Does Merit Health River Region have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Merit Health River Region. In a medical emergency, call 911.

Where is Merit Health River Region?

2100 Hwy 61 N, Vicksburg, MS 39183, in Warren County, Mississippi.

What is the phone number of Merit Health River Region?

(601) 883-5000, as listed by Medicare (CMS).

What is the Medicare star rating of Merit Health River Region?

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

Merit Health River Region — Vicksburg, MS

Quick answers

Does Merit Health River Region have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Merit Health River Region. In a medical emergency, call 911.
Where is Merit Health River Region?: 2100 Hwy 61 N, Vicksburg, MS 39183, in Warren County, Mississippi.
What is the phone number of Merit Health River Region?: (601) 883-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Merit Health River Region?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6]

Behavioral Health
Cancer Care
Diagnostic Imaging
Ear, Nose & Throat
Emergency Services
Geriatric Services
Heart Care
Infusion Services
Maternity Care
Occupational Health
Orthopedic Services
Pain Management
Primary Care
Rehabilitation Services
Stroke Care
Surgical Services
Women's Health

Procedures^[6]

Elective cardioversion
Pacemaker implantation
Angioplasty and stenting
Echocardiography
Electrocardiography (EKG)
Stress testing
Holter monitoring (outpatient)
Vascular ultrasonography

Programs and centers^[5][6]

Accredited Chest Pain Center
AIR CARE air transport
ER Fast Track (11 a.m.-11 p.m.)

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV

Doctors and clinicians (192)

192 doctors and other clinicians list Merit Health River Region 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 (192)

Abby R. Regan, DOEmergency Medicine
Abdul G. Bahro, MDCardiovascular Disease (Cardiology)
Abram T. Coppage Iv, MDPathology
Adam Blanks, NPNurse Practitioner
Adam N. Protos, MDCardiac Surgery
Alan J. Torrey, MDAnesthesiology
Albert Chiemprabha, MDGastroenterology
Alison B. Armstrong, NPNurse Practitioner
Allen B. Yelverton, NPNurse Practitioner
Amanda H. Gill, NPNurse Practitioner
Amy H. Depta, NPNurse Practitioner
Andrew T. Hendrix, CNACertified Registered Nurse Anesthetist (CRNA)
Andrew T. Smyth, MDDiagnostic Radiology
Ashley T. RiggsNurse Practitioner
Ava Christian, NPNurse Practitioner
Azima Rasiwala, DOFamily Practice
Baleigh V. Ford, PAPhysician Assistant
Barbara J. Phelps, NPNurse Practitioner
Benjamin Ozbun, MDFamily Practice
Benton C. Parker, MDDiagnostic Radiology
Bhavya A. Parikh, MDInternal Medicine
Brandon B. Teller, NPNurse Practitioner
Brandon L. Mizell, MDFamily Practice
Breanna S. Heard Pinho, MDFamily Practice

And 168 more: the button below opens the full list.

Other emergency rooms nearby

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

Madison Parish Hospital21 mi · Tallulah, LA · Critical Access Hospital
Claiborne County Hospital31 mi · Port Gibson, MS · Critical Access Hospital
Merit Health Central34 mi · Jackson, MS · Acute Care Hospital
East Carroll Parish Hospital36 mi · Lake Providence, LA · Acute Care Hospital
Sharkey Issaquena Community Hospital37 mi · Rolling Fork, MS · Rural Emergency Hospital

Other hospitals nearby

Mississippi Baptist Medical Center38 mi · Jackson, MS · Acute Care 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

Shady Lawn Health and Rehabilitation3.2 mi · Vicksburg, MS · 5 of 5 stars
Vicksburg Convalescent Center3.6 mi · Vicksburg, MS · 5 of 5 stars
The Bluffs Rehabilitation and Healthcare Center3.6 mi · Vicksburg, MS · 1 of 5 stars

All nursing homes in the state →

Hospice providers

ACG Hospice-Vicksburg10 mi · Vicksburg, MS
Gentiva10 mi · Vicksburg, MS

All hospice providers in the state →

Home health agencies

Adoration Home Health10 mi · Vicksburg, MS
Enhabit Home Health10 mi · Vicksburg, MS · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - Delta7.0 mi · Delta, LA · 2 of 5 stars
Fresenius Medical Care Vicksburg Home, LLC10 mi · Vicksburg, MS · 2 of 5 stars
RCG Vicksburg10 mi · Vicksburg, MS · 1 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.

Better Living Endoscopy Center10 mi · Vicksburg, MS
Gastrointestinal Associates Endoscopy Center, LLC10 mi · Vicksburg, MS
Vicksburg Spine Center, LLC10 mi · Vicksburg, MS

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Jackson-Hinds Vicksburg Warren Family Health Care Clinic3.8 mi · Vicksburg, MS · Community health center
Jackson-HInds Comprehensive Health Center Edwards Site13 mi · Edwards, MS · Community health center
Bolton-Edwards Elem/Middle SBC19 mi · Bolton, MS · Community health center

Clinics and urgent care

Fast Pace Health6.1 mi · Vicksburg, MS · Rural health clinic
River Region Rural HEALTH-MOB16.1 mi · Vicksburg, MS · Rural health clinic
River Region Rural Health-Sc6.1 mi · Vicksburg, MS · Rural health clinic

Pharmacies

Walgreen Co6.1 mi · Vicksburg, MS · Pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	57%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	60%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	66%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	270Response rate: 13%

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)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.17Better than the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
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	0.105Better 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	12.3%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	21.1%
Deaths within 30 days: COPD patients	8.5%
Deaths within 30 days: stroke patients	11.4%
Deaths within 30 days: coronary bypass surgery (CABG)	2%
Serious complications (patient safety indicator PSI-90)	0.99No different from the national rate
Complications after hip or knee replacement	3.9%

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	14.3%
Readmitted within 30 days: heart failure	22.2%
Readmitted within 30 days: pneumonia	18.8%
Readmitted within 30 days: COPD	19.1%
Readmitted within 30 days: coronary bypass surgery	11.2%
Readmitted within 30 days: hip or knee replacement	6.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	123 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	53%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 Mississippi Best hospitals in Mississippi

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Merit Health River Region 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 →

$ 5 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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST	$4,917	$885.06	$65.37 – $3,687.75
Emergency room visit (moderate): 10 of 56 insurance plan rates Advanced Health Systems — Advanced Health Systems: $290.73 Aetna First Choice MS — Aetna First Choice MS: $1,966.80 BCBS MS FMP — BCBS MS FMP: $304.58 CareSource TrueCare — CareSource TrueCare: $215.22 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $668.71 Cigna — Cigna: $2,030.72 Department of Veterans Affairs — NODE ChampVA: $269.73 First Choice — First Choice Coventry: $3,687.75 First Choice — First Choice LGP: $566.02 First Choice — First Choice PPO Plus: $2,704.35
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST	$4,917	$1,475.10	$668.71 – $3,687.75
Emergency room visit (moderate): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $668.71 Cigna — Cigna: $2,030.72 MedPartners — MedPartners: $983.40 MS Health Partners — MS Health Partners: $3,687.75 PHCS — PHCS: $2,950.20 Self Pay — Self Pay: $1,475.10 TriMed Billing Solutions — TriMed Billing Solutions: $1,475.10
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT	$5,786	$1,041.48	$111.54 – $4,339.50
Emergency room visit (moderately high): 10 of 56 insurance plan rates Advanced Health Systems — Advanced Health Systems: $447.11 Aetna First Choice MS — Aetna First Choice MS: $2,314.40 BCBS MS FMP — BCBS MS FMP: $468.40 CareSource TrueCare — CareSource TrueCare: $330.98 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $786.90 Cigna — Cigna: $2,389.62 Department of Veterans Affairs — NODE ChampVA: $412.30 First Choice — First Choice Coventry: $4,339.50 First Choice — First Choice LGP: $865.20 First Choice — First Choice PPO Plus: $3,182.30
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT	$5,786	$1,735.80	$786.90 – $4,339.50
Emergency room visit (moderately high): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $786.90 Cigna — Cigna: $2,389.62 MedPartners — MedPartners: $1,157.20 MS Health Partners — MS Health Partners: $4,339.50 PHCS — PHCS: $3,471.60 Self Pay — Self Pay: $1,735.80 TriMed Billing Solutions — TriMed Billing Solutions: $1,735.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST	$6,661	$1,198.98	$161.84 – $5,081
Emergency room visit (high): 10 of 56 insurance plan rates Advanced Health Systems — Advanced Health Systems: $643.76 Aetna First Choice MS — Aetna First Choice MS: $2,664.40 BCBS MS FMP — BCBS MS FMP: $674.41 CareSource TrueCare — CareSource TrueCare: $476.54 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $905.90 Cigna — Cigna: $2,750.99 Department of Veterans Affairs — NODE ChampVA: $588.45 First Choice — First Choice Coventry: $4,995.75 First Choice — First Choice LGP: $1,234.82 First Choice — First Choice PPO Plus: $3,663.55
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST AR TRA EM LV 5F	$6,690	$1,204.20	$161.84 – $5,081
Emergency room visit (high): 10 of 56 insurance plan rates Advanced Health Systems — Advanced Health Systems: $643.76 Aetna First Choice MS — Aetna First Choice MS: $2,676 BCBS MS FMP — BCBS MS FMP: $674.41 CareSource TrueCare — CareSource TrueCare: $476.54 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $909.84 Cigna — Cigna: $2,762.97 Department of Veterans Affairs — NODE ChampVA: $588.45 First Choice — First Choice Coventry: $5,017.50 First Choice — First Choice LGP: $1,234.82 First Choice — First Choice PPO Plus: $3,679.50
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST	$6,661	$1,998.30	$905.90 – $4,995.75
Emergency room visit (high): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $905.90 Cigna — Cigna: $2,750.99 MedPartners — MedPartners: $1,332.20 MS Health Partners — MS Health Partners: $4,995.75 PHCS — PHCS: $3,996.60 Self Pay — Self Pay: $1,998.30 TriMed Billing Solutions — TriMed Billing Solutions: $1,998.30

