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Acute Care Hospital

MH St Elizabeth Youngstown Hospital

Youngstown, Ohio · Mahoning County · Emergency services listed

Summary

MH St Elizabeth Youngstown Hospital is an acute care hospital in Youngstown, Ohio. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 31 services, specialties and programs. Medicare lists 1,034 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(330) 480‑3022 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
1,034Doctors and clinicians
31Services listed

Quick answers

Does MH St Elizabeth Youngstown Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at MH St Elizabeth Youngstown Hospital. In a medical emergency, call 911.
Where is MH St Elizabeth Youngstown Hospital?
1044 Belmont Avenue, Youngstown, OH 44501, in Mahoning County, Ohio.
What is the phone number of MH St Elizabeth Youngstown Hospital?
(330) 480-3022, as listed by Medicare (CMS).
What is the Medicare star rating of MH St Elizabeth Youngstown Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4][6][9]

Treatments[4]

Procedures[4]

  • Percutaneous coronary intervention (PCI)

Programs and centers[4][5][7][8][9]

  • Heart and Vascular Institute
  • Stroke care
  • Joint care
  • Breast Care Center
  • Emergency department
  • Cancer center
  • Diabetes education services
  • Inpatient acute rehabilitation unit
  • Preventive eye care

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I
Stroke designationPrimary Stroke Center

Recognition[4][9][10]

  • Full Chest Pain Center accreditation with PCI capabilities
  • American College of Surgeons NAPBC accreditation for breast centers
  • American College of Surgeons Commission on Cancer Integrated Network Cancer Program
  • The Joint Commission and CARF accreditation of inpatient rehabilitation unit

Doctors and clinicians (1,034)

1,034 doctors and other clinicians list MH St Elizabeth Youngstown 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

Doctors with a page on this site (1,034)

And 1,010 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What MH St Elizabeth Youngstown 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 hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1057%National average: 72%
Would definitely recommend the hospital54%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean60%National average: 74%
Area around the room “always” quiet at night43%National average: 60%
Completed surveys1,055Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.088Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.203Better than the national benchmark
Surgical site infections after colon surgery2.062No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.456No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.207Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.5%
Deaths within 30 days: heart failure patients11.7%
Deaths within 30 days: pneumonia patients18.1%
Deaths within 30 days: COPD patients8.2%
Deaths within 30 days: stroke patients9.6%
Deaths within 30 days: coronary bypass surgery (CABG)2.1%
Serious complications (patient safety indicator PSI-90)0.9No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.6%
Readmitted within 30 days: heart failure24%
Readmitted within 30 days: pneumonia19.9%
Readmitted within 30 days: COPD21.7%
Readmitted within 30 days: coronary bypass surgery10.6%
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)205 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)44%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 OhioBest hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 36 common services exactly as MH St Elizabeth Youngstown 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 →

