Does Merrimack Health Lawrence Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Merrimack Health Lawrence Hospital. In a medical emergency, call 911.

Where is Merrimack Health Lawrence Hospital?

One General Street, Lawrence, MA 01841, in Essex County, Massachusetts.

What is the phone number of Merrimack Health Lawrence Hospital?

(978) 683-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Merrimack Health Lawrence Hospital?

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

Merrimack Health Lawrence Hospital

Quick answers

Does Merrimack Health Lawrence Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Merrimack Health Lawrence Hospital. In a medical emergency, call 911.
Where is Merrimack Health Lawrence Hospital?: One General Street, Lawrence, MA 01841, in Essex County, Massachusetts.
What is the phone number of Merrimack Health Lawrence Hospital?: (978) 683-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Merrimack Health Lawrence Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Treatments^[4]

Infusion therapy

Procedures^[4][5]

Endoscopy
Cardiac catheterization (angioplasty for heart attack)
Sexual assault exams (SANE)

Emergency care (hospital website)^[5]

Emergency room	Yes
Trauma designation	Level III
Stroke designation	Certified Stroke Center

Visiting and practical information

Visiting	Current visiting hours are noon to 7 p.m.; policy page says to check the site for latest hours^[6]
Parking	Free parking for patients and visitors on General Street; free valet at the main lobby weekdays 7:30 a.m.-6 p.m^[7]
Interpreters and languages	Interpreters can be requested through the Office of Interpreter Services; video relay for deaf patients in the Emergency Center^[8]
Patient portal	https://patientportal.lawrencegeneral.org/

Doctors and clinicians (709)

709 doctors and other clinicians list Merrimack Health Lawrence Hospital 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

And 685 more: the button below opens the full list.

Other emergency rooms nearby

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

Holy Family Hospital1.4 mi · Methuen, MA · Acute Care Hospital
Lowell General Hospital11 mi · Lowell, MA · Acute Care Hospital
Parkland Medical Center14 mi · Derry, NH · Acute Care Hospital
Lahey Hospital & Medical Center, Burlington14 mi · Burlington, MA · Acute Care Hospital
Anna Jaques Hospital15 mi · Newburyport, MA · Acute Care Hospital

Other hospitals nearby

Whittier Rehabilitation Hospital - Bradford4.0 mi · Bradford, MA · Long-Term Acute Care Hospital
Northeast Rehabilitation Hospital4.4 mi · Salem, NH · Inpatient Rehabilitation Hospital
Whittier Pavilion6.1 mi · Haverhill, MA · Psychiatric Hospital
Tewksbury Hospital7.5 mi · Tewksbury, MA · Long-Term 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

M I Nursing & Restorative Center0.9 mi · Lawrence, MA · 3 of 5 stars
Royal Wood Mill Nursing and Rehabilitation Center1.5 mi · Lawrence, MA · 3 of 5 stars
Prescott House1.6 mi · North Andover, MA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Maestro Hospice Care, LLC1.5 mi · Lawrence, MA
Compassus - Southern Massachusetts3.8 mi · North Andover, MA · 3 of 5 stars
Tufts Medicine Care at Home9.2 mi · Lowell, MA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Boston Home Health Aides, LLC0.7 mi · Lawrence, MA · 2 of 5 stars
Glorious Home Care Inc0.7 mi · Lawrence, MA
Namaste Home Care LLC0.7 mi · Lawrence, MA

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Care Merrimack Valley2.8 mi · Methuen, MA · 4 of 5 stars
Fresenius Medical Care of Methuen2.8 mi · Methuen, MA · 3 of 5 stars
DaVita North Andover Renal at Home3.8 mi · North Andover, MA · 5 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.

Cataract & Laser Center of the North Shore LLC4.3 mi · Andover, MA
MASS General Brigham Amsurg Inc6.6 mi · Salem, NH
North Atlantic Surgical Suites LLC6.6 mi · Salem, NH

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

GLFHC at Lawrence General Hospital0.1 mi · Lawrence, MA · Community health center
Greater Lawrence Family Health0.3 mi · Lawrence, MA · Community health center
Mobile Health Unit 30.3 mi · Lawrence, MA · Community health center

Clinics and urgent care

Mass General Brigham Community Physicians on Demand1.5 mi · Lawrence, MA · Urgent care center
Medexpress Urgent Care, PC - Massachusetts2.8 mi · Methuen, MA · Urgent care center
Patriot Urgent Care Professionals PC2.8 mi · Methuen, MA · Urgent care center

Pharmacies

Greater Lawrence Family Health Center Inc0.4 mi · Lawrence, MA · Pharmacy
Greater Lawrence Family Health Center Inc0.4 mi · Lawrence, MA · Community/retail pharmacy
Greater Lawrence Family Health Center, Inc.0.4 mi · Lawrence, MA · Community/retail 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 Merrimack Health Lawrence Hospital 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	3 of 5 stars
Nurses communicated well	3 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	2 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	59%National average: 72%
Would definitely recommend the hospital	62%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	63%National average: 74%
Area around the room “always” quiet at night	41%National average: 60%
Completed surveys	956Response 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)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.916No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.357No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.565Better 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	12.5%
Deaths within 30 days: pneumonia patients	18.2%
Deaths within 30 days: COPD patients	11.3%
Deaths within 30 days: stroke patients	13.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.1No different from the national rate
Complications after hip or knee replacement	4.3%

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	14.7%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	18.7%
Readmitted within 30 days: COPD	19.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.2%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	241 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	39%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 Massachusetts Best hospitals in Massachusetts

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Merrimack Health Lawrence Hospital 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 →

$ 169 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: OFFICE/OUTPATIENT VISIT, NEW	Not listed in the file	Not listed in the file	$42.56 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates Aetna — Aetna: $249.47 Aetna Medicare Advantage — Aetna Medicare Advantage: $118.53 BCBS Indemnity — BCBS Indemnity: $57.63 BCBS Medicare — BCBS Medicare: $118.53 BCBS PPO — BCBS PPO: $57.63 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $42.56 BMC Hlthnet — BMC Hlthnet: $91.79 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $119.72 Champus — Champus: $120.46 Commonwealth Care Alliance — Commonwealth Care Alliance: $118.53
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT, NEW	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $195.81 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT, NEW	Not listed in the file	Not listed in the file	$63.84 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates Aetna — Aetna: $375.87 Aetna Medicare Advantage — Aetna Medicare Advantage: $178.59 BCBS Indemnity — BCBS Indemnity: $98.35 BCBS Medicare — BCBS Medicare: $178.59 BCBS PPO — BCBS PPO: $98.35 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $63.84 BMC Hlthnet — BMC Hlthnet: $150.18 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $180.37 Champus — Champus: $181.49 Commonwealth Care Alliance — Commonwealth Care Alliance: $178.59
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT, NEW	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $331.46 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT, NEW	Not listed in the file	Not listed in the file	$80.64 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates Aetna — Aetna: $501.10 Aetna Medicare Advantage — Aetna Medicare Advantage: $238.09 BCBS Indemnity — BCBS Indemnity: $200.51 BCBS Medicare — BCBS Medicare: $238.09 BCBS PPO — BCBS PPO: $200.51 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $80.64 BMC Hlthnet — BMC Hlthnet: $201.04 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $240.47 Champus — Champus: $241.96 Commonwealth Care Alliance — Commonwealth Care Alliance: $238.09
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT, NEW	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $432.60 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT, EST	Not listed in the file	Not listed in the file	$37.15 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates Aetna — Aetna: $202.67 Aetna Medicare Advantage — Aetna Medicare Advantage: $96.29 BCBS Indemnity — BCBS Indemnity: $38.16 BCBS Medicare — BCBS Medicare: $96.29 BCBS PPO — BCBS PPO: $38.16 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $42.72 BMC Hlthnet — BMC Hlthnet: $73.33 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $97.26 Champus — Champus: $97.86 Commonwealth Care Alliance — Commonwealth Care Alliance: $96.29
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT, EST	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $131.16 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT, EST	Not listed in the file	Not listed in the file	$57.09 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates Aetna — Aetna: $288.32 Aetna Medicare Advantage — Aetna Medicare Advantage: $136.99 BCBS Indemnity — BCBS Indemnity: $58.87 BCBS Medicare — BCBS Medicare: $136.99 BCBS PPO — BCBS PPO: $58.87 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $65.79 BMC Hlthnet — BMC Hlthnet: $108.37 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $138.36 Champus — Champus: $139.23 Commonwealth Care Alliance — Commonwealth Care Alliance: $136.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT, EST	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $202.22 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$118.76 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Unicare — Unicare: $118.76 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$65.29 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Healthnet Well Sense — BMC Healthnet Well Sense: $72.80 BMC Hlthnet — BMC Hlthnet: $98.59 Champus — Champus: $115.36 Fallon — Fallon: $31,980 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $65.29 Medicaid Out of State — Medicaid Out of State: $65.29 Neighborhood Health HMO — Neighborhood Health HMO: $137.47 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $69.78
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$168.51 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Unicare — Unicare: $168.51 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$87.36 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Healthnet Well Sense — BMC Healthnet Well Sense: $87.36 BMC Hlthnet — BMC Hlthnet: $150.70 Champus — Champus: $164.74 Fallon — Fallon: $31,980 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $99.80 Medicaid Out of State — Medicaid Out of State: $99.80 Neighborhood Health HMO — Neighborhood Health HMO: $220.90 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $112.13
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT, NEW, AGE 18-39	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT, NEW, AGE 18-39	Not listed in the file	Not listed in the file	$40.32 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates BCBS Indemnity — BCBS Indemnity: $117.28 BCBS PPO — BCBS PPO: $117.28 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $40.32 BMC Hlthnet — BMC Hlthnet: $114.84 Champus — Champus: $138.35 Fallon — Fallon: $271.89 Medicaid — Medicaid: $76.05 Medicaid Out of State — Medicaid Out of State: $76.05 Neighborhood Health HMO — Neighborhood Health HMO: $140.58 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $71.36
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT, NEW, AGE 40-64	Not listed in the file	Not listed in the file	$24.41 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,778.99 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid — Medicaid: $8,462.91 Medicaid Out of State — Medicaid Out of State: $8,462.91 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,462.91 Tufts Plan Spirit — Tufts Plan Spirit: $24.41 Tufts PPO — Tufts PPO: $32.55
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT, NEW, AGE 40-64	Not listed in the file	Not listed in the file	$40.32 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates BCBS Indemnity — BCBS Indemnity: $141.78 BCBS PPO — BCBS PPO: $141.78 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $40.32 BMC Hlthnet — BMC Hlthnet: $139.37 Champus — Champus: $159.74 Fallon — Fallon: $318.55 Medicaid — Medicaid: $92.30 Medicaid Out of State — Medicaid Out of State: $92.30 Neighborhood Health HMO — Neighborhood Health HMO: $171.04 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $86.82
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$288.50 – $50,000
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,975.82 BCBS Indemnity — BCBS Indemnity: $396.78 BCBS Medicare — BCBS Medicare: $8,714.39 BCBS PPO — BCBS PPO: $396.78 BMC Hlthnet — BMC Hlthnet: $12,778.99 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,801.53 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,150.04 Element Care North Shore PACE — Element Care North Shore PACE: $8,890.89 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,975.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$40.32 – $37,500
Emergency room visit (moderate): 10 of 25 insurance plan rates Aetna — Aetna: $143.87 Aetna Medicare Advantage — Aetna Medicare Advantage: $68.36 BCBS Indemnity — BCBS Indemnity: $85.01 BCBS Medicare — BCBS Medicare: $68.36 BCBS PPO — BCBS PPO: $85.01 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $40.32 BMC Hlthnet — BMC Hlthnet: $78.75 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $69.04 Champus — Champus: $69.46 Commonwealth Care Alliance — Commonwealth Care Alliance: $68.36
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$496.04 – $50,000
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,998.35 BCBS Indemnity — BCBS Indemnity: $641.23 BCBS Medicare — BCBS Medicare: $8,736.26 BCBS PPO — BCBS PPO: $641.23 BMC Hlthnet — BMC Hlthnet: $12,778.99 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,823.62 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,172.97 Element Care North Shore PACE — Element Care North Shore PACE: $8,912.51 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,998.28
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$60.48 – $37,500
Emergency room visit (moderately high): 10 of 25 insurance plan rates Aetna — Aetna: $244.65 Aetna Medicare Advantage — Aetna Medicare Advantage: $116.24 BCBS Indemnity — BCBS Indemnity: $162.34 BCBS Medicare — BCBS Medicare: $116.24 BCBS PPO — BCBS PPO: $162.34 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $60.48 BMC Hlthnet — BMC Hlthnet: $132.50 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $117.40 Champus — Champus: $118.13 Commonwealth Care Alliance — Commonwealth Care Alliance: $116.24
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$496.04 – $50,000
Emergency room visit (high): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,026.18 BCBS Indemnity — BCBS Indemnity: $934.70 BCBS Medicare — BCBS Medicare: $8,763.28 BCBS PPO — BCBS PPO: $934.70 BMC Hlthnet — BMC Hlthnet: $12,778.99 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,850.91 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,201.31 Element Care North Shore PACE — Element Care North Shore PACE: $8,939.21 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $9,026.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$94.08 – $37,500
Emergency room visit (high): 10 of 25 insurance plan rates Aetna — Aetna: $354.93 Aetna Medicare Advantage — Aetna Medicare Advantage: $168.64 BCBS Indemnity — BCBS Indemnity: $237.50 BCBS Medicare — BCBS Medicare: $168.64 BCBS PPO — BCBS PPO: $237.50 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $94.08 BMC Hlthnet — BMC Hlthnet: $192.53 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $170.32 Champus — Champus: $171.38 Commonwealth Care Alliance — Commonwealth Care Alliance: $168.64