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA	$391	$70.38	$7.61 – $391
Basic metabolic panel (blood test): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $12.32 Aetna First Choice MS — Aetna First Choice MS: $20.90 BCBS MS FMP — BCBS MS FMP: $12.52 CareSource TrueCare — CareSource TrueCare: $7.76 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $53.18 Cigna — Cigna: $161.48 Cigna Behavioral Health — Cigna Behavioral Health: $273.70 Department of Veterans Affairs — NODE ChampVA: $8.05 First Choice — First Choice Coventry: $293.25 First Choice — First Choice LGP: $18.44
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA	$391	$117.30	$53.18 – $293.25
Basic metabolic panel (blood test): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $53.18 Cigna — Cigna: $161.48 MedPartners — MedPartners: $78.20 MS Health Partners — MS Health Partners: $293.25 PHCS — PHCS: $234.60 Self Pay — Self Pay: $117.30 TriMed Billing Solutions — TriMed Billing Solutions: $117.30
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METAB PANEL	$477	$85.86	$9.50 – $477
Comprehensive metabolic panel (blood test): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $15.55 Aetna First Choice MS — Aetna First Choice MS: $26.08 BCBS MS FMP — BCBS MS FMP: $16.03 CareSource TrueCare — CareSource TrueCare: $9.69 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $64.87 Cigna — Cigna: $197 Cigna Behavioral Health — Cigna Behavioral Health: $333.90 Department of Veterans Affairs — NODE ChampVA: $10.05 First Choice — First Choice Coventry: $357.75 First Choice — First Choice LGP: $23.02
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METAB PANEL	$477	$143.10	$64.87 – $357.75
Comprehensive metabolic panel (blood test): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $64.87 Cigna — Cigna: $197 MedPartners — MedPartners: $95.40 MS Health Partners — MS Health Partners: $357.75 PHCS — PHCS: $286.20 Self Pay — Self Pay: $143.10 TriMed Billing Solutions — TriMed Billing Solutions: $143.10
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$1,420	$255.60	$24.01 – $1,420
Obstetric blood test panel: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $72.94 Aetna First Choice MS — Aetna First Choice MS: $118.11 BCBS MS FMP — BCBS MS FMP: $49.33 CareSource TrueCare — CareSource TrueCare: $43.89 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $193.12 Cigna — Cigna: $586.46 Cigna Behavioral Health — Cigna Behavioral Health: $994 Department of Veterans Affairs — NODE ChampVA: $70.03 First Choice — First Choice Coventry: $1,065 First Choice — First Choice LGP: $104.23
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$1,420	$426	$193.12 – $1,065
Obstetric blood test panel: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $193.12 Cigna — Cigna: $586.46 MedPartners — MedPartners: $284 MS Health Partners — MS Health Partners: $1,065 PHCS — PHCS: $852 Self Pay — Self Pay: $426 TriMed Billing Solutions — TriMed Billing Solutions: $426
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$352	$63.36	$12.05 – $352
Cholesterol panel (lipid panel): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $19.03 Aetna First Choice MS — Aetna First Choice MS: $33.08 BCBS MS FMP — BCBS MS FMP: $18.98 CareSource TrueCare — CareSource TrueCare: $12.29 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $47.87 Cigna — Cigna: $145.38 Cigna Behavioral Health — Cigna Behavioral Health: $246.40 Department of Veterans Affairs — NODE ChampVA: $12.74 First Choice — First Choice Coventry: $264 First Choice — First Choice LGP: $29.19
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$352	$105.60	$47.87 – $264
Cholesterol panel (lipid panel): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $47.87 Cigna — Cigna: $145.38 MedPartners — MedPartners: $70.40 MS Health Partners — MS Health Partners: $264 PHCS — PHCS: $211.20 Self Pay — Self Pay: $105.60 TriMed Billing Solutions — TriMed Billing Solutions: $105.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$393	$70.74	$7.81 – $393
Kidney function panel: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $16.19 Aetna First Choice MS — Aetna First Choice MS: $21.44 BCBS MS FMP — BCBS MS FMP: $14.23 CareSource TrueCare — CareSource TrueCare: $7.97 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $53.45 Cigna — Cigna: $162.31 Cigna Behavioral Health — Cigna Behavioral Health: $275.10 Department of Veterans Affairs — NODE ChampVA: $8.26 First Choice — First Choice Coventry: $294.75 First Choice — First Choice LGP: $18.92
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$393	$117.90	$53.45 – $294.75
Kidney function panel: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $53.45 Cigna — Cigna: $162.31 MedPartners — MedPartners: $78.60 MS Health Partners — MS Health Partners: $294.75 PHCS — PHCS: $235.80 Self Pay — Self Pay: $117.90 TriMed Billing Solutions — TriMed Billing Solutions: $117.90
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$329	$59.22	$7.35 – $329
Liver function panel: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $14.12 Aetna First Choice MS — Aetna First Choice MS: $20.18 BCBS MS FMP — BCBS MS FMP: $14.44 CareSource TrueCare — CareSource TrueCare: $7.50 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $44.74 Cigna — Cigna: $135.88 Cigna Behavioral Health — Cigna Behavioral Health: $230.30 Department of Veterans Affairs — NODE ChampVA: $7.78 First Choice — First Choice Coventry: $246.75 First Choice — First Choice LGP: $17.81
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$329	$98.70	$44.74 – $246.75
Liver function panel: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $44.74 Cigna — Cigna: $135.88 MedPartners — MedPartners: $65.80 MS Health Partners — MS Health Partners: $246.75 PHCS — PHCS: $197.40 Self Pay — Self Pay: $98.70 TriMed Billing Solutions — TriMed Billing Solutions: $98.70
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE	$258	$46.44	$2.85 – $258
Urine test (automated, with microscope): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $5.49 Aetna First Choice MS — Aetna First Choice MS: $7.83 BCBS MS FMP — BCBS MS FMP: $5.81 CareSource TrueCare — CareSource TrueCare: $2.91 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $35.09 Cigna — Cigna: $106.55 Cigna Behavioral Health — Cigna Behavioral Health: $180.60 Department of Veterans Affairs — NODE ChampVA: $3.02 First Choice — First Choice Coventry: $193.50 First Choice — First Choice LGP: $6.91
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE	$258	$77.40	$35.09 – $193.50
Urine test (automated, with microscope): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $35.09 Cigna — Cigna: $106.55 MedPartners — MedPartners: $51.60 MS Health Partners — MS Health Partners: $193.50 PHCS — PHCS: $154.80 Self Pay — Self Pay: $77.40 TriMed Billing Solutions — TriMed Billing Solutions: $77.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NONAUTO W-O SCOPE	$81	$14.58	$3.13 – $81
Urine test (manual, without microscope): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $5.59 Aetna First Choice MS — Aetna First Choice MS: $8.60 BCBS MS FMP — BCBS MS FMP: $5.85 CareSource TrueCare — CareSource TrueCare: $3.19 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $11.02 Cigna — Cigna: $33.45 Cigna Behavioral Health — Cigna Behavioral Health: $56.70 Department of Veterans Affairs — NODE ChampVA: $3.31 First Choice — First Choice Coventry: $60.75 First Choice — First Choice LGP: $7.59
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA NONAUTO W-O SCOPE	$81	$24.30	$11.02 – $60.75
