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Acute Care Hospital

Montefiore St Luke's Cornwall

Also listed as: Montefiore St. Luke's Cornwall Hospital, Newburgh Campus

Newburgh, New York · Orange County · Emergency services listed

Montefiore St Luke's Cornwall is an acute care hospital at 70 Dubois Street, Newburgh, NY 12550. Phone: (845) 458-4900. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Montefiore St Luke's Cornwall is an acute care hospital in Newburgh, New York. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 19 services, specialties and programs. Medicare lists 478 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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(845) 458‑4900 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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
478Doctors and clinicians
19Services listed

Quick answers

Does Montefiore St Luke's Cornwall have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Montefiore St Luke's Cornwall. In a medical emergency, call 911.
Where is Montefiore St Luke's Cornwall?
70 Dubois Street, Newburgh, NY 12550, in Orange County, New York.
What is the phone number of Montefiore St Luke's Cornwall?
(845) 458-4900, as listed by Medicare (CMS).
What is the Medicare star rating of Montefiore St Luke's Cornwall?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Montefiore St Luke's Cornwall for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Montefiore St Luke's Cornwall under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.7227; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

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

Conditions treated[5][6][7]

  • Traumatic injuries
  • Obesity
  • Anemia in pregnancy
  • Premature and ill newborns

Treatments[6]

  • Lactation consultation and breastfeeding classes
  • Newborn hearing screening
  • Neonatal transport for critically ill babies

Procedures[6][7]

Programs and centers[5][6][7]

  • Kaplan Family Birthing Center
  • Elaine Kaplan Neonatal Intensive Care Unit (Level II)
  • Institute for Metabolic & Bariatric Surgery
  • Trauma Program
  • Kaplan Family Center for Emergency Medicine

Emergency care (hospital website)[5]

Emergency roomYes

Visiting and practical information

VisitingVisiting 9 a.m.-9 p.m. daily; two support persons per patient; visitors 12 and older with government ID[8]
ParkingGarage across the street with bridge to lobby and ED: first 15 min free, $5 per day max; valet $6 per day[4]
Patient portalMontefiore MyChart

Doctors and clinicians (478)

478 doctors and other clinicians list Montefiore St Luke's Cornwall 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 (478)

And 454 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Newburgh

Hospitals in Orange 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

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 license 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 Montefiore St Luke's Cornwall 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 hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1063%National average: 72%
Would definitely recommend the hospital61%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted57%National average: 64%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean70%National average: 73%
Completed surveys1,396Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.72No different from the national benchmark
MRSA bloodstream infections0.591No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.64No different from the national benchmark
Not reported to MedicareSurgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients11%
Deaths within 30 days: heart failure patients10.2%
Deaths within 30 days: pneumonia patients14.3%
Deaths within 30 days: COPD patients6.1%
Deaths within 30 days: stroke patients10.5%
Serious complications (patient safety indicator PSI-90)1.24No different from the national rate
Complications after hip or knee replacement4%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16.4%
Readmitted within 30 days: heart attack13.6%
Readmitted within 30 days: heart failure20.3%
Readmitted within 30 days: pneumonia19.5%
Readmitted within 30 days: COPD21%
Readmitted within 30 days: hip or knee replacement6.3%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)73%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Montefiore St Luke's Cornwall, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.7227Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0176More readmissions than expected
Heart failure1.0355More readmissions than expected
Pneumonia1.0937More readmissions than expected
COPD (chronic lung disease)1.0109More readmissions than expected
Hip or knee replacement1.0414More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score19.08 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)32.00 out of 100
Person and community engagement (patient survey)16.00 out of 100
Safety (infections and sepsis care)28.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.00Same as the national median hospital

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 New YorkBest hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Montefiore St Luke's Cornwall 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 →

Show the prices of 86 common services

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: HC OFFICE VISIT NEW PAT DETAILED EXAM LVL3 33 44 MINS $711 Not listed in the file $255.96 – $533.25
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • Anthem — Blue Access: $291.51
  • Anthem — Connection LG: $291.51
  • Anthem — ConnectionSG: $255.96
  • Anthem — Exchange: $420.56
  • Anthem — Fed Employee Program: $319.95
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $319.95
  • Anthem — Hotel Trades Council: $319.95
  • Anthem — Local 32BJ: $319.95
  • Anthem — SG EPO/PPO: $319.95
  • Centivo — Centivo Network: $447.93
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE VISIT NEW PAT MOD COMPLEXITY LVL4 45 TO 59 MINS $941 Not listed in the file $338.76 – $705.75
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • Anthem — Blue Access: $385.81
  • Anthem — Connection LG: $385.81
  • Anthem — ConnectionSG: $338.76
  • Anthem — Exchange: $556.60
  • Anthem — Fed Employee Program: $423.45
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $423.45
  • Anthem — Hotel Trades Council: $423.45
  • Anthem — Local 32BJ: $423.45
  • Anthem — SG EPO/PPO: $423.45
  • Centivo — Centivo Network: $592.83
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office o p new hi 60 min Not listed in the file Not listed in the file $705.94
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Emblem — HIP HMO: $705.94
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE VISIT EST PAT EXPANDED PROB FOCUS LVL3 20 29 MINUTES $590 Not listed in the file $212.40 – $442.50
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Anthem — Blue Access: $241.90
  • Anthem — Connection LG: $241.90
  • Anthem — ConnectionSG: $212.40
  • Anthem — Exchange: $348.99
  • Anthem — Fed Employee Program: $265.50
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $265.50
  • Anthem — Hotel Trades Council: $265.50
  • Anthem — Local 32BJ: $265.50
  • Anthem — SG EPO/PPO: $265.50
  • Centivo — Centivo Network: $371.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE VISIT EST PAT MOD COMPLX LVL4 20 29 MINUTES $711 Not listed in the file $255.96 – $533.25
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Anthem — Blue Access: $291.51
  • Anthem — Connection LG: $291.51
  • Anthem — ConnectionSG: $255.96
  • Anthem — Exchange: $420.56
  • Anthem — Fed Employee Program: $319.95
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $319.95
  • Anthem — Hotel Trades Council: $319.95
  • Anthem — Local 32BJ: $319.95
  • Anthem — SG EPO/PPO: $319.95
  • Centivo — Centivo Network: $447.93
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Off op cnsltj new est low 30 Not listed in the file Not listed in the file $340.29
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Emblem — HIP HMO: $340.29
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Off op cnsltj new est mod 40 Not listed in the file Not listed in the file $516.12
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Emblem — HIP HMO: $516.12
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev visit new age 18 39 Not listed in the file Not listed in the file $362.29
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Emblem — HIP HMO: $362.29
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev visit new age 40 64 Not listed in the file Not listed in the file $438.46
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Emblem — HIP HMO: $438.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPT VISIT LVL 3 $3,903 $340.75 $388.47 – $39,639
Emergency room visit (moderate): 10 of 43 insurance plan rates
  • Aetna — Medicare: $337.34
  • Affinity — HIX QHP: $357.79
  • Affinity — Medicare: $340.75
  • Anthem — Blue Access: $1,600.23
  • Anthem — Connection LG: $1,600.23
  • Anthem — ConnectionSG: $1,405.08
  • Anthem — Exchange: $460.01
  • Anthem — Fed Employee Program: $1,756.35
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $1,756.35
  • Anthem — Hotel Trades Council: $1,756.35
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $250 – $3,789
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — ASA: $1,409
  • Aetna — Commercial: $1,260
  • American Postal Workers — APWU Health Plan: $1,862
  • Anthem — Connection LG: $2,678
  • Anthem — Connection SG: $2,380
  • Anthem — Exchange: $1,256
  • Anthem — Fed Employee Program: $2,975
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $2,975
  • Anthem — Hotel Trades Council: $2,975
  • Anthem — Local 32BJ: $2,975
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPT VISIT LVL 4 $4,664 $520.86 $388.47 – $39,639
Emergency room visit (moderately high): 10 of 43 insurance plan rates
  • Aetna — Medicare: $515.65
  • Affinity — HIX QHP: $546.90
  • Affinity — Medicare: $520.86
  • Anthem — Blue Access: $1,912.24
  • Anthem — Connection LG: $1,912.24
  • Anthem — ConnectionSG: $1,679.04
  • Anthem — Exchange: $703.16
  • Anthem — Fed Employee Program: $2,098.80
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $2,098.80
  • Anthem — Hotel Trades Council: $2,098.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $250 – $3,789
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — ASA: $1,409
  • Aetna — Commercial: $1,260
  • American Postal Workers — APWU Health Plan: $1,862
  • Anthem — Connection LG: $2,678
  • Anthem — Connection SG: $2,380
  • Anthem — Exchange: $1,256
  • Anthem — Fed Employee Program: $2,975
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $2,975
  • Anthem — Hotel Trades Council: $2,975
  • Anthem — Local 32BJ: $2,975
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC TRAUMA ALERT NO PRE NOT E M LVL 5 $7,278 $743.39 $388.47 – $39,639
Emergency room visit (high): 10 of 43 insurance plan rates
  • Aetna — Medicare: $735.96
  • Affinity — HIX QHP: $780.56
  • Affinity — Medicare: $743.39
  • Anthem — Blue Access: $2,983.98
  • Anthem — Connection LG: $2,983.98
  • Anthem — ConnectionSG: $2,620.08
  • Anthem — Exchange: $1,003.58
  • Anthem — Fed Employee Program: $3,275.10
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $3,275.10
  • Anthem — Hotel Trades Council: $3,275.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $250 – $4,698.22
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — ASA: $1,409
  • Aetna — Commercial: $1,260
  • American Postal Workers — APWU Health Plan: $1,862
  • Anthem — Connection LG: $2,678
  • Anthem — Connection SG: $2,380
  • Anthem — Exchange: $1,256
  • Anthem — Fed Employee Program: $2,975
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $2,975
  • Anthem — Hotel Trades Council: $2,975
  • Anthem — Local 32BJ: $2,975