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel Calcium Total $139 $83.40 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: HC Basic Metabolic Panel Calcium Total|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $139 $83.40 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier ADJ In the file: HC Basic Metabolic Panel Calcium Total|ADJ $139 $83.40 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Metabolic Panel $211 $126.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier ADJ In the file: HC Comprehensive Metabolic Panel|ADJ $211 $126.60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier XU In the file: HC Comprehensive Metabolic Panel|UNUSUAL NON-OVERLAPPING SERVICE $211 $126.60 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel $128 $76.80 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC So Lipid Panel $114 $68.40 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC So1 Lipid Panel $230 $138 Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel $228 $136.80 Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier ADJ In the file: HC Renal Function Panel|ADJ $228 $136.80 Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel $211 $126.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis W/ Microscopy $71 $42.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 91 In the file: HC Urinalysis W/ Microscopy|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $71 $42.60 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier ADJ In the file: HC Urinalysis W/ Microscopy|ADJ $71 $42.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Non-Auto,Urine W/O Microscopy $26 $15.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier PBB In the file: HC Non-Auto,Urine W/O Microscopy|PBB CHARGE $26 $15.60 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis, Auto, W/O Scope $57 $34.20 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier XU In the file: HC Urinalysis, Auto, W/O Scope|UNUSUAL NON-OVERLAPPING SERVICE $57 $34.20 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Assay of Prostate Specific Antigen Total $117 $70.20 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC So Assay of Psa Total $40 $24 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC So1 Assay of Psa Total $66 $39.60 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stimulating Hormone $158 $94.80 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC So Tsh 3rd Generation $70 $42 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC So Tsh 3rd Generation $70 $42 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc $190 $114 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier XU In the file: HC Cbc|UNUSUAL NON-OVERLAPPING SERVICE $190 $114 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc (Hemogram) $111 $66.60 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier ADJ In the file: HC Cbc (Hemogram)|ADJ $111 $66.60 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: HC Cbc (Hemogram)|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $111 $66.60 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time $88 $52.80 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC So Prothrombin Time $72 $43.20 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier GZ In the file: HC Prothrombin Time|NOT REASONABLE AND NECESSARY $88 $52.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC So1 Ptt $48 $28.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC So Ptt $68 $40.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt $84 $50.40 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Brain W/O Contrast $1,424 $854.40 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier XU In the file: HC CT Brain W/O Contrast|UNUSUAL NON-OVERLAPPING SERVICE $1,424 $854.40 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC X-Ray Exam Chest 2 Views $206 $123.60 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC X-Ray Exam Chest 2 Views $744 $446.40 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier XU In the file: HC X-Ray Exam Chest 2 Views|UNUSUAL NON-OVERLAPPING SERVICE $206 $123.60 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC L-Spine Min 4 Views $1,374 $824.40 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier XU In the file: HC L-Spine Min 4 Views|UNUSUAL NON-OVERLAPPING SERVICE $1,374 $824.40 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W/ Contrast $1,948 $1,168.80 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT Abd/Pel W Cont $3,235 $1,941 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT Abd/Pel W Cont $2,920 $1,752 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier XU In the file: HC CT Abd/Pel W Cont|UNUSUAL NON-OVERLAPPING SERVICE $3,235 $1,941 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier RT In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|RIGHT SIDE $22,847.50 $13,708.50 $3,787.35
Removal of breast growth (open surgery): rates for 3 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $3,787.35
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,787.35
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,787.35
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier LT In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|LEFT SIDE $21,689.32 $13,013.59 $3,787.35
Removal of breast growth (open surgery): rates for 2 insurance plans
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,787.35
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,787.35
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier RT In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT SIDE $67,591.17 $40,554.70 $12,418.69
Total hip replacement: rates for 3 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $12,418.69
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $12,418.69
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $12,418.69
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier LT In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT SIDE $78,389.60 $47,033.76 $12,418.69
Total hip replacement: rates for 3 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $12,418.69
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $12,418.69
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $12,418.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier RT In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT SIDE $70,633.68 $42,380.21 $12,418.69 – $12,667.06
Total knee replacement: rates for 5 insurance plans
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $12,667.06
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $12,418.69
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $12,418.69
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $12,418.69
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $12,418.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier LT In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT SIDE $71,987.77 $43,192.66 $12,418.69 – $12,667.06
Total knee replacement: rates for 4 insurance plans
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $12,667.06
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $12,418.69
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $12,418.69
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $12,418.69
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier XS|LT In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|SEPARATE STRUCTURE|LEFT SIDE $40,775.10 $24,465.06 $7,018.84
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $7,018.84
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $7,018.84
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $7,018.84
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $7,018.84
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC Egd Diagnostic Brush Wash $6,679 $4,007.40 $877.31 – $894.86
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $877.31
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $877.31
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $894.86
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $877.31
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $877.31
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $877.31
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $877.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: HC Egd Diagnostic Brush Wash|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $8,446.32 $5,067.79 $877.31 – $894.86
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $877.31
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $877.31
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $894.86
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $877.31
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $877.31
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $877.31
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $877.31
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $877.31
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple $11,179.60 $6,707.76 $877.31 – $894.86
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $877.31
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $877.31
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $894.86
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $877.31
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $877.31
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $877.31
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $877.31
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $877.31
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XU In the file: Egd Transoral Biopsy Single/Multiple|UNUSUAL NON-OVERLAPPING SERVICE $11,761.30 $7,056.78 $1,856.13 – $1,893.26
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,856.13
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,856.13
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,893.26
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,856.13
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,856.13
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,856.13
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,856.13
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,856.13
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XS In the file: Egd Transoral Biopsy Single/Multiple|SEPARATE STRUCTURE $15,680.43 $9,408.26 $1,856.13
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,856.13
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,856.13
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,856.13
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,856.13
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,856.13
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,856.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $10,523.70 $6,314.22 $899.54 – $917.53
Colonoscopy (diagnostic): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $899.54
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $899.54
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $917.53
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $899.54
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $899.54
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $899.54
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $899.54
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 33 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|PREVENTIVE SERVICES $7,893.60 $4,736.16 $899.54 – $917.53
Colonoscopy (diagnostic): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $899.54
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $899.54
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $917.53
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $899.54
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $899.54
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $899.54
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $899.54
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 52 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|REDUCED SERVICES $11,095 $6,657 $899.54 – $917.53
Colonoscopy (diagnostic): rates for 5 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $899.54
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $899.54
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $917.53
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $899.54
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $899.54
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple $12,059 $7,235.40 $1,157.50 – $1,180.65
Colonoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,157.50
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,157.50
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,180.65
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,157.50
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,157.50
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,157.50
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,157.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier XS|PT In the file: Colonoscopy W/Biopsy Single/Multiple|SEPARATE STRUCTURE|COLORECTAL CANCER SCREEN $10,856.70 $6,514.02 $1,157.50 – $1,180.65
Colonoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,157.50
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,157.50
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,180.65
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,157.50
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,157.50
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,157.50
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,157.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier XS In the file: Colonoscopy W/Biopsy Single/Multiple|SEPARATE STRUCTURE $16,079.60 $9,647.76 $1,157.50 – $1,180.65
Colonoscopy with biopsy: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,157.50
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,157.50
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,180.65
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,157.50
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,157.50
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,157.50
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,157.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $13,341.70 $8,005.02 $1,157.50
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,157.50
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,157.50
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,157.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT|KX In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|COLORECTAL CANCER SCREEN|DOCUMENTATION ON FILE $11,633.60 $6,980.16 $1,157.50
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,157.50
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,157.50
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,157.50
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,157.50
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,157.50
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,157.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT|XS In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|COLORECTAL CANCER SCREEN|SEPARATE STRUCTURE $16,583.28 $9,949.97 $2,684.86 – $2,738.56
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $2,684.86
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $2,684.86
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $2,738.56
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $2,684.86
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $2,684.86
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $2,684.86
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $2,684.86
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon Ca Scrn Not Hi Rsk Ind $8,386.90 $5,032.14 $899.54 – $917.53
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $899.54
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $917.53
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $899.54
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $899.54
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $899.54
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $899.54
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 74|KX In the file: Colon Ca Scrn Not Hi Rsk Ind|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA| $7,296.30 $4,377.78 $899.54 – $917.53
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $899.54
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $899.54
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $917.53
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $899.54
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $899.54
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $899.54
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $899.54
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $899.54
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 74 In the file: Colon Ca Scrn Not Hi Rsk Ind|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $7,258.90 $4,355.34 $899.54 – $917.53
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $899.54
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $899.54
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $917.53
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $899.54
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $899.54
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $899.54
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $899.54
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $899.54
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy $37,933.13 $22,759.88 $5,847.76 – $5,964.71
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $5,847.76
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $5,964.71
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $5,847.76
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $5,847.76
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $5,847.76
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $5,847.76
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 22 In the file: Laparoscopy Surg Cholecystectomy|UNUSUAL PROCEDURAL SERVICES $53,554.23 $32,132.54 $5,847.76
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $5,847.76
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $5,847.76
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $5,847.76
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $5,847.76
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $5,847.76
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $5,847.76
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier LT In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|LEFT SIDE $28,548.72 $17,129.23 $3,463.27 – $3,532.54
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $3,463.27
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,463.27
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $3,532.54
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $3,463.27
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $3,463.27
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,463.27
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $3,463.27
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,463.27
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier RT In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|RIGHT SIDE $31,818.72 $19,091.23 $3,463.27 – $3,532.54
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $3,463.27
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $3,463.27
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $3,532.54
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $3,463.27
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $3,463.27
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $3,463.27
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $3,463.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $2,897 $1,738.20 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier XU In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn|UNUSUAL NON-OVERLAPPING SERVICE $2,897 $1,738.20 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier RT In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|RIGHT SIDE $14,113.60 $8,468.16 $1,888.85 – $1,926.62
Carpal tunnel release: rates for 7 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,888.85
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,926.62
  • HUMANA MEDICARE [1010] — HUMANA CHOICE-PPO MEDICARE [101003]: $1,888.85
  • HUMANA MEDICARE [1010] — HUMANA GOLD PLUS HMO [101001]: $1,888.85
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,888.85
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,888.85
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,888.85
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|BILATERAL PROCEDURE $14,806.20 $8,883.72 $1,888.85 – $1,926.62
Carpal tunnel release: rates for 6 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,888.85
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $1,888.85
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,926.62
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,888.85
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,888.85
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,888.85
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier LT In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT SIDE $14,497.70 $8,698.62 $1,888.85 – $1,926.62
Carpal tunnel release: rates for 5 insurance plans
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $1,888.85
  • CARESOURCE MYCARE OHIO [4236] — CARESOURCE MYCARE OHIO DUAL [4236001]: $1,926.62
  • UHC MEDICARE [1011] — UHC AARP MEDICARE ADVANTAGE [1011017]: $1,888.85
  • UHC MEDICARE [1011] — UHC MEDICARE COMPLETE [44]: $1,888.85
  • UHC MEDICARE [1011] — UNITEDHEALTHCARE DUAL COMPLETE [1011009]: $1,888.85