Urine test (manual, without microscope): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $11.02 Cigna — Cigna: $33.45 MedPartners — MedPartners: $16.20 MS Health Partners — MS Health Partners: $60.75 PHCS — PHCS: $48.60 Self Pay — Self Pay: $24.30 TriMed Billing Solutions — TriMed Billing Solutions: $24.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE	$258	$46.44	$2.03 – $258
Urine test (automated, without microscope): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $3.92 Aetna First Choice MS — Aetna First Choice MS: $5.56 BCBS MS FMP — BCBS MS FMP: $4.40 CareSource TrueCare — CareSource TrueCare: $2.07 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $35.09 Cigna — Cigna: $106.55 Cigna Behavioral Health — Cigna Behavioral Health: $180.60 Department of Veterans Affairs — NODE ChampVA: $2.14 First Choice — First Choice Coventry: $193.50 First Choice — First Choice LGP: $4.91
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE	$258	$77.40	$35.09 – $193.50
Urine test (automated, without microscope): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $35.09 Cigna — Cigna: $106.55 MedPartners — MedPartners: $51.60 MS Health Partners — MS Health Partners: $193.50 PHCS — PHCS: $154.80 Self Pay — Self Pay: $77.40 TriMed Billing Solutions — TriMed Billing Solutions: $77.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL	$447	$80.46	$16.55 – $447
PSA (prostate specific antigen) blood test: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $23.23 Aetna First Choice MS — Aetna First Choice MS: $45.43 BCBS MS FMP — BCBS MS FMP: $23.26 CareSource TrueCare — CareSource TrueCare: $16.88 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $60.79 Cigna — Cigna: $184.61 Cigna Behavioral Health — Cigna Behavioral Health: $312.90 Department of Veterans Affairs — NODE ChampVA: $17.50 First Choice — First Choice Coventry: $335.25 First Choice — First Choice LGP: $40.09
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL	$447	$134.10	$60.79 – $335.25
PSA (prostate specific antigen) blood test: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $60.79 Cigna — Cigna: $184.61 MedPartners — MedPartners: $89.40 MS Health Partners — MS Health Partners: $335.25 PHCS — PHCS: $268.20 Self Pay — Self Pay: $134.10 TriMed Billing Solutions — TriMed Billing Solutions: $134.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM TSH	$352	$63.36	$15.12 – $352
Thyroid stimulating hormone (TSH) test: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $27.77 Aetna First Choice MS — Aetna First Choice MS: $41.50 BCBS MS FMP — BCBS MS FMP: $24.46 CareSource TrueCare — CareSource TrueCare: $15.42 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $47.87 Cigna — Cigna: $145.38 Cigna Behavioral Health — Cigna Behavioral Health: $246.40 Department of Veterans Affairs — NODE ChampVA: $15.99 First Choice — First Choice Coventry: $264 First Choice — First Choice LGP: $36.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NBS THYROID STIM TSH	$352	$63.36	$15.12 – $352
Thyroid stimulating hormone (TSH) test: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $27.77 Aetna First Choice MS — Aetna First Choice MS: $41.50 BCBS MS FMP — BCBS MS FMP: $24.46 CareSource TrueCare — CareSource TrueCare: $15.42 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $47.87 Cigna — Cigna: $145.38 Cigna Behavioral Health — Cigna Behavioral Health: $246.40 Department of Veterans Affairs — NODE ChampVA: $15.99 First Choice — First Choice Coventry: $264 First Choice — First Choice LGP: $36.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIM TSH	$352	$105.60	$47.87 – $264
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $47.87 Cigna — Cigna: $145.38 MedPartners — MedPartners: $70.40 MS Health Partners — MS Health Partners: $264 PHCS — PHCS: $211.20 Self Pay — Self Pay: $105.60 TriMed Billing Solutions — TriMed Billing Solutions: $105.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD	$282	$50.76	$6.99 – $282
Complete blood count (CBC) with differential: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $11.46 Aetna First Choice MS — Aetna First Choice MS: $19.20 BCBS MS FMP — BCBS MS FMP: $11.45 CareSource TrueCare — CareSource TrueCare: $7.13 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $38.35 Cigna — Cigna: $116.47 Cigna Behavioral Health — Cigna Behavioral Health: $197.40 Department of Veterans Affairs — NODE ChampVA: $7.40 First Choice — First Choice Coventry: $211.50 First Choice — First Choice LGP: $16.94
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD	$282	$84.60	$38.35 – $211.50
Complete blood count (CBC) with differential: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $38.35 Cigna — Cigna: $116.47 MedPartners — MedPartners: $56.40 MS Health Partners — MS Health Partners: $211.50 PHCS — PHCS: $169.20 Self Pay — Self Pay: $84.60 TriMed Billing Solutions — TriMed Billing Solutions: $84.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT	$152	$27.36	$5.82 – $152
Complete blood count (CBC), automated: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $9.12 Aetna First Choice MS — Aetna First Choice MS: $15.98 BCBS MS FMP — BCBS MS FMP: $10.39 CareSource TrueCare — CareSource TrueCare: $5.94 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $20.67 Cigna — Cigna: $62.78 Cigna Behavioral Health — Cigna Behavioral Health: $106.40 Department of Veterans Affairs — NODE ChampVA: $6.16 First Choice — First Choice Coventry: $114 First Choice — First Choice LGP: $14.10
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT	$152	$45.60	$20.67 – $114
Complete blood count (CBC), automated: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $20.67 Cigna — Cigna: $62.78 MedPartners — MedPartners: $30.40 MS Health Partners — MS Health Partners: $114 PHCS — PHCS: $91.20 Self Pay — Self Pay: $45.60 TriMed Billing Solutions — TriMed Billing Solutions: $45.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$152	$27.36	$3.86 – $152
Blood clotting time test (prothrombin time, PT): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $8.40 Aetna First Choice MS — Aetna First Choice MS: $10.60 BCBS MS FMP — BCBS MS FMP: $8.08 CareSource TrueCare — CareSource TrueCare: $3.94 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $20.67 Cigna — Cigna: $62.78 Cigna Behavioral Health — Cigna Behavioral Health: $106.40 Department of Veterans Affairs — NODE ChampVA: $4.08 First Choice — First Choice Coventry: $114 First Choice — First Choice LGP: $9.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$152	$45.60	$20.67 – $114
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $20.67 Cigna — Cigna: $62.78 MedPartners — MedPartners: $30.40 MS Health Partners — MS Health Partners: $114 PHCS — PHCS: $91.20 Self Pay — Self Pay: $45.60 TriMed Billing Solutions — TriMed Billing Solutions: $45.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT	$455	$81.90	$5.41 – $455
Blood clotting test (partial thromboplastin time, PTT): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $10.87 Aetna First Choice MS — Aetna First Choice MS: $14.85 BCBS MS FMP — BCBS MS FMP: $11.03 CareSource TrueCare — CareSource TrueCare: $5.52 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $61.88 Cigna — Cigna: $187.91 Cigna Behavioral Health — Cigna Behavioral Health: $318.50 Department of Veterans Affairs — NODE ChampVA: $5.72 First Choice — First Choice Coventry: $341.25 First Choice — First Choice LGP: $13.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT	$455	$136.50	$61.88 – $341.25
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $61.88 Cigna — Cigna: $187.91 MedPartners — MedPartners: $91 MS Health Partners — MS Health Partners: $341.25 PHCS — PHCS: $273 Self Pay — Self Pay: $136.50 TriMed Billing Solutions — TriMed Billing Solutions: $136.50

