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Acute Care Hospital

Mon Health Medical Center

Morgantown, West Virginia · Monongalia County · Emergency services listed

Summary

Mon Health Medical Center is an acute care hospital in Morgantown, West Virginia. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 69 services, specialties and programs. Medicare lists 426 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(304) 598‑1200 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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
189Beds (hospital website)
426Doctors and clinicians
69Services listed

Quick answers

Does Mon Health Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Mon Health Medical Center. In a medical emergency, call 911.
Where is Mon Health Medical Center?
1200 JD Anderson Drive, Morgantown, WV 26505, in Monongalia County, West Virginia.
What is the phone number of Mon Health Medical Center?
(304) 598-1200, as listed by Medicare (CMS).
What is the Medicare star rating of Mon Health Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][6][7][8][9]

Conditions treated[6][7]

Treatments[6][8]

Procedures[4][6][9]

  • Transcatheter aortic valve replacement (TAVR)
  • WATCHMAN left atrial appendage closure
  • Percutaneous closure of patent foramen ovale
  • Atrial septal defect closure
  • Carotid stent / carotid endarterectomy
  • Percutaneous coronary intervention
  • PCI with Impella support
  • Electrophysiology (EP) study
  • EP ablation
  • Implantable loop recorder
  • Tilt table test
  • Peripheral angiogram
  • Peripheral angioplasty and stent
  • Mitral valve therapies
  • Abdominal surgery
  • Breast surgery
  • Colon surgery
  • Gallbladder surgery

Programs and centers[5][7]

  • Mon Health Cancer Center
  • Mon Health Heart & Vascular Center
  • Center for Cardiac Care
  • Mon Health Family Birth Center
  • Women's Imaging Center
  • Endoscopy Center
  • Orthopedic Center
  • Ambulatory Surgery Center

Emergency care (hospital website)[5][11]

Emergency roomYes

Visiting and practical information

VisitingVisitors welcome 24/7 in non-restricted areas, two at a time; postpartum 8 AM-9 PM; ED entrance used 7 PM-5 AM weekdays, 7 PM-7 AM weekends[11]
Patient portalMyMonHealth

Recognition[5][10]

  • Joint Commission accreditation
  • Commission on Cancer (ACS) Comprehensive Community Cancer Program accreditation

Doctors and clinicians (426)

426 doctors and other clinicians list Mon Health Medical Center 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 (426)

And 402 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 Mon Health Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night57%National average: 60%
Completed surveys1,367Response rate: 23%

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)0Better than the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.664No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.545Better 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 patients12.6%
Deaths within 30 days: heart failure patients10.8%
Deaths within 30 days: pneumonia patients16.7%
Deaths within 30 days: COPD patients9.2%
Deaths within 30 days: stroke patients9.5%
Deaths within 30 days: coronary bypass surgery (CABG)2.3%
Serious complications (patient safety indicator PSI-90)0.85No different from the national rate
Complications after hip or knee replacement5%

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 attack14.9%
Readmitted within 30 days: heart failure21.4%
Readmitted within 30 days: pneumonia19%
Readmitted within 30 days: COPD19.5%
Readmitted within 30 days: coronary bypass surgery11.4%
Readmitted within 30 days: hip or knee replacement6.1%

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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)185 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)86%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 MorgantownBest hospitals in West Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Mon Health Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203-PF Office/OP New SF MDM 30 Minutes $173.32 $86.66 $54.25 – $156.50
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $72.11
  • ACPN_PLAN — COMMERCIAL: $155.99
  • AETNA_MEDICARE_PLAN — MEDICARE: $72.11
  • CIGNA_PLAN — COMMERCIAL: $154.10
  • GATEWAY_HEALTH_PLAN — MEDICAID: $54.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $72.11
  • GEHA_PLAN — MEDICARE: $69.33
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $79.46
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $78.40
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $72.11
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier PN In the file: 99203- Office/OP New SF MDM 30 Minutes $304.13 $152.06 $194.22 – $295.01
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $194.22
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $239.20
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $271.68
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier PN In the file: 99203- Office/OP New SF 30 Minutes $304.13 $152.06 $212.89 – $295.01
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
  • MON_COUNTY_COMMISSION_PLAN — COMMERCIAL: $273.72
  • MULTIPLAN_PHCS_PLAN — COMMERCIAL: $288.92
  • MUTUAL_OF_OMAHA_PLAN — COMMERCIAL: $288.92
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204-PF Office/OP New SF MDM 45 Minutes $281.28 $140.64 $90.37 – $253.15
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $117.47
  • ACPN_PLAN — COMMERCIAL: $253.15
  • AETNA_MEDICARE_PLAN — MEDICARE: $117.47
  • CIGNA_PLAN — COMMERCIAL: $237.94
  • GATEWAY_HEALTH_PLAN — MEDICAID: $90.37
  • GEHA_MEDICARE_PLAN — MEDICARE: $117.47
  • GEHA_PLAN — MEDICARE: $112.51
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $129.01
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $134.09
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $117.47
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier PN In the file: 99204- Office/OP New SF MDM 45 Minutes $304.13 $152.06 $194.22 – $295.01
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $194.22
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $239.20
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $271.68
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier PN In the file: 99204- Office/OP New SF 45 Minutes $304.13 $152.06 $212.89 – $295.01
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
  • MON_COUNTY_COMMISSION_PLAN — COMMERCIAL: $273.72
  • MULTIPLAN_PHCS_PLAN — COMMERCIAL: $288.92
  • MUTUAL_OF_OMAHA_PLAN — COMMERCIAL: $288.92
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205-PF Office/OP New SF MDM 60 Minutes $382.35 $191.18 $117.54 – $344.12
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $161.39
  • ACPN_PLAN — COMMERCIAL: $344.12
  • AETNA_MEDICARE_PLAN — MEDICARE: $161.39
  • CIGNA_PLAN — COMMERCIAL: $301.45
  • GATEWAY_HEALTH_PLAN — MEDICAID: $117.54
  • GEHA_MEDICARE_PLAN — MEDICARE: $161.39
  • GEHA_PLAN — MEDICARE: $152.94
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $175.35
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $175.13
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $161.39
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier PN In the file: 99205- Office/OP New SF MDM 60 Minutes $304.13 $152.06 $194.22 – $295.01
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $194.22
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $239.20
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $271.68
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier PN In the file: 99205-Office/OP New SF 60 Minutes $304.13 $152.06 $212.89 – $295.01
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
  • MON_COUNTY_COMMISSION_PLAN — COMMERCIAL: $273.72
  • MULTIPLAN_PHCS_PLAN — COMMERCIAL: $288.92
  • MUTUAL_OF_OMAHA_PLAN — COMMERCIAL: $288.92
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213-PF Office/OP Est SF MDM 20 Minutes $138.40 $69.20 $35 – $124.56
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $57.30
  • ACPN_PLAN — COMMERCIAL: $124.56
  • AETNA_MEDICARE_PLAN — MEDICARE: $57.30
  • CIGNA_PLAN — COMMERCIAL: $106.95
  • GATEWAY_HEALTH_PLAN — MEDICAID: $35
  • GEHA_MEDICARE_PLAN — MEDICARE: $57.30
  • GEHA_PLAN — MEDICARE: $55.36
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $63.51
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $53.12
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $57.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier PN In the file: 99213- Office/OP Est SF MDM 20 Minutes $304.13 $152.06 $194.22 – $295.01
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $194.22
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $239.20
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $271.68
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier PN In the file: 99213- Office/OP Est SF 20 Minutes $304.13 $152.06 $212.89 – $295.01
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
  • MON_COUNTY_COMMISSION_PLAN — COMMERCIAL: $273.72
  • MULTIPLAN_PHCS_PLAN — COMMERCIAL: $288.92
  • MUTUAL_OF_OMAHA_PLAN — COMMERCIAL: $288.92
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214-PF Office/OP Est Mod MDM 30 Minutes $203.85 $101.92 $54.42 – $183.47
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $84.46
  • ACPN_PLAN — COMMERCIAL: $183.47
  • AETNA_MEDICARE_PLAN — MEDICARE: $84.46
  • CIGNA_PLAN — COMMERCIAL: $155.69
  • GATEWAY_HEALTH_PLAN — MEDICAID: $54.42
  • GEHA_MEDICARE_PLAN — MEDICARE: $84.46
  • GEHA_PLAN — MEDICARE: $81.54
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $93.57
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $81.70
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $84.46
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier PN In the file: 99214-Office outpatient visit est Moderate or 30 39 minutes $304.13 $152.06 $194.22 – $295.01
Established patient office visit (about 30–39 minutes): 10 of 36 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $84.46
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_MEDICARE_PLAN — MEDICARE: $84.46
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GATEWAY_HEALTH_PLAN — MEDICAID: $54.42
  • GEHA_MEDICARE_PLAN — MEDICARE: $84.46
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $93.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier PN In the file: 99214 -Office/OP Est Mod MDM 30 Minutes $304.13 $152.06 $194.22 – $295.01
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $273.72
  • AETNA_PLAN — COMMERCIAL: $243.30
  • CIGNA_PLAN — COMMERCIAL: $273.72
  • GEHA_PLAN — MEDICARE: $295.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $279.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $194.22
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $239.20
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $271.68
  • HUMANA_PLAN — MEDICARE: $273.72
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $212.89
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: 99244-PF Office Consult New/Est PT Mod MDM Level 4 (40 min) $603.67 $301.83 $120.56 – $543.30
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $131.06
  • ACPN_PLAN — COMMERCIAL: $543.30
  • AETNA_MEDICARE_PLAN — MEDICARE: $131.06
  • CIGNA_PLAN — COMMERCIAL: $270.93
  • GATEWAY_HEALTH_PLAN — MEDICAID: $120.56
  • GEHA_MEDICARE_PLAN — MEDICARE: $131.06
  • GEHA_PLAN — MEDICARE: $241.47
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $128.92
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $194.59
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $131.06
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · modifier PN In the file: 99244-Office Consult New/Est PT Mod MDM Level 4 (40 min) $321.42 $160.71 $205.27 – $311.78
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $289.28
  • AETNA_PLAN — COMMERCIAL: $257.14
  • CIGNA_PLAN — COMMERCIAL: $289.28
  • GEHA_PLAN — MEDICARE: $311.78
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $295.71
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $205.27
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $252.80
  • HUMANA_PLAN — MEDICARE: $289.28
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $224.99
  • MON_COUNTY_COMMISSION_PLAN — COMMERCIAL: $289.28
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emer Room Moderate $2,096.04 $1,048.02 $35 – $2,033.16
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $264.04
  • ACPN_PLAN — COMMERCIAL: $1,886.44
  • AETNA_MEDICARE_PLAN — MEDICARE: $264.04
  • AETNA_PLAN — COMMERCIAL: $1,676.83
  • CIGNA_PLAN — COMMERCIAL: $1,886.44
  • GATEWAY_HEALTH_PLAN — MEDICAID: $38.50
  • GEHA_MEDICARE_PLAN — MEDICARE: $264.04
  • GEHA_PLAN — MEDICARE: $2,033.16
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,928.36
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $264.04
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY $2,096.04 $1,048.02 $35 – $2,033.16
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $264.04
  • ACPN_PLAN — COMMERCIAL: $1,886.44
  • AETNA_MEDICARE_PLAN — MEDICARE: $264.04
  • AETNA_PLAN — COMMERCIAL: $1,676.83
  • CIGNA_PLAN — COMMERCIAL: $1,886.44
  • GATEWAY_HEALTH_PLAN — MEDICAID: $38.50
  • GEHA_MEDICARE_PLAN — MEDICARE: $264.04
  • GEHA_PLAN — MEDICARE: $2,033.16
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,928.36
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $264.04
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: OB Triage Level Assignment -> Level 3 (OB Triage) $2,096.04 $1,048.02 $35 – $2,033.16
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $264.04
  • ACPN_PLAN — COMMERCIAL: $1,886.44
  • AETNA_MEDICARE_PLAN — MEDICARE: $264.04
  • AETNA_PLAN — COMMERCIAL: $1,676.83
  • CIGNA_PLAN — COMMERCIAL: $1,886.44
  • GATEWAY_HEALTH_PLAN — MEDICAID: $38.50
  • GEHA_MEDICARE_PLAN — MEDICARE: $264.04
  • GEHA_PLAN — MEDICARE: $2,033.16
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,928.36
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $264.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emer Room Intermediate $3,223.43 $1,611.71 $50 – $3,126.73
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $403.61
  • ACPN_PLAN — COMMERCIAL: $2,901.09
  • AETNA_MEDICARE_PLAN — MEDICARE: $403.61
  • AETNA_PLAN — COMMERCIAL: $2,578.74
  • CIGNA_PLAN — COMMERCIAL: $2,901.09
  • GATEWAY_HEALTH_PLAN — MEDICAID: $55
  • GEHA_MEDICARE_PLAN — MEDICARE: $403.61
  • GEHA_PLAN — MEDICARE: $3,126.73
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,965.56
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $403.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: OB Triage Level Assignment -> Level 4 (OB Triage) $3,223.43 $1,611.71 $50 – $3,126.73
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $403.61
  • ACPN_PLAN — COMMERCIAL: $2,901.09
  • AETNA_MEDICARE_PLAN — MEDICARE: $403.61
  • AETNA_PLAN — COMMERCIAL: $2,578.74
  • CIGNA_PLAN — COMMERCIAL: $2,901.09
  • GATEWAY_HEALTH_PLAN — MEDICAID: $55
  • GEHA_MEDICARE_PLAN — MEDICARE: $403.61
  • GEHA_PLAN — MEDICARE: $3,126.73
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,965.56
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $403.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284-PF Emer Room Intermediate $260.70 $130.35 $50 – $242.60
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $121.30
  • ACPN_PLAN — COMMERCIAL: $234.63
  • AETNA_MEDICARE_PLAN — MEDICARE: $121.30
  • CIGNA_PLAN — COMMERCIAL: $182.39
  • GATEWAY_HEALTH_PLAN — MEDICAID: $50
  • GEHA_MEDICARE_PLAN — MEDICARE: $121.30
  • GEHA_PLAN — MEDICARE: $104.28
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $119.46
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $149.80
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $121.30
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emer Room Extended/Complex $4,641.13 $2,320.57 $50 – $4,501.90
Emergency room visit (high): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $576.04
  • ACPN_PLAN — COMMERCIAL: $4,177.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $576.04
  • AETNA_PLAN — COMMERCIAL: $3,712.90
  • CIGNA_PLAN — COMMERCIAL: $4,177.02
  • GATEWAY_HEALTH_PLAN — MEDICAID: $55
  • GEHA_MEDICARE_PLAN — MEDICARE: $576.04
  • GEHA_PLAN — MEDICARE: $4,501.90
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $4,269.84
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $576.04
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: OB Triage Level Assignment -> Level 5 (OB Triage) $4,641.13 $2,320.57 $50 – $4,501.90
Emergency room visit (high): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $576.04
  • ACPN_PLAN — COMMERCIAL: $4,177.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $576.04
  • AETNA_PLAN — COMMERCIAL: $3,712.90
  • CIGNA_PLAN — COMMERCIAL: $4,177.02
  • GATEWAY_HEALTH_PLAN — MEDICAID: $55
  • GEHA_MEDICARE_PLAN — MEDICARE: $576.04
  • GEHA_PLAN — MEDICARE: $4,501.90
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $4,269.84
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $576.04
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285-PF Emer Room Extended/Complex $377.95 $188.97 $50 – $350.82
Emergency room visit (high): 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $175.41
  • ACPN_PLAN — COMMERCIAL: $340.16
  • AETNA_MEDICARE_PLAN — MEDICARE: $175.41
  • GATEWAY_HEALTH_PLAN — MEDICAID: $50
  • GEHA_MEDICARE_PLAN — MEDICARE: $175.41
  • GEHA_PLAN — MEDICARE: $151.18
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $173.17
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $217.62
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $175.41
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $244.76