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 METABOLIC PANEL	Not listed in the file	Not listed in the file	$7.27 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Aetna: $23.87 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.54 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $22.21 BCBS Indemnity — BCBS Indemnity: $14.50 BCBS Medicare — BCBS Medicare: $8.29 BCBS PPO — BCBS PPO: $14.50 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $7.27 BMC Hlthnet — BMC Hlthnet: $13.73 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8.37 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BASIC METABOLIC PANEL	Not listed in the file	Not listed in the file	$7.05 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — Aetna: $11.33 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.29 BCBS Indemnity — BCBS Indemnity: $11.93 BCBS Medicare — BCBS Medicare: $8.29 BCBS PPO — BCBS PPO: $9.36 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $7.27 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8.37 Champus — Champus: $10.19 Commonwealth Care Alliance — Commonwealth Care Alliance: $8.29 Element Care North Shore PACE — Element Care North Shore PACE: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$9.08 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Aetna: $29.80 Aetna Medicare Advantage — Aetna Medicare Advantage: $10.66 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $27.74 BCBS Indemnity — BCBS Indemnity: $18.11 BCBS Medicare — BCBS Medicare: $10.35 BCBS PPO — BCBS PPO: $18.11 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $9.08 BMC Hlthnet — BMC Hlthnet: $17.12 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $10.45 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$8.80 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — Aetna: $14.14 Aetna Medicare Advantage — Aetna Medicare Advantage: $10.35 BCBS Indemnity — BCBS Indemnity: $14.90 BCBS Medicare — BCBS Medicare: $10.35 BCBS PPO — BCBS PPO: $11.69 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $9.08 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $10.45 Champus — Champus: $12.72 Commonwealth Care Alliance — Commonwealth Care Alliance: $10.35 Element Care North Shore PACE — Element Care North Shore PACE: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$18.22 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Obstetric blood test panel: 10 of 34 insurance plan rates Aetna — Aetna: $134.92 Aetna Medicare Advantage — Aetna Medicare Advantage: $48.26 BCBS Indemnity — BCBS Indemnity: $117.42 BCBS Medicare — BCBS Medicare: $46.85 BCBS PPO — BCBS PPO: $117.42 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $18.22 BMC Hlthnet — BMC Hlthnet: $63.66 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $47.32 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA Healthcare — CIGNA Healthcare: $47.63
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$13.61 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Obstetric blood test panel: 10 of 25 insurance plan rates Aetna — Aetna: $64.02 Aetna Medicare Advantage — Aetna Medicare Advantage: $46.85 BCBS Indemnity — BCBS Indemnity: $17.19 BCBS Medicare — BCBS Medicare: $46.85 BCBS PPO — BCBS PPO: $51.51 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $18.22 BMC Hlthnet — BMC Hlthnet: $20.55 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $47.32 Champus — Champus: $75.36 Commonwealth Care Alliance — Commonwealth Care Alliance: $46.85
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$11.40 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — Aetna: $37.79 Aetna Medicare Advantage — Aetna Medicare Advantage: $13.51 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $35.15 BCBS Indemnity — BCBS Indemnity: $11.40 BCBS Medicare — BCBS Medicare: $13.12 BCBS PPO — BCBS PPO: $11.40 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $11.51 BMC Hlthnet — BMC Hlthnet: $10.78 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $13.25 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$11.15 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — Aetna: $17.93 Aetna Medicare Advantage — Aetna Medicare Advantage: $13.12 BCBS Indemnity — BCBS Indemnity: $24.09 BCBS Medicare — BCBS Medicare: $13.12 BCBS PPO — BCBS PPO: $15.16 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $11.51 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $13.25 Champus — Champus: $16.13 Commonwealth Care Alliance — Commonwealth Care Alliance: $13.12 Element Care North Shore PACE — Element Care North Shore PACE: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.46 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel: 10 of 34 insurance plan rates Aetna — Aetna: $24.49 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.77 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $22.78 BCBS Indemnity — BCBS Indemnity: $14.89 BCBS Medicare — BCBS Medicare: $8.51 BCBS PPO — BCBS PPO: $14.89 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $7.46 BMC Hlthnet — BMC Hlthnet: $14.10 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8.60 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.23 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel: 10 of 22 insurance plan rates Aetna — Aetna: $11.62 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.51 BCBS Indemnity — BCBS Indemnity: $12.24 BCBS Medicare — BCBS Medicare: $8.51 BCBS PPO — BCBS PPO: $9.60 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $7.46 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8.59 Champus — Champus: $10.46 Commonwealth Care Alliance — Commonwealth Care Alliance: $8.51 Element Care North Shore PACE — Element Care North Shore PACE: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.02 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: 10 of 34 insurance plan rates Aetna — Aetna: $23.06 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.25 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $21.44 BCBS Indemnity — BCBS Indemnity: $14.01 BCBS Medicare — BCBS Medicare: $8.01 BCBS PPO — BCBS PPO: $14.01 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $7.02 BMC Hlthnet — BMC Hlthnet: $13.26 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8.09 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$6.81 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: 10 of 22 insurance plan rates Aetna — Aetna: $10.94 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.01 BCBS Indemnity — BCBS Indemnity: $11.52 BCBS Medicare — BCBS Medicare: $8.01 BCBS PPO — BCBS PPO: $9.03 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $7.02 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8.09 Champus — Champus: $9.84 Commonwealth Care Alliance — Commonwealth Care Alliance: $8.01 Element Care North Shore PACE — Element Care North Shore PACE: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.72 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 34 insurance plan rates Aetna — Aetna: $8.95 Aetna Medicare Advantage — Aetna Medicare Advantage: $3.20 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $8.31 BCBS Indemnity — BCBS Indemnity: $7.88 BCBS Medicare — BCBS Medicare: $3.11 BCBS PPO — BCBS PPO: $7.88 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $2.72 BMC Hlthnet — BMC Hlthnet: $4.23 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $3.14 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS, AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.64 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 25 insurance plan rates Aetna — Aetna: $4.24 Aetna Medicare Advantage — Aetna Medicare Advantage: $3.11 BCBS Indemnity — BCBS Indemnity: $4.46 BCBS Medicare — BCBS Medicare: $3.11 BCBS PPO — BCBS PPO: $3.50 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $2.72 BMC Hlthnet — BMC Hlthnet: $5.10 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $3.14 Champus — Champus: $3.82 Commonwealth Care Alliance — Commonwealth Care Alliance: $3.11
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.20 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — Aetna: $9.82 Aetna Medicare Advantage — Aetna Medicare Advantage: $3.51 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $6.70 BCBS Indemnity — BCBS Indemnity: $7.16 BCBS Medicare — BCBS Medicare: $3.41 BCBS PPO — BCBS PPO: $7.16 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $2.20 BMC Hlthnet — BMC Hlthnet: $4.64 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $3.44 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.20 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 25 insurance plan rates Aetna — Aetna: $4.66 Aetna Medicare Advantage — Aetna Medicare Advantage: $3.41 BCBS Indemnity — BCBS Indemnity: $5.21 BCBS Medicare — BCBS Medicare: $3.41 BCBS PPO — BCBS PPO: $2.90 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $2.20 BMC Hlthnet — BMC Hlthnet: $4.14 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $3.44 Champus — Champus: $4.19 Commonwealth Care Alliance — Commonwealth Care Alliance: $3.41
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO, W/O SCOPE	Not listed in the file	Not listed in the file	$1.53 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — Aetna: $6.35 Aetna Medicare Advantage — Aetna Medicare Advantage: $2.27 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $4.68 BCBS Indemnity — BCBS Indemnity: $5.72 BCBS Medicare — BCBS Medicare: $2.20 BCBS PPO — BCBS PPO: $5.72 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $1.53 BMC Hlthnet — BMC Hlthnet: $2.99 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $2.22 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS, AUTO, W/O SCOPE	Not listed in the file	Not listed in the file	$1.53 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 25 insurance plan rates Aetna — Aetna: $3.01 Aetna Medicare Advantage — Aetna Medicare Advantage: $2.21 BCBS Indemnity — BCBS Indemnity: $2.66 BCBS Medicare — BCBS Medicare: $2.21 BCBS PPO — BCBS PPO: $2.54 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $1.53 BMC Hlthnet — BMC Hlthnet: $3.62 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $2.23 Champus — Champus: $2.71 Commonwealth Care Alliance — Commonwealth Care Alliance: $2.21
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA, TOTAL	Not listed in the file	Not listed in the file	$12.47 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — Aetna: $51.90 Aetna Medicare Advantage — Aetna Medicare Advantage: $18.56 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $38.08 BCBS Indemnity — BCBS Indemnity: $45.11 BCBS Medicare — BCBS Medicare: $18.02 BCBS PPO — BCBS PPO: $45.11 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $12.47 BMC Hlthnet — BMC Hlthnet: $24.49 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $18.20 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ASSAY OF PSA, TOTAL	Not listed in the file	Not listed in the file	$12.47 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Aetna — Aetna: $24.62 Aetna Medicare Advantage — Aetna Medicare Advantage: $18.02 BCBS Indemnity — BCBS Indemnity: $15.20 BCBS Medicare — BCBS Medicare: $18.02 BCBS PPO — BCBS PPO: $20.82 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $12.47 BMC Hlthnet — BMC Hlthnet: $29.73 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $18.20 Champus — Champus: $22.16 Commonwealth Care Alliance — Commonwealth Care Alliance: $18.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$14.44 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — Aetna: $47.41 Aetna Medicare Advantage — Aetna Medicare Advantage: $16.95 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $44.06 BCBS Indemnity — BCBS Indemnity: $41.52 BCBS Medicare — BCBS Medicare: $16.46 BCBS PPO — BCBS PPO: $41.52 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $14.44 BMC Hlthnet — BMC Hlthnet: $22.38 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $16.62 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$13.99 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Aetna — Aetna: $22.50 Aetna Medicare Advantage — Aetna Medicare Advantage: $16.46 BCBS Indemnity — BCBS Indemnity: $27.94 BCBS Medicare — BCBS Medicare: $16.46 BCBS PPO — BCBS PPO: $19.02 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $14.44 BMC Hlthnet — BMC Hlthnet: $27.15 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $16.63 Champus — Champus: $20.24 Commonwealth Care Alliance — Commonwealth Care Alliance: $16.46
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED HEMOGRAM	Not listed in the file	Not listed in the file	$6.68 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Aetna — Aetna: $21.93 Aetna Medicare Advantage — Aetna Medicare Advantage: $7.84 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $20.39 BCBS Indemnity — BCBS Indemnity: $19.34 BCBS Medicare — BCBS Medicare: $7.61 BCBS PPO — BCBS PPO: $19.34 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $6.68 BMC Hlthnet — BMC Hlthnet: $10.34 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $7.69 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AUTOMATED HEMOGRAM	Not listed in the file	Not listed in the file	$6.47 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates Aetna — Aetna: $10.40 Aetna Medicare Advantage — Aetna Medicare Advantage: $7.61 BCBS Indemnity — BCBS Indemnity: $13.66 BCBS Medicare — BCBS Medicare: $7.61 BCBS PPO — BCBS PPO: $8.80 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $6.68 BMC Hlthnet — BMC Hlthnet: $12.56 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $7.69 Champus — Champus: $9.36 Commonwealth Care Alliance — Commonwealth Care Alliance: $7.61
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED HEMOGRAM	Not listed in the file	Not listed in the file	$5.56 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — Aetna: $18.26 Aetna Medicare Advantage — Aetna Medicare Advantage: $6.53 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $16.97 BCBS Indemnity — BCBS Indemnity: $15.75 BCBS Medicare — BCBS Medicare: $6.34 BCBS PPO — BCBS PPO: $15.75 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $5.56 BMC Hlthnet — BMC Hlthnet: $8.62 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $6.40 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AUTOMATED HEMOGRAM	Not listed in the file	Not listed in the file	$5.39 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Aetna — Aetna: $8.66 Aetna Medicare Advantage — Aetna Medicare Advantage: $6.34 BCBS Indemnity — BCBS Indemnity: $9.65 BCBS Medicare — BCBS Medicare: $6.34 BCBS PPO — BCBS PPO: $7.33 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $5.56 BMC Hlthnet — BMC Hlthnet: $10.46 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $6.40 Champus — Champus: $7.80 Commonwealth Care Alliance — Commonwealth Care Alliance: $6.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.37 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — Aetna: $12.11 Aetna Medicare Advantage — Aetna Medicare Advantage: $4.33 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $10.30 BCBS Indemnity — BCBS Indemnity: $9.31 BCBS Medicare — BCBS Medicare: $4.20 BCBS PPO — BCBS PPO: $9.31 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $3.37 BMC Hlthnet — BMC Hlthnet: $5.71 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $4.24 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.37 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Aetna — Aetna: $5.74 Aetna Medicare Advantage — Aetna Medicare Advantage: $4.20 BCBS Indemnity — BCBS Indemnity: $9.30 BCBS Medicare — BCBS Medicare: $4.20 BCBS PPO — BCBS PPO: $4.46 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $3.37 BMC Hlthnet — BMC Hlthnet: $6.36 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $4.25 Champus — Champus: $5.17 Commonwealth Care Alliance — Commonwealth Care Alliance: $4.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME, PARTIAL	Not listed in the file	Not listed in the file	$5.16 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — Aetna: $16.96 Aetna Medicare Advantage — Aetna Medicare Advantage: $6.07 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $15.73 BCBS Indemnity — BCBS Indemnity: $15.04 BCBS Medicare — BCBS Medicare: $5.89 BCBS PPO — BCBS PPO: $15.04 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $5.16 BMC Hlthnet — BMC Hlthnet: $8 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $5.95 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: THROMBOPLASTIN TIME, PARTIAL	Not listed in the file	Not listed in the file	$5.01 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Aetna — Aetna: $8.05 Aetna Medicare Advantage — Aetna Medicare Advantage: $5.89 BCBS Indemnity — BCBS Indemnity: $13.02 BCBS Medicare — BCBS Medicare: $5.89 BCBS PPO — BCBS PPO: $6.80 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $5.16 BMC Hlthnet — BMC Hlthnet: $9.71 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $5.95 Champus — Champus: $7.24 Commonwealth Care Alliance — Commonwealth Care Alliance: $5.89