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-HEAD WO	$7,585	$1,365.30	$81.04 – $5,688.75
CT scan of the head or brain, without contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $242.42 Aetna First Choice MS — Aetna First Choice MS: $811 BCBS MS FMP — BCBS MS FMP: $311.92 CareSource TrueCare — CareSource TrueCare: $82.66 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,031.56 Cigna — Cigna: $3,132.60 Cigna Behavioral Health — Cigna Behavioral Health: $5,309.50 Department of Veterans Affairs — NODE ChampVA: $103.30 First Choice — First Choice Coventry: $3,792.50 First Choice — First Choice LGP: $216.78
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEAD WO	$7,585	$2,275.50	$1,031.56 – $5,688.75
CT scan of the head or brain, without contrast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,031.56 Cigna — Cigna: $3,132.61 MedPartners — MedPartners: $1,517 MS Health Partners — MS Health Partners: $5,688.75 PHCS — PHCS: $4,551 Self Pay — Self Pay: $2,275.50 TriMed Billing Solutions — TriMed Billing Solutions: $2,275.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-BRAIN WWO	$15,193	$2,734.74	$272.15 – $11,394.75
MRI of the brain, before and after contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $917.18 Aetna First Choice MS — Aetna First Choice MS: $1,013 BCBS MS FMP — BCBS MS FMP: $1,180.06 CareSource TrueCare — CareSource TrueCare: $277.59 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,066.25 Cigna — Cigna: $6,274.71 Cigna Behavioral Health — Cigna Behavioral Health: $10,635.10 Department of Veterans Affairs — NODE ChampVA: $344.73 First Choice — First Choice Coventry: $7,596.50 First Choice — First Choice LGP: $723.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-BRAIN WWO	$15,193	$4,557.90	$2,066.25 – $11,394.75
MRI of the brain, before and after contrast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,066.25 Cigna — Cigna: $6,274.71 MedPartners — MedPartners: $3,038.60 MS Health Partners — MS Health Partners: $11,394.75 PHCS — PHCS: $9,115.80 Self Pay — Self Pay: $4,557.90 TriMed Billing Solutions — TriMed Billing Solutions: $4,557.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR	$1,012	$182.16	$43.81 – $1,012
Chest X-ray, 2 views: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $128.72 Aetna First Choice MS — Aetna First Choice MS: $45.20 BCBS MS FMP — BCBS MS FMP: $165.63 CareSource TrueCare — CareSource TrueCare: $68.43 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $137.63 Cigna — Cigna: $417.96 Cigna Behavioral Health — Cigna Behavioral Health: $708.40 Department of Veterans Affairs — NODE ChampVA: $85.99 First Choice — First Choice Coventry: $759 First Choice — First Choice LGP: $180.44
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR	$1,012	$303.60	$137.63 – $759
Chest X-ray, 2 views: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $137.63 Cigna — Cigna: $417.96 MedPartners — MedPartners: $202.40 MS Health Partners — MS Health Partners: $759 PHCS — PHCS: $607.20 Self Pay — Self Pay: $303.60 TriMed Billing Solutions — TriMed Billing Solutions: $303.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FY In the file: CH-CHEST 2V CR	$1,012	$182.16	$43.81 – $1,012
Chest X-ray, 2 views: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $115.85 Aetna First Choice MS — Aetna First Choice MS: $45.20 BCBS MS FMP — BCBS MS FMP: $149.07 CareSource TrueCare — CareSource TrueCare: $68.43 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $137.63 Cigna — Cigna: $417.96 Cigna Behavioral Health — Cigna Behavioral Health: $708.40 Department of Veterans Affairs — NODE ChampVA: $77.39 First Choice — First Choice Coventry: $759 First Choice — First Choice LGP: $162.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR	$1,109	$199.62	$68.58 – $1,109
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $242.42 Aetna First Choice MS — Aetna First Choice MS: $76.07 BCBS MS FMP — BCBS MS FMP: $311.92 CareSource TrueCare — CareSource TrueCare: $82.66 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $150.82 Cigna — Cigna: $458.02 Cigna Behavioral Health — Cigna Behavioral Health: $776.30 Department of Veterans Affairs — NODE ChampVA: $103.30 First Choice — First Choice Coventry: $831.75 First Choice — First Choice LGP: $216.78
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR	$1,109	$332.70	$150.82 – $831.75
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $150.82 Cigna — Cigna: $458.02 MedPartners — MedPartners: $221.80 MS Health Partners — MS Health Partners: $831.75 PHCS — PHCS: $665.40 Self Pay — Self Pay: $332.70 TriMed Billing Solutions — TriMed Billing Solutions: $332.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FY In the file: SP-LS SPNE 4VPLUS CR	$1,109	$199.62	$68.58 – $1,109
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $218.18 Aetna First Choice MS — Aetna First Choice MS: $76.07 BCBS MS FMP — BCBS MS FMP: $280.73 CareSource TrueCare — CareSource TrueCare: $82.66 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $150.82 Cigna — Cigna: $458.02 Cigna Behavioral Health — Cigna Behavioral Health: $776.30 Department of Veterans Affairs — NODE ChampVA: $92.98 First Choice — First Choice Coventry: $831.75 First Choice — First Choice LGP: $195.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO	$8,553	$1,539.54	$184.20 – $6,414.75
MRI of the lower back (lumbar spine), without contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $485.78 Aetna First Choice MS — Aetna First Choice MS: $1,013 BCBS MS FMP — BCBS MS FMP: $625.02 CareSource TrueCare — CareSource TrueCare: $187.88 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,163.21 Cigna — Cigna: $3,532.39 Cigna Behavioral Health — Cigna Behavioral Health: $5,987.10 Department of Veterans Affairs — NODE ChampVA: $235.77 First Choice — First Choice Coventry: $4,276.50 First Choice — First Choice LGP: $494.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO	$8,553	$2,565.90	$1,163.21 – $6,414.75
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,163.21 Cigna — Cigna: $3,532.39 MedPartners — MedPartners: $1,710.60 MS Health Partners — MS Health Partners: $6,414.75 PHCS — PHCS: $5,131.80 Self Pay — Self Pay: $2,565.90 TriMed Billing Solutions — TriMed Billing Solutions: $2,565.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W	$5,419	$975.42	$135.66 – $4,064.25
CT scan of the pelvis, with contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $569.87 Aetna First Choice MS — Aetna First Choice MS: $811 BCBS MS FMP — BCBS MS FMP: $733.21 CareSource TrueCare — CareSource TrueCare: $138.37 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $736.98 Cigna — Cigna: $2,238.05 Cigna Behavioral Health — Cigna Behavioral Health: $3,793.30 Department of Veterans Affairs — NODE ChampVA: $173.31 First Choice — First Choice Coventry: $2,709.50 First Choice — First Choice LGP: $363.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W	$5,419	$1,625.70	$736.98 – $4,064.25
CT scan of the pelvis, with contrast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $736.98 Cigna — Cigna: $2,238.05 MedPartners — MedPartners: $1,083.80 MS Health Partners — MS Health Partners: $4,064.25 PHCS — PHCS: $3,251.40 Self Pay — Self Pay: $1,625.70 TriMed Billing Solutions — TriMed Billing Solutions: $1,625.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LW JOINT WO	$7,912	$1,424.16	$184.20 – $5,934
MRI of a leg joint (such as the knee), without contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $485.78 Aetna First Choice MS — Aetna First Choice MS: $1,013 BCBS MS FMP — BCBS MS FMP: $625.02 CareSource TrueCare — CareSource TrueCare: $187.88 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,076.03 Cigna — Cigna: $3,267.66 Cigna Behavioral Health — Cigna Behavioral Health: $5,538.40 Department of Veterans Affairs — NODE ChampVA: $235.77 First Choice — First Choice Coventry: $3,956 First Choice — First Choice LGP: $494.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LW JOINT WO	$7,912	$2,373.60	$1,076.03 – $5,934
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,076.03 Cigna — Cigna: $3,267.66 MedPartners — MedPartners: $1,582.40 MS Health Partners — MS Health Partners: $5,934 PHCS — PHCS: $4,747.20 Self Pay — Self Pay: $2,373.60 TriMed Billing Solutions — TriMed Billing Solutions: $2,373.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MR-LW JOINT WO BI	$15,817	$2,847.06	$184.20 – $11,862.75
MRI of a leg joint (such as the knee), without contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $1,186.48 Aetna First Choice MS — Aetna First Choice MS: $1,013 BCBS MS FMP — BCBS MS FMP: $1,526.54 CareSource TrueCare — CareSource TrueCare: $187.88 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,151.11 Cigna — Cigna: $6,532.42 Cigna Behavioral Health — Cigna Behavioral Health: $11,071.90 Department of Veterans Affairs — NODE ChampVA: $520.19 First Choice — First Choice Coventry: $7,908.50 First Choice — First Choice LGP: $1,091.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W	$13,234	$2,382.12	$272.15 – $9,925.50
