Does Monroe County Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Monroe County Hospital. In a medical emergency, call 911.

Where is Monroe County Hospital?

88 Martin Luther King Jr Drive, Forsyth, GA 31029, in Monroe County, Georgia.

What is the phone number of Monroe County Hospital?

(478) 994-2521, as listed by Medicare (CMS).

What is the Medicare star rating of Monroe County Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Monroe County Hospital — Phone, Address & ER

Quick answers

Does Monroe County Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Monroe County Hospital. In a medical emergency, call 911.
Where is Monroe County Hospital?: 88 Martin Luther King Jr Drive, Forsyth, GA 31029, in Monroe County, Georgia.
What is the phone number of Monroe County Hospital?: (478) 994-2521, as listed by Medicare (CMS).
What is the Medicare star rating of Monroe County Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Emergency
Inpatient Care
Laboratory
Radiology
Respiratory Therapy
Infusion Therapy

Procedures^[4]

Programs and centers^[4]

Swing Bed Program
Georgia Heart Program approved facility

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Call the hospital for visiting hours; use caution bringing infants and small children^[5]

Recognition^[4]

DNV accredited

Doctors and clinicians (31)

31 doctors and other clinicians list Monroe County Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 7 more: the button below opens the full list.

Other emergency rooms nearby

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

Piedmont Macon North Hospital19 mi · Macon, GA · Acute Care Hospital
Wellstar Sylvan Grove Medical Center19 mi · Jackson, GA · Critical Access Hospital
Atrium Health Navicent the Medical Center23 mi · Macon, GA · Acute Care Hospital
Piedmont Macon Medical Center23 mi · Macon, GA · Acute Care Hospital
Wellstar Spalding Medical Center23 mi · Griffin, GA · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Forsyth

Atrium Health Navicent Rehabilitation Hospital18 mi · Macon, GA · Inpatient Rehabilitation Hospital
Regency Hospital Company of Macon, LLC23 mi · Macon, GA · Long-Term Acute Care Hospital

Hospitals in Monroe County · Hospitals near me

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

Pruitthealth - Forsyth1.2 mi · Forsyth, GA · 2 of 5 stars
Pruitthealth - Monroe8.3 mi · Forsyth, GA · 4 of 5 stars
Heritage Inn of Barnesville Health and Rehab11 mi · Barnesville, GA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Atrium Health Navicent Hospice Pine Pointe15 mi · Macon, GA · 5 of 5 stars
Compassus Hospice and Palliative Care-Macon15 mi · Macon, GA · 2 of 5 stars
Enhabit Hospice15 mi · Macon, GA

All hospice providers in the state →

Home health agencies

Adoration Home Health15 mi · Macon, GA · 2.5 of 5 stars
Amedisys Home Health of Macon15 mi · Macon, GA · 4 of 5 stars
Atrium Health Navicent at Home15 mi · Macon, GA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Dialysis Center of Forsyth, LLC1.0 mi · Forsyth, GA · 1 of 5 stars
USRC Forsyth1.0 mi · Forsyth, GA · 1 of 5 stars
DaVita Grovepark Dialysis18 mi · Jackson, GA · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Axis Surgery Center, LLC15 mi · Macon, GA
Bowman Pain Management, PC15 mi · Macon, GA
Gastrosouth Endoscopy Center15 mi · Macon, GA

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

CareConnect Convenient Care0.6 mi · Forsyth, GA · Community health center
CareConnect Mobile Van 11.2 mi · Forsyth, GA · Community health center
YourTown Health12 mi · Barnesville, GA · Community health center

Clinics and urgent care

Avamed Health Care LLC15 mi · Macon, GA · Urgent care center
Navicare LLC15 mi · Macon, GA · Urgent care center
Village Medical23 mi · Monticello, GA · Rural health clinic