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel $50.22 $25.11 $7.19 – $48.71
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.46
  • ACPN_PLAN — COMMERCIAL: $45.20
  • AETNA_MEDICARE_PLAN — MEDICARE: $8.46
  • AETNA_PLAN — COMMERCIAL: $12.72
  • CIGNA_PLAN — COMMERCIAL: $45.20
  • GATEWAY_HEALTH_PLAN — MEDICAID: $10.30
  • GEHA_MEDICARE_PLAN — MEDICARE: $8.46
  • GEHA_PLAN — MEDICARE: $48.71
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $46.20
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier QW In the file: BMP MC $50.22 $25.11 $7.19 – $48.71
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.46
  • ACPN_PLAN — COMMERCIAL: $45.20
  • AETNA_MEDICARE_PLAN — MEDICARE: $8.46
  • AETNA_PLAN — COMMERCIAL: $12.72
  • CIGNA_PLAN — COMMERCIAL: $45.20
  • GATEWAY_HEALTH_PLAN — MEDICAID: $10.30
  • GEHA_MEDICARE_PLAN — MEDICARE: $8.46
  • GEHA_PLAN — MEDICARE: $48.71
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $46.20
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel $62.69 $31.34 $8.97 – $60.81
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10.56
  • ACPN_PLAN — COMMERCIAL: $56.42
  • AETNA_MEDICARE_PLAN — MEDICARE: $10.56
  • AETNA_PLAN — COMMERCIAL: $15.90
  • CIGNA_PLAN — COMMERCIAL: $56.42
  • GATEWAY_HEALTH_PLAN — MEDICAID: $12.86
  • GEHA_MEDICARE_PLAN — MEDICARE: $10.56
  • GEHA_PLAN — MEDICARE: $60.81
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $57.67
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: DAL CMP $30 $15 $8.97 – $52.19
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10.56
  • ACPN_PLAN — COMMERCIAL: $27
  • AETNA_MEDICARE_PLAN — MEDICARE: $10.56
  • AETNA_PLAN — COMMERCIAL: $15.90
  • CIGNA_PLAN — COMMERCIAL: $27
  • GATEWAY_HEALTH_PLAN — MEDICAID: $12.86
  • GEHA_MEDICARE_PLAN — MEDICARE: $10.56
  • GEHA_PLAN — MEDICARE: $29.10
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $27.60
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier QW In the file: CMP MC $62.69 $31.34 $8.97 – $60.81
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10.56
  • ACPN_PLAN — COMMERCIAL: $56.42
  • AETNA_MEDICARE_PLAN — MEDICARE: $10.56
  • AETNA_PLAN — COMMERCIAL: $15.90
  • CIGNA_PLAN — COMMERCIAL: $56.42
  • GATEWAY_HEALTH_PLAN — MEDICAID: $12.86
  • GEHA_MEDICARE_PLAN — MEDICARE: $10.56
  • GEHA_PLAN — MEDICARE: $60.81
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $57.67
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Prenatal Profile $283.80 $141.90 $12 – $275.29
Obstetric blood test panel: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $47.81
  • ACPN_PLAN — COMMERCIAL: $255.42
  • AETNA_MEDICARE_PLAN — MEDICARE: $47.81
  • AETNA_PLAN — COMMERCIAL: $227.04
  • CIGNA_PLAN — COMMERCIAL: $255.42
  • GATEWAY_HEALTH_PLAN — MEDICAID: $13.20
  • GEHA_MEDICARE_PLAN — MEDICARE: $47.81
  • GEHA_PLAN — MEDICARE: $275.29
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $261.10
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Profile $79.48 $39.74 $11.38 – $77.10
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $13.39
  • ACPN_PLAN — COMMERCIAL: $71.53
  • AETNA_MEDICARE_PLAN — MEDICARE: $13.39
  • AETNA_PLAN — COMMERCIAL: $14.75
  • CIGNA_PLAN — COMMERCIAL: $71.53
  • GATEWAY_HEALTH_PLAN — MEDICAID: $15.40
  • GEHA_MEDICARE_PLAN — MEDICARE: $13.39
  • GEHA_PLAN — MEDICARE: $77.10
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $73.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Health Fair Lipid Profile $79.48 $39.74 $11.38 – $77.10
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $13.39
  • ACPN_PLAN — COMMERCIAL: $71.53
  • AETNA_MEDICARE_PLAN — MEDICARE: $13.39
  • AETNA_PLAN — COMMERCIAL: $14.75
  • CIGNA_PLAN — COMMERCIAL: $71.53
  • GATEWAY_HEALTH_PLAN — MEDICAID: $15.40
  • GEHA_MEDICARE_PLAN — MEDICARE: $13.39
  • GEHA_PLAN — MEDICARE: $77.10
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $73.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: NMR Lipoprofile $79.48 $39.74 $11.38 – $77.10
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $13.39
  • ACPN_PLAN — COMMERCIAL: $71.53
  • AETNA_MEDICARE_PLAN — MEDICARE: $13.39
  • AETNA_PLAN — COMMERCIAL: $14.75
  • CIGNA_PLAN — COMMERCIAL: $71.53
  • GATEWAY_HEALTH_PLAN — MEDICAID: $15.40
  • GEHA_MEDICARE_PLAN — MEDICARE: $13.39
  • GEHA_PLAN — MEDICARE: $77.10
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $73.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel $51.53 $25.77 $7.37 – $49.98
Kidney function panel: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.68
  • ACPN_PLAN — COMMERCIAL: $46.38
  • AETNA_MEDICARE_PLAN — MEDICARE: $8.68
  • AETNA_PLAN — COMMERCIAL: $41.22
  • CIGNA_PLAN — COMMERCIAL: $46.38
  • GATEWAY_HEALTH_PLAN — MEDICAID: $10.56
  • GEHA_MEDICARE_PLAN — MEDICARE: $8.68
  • GEHA_PLAN — MEDICARE: $49.98
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $47.41
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel $48.50 $24.25 $6.94 – $47.05
Liver function panel: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.17
  • ACPN_PLAN — COMMERCIAL: $43.65
  • AETNA_MEDICARE_PLAN — MEDICARE: $8.17
  • AETNA_PLAN — COMMERCIAL: $12.29
  • CIGNA_PLAN — COMMERCIAL: $43.65
  • GATEWAY_HEALTH_PLAN — MEDICAID: $9.93
  • GEHA_MEDICARE_PLAN — MEDICARE: $8.17
  • GEHA_PLAN — MEDICARE: $47.05
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $44.62
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: MC Liver Function Panel $48.50 $24.25 $6.94 – $47.05
Liver function panel: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.17
  • ACPN_PLAN — COMMERCIAL: $43.65
  • AETNA_MEDICARE_PLAN — MEDICARE: $8.17
  • AETNA_PLAN — COMMERCIAL: $12.29
  • CIGNA_PLAN — COMMERCIAL: $43.65
  • GATEWAY_HEALTH_PLAN — MEDICAID: $9.93
  • GEHA_MEDICARE_PLAN — MEDICARE: $8.17
  • GEHA_PLAN — MEDICARE: $47.05
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $44.62
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis w/ Reflexive Microscopic $18.82 $9.41 $2.69 – $18.26
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.17
  • ACPN_PLAN — COMMERCIAL: $16.94
  • AETNA_MEDICARE_PLAN — MEDICARE: $3.17
  • AETNA_PLAN — COMMERCIAL: $4.77
  • CIGNA_PLAN — COMMERCIAL: $16.94
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.30
  • GEHA_MEDICARE_PLAN — MEDICARE: $3.17
  • GEHA_PLAN — MEDICARE: $18.26
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $17.31
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis w/ Microscopic $18.82 $9.41 $2.69 – $18.26
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.17
  • ACPN_PLAN — COMMERCIAL: $16.94
  • AETNA_MEDICARE_PLAN — MEDICARE: $3.17
  • AETNA_PLAN — COMMERCIAL: $4.77
  • CIGNA_PLAN — COMMERCIAL: $16.94
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.30
  • GEHA_MEDICARE_PLAN — MEDICARE: $3.17
  • GEHA_PLAN — MEDICARE: $18.26
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $17.31
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA Microscopic? $18.82 $9.41 $2.69 – $18.26
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.17
  • ACPN_PLAN — COMMERCIAL: $16.94
  • AETNA_MEDICARE_PLAN — MEDICARE: $3.17
  • AETNA_PLAN — COMMERCIAL: $4.77
  • CIGNA_PLAN — COMMERCIAL: $16.94
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.30
  • GEHA_MEDICARE_PLAN — MEDICARE: $3.17
  • GEHA_PLAN — MEDICARE: $18.26
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $17.31
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier PN In the file: 81002 - Urinalysis Dipstick $20.66 $10.33 $2.95 – $20.04
Urine test (manual, without microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.48
  • ACPN_PLAN — COMMERCIAL: $18.59
  • AETNA_MEDICARE_PLAN — MEDICARE: $3.48
  • AETNA_PLAN — COMMERCIAL: $16.53
  • CIGNA_PLAN — COMMERCIAL: $18.59
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.93
  • GEHA_MEDICARE_PLAN — MEDICARE: $3.48
  • GEHA_PLAN — MEDICARE: $20.04
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $19.01
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier PN In the file: Urinalysis Dipstick POC $20.66 $10.33 $2.95 – $20.04
Urine test (manual, without microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.48
  • ACPN_PLAN — COMMERCIAL: $18.59
  • AETNA_MEDICARE_PLAN — MEDICARE: $3.48
  • AETNA_PLAN — COMMERCIAL: $16.53
  • CIGNA_PLAN — COMMERCIAL: $18.59
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.93
  • GEHA_MEDICARE_PLAN — MEDICARE: $3.48
  • GEHA_PLAN — MEDICARE: $20.04
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $19.01
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis w/o Microscopic $13.36 $6.68 $1.91 – $12.96
Urine test (automated, without microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $2.25
  • ACPN_PLAN — COMMERCIAL: $12.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $2.25
  • AETNA_PLAN — COMMERCIAL: $3.38
  • CIGNA_PLAN — COMMERCIAL: $12.02
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.41
  • GEHA_MEDICARE_PLAN — MEDICARE: $2.25
  • GEHA_PLAN — MEDICARE: $12.96
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $12.29
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis OB Screen $13.36 $6.68 $1.91 – $12.96
Urine test (automated, without microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $2.25
  • ACPN_PLAN — COMMERCIAL: $12.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $2.25
  • AETNA_PLAN — COMMERCIAL: $3.38
  • CIGNA_PLAN — COMMERCIAL: $12.02
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.41
  • GEHA_MEDICARE_PLAN — MEDICARE: $2.25
  • GEHA_PLAN — MEDICARE: $12.96
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $12.29
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier PN In the file: Urinalysis Dipstick $13.36 $6.68 $1.91 – $12.96
Urine test (automated, without microscope): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $2.25
  • ACPN_PLAN — COMMERCIAL: $12.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $2.25
  • AETNA_PLAN — COMMERCIAL: $3.38
  • CIGNA_PLAN — COMMERCIAL: $12.02
  • GATEWAY_HEALTH_PLAN — MEDICAID: $3.41
  • GEHA_MEDICARE_PLAN — MEDICARE: $2.25
  • GEHA_PLAN — MEDICARE: $12.96
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $12.29
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate Specific Antigen Diagnostic $109.16 $54.58 $15.63 – $105.89
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $18.39
  • ACPN_PLAN — COMMERCIAL: $98.24
  • AETNA_MEDICARE_PLAN — MEDICARE: $18.39
  • AETNA_PLAN — COMMERCIAL: $27.66
  • CIGNA_PLAN — COMMERCIAL: $98.24
  • GATEWAY_HEALTH_PLAN — MEDICAID: $26.80
  • GEHA_MEDICARE_PLAN — MEDICARE: $18.39
  • GEHA_PLAN — MEDICARE: $105.89
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $100.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (Diagnostic) SO $109.16 $54.58 $15.63 – $105.89
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $18.39
  • ACPN_PLAN — COMMERCIAL: $98.24
  • AETNA_MEDICARE_PLAN — MEDICARE: $18.39
  • AETNA_PLAN — COMMERCIAL: $27.66
  • CIGNA_PLAN — COMMERCIAL: $98.24
  • GATEWAY_HEALTH_PLAN — MEDICAID: $26.80
  • GEHA_MEDICARE_PLAN — MEDICARE: $18.39
  • GEHA_PLAN — MEDICARE: $105.89
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $100.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA Total+% Free LC $109.16 $54.58 $15.63 – $105.89
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $18.39
  • ACPN_PLAN — COMMERCIAL: $98.24
  • AETNA_MEDICARE_PLAN — MEDICARE: $18.39
  • AETNA_PLAN — COMMERCIAL: $27.66
  • CIGNA_PLAN — COMMERCIAL: $98.24