CT scan of the abdomen and pelvis, with contrast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $917.18 Aetna First Choice MS — Aetna First Choice MS: $811 BCBS MS FMP — BCBS MS FMP: $1,180.06 CareSource TrueCare — CareSource TrueCare: $277.59 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,799.82 Cigna — Cigna: $5,465.64 Cigna Behavioral Health — Cigna Behavioral Health: $9,263.80 Department of Veterans Affairs — NODE ChampVA: $344.73 First Choice — First Choice Coventry: $6,617 First Choice — First Choice LGP: $723.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W	$13,234	$3,970.20	$1,799.82 – $9,925.50
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,799.82 Cigna — Cigna: $5,465.64 MedPartners — MedPartners: $2,646.80 MS Health Partners — MS Health Partners: $9,925.50 PHCS — PHCS: $7,940.40 Self Pay — Self Pay: $3,970.20 TriMed Billing Solutions — TriMed Billing Solutions: $3,970.20
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO	$2,809	$505.62	$81.04 – $2,809
Ultrasound of the abdomen, complete: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $242.42 Aetna First Choice MS — Aetna First Choice MS: $156.87 BCBS MS FMP — BCBS MS FMP: $311.92 CareSource TrueCare — CareSource TrueCare: $82.66 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $382.02 Cigna — Cigna: $1,160.12 Cigna Behavioral Health — Cigna Behavioral Health: $1,966.30 Department of Veterans Affairs — NODE ChampVA: $103.30 First Choice — First Choice Coventry: $2,106.75 First Choice — First Choice LGP: $216.78
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO	$2,809	$842.70	$382.02 – $2,106.75
Ultrasound of the abdomen, complete: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $382.02 Cigna — Cigna: $1,160.12 MedPartners — MedPartners: $561.80 MS Health Partners — MS Health Partners: $2,106.75 PHCS — PHCS: $1,685.40 Self Pay — Self Pay: $842.70 TriMed Billing Solutions — TriMed Billing Solutions: $842.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-PELVIS PREG	$3,134	$564.12	$81.04 – $3,134
Pregnancy ultrasound (after the first trimester): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $242.42 Aetna First Choice MS — Aetna First Choice MS: $173.95 BCBS MS FMP — BCBS MS FMP: $311.92 CareSource TrueCare — CareSource TrueCare: $82.66 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $426.22 Cigna — Cigna: $1,294.34 Cigna Behavioral Health — Cigna Behavioral Health: $2,193.80 Department of Veterans Affairs — NODE ChampVA: $103.30 First Choice — First Choice Coventry: $2,350.50 First Choice — First Choice LGP: $216.78
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-PELVIS PREG	$3,134	$940.20	$426.22 – $2,350.50
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $426.22 Cigna — Cigna: $1,294.34 MedPartners — MedPartners: $626.80 MS Health Partners — MS Health Partners: $2,350.50 PHCS — PHCS: $1,880.40 Self Pay — Self Pay: $940.20 TriMed Billing Solutions — TriMed Billing Solutions: $940.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL	$2,873	$517.14	$81.04 – $2,873
Transvaginal ultrasound: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $242.42 Aetna First Choice MS — Aetna First Choice MS: $172.64 BCBS MS FMP — BCBS MS FMP: $311.92 CareSource TrueCare — CareSource TrueCare: $82.66 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $390.73 Cigna — Cigna: $1,186.55 Cigna Behavioral Health — Cigna Behavioral Health: $2,011.10 Department of Veterans Affairs — NODE ChampVA: $103.30 First Choice — First Choice Coventry: $2,154.75 First Choice — First Choice LGP: $216.78
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL	$2,873	$861.90	$390.73 – $2,154.75
Transvaginal ultrasound: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $390.73 Cigna — Cigna: $1,186.55 MedPartners — MedPartners: $574.60 MS Health Partners — MS Health Partners: $2,154.75 PHCS — PHCS: $1,723.80 Self Pay — Self Pay: $861.90 TriMed Billing Solutions — TriMed Billing Solutions: $861.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT	$1,213	$218.34	$65.19 – $1,213
Diagnostic mammogram, one breast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $86.67 Aetna First Choice MS — Aetna First Choice MS: $171.98 BCBS MS FMP — BCBS MS FMP: $101.75 CareSource TrueCare — CareSource TrueCare: $66.49 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $164.97 Cigna — Cigna: $500.97 Cigna Behavioral Health — Cigna Behavioral Health: $849.10 Department of Veterans Affairs — NODE ChampVA: $72.43 First Choice — First Choice Coventry: $909.75 First Choice — First Choice LGP: $161.67
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT	$1,213	$363.90	$164.97 – $909.75
Diagnostic mammogram, one breast: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $164.97 Cigna — Cigna: $500.97 MedPartners — MedPartners: $242.60 MS Health Partners — MS Health Partners: $909.75 PHCS — PHCS: $727.80 Self Pay — Self Pay: $363.90 TriMed Billing Solutions — TriMed Billing Solutions: $363.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG In the file: BR-DIG MAMMO UNI GG	$1,167	$210.06	$65.19 – $1,167
Diagnostic mammogram, one breast: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $86.67 Aetna First Choice MS — Aetna First Choice MS: $171.98 BCBS MS FMP — BCBS MS FMP: $101.75 CareSource TrueCare — CareSource TrueCare: $66.49 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $158.71 Cigna — Cigna: $481.97 Cigna Behavioral Health — Cigna Behavioral Health: $816.90 Department of Veterans Affairs — NODE ChampVA: $72.43 First Choice — First Choice Coventry: $875.25 First Choice — First Choice LGP: $161.67
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT	$1,433	$257.94	$83.04 – $1,433
Diagnostic mammogram, both breasts: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $110.43 Aetna First Choice MS — Aetna First Choice MS: $219.28 BCBS MS FMP — BCBS MS FMP: $129.63 CareSource TrueCare — CareSource TrueCare: $84.70 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $194.89 Cigna — Cigna: $591.83 Cigna Behavioral Health — Cigna Behavioral Health: $1,003.10 Department of Veterans Affairs — NODE ChampVA: $92.26 First Choice — First Choice Coventry: $1,074.75 First Choice — First Choice LGP: $207.34
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT	$1,433	$429.90	$194.89 – $1,074.75
Diagnostic mammogram, both breasts: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $194.89 Cigna — Cigna: $591.83 MedPartners — MedPartners: $286.60 MS Health Partners — MS Health Partners: $1,074.75 PHCS — PHCS: $859.80 Self Pay — Self Pay: $429.90 TriMed Billing Solutions — TriMed Billing Solutions: $429.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG In the file: BR-DIG MAMMO BI GG	$1,433	$257.94	$83.04 – $1,433
Diagnostic mammogram, both breasts: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $110.43 Aetna First Choice MS — Aetna First Choice MS: $219.28 BCBS MS FMP — BCBS MS FMP: $129.63 CareSource TrueCare — CareSource TrueCare: $84.70 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $194.89 Cigna — Cigna: $591.83 Cigna Behavioral Health — Cigna Behavioral Health: $1,003.10 Department of Veterans Affairs — NODE ChampVA: $92.26 First Choice — First Choice Coventry: $1,074.75 First Choice — First Choice LGP: $207.34
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI	$1,213	$218.34	$68.68 – $1,213
Screening mammogram, both breasts: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $91.34 Aetna First Choice MS — Aetna First Choice MS: $181.18 BCBS MS FMP — BCBS MS FMP: $107.23 CareSource TrueCare — CareSource TrueCare: $70.05 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $164.97 Cigna — Cigna: $500.97 Cigna Behavioral Health — Cigna Behavioral Health: $849.10 Department of Veterans Affairs — NODE ChampVA: $76.31 First Choice — First Choice Coventry: $909.75 First Choice — First Choice LGP: $171.06
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI	$1,213	$363.90	$164.97 – $909.75
Screening mammogram, both breasts: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $164.97 Cigna — Cigna: $500.97 MedPartners — MedPartners: $242.60 MS Health Partners — MS Health Partners: $909.75 PHCS — PHCS: $727.80 Self Pay — Self Pay: $363.90 TriMed Billing Solutions — TriMed Billing Solutions: $363.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BR-DIG MAMMO SCRN UN	$1,167	$210.06	$38.45 – $1,167
Screening mammogram, both breasts: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $45.67 Aetna First Choice MS — Aetna First Choice MS: $181.18 BCBS MS FMP — BCBS MS FMP: $53.62 CareSource TrueCare — CareSource TrueCare: $70.05 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $158.71 Cigna — Cigna: $481.97 Cigna Behavioral Health — Cigna Behavioral Health: $816.90 Department of Veterans Affairs — NODE ChampVA: $76.31 First Choice — First Choice Coventry: $875.25 First Choice — First Choice LGP: $85.52