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: CAT SCAN OF HEAD OR BRAIN	Not listed in the file	Not listed in the file	$198.30 – $50,000
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates Aetna — Aetna: $198.30 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,949.52 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $378.83 BCBS Indemnity — BCBS Indemnity: $227.73 BCBS Medicare — BCBS Medicare: $8,688.85 BCBS PPO — BCBS PPO: $227.73 BMC Hlthnet — BMC Hlthnet: $12,770.75 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,775.74 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,123.26
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CAT SCAN OF HEAD OR BRAIN	Not listed in the file	Not listed in the file	$29.92 – $41,655
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates Aetna — Aetna: $148.17 Aetna Medicare Advantage — Aetna Medicare Advantage: $108.89 BCBS Indemnity — BCBS Indemnity: $41,655 BCBS Medicare — BCBS Medicare: $108.89 BCBS PPO — BCBS PPO: $41,655 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $150 BMC Hlthnet — BMC Hlthnet: $45.18 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $109.98 Champus — Champus: $110.66 Commonwealth Care Alliance — Commonwealth Care Alliance: $108.89
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAGNETIC IMAGE, BRAIN (MRI)	Not listed in the file	Not listed in the file	$625.89 – $50,000
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates Aetna — Aetna: $625.89 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,987.67 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $1,996.30 BCBS Indemnity — BCBS Indemnity: $781.07 BCBS Medicare — BCBS Medicare: $8,725.89 BCBS PPO — BCBS PPO: $781.07 BMC Hlthnet — BMC Hlthnet: $12,887.91 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,813.15 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,162.10
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MAGNETIC IMAGE, BRAIN (MRI)	Not listed in the file	Not listed in the file	$80.70 – $37,500
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates Aetna — Aetna: $441.40 Aetna Medicare Advantage — Aetna Medicare Advantage: $324.38 BCBS Indemnity — BCBS Indemnity: $138.56 BCBS Medicare — BCBS Medicare: $324.38 BCBS PPO — BCBS PPO: $138.56 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $600 BMC Hlthnet — BMC Hlthnet: $121.86 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $327.62 Champus — Champus: $329.65 Commonwealth Care Alliance — Commonwealth Care Alliance: $324.38
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$67.56 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views: 10 of 34 insurance plan rates Aetna — Aetna: $67.56 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,946.78 BCBS Indemnity — BCBS Indemnity: $89.05 BCBS Medicare — BCBS Medicare: $8,686.19 BCBS PPO — BCBS PPO: $89.05 BMC Hlthnet — BMC Hlthnet: $12,693.46 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,773.05 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,120.48 Element Care North Shore PACE — Element Care North Shore PACE: $8,863.04
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$7.73 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views: 10 of 24 insurance plan rates Aetna — Aetna: $46.05 Aetna Medicare Advantage — Aetna Medicare Advantage: $33.84 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $33.84 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $11.67 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $34.18 Champus — Champus: $34.39 Commonwealth Care Alliance — Commonwealth Care Alliance: $33.84 Element Care North Shore PACE — Element Care North Shore PACE: $34.39
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM OF LOWER SPINE	Not listed in the file	Not listed in the file	$73.93 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates Aetna — Aetna: $114.04 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,949.52 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $73.93 BCBS Indemnity — BCBS Indemnity: $160.82 BCBS Medicare — BCBS Medicare: $8,688.85 BCBS PPO — BCBS PPO: $160.82 BMC Hlthnet — BMC Hlthnet: $12,693.46 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,775.74 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA Healthcare — CIGNA Healthcare: $163.15
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY EXAM OF LOWER SPINE	Not listed in the file	Not listed in the file	$9.24 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates Aetna — Aetna: $74.60 Aetna Medicare Advantage — Aetna Medicare Advantage: $54.82 BCBS Indemnity — BCBS Indemnity: $18.95 BCBS Medicare — BCBS Medicare: $54.82 BCBS PPO — BCBS PPO: $18.95 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $25 BMC Hlthnet — BMC Hlthnet: $13.95 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $55.37 Champus — Champus: $55.71 Commonwealth Care Alliance — Commonwealth Care Alliance: $54.82
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAGNETIC IMAGE, LUMBAR SPINE	Not listed in the file	Not listed in the file	$360.76 – $50,000
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates Aetna — Aetna: $360.76 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,970.43 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $997.01 BCBS Indemnity — BCBS Indemnity: $466.68 BCBS Medicare — BCBS Medicare: $8,709.16 BCBS PPO — BCBS PPO: $466.68 BMC Hlthnet — BMC Hlthnet: $12,790.62 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,796.25 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,144.57
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MAGNETIC IMAGE, LUMBAR SPINE	Not listed in the file	Not listed in the file	$52.30 – $37,500
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates Aetna — Aetna: $266.80 Aetna Medicare Advantage — Aetna Medicare Advantage: $196.06 BCBS Indemnity — BCBS Indemnity: $87.60 BCBS Medicare — BCBS Medicare: $196.06 BCBS PPO — BCBS PPO: $87.60 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $306 BMC Hlthnet — BMC Hlthnet: $78.97 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $198.02 Champus — Champus: $199.25 Commonwealth Care Alliance — Commonwealth Care Alliance: $196.06
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONTRAST CAT SCAN OF PELVIS	Not listed in the file	Not listed in the file	$408.34 – $50,000
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Aetna: $509.91 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,960.59 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $548.81 BCBS Indemnity — BCBS Indemnity: $408.34 BCBS Medicare — BCBS Medicare: $8,699.60 BCBS PPO — BCBS PPO: $408.34 BMC Hlthnet — BMC Hlthnet: $12,770.75 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,786.60 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,134.53
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CONTRAST CAT SCAN OF PELVIS	Not listed in the file	Not listed in the file	$40.85 – $37,500
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates Aetna — Aetna: $315.46 Aetna Medicare Advantage — Aetna Medicare Advantage: $231.82 BCBS Indemnity — BCBS Indemnity: $68.25 BCBS Medicare — BCBS Medicare: $231.82 BCBS PPO — BCBS PPO: $68.25 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $154 BMC Hlthnet — BMC Hlthnet: $61.68 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $234.14 Champus — Champus: $235.59 Commonwealth Care Alliance — Commonwealth Care Alliance: $231.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAGNETIC IMAGE, JOINT OF LEG	Not listed in the file	Not listed in the file	$413.79 – $50,000
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates Aetna — Aetna: $413.79 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,970.43 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $883.44 BCBS Indemnity — BCBS Indemnity: $466.68 BCBS Medicare — BCBS Medicare: $8,709.16 BCBS PPO — BCBS PPO: $466.68 BMC Hlthnet — BMC Hlthnet: $12,790.62 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,796.25 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,144.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MAGNETIC IMAGE, JOINT OF LEG	Not listed in the file	Not listed in the file	$47.85 – $37,500
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates Aetna — Aetna: $284.99 Aetna Medicare Advantage — Aetna Medicare Advantage: $209.43 BCBS Indemnity — BCBS Indemnity: $80.98 BCBS Medicare — BCBS Medicare: $209.43 BCBS PPO — BCBS PPO: $80.98 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $270 BMC Hlthnet — BMC Hlthnet: $72.25 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $211.53 Champus — Champus: $212.84 Commonwealth Care Alliance — Commonwealth Care Alliance: $209.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$639.69 – $50,000
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Aetna: $639.69 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,987.67 BCBS Indemnity — BCBS Indemnity: $781.07 BCBS Medicare — BCBS Medicare: $8,725.89 BCBS PPO — BCBS PPO: $781.07 BMC Hlthnet — BMC Hlthnet: $12,770.75 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,813.15 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,162.10 Element Care North Shore PACE — Element Care North Shore PACE: $8,902.26
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$64.24 – $37,500
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Aetna — Aetna: $418.96 Aetna Medicare Advantage — Aetna Medicare Advantage: $307.88 BCBS Indemnity — BCBS Indemnity: $106.81 BCBS Medicare — BCBS Medicare: $307.88 BCBS PPO — BCBS PPO: $106.81 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $158.52 BMC Hlthnet — BMC Hlthnet: $97 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $310.96 Champus — Champus: $312.89 Commonwealth Care Alliance — Commonwealth Care Alliance: $307.88
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ECHO EXAM OF ABDOMEN	Not listed in the file	Not listed in the file	$158.54 – $50,000
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates Aetna — Aetna: $224.21 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,949.52 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $158.54 BCBS Indemnity — BCBS Indemnity: $160.82 BCBS Medicare — BCBS Medicare: $8,688.85 BCBS PPO — BCBS PPO: $160.82 BMC Hlthnet — BMC Hlthnet: $12,767.69 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,775.74 Champus — Champus: $50,000 CIGNA Healthcare — CIGNA Healthcare: $208.70
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ECHO EXAM OF ABDOMEN	Not listed in the file	Not listed in the file	$28.40 – $37,500
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates Aetna — Aetna: $159.06 Aetna Medicare Advantage — Aetna Medicare Advantage: $116.89 BCBS Indemnity — BCBS Indemnity: $47.68 BCBS Medicare — BCBS Medicare: $116.89 BCBS PPO — BCBS PPO: $47.68 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $100.01 BMC Hlthnet — BMC Hlthnet: $42.88 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $118.06 Champus — Champus: $118.79 Commonwealth Care Alliance — Commonwealth Care Alliance: $116.89
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ECHO EXAM OF PREGNANT UTERUS	Not listed in the file	Not listed in the file	$160.82 – $50,000
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates Aetna — Aetna: $252.29 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,949.52 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $169.22 BCBS Indemnity — BCBS Indemnity: $160.82 BCBS Medicare — BCBS Medicare: $8,688.85 BCBS PPO — BCBS PPO: $160.82 BMC Hlthnet — BMC Hlthnet: $12,742.18 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,775.74 Champus — Champus: $50,000 CIGNA Healthcare — CIGNA Healthcare: $208.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ECHO EXAM OF PREGNANT UTERUS	Not listed in the file	Not listed in the file	$35.22 – $37,500
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates Aetna — Aetna: $189.27 Aetna Medicare Advantage — Aetna Medicare Advantage: $139.09 BCBS Indemnity — BCBS Indemnity: $59.21 BCBS Medicare — BCBS Medicare: $139.09 BCBS PPO — BCBS PPO: $59.21 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $64 BMC Hlthnet — BMC Hlthnet: $53.18 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $140.48 Champus — Champus: $141.35 Commonwealth Care Alliance — Commonwealth Care Alliance: $139.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ECHO EXAM, TRANSVAGINAL	Not listed in the file	Not listed in the file	$123.48 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Transvaginal ultrasound: 10 of 34 insurance plan rates Aetna — Aetna: $246.47 Aetna Medicare Advantage — Aetna Medicare Advantage: $8,949.52 BCBS Anthem HMO/PPO — BCBS Anthem HMO/PPO: $123.48 BCBS Indemnity — BCBS Indemnity: $160.82 BCBS Medicare — BCBS Medicare: $8,688.85 BCBS PPO — BCBS PPO: $160.82 BMC Hlthnet — BMC Hlthnet: $12,729.45 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,775.74 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA Healthcare — CIGNA Healthcare: $208.70
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ECHO EXAM, TRANSVAGINAL	Not listed in the file	Not listed in the file	$24.66 – $37,500
Transvaginal ultrasound: 10 of 25 insurance plan rates Aetna — Aetna: $163.97 Aetna Medicare Advantage — Aetna Medicare Advantage: $120.50 BCBS Indemnity — BCBS Indemnity: $41.15 BCBS Medicare — BCBS Medicare: $120.50 BCBS PPO — BCBS PPO: $41.15 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $55 BMC Hlthnet — BMC Hlthnet: $37.24 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $121.71 Champus — Champus: $122.46 Commonwealth Care Alliance — Commonwealth Care Alliance: $120.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$86.09 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates Aetna — Aetna: $254.23 Aetna Medicare Advantage — Aetna Medicare Advantage: $91.89 BCBS Indemnity — BCBS Indemnity: $209.38 BCBS Medicare — BCBS Medicare: $89.21 BCBS PPO — BCBS PPO: $209.38 BMC Hlthnet — BMC Hlthnet: $12,702.33 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $90.10 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $93.67 Element Care North Shore PACE — Element Care North Shore PACE: $90.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$27.97 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna — Aetna: $172.73 Aetna Medicare Advantage — Aetna Medicare Advantage: $126.94 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $126.94 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $42.88 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $128.21 Champus — Champus: $129 Commonwealth Care Alliance — Commonwealth Care Alliance: $126.94 Element Care North Shore PACE — Element Care North Shore PACE: $129
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$110.39 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, both breasts: 10 of 34 insurance plan rates Aetna — Aetna: $323.97 Aetna Medicare Advantage — Aetna Medicare Advantage: $117.82 BCBS Indemnity — BCBS Indemnity: $267.96 BCBS Medicare — BCBS Medicare: $114.39 BCBS PPO — BCBS PPO: $267.96 BMC Hlthnet — BMC Hlthnet: $12,702.33 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $115.53 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $120.11 Element Care North Shore PACE — Element Care North Shore PACE: $116.25
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$34.22 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Aetna: $218.81 Aetna Medicare Advantage — Aetna Medicare Advantage: $160.80 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $160.80 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $52.74 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $162.40 Champus — Champus: $163.40 Commonwealth Care Alliance — Commonwealth Care Alliance: $160.80 Element Care North Shore PACE — Element Care North Shore PACE: $163.41
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$90.72 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening mammogram, both breasts: 10 of 34 insurance plan rates Aetna — Aetna: $268.03 Aetna Medicare Advantage — Aetna Medicare Advantage: $96.83 BCBS Indemnity — BCBS Indemnity: $221.41 BCBS Medicare — BCBS Medicare: $94.01 BCBS PPO — BCBS PPO: $221.41 BMC Hlthnet — BMC Hlthnet: $12,702.33 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $94.95 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $98.72 Element Care North Shore PACE — Element Care North Shore PACE: $95.93
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$40.56 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Aetna: $176.21 Aetna Medicare Advantage — Aetna Medicare Advantage: $128.97 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $128.97 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $64.61 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $130.26 Champus — Champus: $131.61 Commonwealth Care Alliance — Commonwealth Care Alliance: $128.97 Element Care North Shore PACE — Element Care North Shore PACE: $131.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM, COMPLETE	Not listed in the file	Not listed in the file	$10.99 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates Aetna — Aetna: $32.72 Aetna Medicare Advantage — Aetna Medicare Advantage: $15.55 BCBS Indemnity — BCBS Indemnity: $23.50 BCBS Medicare — BCBS Medicare: $15.55 BCBS PPO — BCBS PPO: $23.50 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $15.88 BMC Hlthnet — BMC Hlthnet: $16.59 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $15.70 Champus — Champus: $15.79 Commonwealth Care Alliance — Commonwealth Care Alliance: $15.55
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM, COMPLETE	Not listed in the file	Not listed in the file	$45.65 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Indemnity — BCBS Indemnity: $45.65 BCBS PPO — BCBS PPO: $45.65 BMC Hlthnet — BMC Hlthnet: $12,663.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $50.89 Medicaid — Medicaid: $8,386.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicaid Out of State — Medicaid Out of State: $8,386.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Neighborhood Health Medicaid — Neighborhood Health Medicaid: $8,386.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Tufts Plan Spirit — Tufts Plan Spirit: $72.45
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,000 – $50,000
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,444.29 BCBS Indemnity — BCBS Indemnity: $5,000.77 BCBS Medicare — BCBS Medicare: $9,169.21 BCBS PPO — BCBS PPO: $5,000.77 BMC Hlthnet — BMC Hlthnet: $13,848.02 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,260.90 Champus — Champus: $50,000 CIGNA Healthcare — CIGNA Healthcare: $3,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,626.65 Element Care North Shore PACE — Element Care North Shore PACE: $9,335.66
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$167.96 – $37,500
Left heart catheterization (diagnostic): 10 of 25 insurance plan rates Aetna — Aetna: $1,883.41 Aetna Medicare Advantage — Aetna Medicare Advantage: $894.87 BCBS Indemnity — BCBS Indemnity: $304.70 BCBS Medicare — BCBS Medicare: $894.87 BCBS PPO — BCBS PPO: $304.70 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $390.15 BMC Hlthnet — BMC Hlthnet: $253.62 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $903.82 Champus — Champus: $909.42 Commonwealth Care Alliance — Commonwealth Care Alliance: $894.87
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$3,321.29 – $50,000
Heart rhythm study (electrophysiology evaluation): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $10,148.37 BCBS Indemnity — BCBS Indemnity: $9,070.17 BCBS Medicare — BCBS Medicare: $9,852.79 BCBS PPO — BCBS PPO: $9,070.17 BMC Hlthnet — BMC Hlthnet: $15,384.57 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,951.32 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $10,343.68 Element Care North Shore PACE — Element Care North Shore PACE: $10,018.44 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $10,147.32
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$277.46 – $37,500
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans BCBS Indemnity — BCBS Indemnity: $475.50 BCBS PPO — BCBS PPO: $475.50 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $511.59 BMC Hlthnet — BMC Hlthnet: $418.96 Fallon — Fallon: $31,980 Medicaid — Medicaid: $277.46 Medicaid Out of State — Medicaid Out of State: $277.46 Neighborhood Health HMO — Neighborhood Health HMO: $573.86 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $291.30 Unicare — Unicare: $37,500
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$3,000 – $50,000
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $31,655.06 BCBS Indemnity — BCBS Indemnity: $34,188.45 BCBS Medicare — BCBS Medicare: $30,733.07 BCBS PPO — BCBS PPO: $34,188.45 BMC Hlthnet — BMC Hlthnet: $19,061.76 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $31,040.40 Champus — Champus: $50,000 CIGNA Healthcare — CIGNA Healthcare: $3,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $32,267.99 Element Care North Shore PACE — Element Care North Shore PACE: $31,324.85
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$476.80 – $37,500
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates Aetna — Aetna: $1,647.40 Aetna Medicare Advantage — Aetna Medicare Advantage: $782.73 BCBS Indemnity — BCBS Indemnity: $1,306.76 BCBS Medicare — BCBS Medicare: $782.73 BCBS PPO — BCBS PPO: $1,306.76 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $476.80 BMC Hlthnet — BMC Hlthnet: $1,035.03 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $790.56 Champus — Champus: $795.46 Commonwealth Care Alliance — Commonwealth Care Alliance: $782.73
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY, 4 OR MORE	Not listed in the file	Not listed in the file	$1,624.20 – $50,000
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,067.28 BCBS Indemnity — BCBS Indemnity: $1,624.20 BCBS Medicare — BCBS Medicare: $8,803.18 BCBS PPO — BCBS PPO: $1,624.20 BMC Hlthnet — BMC Hlthnet: $13,359.85 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,891.21 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,243.14 Element Care North Shore PACE — Element Care North Shore PACE: $8,978.64 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $2,226.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYSOMNOGRAPHY, 4 OR MORE	Not listed in the file	Not listed in the file	$86.52 – $37,500
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates Aetna — Aetna: $1,458.32 Aetna Medicare Advantage — Aetna Medicare Advantage: $692.89 BCBS Indemnity — BCBS Indemnity: $146.16 BCBS Medicare — BCBS Medicare: $692.89 BCBS PPO — BCBS PPO: $146.16 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $153.78 BMC Hlthnet — BMC Hlthnet: $130.65 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $699.82 Champus — Champus: $704.17 Commonwealth Care Alliance — Commonwealth Care Alliance: $692.89

