARE ADV — MEDICARE: $116.42
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$709	$460.85	$122.79 – $709
Ultrasound of the abdomen, complete: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $154.06 AETNA — AETNA: $154.06 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.79 ALLEGIANCE — CIGNA: $169.62 ALLIED BENEFIT SYSTEMS — AETNA: $154.06 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $531.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $531.75 BCBS GENERIC — BCBS PPO: $128.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $122.79 BCN DOMESTIC — BCBS PPO: $128.66
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Abdomen Complete	Not listed in the file	$329.89	$24.28 – $329.89
Ultrasound of the abdomen, complete: 10 of 765 insurance plan rates AETNA MEDICAID — MEDICAID: $91.81 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $116.42 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $116.42 AETNA MEDICARE TRANSPLANT — MEDICARE: $116.42 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $91.81 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $91.81 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $116.42 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $91.81 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $91.81 ALLY ALIGN CARE ADV — MEDICARE: $116.42
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$349	$349	$30.03 – $349
Pregnancy ultrasound (after the first trimester): 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $138.18 AETNA — AETNA: $324.60 AETNA DOMESTIC — AETNA: $324.60 AETNA MEDICAID — MEDICAID: $106.60 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.18 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $138.18 AETNA MEDICARE TRANSPLANT — MEDICARE: $138.18 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $106.60 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $138.18 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $106.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$561	$364.65	$122.79 – $561
Pregnancy ultrasound (after the first trimester): 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $178.15 AETNA — AETNA: $178.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.79 ALLEGIANCE — CIGNA: $169.62 ALLIED BENEFIT SYSTEMS — AETNA: $178.15 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $420.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $420.75 BCBS GENERIC — BCBS PPO: $128.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $122.79 BCN DOMESTIC — BCBS PPO: $128.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation	Not listed in the file	$328.54	$30.03 – $328.54
Pregnancy ultrasound (after the first trimester): 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $138.18 AETNA — AETNA: $324.60 AETNA DOMESTIC — AETNA: $324.60 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $106.60 ALIGN SENIOR CARE — MEDICARE: $138.18 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $138.18 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $138.18 AMERIGROUP MEDICAID — MEDICAID: $106.60 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $106.60 AMERIHEALTH MEDICARE — MEDICARE: $138.18
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric	$307	$307	$20.87 – $307
Transvaginal ultrasound: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $120.01 AETNA — AETNA: $285.83 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $120.01 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $120.01 AETNA MEDICARE TRANSPLANT — MEDICARE: $120.01 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $94.76 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $94.76 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $120.01 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $120.01 AMERICAN HEALTH PLAN — MEDICARE: $120.01
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$379	$246.35	$122.79 – $392
Transvaginal ultrasound: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $170.79 AETNA — AETNA: $170.79 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.79 ALLEGIANCE — CIGNA: $169.62 ALLIED BENEFIT SYSTEMS — AETNA: $170.79 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $284.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $284.25 BCBS GENERIC — BCBS PPO: $128.66 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $122.79 BCN DOMESTIC — BCBS PPO: $128.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric	Not listed in the file	$275.82	$20.87 – $275.82
Transvaginal ultrasound: 10 of 765 insurance plan rates AETNA DOMESTIC — AETNA: $275.82 AETNA MEDICARE TRANSPLANT — MEDICARE: $120.01 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $94.76 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $94.76 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $94.76 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $120.01 ALLY ALIGN CARE ADV — MEDICARE: $120.01 AMERIGROUP MEDICAID — MEDICAID: $94.76 BCBS GENERIC — BCBS HMO: $219.91 BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $120.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Mammography Diagnostic Unilat Including Cad	$323	$323	$24.28 – $323
Diagnostic mammogram, one breast: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $126.42 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $98.51 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $126.42 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $126.42 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $98.51 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $126.42 ALLY ALIGN CARE ADV — MEDICARE: $126.42 AMERIGROUP MEDICAID — MEDICAID: $98.51 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $98.51 AMERIHEALTH MEDICARE — MEDICARE: $126.42
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$329	$213.85	$88.85 – $407.66
Diagnostic mammogram, one breast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $172.70 AETNA — AETNA: $172.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.85 ALLEGIANCE — CIGNA: $168.60 ALLIED BENEFIT SYSTEMS — AETNA: $172.70 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $246.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $246.75 BCBS GENERIC — BCBS PPO: $167.50 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $88.85 BCN DOMESTIC — BCBS PPO: $167.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$329	$213.85	$88.85 – $407.66
Diagnostic mammogram, one breast: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $172.70 AETNA — AETNA: $172.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.85 ALLEGIANCE — CIGNA: $168.60 ALLIED BENEFIT SYSTEMS — AETNA: $172.70 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $246.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $246.75 BCBS GENERIC — BCBS PPO: $167.50 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $88.85 BCN DOMESTIC — BCBS PPO: $167.50
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Diagnostic Mammography Incl Cad Bilateral	$408	$408	$29.82 – $408
Diagnostic mammogram, both breasts: 10 of 765 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $160.14 AETNA — AETNA: $408 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $160.14 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $160.14 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $160.14 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $160.14 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $160.14 ALLY ALIGN CARE ADV — MEDICARE: $160.14 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $160.14 AMERICAN HEALTH PLAN — MEDICARE: $160.14
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$406	$263.90	$113.93 – $519.85