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC	$50,557	$9,100.26	$517.18 – $50,557
Left heart catheterization (diagnostic): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $5,331.60 Aetna First Choice MS — Aetna First Choice MS: $20,222.80 BCBS MS FMP — BCBS MS FMP: $5,894.83 CareSource TrueCare — CareSource TrueCare: $2,500.04 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $6,875.75 Cigna — Cigna: $20,880.04 Cigna Behavioral Health — Cigna Behavioral Health: $35,389.90 Department of Veterans Affairs — NODE ChampVA: $3,203.36 First Choice — First Choice Coventry: $37,917.75 First Choice — First Choice LGP: $6,722.12
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC	$50,557	$15,167.10	$6,875.75 – $37,917.75
Left heart catheterization (diagnostic): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $6,875.75 Cigna — Cigna: $20,880.04 MedPartners — MedPartners: $10,111.40 MS Health Partners — MS Health Partners: $37,917.75 PHCS — PHCS: $30,334.20 Self Pay — Self Pay: $15,167.10 TriMed Billing Solutions — TriMed Billing Solutions: $15,167.10

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PT	$443	$79.74	$10.96 – $443
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $32 Aetna First Choice MS — Aetna First Choice MS: $50.46 BCBS MS FMP — BCBS MS FMP: $37.56 CareSource TrueCare — CareSource TrueCare: $24.47 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $60.25 Cigna — Cigna: $182.96 Cigna Behavioral Health — Cigna Behavioral Health: $310.10 Department of Veterans Affairs — NODE ChampVA: $26.66 First Choice — First Choice Coventry: $332.25 First Choice — First Choice LGP: $59.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PTA	$443	$79.74	$10.96 – $443
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $32 Aetna First Choice MS — Aetna First Choice MS: $50.46 BCBS MS FMP — BCBS MS FMP: $37.56 CareSource TrueCare — CareSource TrueCare: $24.47 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $60.25 Cigna — Cigna: $182.96 Cigna Behavioral Health — Cigna Behavioral Health: $310.10 Department of Veterans Affairs — NODE ChampVA: $26.66 First Choice — First Choice Coventry: $332.25 First Choice — First Choice LGP: $59.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THER EXRCS-15MIN OT	$443	$79.74	$10.96 – $443
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $32 Aetna First Choice MS — Aetna First Choice MS: $50.46 BCBS MS FMP — BCBS MS FMP: $37.56 CareSource TrueCare — CareSource TrueCare: $24.47 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $60.25 Cigna — Cigna: $182.96 Cigna Behavioral Health — Cigna Behavioral Health: $310.10 Department of Veterans Affairs — NODE ChampVA: $26.66 First Choice — First Choice Coventry: $332.25 First Choice — First Choice LGP: $59.01
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT	$959	$172.62	$74.48 – $959
Physical therapy evaluation (low complexity): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $90 Aetna First Choice MS — Aetna First Choice MS: $171.79 BCBS MS FMP — BCBS MS FMP: $90 CareSource TrueCare — CareSource TrueCare: $83.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 Cigna Behavioral Health — Cigna Behavioral Health: $671.30 Department of Veterans Affairs — NODE ChampVA: $90.77 First Choice — First Choice Coventry: $719.25 First Choice — First Choice LGP: $199.82
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PTA	$959	$172.62	$74.48 – $959
Physical therapy evaluation (low complexity): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $90 Aetna First Choice MS — Aetna First Choice MS: $171.79 BCBS MS FMP — BCBS MS FMP: $90 CareSource TrueCare — CareSource TrueCare: $83.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 Cigna Behavioral Health — Cigna Behavioral Health: $671.30 Department of Veterans Affairs — NODE ChampVA: $90.77 First Choice — First Choice Coventry: $719.25 First Choice — First Choice LGP: $199.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT	$959	$287.70	$130.42 – $719.25
Physical therapy evaluation (low complexity): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 MedPartners — MedPartners: $191.80 MS Health Partners — MS Health Partners: $719.25 PHCS — PHCS: $575.40 Self Pay — Self Pay: $287.70 TriMed Billing Solutions — TriMed Billing Solutions: $287.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT	$959	$172.62	$74.48 – $959
Physical therapy evaluation (moderate complexity): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $90 Aetna First Choice MS — Aetna First Choice MS: $171.79 BCBS MS FMP — BCBS MS FMP: $90 CareSource TrueCare — CareSource TrueCare: $83.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 Cigna Behavioral Health — Cigna Behavioral Health: $671.30 Department of Veterans Affairs — NODE ChampVA: $90.77 First Choice — First Choice Coventry: $719.25 First Choice — First Choice LGP: $199.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PTA	$959	$172.62	$74.48 – $959
Physical therapy evaluation (moderate complexity): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $90 Aetna First Choice MS — Aetna First Choice MS: $171.79 BCBS MS FMP — BCBS MS FMP: $90 CareSource TrueCare — CareSource TrueCare: $83.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 Cigna Behavioral Health — Cigna Behavioral Health: $671.30 Department of Veterans Affairs — NODE ChampVA: $90.77 First Choice — First Choice Coventry: $719.25 First Choice — First Choice LGP: $199.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT	$959	$287.70	$130.42 – $719.25
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 MedPartners — MedPartners: $191.80 MS Health Partners — MS Health Partners: $719.25 PHCS — PHCS: $575.40 Self Pay — Self Pay: $287.70 TriMed Billing Solutions — TriMed Billing Solutions: $287.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT	$959	$172.62	$74.48 – $959
Physical therapy evaluation (high complexity): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $90 Aetna First Choice MS — Aetna First Choice MS: $171.79 BCBS MS FMP — BCBS MS FMP: $90 CareSource TrueCare — CareSource TrueCare: $83.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 Cigna Behavioral Health — Cigna Behavioral Health: $671.30 Department of Veterans Affairs — NODE ChampVA: $90.77 First Choice — First Choice Coventry: $719.25 First Choice — First Choice LGP: $199.82
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PTA	$959	$172.62	$74.48 – $959
Physical therapy evaluation (high complexity): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $90 Aetna First Choice MS — Aetna First Choice MS: $171.79 BCBS MS FMP — BCBS MS FMP: $90 CareSource TrueCare — CareSource TrueCare: $83.32 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 Cigna Behavioral Health — Cigna Behavioral Health: $671.30 Department of Veterans Affairs — NODE ChampVA: $90.77 First Choice — First Choice Coventry: $719.25 First Choice — First Choice LGP: $199.82
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT	$959	$287.70	$130.42 – $719.25
Physical therapy evaluation (high complexity): rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $130.42 Cigna — Cigna: $396.07 MedPartners — MedPartners: $191.80 MS Health Partners — MS Health Partners: $719.25 PHCS — PHCS: $575.40 Self Pay — Self Pay: $287.70 TriMed Billing Solutions — TriMed Billing Solutions: $287.70