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC METABOLIC PANEL TOTAL CA $401 Not listed in the file $5.86 – $320.80
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna — ASA: $13.11
  • Aetna — Commercial: $11.76
  • Aetna — Medicare: $7.25
  • Anthem — Blue Access: $52.31
  • Anthem — Connection LG: $52.31
  • Anthem — Connection SG: $46.46
  • Anthem — Exchange: $237.19
  • Anthem — Fed Employee Program: $58.10
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $58.10
  • Anthem — Hotel Trades Council: $58.10
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca Not listed in the file Not listed in the file $5.86 – $320.80
Basic metabolic panel (blood test): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $10.15
  • UHC — All Payer: $10.15
  • UHC — Compass: $10.15
  • UHC — Oxford: $10.15
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHEN METABOLIC PANEL $718 Not listed in the file $8.08 – $574.40
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna — ASA: $16.37
  • Aetna — Commercial: $14.68
  • Aetna — Medicare: $10
  • Anthem — Blue Access: $65.41
  • Anthem — Connection LG: $65.41
  • Anthem — Connection SG: $58.10
  • Anthem — Exchange: $424.70
  • Anthem — Fed Employee Program: $72.66
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $72.66
  • Anthem — Hotel Trades Council: $72.66
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $8.08 – $574.40
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $12.67
  • UHC — All Payer: $12.67
  • UHC — Compass: $12.67
  • UHC — Oxford: $12.67
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel Not listed in the file Not listed in the file $57.37 – $447.24
Obstetric blood test panel: 10 of 25 insurance plan rates
  • Aetna — ASA: $74.11
  • Aetna — Commercial: $66.46
  • American Postal Workers — APWU Health Plan: $57.37
  • Anthem — Blue Access: $251.27
  • Anthem — Connection LG: $251.27
  • Anthem — Connection SG: $223.20
  • Anthem — Fed Employee Program: $279.11
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $279.11
  • Anthem — Hotel Trades Council: $279.11
  • Anthem — Local 32BJ: $279.11
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL $517 Not listed in the file $4.88 – $413.60
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna — ASA: $20.75
  • Aetna — Commercial: $18.61
  • Aetna — Medicare: $6.04
  • Anthem — Blue Access: $101.12
  • Anthem — Connection LG: $101.12
  • Anthem — Connection SG: $89.82
  • Anthem — Exchange: $305.81
  • Anthem — Fed Employee Program: $112.32
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $112.32
  • Anthem — Hotel Trades Council: $112.32
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel Not listed in the file Not listed in the file $4.88 – $413.60
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $16.07
  • UHC — All Payer: $16.07
  • UHC — Compass: $16.07
  • UHC — Oxford: $16.07
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL $554 Not listed in the file $6.94 – $443.20
Kidney function panel: 10 of 44 insurance plan rates
  • Aetna — ASA: $13.45
  • Aetna — Commercial: $12.07
  • Aetna — Medicare: $8.59
  • Anthem — Blue Access: $53.73
  • Anthem — Connection LG: $53.73
  • Anthem — Connection SG: $47.72
  • Anthem — Exchange: $327.69
  • Anthem — Fed Employee Program: $59.68
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $59.68
  • Anthem — Hotel Trades Council: $59.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel Not listed in the file Not listed in the file $6.94 – $443.20
Kidney function panel: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $10.42
  • UHC — All Payer: $10.42
  • UHC — Compass: $10.42
  • UHC — Oxford: $10.42
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL $531 Not listed in the file $5.86 – $424.80
Liver function panel: 10 of 44 insurance plan rates
  • Aetna — ASA: $12.66
  • Aetna — Commercial: $11.36
  • Aetna — Medicare: $7.25
  • Anthem — Blue Access: $50.56
  • Anthem — Connection LG: $50.56
  • Anthem — Connection SG: $44.91
  • Anthem — Exchange: $314.09
  • Anthem — Fed Employee Program: $56.16
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $56.16
  • Anthem — Hotel Trades Council: $56.16
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel Not listed in the file Not listed in the file $5.86 – $424.80
Liver function panel: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $9.80
  • UHC — All Payer: $9.80
  • UHC — Compass: $9.80
  • UHC — Oxford: $9.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w scope Not listed in the file Not listed in the file $2.54 – $53.74
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • Aetna — ASA: $4.91
  • Aetna — Commercial: $4.41
  • American Postal Workers — APWU Health Plan: $3.80
  • Anthem — Blue Access: $48.38
  • Anthem — Connection LG: $48.38
  • Anthem — Connection SG: $42.97
  • Anthem — Fed Employee Program: $53.74
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $53.74
  • Anthem — Hotel Trades Council: $53.74
  • Anthem — Local 32BJ: $53.74
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS BY DIP STICK OR TABLET REAGE Not listed in the file Not listed in the file $2.54 – $53.74
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • Aetna — Medicare: $3.14
  • Anthem — Medicare: $3.17
  • CDPHP — Medicare: $3.17
  • Centerlight — PACE: $3.27
  • Emblem — Medicare: $3.17
  • Emblem — Select Care: $3.80
  • Fidelis — Health Benefit Exchange: $3.68
  • Fidelis — Medicare: $2.54
  • Hudson Valley — VA: $3.17
  • Humana — Medicare: $3.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w o scope Not listed in the file Not listed in the file $1.62 – $43.30
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Aetna — ASA: $5.39
  • Aetna — Commercial: $4.84
  • American Postal Workers — APWU Health Plan: $4.18
  • Anthem — Blue Access: $38.98
  • Anthem — Connection LG: $38.98
  • Anthem — Connection SG: $34.63
  • Anthem — Fed Employee Program: $43.30
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $43.30
  • Anthem — Hotel Trades Council: $43.30
  • Anthem — Local 32BJ: $43.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS BY DIP STICK OR TABLET REAGE Not listed in the file Not listed in the file $1.62 – $43.30