  • GATEWAY_HEALTH_PLAN — MEDICAID: $26.80
  • GEHA_MEDICARE_PLAN — MEDICARE: $18.39
  • GEHA_PLAN — MEDICARE: $105.89
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $100.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Cascade Profile $99.72 $49.86 $14.28 – $96.73
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.80
  • ACPN_PLAN — COMMERCIAL: $89.75
  • AETNA_MEDICARE_PLAN — MEDICARE: $16.80
  • AETNA_PLAN — COMMERCIAL: $25.26
  • CIGNA_PLAN — COMMERCIAL: $89.75
  • GATEWAY_HEALTH_PLAN — MEDICAID: $25.53
  • GEHA_MEDICARE_PLAN — MEDICARE: $16.80
  • GEHA_PLAN — MEDICARE: $96.73
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $91.74
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone, HS $99.72 $49.86 $14.28 – $96.73
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.80
  • ACPN_PLAN — COMMERCIAL: $89.75
  • AETNA_MEDICARE_PLAN — MEDICARE: $16.80
  • AETNA_PLAN — COMMERCIAL: $25.26
  • CIGNA_PLAN — COMMERCIAL: $89.75
  • GATEWAY_HEALTH_PLAN — MEDICAID: $25.53
  • GEHA_MEDICARE_PLAN — MEDICARE: $16.80
  • GEHA_PLAN — MEDICARE: $96.73
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $91.74
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Direct Access Lab TSH $15 $7.50 $10.50 – $83.03
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.80
  • ACPN_PLAN — COMMERCIAL: $13.50
  • AETNA_MEDICARE_PLAN — MEDICARE: $16.80
  • AETNA_PLAN — COMMERCIAL: $25.26
  • CIGNA_PLAN — COMMERCIAL: $13.50
  • GATEWAY_HEALTH_PLAN — MEDICAID: $25.53
  • GEHA_MEDICARE_PLAN — MEDICARE: $16.80
  • GEHA_PLAN — MEDICARE: $14.55
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $13.80
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC w/ Auto Diff $46.12 $23.06 $6 – $44.74
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.77
  • ACPN_PLAN — COMMERCIAL: $41.51
  • AETNA_MEDICARE_PLAN — MEDICARE: $7.77
  • AETNA_PLAN — COMMERCIAL: $11.70
  • CIGNA_PLAN — COMMERCIAL: $41.51
  • GATEWAY_HEALTH_PLAN — MEDICAID: $6.60
  • GEHA_MEDICARE_PLAN — MEDICARE: $7.77
  • GEHA_PLAN — MEDICARE: $44.74
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $42.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC + Diff $46.12 $23.06 $6 – $44.74
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.77
  • ACPN_PLAN — COMMERCIAL: $41.51
  • AETNA_MEDICARE_PLAN — MEDICARE: $7.77
  • AETNA_PLAN — COMMERCIAL: $11.70
  • CIGNA_PLAN — COMMERCIAL: $41.51
  • GATEWAY_HEALTH_PLAN — MEDICAID: $6.60
  • GEHA_MEDICARE_PLAN — MEDICARE: $7.77
  • GEHA_PLAN — MEDICARE: $44.74
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $42.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: MC CBC + Diff $46.12 $23.06 $6 – $44.74
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.77
  • ACPN_PLAN — COMMERCIAL: $41.51
  • AETNA_MEDICARE_PLAN — MEDICARE: $7.77
  • AETNA_PLAN — COMMERCIAL: $11.70
  • CIGNA_PLAN — COMMERCIAL: $41.51
  • GATEWAY_HEALTH_PLAN — MEDICAID: $6.60
  • GEHA_MEDICARE_PLAN — MEDICARE: $7.77
  • GEHA_PLAN — MEDICARE: $44.74
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $42.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: zzZComplete Blood Count w/o Differential $38.40 $19.20 $5.49 – $37.25
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.47
  • ACPN_PLAN — COMMERCIAL: $34.56
  • AETNA_MEDICARE_PLAN — MEDICARE: $6.47
  • AETNA_PLAN — COMMERCIAL: $9.74
  • CIGNA_PLAN — COMMERCIAL: $34.56
  • GATEWAY_HEALTH_PLAN — MEDICAID: $8.27
  • GEHA_MEDICARE_PLAN — MEDICARE: $6.47
  • GEHA_PLAN — MEDICARE: $37.25
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $35.33
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC w/o Differential $38.40 $19.20 $5.49 – $37.25
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.47
  • ACPN_PLAN — COMMERCIAL: $34.56
  • AETNA_MEDICARE_PLAN — MEDICARE: $6.47
  • AETNA_PLAN — COMMERCIAL: $9.74
  • CIGNA_PLAN — COMMERCIAL: $34.56
  • GATEWAY_HEALTH_PLAN — MEDICAID: $8.27
  • GEHA_MEDICARE_PLAN — MEDICARE: $6.47
  • GEHA_PLAN — MEDICARE: $37.25
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $35.33
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Newborn CBC with Manual Diff $38.40 $19.20 $5.49 – $37.25
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.47
  • ACPN_PLAN — COMMERCIAL: $34.56
  • AETNA_MEDICARE_PLAN — MEDICARE: $6.47
  • AETNA_PLAN — COMMERCIAL: $9.74
  • CIGNA_PLAN — COMMERCIAL: $34.56
  • GATEWAY_HEALTH_PLAN — MEDICAID: $8.27
  • GEHA_MEDICARE_PLAN — MEDICARE: $6.47
  • GEHA_PLAN — MEDICARE: $37.25
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $35.33
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time/INR $25.46 $12.73 $3.64 – $24.70
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $4.29
  • ACPN_PLAN — COMMERCIAL: $22.91
  • AETNA_MEDICARE_PLAN — MEDICARE: $4.29
  • AETNA_PLAN — COMMERCIAL: $5.90
  • CIGNA_PLAN — COMMERCIAL: $22.91
  • GATEWAY_HEALTH_PLAN — MEDICAID: $4.40
  • GEHA_MEDICARE_PLAN — MEDICARE: $4.29
  • GEHA_PLAN — MEDICARE: $24.70
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $23.42
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: MC Prothrombin Time/INR (PT/INR) $25.46 $12.73 $3.64 – $24.70
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $4.29
  • ACPN_PLAN — COMMERCIAL: $22.91
  • AETNA_MEDICARE_PLAN — MEDICARE: $4.29
  • AETNA_PLAN — COMMERCIAL: $5.90
  • CIGNA_PLAN — COMMERCIAL: $22.91
  • GATEWAY_HEALTH_PLAN — MEDICAID: $4.40
  • GEHA_MEDICARE_PLAN — MEDICARE: $4.29
  • GEHA_PLAN — MEDICARE: $24.70
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $23.42
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier PN In the file: 85610- Prothrombin time $25.46 $12.73 $3.64 – $24.70
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $4.29
  • ACPN_PLAN — COMMERCIAL: $22.91
  • AETNA_MEDICARE_PLAN — MEDICARE: $4.29
  • AETNA_PLAN — COMMERCIAL: $5.90
  • CIGNA_PLAN — COMMERCIAL: $22.91
  • GATEWAY_HEALTH_PLAN — MEDICAID: $4.40
  • GEHA_MEDICARE_PLAN — MEDICARE: $4.29
  • GEHA_PLAN — MEDICARE: $24.70
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $23.42
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Activated Partial Thromboplastin Time $35.68 $17.84 $5.10 – $34.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.01
  • ACPN_PLAN — COMMERCIAL: $32.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $6.01
  • AETNA_PLAN — COMMERCIAL: $9.03
  • CIGNA_PLAN — COMMERCIAL: $32.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $8.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $6.01
  • GEHA_PLAN — MEDICARE: $34.61
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $32.83
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: MC APTT $35.68 $17.84 $5.10 – $34.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.01
  • ACPN_PLAN — COMMERCIAL: $32.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $6.01
  • AETNA_PLAN — COMMERCIAL: $9.03
  • CIGNA_PLAN — COMMERCIAL: $32.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $8.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $6.01
  • GEHA_PLAN — MEDICARE: $34.61
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $32.83
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computerized Tomography Exam $804.99 $402.50 $77.50 – $780.84
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $153.93
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $85.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head UN $804.99 $402.50 $77.50 – $780.84
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $153.93
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $85.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic Resonance Imaging Exam $2,703.45 $1,351.72 $269 – $2,622.35
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $337.46
  • ACPN_PLAN — COMMERCIAL: $2,433.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $337.46
  • AETNA_PLAN — COMMERCIAL: $540.03
  • CIGNA_PLAN — COMMERCIAL: $2,433.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $295.90
  • GEHA_MEDICARE_PLAN — MEDICARE: $337.46
  • GEHA_PLAN — MEDICARE: $2,622.35
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,487.17
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $337.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: Magnetic Resonance Imaging Exam $2,703.45 $1,351.72 $269 – $2,622.35
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $337.46
  • ACPN_PLAN — COMMERCIAL: $2,433.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $337.46
  • AETNA_PLAN — COMMERCIAL: $540.03
  • CIGNA_PLAN — COMMERCIAL: $2,433.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $295.90
  • GEHA_MEDICARE_PLAN — MEDICARE: $337.46
  • GEHA_PLAN — MEDICARE: $2,622.35
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,487.17
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $337.46
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: General Diagnostic Exam $666.53 $333.26 $14.85 – $646.53
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $84.17
  • ACPN_PLAN — COMMERCIAL: $599.88
  • AETNA_MEDICARE_PLAN — MEDICARE: $84.17
  • AETNA_PLAN — COMMERCIAL: $43.83
  • CIGNA_PLAN — COMMERCIAL: $599.88
  • GATEWAY_HEALTH_PLAN — MEDICAID: $16.34
  • GEHA_MEDICARE_PLAN — MEDICARE: $84.17
  • GEHA_PLAN — MEDICARE: $646.53
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $613.21
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $84.17
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: DR Exam $666.53 $333.26 $14.85 – $646.53
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $84.17
  • ACPN_PLAN — COMMERCIAL: $599.88
  • AETNA_MEDICARE_PLAN — MEDICARE: $84.17
  • AETNA_PLAN — COMMERCIAL: $43.83
  • CIGNA_PLAN — COMMERCIAL: $599.88
  • GATEWAY_HEALTH_PLAN — MEDICAID: $16.34
  • GEHA_MEDICARE_PLAN — MEDICARE: $84.17
  • GEHA_PLAN — MEDICARE: $646.53
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $613.21
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $84.17
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: WW DR Exam $666.53 $333.26 $14.85 – $646.53
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $84.17
  • ACPN_PLAN — COMMERCIAL: $599.88
  • AETNA_MEDICARE_PLAN — MEDICARE: $84.17
  • AETNA_PLAN — COMMERCIAL: $43.83
  • CIGNA_PLAN — COMMERCIAL: $599.88
  • GATEWAY_HEALTH_PLAN — MEDICAID: $16.34
  • GEHA_MEDICARE_PLAN — MEDICARE: $84.17
  • GEHA_PLAN — MEDICARE: $646.53
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $613.21
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $84.17
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: General Diagnostic Exam $804.99 $402.50 $22.50 – $780.84
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $74.53
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $24.75
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: WW DR Exam $804.99 $402.50 $22.50 – $780.84
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $74.53
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $24.75
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic Resonance Imaging Exam $1,829.81 $914.90 $187.20 – $1,774.92
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $230.79
  • ACPN_PLAN — COMMERCIAL: $1,646.83
  • AETNA_MEDICARE_PLAN — MEDICARE: $230.79
  • AETNA_PLAN — COMMERCIAL: $308.20
  • CIGNA_PLAN — COMMERCIAL: $1,646.83
  • GATEWAY_HEALTH_PLAN — MEDICAID: $205.92
  • GEHA_MEDICARE_PLAN — MEDICARE: $230.79
  • GEHA_PLAN — MEDICARE: $1,774.92