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT	$131,843.34	$23,731.80	$1,155.87 – $98,882.51
Total hip replacement: 10 of 55 insurance plan rates Advanced Health Systems — Advanced Health Systems: $17,990.35 Aetna First Choice MS — Aetna First Choice MS: $52,737.34 BCBS MS FMP — BCBS MS FMP: $17,826.74 CareSource TrueCare — CareSource TrueCare: $10,001.08 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $17,930.69 Cigna — Cigna: $54,451.30 Cigna Behavioral Health — Cigna Behavioral Health: $92,290.34 First Choice — First Choice Coventry: $98,882.51 First Choice — First Choice LGP: $26,620.87 First Choice — First Choice PPO Plus: $72,513.84
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT	$138,577.83	$24,944.01	$1,154.52 – $103,933.37
Total knee replacement: 10 of 55 insurance plan rates Advanced Health Systems — Advanced Health Systems: $17,990.35 Aetna First Choice MS — Aetna First Choice MS: $55,431.13 BCBS MS FMP — BCBS MS FMP: $17,826.74 CareSource TrueCare — CareSource TrueCare: $10,001.08 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $18,846.58 Cigna — Cigna: $57,232.64 Cigna Behavioral Health — Cigna Behavioral Health: $97,004.48 First Choice — First Choice Coventry: $103,933.37 First Choice — First Choice LGP: $26,620.87 First Choice — First Choice PPO Plus: $76,217.81
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	$80,527.96	$14,495.03	$154.69 – $80,527.96
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Advanced Health Systems — Advanced Health Systems: $60,395.97 Aetna First Choice MS — Aetna First Choice MS: $32,211.18 BCBS MS FMP — BCBS MS FMP: $52,343.17 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $10,951.80 Cigna — Cigna: $33,258.05 Cigna Behavioral Health — Cigna Behavioral Health: $56,369.57 First Choice — First Choice Coventry: $60,395.97 First Choice — First Choice LGP: $16,105.59 First Choice — First Choice PPO Plus: $44,290.38 First Choice MPCN Standard — First Choice MPCN Standard: $44,290.38
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	$43,168.59	$7,770.35	$488.46 – $32,376.44
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $1,688.22 Aetna First Choice MS — Aetna First Choice MS: $17,267.44 BCBS MS FMP — BCBS MS FMP: $1,755.75 CareSource TrueCare — CareSource TrueCare: $2,521.96 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $5,870.93 Cigna — Cigna: $17,828.63 Cigna Behavioral Health — Cigna Behavioral Health: $30,218.01 Department of Veterans Affairs — NODE ChampVA: $3,233.07 First Choice — First Choice Coventry: $32,376.44 First Choice — First Choice LGP: $6,784.47
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	$27,670.27	$4,980.65	$263.55 – $20,752.70
Removal of tonsils and adenoids (under age 12): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $2,948.60 Aetna First Choice MS — Aetna First Choice MS: $11,068.11 BCBS MS FMP — BCBS MS FMP: $3,066.55 CareSource TrueCare — CareSource TrueCare: $4,598.11 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $3,763.16 Cigna — Cigna: $11,427.82 Cigna Behavioral Health — Cigna Behavioral Health: $19,369.19 Department of Veterans Affairs — NODE ChampVA: $5,849.41 First Choice — First Choice Coventry: $20,752.70 First Choice — First Choice LGP: $12,274.71
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	$31,602.58	$5,688.46	$244.63 – $23,701.94
Upper GI endoscopy (diagnostic): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $521.22 Aetna First Choice MS — Aetna First Choice MS: $12,641.03 BCBS MS FMP — BCBS MS FMP: $542.07 CareSource TrueCare — CareSource TrueCare: $728.74 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $4,297.95 Cigna — Cigna: $13,051.87 Cigna Behavioral Health — Cigna Behavioral Health: $22,121.81 Department of Veterans Affairs — NODE ChampVA: $896.19 First Choice — First Choice Coventry: $23,701.94 First Choice — First Choice LGP: $1,880.62
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	$24,278.55	$4,370.14	$314.91 – $18,208.91
Upper GI endoscopy with biopsy: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $521.22 Aetna First Choice MS — Aetna First Choice MS: $9,711.42 BCBS MS FMP — BCBS MS FMP: $542.07 CareSource TrueCare — CareSource TrueCare: $728.74 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $3,301.88 Cigna — Cigna: $10,027.04 Cigna Behavioral Health — Cigna Behavioral Health: $16,994.98 Department of Veterans Affairs — NODE ChampVA: $896.19 First Choice — First Choice Coventry: $18,208.91 First Choice — First Choice LGP: $1,880.62
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$16,431.22	$2,957.62	$293.61 – $12,323.42
Colonoscopy (diagnostic): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $506.60 Aetna First Choice MS — Aetna First Choice MS: $6,572.49 BCBS MS FMP — BCBS MS FMP: $526.86 CareSource TrueCare — CareSource TrueCare: $708.64 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,234.65 Cigna — Cigna: $6,786.09 Cigna Behavioral Health — Cigna Behavioral Health: $11,501.85 Department of Veterans Affairs — NODE ChampVA: $918.90 First Choice — First Choice Coventry: $12,323.42 First Choice — First Choice LGP: $1,928.25
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$19,551.78	$3,519.32	$369.07 – $14,663.83
Colonoscopy with biopsy: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $665.99 Aetna First Choice MS — Aetna First Choice MS: $7,820.71 BCBS MS FMP — BCBS MS FMP: $692.63 CareSource TrueCare — CareSource TrueCare: $916.47 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,659.04 Cigna — Cigna: $8,074.89 Cigna Behavioral Health — Cigna Behavioral Health: $13,686.25 Department of Veterans Affairs — NODE ChampVA: $1,182.40 First Choice — First Choice Coventry: $14,663.83 First Choice — First Choice LGP: $2,481.23
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY	$23,907.23	$4,303.30	$391.30 – $17,930.42
Colonoscopy with removal of polyps (snare): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $665.99 Aetna First Choice MS — Aetna First Choice MS: $9,562.89 BCBS MS FMP — BCBS MS FMP: $692.63 CareSource TrueCare — CareSource TrueCare: $916.47 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $3,251.38 Cigna — Cigna: $9,873.69 Cigna Behavioral Health — Cigna Behavioral Health: $16,735.06 Department of Veterans Affairs — NODE ChampVA: $1,182.40 First Choice — First Choice Coventry: $17,930.42 First Choice — First Choice LGP: $2,481.23
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	$14,987.13	$2,697.68	$293.86 – $11,240.35
Screening colonoscopy (not high risk): 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $506.60 Aetna First Choice MS — Aetna First Choice MS: $5,994.85 BCBS MS FMP — BCBS MS FMP: $526.86 CareSource TrueCare — CareSource TrueCare: $708.64 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $2,038.25 Cigna — Cigna: $6,189.68 Cigna Behavioral Health — Cigna Behavioral Health: $10,490.99 Department of Veterans Affairs — NODE ChampVA: $918.90 First Choice — First Choice Coventry: $11,240.35 First Choice — First Choice LGP: $1,928.25
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$73,356.57	$13,204.18	$595.84 – $55,017.43
Gallbladder removal by laparoscope: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $7,901.05 Aetna First Choice MS — Aetna First Choice MS: $29,342.63 BCBS MS FMP — BCBS MS FMP: $7,829.20 CareSource TrueCare — CareSource TrueCare: $4,534.92 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $9,976.49 Cigna — Cigna: $30,296.26 Cigna Behavioral Health — Cigna Behavioral Health: $51,349.60 Department of Veterans Affairs — NODE ChampVA: $5,973.61 First Choice — First Choice Coventry: $55,017.43 First Choice — First Choice LGP: $12,535.33
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA	$55,619.81	$10,011.57	$471.99 – $41,714.86
Groin (inguinal) hernia repair, age 5 or older: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $5,386.50 Aetna First Choice MS — Aetna First Choice MS: $22,247.92 BCBS MS FMP — BCBS MS FMP: $5,930.58 CareSource TrueCare — CareSource TrueCare: $2,743.06 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $7,564.29 Cigna — Cigna: $22,970.98 Cigna Behavioral Health — Cigna Behavioral Health: $38,933.87 Department of Veterans Affairs — NODE ChampVA: $3,537.80 First Choice — First Choice Coventry: $41,714.86 First Choice — First Choice LGP: $7,423.92
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	$26,902.38	$4,842.43	$209.88 – $20,176.78
Prostate biopsy: 10 of 25 insurance plan rates Advanced Health Systems — Advanced Health Systems: $23,271.36 Aetna First Choice MS — Aetna First Choice MS: $10,760.95 BCBS MS FMP — BCBS MS FMP: $21,098.11 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $3,658.72 Cigna — Cigna: $11,110.68 Cigna Behavioral Health — Cigna Behavioral Health: $18,831.67 First Choice — First Choice Coventry: $20,176.78 First Choice — First Choice LGP: $5,380.48 First Choice — First Choice PPO Plus: $14,796.31 First Choice — First Choice Preferred: $5,380.48
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY	$38,904.48	$7,002.81	$1,046.54 – $29,178.36
Hysteroscopy with biopsy of the uterus lining: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $3,924 Aetna First Choice MS — Aetna First Choice MS: $15,561.79 BCBS MS FMP — BCBS MS FMP: $4,385.16 CareSource TrueCare — CareSource TrueCare: $2,471.37 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $5,291.01 Cigna — Cigna: $16,067.55 Cigna Behavioral Health — Cigna Behavioral Health: $27,233.14 Department of Veterans Affairs — NODE ChampVA: $3,198.61 First Choice — First Choice Coventry: $29,178.36 First Choice — First Choice LGP: $6,712.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: S-DI L-S INJ W IM	$4,074	$733.32	$218.43 – $3,683.28
Spinal injection, lower back (epidural), with imaging guidance: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $1,090.66 Aetna First Choice MS — Aetna First Choice MS: $1,629.60 BCBS MS FMP — BCBS MS FMP: $1,465.49 CareSource TrueCare — CareSource TrueCare: $538.28 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $554.06 Cigna — Cigna: $1,682.56 Cigna Behavioral Health — Cigna Behavioral Health: $2,851.80 Department of Veterans Affairs — NODE ChampVA: $697.48 First Choice — First Choice Coventry: $3,055.50 First Choice — First Choice LGP: $1,463.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$11,804	$2,124.72	$218.43 – $8,853
Spinal injection, lower back (epidural), with imaging guidance: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $1,090.66 Aetna First Choice MS — Aetna First Choice MS: $4,721.60 BCBS MS FMP — BCBS MS FMP: $1,465.49 CareSource TrueCare — CareSource TrueCare: $538.28 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,605.34 Cigna — Cigna: $4,875.05 Cigna Behavioral Health — Cigna Behavioral Health: $8,262.80 Department of Veterans Affairs — NODE ChampVA: $697.48 First Choice — First Choice Coventry: $8,853 First Choice — First Choice LGP: $1,463.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: S-DI L-S INJ W IM	$4,074	$1,222.20	$554.06 – $3,055.50
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans CHS Group Health Plan UMR — CHS Group Health Plan UMR: $554.06 Cigna — Cigna: $1,682.56 MedPartners — MedPartners: $814.80 MS Health Partners — MS Health Partners: $3,055.50 PHCS — PHCS: $2,444.40 Self Pay — Self Pay: $1,222.20 TriMed Billing Solutions — TriMed Billing Solutions: $1,222.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S	$11,957	$2,152.26	$209.84 – $8,967.75
Nerve root injection, lower back, with imaging guidance: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $538.55 Aetna First Choice MS — Aetna First Choice MS: $4,782.80 BCBS MS FMP — BCBS MS FMP: $560.09 CareSource TrueCare — CareSource TrueCare: $692 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $1,626.15 Cigna — Cigna: $4,938.24 Cigna Behavioral Health — Cigna Behavioral Health: $8,369.90 Department of Veterans Affairs — NODE ChampVA: $873.95 First Choice — First Choice Coventry: $8,967.75 First Choice — First Choice LGP: $1,833.95
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	$33,535.69	$6,036.42	$399.22 – $25,151.77
Carpal tunnel release: 10 of 57 insurance plan rates Advanced Health Systems — Advanced Health Systems: $1,045.79 Aetna First Choice MS — Aetna First Choice MS: $13,414.28 BCBS MS FMP — BCBS MS FMP: $1,087.62 CareSource TrueCare — CareSource TrueCare: $1,517.84 CHS Group Health Plan UMR — CHS Group Health Plan UMR: $4,560.85 Cigna — Cigna: $13,850.24 Cigna Behavioral Health — Cigna Behavioral Health: $23,474.98 Department of Veterans Affairs — NODE ChampVA: $1,929.50 First Choice — First Choice Coventry: $25,151.77 First Choice — First Choice LGP: $4,048.96