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • Aetna — Medicare: $2
  • Anthem — Medicare: $2.02
  • CDPHP — Medicare: $2.02
  • Centerlight — PACE: $2.08
  • Emblem — Medicare: $2.02
  • Emblem — Select Care: $2.42
  • Fidelis — Health Benefit Exchange: $2.34
  • Fidelis — Medicare: $1.62
  • Hudson Valley — VA: $2.02
  • Humana — Medicare: $2.22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINALYSIS AUTO W O SCOPE $138 Not listed in the file $1.62 – $110.40
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna — ASA: $3.49
  • Aetna — Commercial: $3.13
  • Aetna — Medicare: $2
  • Anthem — Blue Access: $34.29
  • Anthem — Connection LG: $34.29
  • Anthem — Connection SG: $30.46
  • Anthem — Exchange: $81.63
  • Anthem — Fed Employee Program: $38.09
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $38.09
  • Anthem — Hotel Trades Council: $38.09
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w o scope Not listed in the file Not listed in the file $1.62 – $110.40
Urine test (automated, without microscope): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $2.70
  • UHC — All Payer: $2.70
  • UHC — Compass: $2.70
  • UHC — Oxford: $2.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC ASSAY OF PSA TOTAL SCREENING $501 Not listed in the file $14.71 – $400.80
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna — ASA: $28.50
  • Aetna — Commercial: $25.56
  • Aetna — Medicare: $18.21
  • Anthem — Blue Access: $280.64
  • Anthem — Connection LG: $280.64
  • Anthem — Connection SG: $249.29
  • Anthem — Exchange: $296.34
  • Anthem — Fed Employee Program: $311.74
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $311.74
  • Anthem — Hotel Trades Council: $311.74
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total Not listed in the file Not listed in the file $14.71 – $400.80
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $22.07
  • UHC — All Payer: $22.07
  • UHC — Compass: $22.07
  • UHC — Oxford: $22.07
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC ASSAY THYROID STIM HORMONE $501 Not listed in the file $7.27 – $400.80
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna — ASA: $26.04
  • Aetna — Commercial: $23.35
  • Aetna — Medicare: $9
  • Anthem — Blue Access: $256.29
  • Anthem — Connection LG: $256.29
  • Anthem — Connection SG: $227.66
  • Anthem — Exchange: $296.34
  • Anthem — Fed Employee Program: $284.69
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $284.69
  • Anthem — Hotel Trades Council: $284.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $7.27 – $400.80
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $20.16
  • UHC — All Payer: $20.16
  • UHC — Compass: $20.16
  • UHC — Oxford: $20.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPLETE CBC W AUTO DIFF WBC $382 Not listed in the file $2.56 – $305.60
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates
  • Aetna — ASA: $12.04
  • Aetna — Commercial: $10.80
  • Aetna — Medicare: $3.17
  • Anthem — Blue Access: $118.59
  • Anthem — Connection LG: $118.59
  • Anthem — Connection SG: $105.34
  • Anthem — Exchange: $225.95
  • Anthem — Fed Employee Program: $131.73
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $131.73
  • Anthem — Hotel Trades Council: $131.73
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w auto diff wbc Not listed in the file Not listed in the file $2.56 – $305.60
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $9.32
  • UHC — All Payer: $9.32
  • UHC — Compass: $9.32
  • UHC — Oxford: $9.32
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated Not listed in the file Not listed in the file $2.56 – $98.50
Complete blood count (CBC), automated: 10 of 26 insurance plan rates
  • Aetna — ASA: $10.03
  • Aetna — Commercial: $8.99
  • American Postal Workers — APWU Health Plan: $7.76
  • Anthem — Blue Access: $88.67
  • Anthem — Connection LG: $88.67
  • Anthem — Connection SG: $78.76
  • Anthem — Fed Employee Program: $98.50
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $98.50
  • Anthem — Hotel Trades Council: $98.50
  • Anthem — Local 32BJ: $98.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: BLOOD COUNT COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $2.56 – $98.50
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • Aetna — Medicare: $3.17
  • Anthem — Medicare: $3.20
  • CDPHP — Medicare: $3.20
  • Centerlight — PACE: $3.30
  • Emblem — Medicare: $3.20
  • Emblem — Select Care: $3.84
  • Fidelis — Health Benefit Exchange: $3.71
  • Fidelis — Medicare: $2.56
  • Hudson Valley — VA: $3.20
  • Humana — Medicare: $3.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME $411 Not listed in the file $3.16 – $328.80
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna — ASA: $6.65
  • Aetna — Commercial: $5.96
  • Aetna — Medicare: $3.91
  • Anthem — Blue Access: $59.95
  • Anthem — Connection LG: $59.95
  • Anthem — Connection SG: $53.25
  • Anthem — Exchange: $243.11
  • Anthem — Fed Employee Program: $66.59
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $66.59
  • Anthem — Hotel Trades Council: $66.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time Not listed in the file Not listed in the file $3.16 – $328.80
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $5.15
  • UHC — All Payer: $5.15
  • UHC — Compass: $5.15
  • UHC — Oxford: $5.15
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLASTIN TIME PART PTT PLASMA WHLE BLD $732 Not listed in the file $4.81 – $585.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna — ASA: $9.32
  • Aetna — Commercial: $8.35
  • Aetna — Medicare: $5.95
  • Anthem — Blue Access: $91.51
  • Anthem — Connection LG: $91.51
  • Anthem — Connection SG: $81.29
  • Anthem — Exchange: $432.98
  • Anthem — Fed Employee Program: $101.65
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $101.65
  • Anthem — Hotel Trades Council: $101.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial Not listed in the file Not listed in the file $4.81 – $585.60
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $7.21
  • UHC — All Payer: $7.21
  • UHC — Compass: $7.21
  • UHC — Oxford: $7.21