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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 $69,595.28 – $197,681.04
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 35 insurance plan rates
  • AETNA [3004] — AETNA [3004001]: $197,681.04
  • AETNA [3004] — AETNA NAP CHOICE POS II [3004025]: $197,681.04
  • AETNA BETTER HEALTH OF OHIO DUAL [4239] — AETNA BETTER HEALTH OF OHIO DUAL [4239001]: $69,595.28
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $69,595.28
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $69,595.28
  • BCBS [3123] — BCBS OUT OF STATE [3123021]: $152,660.59
  • BCBS MEDICARE [1006] — ANTHEM DUAL ADVANTAGE [1005003]: $69,595.28
  • BCBS MEDICARE [1006] — ANTHEM MEDIBLUE ESSENTIAL/PLUS [1005001]: $69,595.28
  • BUCKEYE [4178] — BUCKEYE AMBETTER ACA [4178001]: $120,751.60
  • BUCKEYE MYCARE BENEFITS [4237] — ALLWELL FROM BUCKEYE HEALTH PLAN [4237002]: $69,595.28
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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 $14,179.25 – $35,740.59
Hip or knee replacement (major joint of the leg), without major complications: 10 of 43 insurance plan rates
  • AETNA [3004] — AETNA [3004001]: $27,872
  • AETNA [3004] — AETNA NAP CHOICE POS II [3004025]: $27,872
  • AETNA BETTER HEALTH OF OHIO DUAL [4239] — AETNA BETTER HEALTH OF OHIO DUAL [4239001]: $14,179.25
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $14,179.25
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $14,179.25
  • BCBS [3123] — BCBS OUT OF STATE [3123021]: $35,740.59
  • BCBS MEDICARE [1006] — ANTHEM DUAL ADVANTAGE [1005003]: $14,179.25
  • BCBS MEDICARE [1006] — ANTHEM MEDIBLUE ESSENTIAL/PLUS [1005001]: $14,179.25
  • BUCKEYE [4178] — BUCKEYE AMBETTER ACA [4178001]: $24,517.20
  • BUCKEYE MYCARE BENEFITS [4237] — ALLWELL FROM BUCKEYE HEALTH PLAN [4237002]: $14,179.25
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $17,794.68 – $56,906
Neck (cervical) spinal fusion, without complications: 10 of 43 insurance plan rates
  • AETNA [3004] — AETNA [3004001]: $56,906
  • AETNA [3004] — AETNA NAP CHOICE POS II [3004025]: $56,906
  • AETNA BETTER HEALTH OF OHIO DUAL [4239] — AETNA BETTER HEALTH OF OHIO DUAL [4239001]: $17,794.68
  • AETNA MEDICARE [1003] — AETNA MEDICARE ADVANTAGE HMO [103003]: $17,794.68
  • AETNA MEDICARE [1003] — AETNA MEDICARE-ADVANTAGE PPO [103002]: $17,794.68
  • BCBS [3123] — BCBS OUT OF STATE [3123021]: $45,234.85
  • BCBS MEDICARE [1006] — ANTHEM DUAL ADVANTAGE [1005003]: $17,794.68
  • BCBS MEDICARE [1006] — ANTHEM MEDIBLUE ESSENTIAL/PLUS [1005001]: $17,794.68
  • BUCKEYE [4178] — BUCKEYE AMBETTER ACA [4178001]: $30,795.69
  • BUCKEYE MYCARE BENEFITS [4237] — ALLWELL FROM BUCKEYE HEALTH PLAN [4237002]: $17,794.68