Diagnostic mammogram, both breasts: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $221.64 AETNA — AETNA: $221.64 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.93 ALLEGIANCE — CIGNA: $214.86 ALLIED BENEFIT SYSTEMS — AETNA: $221.64 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $304.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $304.50 BCBS GENERIC — BCBS PPO: $214.37 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $113.93 BCN DOMESTIC — BCBS PPO: $214.37
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Diagnostic Mammography Incl Cad Bilateral	Not listed in the file	$423.86	$29.82 – $423.86
Diagnostic mammogram, both breasts: 10 of 765 insurance plan rates AETNA — AETNA: $423.86 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $160.14 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $124.32 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $124.32 ALIGN SENIOR CARE — MEDICARE: $160.14 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $160.14 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $124.32 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $160.14 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $160.14 AMISH MENNONITE — MEDICAID: $124.32
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Screening Mammography Bilateral Incl Cad When Performed	$330	$330	$23 – $330
Screening mammogram, both breasts: 10 of 765 insurance plan rates AETNA — AETNA: $330 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $148.95 ALIGN SENIOR CARE — MEDICARE: $128.97 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $148.95 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $128.97 AMERIGROUP MEDICAID — MEDICAID: $148.95 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $148.95 AMISH MENNONITE — MEDICAID: $148.95 ANDRIE INC — WORKERS COMP: $330 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $148.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$362	$235.30	$94.01 – $429.47
Screening mammogram, both breasts: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $182.75 AETNA — AETNA: $182.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $94.01 ALLEGIANCE — CIGNA: $177.76 ALLIED BENEFIT SYSTEMS — AETNA: $182.75 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $271.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $271.50 BCBS GENERIC — BCBS PPO: $177.13 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $94.01 BCN DOMESTIC — BCBS PPO: $177.13
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$362	$235.30	$94.01 – $429.47
Screening mammogram, both breasts: 10 of 142 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $182.75 AETNA — AETNA: $182.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $94.01 ALLEGIANCE — CIGNA: $177.76 ALLIED BENEFIT SYSTEMS — AETNA: $182.75 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $271.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $271.50 BCBS GENERIC — BCBS PPO: $177.13 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $94.01 BCN DOMESTIC — BCBS PPO: $177.13

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	$80	$80	$9.16 – $80
Electrocardiogram (ECG/EKG) with reading: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $15.48 AETNA DOMESTIC — AETNA: $57.85 AETNA MEDICAID — MEDICAID: $10.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15.48 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $15.48 AETNA MEDICARE TRANSPLANT — MEDICARE: $15.48 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $15.48 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $10.99 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $15.48 ALLY ALIGN CARE ADV — MEDICARE: $15.48
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	Not listed in the file	$61	$10.99 – $50.95
Electrocardiogram (ECG/EKG) with reading: 10 of 765 insurance plan rates AETNA — AETNA: $50.95 AETNA DOMESTIC — AETNA: $50.95 AETNA MEDICAID — MEDICAID: $10.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15.48 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $15.48 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $10.99 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $10.99 ALIGN SENIOR CARE — MEDICARE: $15.48 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $10.99 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $15.48
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram	$4,720	$3,068	$392 – $9,324.68
Left heart catheterization (diagnostic): 10 of 129 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,807.58 ALLEGIANCE — CIGNA: $5,259.80 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,540 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,540 BCBS GENERIC — BCBS PPO: $4,901.14 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $3,807.58 BCN DOMESTIC — BCBS PPO: $4,901.14 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $4,901.14 BLUE CARE NETWORK — BCBS PPO: $4,901.14 BLUE CROSS - AK (PREMERA) — BCBS PPO: $4,901.14
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Comprehensive Rt Atrial/Ventricular Pacing/Record W/O Arrhythmia	$11,137	$7,239.05	$392 – $22,433.97
Heart rhythm study (electrophysiology evaluation): 10 of 131 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,160.54 ALLEGIANCE — CIGNA: $12,654.40 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $8,352.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $8,352.75 BCBS GENERIC — BCBS PPO: $8,889.47 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $9,160.54 BCN DOMESTIC — BCBS PPO: $8,889.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $8,889.47 BLUE CARE NETWORK — BCBS PPO: $8,889.47 BLUE CROSS - AK (PREMERA) — BCBS PPO: $8,889.47
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath	$2,260	$2,260	$295.22 – $1,921
Heart rhythm study with ablation for atrial fibrillation: 10 of 766 insurance plan rates AETNA — AETNA: $1,768.72 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $389.78 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $389.78 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $342.73 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $389.78 ALLY ALIGN CARE ADV — MEDICARE: $389.78 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $389.78 AMERICAN HEALTH PLAN — MEDICARE: $389.78 AMERIGROUP MEDICAID — MEDICAID: $342.73 AMERIHEALTH MEDICARE — MEDICARE: $389.78
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation	$34,960	$22,724	$392 – $75,179.64
Heart rhythm study with ablation for atrial fibrillation: 10 of 131 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30,698.35 ALLEGIANCE — CIGNA: $42,406.80 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $26,220 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $26,220 BCBS GENERIC — BCBS PPO: $33,507.32 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $30,698.35 BCN DOMESTIC — BCBS PPO: $33,507.32 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $33,507.32 BLUE CARE NETWORK — BCBS PPO: $33,507.32 BLUE CROSS - AK (PREMERA) — BCBS PPO: $33,507.32
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath	Not listed in the file	$2,260	$295.22 – $1,921
Heart rhythm study with ablation for atrial fibrillation: 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $1,768.72 AETNA MEDICAID — MEDICAID: $342.73 AETNA MEDICARE TRANSPLANT — MEDICARE: $389.78 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $342.73 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $389.78 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $342.73 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $389.78 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $342.73 ALLY ALIGN CARE ADV — MEDICARE: $389.78 AMERIGROUP MEDICAID — MEDICAID: $342.73

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$143	$92.95	$79.53 – $81.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $56.69 AETNA — AETNA: $56.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.51 ALLEGIANCE — CIGNA: $30.11 ALLIED BENEFIT SYSTEMS — AETNA: $56.69 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $107.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $107.25 BCBS GENERIC — BCBS PPO: $79.53 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $29.51 BCN DOMESTIC — BCBS PPO: $79.53