Pharmacies

Consultants' Pharmacy LLC1.0 mi · Forsyth, GA · Community/retail pharmacy
Ingles Markets Inc1.0 mi · Forsyth, GA · Community/retail pharmacy
JM Cardinal Investments LLC1.0 mi · Forsyth, GA · Pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	80%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	90%National average: 80%
“Always” got help as soon as they wanted	59%National average: 64%
Staff “always” explained medicines before giving them	48%National average: 62%
Were given information about recovery at home	79%National average: 86%
Room and bathroom “always” clean	75%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	27Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)	16.4%
Readmitted within 30 days: pneumonia	17.4%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	153 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Too few cases to report	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 37 common services exactly as Monroe County Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 18 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 37 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT LEVEL 3	$188	$141	$28.75 – $191.76
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $146.64 AMERIGROUP_PLAN — MEDICAID: $118.44 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $28.75 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $71.44 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $71.44 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $169.20 CARESOURCE_PLAN — MEDICAID: $65.80 CIGNA_PLAN — COMMERCIAL: $133.52 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $71.44 HUMANA_PLAN — COMMERCIAL: $150.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT LEVEL 4	$317	$237.75	$84.22 – $323.34
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $247.26 AMERIGROUP_PLAN — MEDICAID: $199.71 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $84.22 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $120.46 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $120.46 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $285.30 CARESOURCE_PLAN — MEDICAID: $110.95 CIGNA_PLAN — COMMERCIAL: $133.52 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $120.46 HUMANA_PLAN — COMMERCIAL: $253.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT LEVEL 5	$414	$310.50	$54.60 – $422.28
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $322.92 AMERIGROUP_PLAN — MEDICAID: $260.82 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $54.60 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $157.32 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $157.32 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $372.60 CARESOURCE_PLAN — MEDICAID: $144.90 CIGNA_PLAN — COMMERCIAL: $133.52 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $157.32 HUMANA_PLAN — COMMERCIAL: $331.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL 3	$864.50	$648.38	$30.91 – $881.79
Emergency room visit (moderate): 10 of 15 insurance plan rates AETNA_PLAN — COMMERCIAL: $674.31 AMERIGROUP_PLAN — MEDICAID: $544.64 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $30.91 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $328.51 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $328.51 BCBS_PPO_PLAN — MEDICARE: $375 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $778.05 CARESOURCE_PLAN — MEDICAID: $302.58 CIGNA_PLAN — COMMERCIAL: $796.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $328.51
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER E&M L3 MODERATE	$700	$525	$54.80 – $388.96
Emergency room visit (moderate): rates for 10 insurance plans BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $57.04 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $78.22 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $78.22 BCBS_PPO_PLAN — MEDICARE: $77.71 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $77.71 CARESOURCE_PLAN — MEDICAID: $57.54 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $81.91 UHC_PLAN — COMMERCIAL: $388.96 WELLCARE_MEDICAID_ADVANTAGE_PLAN — MEDICAID: $54.80 WELLCARE_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $81.10
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL 4	$1,049.75	$787.31	$12.53 – $1,070.75
Emergency room visit (moderately high): 10 of 15 insurance plan rates AETNA_PLAN — COMMERCIAL: $818.81 AMERIGROUP_PLAN — MEDICAID: $661.34 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $12.53 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $398.91 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $398.91 BCBS_PPO_PLAN — MEDICARE: $375 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $944.78 CARESOURCE_PLAN — MEDICAID: $367.41 CIGNA_PLAN — COMMERCIAL: $796.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $398.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER E&M L4 HIGH	$850	$637.50	$29.39 – $472.31
Emergency room visit (moderately high): rates for 10 insurance plans BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $29.39 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $133.69 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $133.69 BCBS_PPO_PLAN — MEDICARE: $132.78 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $132.78 CARESOURCE_PLAN — MEDICAID: $88.42 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $139.46 UHC_PLAN — COMMERCIAL: $472.31 WELLCARE_MEDICAID_ADVANTAGE_PLAN — MEDICAID: $84.21 WELLCARE_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $138.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL 5	$1,200	$900	$12.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,224
Emergency room visit (high): 10 of 15 insurance plan rates AETNA_PLAN — COMMERCIAL: $936 AMERIGROUP_PLAN — MEDICAID: $756 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $12.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $456 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $456 BCBS_PPO_PLAN — MEDICARE: $1,071.64 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,080 CARESOURCE_PLAN — MEDICAID: $420 CIGNA_PLAN — COMMERCIAL: $796.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $456
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER E&M L5 HIGH/THREAT TO LIFE	$1,000	$750	$16.13 – $555.66
Emergency room visit (high): rates for 10 insurance plans BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $16.13 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $194.06 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $194.06 BCBS_PPO_PLAN — MEDICARE: $192.73 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $192.73 CARESOURCE_PLAN — MEDICAID: $139.03 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $202.17 UHC_PLAN — COMMERCIAL: $555.66 WELLCARE_MEDICAID_ADVANTAGE_PLAN — MEDICAID: $132.41 WELLCARE_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $200.17