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$28.45 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $30.36 BCBS Indemnity — BCBS Indemnity: $81.15 BCBS Medicare — BCBS Medicare: $29.48 BCBS PPO — BCBS PPO: $81.15 BMC Hlthnet — BMC Hlthnet: $12,694.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $29.77 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $30.96 Element Care North Shore PACE — Element Care North Shore PACE: $29.96 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $30.37
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$22.47 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates Aetna — Aetna: $62.05 Aetna Medicare Advantage — Aetna Medicare Advantage: $29.48 BCBS Indemnity — BCBS Indemnity: $40.44 BCBS Medicare — BCBS Medicare: $29.48 BCBS PPO — BCBS PPO: $40.44 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $22.78 BMC Hlthnet — BMC Hlthnet: $33.93 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $29.78 Champus — Champus: $29.96 Commonwealth Care Alliance — Commonwealth Care Alliance: $29.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$96.30 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $102.78 BCBS Indemnity — BCBS Indemnity: $224.41 BCBS Medicare — BCBS Medicare: $99.79 BCBS PPO — BCBS PPO: $224.41 BMC Hlthnet — BMC Hlthnet: $12,711.13 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $100.79 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $104.78 Element Care North Shore PACE — Element Care North Shore PACE: $101.41 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $102.78
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$60.61 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates Aetna — Aetna: $209.30 Aetna Medicare Advantage — Aetna Medicare Advantage: $99.44 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $99.44 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $115.58 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $100.44 Champus — Champus: $101.06 Commonwealth Care Alliance — Commonwealth Care Alliance: $99.44 Element Care North Shore PACE — Element Care North Shore PACE: $101.06
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$96.30 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $102.78 BCBS Indemnity — BCBS Indemnity: $224.41 BCBS Medicare — BCBS Medicare: $99.79 BCBS PPO — BCBS PPO: $224.41 BMC Hlthnet — BMC Hlthnet: $12,711.13 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $100.79 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $104.78 Element Care North Shore PACE — Element Care North Shore PACE: $101.41 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $102.78
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$60.61 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates Aetna — Aetna: $209.30 Aetna Medicare Advantage — Aetna Medicare Advantage: $99.44 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $99.44 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $115.58 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $100.44 Champus — Champus: $101.06 Commonwealth Care Alliance — Commonwealth Care Alliance: $99.44 Element Care North Shore PACE — Element Care North Shore PACE: $101.06
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$96.30 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $102.78 BCBS Indemnity — BCBS Indemnity: $224.41 BCBS Medicare — BCBS Medicare: $99.79 BCBS PPO — BCBS PPO: $224.41 BMC Hlthnet — BMC Hlthnet: $12,711.13 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $100.79 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $104.78 Element Care North Shore PACE — Element Care North Shore PACE: $101.41 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $102.78
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$60.61 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates Aetna — Aetna: $209.30 Aetna Medicare Advantage — Aetna Medicare Advantage: $99.44 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $99.44 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $115.58 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $100.44 Champus — Champus: $101.06 Commonwealth Care Alliance — Commonwealth Care Alliance: $99.44 Element Care North Shore PACE — Element Care North Shore PACE: $101.06
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$23.06 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,960.91 BCBS Indemnity — BCBS Indemnity: $226.96 BCBS Medicare — BCBS Medicare: $8,699.91 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,712.20 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,786.91 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,134.86 Element Care North Shore PACE — Element Care North Shore PACE: $8,876.59 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,960.88
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$32.50 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates Aetna — Aetna: $182.06 Aetna Medicare Advantage — Aetna Medicare Advantage: $86.50 BCBS Indemnity — BCBS Indemnity: $58.44 BCBS Medicare — BCBS Medicare: $86.50 BCBS PPO — BCBS PPO: $58.44 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $32.50 BMC Hlthnet — BMC Hlthnet: $72.96 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $87.37 Champus — Champus: $87.91 Commonwealth Care Alliance — Commonwealth Care Alliance: $86.50
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$29.21 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,960.91 BCBS Indemnity — BCBS Indemnity: $226.96 BCBS Medicare — BCBS Medicare: $8,699.91 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,717.43 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,786.91 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,134.86 Element Care North Shore PACE — Element Care North Shore PACE: $8,876.59 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,960.88
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$60.72 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates Aetna — Aetna: $241.48 Aetna Medicare Advantage — Aetna Medicare Advantage: $114.73 BCBS Indemnity — BCBS Indemnity: $87.65 BCBS Medicare — BCBS Medicare: $114.73 BCBS PPO — BCBS PPO: $87.65 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $65 BMC Hlthnet — BMC Hlthnet: $96.76 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $115.88 Champus — Champus: $116.60 Commonwealth Care Alliance — Commonwealth Care Alliance: $114.73
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$29.21 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,960.91 BCBS Indemnity — BCBS Indemnity: $226.96 BCBS Medicare — BCBS Medicare: $8,699.91 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,717.43 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,786.91 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,134.86 Element Care North Shore PACE — Element Care North Shore PACE: $8,876.59 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,960.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$72 – $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates Aetna — Aetna: $354.16 Aetna Medicare Advantage — Aetna Medicare Advantage: $168.27 BCBS Indemnity — BCBS Indemnity: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS Medicare — BCBS Medicare: $168.27 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Healthnet Well Sense — BMC Healthnet Well Sense: $72 BMC Hlthnet — BMC Hlthnet: $142.18 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $169.96 Champus — Champus: $171.01 Commonwealth Care Alliance — Commonwealth Care Alliance: $168.27
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PATIENT	Not listed in the file	Not listed in the file	$32.42 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, without the patient: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,960.91 BCBS Indemnity — BCBS Indemnity: $226.96 BCBS Medicare — BCBS Medicare: $8,699.91 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,724.74 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,786.91 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,134.86 Element Care North Shore PACE — Element Care North Shore PACE: $8,876.59 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,960.88
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PATIENT	Not listed in the file	Not listed in the file	$50 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, without the patient: 10 of 25 insurance plan rates Aetna — Aetna: $223.36 Aetna Medicare Advantage — Aetna Medicare Advantage: $106.12 BCBS Indemnity — BCBS Indemnity: $94.38 BCBS Medicare — BCBS Medicare: $106.12 BCBS PPO — BCBS PPO: $94.38 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $50 BMC Hlthnet — BMC Hlthnet: $104.60 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $107.19 Champus — Champus: $107.85 Commonwealth Care Alliance — Commonwealth Care Alliance: $106.12
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PATIENT	Not listed in the file	Not listed in the file	$32.42 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, with the patient: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,960.91 BCBS Indemnity — BCBS Indemnity: $226.96 BCBS Medicare — BCBS Medicare: $8,699.91 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,724.74 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,786.91 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,134.86 Element Care North Shore PACE — Element Care North Shore PACE: $8,876.59 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,960.88
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PATIENT	Not listed in the file	Not listed in the file	$58 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, with the patient: 10 of 25 insurance plan rates Aetna — Aetna: $231.25 Aetna Medicare Advantage — Aetna Medicare Advantage: $109.87 BCBS Indemnity — BCBS Indemnity: $110.95 BCBS Medicare — BCBS Medicare: $109.87 BCBS PPO — BCBS PPO: $110.95 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $58 BMC Hlthnet — BMC Hlthnet: $109.11 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $110.97 Champus — Champus: $111.65 Commonwealth Care Alliance — Commonwealth Care Alliance: $109.87
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$16.40 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Group psychotherapy: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $8,949.05 BCBS Indemnity — BCBS Indemnity: $135.93 BCBS Medicare — BCBS Medicare: $8,688.40 BCBS PPO — BCBS PPO: $41,655 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BMC Hlthnet — BMC Hlthnet: $12,711.03 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,775.28 Champus — Champus: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Commonwealth Care Alliance — Commonwealth Care Alliance: $9,122.80 Element Care North Shore PACE — Element Care North Shore PACE: $8,865.22 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $8,949.03
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$16.99 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Group psychotherapy: 10 of 25 insurance plan rates Aetna — Aetna: $64.39 Aetna Medicare Advantage — Aetna Medicare Advantage: $30.59 BCBS Indemnity — BCBS Indemnity: $29.34 BCBS Medicare — BCBS Medicare: $30.59 BCBS PPO — BCBS PPO: $29.34 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $21.12 BMC Hlthnet — BMC Hlthnet: $25.65 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $30.90 Champus — Champus: $31.09 Commonwealth Care Alliance — Commonwealth Care Alliance: $30.59