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$143	$92.95	$29.51 – $521
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $56.69 AETNA — AETNA: $56.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.51 ALLEGIANCE — CIGNA: $30.11 ALLIED BENEFIT SYSTEMS — AETNA: $56.69 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $107.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $107.25 BCBS GENERIC — BCBS PPO: $79.53 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $29.51 BCN DOMESTIC — BCBS PPO: $79.53
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Tr Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$139	$90.35	$29.51 – $392
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $56.69 AETNA — AETNA: $56.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.51 ALLEGIANCE — CIGNA: $30.11 ALLIED BENEFIT SYSTEMS — AETNA: $56.69 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $104.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $104.25 BCBS GENERIC — BCBS PPO: $79.53 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $29.51 BCN DOMESTIC — BCBS PPO: $79.53
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$478	$310.70	$99.54 – $521
Physical therapy evaluation (low complexity): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $190.67 AETNA — AETNA: $190.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $99.54 ALLEGIANCE — CIGNA: $101.57 ALLIED BENEFIT SYSTEMS — AETNA: $190.67 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $358.50 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $358.50 BCBS GENERIC — BCBS PPO: $219.94 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $99.54 BCN DOMESTIC — BCBS PPO: $219.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$511	$332.15	$99.54 – $521
Physical therapy evaluation (moderate complexity): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $190.67 AETNA — AETNA: $190.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $99.54 ALLEGIANCE — CIGNA: $101.57 ALLIED BENEFIT SYSTEMS — AETNA: $190.67 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $383.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $383.25 BCBS GENERIC — BCBS PPO: $219.94 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $99.54 BCN DOMESTIC — BCBS PPO: $219.94
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family	$557	$362.05	$99.54 – $557
Physical therapy evaluation (high complexity): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $190.67 AETNA — AETNA: $190.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $99.54 ALLEGIANCE — CIGNA: $101.57 ALLIED BENEFIT SYSTEMS — AETNA: $190.67 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $417.75 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $417.75 BCBS GENERIC — BCBS PPO: $219.94 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $99.54 BCN DOMESTIC — BCBS PPO: $219.94

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion	$1,046	$1,046	$110.67 – $889.10
Removal of breast growth (open surgery): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $200.86 AETNA DOMESTIC — AETNA: $489.87 AETNA MEDICAID — MEDICAID: $156.24 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $156.24 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $156.24 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $156.24 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $200.86 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $156.24 ALLY ALIGN CARE ADV — MEDICARE: $200.86 AMERIGROUP MEDICAID — MEDICAID: $156.24
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion	$930	$930	$55.34 – $1,581
Removal of breast growth (open surgery): 10 of 766 insurance plan rates AETNA — AETNA: $489.87 AETNA DOMESTIC — AETNA: $489.87 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $200.86 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $200.86 AETNA MEDICARE TRANSPLANT — MEDICARE: $200.86 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $200.86 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $200.86 ALLY ALIGN CARE ADV — MEDICARE: $200.86 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $200.86 AMERICAN HEALTH PLAN — MEDICARE: $200.86
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt	Not listed in the file	$6,018.36	$392 – $11,261.86
Removal of breast growth (open surgery): 10 of 103 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,598.59 ALLEGIANCE — CIGNA: $6,352.51 BCBS GENERIC — BCBS PPO: $3,220.27 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $4,598.59 BCN DOMESTIC — BCBS PPO: $3,220.27 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $3,220.27 BLUE CARE NETWORK — BCBS PPO: $3,220.27 BLUE CROSS - AK (PREMERA) — BCBS PPO: $3,220.27 BLUE CROSS - AL — BCBS PPO: $3,220.27 BLUE CROSS - AR — BCBS PPO: $3,220.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement	$2,825	$2,825	$15.66 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,401.25
Total hip replacement: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $570.90 AETNA DOMESTIC — AETNA: $1,643.44 AETNA MEDICAID — MEDICAID: $478.20 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $570.90 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $570.90 AETNA MEDICARE TRANSPLANT — MEDICARE: $570.90 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $570.90 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $478.20 ALLY ALIGN CARE ADV — MEDICARE: $570.90 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $570.90
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement	$3,197	$3,197	$355.06 – $2,717.45
Total hip replacement: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $570.90 AETNA DOMESTIC — AETNA: $1,643.44 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $478.20 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $478.20 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $570.90 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $478.20 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $570.90 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $570.90 AMERICAN HEALTH PLAN — MEDICARE: $570.90 AMERIGROUP MEDICAID — MEDICAID: $478.20
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)	Not listed in the file	$19,969.25	$80.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $36,927.56
Total hip replacement: 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15,078.75 ALLEGIANCE — CIGNA: $20,829.85 BCBS GENERIC — BCBS PPO: $10,154.40 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $15,078.75 BCN DOMESTIC — BCBS PPO: $10,154.40 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $10,154.40 BLUE CARE NETWORK — BCBS PPO: $10,154.40 BLUE CROSS - AK (PREMERA) — BCBS PPO: $10,154.40 BLUE CROSS - AL — BCBS PPO: $10,154.40 BLUE CROSS - AR — BCBS PPO: $10,154.40
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing	$2,821	$2,821	$381.52 – $2,397.85
Total knee replacement: 10 of 766 insurance plan rates AETNA MEDICAID — MEDICAID: $477.70 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $569.95 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $477.70 ALIGN SENIOR CARE — MEDICARE: $569.95 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $569.95 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $477.70 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $477.70 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $569.95 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $569.95 AMERICAN HEALTH PLAN — MEDICARE: $569.95
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing	$3,192	$3,192	$381.52 – $2,713.20