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,683.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $230.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis Routine ENH $1,347.60 $673.80 $86.50 – $1,307.17
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $169.66
  • ACPN_PLAN — COMMERCIAL: $1,212.84
  • AETNA_MEDICARE_PLAN — MEDICARE: $169.66
  • AETNA_PLAN — COMMERCIAL: $369.63
  • CIGNA_PLAN — COMMERCIAL: $1,212.84
  • GATEWAY_HEALTH_PLAN — MEDICAID: $95.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $169.66
  • GEHA_PLAN — MEDICARE: $1,307.17
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,239.79
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $169.66
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computerized Tomography Exam $1,347.60 $673.80 $86.50 – $1,307.17
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $169.66
  • ACPN_PLAN — COMMERCIAL: $1,212.84
  • AETNA_MEDICARE_PLAN — MEDICARE: $169.66
  • AETNA_PLAN — COMMERCIAL: $369.63
  • CIGNA_PLAN — COMMERCIAL: $1,212.84
  • GATEWAY_HEALTH_PLAN — MEDICAID: $95.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $169.66
  • GEHA_PLAN — MEDICARE: $1,307.17
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,239.79
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $169.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: Magnetic Resonance Imaging Exam $1,829.81 $914.90 $196.17 – $1,774.92
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $230.79
  • ACPN_PLAN — COMMERCIAL: $1,646.83
  • AETNA_MEDICARE_PLAN — MEDICARE: $230.79
  • AETNA_PLAN — COMMERCIAL: $347.55
  • CIGNA_PLAN — COMMERCIAL: $1,646.83
  • GATEWAY_HEALTH_PLAN — MEDICAID: $295.90
  • GEHA_MEDICARE_PLAN — MEDICARE: $230.79
  • GEHA_PLAN — MEDICARE: $1,774.92
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,683.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $230.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: Magnetic Resonance Imaging Exam $1,829.81 $914.90 $196.17 – $1,774.92
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $230.79
  • ACPN_PLAN — COMMERCIAL: $1,646.83
  • AETNA_MEDICARE_PLAN — MEDICARE: $230.79
  • AETNA_PLAN — COMMERCIAL: $347.55
  • CIGNA_PLAN — COMMERCIAL: $1,646.83
  • GATEWAY_HEALTH_PLAN — MEDICAID: $295.90
  • GEHA_MEDICARE_PLAN — MEDICARE: $230.79
  • GEHA_PLAN — MEDICARE: $1,774.92
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,683.43
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $230.79
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abdomen Pelvis ENH $2,703.45 $1,351.72 $192.73 – $2,622.35
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $337.46
  • ACPN_PLAN — COMMERCIAL: $2,433.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $337.46
  • AETNA_PLAN — COMMERCIAL: $478.98
  • CIGNA_PLAN — COMMERCIAL: $2,433.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $212
  • GEHA_MEDICARE_PLAN — MEDICARE: $337.46
  • GEHA_PLAN — MEDICARE: $2,622.35
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,487.17
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $337.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computerized Tomography Exam $2,703.45 $1,351.72 $192.73 – $2,622.35
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $337.46
  • ACPN_PLAN — COMMERCIAL: $2,433.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $337.46
  • AETNA_PLAN — COMMERCIAL: $478.98
  • CIGNA_PLAN — COMMERCIAL: $2,433.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $212
  • GEHA_MEDICARE_PLAN — MEDICARE: $337.46
  • GEHA_PLAN — MEDICARE: $2,622.35
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,487.17
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $337.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier PN In the file: Computerized Tomography Exam $2,703.45 $1,351.72 $192.73 – $2,622.35
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $337.46
  • ACPN_PLAN — COMMERCIAL: $2,433.11
  • AETNA_MEDICARE_PLAN — MEDICARE: $337.46
  • AETNA_PLAN — COMMERCIAL: $478.98
  • CIGNA_PLAN — COMMERCIAL: $2,433.11
  • GATEWAY_HEALTH_PLAN — MEDICAID: $212
  • GEHA_MEDICARE_PLAN — MEDICARE: $337.46
  • GEHA_PLAN — MEDICARE: $2,622.35
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,487.17
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $337.46
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier PN In the file: US Exam $804.99 $402.50 $57.50 – $780.84
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $171.15
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $63.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: SCSN US Exam $804.99 $402.50 $57.50 – $780.84
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $171.15
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $63.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: US Exam $2,186 $1,093 $57.50 – $2,120.42
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $1,967.40
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $171.15
  • CIGNA_PLAN — COMMERCIAL: $1,967.40
  • GATEWAY_HEALTH_PLAN — MEDICAID: $63.25
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $2,120.42
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,011.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Pelvic OB Comp >14 wks $804.99 $402.50 $46.50 – $780.84
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $190.63
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $51.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Exam $804.99 $402.50 $46.50 – $780.84
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $190.63
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $51.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Exam $804.99 $402.50 $46.50 – $780.84
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $183.88
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $51.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal non ob $804.99 $402.50 $46.50 – $780.84
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $101.12
  • ACPN_PLAN — COMMERCIAL: $724.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $101.12
  • AETNA_PLAN — COMMERCIAL: $183.88
  • CIGNA_PLAN — COMMERCIAL: $724.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $51.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $101.12
  • GEHA_PLAN — MEDICARE: $780.84
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $740.59
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $101.12
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: 76830-PF US TRANSVAGINAL $68.29 $34.15 $27.32 – $249.40
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $68.29
  • ACPN_PLAN — COMMERCIAL: $61.46
  • AETNA_MEDICARE_PLAN — MEDICARE: $68.29
  • GATEWAY_HEALTH_PLAN — MEDICAID: $76.50
  • GEHA_MEDICARE_PLAN — MEDICARE: $68.29
  • GEHA_PLAN — MEDICARE: $27.32
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $68.29
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $221.74
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $68.29
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $249.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier PN In the file: Mammography Exam $987.10 $493.55 $63.81 – $957.49
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $75.07
  • ACPN_PLAN — COMMERCIAL: $888.39
  • AETNA_MEDICARE_PLAN — MEDICARE: $75.07
  • AETNA_PLAN — COMMERCIAL: $195.88
  • CIGNA_PLAN — COMMERCIAL: $888.39
  • GATEWAY_HEALTH_PLAN — MEDICAID: $78.11
  • GEHA_MEDICARE_PLAN — MEDICARE: $75.07
  • GEHA_PLAN — MEDICARE: $957.49
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $908.13
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $75.07
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: Mammography Exam $987.10 $493.55 $63.81 – $957.49
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $75.07
  • ACPN_PLAN — COMMERCIAL: $888.39
  • AETNA_MEDICARE_PLAN — MEDICARE: $75.07
  • AETNA_PLAN — COMMERCIAL: $195.88
  • CIGNA_PLAN — COMMERCIAL: $888.39
  • GATEWAY_HEALTH_PLAN — MEDICAID: $78.11
  • GEHA_MEDICARE_PLAN — MEDICARE: $75.07
  • GEHA_PLAN — MEDICARE: $957.49
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $908.13
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $75.07
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MA Mammo Lt Diagnostic $987.10 $493.55 $63.81 – $957.49
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $75.07
  • ACPN_PLAN — COMMERCIAL: $888.39
  • AETNA_MEDICARE_PLAN — MEDICARE: $75.07
  • AETNA_PLAN — COMMERCIAL: $195.88
  • CIGNA_PLAN — COMMERCIAL: $888.39
  • GATEWAY_HEALTH_PLAN — MEDICAID: $78.11
  • GEHA_MEDICARE_PLAN — MEDICARE: $75.07
  • GEHA_PLAN — MEDICARE: $957.49
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $908.13
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $75.07
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammography Exam $1,245.37 $622.68 $81.97 – $1,208.01
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $96.44
  • ACPN_PLAN — COMMERCIAL: $1,120.83
  • AETNA_MEDICARE_PLAN — MEDICARE: $96.44
  • AETNA_PLAN — COMMERCIAL: $250.55
  • CIGNA_PLAN — COMMERCIAL: $1,120.83
  • GATEWAY_HEALTH_PLAN — MEDICAID: $99.91
  • GEHA_MEDICARE_PLAN — MEDICARE: $96.44
  • GEHA_PLAN — MEDICARE: $1,208.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,145.74
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $96.44
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: MA Mammo Bilat Diagnostic $1,245.37 $622.68 $81.97 – $1,208.01
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $96.44
  • ACPN_PLAN — COMMERCIAL: $1,120.83
  • AETNA_MEDICARE_PLAN — MEDICARE: $96.44
  • AETNA_PLAN — COMMERCIAL: $250.55
  • CIGNA_PLAN — COMMERCIAL: $1,120.83
  • GATEWAY_HEALTH_PLAN — MEDICAID: $99.91
  • GEHA_MEDICARE_PLAN — MEDICARE: $96.44
  • GEHA_PLAN — MEDICARE: $1,208.01
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,145.74
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $96.44
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammography Exam $2,002.18 $1,001.09 $67.51 – $1,942.11
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $79.42
  • ACPN_PLAN — COMMERCIAL: $1,801.96
  • AETNA_MEDICARE_PLAN — MEDICARE: $79.42
  • AETNA_PLAN — COMMERCIAL: $207.10
  • CIGNA_PLAN — COMMERCIAL: $1,801.96
  • GATEWAY_HEALTH_PLAN — MEDICAID: $82.52
  • GEHA_MEDICARE_PLAN — MEDICARE: $79.42
  • GEHA_PLAN — MEDICARE: $1,942.11
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,842.01
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $79.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Mammo Rt Screening $1,001.08 $500.54 $67.51 – $971.05
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $79.42
  • ACPN_PLAN — COMMERCIAL: $900.97
  • AETNA_MEDICARE_PLAN — MEDICARE: $79.42
  • AETNA_PLAN — COMMERCIAL: $207.10
  • CIGNA_PLAN — COMMERCIAL: $900.97
  • GATEWAY_HEALTH_PLAN — MEDICAID: $82.52
  • GEHA_MEDICARE_PLAN — MEDICARE: $79.42
  • GEHA_PLAN — MEDICARE: $971.05
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $920.99
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $79.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Mammo Bilat Screening $1,001.08 $500.54 $67.51 – $971.05
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $79.42
  • ACPN_PLAN — COMMERCIAL: $900.97
  • AETNA_MEDICARE_PLAN — MEDICARE: $79.42
  • AETNA_PLAN — COMMERCIAL: $207.10
  • CIGNA_PLAN — COMMERCIAL: $900.97
  • GATEWAY_HEALTH_PLAN — MEDICAID: $82.52
  • GEHA_MEDICARE_PLAN — MEDICARE: $79.42
  • GEHA_PLAN — MEDICARE: $971.05
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $920.99
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $79.42