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: HC CT HEAD BRAIN W O DYE $2,139 $130.50 $104.40 – $1,747.32
CT scan of the head or brain, without contrast: 10 of 65 insurance plan rates
  • Aetna — ASA: $138.71
  • Aetna — Commercial: $124.03
  • Aetna — Medicare: $129.20
  • Affinity — Basic Health Plan: $121.20
  • Affinity — Child Health Plus: $121.20
  • Affinity — HIX QHP: $137.03
  • Affinity — Medicaid: $121.20
  • Affinity — Medicare: $130.50
  • Anthem — Blue Access: $793.88
  • Anthem — Connection LG: $793.88
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Ct head brain w o dye Not listed in the file Not listed in the file $104.40 – $1,747.32
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $174.35
  • UHC — All Payer: $174.35
  • UHC — Compass: $174.35
  • UHC — Oxford: $174.35
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN STEM W O W DYE $7,184 $435.49 $348.39 – $9,212.65
MRI of the brain, before and after contrast: 10 of 63 insurance plan rates
  • Aetna — ASA: $437.76
  • Aetna — Commercial: $391.44
  • Aetna — Medicare: $431.14
  • Affinity — Basic Health Plan: $505
  • Affinity — Child Health Plus: $505
  • Affinity — HIX QHP: $457.26
  • Affinity — Medicaid: $505
  • Affinity — Medicare: $435.49
  • Anthem — Blue Access: $2,861.04
  • Anthem — Connection LG: $2,861.04
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w o w dye Not listed in the file Not listed in the file $348.39 – $9,212.65
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Aetna — Commercial: $1,370
  • American Postal Workers — APWU Health Plan: $588.99
  • MVP — Commercial: $1,451
  • UHC — All Payer: $588.99
  • UHC — Compass: $588.99
  • UHC — Oxford: $588.99
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC X RAY EXAM CHEST 2 VIEWS $919 $108.63 $15.15 – $735.20
Chest X-ray, 2 views: 10 of 58 insurance plan rates
  • Aetna — ASA: $47.44
  • Aetna — Commercial: $42.42
  • Aetna — Medicare: $107.54
  • Affinity — Basic Health Plan: $15.15
  • Affinity — Child Health Plus: $15.15
  • Affinity — HIX QHP: $114.06
  • Affinity — Medicaid: $15.15
  • Affinity — Medicare: $108.63
  • Anthem — Blue Access: $203.33
  • Anthem — Connection LG: $203.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X ray exam chest 2 views Not listed in the file Not listed in the file $15.15 – $735.20
Chest X-ray, 2 views: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $129.44
  • UHC — All Payer: $129.44
  • UHC — Compass: $129.44
  • UHC — Oxford: $129.44
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC X RAY EXAM L 2 SPINE 4 VWS $1,176 $130.50 $30.30 – $940.80
X-ray of the lower spine, at least 4 views: 10 of 64 insurance plan rates
  • Aetna — ASA: $79.89
  • Aetna — Commercial: $71.44
  • Aetna — Medicare: $129.20
  • Affinity — Basic Health Plan: $30.30
  • Affinity — Child Health Plus: $30.30
  • Affinity — HIX QHP: $137.03
  • Affinity — Medicaid: $30.30
  • Affinity — Medicare: $130.50
  • Anthem — Blue Access: $351.51
  • Anthem — Connection LG: $351.51
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X ray exam l 2 spine 4 vws Not listed in the file Not listed in the file $30.30 – $940.80
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $174.35
  • UHC — All Payer: $174.35
  • UHC — Compass: $174.35
  • UHC — Oxford: $174.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI LUMBAR SPINE W O DYE $4,863 $297.84 $225.70 – $4,600.83
MRI of the lower back (lumbar spine), without contrast: 10 of 64 insurance plan rates
  • Aetna — ASA: $252.41
  • Aetna — Commercial: $225.70
  • Aetna — Medicare: $294.86
  • Affinity — Basic Health Plan: $505
  • Affinity — Child Health Plus: $505
  • Affinity — HIX QHP: $312.73
  • Affinity — Medicaid: $505
  • Affinity — Medicare: $297.84
  • Anthem — Blue Access: $1,629.92
  • Anthem — Connection LG: $1,629.92
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w o dye Not listed in the file Not listed in the file $225.70 – $4,600.83
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Aetna — Commercial: $1,370
  • American Postal Workers — APWU Health Plan: $368.21
  • UHC — All Payer: $368.21
  • UHC — Compass: $368.21
  • UHC — Oxford: $368.21
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W DYE $3,581 $218.95 $171.70 – $2,685.75
CT scan of the pelvis, with contrast: 10 of 64 insurance plan rates
  • Aetna — ASA: $356.53
  • Aetna — Commercial: $318.80
  • Aetna — Medicare: $216.76
  • Affinity — Basic Health Plan: $171.70
  • Affinity — Child Health Plus: $171.70
  • Affinity — HIX QHP: $229.90
  • Affinity — Medicaid: $171.70
  • Affinity — Medicare: $218.95
  • Anthem — Blue Access: $1,814.03
  • Anthem — Connection LG: $1,814.03
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w dye Not listed in the file Not listed in the file $171.70 – $2,685.75
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $285.68
  • UHC — All Payer: $285.68
  • UHC — Compass: $285.68
  • UHC — Oxford: $285.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI JNT OF LWR EXTRE W O DYE $4,863 $297.84 $238.27 – $4,514.29
MRI of a leg joint (such as the knee), without contrast: 10 of 64 insurance plan rates
  • Aetna — ASA: $289.70
  • Aetna — Commercial: $259.04
  • Aetna — Medicare: $294.86
  • Affinity — Basic Health Plan: $505
  • Affinity — Child Health Plus: $505
  • Affinity — HIX QHP: $312.73
  • Affinity — Medicaid: $505
  • Affinity — Medicare: $297.84
  • Anthem — Blue Access: $1,836.96
  • Anthem — Connection LG: $1,836.96
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w o dye Not listed in the file Not listed in the file $238.27 – $4,514.29