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC FREQ	$74.80	$56.10	$8.46 – $59.84
Basic metabolic panel (blood test): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $58.34 AMERIGROUP_PLAN — MEDICAID: $10.65 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $8.46 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $8.46 BCBS_PPO_PLAN — MEDICARE: $23.94 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $8.46 CARESOURCE_PLAN — MEDICAID: $11.18 CIGNA_PLAN — COMMERCIAL: $50.32 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.46 HUMANA_PLAN — COMMERCIAL: $59.84
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PROFILE	$74.80	$56.10	$8.46 – $59.84
Basic metabolic panel (blood test): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $58.34 AMERIGROUP_PLAN — MEDICAID: $10.65 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $8.46 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $8.46 BCBS_PPO_PLAN — MEDICARE: $23.94 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $8.46 CARESOURCE_PLAN — MEDICAID: $11.18 CIGNA_PLAN — COMMERCIAL: $50.32 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.46 HUMANA_PLAN — COMMERCIAL: $59.84
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP-MULTIPLE	$74.80	$56.10	$8.46 – $59.84
Basic metabolic panel (blood test): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $58.34 AMERIGROUP_PLAN — MEDICAID: $10.65 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $8.46 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $8.46 BCBS_PPO_PLAN — MEDICARE: $23.94 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $8.46 CARESOURCE_PLAN — MEDICAID: $11.18 CIGNA_PLAN — COMMERCIAL: $50.32 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.46 HUMANA_PLAN — COMMERCIAL: $59.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CMP-	$67.65	$50.74	$10.56 – $54.12
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $52.77 AMERIGROUP_PLAN — MEDICAID: $13.29 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $10.56 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $10.56 BCBS_PPO_PLAN — MEDICARE: $29.88 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $10.56 CARESOURCE_PLAN — MEDICAID: $13.95 CIGNA_PLAN — COMMERCIAL: $45.51 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10.56 HUMANA_PLAN — COMMERCIAL: $54.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$67.65	$50.74	$10.56 – $54.12
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $52.77 AMERIGROUP_PLAN — MEDICAID: $13.29 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $10.56 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $10.56 BCBS_PPO_PLAN — MEDICARE: $29.88 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $10.56 CARESOURCE_PLAN — MEDICAID: $13.95 CIGNA_PLAN — COMMERCIAL: $45.51 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10.56 HUMANA_PLAN — COMMERCIAL: $54.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC FREQ	$67.65	$50.74	$10.56 – $54.12
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $52.77 AMERIGROUP_PLAN — MEDICAID: $13.29 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $10.56 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $10.56 BCBS_PPO_PLAN — MEDICARE: $29.88 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $10.56 CARESOURCE_PLAN — MEDICAID: $13.95 CIGNA_PLAN — COMMERCIAL: $45.51 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $10.56 HUMANA_PLAN — COMMERCIAL: $54.12
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	$260	$195	$28.08 – $208
Obstetric blood test panel: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $202.80 AMERIGROUP_PLAN — MEDICAID: $28.08 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $47.81 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $47.81 BCBS_PPO_PLAN — MEDICARE: $135.30 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $47.81 CARESOURCE_PLAN — MEDICAID: $29.48 CIGNA_PLAN — COMMERCIAL: $174.92 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $47.81 HUMANA_PLAN — COMMERCIAL: $208
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: EMP HEALTH LIPID PANEL	$54.45	$40.84	$13.39 – $43.56
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $42.47 AMERIGROUP_PLAN — MEDICAID: $16.85 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $13.39 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $13.39 BCBS_PPO_PLAN — MEDICARE: $37.89 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $13.39 CARESOURCE_PLAN — MEDICAID: $17.69 CIGNA_PLAN — COMMERCIAL: $36.63 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $13.39 HUMANA_PLAN — COMMERCIAL: $43.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$99	$74.25	$13.39 – $79.20
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $77.22 AMERIGROUP_PLAN — MEDICAID: $16.85 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $13.39 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $13.39 BCBS_PPO_PLAN — MEDICARE: $37.89 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $13.39 CARESOURCE_PLAN — MEDICAID: $17.69 CIGNA_PLAN — COMMERCIAL: $66.60 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $13.39 HUMANA_PLAN — COMMERCIAL: $79.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$122	$91.50	$8.68 – $97.60
Kidney function panel: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $95.16 AMERIGROUP_PLAN — MEDICAID: $10.92 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $8.68 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $8.68 BCBS_PPO_PLAN — MEDICARE: $24.56 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $8.68 CARESOURCE_PLAN — MEDICAID: $11.47 CIGNA_PLAN — COMMERCIAL: $82.08 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.68 HUMANA_PLAN — COMMERCIAL: $97.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION MULTIPLE	$142.02	$106.52	$8.17 – $113.62