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · modifier PN In the file: 93000- Electrocardiogram (ECG), Routine 12-Lead, Tracing and I&R (Global) $449.65 $224.82 $19.22 – $436.16
Electrocardiogram (ECG/EKG) with reading: 10 of 22 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $404.69
  • AETNA_PLAN — COMMERCIAL: $359.72
  • CIGNA_PLAN — COMMERCIAL: $404.69
  • GATEWAY_HEALTH_PLAN — MEDICAID: $21.14
  • GEHA_PLAN — MEDICARE: $436.16
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $413.68
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $287.16
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $353.66
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $401.68
  • HUMANA_PLAN — MEDICARE: $404.69
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · modifier PN In the file: Clinic EKG $449.65 $224.82 $19.22 – $436.16
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • ACPN_PLAN — COMMERCIAL: $404.69
  • AETNA_PLAN — COMMERCIAL: $359.72
  • CIGNA_PLAN — COMMERCIAL: $404.69
  • GATEWAY_HEALTH_PLAN — MEDICAID: $21.14
  • GEHA_PLAN — MEDICARE: $436.16
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $413.68
  • HUMANA_PLAN — MEDICARE: $404.69
  • MARYLAND_PHYSICIANS_CARE_PLAN — COMMERCIAL: $314.76
  • MON_COUNTY_COMMISSION_PLAN — COMMERCIAL: $404.69
  • MULTIPLAN_PHCS_PLAN — COMMERCIAL: $427.17
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: 93452-LHC, LV only $24,348.01 $12,174 $2,665.48 – $23,617.57
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3,135.87
  • ACPN_PLAN — COMMERCIAL: $21,913.21
  • AETNA_MEDICARE_PLAN — MEDICARE: $3,135.87
  • AETNA_PLAN — COMMERCIAL: $19,478.41
  • CIGNA_PLAN — COMMERCIAL: $21,913.21
  • GEHA_MEDICARE_PLAN — MEDICARE: $3,135.87
  • GEHA_PLAN — MEDICARE: $23,617.57
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $22,400.17
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3,135.87
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $7,495.63
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: 93452- Lt heart cath/LV gram $502.79 $251.40 $351.95 – $15,135.95
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3,135.87
  • ACPN_PLAN — COMMERCIAL: $452.51
  • AETNA_MEDICARE_PLAN — MEDICARE: $3,135.87
  • AETNA_PLAN — COMMERCIAL: $402.23
  • CIGNA_PLAN — COMMERCIAL: $452.51
  • GEHA_MEDICARE_PLAN — MEDICARE: $3,135.87
  • GEHA_PLAN — MEDICARE: $487.71
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $462.57
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3,135.87
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $7,495.63
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: 93619-Atrial Fibrillation $57,441.43 $28,720.72 $6,085.08 – $55,718.19
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7,544.51
  • ACPN_PLAN — COMMERCIAL: $51,697.29
  • AETNA_MEDICARE_PLAN — MEDICARE: $7,544.51
  • AETNA_PLAN — COMMERCIAL: $45,953.14
  • CIGNA_PLAN — COMMERCIAL: $51,697.29
  • GEHA_MEDICARE_PLAN — MEDICARE: $7,544.51
  • GEHA_PLAN — MEDICARE: $55,718.19
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $52,846.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $7,544.51
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $17,178.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: 93619-Atrial Flutter $57,441.43 $28,720.72 $6,085.08 – $55,718.19
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7,544.51
  • ACPN_PLAN — COMMERCIAL: $51,697.29
  • AETNA_MEDICARE_PLAN — MEDICARE: $7,544.51
  • AETNA_PLAN — COMMERCIAL: $45,953.14
  • CIGNA_PLAN — COMMERCIAL: $51,697.29
  • GEHA_MEDICARE_PLAN — MEDICARE: $7,544.51
  • GEHA_PLAN — MEDICARE: $55,718.19
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $52,846.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $7,544.51
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $17,178.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: 93619-Atrial Tachycardia $57,441.43 $28,720.72 $6,085.08 – $55,718.19
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7,544.51
  • ACPN_PLAN — COMMERCIAL: $51,697.29
  • AETNA_MEDICARE_PLAN — MEDICARE: $7,544.51
  • AETNA_PLAN — COMMERCIAL: $45,953.14
  • CIGNA_PLAN — COMMERCIAL: $51,697.29
  • GEHA_MEDICARE_PLAN — MEDICARE: $7,544.51
  • GEHA_PLAN — MEDICARE: $55,718.19
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $52,846.12
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $7,544.51
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $17,178.98
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: 93656 - AFIB ABLATION $185,707.94 $92,853.97 $21,127.53 – $180,136.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $25,282.80
  • ACPN_PLAN — COMMERCIAL: $167,137.15
  • AETNA_MEDICARE_PLAN — MEDICARE: $25,282.80
  • AETNA_PLAN — COMMERCIAL: $148,566.35
  • CIGNA_PLAN — COMMERCIAL: $167,137.15
  • GEHA_MEDICARE_PLAN — MEDICARE: $25,282.80
  • GEHA_PLAN — MEDICARE: $180,136.70
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $170,851.30
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $25,282.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $54,632.83
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: 93656- Comp EP/ Afib ablat/pul vein iso $2,025.26 $1,012.63 $1,417.68 – $110,320.17
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $25,282.80
  • ACPN_PLAN — COMMERCIAL: $1,822.73
  • AETNA_MEDICARE_PLAN — MEDICARE: $25,282.80
  • AETNA_PLAN — COMMERCIAL: $1,620.21
  • CIGNA_PLAN — COMMERCIAL: $1,822.73
  • GEHA_MEDICARE_PLAN — MEDICARE: $25,282.80
  • GEHA_PLAN — MEDICARE: $1,964.50
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,863.24
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $25,282.80
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $54,632.83
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier PN In the file: Sleep Study - In Lab PSG 95810 $7,701.58 $3,850.79 $270.32 – $7,470.53
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $830.64
  • ACPN_PLAN — COMMERCIAL: $6,931.42
  • AETNA_MEDICARE_PLAN — MEDICARE: $830.64
  • AETNA_PLAN — COMMERCIAL: $6,161.26
  • CIGNA_PLAN — COMMERCIAL: $6,931.42
  • GATEWAY_HEALTH_PLAN — MEDICAID: $297.35
  • GEHA_MEDICARE_PLAN — MEDICARE: $830.64
  • GEHA_PLAN — MEDICARE: $7,470.53
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $7,085.45
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $830.64