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • Aetna — Commercial: $1,370
  • American Postal Workers — APWU Health Plan: $368.21
  • UHC — All Payer: $368.21
  • UHC — Compass: $368.21
  • UHC — Oxford: $368.21
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD PELV W CONTRAST $7,184 $435.49 $109.01 – $5,388
CT scan of the abdomen and pelvis, with contrast: 10 of 59 insurance plan rates
  • Aetna — ASA: $447.14
  • Aetna — Commercial: $399.82
  • Aetna — Medicare: $431.14
  • Affinity — Basic Health Plan: $109.01
  • Affinity — Child Health Plus: $109.01
  • Affinity — HIX QHP: $457.26
  • Affinity — Medicaid: $109.01
  • Affinity — Medicare: $435.49
  • Anthem — Blue Access: $2,385.47
  • Anthem — Connection LG: $2,385.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd pelvis w contrast Not listed in the file Not listed in the file $109.01 – $5,388
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $588.99
  • UHC — All Payer: $588.99
  • UHC — Compass: $588.99
  • UHC — Oxford: $588.99
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US EXAM ABDOM COMPLETE $2,044 $130.50 $60.60 – $1,635.20
Ultrasound of the abdomen, complete: 10 of 63 insurance plan rates
  • Aetna — ASA: $157.06
  • Aetna — Commercial: $140.44
  • Aetna — Medicare: $129.20
  • Affinity — Basic Health Plan: $60.60
  • Affinity — Child Health Plus: $60.60
  • Affinity — HIX QHP: $137.03
  • Affinity — Medicaid: $60.60
  • Affinity — Medicare: $130.50
  • Anthem — Blue Access: $871.31
  • Anthem — Connection LG: $871.31
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file Not listed in the file $60.60 – $1,635.20
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $174.35
  • UHC — All Payer: $174.35
  • UHC — Compass: $174.35
  • UHC — Oxford: $174.35
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC OB US 14 WKS SNGL FETUS $1,871 $130.50 $55.55 – $1,178.73
Pregnancy ultrasound (after the first trimester): 10 of 63 insurance plan rates
  • Aetna — ASA: $176.68
  • Aetna — Commercial: $157.98
  • Aetna — Medicare: $129.20
  • Affinity — Basic Health Plan: $55.55
  • Affinity — Child Health Plus: $55.55
  • Affinity — HIX QHP: $137.03
  • Affinity — Medicaid: $55.55
  • Affinity — Medicare: $130.50
  • Anthem — Blue Access: $975.59
  • Anthem — Connection LG: $975.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us 14 wks sngl fetus Not listed in the file Not listed in the file $55.55 – $1,178.73
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $174.35
  • UHC — All Payer: $174.35
  • UHC — Compass: $174.35
  • UHC — Oxford: $174.35
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC TRANSVAGINAL US NON OB $1,871 $130.50 $60.60 – $1,178.73
Transvaginal ultrasound: 10 of 63 insurance plan rates
  • Aetna — ASA: $172.61
  • Aetna — Commercial: $154.35
  • Aetna — Medicare: $129.20
  • Affinity — Basic Health Plan: $60.60
  • Affinity — Child Health Plus: $60.60
  • Affinity — HIX QHP: $137.03
  • Affinity — Medicaid: $60.60
  • Affinity — Medicare: $130.50
  • Anthem — Blue Access: $928.86
  • Anthem — Connection LG: $928.86
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non ob Not listed in the file Not listed in the file $60.60 – $1,178.73
Transvaginal ultrasound: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $174.35
  • UHC — All Payer: $174.35
  • UHC — Compass: $174.35
  • UHC — Oxford: $174.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD UNI $850 Not listed in the file $97.97 – $881.24
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — ASA: $178.02
  • Aetna — Commercial: $159.18
  • Affinity — Basic Health Plan: $97.97
  • Affinity — Child Health Plus: $97.97
  • Affinity — Medicaid: $97.97
  • Anthem — Blue Access: $793.34
  • Anthem — Connection LG: $793.34
  • Anthem — Connection SG: $704.71
  • Anthem — Fed Employee Program: $881.24
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $881.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $97.97 – $881.24
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $146.27
  • UHC — All Payer: $146.27
  • UHC — Compass: $146.27
  • UHC — Oxford: $146.27
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD BI $1,055 Not listed in the file $97.97 – $1,125.54
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — ASA: $226.71
  • Aetna — Commercial: $202.72
  • Affinity — Basic Health Plan: $97.97
  • Affinity — Child Health Plus: $97.97
  • Affinity — Medicaid: $97.97
  • Anthem — Blue Access: $1,013.27
  • Anthem — Connection LG: $1,013.27
  • Anthem — Connection SG: $900.06
  • Anthem — Fed Employee Program: $1,125.54
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $1,125.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $97.97 – $1,125.54
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $187.02
  • UHC — All Payer: $187.02
  • UHC — Compass: $187.02
  • UHC — Oxford: $187.02
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC SCR MAMMO BI INCL CAD $1,087 Not listed in the file $97.97 – $930.73
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — ASA: $187.39
  • Aetna — Commercial: $167.56
  • Affinity — Basic Health Plan: $97.97
  • Affinity — Child Health Plus: $97.97
  • Affinity — Medicaid: $97.97
  • Anthem — Blue Access: $837.89
  • Anthem — Connection LG: $837.89
  • Anthem — Connection SG: $744.28
  • Anthem — Fed Employee Program: $930.73
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $930.73
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $97.97 – $930.73
Screening mammogram, both breasts: rates for 4 insurance plans
  • American Postal Workers — APWU Health Plan: $154.64
  • UHC — All Payer: $154.64
  • UHC — Compass: $154.64
  • UHC — Oxford: $154.64