Total knee replacement: 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $1,899.35 AETNA MEDICAID — MEDICAID: $477.70 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $477.70 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $477.70 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $477.70 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $477.70 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $569.95 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $477.70 AMISH MENNONITE — MEDICAID: $477.70 ANDRIE INC — WORKERS COMP: $381.52
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)	Not listed in the file	$21,664.64	$80.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $36,927.56
Total knee replacement: 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15,078.75 ALLEGIANCE — CIGNA: $20,829.85 BCBS GENERIC — BCBS PPO: $12,251.93 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $15,078.75 BCN DOMESTIC — BCBS PPO: $12,251.93 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $12,251.93 BLUE CARE NETWORK — BCBS PPO: $12,251.93 BLUE CROSS - AK (PREMERA) — BCBS PPO: $12,251.93 BLUE CROSS - AL — BCBS PPO: $12,251.93 BLUE CROSS - AR — BCBS PPO: $12,251.93
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty	$370	$370	$3.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $370
Shoulder arthroscopy: shaving of shoulder bone: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $143.94 AETNA — AETNA: $370 AETNA DOMESTIC — AETNA: $370 AETNA MEDICAID — MEDICAID: $126.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $143.94 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $143.94 ALIGN SENIOR CARE — MEDICARE: $143.94 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $143.94 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $126.03 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $143.94
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty	$420	$420	$2.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $420
Shoulder arthroscopy: shaving of shoulder bone: 10 of 766 insurance plan rates AETNA — AETNA: $363.55 AETNA MEDICAID — MEDICAID: $107.13 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.35 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $107.13 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $107.13 ALIGN SENIOR CARE — MEDICARE: $122.35 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $107.13 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $122.35 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $107.13 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $122.35
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)	Not listed in the file	$16,283.80	$80.37 – $20,870.86
Shoulder arthroscopy: shaving of shoulder bone: 10 of 107 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8,522.27 ALLEGIANCE — CIGNA: $11,772.69 BCBS GENERIC — BCBS PPO: $297.92 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $8,522.27 BCN DOMESTIC — BCBS PPO: $297.92 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $297.92 BLUE CARE NETWORK — BCBS PPO: $297.92 BLUE CROSS - AK (PREMERA) — BCBS PPO: $297.92 BLUE CROSS - AL — BCBS PPO: $297.92 BLUE CROSS - AR — BCBS PPO: $297.92
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage	$1,377	$1,377	$177.22 – $1,170.45
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $666.26 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $256.25 AETNA MEDICARE TRANSPLANT — MEDICARE: $256.25 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $205.99 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $205.99 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $256.25 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $205.99 ALLY ALIGN CARE ADV — MEDICARE: $256.25 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $256.25 AMERICAN HEALTH PLAN — MEDICARE: $256.25
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage	$1,220	$1,220	$7.03 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,037
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $256.25 AETNA — AETNA: $666.26 AETNA DOMESTIC — AETNA: $666.26 AETNA MEDICAID — MEDICAID: $205.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $256.25 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $256.25 AETNA MEDICARE TRANSPLANT — MEDICARE: $256.25 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $256.25 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $256.25 ALLY ALIGN CARE ADV — MEDICARE: $256.25
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)	Not listed in the file	$7,908.99	$80.37 – $9,411.17
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 107 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,842.89 ALLEGIANCE — CIGNA: $5,308.59 BCBS GENERIC — BCBS PPO: $2,999.94 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $3,842.89 BCN DOMESTIC — BCBS PPO: $2,999.94 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $2,999.94 BLUE CARE NETWORK — BCBS PPO: $2,999.94 BLUE CROSS - AK (PREMERA) — BCBS PPO: $2,999.94 BLUE CROSS - AL — BCBS PPO: $2,999.94 BLUE CROSS - AR — BCBS PPO: $2,999.94
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$302	$302	$38.88 – $256.70
Upper GI endoscopy (diagnostic): 10 of 766 insurance plan rates AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $44.93 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $44.93 ALIGN SENIOR CARE — MEDICARE: $54.80 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $44.93 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $54.80 AMERICAN HEALTH PLAN — MEDICARE: $54.80 AMERIGROUP MEDICAID — MEDICAID: $44.93 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $44.93 ANDRIE INC — WORKERS COMP: $82.01 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $44.93
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$267	$267	$38.88 – $226.95
Upper GI endoscopy (diagnostic): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $54.80 AETNA — AETNA: $192.34 AETNA DOMESTIC — AETNA: $192.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $54.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $54.80 AETNA MEDICARE TRANSPLANT — MEDICARE: $54.80 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $54.80 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $54.80 ALLY ALIGN CARE ADV — MEDICARE: $54.80 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $54.80
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	Not listed in the file	$1,171.88	$392 – $2,608.74
Upper GI endoscopy (diagnostic): 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,065.23 ALLEGIANCE — CIGNA: $1,471.52 BCBS GENERIC — BCBS PPO: $870.88 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,065.23 BCN DOMESTIC — BCBS PPO: $870.88 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $870.88 BLUE CARE NETWORK — BCBS PPO: $870.88 BLUE CROSS - AK (PREMERA) — BCBS PPO: $870.88 BLUE CROSS - AL — BCBS PPO: $870.88 BLUE CROSS - AR — BCBS PPO: $870.88
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$301	$301	$43.67 – $255.85
Upper GI endoscopy with biopsy: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $61.23 AETNA — AETNA: $216.80 AETNA MEDICAID — MEDICAID: $50.64 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $61.23 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $61.23 ALIGN SENIOR CARE — MEDICARE: $61.23 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $50.64 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $61.23 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $61.23 AMERIGROUP MEDICAID — MEDICAID: $50.64
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$530	$530	$43.67 – $450.50
Upper GI endoscopy with biopsy: 10 of 766 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $61.23 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $61.23 AETNA MEDICARE TRANSPLANT — MEDICARE: $61.23 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $50.64 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $61.23 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $50.64 ALLY ALIGN CARE ADV — MEDICARE: $61.23 AMERICAN HEALTH PLAN — MEDICARE: $61.23 AMERIGROUP MEDICAID — MEDICAID: $50.64 AMISH MENNONITE — MEDICAID: $50.64