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT Kinetic Leg Exerciser/CPM Application $401.02 $200.51 $23.29 – $388.99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $27.40
  • ACPN_PLAN — COMMERCIAL: $360.92
  • AETNA_MEDICARE_PLAN — MEDICARE: $27.40
  • AETNA_PLAN — COMMERCIAL: $320.82
  • CIGNA_PLAN — COMMERCIAL: $360.92
  • GEHA_MEDICARE_PLAN — MEDICARE: $27.40
  • GEHA_PLAN — MEDICARE: $388.99
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $368.94
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $27.40
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $111.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Chest PDP $401.02 $200.51 $23.29 – $388.99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $27.40
  • ACPN_PLAN — COMMERCIAL: $360.92
  • AETNA_MEDICARE_PLAN — MEDICARE: $27.40
  • AETNA_PLAN — COMMERCIAL: $320.82
  • CIGNA_PLAN — COMMERCIAL: $360.92
  • GEHA_MEDICARE_PLAN — MEDICARE: $27.40
  • GEHA_PLAN — MEDICARE: $388.99
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $368.94
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $27.40
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $111.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: 97110-PF Therapeutic Px 1/> Areas Each 15 Min Exercises $59.61 $29.80 $8.38 – $85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $27.40
  • ACPN_PLAN — COMMERCIAL: $53.65
  • AETNA_MEDICARE_PLAN — MEDICARE: $27.40
  • GATEWAY_HEALTH_PLAN — MEDICAID: $8.38
  • GEHA_MEDICARE_PLAN — MEDICARE: $27.40
  • GEHA_PLAN — MEDICARE: $23.84
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $27.42
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $28.59
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $27.40
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $32.16
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT Evaluation Initial Low Complexity $408.73 $204.37 $78.17 – $463.98
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $91.97
  • ACPN_PLAN — COMMERCIAL: $367.86
  • AETNA_MEDICARE_PLAN — MEDICARE: $91.97
  • AETNA_PLAN — COMMERCIAL: $326.98
  • CIGNA_PLAN — COMMERCIAL: $367.86
  • GEHA_MEDICARE_PLAN — MEDICARE: $91.97
  • GEHA_PLAN — MEDICARE: $396.47
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $376.03
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $91.97
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $380.84
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: 97162-PT EVAL MOD COMPLEXITY $470.79 $235.40 $78.17 – $463.98
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $91.97
  • ACPN_PLAN — COMMERCIAL: $423.71
  • AETNA_MEDICARE_PLAN — MEDICARE: $91.97
  • AETNA_PLAN — COMMERCIAL: $376.63
  • CIGNA_PLAN — COMMERCIAL: $423.71
  • GEHA_MEDICARE_PLAN — MEDICARE: $91.97
  • GEHA_PLAN — MEDICARE: $456.67
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $433.13
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $91.97
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $380.84
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT Evaluation Initial Mod Complexity $470.79 $235.40 $78.17 – $463.98
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $91.97
  • ACPN_PLAN — COMMERCIAL: $423.71
  • AETNA_MEDICARE_PLAN — MEDICARE: $91.97
  • AETNA_PLAN — COMMERCIAL: $376.63
  • CIGNA_PLAN — COMMERCIAL: $423.71
  • GEHA_MEDICARE_PLAN — MEDICARE: $91.97
  • GEHA_PLAN — MEDICARE: $456.67
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $433.13
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $91.97
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $380.84
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: 97163-PT EVAL HIGH COMPLEXITY $531.49 $265.75 $78.17 – $515.55
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $91.97
  • ACPN_PLAN — COMMERCIAL: $478.34
  • AETNA_MEDICARE_PLAN — MEDICARE: $91.97
  • AETNA_PLAN — COMMERCIAL: $425.19
  • CIGNA_PLAN — COMMERCIAL: $478.34
  • GEHA_MEDICARE_PLAN — MEDICARE: $91.97
  • GEHA_PLAN — MEDICARE: $515.55
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $488.97
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $91.97
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $380.84
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT Evaluation Initial High Complexity $531.49 $265.75 $78.17 – $515.55
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $91.97
  • ACPN_PLAN — COMMERCIAL: $478.34
  • AETNA_MEDICARE_PLAN — MEDICARE: $91.97
  • AETNA_PLAN — COMMERCIAL: $425.19
  • CIGNA_PLAN — COMMERCIAL: $478.34
  • GEHA_MEDICARE_PLAN — MEDICARE: $91.97
  • GEHA_PLAN — MEDICARE: $515.55
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $488.97
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $91.97
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $380.84