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram complete Not listed in the file Not listed in the file $15.15 – $199.05
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates
  • Aetna — ASA: $33.96
  • Aetna — Commercial: $30.32
  • Anthem — Blue Access: $179.20
  • Anthem — Connection LG: $179.20
  • Anthem — Connection SG: $159.18
  • Anthem — Fed Employee Program: $199.05
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $199.05
  • Anthem — Hotel Trades Council: $199.05
  • Anthem — Local 32BJ: $199.05
  • Anthem — SG EPO/PPO: $169.19
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM ROUTINE ECG WITH AT L Not listed in the file Not listed in the file $15.15 – $199.05
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Affinity — Basic Health Plan: $15.15
  • Affinity — Child Health Plus: $15.15
  • Affinity — Medicaid: $15.15
  • Emblem — Essential Plan 1 & 2: $18.18
  • Emblem — Essential Plan 3 & 4: $15.15
  • Emblem — HIP Medicaid, FHP & CHP: $15.15
  • HealthFirst — Child Health Plus: $15.15
  • HealthFirst — Medicaid: $15.15
  • HealthFirst — Medicaid HARP: $15.15
  • HealthFirst — QHP: $24.24
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LEFT HRT CATH W VENTRCLGRPHY $16,450 $4,046.85 $1,324.69 – $29,071
Left heart catheterization (diagnostic): 10 of 53 insurance plan rates
  • Aetna — Medicare: $4,006.38
  • Affinity — HIX QHP: $4,249.19
  • Affinity — Medicare: $4,046.85
  • Anthem — Blue Access: $6,744.50
  • Anthem — Child Health Plus: $3,192.02
  • Anthem — Connection LG: $7,843
  • Anthem — Connection SG: $6,971
  • Anthem — ConnectionSG: $5,922
  • Anthem — Essential 1, 2, 3, 4: $3,591.02
  • Anthem — Exchange: $5,463.25
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w ventrclgrphy Not listed in the file $4,046.85 $1,324.69 – $29,071
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates
  • Aetna — ASA: $11,745
  • Aetna — Commercial: $7,366
  • American Postal Workers — APWU Health Plan: $11,616
  • Anthem — Blue Access: $13,757
  • Anthem — Connection LG: $13,757
  • Anthem — Connection SG: $12,229
  • Anthem — Exchange: $6,453
  • Anthem — Fed Employee Program: $15,286
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $15,286
  • Anthem — Hotel Trades Council: $15,286
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive ep evaluation Not listed in the file $9,736.19 $367.06 – $61,532.72
Heart rhythm study (electrophysiology evaluation): 10 of 57 insurance plan rates
  • Aetna — ASA: $24,077
  • Aetna — Commercial: $21,525
  • Aetna — Medicare: $9,638.83
  • Affinity — HIX QHP: $10,223
  • Affinity — Medicare: $9,736.19
  • American Postal Workers — APWU Health Plan: $9,752
  • Anthem — Blue Access: $33,124
  • Anthem — Connection LG: $33,124
  • Anthem — Connection SG: $29,443
  • Anthem — Exchange: $15,536
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Electrophysiology evaluation Not listed in the file $9,736.19 $367.06 – $61,532.72
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • Anthem — Child Health Plus: $884.48
  • Anthem — Essential 1, 2, 3, 4: $995.04
  • Anthem — HARP: $442.24
  • Anthem — Medicaid: $442.24
  • Emblem — Essential Plan 1 & 2: $530.69
  • Emblem — Essential Plan 3 & 4: $442.24
  • Emblem — HIP Medicaid, FHP & CHP: $442.24
  • Hamaspik — Medicaid: $464.35
  • HealthFirst — Child Health Plus: $367.06
  • HealthFirst — Medicaid: $367.06
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $367.06 – $61,532.72
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
  • Aetna — ASA: $28,746
  • Aetna — Commercial: $25,698
  • GEHA — GEHA: $28,746
  • Meritain Health — Meritain Health: $28,746
  • Nippon Life Insurance — Nippon Life Insurance: $28,746
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Compre ep eval abltj atr fib Not listed in the file $32,627.47 $678.45 – $206,205.61
Heart rhythm study with ablation for atrial fibrillation: 10 of 70 insurance plan rates
  • Aetna — ASA: $25,839
  • Aetna — Commercial: $23,100
  • Aetna — Medicare: $32,301.20
  • Affinity — HIX QHP: $34,258.84
  • Affinity — Medicare: $32,627.47
  • American Postal Workers — APWU Health Plan: $12,332
  • Anthem — Blue Access: $33,124
  • Anthem — Child Health Plus: $1,634.82
  • Anthem — Connection LG: $33,124
  • Anthem — Connection SG: $29,443
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $678.45 – $206,205.61
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Aetna — ASA: $31,237
  • Aetna — Commercial: $27,925
  • GEHA — GEHA: $31,237
  • Meritain Health — Meritain Health: $31,237
  • Nippon Life Insurance — Nippon Life Insurance: $31,237
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOM 6 YRS 4 PARAM $13,441 $1,071.95 $587.03 – $10,752.80
Sleep study (overnight, in a sleep lab): 10 of 66 insurance plan rates
  • Aetna — ASA: $1,143.25
  • Aetna — Commercial: $1,022.33
  • Aetna — Medicare: $1,061.23
  • Affinity — HIX QHP: $1,125.55
  • Affinity — Medicare: $1,071.95
  • Anthem — Blue Access: $3,823.20
  • Anthem — Child Health Plus: $1,414.54
  • Anthem — Connection LG: $3,823.20
  • Anthem — Connection SG: $3,396.07
  • Anthem — Essential 1, 2, 3, 4: $1,591.36
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6 yrs 4 param Not listed in the file Not listed in the file $587.03 – $10,752.80
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • American Postal Workers — APWU Health Plan: $3,728
  • Magnacare — Magnacare: $1,320
  • MVP — Commercial: $2,139
  • UHC — All Payer: $3,728
  • UHC — Compass: $3,728
  • UHC — Oxford: $3,729