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,510.46 – $50,000
Removal of breast growth (open surgery): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,544.60 BCBS Indemnity — BCBS Indemnity: $5,010.74 BCBS Medicare — BCBS Medicare: $9,266.60 BCBS PPO — BCBS PPO: $5,010.74 BMC Hlthnet — BMC Hlthnet: $13,594.94 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,359.27 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,728.98 Element Care North Shore PACE — Element Care North Shore PACE: $9,436.56 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,510.46
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$100 – $37,500
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Aetna — Aetna: $1,209.48 Aetna Medicare Advantage — Aetna Medicare Advantage: $574.67 BCBS Indemnity — BCBS Indemnity: $510.70 BCBS Medicare — BCBS Medicare: $574.67 BCBS PPO — BCBS PPO: $510.70 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $100 BMC Hlthnet — BMC Hlthnet: $312.47 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $580.41 Champus — Champus: $584.01 Commonwealth Care Alliance — Commonwealth Care Alliance: $574.67
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT	Not listed in the file	Not listed in the file	$14,888.77 – $50,000
Total hip replacement: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $15,566.87 BCBS Indemnity — BCBS Indemnity: $15,800.25 BCBS Medicare — BCBS Medicare: $15,113.47 BCBS PPO — BCBS PPO: $15,800.25 BMC Hlthnet — BMC Hlthnet: $16,368.82 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $15,264.60 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $15,867.40 Element Care North Shore PACE — Element Care North Shore PACE: $15,386.48 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $15,565.83
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP REPLACEMENT	Not listed in the file	Not listed in the file	$850 – $37,500
Total hip replacement: 10 of 25 insurance plan rates Aetna — Aetna: $2,413.46 Aetna Medicare Advantage — Aetna Medicare Advantage: $1,146.71 BCBS Indemnity — BCBS Indemnity: $1,777.20 BCBS Medicare — BCBS Medicare: $1,146.71 BCBS PPO — BCBS PPO: $1,777.20 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $850 BMC Hlthnet — BMC Hlthnet: $956.40 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $1,158.18 Champus — Champus: $1,165.36 Commonwealth Care Alliance — Commonwealth Care Alliance: $1,146.71
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT	Not listed in the file	Not listed in the file	$14,888.77 – $50,000
Total knee replacement: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $15,566.87 BCBS Indemnity — BCBS Indemnity: $19,064 BCBS Medicare — BCBS Medicare: $15,113.47 BCBS PPO — BCBS PPO: $19,064 BMC Hlthnet — BMC Hlthnet: $16,368.82 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $15,264.60 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $15,867.40 Element Care North Shore PACE — Element Care North Shore PACE: $15,386.48 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $15,565.83
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE REPLACEMENT	Not listed in the file	Not listed in the file	$955.40 – $37,500
Total knee replacement: 10 of 25 insurance plan rates Aetna — Aetna: $2,408.16 Aetna Medicare Advantage — Aetna Medicare Advantage: $1,144.20 BCBS Indemnity — BCBS Indemnity: $1,897.56 BCBS Medicare — BCBS Medicare: $1,144.20 BCBS PPO — BCBS PPO: $1,897.56 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $1,129.85 BMC Hlthnet — BMC Hlthnet: $955.40 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $1,155.64 Champus — Champus: $1,162.80 Commonwealth Care Alliance — Commonwealth Care Alliance: $1,144.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$122.85 – $37,500
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Aetna — Aetna: $304.19 Aetna Medicare Advantage — Aetna Medicare Advantage: $144.53 BCBS Indemnity — BCBS Indemnity: $212.86 BCBS Medicare — BCBS Medicare: $144.53 BCBS PPO — BCBS PPO: $212.86 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $480 BMC Hlthnet — BMC Hlthnet: $126.03 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $145.98 Champus — Champus: $146.87 Commonwealth Care Alliance — Commonwealth Care Alliance: $144.53
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$463.56 – $50,000
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $463.56 BCBS PPO — BCBS PPO: $463.56 BMC Hlthnet — BMC Hlthnet: $14,363.56 Champus — Champus: $50,000 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $609.62 Medicaid — Medicaid: $9,512.29 Medicaid Out of State — Medicaid Out of State: $9,512.29 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $9,512.29 Unicare — Unicare: $5,929.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,969.74 – $50,000
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,444.11 BCBS Indemnity — BCBS Indemnity: $4,667.91 BCBS Medicare — BCBS Medicare: $9,169.04 BCBS PPO — BCBS PPO: $4,667.91 BMC Hlthnet — BMC Hlthnet: $14,363.56 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,260.73 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,626.72 Element Care North Shore PACE — Element Care North Shore PACE: $9,340.16 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,969.74
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$402.84 – $37,500
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Aetna — Aetna: $1,082.33 Aetna Medicare Advantage — Aetna Medicare Advantage: $514.25 BCBS Indemnity — BCBS Indemnity: $684.17 BCBS Medicare — BCBS Medicare: $514.25 BCBS PPO — BCBS PPO: $684.17 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $462 BMC Hlthnet — BMC Hlthnet: $411.98 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $519.39 Champus — Champus: $522.61 Commonwealth Care Alliance — Commonwealth Care Alliance: $514.25
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,052.34 – $50,000
Removal of tonsils and adenoids (under age 12): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,857.58 BCBS Indemnity — BCBS Indemnity: $7,872.36 BCBS Medicare — BCBS Medicare: $9,570.47 BCBS PPO — BCBS PPO: $7,872.36 BMC Hlthnet — BMC Hlthnet: $13,923.01 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,666.17 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $10,047.57 Element Care North Shore PACE — Element Care North Shore PACE: $9,736.82 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,052.34
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$179 – $37,500
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates Aetna — Aetna: $547.90 Aetna Medicare Advantage — Aetna Medicare Advantage: $260.33 BCBS Indemnity — BCBS Indemnity: $371.39 BCBS Medicare — BCBS Medicare: $260.33 BCBS PPO — BCBS PPO: $371.39 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $179 BMC Hlthnet — BMC Hlthnet: $220.92 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $262.93 Champus — Champus: $264.56 Commonwealth Care Alliance — Commonwealth Care Alliance: $260.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	Not listed in the file	Not listed in the file	$432.06 – $50,000
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,074.81 BCBS Indemnity — BCBS Indemnity: $1,355.09 BCBS Medicare — BCBS Medicare: $8,810.50 BCBS PPO — BCBS PPO: $1,355.09 BMC Hlthnet — BMC Hlthnet: $13,541.89 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,898.60 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,250.81 Element Care North Shore PACE — Element Care North Shore PACE: $8,985.87 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $432.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	Not listed in the file	Not listed in the file	$89.85 – $37,500
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Aetna — Aetna: $694.16 Aetna Medicare Advantage — Aetna Medicare Advantage: $329.82 BCBS Indemnity — BCBS Indemnity: $235.87 BCBS Medicare — BCBS Medicare: $329.82 BCBS PPO — BCBS PPO: $235.87 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $150 BMC Hlthnet — BMC Hlthnet: $89.85 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $333.12 Champus — Champus: $335.18 Commonwealth Care Alliance — Commonwealth Care Alliance: $329.82
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$485.35 – $50,000
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,074.81 BCBS Indemnity — BCBS Indemnity: $1,355.09 BCBS Medicare — BCBS Medicare: $8,810.50 BCBS PPO — BCBS PPO: $1,355.09 BMC Hlthnet — BMC Hlthnet: $13,541.89 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,898.60 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,250.81 Element Care North Shore PACE — Element Care North Shore PACE: $8,985.87 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $485.35
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$101.28 – $37,500
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Aetna — Aetna: $902.67 Aetna Medicare Advantage — Aetna Medicare Advantage: $428.89 BCBS Indemnity — BCBS Indemnity: $275.35 BCBS Medicare — BCBS Medicare: $428.89 BCBS PPO — BCBS PPO: $275.35 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $126 BMC Hlthnet — BMC Hlthnet: $101.28 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $433.18 Champus — Champus: $435.86 Commonwealth Care Alliance — Commonwealth Care Alliance: $428.89
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$648.69 – $50,000
Colonoscopy (diagnostic): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,078.40 BCBS Indemnity — BCBS Indemnity: $1,325.43 BCBS Medicare — BCBS Medicare: $8,813.98 BCBS PPO — BCBS PPO: $1,325.43 BMC Hlthnet — BMC Hlthnet: $13,672.54 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,902.12 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,254.46 Element Care North Shore PACE — Element Care North Shore PACE: $8,989.31 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $648.69
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$79.28 – $37,500
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Aetna — Aetna: $809.14 Aetna Medicare Advantage — Aetna Medicare Advantage: $384.45 BCBS Indemnity — BCBS Indemnity: $332.10 BCBS Medicare — BCBS Medicare: $384.45 BCBS PPO — BCBS PPO: $332.10 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $150 BMC Hlthnet — BMC Hlthnet: $134.82 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $388.29 Champus — Champus: $390.70 Commonwealth Care Alliance — Commonwealth Care Alliance: $384.45
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$705.51 – $50,000
Colonoscopy with biopsy: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,120.04 BCBS Indemnity — BCBS Indemnity: $1,743.42 BCBS Medicare — BCBS Medicare: $8,854.41 BCBS PPO — BCBS PPO: $1,743.42 BMC Hlthnet — BMC Hlthnet: $13,672.54 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,942.95 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,296.85 Element Care North Shore PACE — Element Care North Shore PACE: $9,029.26 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $705.51
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$146.58 – $37,500
Colonoscopy with biopsy: 10 of 25 insurance plan rates Aetna — Aetna: $1,030.38 Aetna Medicare Advantage — Aetna Medicare Advantage: $489.57 BCBS Indemnity — BCBS Indemnity: $396.28 BCBS Medicare — BCBS Medicare: $489.57 BCBS PPO — BCBS PPO: $396.28 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $175 BMC Hlthnet — BMC Hlthnet: $146.58 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $494.47 Champus — Champus: $497.53 Commonwealth Care Alliance — Commonwealth Care Alliance: $489.57
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY	Not listed in the file	Not listed in the file	$888.99 – $50,000
Colonoscopy with removal of polyps (snare): 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,120.04 BCBS Indemnity — BCBS Indemnity: $1,743.42 BCBS Medicare — BCBS Medicare: $8,854.41 BCBS PPO — BCBS PPO: $1,743.42 BMC Hlthnet — BMC Hlthnet: $13,672.54 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,942.95 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,296.85 Element Care North Shore PACE — Element Care North Shore PACE: $9,029.26 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $888.99
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LESION REMOVAL COLONOSCOPY	Not listed in the file	Not listed in the file	$185.30 – $37,500