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$34.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $167,207.62
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 46 insurance plan rates Advanced Health Systems — Advanced Health Systems: $97,828 Aetna First Choice MS — Aetna First Choice MS: $59,935 BCBS MS FMP — BCBS MS FMP: $117,673.84 First Choice — First Choice LGP: $109,303.22 First Choice — First Choice PPO Plus: $3,396 First Choice — First Choice Preferred: $96,556.24 First Choice — NODE First Choice Shared Health of MS MCR ADV: $69,281.38 First Choice MPCN Standard — First Choice MPCN Standard: $8,825 Humana Health Benefit Plan of LA Medicaid — Humana Health Benefit Plan of LA Medicaid: $1,173.72 LA Medicaid Non Par — LA Medicaid Non Par: $1,173.72
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$34.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $67,769.56
Spinal fusion (not neck), without major complications: 10 of 39 insurance plan rates Advanced Health Systems — Advanced Health Systems: $59,796.67 Aetna First Choice MS — Aetna First Choice MS: $33,745 BCBS MS FMP — BCBS MS FMP: $67,769.56 First Choice — NODE First Choice Shared Health of MS MCR ADV: $25,926.84 Humana Health Benefit Plan of LA Medicaid — Humana Health Benefit Plan of LA Medicaid: $1,173.72 LA Medicaid Non Par — LA Medicaid Non Par: $1,173.72 Magnolia Exchange — NODE Magnolia Exchange: $46,235.93 Molina Exchange — Molina Exchange: $43,451.34 MS Dept of Rehabilitation Services — MS Dept of Rehabilitation Services: $1,978.65 MS Work Comp — MS Work Comp: $59,796.67
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$34.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $32,968.76
Hip or knee replacement (major joint of the leg), without major complications: 10 of 46 insurance plan rates Advanced Health Systems — Advanced Health Systems: $21,218 Aetna First Choice MS — Aetna First Choice MS: $22,331 BCBS MS FMP — BCBS MS FMP: $23,322 First Choice — First Choice Coventry: $1,980 First Choice — First Choice LGP: $21,551.60 First Choice — First Choice PPO Plus: $3,396 First Choice — First Choice Preferred: $19,038.24 First Choice — NODE First Choice Shared Health of MS MCR ADV: $13,697.90 First Choice MPCN Standard — First Choice MPCN Standard: $15,180.76 Humana Health Benefit Plan of LA Medicaid — Humana Health Benefit Plan of LA Medicaid: $1,173.72
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$34.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $41,726.70
Neck (cervical) spinal fusion, without complications: 10 of 46 insurance plan rates Advanced Health Systems — Advanced Health Systems: $20,732 Aetna First Choice MS — Aetna First Choice MS: $21,133 BCBS MS FMP — BCBS MS FMP: $18,209 First Choice — First Choice Coventry: $1,980 First Choice — First Choice LGP: $27,276.64 First Choice — First Choice PPO Plus: $3,396 First Choice — First Choice Preferred: $24,095.63 First Choice — NODE First Choice Shared Health of MS MCR ADV: $17,315.25 First Choice MPCN Standard — First Choice MPCN Standard: $18,842.24 Humana Health Benefit Plan of LA Medicaid — Humana Health Benefit Plan of LA Medicaid: $1,173.72
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$34.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $28,593.14
Uterus and ovary surgery (not for cancer), without complications: 10 of 45 insurance plan rates Advanced Health Systems — Advanced Health Systems: $7,844 BCBS MS FMP — BCBS MS FMP: $8,205 First Choice — First Choice Coventry: $1,980 First Choice — First Choice LGP: $13,862.34 First Choice — First Choice PPO Plus: $3,396 First Choice — First Choice Preferred: $12,245.71 First Choice — NODE First Choice Shared Health of MS MCR ADV: $9,301.57 First Choice MPCN Standard — First Choice MPCN Standard: $28,593.14 Humana Health Benefit Plan of LA Medicaid — Humana Health Benefit Plan of LA Medicaid: $1,173.72 LA Medicaid Non Par — LA Medicaid Non Par: $1,173.72

Source: Merit Health River Region’s standard charges file (merithealthriverregion.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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	2100 Hwy 61 N, Vicksburg, MS 39183
County	Warren County
State	Mississippi
Phone	(601) 883‑5000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	250031
Name in Medicare records	MERIT HEALTH RIVER REGION
Profile level	Medicare data + hospital website
Official website	merithealthriverregion.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Merit Health River Region — merithealthriverregion.com
Emergency Services - Merit Health River Region — merithealthriverregion.com
Heart Care - Merit Health River Region — merithealthriverregion.com

Merit Health River Region

Summary

Profile from official sources

At a glance