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)	Not listed in the file	$2,257.25	$392 – $2,608.74
Upper GI endoscopy with biopsy: 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,065.23 ALLEGIANCE — CIGNA: $1,471.52 BCBS GENERIC — BCBS PPO: $870.88 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,065.23 BCN DOMESTIC — BCBS PPO: $870.88 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $870.88 BLUE CARE NETWORK — BCBS PPO: $870.88 BLUE CROSS - AK (PREMERA) — BCBS PPO: $870.88 BLUE CROSS - AL — BCBS PPO: $870.88 BLUE CROSS - AR — BCBS PPO: $870.88
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$700	$700	$58.36 – $595
Colonoscopy (diagnostic): 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $303.22 AETNA MEDICAID — MEDICAID: $67.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.32 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $81.32 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $81.32 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $67.41 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $81.32 ALLY ALIGN CARE ADV — MEDICARE: $81.32 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $81.32 AMERICAN HEALTH PLAN — MEDICARE: $81.32
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	Not listed in the file	$591.63	$58.36 – $502.89
Colonoscopy (diagnostic): 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $303.22 AETNA MEDICARE TRANSPLANT — MEDICARE: $81.32 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $67.41 ALIGN SENIOR CARE — MEDICARE: $81.32 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $81.32 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $67.41 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $81.32 ALLY ALIGN CARE ADV — MEDICARE: $81.32 AMERIGROUP MEDICAID — MEDICAID: $67.41 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $67.41
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)	Not listed in the file	$1,054.46	$392 – $2,674.81
Colonoscopy (diagnostic): 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,092.22 ALLEGIANCE — CIGNA: $1,508.80 BCBS GENERIC — BCBS PPO: $851.82 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,092.22 BCN DOMESTIC — BCBS PPO: $851.82 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $851.82 BLUE CARE NETWORK — BCBS PPO: $851.82 BLUE CROSS - AK (PREMERA) — BCBS PPO: $851.82 BLUE CROSS - AL — BCBS PPO: $851.82 BLUE CROSS - AR — BCBS PPO: $851.82
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	$1,205	$1,205	$63.48 – $1,024.25
Colonoscopy with biopsy: 10 of 766 insurance plan rates AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $87.83 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $73.29 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $73.29 ALIGN SENIOR CARE — MEDICARE: $87.83 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $73.29 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $87.83 AMERIGROUP MEDICAID — MEDICAID: $73.29 AMISH MENNONITE — MEDICAID: $73.29 ANDRIE INC — WORKERS COMP: $126.51 AURORA SPECIAL NEEDS — MEDICARE: $87.83
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	Not listed in the file	$1,054.96	$63.48 – $896.72
Colonoscopy with biopsy: 10 of 766 insurance plan rates AETNA MEDICAID — MEDICAID: $73.29 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $73.29 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $73.29 ALIGN SENIOR CARE — MEDICARE: $87.83 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $73.29 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $73.29 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $87.83 AMERIGROUP MEDICAID — MEDICAID: $73.29 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $73.29 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $73.29
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)	Not listed in the file	$2,743.84	$392 – $3,441.87
Colonoscopy with biopsy: 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,405.43 ALLEGIANCE — CIGNA: $1,941.46 BCBS GENERIC — BCBS PPO: $1,120.45 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,405.43 BCN DOMESTIC — BCBS PPO: $1,120.45 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $1,120.45 BLUE CARE NETWORK — BCBS PPO: $1,120.45 BLUE CROSS - AK (PREMERA) — BCBS PPO: $1,120.45 BLUE CROSS - AL — BCBS PPO: $1,120.45 BLUE CROSS - AR — BCBS PPO: $1,120.45
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$1,356	$1,356	$79.98 – $1,152.60
Colonoscopy with removal of polyps (snare): 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $110.46 AETNA — AETNA: $416.62 AETNA MEDICAID — MEDICAID: $92.65 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.46 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $92.65 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $92.65 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $92.65 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $110.46 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $92.65 AMERICAN HEALTH PLAN — MEDICARE: $110.46
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$551	$551	$79.98 – $468.35
Colonoscopy with removal of polyps (snare): 10 of 766 insurance plan rates AETNA MEDICARE TRANSPLANT — MEDICARE: $110.46 ALIGN SENIOR CARE — MEDICARE: $110.46 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $110.46 AMERIGROUP MEDICAID — MEDICAID: $92.65 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $92.65 AMISH MENNONITE — MEDICAID: $92.65 AURORA SPECIAL NEEDS — MEDICARE: $110.46 AVMED MEDICARE — MEDICARE: $110.46 BCCP — MEDICAID: $92.65 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS HMO: $245.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)	Not listed in the file	$1,552.30	$392 – $3,441.87
Colonoscopy with removal of polyps (snare): 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,405.43 ALLEGIANCE — CIGNA: $1,941.46 BCBS GENERIC — BCBS PPO: $1,120.45 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,405.43 BCN DOMESTIC — BCBS PPO: $1,120.45 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $1,120.45 BLUE CARE NETWORK — BCBS PPO: $1,120.45 BLUE CROSS - AK (PREMERA) — BCBS PPO: $1,120.45 BLUE CROSS - AL — BCBS PPO: $1,120.45 BLUE CROSS - AR — BCBS PPO: $1,120.45
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	$803	$803	$58.47 – $682.55
Screening colonoscopy (not high risk): 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $117 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.45 AETNA MEDICARE TRANSPLANT — MEDICARE: $81.45 ALIGN SENIOR CARE — MEDICARE: $81.45 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $81.45 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $81.45 AMERICAN HEALTH PLAN — MEDICARE: $81.45 AMERIGROUP MEDICAID — MEDICAID: $102.51 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $102.51 AMISH MENNONITE — MEDICAID: $102.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	Not listed in the file	$672.64	$58.47 – $571.74
Screening colonoscopy (not high risk): 10 of 766 insurance plan rates AETNA — AETNA: $117 AETNA DOMESTIC — AETNA: $117 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $81.45 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $102.51 ALIGN SENIOR CARE — MEDICARE: $81.45 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $81.45 AMERICAN HEALTH PLAN — MEDICARE: $81.45 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $102.51 ANTHEM MYCARE OHIO — MEDICARE: $81.45 AURORA SPECIAL NEEDS — MEDICARE: $81.45
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)	Not listed in the file	$1,055.79	$392 – $2,674.81