Liver function panel: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $110.78 AMERIGROUP_PLAN — MEDICAID: $10.28 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $8.17 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $8.17 BCBS_PPO_PLAN — MEDICARE: $23.12 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $8.17 CARESOURCE_PLAN — MEDICAID: $10.79 CIGNA_PLAN — COMMERCIAL: $95.54 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.17 HUMANA_PLAN — COMMERCIAL: $113.62
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$142.02	$106.52	$8.17 – $113.62
Liver function panel: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $110.78 AMERIGROUP_PLAN — MEDICAID: $10.28 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $8.17 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $8.17 BCBS_PPO_PLAN — MEDICARE: $23.12 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $8.17 CARESOURCE_PLAN — MEDICAID: $10.79 CIGNA_PLAN — COMMERCIAL: $95.54 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.17 HUMANA_PLAN — COMMERCIAL: $113.62
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: .MICROSCOPIC	$25.30	$18.98	$3.17 – $20.24
Urine test (automated, with microscope): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $19.73 AMERIGROUP_PLAN — MEDICAID: $3.99 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $9.43 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $3.17 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $3.17 BCBS_PPO_PLAN — MEDICARE: $8.97 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $3.17 CARESOURCE_PLAN — MEDICAID: $4.19 CIGNA_PLAN — COMMERCIAL: $17.02 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS MULTIPLE	$31	$23.25	$3.17 – $24.80
Urine test (automated, with microscope): 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $24.18 AMERIGROUP_PLAN — MEDICAID: $3.99 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $3.17 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $3.17 BCBS_PPO_PLAN — MEDICARE: $8.97 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $3.17 CARESOURCE_PLAN — MEDICAID: $4.19 CIGNA_PLAN — COMMERCIAL: $20.86 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $3.17 HUMANA_PLAN — COMMERCIAL: $24.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (DIAGNOSTIC)	$112	$84	$18.39 – $89.60
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $87.36 AMERIGROUP_PLAN — MEDICAID: $23.13 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $18.39 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $18.39 BCBS_PPO_PLAN — MEDICARE: $52.04 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $18.39 CARESOURCE_PLAN — MEDICAID: $24.29 CIGNA_PLAN — COMMERCIAL: $75.35 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $18.39 HUMANA_PLAN — COMMERCIAL: $89.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$68	$51	$16.80 – $54.40
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $53.04 AMERIGROUP_PLAN — MEDICAID: $21.12 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $16.80 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $16.80 BCBS_PPO_PLAN — MEDICARE: $47.54 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $16.80 CARESOURCE_PLAN — MEDICAID: $22.18 CIGNA_PLAN — COMMERCIAL: $45.75 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.80 HUMANA_PLAN — COMMERCIAL: $54.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH W/REFLEX TO FREE T4	$68	$51	$16.80 – $54.40
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $53.04 AMERIGROUP_PLAN — MEDICAID: $21.12 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $16.80 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $16.80 BCBS_PPO_PLAN — MEDICARE: $47.54 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $16.80 CARESOURCE_PLAN — MEDICAID: $22.18 CIGNA_PLAN — COMMERCIAL: $45.75 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.80 HUMANA_PLAN — COMMERCIAL: $54.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: GLIADIN AB PANEL	$68	$51	$16.80 – $54.40
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates AETNA_PLAN — COMMERCIAL: $53.04 AMERIGROUP_PLAN — MEDICAID: $21.12 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $16.80 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $16.80 BCBS_PPO_PLAN — MEDICARE: $47.54 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $16.80 CARESOURCE_PLAN — MEDICAID: $22.18 CIGNA_PLAN — COMMERCIAL: $45.75 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.80 HUMANA_PLAN — COMMERCIAL: $54.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CBC FREQUENCY	$43.22	$32.41	$7.77 – $7,201.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $33.71 AMERIGROUP_PLAN — MEDICAID: $9.77 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $7,201.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $7.77 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $7.77 BCBS_PPO_PLAN — MEDICARE: $21.99 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $7.77 CARESOURCE_PLAN — MEDICAID: $10.26 CIGNA_PLAN — COMMERCIAL: $29.08 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CBC PROFILE	$43.22	$32.41	$7.77 – $23,403.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $33.71 AMERIGROUP_PLAN — MEDICAID: $9.77 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $23,403.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $7.77 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $7.77 BCBS_PPO_PLAN — MEDICARE: $21.99 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $7.77 CARESOURCE_PLAN — MEDICAID: $10.26 CIGNA_PLAN — COMMERCIAL: $29.08 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CBC W/AUTO DIFF	$43.22	$32.41	$7.77 – $32,405.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $33.71 AMERIGROUP_PLAN — MEDICAID: $9.77 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $32,405.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $7.77 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $7.77 BCBS_PPO_PLAN — MEDICARE: $21.99 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $7.77 CARESOURCE_PLAN — MEDICAID: $10.26 CIGNA_PLAN — COMMERCIAL: $29.08 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC	$70	$52.50	$6.47 – $72