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: 19120- Removal of breast lesion $897.32 $448.66 $173 – $17,705.43
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3,787.34
  • ACPN_PLAN — COMMERCIAL: $807.59
  • AETNA_MEDICARE_PLAN — MEDICARE: $3,787.34
  • AETNA_PLAN — COMMERCIAL: $717.86
  • CIGNA_PLAN — COMMERCIAL: $807.59
  • GATEWAY_HEALTH_PLAN — MEDICAID: $190.30
  • GEHA_MEDICARE_PLAN — MEDICARE: $3,787.34
  • GEHA_PLAN — MEDICARE: $870.40
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $825.53
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3,787.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: 27130- Arthroplas/acetab/prox fem replac $2,737.80 $1,368.90 $1,916.46 – $61,133.21
Total hip replacement: 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $12,418.68
  • ACPN_PLAN — COMMERCIAL: $2,464.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $12,418.68
  • AETNA_PLAN — COMMERCIAL: $2,190.24
  • CIGNA_PLAN — COMMERCIAL: $2,464.02
  • GEHA_MEDICARE_PLAN — MEDICARE: $12,418.68
  • GEHA_PLAN — MEDICARE: $2,655.67
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,518.78
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $12,418.68
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $30,274.43
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: 27130- Total Hip Arthroplasty $2,737.80 $1,368.90 $1,916.46 – $61,133.21
Total hip replacement: 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $12,418.68
  • ACPN_PLAN — COMMERCIAL: $2,464.02
  • AETNA_MEDICARE_PLAN — MEDICARE: $12,418.68
  • AETNA_PLAN — COMMERCIAL: $2,190.24
  • CIGNA_PLAN — COMMERCIAL: $2,464.02
  • GEHA_MEDICARE_PLAN — MEDICARE: $12,418.68
  • GEHA_PLAN — MEDICARE: $2,655.67
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,518.78
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $12,418.68
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $30,274.43
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: 27447- Total Knee Arthroplasty $2,733.40 $1,366.70 $1,000 – $61,133.21
Total knee replacement: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $12,418.68
  • ACPN_PLAN — COMMERCIAL: $2,460.06
  • AETNA_MEDICARE_PLAN — MEDICARE: $12,418.68
  • AETNA_PLAN — COMMERCIAL: $2,186.72
  • CIGNA_PLAN — COMMERCIAL: $2,460.06
  • GATEWAY_HEALTH_PLAN — MEDICAID: $1,100
  • GEHA_MEDICARE_PLAN — MEDICARE: $12,418.68
  • GEHA_PLAN — MEDICARE: $2,651.40
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $2,514.73
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $12,418.68
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: 42820- T & A < 12 yrs $613.87 $306.94 $429.71 – $27,201.79
Removal of tonsils and adenoids (under age 12): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $5,726.17
  • ACPN_PLAN — COMMERCIAL: $552.48
  • AETNA_MEDICARE_PLAN — MEDICARE: $5,726.17
  • AETNA_PLAN — COMMERCIAL: $491.10
  • CIGNA_PLAN — COMMERCIAL: $552.48
  • GEHA_MEDICARE_PLAN — MEDICARE: $5,726.17
  • GEHA_PLAN — MEDICARE: $595.45
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $564.76
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $5,726.17
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $13,470.88
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $7,097.26 $3,548.63 $125.22 – $6,884.34
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $877.31
  • ACPN_PLAN — COMMERCIAL: $6,387.53
  • AETNA_MEDICARE_PLAN — MEDICARE: $877.31
  • AETNA_PLAN — COMMERCIAL: $5,677.81
  • CIGNA_PLAN — COMMERCIAL: $6,387.53
  • GATEWAY_HEALTH_PLAN — MEDICAID: $137.74
  • GEHA_MEDICARE_PLAN — MEDICARE: $877.31
  • GEHA_PLAN — MEDICARE: $6,884.34
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $6,529.48
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $877.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: 43235- EGD/flex/transoral/diag $255.71 $127.86 $125.22 – $4,210.59
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $877.31
  • ACPN_PLAN — COMMERCIAL: $230.14
  • AETNA_MEDICARE_PLAN — MEDICARE: $877.31
  • AETNA_PLAN — COMMERCIAL: $204.57
  • CIGNA_PLAN — COMMERCIAL: $230.14
  • GATEWAY_HEALTH_PLAN — MEDICAID: $137.74
  • GEHA_MEDICARE_PLAN — MEDICARE: $877.31
  • GEHA_PLAN — MEDICARE: $248.04
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $235.25
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $877.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: 43235 - PF EGD Diagnostic Brush Wash $255.71 $127.86 $102.28 – $575.96
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $109.50
  • ACPN_PLAN — COMMERCIAL: $230.14
  • AETNA_MEDICARE_PLAN — MEDICARE: $109.50
  • GATEWAY_HEALTH_PLAN — MEDICAID: $125.22
  • GEHA_MEDICARE_PLAN — MEDICARE: $109.50
  • GEHA_PLAN — MEDICARE: $102.28
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $117.17
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $148.34
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $109.50
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $166.84
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: 43239 - PF EGD Transoral Bx Sngl/ Mult $289.33 $144.66 $115.73 – $670.48
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $122.65
  • ACPN_PLAN — COMMERCIAL: $260.40
  • AETNA_MEDICARE_PLAN — MEDICARE: $122.65
  • GATEWAY_HEALTH_PLAN — MEDICAID: $148.58
  • GEHA_MEDICARE_PLAN — MEDICARE: $122.65
  • GEHA_PLAN — MEDICARE: $115.73
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $132.56
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $167.20
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $122.65
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $188.05
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier PN In the file: 43239- EGD w/biopsy/single/multiple $7,097.26 $3,548.63 $148.58 – $6,884.34
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $877.31
  • ACPN_PLAN — COMMERCIAL: $6,387.53
  • AETNA_MEDICARE_PLAN — MEDICARE: $877.31
  • AETNA_PLAN — COMMERCIAL: $5,677.81
  • CIGNA_PLAN — COMMERCIAL: $6,387.53
  • GATEWAY_HEALTH_PLAN — MEDICAID: $163.44
  • GEHA_MEDICARE_PLAN — MEDICARE: $877.31
  • GEHA_PLAN — MEDICARE: $6,884.34
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $6,529.48
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $877.31
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: 45378 - PF Colonoscopy Flx Dx w/ Coll Spec When Pfrmd $386.13 $193.06 $154.45 – $775.20
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $164.70
  • ACPN_PLAN — COMMERCIAL: $347.52
  • AETNA_MEDICARE_PLAN — MEDICARE: $164.70
  • CIGNA_PLAN — COMMERCIAL: $712.03
  • GATEWAY_HEALTH_PLAN — MEDICAID: $180.50
  • GEHA_MEDICARE_PLAN — MEDICARE: $164.70
  • GEHA_PLAN — MEDICARE: $154.45
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $176.88
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $224.19
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $164.70
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: 45380 - PF Colonoscopy w/ Bx Sngl/Mult $419.07 $209.53 $167.63 – $923.44
Colonoscopy with biopsy: 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $177.48
  • ACPN_PLAN — COMMERCIAL: $377.16
  • AETNA_MEDICARE_PLAN — MEDICARE: $177.48
  • GATEWAY_HEALTH_PLAN — MEDICAID: $225.42
  • GEHA_MEDICARE_PLAN — MEDICARE: $177.48
  • GEHA_PLAN — MEDICARE: $167.63
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $192.01
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $242.63
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $177.48
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $272.89
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PN In the file: 45380 - Colonoscopy and biopsy $8,925.56 $4,462.78 $225.42 – $8,657.79
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,157.49
  • ACPN_PLAN — COMMERCIAL: $8,033
  • AETNA_MEDICARE_PLAN — MEDICARE: $1,157.49
  • AETNA_PLAN — COMMERCIAL: $7,140.45
  • CIGNA_PLAN — COMMERCIAL: $8,033
  • GATEWAY_HEALTH_PLAN — MEDICAID: $247.96
  • GEHA_MEDICARE_PLAN — MEDICARE: $1,157.49
  • GEHA_PLAN — MEDICARE: $8,657.79
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $8,211.52
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $1,157.49
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: 45385 - PF Colsc Flx w/ Rmvl Of Tumor Polup Lesion Snare Tq $530.98 $265.49 $212.39 – $1,042.44
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $223.26
  • ACPN_PLAN — COMMERCIAL: $477.88
  • AETNA_MEDICARE_PLAN — MEDICARE: $223.26
  • GATEWAY_HEALTH_PLAN — MEDICAID: $268.08
  • GEHA_MEDICARE_PLAN — MEDICARE: $223.26
  • GEHA_PLAN — MEDICARE: $212.39
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $243.28
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $307.99
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $223.26
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $346.41
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PN In the file: 45385- Colonoscopy/snare rmv/tumor/polyp $530.98 $265.49 $268.08 – $5,481.39