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: HC OT THERAPEUTIC EXERCISES $370 Not listed in the file $48.78 – $473
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Anthem — Blue Access: $235.65
  • Anthem — Child Health Plus: $117.54
  • Anthem — Connection LG: $235.65
  • Anthem — Connection SG: $209.33
  • Anthem — ConnectionSG: $133.20
  • Anthem — Essential 1, 2, 3, 4: $132.23
  • Anthem — Fed Employee Program: $261.77
  • Anthem — HARP: $58.77
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $261.77
  • Anthem — Hotel Trades Council: $261.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THERAPEUTIC EXERCISES $370 Not listed in the file $25 – $291.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans
  • Emblem — HIP EPO PPO: $185
  • Oscar — Commercial: $249.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises Not listed in the file Not listed in the file $48.78 – $473
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Aetna — ASA: $129
  • Aetna — Commercial: $110
  • American Postal Workers — APWU Health Plan: $473
  • Centivo — Centivo Network: $355.58
  • Cigna — Access PPO: $315
  • Cigna — Commercial: $315
  • Cigna — Connecticut General: $315
  • Cigna — Great-West: $315
  • Cigna — Nat Assoc Letter Carriers: $315
  • GEHA — GEHA: $129
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN $1,000 Not listed in the file $75 – $924.18
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • Anthem — Blue Access: $831.99
  • Anthem — Child Health Plus: $206.40
  • Anthem — Connection LG: $831.99
  • Anthem — Connection SG: $739.04
  • Anthem — ConnectionSG: $360
  • Anthem — Essential 1, 2, 3, 4: $232.20
  • Anthem — Fed Employee Program: $924.18
  • Anthem — HARP: $103.20
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $924.18
  • Anthem — Hotel Trades Council: $924.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $75 – $924.18
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Aetna — ASA: $129
  • Aetna — Commercial: $110
  • American Postal Workers — APWU Health Plan: $473
  • Centivo — Centivo Network: $355.58
  • Cigna — Access PPO: $315
  • Cigna — Commercial: $315
  • Cigna — Connecticut General: $315
  • Cigna — Great-West: $315
  • Cigna — Nat Assoc Letter Carriers: $315
  • GEHA — GEHA: $129
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MOD COMPLEX 30 MIN $1,050 Not listed in the file $75 – $924.18
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • Anthem — Blue Access: $831.99
  • Anthem — Child Health Plus: $206.40
  • Anthem — Connection LG: $831.99
  • Anthem — Connection SG: $739.04
  • Anthem — Essential 1, 2, 3, 4: $232.20
  • Anthem — Fed Employee Program: $924.18
  • Anthem — HARP: $103.20
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $924.18
  • Anthem — Hotel Trades Council: $924.18
  • Anthem — Local 32BJ: $924.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $75 – $924.18
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Aetna — ASA: $129
  • Aetna — Commercial: $110
  • American Postal Workers — APWU Health Plan: $473
  • Centivo — Centivo Network: $355.58
  • Cigna — Access PPO: $315
  • Cigna — Commercial: $315
  • Cigna — Connecticut General: $315
  • Cigna — Great-West: $315
  • Cigna — Nat Assoc Letter Carriers: $315
  • GEHA — GEHA: $129
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEX 45 MIN $1,100 Not listed in the file $75 – $924.18
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • Anthem — Blue Access: $831.99
  • Anthem — Child Health Plus: $206.40
  • Anthem — Connection LG: $831.99
  • Anthem — Connection SG: $739.04
  • Anthem — Essential 1, 2, 3, 4: $232.20
  • Anthem — Fed Employee Program: $924.18
  • Anthem — HARP: $103.20
  • Anthem — HMO, POS, PPO, EPO, Indemnity: $924.18
  • Anthem — Hotel Trades Council: $924.18
  • Anthem — Local 32BJ: $924.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $75 – $924.18
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna — ASA: $129
  • Aetna — Commercial: $110
  • American Postal Workers — APWU Health Plan: $473
  • Centivo — Centivo Network: $355.58
  • Cigna — Access PPO: $315
  • Cigna — Commercial: $315
  • Cigna — Connecticut General: $315
  • Cigna — Great-West: $315
  • Cigna — Nat Assoc Letter Carriers: $315
  • GEHA — GEHA: $129
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes Not listed in the file $221.56 $77.87 – $1,400.26
Psychotherapy, 30 minutes: 10 of 43 insurance plan rates
  • Aetna — Medicare: $219.34
  • Affinity — HIX QHP: $232.64
  • Affinity — Medicare: $221.56
  • Anthem — Child Health Plus: $187.64
  • Anthem — Essential 1, 2, 3, 4: $211.10
  • Anthem — Exchange: $299.11
  • Anthem — HARP: $93.82
  • Anthem — Medicaid: $93.82
  • Anthem — Medicare: $221.56
  • CDPHP — Medicare: $221.56
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes Not listed in the file $221.56 $103.82 – $1,400.26
Psychotherapy, 45 minutes: 10 of 43 insurance plan rates
  • Aetna — Medicare: $219.34
  • Affinity — HIX QHP: $232.64
  • Affinity — Medicare: $221.56
  • Anthem — Child Health Plus: $250.18
  • Anthem — Essential 1, 2, 3, 4: $281.45
  • Anthem — Exchange: $299.11
  • Anthem — HARP: $125.09
  • Anthem — Medicaid: $125.09
  • Anthem — Medicare: $221.56
  • CDPHP — Medicare: $221.56
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx w pt 60 minutes Not listed in the file $221.56 $103.82 – $1,400.26
Psychotherapy, 60 minutes: 10 of 43 insurance plan rates
  • Aetna — Medicare: $219.34
  • Affinity — HIX QHP: $232.64
  • Affinity — Medicare: $221.56
  • Anthem — Child Health Plus: $250.18
  • Anthem — Essential 1, 2, 3, 4: $281.45
  • Anthem — Exchange: $299.11
  • Anthem — HARP: $125.09
  • Anthem — Medicaid: $125.09
  • Anthem — Medicare: $221.56
  • CDPHP — Medicare: $221.56
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w o pt 50 min Not listed in the file $221.56 $77.87 – $1,400.26
Family psychotherapy, without the patient: 10 of 43 insurance plan rates
  • Aetna — Medicare: $219.34
  • Affinity — HIX QHP: $232.64
  • Affinity — Medicare: $221.56
  • Anthem — Child Health Plus: $187.64
  • Anthem — Essential 1, 2, 3, 4: $211.10
  • Anthem — Exchange: $299.11
  • Anthem — HARP: $93.82
  • Anthem — Medicaid: $93.82
  • Anthem — Medicare: $221.56
  • CDPHP — Medicare: $221.56
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w pt 50 min Not listed in the file $221.56 $77.87 – $1,400.26
Family psychotherapy, with the patient: 10 of 43 insurance plan rates
  • Aetna — Medicare: $219.34
  • Affinity — HIX QHP: $232.64
  • Affinity — Medicare: $221.56
  • Anthem — Child Health Plus: $187.64
  • Anthem — Essential 1, 2, 3, 4: $211.10
  • Anthem — Exchange: $299.11
  • Anthem — HARP: $93.82
  • Anthem — Medicaid: $93.82
  • Anthem — Medicare: $221.56
  • CDPHP — Medicare: $221.56
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file $126.81 $40.23 – $801.44
Group psychotherapy: 10 of 43 insurance plan rates
  • Aetna — Medicare: $125.54
  • Affinity — HIX QHP: $133.15
  • Affinity — Medicare: $126.81
  • Anthem — Child Health Plus: $96.94
  • Anthem — Essential 1, 2, 3, 4: $109.06
  • Anthem — Exchange: $171.19
  • Anthem — HARP: $48.47
  • Anthem — Medicaid: $48.47
  • Anthem — Medicare: $126.81
  • CDPHP — Medicare: $126.81