Complete blood count (CBC), automated: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $54.60 AMERIGROUP_PLAN — MEDICAID: $8.14 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $72 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $6.47 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $6.47 BCBS_PPO_PLAN — MEDICARE: $18.31 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $6.47 CARESOURCE_PLAN — MEDICAID: $8.55 CIGNA_PLAN — COMMERCIAL: $47.09 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE BLOOD COUNT W/O DIFFERENTIAL	$70	$52.50	$6.47 – $56
Complete blood count (CBC), automated: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $54.60 AMERIGROUP_PLAN — MEDICAID: $8.14 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $31.08 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $6.47 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $6.47 BCBS_PPO_PLAN — MEDICARE: $18.31 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $6.47 CARESOURCE_PLAN — MEDICAID: $8.55 CIGNA_PLAN — COMMERCIAL: $47.09 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: EMP HEALTH.CBC (W/AUTO DIFF)	$70	$52.50	$6.47 – $56
Complete blood count (CBC), automated: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $54.60 AMERIGROUP_PLAN — MEDICAID: $8.14 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $27.70 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $6.47 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $6.47 BCBS_PPO_PLAN — MEDICARE: $18.31 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $6.47 CARESOURCE_PLAN — MEDICAID: $8.55 CIGNA_PLAN — COMMERCIAL: $47.09 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN- MULTIPLE	$40	$30	$4.29 – $49.94
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $31.20 AMERIGROUP_PLAN — MEDICAID: $4.94 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $49.94 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $4.29 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $4.29 BCBS_PPO_PLAN — MEDICARE: $12.14 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $4.29 CARESOURCE_PLAN — MEDICAID: $5.19 CIGNA_PLAN — COMMERCIAL: $26.91 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PT	$40	$30	$4.29 – $32
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $31.20 AMERIGROUP_PLAN — MEDICAID: $4.94 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $12.38 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $4.29 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $4.29 BCBS_PPO_PLAN — MEDICARE: $12.14 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $4.29 CARESOURCE_PLAN — MEDICAID: $5.19 CIGNA_PLAN — COMMERCIAL: $26.91 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PT FREQ	$22	$16.50	$4.29 – $101.11
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $17.16 AMERIGROUP_PLAN — MEDICAID: $4.94 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $101.11 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $4.29 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $4.29 BCBS_PPO_PLAN — MEDICARE: $12.14 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $4.29 CARESOURCE_PLAN — MEDICAID: $5.19 CIGNA_PLAN — COMMERCIAL: $14.80 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: .PARTIAL THROMOPLASTIN TI	$30.80	$23.10	$6.01 – $7,021.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $24.02 AMERIGROUP_PLAN — MEDICAID: $7.54 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $7,021.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $6.01 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $6.01 BCBS_PPO_PLAN — MEDICARE: $17.01 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $6.01 CARESOURCE_PLAN — MEDICAID: $7.92 CIGNA_PLAN — COMMERCIAL: $20.72 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBS-MULTIPLE	$30.80	$23.10	$6.01 – $49.94
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $24.02 AMERIGROUP_PLAN — MEDICAID: $7.54 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $49.94 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $6.01 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $6.01 BCBS_PPO_PLAN — MEDICARE: $17.01 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $6.01 CARESOURCE_PLAN — MEDICAID: $7.92 CIGNA_PLAN — COMMERCIAL: $20.72 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$56	$42	$6.01 – $44.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $43.68 AMERIGROUP_PLAN — MEDICAID: $7.54 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $15.53 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $6.01 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $6.01 BCBS_PPO_PLAN — MEDICARE: $17.01 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $6.01 CARESOURCE_PLAN — MEDICAID: $7.92 CIGNA_PLAN — COMMERCIAL: $37.67 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT BRAIN W/O CONTRAST	$629.20	$471.90	$44.74 – $641.78
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $490.78 AMERIGROUP_PLAN — MEDICAID: $396.40 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $44.74 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $239.10 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $239.10 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $566.28 CARESOURCE_PLAN — MEDICAID: $220.22 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $239.10 HUMANA_PLAN — COMMERCIAL: $503.36
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT BRAIN W/O STROKE PROTOCOL	$1,150	$862.50	$13.87 – $1,173
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $897 AMERIGROUP_PLAN — MEDICAID: $724.50 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $13.87 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $437 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $437 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,035 CARESOURCE_PLAN — MEDICAID: $402.50 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $437 HUMANA_PLAN — COMMERCIAL: $920
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONTRAST	$4,250	$3,187.50	$20.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,335