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Aetna — Aetna: $1,069.96 Aetna Medicare Advantage — Aetna Medicare Advantage: $508.37 BCBS Indemnity — BCBS Indemnity: $459.74 BCBS Medicare — BCBS Medicare: $508.37 BCBS PPO — BCBS PPO: $459.74 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $300 BMC Hlthnet — BMC Hlthnet: $185.30 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $513.46 Champus — Champus: $516.64 Commonwealth Care Alliance — Commonwealth Care Alliance: $508.37
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$900.84 – $50,000
Ultrasound of the lower bowel by endoscope: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,120.04 BCBS Indemnity — BCBS Indemnity: $1,743.42 BCBS Medicare — BCBS Medicare: $8,854.41 BCBS PPO — BCBS PPO: $1,743.42 BMC Hlthnet — BMC Hlthnet: $13,672.54 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,942.95 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,296.85 Element Care North Shore PACE — Element Care North Shore PACE: $9,029.26 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $900.84
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$170.83 – $37,500
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates Aetna — Aetna: $472.87 Aetna Medicare Advantage — Aetna Medicare Advantage: $224.68 BCBS Indemnity — BCBS Indemnity: $365.23 BCBS Medicare — BCBS Medicare: $224.68 BCBS PPO — BCBS PPO: $365.23 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $170.83 BMC Hlthnet — BMC Hlthnet: $188.15 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $226.92 Champus — Champus: $228.33 Commonwealth Care Alliance — Commonwealth Care Alliance: $224.68
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,374.60 – $50,000
Gallbladder removal by laparoscope: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,877.22 BCBS Indemnity — BCBS Indemnity: $8,177.74 BCBS Medicare — BCBS Medicare: $9,589.53 BCBS PPO — BCBS PPO: $8,177.74 BMC Hlthnet — BMC Hlthnet: $14,616.14 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,685.43 Champus — Champus: $50,000 CIGNA Healthcare — CIGNA Healthcare: $3,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $10,067.55 Element Care North Shore PACE — Element Care North Shore PACE: $9,755.66
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$420.18 – $37,500
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates Aetna — Aetna: $1,304.71 Aetna Medicare Advantage — Aetna Medicare Advantage: $619.91 BCBS Indemnity — BCBS Indemnity: $803.73 BCBS Medicare — BCBS Medicare: $619.91 BCBS PPO — BCBS PPO: $803.73 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $420.18 BMC Hlthnet — BMC Hlthnet: $487.78 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $626.11 Champus — Champus: $629.99 Commonwealth Care Alliance — Commonwealth Care Alliance: $619.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA	Not listed in the file	Not listed in the file	$1,886.88 – $50,000
Groin (inguinal) hernia repair, age 5 or older: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,492.27 BCBS Indemnity — BCBS Indemnity: $5,244.39 BCBS Medicare — BCBS Medicare: $9,215.80 BCBS PPO — BCBS PPO: $5,244.39 BMC Hlthnet — BMC Hlthnet: $15,183.20 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,307.96 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,675.74 Element Care North Shore PACE — Element Care North Shore PACE: $9,386.36 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,886.88
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REPAIR INGUINAL HERNIA	Not listed in the file	Not listed in the file	$273 – $37,500
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Aetna — Aetna: $1,051.72 Aetna Medicare Advantage — Aetna Medicare Advantage: $499.70 BCBS Indemnity — BCBS Indemnity: $640.26 BCBS Medicare — BCBS Medicare: $499.70 BCBS PPO — BCBS PPO: $640.26 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $273 BMC Hlthnet — BMC Hlthnet: $389.09 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $504.70 Champus — Champus: $507.84 Commonwealth Care Alliance — Commonwealth Care Alliance: $499.70
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$6,880.54 – $50,000
Prostate removal by laparoscope (radical prostatectomy): 10 of 30 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $12,894.81 BCBS Indemnity — BCBS Indemnity: $13,775.27 BCBS Medicare — BCBS Medicare: $12,519.23 BCBS PPO — BCBS PPO: $13,775.27 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $12,644.42 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $13,143.46 Element Care North Shore PACE — Element Care North Shore PACE: $12,739.30 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $12,893.77 Humana Medicare — Humana Medicare: $12,081.06
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$872.42 – $37,500
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates Aetna — Aetna: $2,253.10 Aetna Medicare Advantage — Aetna Medicare Advantage: $1,070.52 BCBS Indemnity — BCBS Indemnity: $2,075.02 BCBS Medicare — BCBS Medicare: $1,070.52 BCBS PPO — BCBS PPO: $2,075.02 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $961.95 BMC Hlthnet — BMC Hlthnet: $872.42 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $1,081.23 Champus — Champus: $1,087.93 Commonwealth Care Alliance — Commonwealth Care Alliance: $1,070.52
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$821.51 – $50,000
Hysteroscopy with biopsy of the uterus lining: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,438.67 BCBS Indemnity — BCBS Indemnity: $4,201.59 BCBS Medicare — BCBS Medicare: $9,163.76 BCBS PPO — BCBS PPO: $4,201.59 BMC Hlthnet — BMC Hlthnet: $14,072.88 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,255.40 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,621.18 Element Care North Shore PACE — Element Care North Shore PACE: $9,334.94 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $821.51
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$170.27 – $37,500
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates Aetna — Aetna: $2,746.19 Aetna Medicare Advantage — Aetna Medicare Advantage: $1,304.80 BCBS Indemnity — BCBS Indemnity: $327.68 BCBS Medicare — BCBS Medicare: $1,304.80 BCBS PPO — BCBS PPO: $327.68 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $170.56 BMC Hlthnet — BMC Hlthnet: $170.27 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $1,317.85 Champus — Champus: $1,326.02 Commonwealth Care Alliance — Commonwealth Care Alliance: $1,304.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$351.57 – $50,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,043.40 BCBS Indemnity — BCBS Indemnity: $1,065.50 BCBS Medicare — BCBS Medicare: $8,780 BCBS PPO — BCBS PPO: $1,065.50 BMC Hlthnet — BMC Hlthnet: $13,057.81 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,867.80 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,218.84 Element Care North Shore PACE — Element Care North Shore PACE: $8,955.74 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $351.57
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$72.85 – $41,655
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates Aetna — Aetna: $588.31 Aetna Medicare Advantage — Aetna Medicare Advantage: $279.52 BCBS Indemnity — BCBS Indemnity: $41,655 BCBS Medicare — BCBS Medicare: $279.52 BCBS PPO — BCBS PPO: $41,655 BMC Hlthnet — BMC Hlthnet: $72.85 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $282.32 Champus — Champus: $284.07 Commonwealth Care Alliance — Commonwealth Care Alliance: $279.52 Element Care North Shore PACE — Element Care North Shore PACE: $284.07
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	Not listed in the file	Not listed in the file	$394.20 – $50,000
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,071.30 BCBS Indemnity — BCBS Indemnity: $1,360.94 BCBS Medicare — BCBS Medicare: $8,807.09 BCBS PPO — BCBS PPO: $1,360.94 BMC Hlthnet — BMC Hlthnet: $13,057.81 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,895.16 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,247.23 Element Care North Shore PACE — Element Care North Shore PACE: $8,982.50 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $394.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ FORAMEN EPIDURAL L/S	Not listed in the file	Not listed in the file	$81.99 – $37,500
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Aetna — Aetna: $569.88 Aetna Medicare Advantage — Aetna Medicare Advantage: $270.77 BCBS Indemnity — BCBS Indemnity: $142.58 BCBS Medicare — BCBS Medicare: $270.77 BCBS PPO — BCBS PPO: $142.58 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $124.70 BMC Hlthnet — BMC Hlthnet: $81.99 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $273.47 Champus — Champus: $275.17 Commonwealth Care Alliance — Commonwealth Care Alliance: $270.77
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,596.87 – $50,000
Carpal tunnel release: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,238.11 BCBS Indemnity — BCBS Indemnity: $2,903.01 BCBS Medicare — BCBS Medicare: $8,969.04 BCBS PPO — BCBS PPO: $2,903.01 BMC Hlthnet — BMC Hlthnet: $13,441.47 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,058.73 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,417.02 Element Care North Shore PACE — Element Care North Shore PACE: $9,142.53 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,596.87
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$200 – $37,500
Carpal tunnel release: 10 of 25 insurance plan rates Aetna — Aetna: $1,022.58 Aetna Medicare Advantage — Aetna Medicare Advantage: $485.86 BCBS Indemnity — BCBS Indemnity: $542.08 BCBS Medicare — BCBS Medicare: $485.86 BCBS PPO — BCBS PPO: $542.08 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $200 BMC Hlthnet — BMC Hlthnet: $335.53 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $490.72 Champus — Champus: $493.76 Commonwealth Care Alliance — Commonwealth Care Alliance: $485.86
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$882.89 – $50,000
Laser treatment of clouding after cataract surgery: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,019.06 BCBS Indemnity — BCBS Indemnity: $882.89 BCBS Medicare — BCBS Medicare: $8,756.37 BCBS PPO — BCBS PPO: $882.89 BMC Hlthnet — BMC Hlthnet: $13,467.48 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $8,843.93 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,194.07 Element Care North Shore PACE — Element Care North Shore PACE: $8,932.39 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,093.78
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$229.66 – $37,500
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates Aetna — Aetna: $718.37 Aetna Medicare Advantage — Aetna Medicare Advantage: $341.32 BCBS Indemnity — BCBS Indemnity: $411.37 BCBS Medicare — BCBS Medicare: $341.32 BCBS PPO — BCBS PPO: $411.37 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $229.66 BMC Hlthnet — BMC Hlthnet: $236.59 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $344.73 Champus — Champus: $346.87 Commonwealth Care Alliance — Commonwealth Care Alliance: $341.32
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS	Not listed in the file	Not listed in the file	$1,909.37 – $50,000
Cataract removal with lens implant: 10 of 34 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $9,293.57 BCBS Indemnity — BCBS Indemnity: $3,411.34 BCBS Medicare — BCBS Medicare: $9,022.88 BCBS PPO — BCBS PPO: $3,411.34 BMC Hlthnet — BMC Hlthnet: $14,083.11 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $9,113.11 Champus — Champus: $50,000 Commonwealth Care Alliance — Commonwealth Care Alliance: $9,473.46 Element Care North Shore PACE — Element Care North Shore PACE: $9,195.73 Harvard Pilgrim Managed Care — Harvard Pilgrim Managed Care: $1,909.37
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE CATARACT/INSERT LENS	Not listed in the file	Not listed in the file	$396.15 – $37,500
Cataract removal with lens implant: 10 of 25 insurance plan rates Aetna — Aetna: $980.91 Aetna Medicare Advantage — Aetna Medicare Advantage: $466.06 BCBS Indemnity — BCBS Indemnity: $833.05 BCBS Medicare — BCBS Medicare: $466.06 BCBS PPO — BCBS PPO: $833.05 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $542.98 BMC Hlthnet — BMC Hlthnet: $407.64 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $470.72 Champus — Champus: $473.64 Commonwealth Care Alliance — Commonwealth Care Alliance: $466.06