Source: MH St Elizabeth Youngstown Hospital’s standard charges file (mercy.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1044 Belmont Avenue, Youngstown, OH 44501
CountyMahoning County
StateOhio
Phone(330) 480‑3022
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating3 of 5 stars
CMS Certification Number360064
Name in Medicare recordsMH ST ELIZABETH YOUNGSTOWN HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(330) 746‑7211[4][5]
Name on the hospital’s websiteMercy Health - St. Elizabeth Youngstown Hospital
Official websiteadmin.mercy.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Mercy Health - St. Elizabeth Youngstown Hospital — admin.mercy.com
  2. Mercy Health - St. Elizabeth Youngstown Hospital Emergency Department — admin.mercy.com
  3. Mercy Health — Youngstown Stroke Care | Mercy Health — admin.mercy.com
  4. Mercy Health — Diabetes Education Services, St. Elizabeth Youngstown Hospital | Mercy Health — admin.mercy.com
  5. Mercy Health — St. Elizabeth Youngstown Cancer Center | Mercy Health — admin.mercy.com
  6. Mercy Health — St. Elizabeth Youngstown Acute Rehabilitation | Mercy Health — admin.mercy.com
  7. Joanie Abdu Comprehensive Breast Care Center | Mercy Health — admin.mercy.com