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $3,315 AMERIGROUP_PLAN — MEDICAID: $2,677.50 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $20.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $1,615 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $1,615 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $3,825 CARESOURCE_PLAN — MEDICAID: $1,487.50 CIGNA_PLAN — COMMERCIAL: $855.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,615 HUMANA_PLAN — COMMERCIAL: $3,400
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST 2 VIEWS	$494	$370.50	$35.12 – $503.88
Chest X-ray, 2 views: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $385.32 AMERIGROUP_PLAN — MEDICAID: $311.22 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $65.06 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $187.72 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $187.72 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $444.60 CARESOURCE_PLAN — MEDICAID: $172.90 CIGNA_PLAN — COMMERCIAL: $332.34 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $187.72 HUMANA_PLAN — COMMERCIAL: $395.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE LUMBOSACRAL W/OBLIQ	$494	$370.50	$29.06 – $503.88
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $385.32 AMERIGROUP_PLAN — MEDICAID: $311.22 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $29.06 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $187.72 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $187.72 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $444.60 CARESOURCE_PLAN — MEDICAID: $172.90 CIGNA_PLAN — COMMERCIAL: $332.34 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $187.72 HUMANA_PLAN — COMMERCIAL: $395.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONTRAST	$4,000	$3,000	$17.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,080
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $3,120 AMERIGROUP_PLAN — MEDICAID: $2,520 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $17.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $1,520 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $1,520 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $3,600 CARESOURCE_PLAN — MEDICAID: $1,400 CIGNA_PLAN — COMMERCIAL: $855.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,520 HUMANA_PLAN — COMMERCIAL: $3,200
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$1,178	$883.50	$9.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,201.56
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $918.84 AMERIGROUP_PLAN — MEDICAID: $742.14 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $9.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $447.64 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $447.64 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,060.20 CARESOURCE_PLAN — MEDICAID: $412.30 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $447.64 HUMANA_PLAN — COMMERCIAL: $942.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS WITH IV CONTRAST ONLY	$1,178	$883.50	$9.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,201.56
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $918.84 AMERIGROUP_PLAN — MEDICAID: $742.14 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $9.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $447.64 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $447.64 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,060.20 CARESOURCE_PLAN — MEDICAID: $412.30 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $447.64 HUMANA_PLAN — COMMERCIAL: $942.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JOINT LWR EXT-LT W/O CONTRAST	$4,000	$3,000	$20.69 – $4,080
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $3,120 AMERIGROUP_PLAN — MEDICAID: $2,520 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $20.69 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $1,520 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $1,520 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $3,600 CARESOURCE_PLAN — MEDICAID: $1,400 CIGNA_PLAN — COMMERCIAL: $855.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,520 HUMANA_PLAN — COMMERCIAL: $3,200
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JOINT LWR EXT-RT W/O CONTRAST	$4,000	$3,000	$47.38 – $4,080
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $3,120 AMERIGROUP_PLAN — MEDICAID: $2,520 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $47.38 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $1,520 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $1,520 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $3,600 CARESOURCE_PLAN — MEDICAID: $1,400 CIGNA_PLAN — COMMERCIAL: $855.95 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,520 HUMANA_PLAN — COMMERCIAL: $3,200
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD/PELV WITH IV CONTRAST ONLY	$1,909.31	$1,431.98	$99.07 – $1,947.50
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $1,489.26 AMERIGROUP_PLAN — MEDICAID: $1,202.87 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $99.07 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $725.54 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $725.54 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,718.38 CARESOURCE_PLAN — MEDICAID: $668.26 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $725.54 HUMANA_PLAN — COMMERCIAL: $1,527.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD/PELV WITH ORAL AND IV CONTRAST	$1,909.31	$1,431.98	$99.07 – $1,947.50
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $1,489.26 AMERIGROUP_PLAN — MEDICAID: $1,202.87 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $99.07 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $725.54 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $725.54 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,718.38 CARESOURCE_PLAN — MEDICAID: $668.26 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $725.54 HUMANA_PLAN — COMMERCIAL: $1,527.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT CHEST/ABD/PELVIS WITH IV CONTR ONLY	$1,909.31	$1,431.98	$39.82 – $1,947.50