Screening colonoscopy (not high risk): 10 of 103 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,092.22 ALLEGIANCE — CIGNA: $1,508.80 BCBS GENERIC — BCBS PPO: $851.82 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,092.22 BCN DOMESTIC — BCBS PPO: $851.82 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $851.82 BLUE CARE NETWORK — BCBS PPO: $851.82 BLUE CROSS - AK (PREMERA) — BCBS PPO: $851.82 BLUE CROSS - AL — BCBS PPO: $851.82 BLUE CROSS - AR — BCBS PPO: $851.82
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$1,451	$1,451	$8.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,246.01
Gallbladder removal by laparoscope: 10 of 766 insurance plan rates AETNA — AETNA: $795.83 AETNA DOMESTIC — AETNA: $795.83 AETNA MEDICAID — MEDICAID: $243.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $308.57 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $308.57 AETNA MEDICARE TRANSPLANT — MEDICARE: $308.57 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $243.89 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $308.57 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $243.89 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $308.57
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$1,635	$1,635	$169.25 – $1,389.75
Gallbladder removal by laparoscope: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $308.57 AETNA — AETNA: $795.83 AETNA MEDICAID — MEDICAID: $243.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $308.57 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $308.57 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $243.89 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $243.89 ALIGN SENIOR CARE — MEDICARE: $308.57 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $308.57 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $243.89
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)	Not listed in the file	$11,331.73	$21.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $17,388.59
Gallbladder removal by laparoscope: 10 of 107 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,100.34 ALLEGIANCE — CIGNA: $9,808.44 BCBS GENERIC — BCBS PPO: $5,255.62 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $7,100.34 BCN DOMESTIC — BCBS PPO: $5,255.62 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $5,255.62 BLUE CARE NETWORK — BCBS PPO: $5,255.62 BLUE CROSS - AK (PREMERA) — BCBS PPO: $5,255.62 BLUE CROSS - AL — BCBS PPO: $5,255.62 BLUE CROSS - AR — BCBS PPO: $5,255.62
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible	$1,157	$1,157	$6.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $992.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $248.71 AETNA — AETNA: $630.03 AETNA DOMESTIC — AETNA: $630.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $248.71 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $248.71 AETNA MEDICARE TRANSPLANT — MEDICARE: $248.71 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $248.71 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $248.71 ALLY ALIGN CARE ADV — MEDICARE: $248.71 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $248.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible	$1,302	$1,302	$169.76 – $1,106.70
Groin (inguinal) hernia repair, age 5 or older: 10 of 766 insurance plan rates AETNA MEDICAID — MEDICAID: $194.55 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $194.55 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $194.55 ALIGN SENIOR CARE — MEDICARE: $248.71 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $194.55 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $194.55 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $248.71 AMERIGROUP MEDICAID — MEDICAID: $194.55 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $194.55 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $194.55
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)	Not listed in the file	$5,574.69	$392 – $10,298.21
Groin (inguinal) hernia repair, age 5 or older: 10 of 103 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,205.10 ALLEGIANCE — CIGNA: $5,808.95 BCBS GENERIC — BCBS PPO: $3,370.43 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $4,205.10 BCN DOMESTIC — BCBS PPO: $3,370.43 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $3,370.43 BLUE CARE NETWORK — BCBS PPO: $3,370.43 BLUE CROSS - AK (PREMERA) — BCBS PPO: $3,370.43 BLUE CROSS - AL — BCBS PPO: $3,370.43 BLUE CROSS - AR — BCBS PPO: $3,370.43
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$320	$320	$26.67 – $272
Prostate biopsy: 10 of 766 insurance plan rates AETNA MEDICARE TRANSPLANT — MEDICARE: $160 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $47.13 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $47.13 ALIGN SENIOR CARE — MEDICARE: $160 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $160 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $47.13 ALLY ALIGN CARE ADV — MEDICARE: $160 AMERIGROUP MEDICAID — MEDICAID: $47.13 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $47.13 ANDRIE INC — WORKERS COMP: $68.30
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$2,919	$1,897.35	$392 – $2,919
Prostate biopsy: 10 of 125 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,938.22 AETNA — AETNA: $1,938.22 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $799.81 ALLEGIANCE — CIGNA: $1,704.11 ALLIED BENEFIT SYSTEMS — AETNA: $1,938.22 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,189.25 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,189.25 BCBS GENERIC — BCBS PPO: $2,723.14 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,307.71 BCN DOMESTIC — BCBS PPO: $2,723.14
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach	Not listed in the file	$320	$26.67 – $312
Prostate biopsy: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $160 AETNA DOMESTIC — AETNA: $176.66 AETNA MEDICAID — MEDICAID: $47.13 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $71.83 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $47.13 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $47.13 ALIGN SENIOR CARE — MEDICARE: $160 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $160 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $47.13 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $160
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	$2,946	$2,946	$10.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,504.10
Prostate removal by laparoscope (radical prostatectomy): 10 of 767 insurance plan rates AETNA MEDICARE TRANSPLANT — MEDICARE: $453.01 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $370.78 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $370.78 ALIGN SENIOR CARE — MEDICARE: $453.01 ALLEGIANCE — CIGNA: $747.35 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $370.78 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $453.01 AMERICAN HEALTH PLAN — MEDICARE: $453.01 AMERIGROUP MEDICAID — MEDICAID: $370.78 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $370.78
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	Not listed in the file	$20,393.35	$7.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30,574.31
Prostate removal by laparoscope (radical prostatectomy): 10 of 107 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,484.51 ALLEGIANCE — CIGNA: $17,246.15 BCBS GENERIC — BCBS PPO: $8,853 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $12,484.51 BCN DOMESTIC — BCBS PPO: $8,853 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $8,853 BLUE CARE NETWORK — BCBS PPO: $8,853 BLUE CROSS - AK (PREMERA) — BCBS PPO: $8,853 BLUE CROSS - AL — BCBS PPO: $8,853 BLUE CROSS - AR — BCBS PPO: $8,853
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst\|ASSISTANT AT SURGERY SERVICE	$471.36	$471.36	$10.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,504.10