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,200 – $37,500
Vaginal delivery, with care before and after: 10 of 25 insurance plan rates Aetna — Aetna: $4,547.92 Aetna Medicare Advantage — Aetna Medicare Advantage: $2,160.86 BCBS Indemnity — BCBS Indemnity: $2,948.74 BCBS Medicare — BCBS Medicare: $2,160.86 BCBS PPO — BCBS PPO: $2,948.74 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $1,200 BMC Hlthnet — BMC Hlthnet: $2,176.78 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $2,182.47 Champus — Champus: $2,196 Commonwealth Care Alliance — Commonwealth Care Alliance: $2,160.86
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$4,257.80 – $50,000
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $5,562.22 BCBS PPO — BCBS PPO: $5,562.22 BMC Hlthnet — BMC Hlthnet: $14,274.75 Champus — Champus: $50,000 Medicaid — Medicaid: $9,453.48 Medicaid Out of State — Medicaid Out of State: $9,453.48 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $9,453.48 Tufts Plan Spirit — Tufts Plan Spirit: $4,257.80 Tufts PPO — Tufts PPO: $5,677.07
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,200 – $37,500
Cesarean delivery (C-section), with care before and after: 10 of 25 insurance plan rates Aetna — Aetna: $5,058.48 Aetna Medicare Advantage — Aetna Medicare Advantage: $2,403.45 BCBS Indemnity — BCBS Indemnity: $2,948.74 BCBS Medicare — BCBS Medicare: $2,403.45 BCBS PPO — BCBS PPO: $2,948.74 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $1,200 BMC Hlthnet — BMC Hlthnet: $2,405.36 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $2,427.48 Champus — Champus: $2,442.54 Commonwealth Care Alliance — Commonwealth Care Alliance: $2,403.45
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$5,197.87 – $50,000
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $41,655 BCBS PPO — BCBS PPO: $41,655 BMC Hlthnet — BMC Hlthnet: $14,627.52 Champus — Champus: $50,000 Medicaid — Medicaid: $9,687.10 Medicaid Out of State — Medicaid Out of State: $9,687.10 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $9,687.10 Tufts Plan Spirit — Tufts Plan Spirit: $5,197.87 Tufts PPO — Tufts PPO: $6,930.49
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,200 – $37,500
Vaginal delivery after a previous C-section, with care before and after: 10 of 25 insurance plan rates Aetna — Aetna: $4,763.36 Aetna Medicare Advantage — Aetna Medicare Advantage: $2,263.23 BCBS Indemnity — BCBS Indemnity: $2,948.74 BCBS Medicare — BCBS Medicare: $2,263.23 BCBS PPO — BCBS PPO: $2,948.74 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $1,200 BMC Hlthnet — BMC Hlthnet: $2,281.10 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $2,285.86 Champus — Champus: $2,300.03 Commonwealth Care Alliance — Commonwealth Care Alliance: $2,263.23
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$5,197.87 – $50,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates Aetna Medicare Advantage — Aetna Medicare Advantage: $11,750 BCBS Indemnity — BCBS Indemnity: $41,655 BCBS PPO — BCBS PPO: $41,655 BMC Hlthnet — BMC Hlthnet: $14,274.75 Champus — Champus: $50,000 Medicaid — Medicaid: $9,453.48 Medicaid Out of State — Medicaid Out of State: $9,453.48 Neighborhood Health Medicaid — Neighborhood Health Medicaid: $9,453.48 Tufts Plan Spirit — Tufts Plan Spirit: $5,197.87 Tufts PPO — Tufts PPO: $6,930.49