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $1,489.26 AMERIGROUP_PLAN — MEDICAID: $1,202.87 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $39.82 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $725.54 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $725.54 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $1,718.38 CARESOURCE_PLAN — MEDICAID: $668.26 CIGNA_PLAN — COMMERCIAL: $360.18 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $725.54 HUMANA_PLAN — COMMERCIAL: $1,527.45
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMINAL,COMPLETE	$413	$309.75	$32.50 – $421.26
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $322.14 AMERIGROUP_PLAN — MEDICAID: $260.19 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $32.50 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $156.94 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $156.94 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $371.70 CARESOURCE_PLAN — MEDICAID: $144.55 CIGNA_PLAN — COMMERCIAL: $277.85 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $156.94 HUMANA_PLAN — COMMERCIAL: $330.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB GREATER/= 14 WKS,TRANSABDOMINAL	$672	$504	$61.08 – $685.44
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $524.16 AMERIGROUP_PLAN — MEDICAID: $423.36 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $61.08 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $255.36 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $255.36 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $604.80 CARESOURCE_PLAN — MEDICAID: $235.20 CIGNA_PLAN — COMMERCIAL: $452.09 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $255.36 HUMANA_PLAN — COMMERCIAL: $537.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US PELVIC TRANSVAGINAL NON-OB	$403	$302.25	$40.44 – $411.06
Transvaginal ultrasound: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $314.34 AMERIGROUP_PLAN — MEDICAID: $253.89 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $40.44 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $153.14 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $153.14 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $362.70 CARESOURCE_PLAN — MEDICAID: $141.05 CIGNA_PLAN — COMMERCIAL: $271.12 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $153.14 HUMANA_PLAN — COMMERCIAL: $322.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM DX MAMMO INCL CAD UNI	$650	$487.50	$13.34 – $663
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $507 AMERIGROUP_PLAN — MEDICAID: $409.50 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $13.34 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $247 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $247 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $585 CARESOURCE_PLAN — MEDICAID: $227.50 CIGNA_PLAN — COMMERCIAL: $437.29 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $247 HUMANA_PLAN — COMMERCIAL: $520
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM DX UNILAT LT, DIGITAL, CAD+	$410	$307.50	$10.85 – $418.20
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $319.80 AMERIGROUP_PLAN — MEDICAID: $258.30 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $10.85 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $155.80 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $155.80 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $369 CARESOURCE_PLAN — MEDICAID: $143.50 CIGNA_PLAN — COMMERCIAL: $275.83 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $155.80 HUMANA_PLAN — COMMERCIAL: $328
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM DX UNILAT RT, DIGITAL CAD+	$410	$307.50	$12.19 – $418.20
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $319.80 AMERIGROUP_PLAN — MEDICAID: $258.30 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $12.19 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $155.80 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $155.80 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $369 CARESOURCE_PLAN — MEDICAID: $143.50 CIGNA_PLAN — COMMERCIAL: $275.83 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $155.80 HUMANA_PLAN — COMMERCIAL: $328
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM DX BILAT, DIGITAL, CAD+	$750	$562.50	$52.70 – $765
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $585 AMERIGROUP_PLAN — MEDICAID: $472.50 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $52.70 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $285 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $285 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $675 CARESOURCE_PLAN — MEDICAID: $262.50 CIGNA_PLAN — COMMERCIAL: $504.56 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $285 HUMANA_PLAN — COMMERCIAL: $600
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM SCREEN, DIGITAL, CAD+	$463.12	$347.34	$34.54 – $472.38
Screening mammogram, both breasts: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $361.23 AMERIGROUP_PLAN — MEDICAID: $291.77 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $34.54 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $175.99 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $175.99 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $416.81 CARESOURCE_PLAN — MEDICAID: $162.09 CIGNA_PLAN — COMMERCIAL: $311.56 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $175.99 HUMANA_PLAN — COMMERCIAL: $370.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM SPECIAL SCREEN, DIG,CAD+	$463.12	$347.34	$12.53 – $472.38
Screening mammogram, both breasts: 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $361.23 AMERIGROUP_PLAN — MEDICAID: $291.77 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $12.53 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $175.99 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $175.99 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $416.81 CARESOURCE_PLAN — MEDICAID: $162.09 CIGNA_PLAN — COMMERCIAL: $311.56 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $175.99 HUMANA_PLAN — COMMERCIAL: $370.50