Prostate removal by laparoscope (radical prostatectomy): 10 of 767 insurance plan rates AETNA MEDICARE TRANSPLANT — MEDICARE: $61.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $55.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $55.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALIGN SENIOR CARE — MEDICARE: $61.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALLEGIANCE — CIGNA: $101.64 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $55.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $61.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AMERICAN HEALTH PLAN — MEDICARE: $61.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AMERIGROUP MEDICAID — MEDICAID: $55.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AMERIHEALTH CARITAS MEDICAID — MEDICAID: $55.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	$705	$705	$73.91 – $599.25
Hysteroscopy with biopsy of the uterus lining: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $99.99 AETNA — AETNA: $265.43 AETNA DOMESTIC — AETNA: $265.43 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $99.99 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $99.99 AETNA MEDICARE TRANSPLANT — MEDICARE: $99.99 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $85.14 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $99.99 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $99.99 ALLY ALIGN CARE ADV — MEDICARE: $99.99
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	$498	$498	$6.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $423.30
Hysteroscopy with biopsy of the uterus lining: 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $265.43 AETNA MEDICARE TRANSPLANT — MEDICARE: $99.99 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $85.14 ALIGN SENIOR CARE — MEDICARE: $99.99 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $99.99 AMERIGROUP MEDICAID — MEDICAID: $85.14 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $85.14 ANDRIE INC — WORKERS COMP: $78.11 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $85.14 AURORA SPECIAL NEEDS — MEDICARE: $99.99
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	Not listed in the file	$7,044.18	$392 – $9,310.86
Hysteroscopy with biopsy of the uterus lining: 10 of 105 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,801.93 ALLEGIANCE — CIGNA: $5,252 BCBS GENERIC — BCBS PPO: $2,700.25 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $3,801.93 BCN DOMESTIC — BCBS PPO: $2,700.25 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $2,700.25 BLUE CARE NETWORK — BCBS PPO: $2,700.25 BLUE CROSS - AK (PREMERA) — BCBS PPO: $2,700.25 BLUE CROSS - AL — BCBS PPO: $2,700.25 BLUE CROSS - AR — BCBS PPO: $2,700.25
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance	$247	$247	$31.63 – $209.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $44.24 AETNA DOMESTIC — AETNA: $108.62 AETNA MEDICAID — MEDICAID: $36.43 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $44.24 AETNA MEDICARE TRANSPLANT — MEDICARE: $44.24 ALIGN SENIOR CARE — MEDICARE: $44.24 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $44.24 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $36.43 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $44.24 ALLY ALIGN CARE ADV — MEDICARE: $44.24
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance	$213	$213	$31.63 – $181.05
Spinal injection, lower back (epidural), with imaging guidance: 10 of 766 insurance plan rates AETNA — AETNA: $108.62 AETNA DOMESTIC — AETNA: $108.62 AETNA MEDICAID — MEDICAID: $36.43 AETNA MEDICARE TRANSPLANT — MEDICARE: $44.24 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $36.43 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $36.43 ALIGN SENIOR CARE — MEDICARE: $44.24 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $36.43 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $36.43 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $44.24
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance	$968	$629.20	$392 – $2,030.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 129 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $829.04 ALLEGIANCE — CIGNA: $1,145.25 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $726 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $726 BCBS GENERIC — BCBS PPO: $684.77 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $829.04 BCN DOMESTIC — BCBS PPO: $684.77 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $684.77 BLUE CARE NETWORK — BCBS PPO: $684.77 BLUE CROSS - AK (PREMERA) — BCBS PPO: $684.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$278	$278	$25.81 – $236.30
Nerve root injection, lower back, with imaging guidance: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $49.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $49.53 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $49.53 AETNA MEDICARE TRANSPLANT — MEDICARE: $49.53 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $41 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $41 ALIGN SENIOR CARE — MEDICARE: $49.53 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $41 AMERICAN HEALTH PLAN — MEDICARE: $49.53 AMERIHEALTH MEDICARE — MEDICARE: $49.53
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt	$1,180	$767	$392 – $2,543.99
Nerve root injection, lower back, with imaging guidance: 10 of 129 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,038.79 ALLEGIANCE — CIGNA: $1,434.99 ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $885 ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $885 BCBS GENERIC — BCBS PPO: $874.64 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $1,038.79 BCN DOMESTIC — BCBS PPO: $874.64 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $874.64 BLUE CARE NETWORK — BCBS PPO: $874.64 BLUE CROSS - AK (PREMERA) — BCBS PPO: $874.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	Not listed in the file	$278	$25.81 – $272.95
Nerve root injection, lower back, with imaging guidance: 10 of 766 insurance plan rates AETNA DOMESTIC — AETNA: $142.60 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $49.53 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $41 AMERICAN HEALTH PLAN — MEDICARE: $49.53 AMERIGROUP MEDICAID — MEDICAID: $41 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $41 AMISH MENNONITE — MEDICAID: $41 ANDRIE INC — WORKERS COMP: $84.48 ANTHEM MYCARE OHIO — MEDICARE: $49.53 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $41
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel	$995	$995	$122.01 – $845.75
Carpal tunnel release: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $211.27 AETNA — AETNA: $552.38 AETNA DOMESTIC — AETNA: $552.38 AETNA MEDICAID — MEDICAID: $167.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $211.27 AETNA MEDICARE TRANSPLANT — MEDICARE: $211.27 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $167.77 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $167.77 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $167.77 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $211.27
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel	$1,121	$1,121	$122.01 – $952.85
Carpal tunnel release: 10 of 766 insurance plan rates AETNA — AETNA: $552.38 AETNA MEDICAID — MEDICAID: $167.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $211.27 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $211.27 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $167.77 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $167.77 ALIGN SENIOR CARE — MEDICARE: $211.27 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $167.77 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $167.77 ALLY ALIGN CARE ADV — MEDICARE: $211.27
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt	Not listed in the file	$4,374.27	$392 – $5,616.57