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	$1,700 – $155,546.52
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates Aetna — Aetna: $155,546.52 Aetna Medicare Advantage — Aetna Medicare Advantage: $127,365.14 BCBS Medicare — BCBS Medicare: $123,655.48 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $27,713.20 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $124,892.03 CIGNA Healthcare — CIGNA Healthcare: $1,700 Commonwealth Care Alliance — Commonwealth Care Alliance: $129,838.25 Element Care North Shore PACE — Element Care North Shore PACE: $6,259.71 Fallon — Fallon: $4,054.55 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $127,365.14
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	$1,700 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 19 insurance plan rates Aetna — Aetna: $79,728.89 Aetna Medicare Advantage — Aetna Medicare Advantage: $33,798.79 BCBS Medicare — BCBS Medicare: $32,814.36 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $33,142.51 CIGNA Healthcare — CIGNA Healthcare: $1,700 Commonwealth Care Alliance — Commonwealth Care Alliance: $34,455.08 Element Care North Shore PACE — Element Care North Shore PACE: $6,259.71 Fallon — Fallon: $4,054.55 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $33,798.79 Humana Medicare — Humana Medicare: $31,665.86
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	$1,700 – $30,669.51
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates Aetna — Aetna: $30,669.51 Aetna Medicare Advantage — Aetna Medicare Advantage: $17,997.92 BCBS Medicare — BCBS Medicare: $17,473.71 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $5,464.28 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $17,648.45 CIGNA Healthcare — CIGNA Healthcare: $1,700 Commonwealth Care Alliance — Commonwealth Care Alliance: $18,347.39 Element Care North Shore PACE — Element Care North Shore PACE: $6,259.71 Fallon — Fallon: $4,054.55 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $17,997.92
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	Not listed in the file	$1,700 – $38,816.67
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates Aetna — Aetna: $38,816.67 Aetna Medicare Advantage — Aetna Medicare Advantage: $22,680.61 BCBS Medicare — BCBS Medicare: $22,020.01 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $6,915.84 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $22,240.21 CIGNA Healthcare — CIGNA Healthcare: $1,700 Commonwealth Care Alliance — Commonwealth Care Alliance: $23,121.01 Element Care North Shore PACE — Element Care North Shore PACE: $6,259.71 Fallon — Fallon: $4,054.55 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $22,680.61
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	$1,700 – $19,727.13
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates Aetna — Aetna: $19,727.13 Aetna Medicare Advantage — Aetna Medicare Advantage: $11,708.65 BCBS Medicare — BCBS Medicare: $11,367.62 BMC Healthnet Well Sense — BMC Healthnet Well Sense: $3,514.72 BMC WellSense Senior Care Options — BMC WellSense Senior Care Options: $11,481.29 CIGNA Healthcare — CIGNA Healthcare: $1,700 Commonwealth Care Alliance — Commonwealth Care Alliance: $11,936 Element Care North Shore PACE — Element Care North Shore PACE: $6,259.71 Fallon — Fallon: $4,054.55 Harvard Pilgrim Medicare Managed Care — Harvard Pilgrim Medicare Managed Care: $11,708.65

Source: Merrimack Health Lawrence Hospital’s standard charges file (mhlawrencehospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 29, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	One General Street, Lawrence, MA 01841
County	Essex County
State	Massachusetts
Phone	(978) 683‑4000
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	220010
Name in Medicare records	MERRIMACK HEALTH LAWRENCE HOSPITAL
Profile level	Medicare data + hospital website
Official website	mhlawrencehospital.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.

Merrimack Health Lawrence Hospital — mhlawrencehospital.org
Emergency Care — mhlawrencehospital.org
Visiting Hours — mhlawrencehospital.org
Directions and Parking — mhlawrencehospital.org
Interpreter Services — mhlawrencehospital.org