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT EXERCISE (0-15 MIN)	$40.70	$30.52	$14.25 – $145.93
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $31.75 AMERIGROUP_PLAN — MEDICAID: $25.64 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $31.08 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $15.47 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $15.47 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $36.63 CARESOURCE_PLAN — MEDICAID: $14.25 CIGNA_PLAN — COMMERCIAL: $145.93 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $15.47 HUMANA_PLAN — COMMERCIAL: $32.56
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: REC THERAPY INDIVIDUAL, EA 15 MIN	$74	$55.50	$25.90 – $145.93
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $57.72 AMERIGROUP_PLAN — MEDICAID: $46.62 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $37.18 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $28.12 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $28.12 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $66.60 CARESOURCE_PLAN — MEDICAID: $25.90 CIGNA_PLAN — COMMERCIAL: $145.93 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $28.12 HUMANA_PLAN — COMMERCIAL: $59.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THERAPEUTIC PROCEDURE, EA 15 MIN	$91.39	$68.54	$31.74 – $145.93
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $71.28 AMERIGROUP_PLAN — MEDICAID: $57.58 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $46.44 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $34.73 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $34.73 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $82.25 CARESOURCE_PLAN — MEDICAID: $31.99 CIGNA_PLAN — COMMERCIAL: $145.93 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $34.73 HUMANA_PLAN — COMMERCIAL: $73.11
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVALUATION LOW COMPLEXITY	$111.10	$83.33	$31.49 – $145.93
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $86.66 AMERIGROUP_PLAN — MEDICAID: $69.99 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $31.49 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $42.22 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $42.22 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $99.99 CARESOURCE_PLAN — MEDICAID: $38.89 CIGNA_PLAN — COMMERCIAL: $145.93 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $42.22 HUMANA_PLAN — COMMERCIAL: $88.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVALUATION MODERATE COMPLEXITY	$111.10	$83.33	$28.82 – $145.93
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $86.66 AMERIGROUP_PLAN — MEDICAID: $69.99 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $28.82 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $42.22 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $42.22 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $99.99 CARESOURCE_PLAN — MEDICAID: $38.89 CIGNA_PLAN — COMMERCIAL: $145.93 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $42.22 HUMANA_PLAN — COMMERCIAL: $88.88
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVALUATION HIGH COMPLEXITY	$249.47	$187.10	$49.94 – $254.46
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates AETNA_PLAN — COMMERCIAL: $194.59 AMERIGROUP_PLAN — MEDICAID: $157.17 BCBS_HMO_POS_OPEN_ACCESS_PATHWAYS_PLAN — MEDICARE: $49.94 BCBS_MEDICARE_ADVANTAGE_HMO_PLAN — MEDICARE: $94.80 BCBS_MEDICARE_ADVANTAGE_PPO_PLAN — MEDICARE: $94.80 BCBS_TRADITIONAL_PAR_PLAN — MEDICARE: $224.52 CARESOURCE_PLAN — MEDICAID: $87.31 CIGNA_PLAN — COMMERCIAL: $145.93 HUMANA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $94.80 HUMANA_PLAN — COMMERCIAL: $199.58

Source: Monroe County Hospital’s standard charges file (monroecountyhospital.pg.quadax.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 7, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	88 Martin Luther King Jr Drive, Forsyth, GA 31029
County	Monroe County
State	Georgia
Phone	(478) 994‑2521
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	111318
Name in Medicare records	MONROE COUNTY HOSPITAL
Profile level	Medicare data + hospital website
Official website	monroehospital.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Monroe County Hospital — monroehospital.org
Visitors - Monroe County Hospital — monroehospital.org

Monroe County Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4]

Procedures^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]

Visiting and practical information

Recognition^[4]

Doctors and clinicians (31)

Main specialties

Doctors with a page on this site (31)

Other emergency rooms nearby

Other hospitals near Forsyth

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Hospital information

Sources

From the hospital’s website

Monroe County Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4]

Procedures[4]

Programs and centers[4]

Emergency care (hospital website)[4]

Visiting and practical information

Recognition[4]

Doctors and clinicians (31)

Main specialties

Doctors with a page on this site (31)

Other emergency rooms nearby

Other hospitals near Forsyth

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4]

Procedures^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]

Recognition^[4]