Carpal tunnel release: 10 of 103 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,293.43 ALLEGIANCE — CIGNA: $3,168.16 BCBS GENERIC — BCBS PPO: $1,865.69 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $2,293.43 BCN DOMESTIC — BCBS PPO: $1,865.69 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCBS PPO: $1,865.69 BLUE CARE NETWORK — BCBS PPO: $1,865.69 BLUE CROSS - AK (PREMERA) — BCBS PPO: $1,865.69 BLUE CROSS - AL — BCBS PPO: $1,865.69 BLUE CROSS - AR — BCBS PPO: $1,865.69

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care	$5,986	$5,986	$439.25 – $5,088.10
Vaginal delivery, with care before and after: 10 of 766 insurance plan rates AETNA — AETNA: $2,247.73 AETNA DOMESTIC — AETNA: $2,247.73 AETNA MEDICAID — MEDICAID: $925.13 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,075.91 AETNA MEDICARE TRANSPLANT — MEDICARE: $1,075.91 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $925.13 ALLY ALIGN CARE ADV — MEDICARE: $1,075.91 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,075.91 AMERICAN HEALTH PLAN — MEDICARE: $1,075.91 AMERIGROUP MEDICAID — MEDICAID: $925.13
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care	$5,277	$5,277	$439.25 – $4,485.45
Vaginal delivery, with care before and after: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,075.91 AETNA DOMESTIC — AETNA: $2,644.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,075.91 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,088.39 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,088.39 ALIGN SENIOR CARE — MEDICARE: $1,075.91 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,075.91 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,075.91 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,075.91 AMERIGROUP MEDICAID — MEDICAID: $1,088.39
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$6,631	$6,631	$497.18 – $5,636.35
Cesarean delivery (C-section), with care before and after: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,197.02 AETNA — AETNA: $2,644.39 AETNA DOMESTIC — AETNA: $2,644.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,197.02 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,197.02 AETNA MEDICARE TRANSPLANT — MEDICARE: $1,197.02 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,197.02 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,197.02 ALLY ALIGN CARE ADV — MEDICARE: $1,197.02 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,197.02
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$5,860	$5,860	$497.18 – $4,981
Cesarean delivery (C-section), with care before and after: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,197.02 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,197.02 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,202.68 ALIGN SENIOR CARE — MEDICARE: $1,197.02 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,197.02 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,202.68 ALLY ALIGN CARE ADV — MEDICARE: $1,197.02 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,197.02 AMERICAN HEALTH PLAN — MEDICARE: $1,197.02 AMERIGROUP MEDICAID — MEDICAID: $1,202.68
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care\|ASSISTANT SURGEON	$937.60	$937.60	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $937.60
Cesarean delivery (C-section), with care before and after: 10 of 766 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $191.52 AETNA DOMESTIC — AETNA: $423.10 AETNA MEDICAID — MEDICAID: $180.40 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $191.52 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $180.40 ALIGN SENIOR CARE — MEDICARE: $191.52 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $180.40 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $191.52 AMERIGROUP MEDICAID — MEDICAID: $180.40 ANDRIE INC — WORKERS COMP: $74.58
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S	$6,249	$6,249	$462.11 – $5,311.65
Vaginal delivery after a previous C-section, with care before and after: 10 of 766 insurance plan rates AETNA MEDICAID — MEDICAID: $969.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,127.02 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,127.02 AETNA MEDICARE TRANSPLANT — MEDICARE: $1,127.02 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $969.47 AMERICAN HEALTH PLAN — MEDICARE: $1,127.02 AMERIGROUP MEDICAID — MEDICAID: $969.47 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $969.47 ANDRIE INC — WORKERS COMP: $462.11 ANTHEM MYCARE OHIO — MEDICARE: $1,127.02
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S	Not listed in the file	$5,936.96	$462.11 – $5,046.42
Vaginal delivery after a previous C-section, with care before and after: 10 of 766 insurance plan rates AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,140.55 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,140.55 ALIGN SENIOR CARE — MEDICARE: $1,127.02 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,140.55 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,127.02 AMERIGROUP MEDICAID — MEDICAID: $1,140.55 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $1,140.55 ANDRIE INC — WORKERS COMP: $462.11 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $1,140.55 AURORA SPECIAL NEEDS — MEDICARE: $1,127.02

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$22,509.90	$3,538 – $43,180.78
Hip or knee replacement (major joint of the leg), without major complications: 10 of 42 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,770.52 AETNA — AETNA: $5,770.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17,632.15 ALLEGIANCE — CIGNA: $28,053.92 ALLIED BENEFIT SYSTEMS — AETNA: $5,770.52 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $17,632.15 CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $17,984.79 CCA SENIOR CARE OPTIONS — COMMONWEALTH CARE ALLIANCE MEDICARE ADV: $17,984.79 CENTIVO — CENTIVO: $35,983.98 CIGNA — CIGNA: $28,053.92
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	$30,638.73	$3,538 – $54,266.64
Neck (cervical) spinal fusion, without complications: 10 of 42 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,770.52 AETNA — AETNA: $5,770.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $22,158.88 ALLEGIANCE — CIGNA: $35,506.27 ALLIED BENEFIT SYSTEMS — AETNA: $5,770.52 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $22,158.88 CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $22,602.06 CCA SENIOR CARE OPTIONS — COMMONWEALTH CARE ALLIANCE MEDICARE ADV: $22,602.06 CENTIVO — CENTIVO: $45,222.20 CIGNA — CIGNA: $35,506.27
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	$13,835.48	$3,538 – $28,291.42
Uterus and ovary surgery (not for cancer), without complications: 10 of 42 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,770.52 AETNA — AETNA: $5,770.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,552.33 ALLEGIANCE — CIGNA: $18,044.74 ALLIED BENEFIT SYSTEMS — AETNA: $5,770.52 BCBS MEDICARE ADVANTAGE GENERIC — BCBS MEDICARE ADVANTAGE: $11,552.33 CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $11,783.37 CCA SENIOR CARE OPTIONS — COMMONWEALTH CARE ALLIANCE MEDICARE ADV: $11,783.37 CENTIVO — CENTIVO: $23,576.18 CIGNA — CIGNA: $18,044.74

Source: Mercy Medical Ctr’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	271 Carew Street, Springfield, MA 01104
County	Hampden County
State	Massachusetts
Phone	(413) 748‑9000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	220066
Name in Medicare records	MERCY MEDICAL CTR
Profile level	Medicare data + hospital website
Name on the hospital’s website	Mercy Medical Center
Official website	trinityhealthofne.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Mercy Medical Center - Emergency Department — trinityhealthofne.org
Mercy Medical Center | Trinity Health Of New England — trinityhealthofne.org
Mercy Medical Center - Emergency Department | Trinity Health Of New England — trinityhealthofne.org

Mercy Medical Ctr

Summary

Profile from official sources

At a glance