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,157.49
  • ACPN_PLAN — COMMERCIAL: $477.88
  • AETNA_MEDICARE_PLAN — MEDICARE: $1,157.49
  • AETNA_PLAN — COMMERCIAL: $424.78
  • CIGNA_PLAN — COMMERCIAL: $477.88
  • GATEWAY_HEALTH_PLAN — MEDICAID: $294.89
  • GEHA_MEDICARE_PLAN — MEDICARE: $1,157.49
  • GEHA_PLAN — MEDICARE: $515.05
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $488.50
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $1,157.49
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: G0121 - PF Colon Ca Scrn Not Hi Rsk Ind $387.11 $193.56 $116.13 – $650.03
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $165.18
  • ACPN_PLAN — COMMERCIAL: $348.40
  • AETNA_MEDICARE_PLAN — MEDICARE: $165.18
  • GEHA_MEDICARE_PLAN — MEDICARE: $165.18
  • GEHA_PLAN — MEDICARE: $154.84
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $177.30
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $224.60
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $165.18
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $252.62
  • HIGHMARK_BCBS_TRADITIONAL_PLAN — MEDICARE: $252.62
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: 47562 - PF Laparoscopy Surg Cholecystectomy $1,434.52 $717.26 $531.59 – $1,515.72
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $643.95
  • ACPN_PLAN — COMMERCIAL: $1,291.07
  • AETNA_MEDICARE_PLAN — MEDICARE: $643.95
  • GATEWAY_HEALTH_PLAN — MEDICAID: $589.35
  • GEHA_MEDICARE_PLAN — MEDICARE: $643.95
  • GEHA_PLAN — MEDICARE: $573.81
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $654.72
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $1,011.61
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $643.95
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $1,137.79
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier PN In the file: 47562- Cholecystectomy/laparoscopy $1,434.52 $717.26 $1,004.16 – $26,801.44
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $5,847.75
  • ACPN_PLAN — COMMERCIAL: $1,291.07
  • AETNA_MEDICARE_PLAN — MEDICARE: $5,847.75
  • AETNA_PLAN — COMMERCIAL: $1,147.62
  • CIGNA_PLAN — COMMERCIAL: $1,291.07
  • GEHA_MEDICARE_PLAN — MEDICARE: $5,847.75
  • GEHA_PLAN — MEDICARE: $1,391.48
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $1,319.76
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $5,847.75
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $13,272.63
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: 49505 - PF Rpr 1st Inguin Hrna Age 5 yrs/> Reducible $1,132.78 $566.39 $317.50 – $1,217.62
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $513.91
  • ACPN_PLAN — COMMERCIAL: $1,019.50
  • AETNA_MEDICARE_PLAN — MEDICARE: $513.91
  • CIGNA_PLAN — COMMERCIAL: $1,217.62
  • GATEWAY_HEALTH_PLAN — MEDICAID: $317.50
  • GEHA_MEDICARE_PLAN — MEDICARE: $513.91
  • GEHA_PLAN — MEDICARE: $453.11
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $517.14
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $799.69
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $513.91
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: 55866- Laparoscopy/surg/prostatect/robot $3,557.08 $1,778.54 $2,489.96 – $47,814.07
Prostate removal by laparoscope (radical prostatectomy): 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10,282.09
  • ACPN_PLAN — COMMERCIAL: $3,201.37
  • AETNA_MEDICARE_PLAN — MEDICARE: $10,282.09
  • AETNA_PLAN — COMMERCIAL: $2,845.66
  • CIGNA_PLAN — COMMERCIAL: $3,201.37
  • GEHA_MEDICARE_PLAN — MEDICARE: $10,282.09
  • GEHA_PLAN — MEDICARE: $3,450.37
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $3,272.51
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $10,282.09
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $23,678.51
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: 55866PF Laparoscopy Surgical Prostatectomy Retropubic Radical w/Nerve Sparing w/Robotic Assist $2,529.40 $1,264.70 $1,000 – $3,477.52
Prostate removal by laparoscope (radical prostatectomy): 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,089.07
  • ACPN_PLAN — COMMERCIAL: $2,276.46
  • AETNA_MEDICARE_PLAN — MEDICARE: $1,089.07
  • GATEWAY_HEALTH_PLAN — MEDICAID: $1,000
  • GEHA_MEDICARE_PLAN — MEDICARE: $1,089.07
  • GEHA_PLAN — MEDICARE: $1,011.76
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $1,158.82
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $2,197.71
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $1,089.07
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $2,471.84
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: 58558- Hysteroscopy/endometrium bx $24,068.84 $12,034.42 $2,582.72 – $23,346.77
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3,131.22
  • ACPN_PLAN — COMMERCIAL: $21,661.96
  • AETNA_MEDICARE_PLAN — MEDICARE: $3,131.22
  • AETNA_PLAN — COMMERCIAL: $19,255.07
  • CIGNA_PLAN — COMMERCIAL: $21,661.96
  • GEHA_MEDICARE_PLAN — MEDICARE: $3,131.22
  • GEHA_PLAN — MEDICARE: $23,346.77
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $22,143.33
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $3,131.22
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $7,191.53
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: 58558 IN OFFICE Hysteroscopy with sampling (biopsy) of endometrium $496.60 $248.30 $198.64 – $1,440.27
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $208.95
  • ACPN_PLAN — COMMERCIAL: $446.94
  • AETNA_MEDICARE_PLAN — MEDICARE: $208.95
  • GATEWAY_HEALTH_PLAN — MEDICAID: $238.77
  • GEHA_MEDICARE_PLAN — MEDICARE: $208.95
  • GEHA_PLAN — MEDICARE: $198.64
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $227.12
  • HIGHMARK_BCBS_ACA_PLAN — MEDICARE: $309.91
  • HIGHMARK_BCBS_MEDICARE_PLAN — MEDICARE: $208.95
  • HIGHMARK_BCBS_PPO_POS_FEP_PLAN — MEDICARE: $348.57
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: General Diagnostic Exam $6,739.43 $3,369.72 $95.04 – $6,537.25
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $855.53
  • ACPN_PLAN — COMMERCIAL: $6,065.49
  • AETNA_MEDICARE_PLAN — MEDICARE: $855.53
  • AETNA_PLAN — COMMERCIAL: $5,391.54
  • CIGNA_PLAN — COMMERCIAL: $6,065.49
  • GATEWAY_HEALTH_PLAN — MEDICAID: $104.54
  • GEHA_MEDICARE_PLAN — MEDICARE: $855.53
  • GEHA_PLAN — MEDICARE: $6,537.25
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $6,200.28
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $855.53
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: 66821- Cataract/secondar/discission/laser $4,152.87 $2,076.43 $216.51 – $4,028.28
Laser treatment of clouding after cataract surgery: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $532
  • ACPN_PLAN — COMMERCIAL: $3,737.58
  • AETNA_MEDICARE_PLAN — MEDICARE: $532
  • AETNA_PLAN — COMMERCIAL: $3,322.30
  • CIGNA_PLAN — COMMERCIAL: $3,737.58
  • GATEWAY_HEALTH_PLAN — MEDICAID: $238.16
  • GEHA_MEDICARE_PLAN — MEDICARE: $532
  • GEHA_PLAN — MEDICARE: $4,028.28
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $3,820.64
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $532
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: 66984- Extracaps catarac rmv/w lens prost $17,264.98 $8,632.49 $602.53 – $16,747.03
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • ACPN_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $2,232.32
  • ACPN_PLAN — COMMERCIAL: $15,538.48
  • AETNA_MEDICARE_PLAN — MEDICARE: $2,232.32
  • AETNA_PLAN — COMMERCIAL: $13,811.98
  • CIGNA_PLAN — COMMERCIAL: $15,538.48
  • GATEWAY_HEALTH_PLAN — MEDICAID: $662.78
  • GEHA_MEDICARE_PLAN — MEDICARE: $2,232.32
  • GEHA_PLAN — MEDICARE: $16,747.03
  • HEALTH_PAYORS_ORGANIZATION_PLAN — COMMERCIAL: $15,883.78
  • HEALTH_SOUTH_MOUNTAIN_VIEW_PLAN — MEDICARE: $2,232.32

Source: Mon Health Medical Center’s standard charges file (monhealthmedicalcenter.pg.quadax.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 10, 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
Address1200 JD Anderson Drive, Morgantown, WV 26505
CountyMonongalia County
StateWest Virginia
Phone(304) 598‑1200
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number510024
Name in Medicare recordsMON HEALTH MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitemonhealth.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. Mon Health Medical Center - Mon Health — monhealth.com
  2. Our Story | Mon Health Medical Center — monhealth.com
  3. Cardiac Procedures | Mon Health Medical Center — monhealth.com
  4. Conditions Treated at the Mon Health Cancer Center | Mon Health Medical Center — monhealth.com
  5. Treatment Options | Mon Health Medical Center — monhealth.com
  6. Surgical Procedures | Mon Health Medical Center — monhealth.com
  7. Commission on Cancer (CoC) Accreditation | Mon Health Medical Center — monhealth.com
  8. Mon Health System visitation guidelines (PDF, linked as Visiting Hours) — monhealth.com