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion Not listed in the file $4,887.57 $1,156.31 – $30,889.44
Removal of breast growth (open surgery): 10 of 61 insurance plan rates
  • Aetna — ASA: $3,932
  • Aetna — Commercial: $3,515
  • Aetna — Medicare: $4,838.69
  • Affinity — Basic Health Plan: $1,393.14
  • Affinity — Child Health Plus: $1,393.14
  • Affinity — HIX QHP: $5,131.95
  • Affinity — Medicaid: $1,393.14
  • Affinity — Medicare: $4,887.57
  • American Postal Workers — APWU Health Plan: $6,801
  • Anthem — Blue Access: $7,843
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: CPT 19120 Not listed in the file $4,887.57 $1,156.31 – $30,889.44
Removal of breast growth (open surgery): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: CPT 19120 Not listed in the file Not listed in the file $1,156.31 – $30,889.44
Removal of breast growth (open surgery): rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty Not listed in the file $16,026.32 $1,500 – $101,286.34
Total hip replacement: 10 of 45 insurance plan rates
  • Aetna — ASA: $6,450
  • Aetna — Commercial: $5,766
  • Aetna — Medicare: $15,866.06
  • Affinity — HIX QHP: $16,827.64
  • Affinity — Medicare: $16,026.32
  • American Postal Workers — APWU Health Plan: $12,766
  • Anthem — Blue Access: $14,024
  • Anthem — Exchange: $6,577
  • Anthem — Medicare: $16,026.32
  • Anthem — Pathways: $11,151
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: CPT 27130 Not listed in the file $16,026.32 $1,500 – $101,286.34
Total hip replacement: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: CPT 27130 Not listed in the file Not listed in the file $1,500 – $101,286.34
Total hip replacement: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty Not listed in the file $16,026.32 $1,500 – $101,286.34
Total knee replacement: 10 of 45 insurance plan rates
  • Aetna — ASA: $6,450
  • Aetna — Commercial: $5,766
  • Aetna — Medicare: $15,866.06
  • Affinity — HIX QHP: $16,827.64
  • Affinity — Medicare: $16,026.32
  • American Postal Workers — APWU Health Plan: $12,766
  • Anthem — Blue Access: $14,024
  • Anthem — Exchange: $6,577
  • Anthem — Medicare: $16,026.32
  • Anthem — Pathways: $11,151
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: CPT 27447 Not listed in the file $16,026.32 $1,500 – $101,286.34
Total knee replacement: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: CPT 27447 Not listed in the file Not listed in the file $1,500 – $101,286.34
Total knee replacement: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $677.11 – $7,843
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — ASA: $3,932
  • Aetna — Commercial: $3,515
  • American Postal Workers — APWU Health Plan: $2,851
  • Anthem — Blue Access: $7,843
  • Anthem — Exchange: $3,679
  • Anthem — Pathways: $6,236
  • CDPHP — Commercial: $3,642
  • Emblem — HIP HMO: $677.11
  • GEHA — GEHA: $3,932
  • HealthFirst — Essential Plan 1 & 2: $4,379.15
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: CPT 29826 Not listed in the file Not listed in the file $677.11 – $7,843
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: CPT 29826 Not listed in the file Not listed in the file $677.11 – $7,843
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy surgery Not listed in the file $4,084.39 $1,248.46 – $25,813.34
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
  • Aetna — ASA: $4,595
  • Aetna — Commercial: $4,108
  • Affinity — Basic Health Plan: $1,504.17
  • Affinity — Child Health Plus: $1,504.17
  • Affinity — Medicaid: $1,504.17
  • American Postal Workers — APWU Health Plan: $9,313
  • Anthem — Blue Access: $7,843
  • Anthem — Child Health Plus: $3,008.34
  • Anthem — Essential 1, 2, 3, 4: $3,384.38
  • Anthem — Exchange: $3,679
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs kne srg mnisectmy m l Not listed in the file $4,084.39 $1,248.46 – $25,813.34
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates
  • Aetna — Medicare: $4,043.55
  • Affinity — HIX QHP: $4,288.61
  • Affinity — Medicare: $4,084.39
  • Anthem — Exchange: $5,513.93
  • Anthem — Medicare: $4,084.39
  • CDPHP — Medicare: $4,084.39
  • Centerlight — PACE: $4,206.92
  • Emblem — HIP EPO PPO: $25,813.34
  • Emblem — Medicare: $4,084.39
  • Emblem — Select Care: $4,901.27
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: CPT 29881 Not listed in the file $4,084.39 $1,248.46 – $25,813.34
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file $7,389.63 $1,167.75 – $46,702.46
Removal of tonsils and adenoids (under age 12): 10 of 45 insurance plan rates
  • Aetna — ASA: $3,932
  • Aetna — Commercial: $3,515
  • Aetna — Medicare: $7,315.73
  • Affinity — HIX QHP: $7,759.11
  • Affinity — Medicare: $7,389.63
  • American Postal Workers — APWU Health Plan: $6,801
  • Anthem — Blue Access: $9,653
  • Anthem — Exchange: $4,527
  • Anthem — Medicare: $7,389.63
  • Anthem — Pathways: $7,675
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: CPT 42820 Not listed in the file $7,389.63 $1,167.75 – $46,702.46
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: CPT 42820 Not listed in the file Not listed in the file $1,167.75 – $46,702.46
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file $1,132.18 $477.25 – $9,638
Upper GI endoscopy (diagnostic): 10 of 62 insurance plan rates
  • Aetna — ASA: $2,086
  • Aetna — Commercial: $2,281
  • Aetna — Medicare: $1,120.86
  • Affinity — Basic Health Plan: $664.43
  • Affinity — Child Health Plus: $664.43
  • Affinity — HIX QHP: $1,188.79
  • Affinity — Medicaid: $664.43
  • Affinity — Medicare: $1,132.18
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $3,713
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: CPT 43235 Not listed in the file $1,132.18 $477.25 – $9,638
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: CPT 43235 Not listed in the file Not listed in the file $477.25 – $9,638
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single multiple Not listed in the file $1,132.18 $535.52 – $9,638
Upper GI endoscopy with biopsy: 10 of 62 insurance plan rates
  • Aetna — ASA: $2,086
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $1,120.86
  • Affinity — Basic Health Plan: $664.43
  • Affinity — Child Health Plus: $664.43
  • Affinity — HIX QHP: $1,188.79
  • Affinity — Medicaid: $664.43
  • Affinity — Medicare: $1,132.18
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $3,713
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: CPT 43239 Not listed in the file $1,132.18 $535.52 – $9,638
Upper GI endoscopy with biopsy: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: CPT 43239 Not listed in the file Not listed in the file $535.52 – $9,638
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file $1,160.85 $529.76 – $9,638
Colonoscopy (diagnostic): 10 of 62 insurance plan rates
  • Aetna — ASA: $2,086
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $1,149.24
  • Affinity — Basic Health Plan: $638.27
  • Affinity — Child Health Plus: $638.27
  • Affinity — HIX QHP: $1,218.89
  • Affinity — Medicaid: $638.27
  • Affinity — Medicare: $1,160.85
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $3,713
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: CPT 45378 Not listed in the file $1,160.85 $529.76 – $9,638
Colonoscopy (diagnostic): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: CPT 45378 Not listed in the file Not listed in the file $529.76 – $9,638
Colonoscopy (diagnostic): rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file $1,493.75 $529.76 – $9,638
Colonoscopy with biopsy: 10 of 62 insurance plan rates
  • Aetna — ASA: $2,086
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $1,478.81
  • Affinity — Basic Health Plan: $638.27
  • Affinity — Child Health Plus: $638.27
  • Affinity — HIX QHP: $1,568.44
  • Affinity — Medicaid: $638.27
  • Affinity — Medicare: $1,493.75
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $5,240
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: CPT 45380 Not listed in the file $1,493.75 $529.76 – $9,638
Colonoscopy with biopsy: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: CPT 45380 Not listed in the file Not listed in the file $529.76 – $9,638
Colonoscopy with biopsy: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w lesion removal Not listed in the file $1,493.75 $529.76 – $9,638
Colonoscopy with removal of polyps (snare): 10 of 62 insurance plan rates
  • Aetna — ASA: $2,086
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $1,478.81
  • Affinity — Basic Health Plan: $638.27
  • Affinity — Child Health Plus: $638.27
  • Affinity — HIX QHP: $1,568.44
  • Affinity — Medicaid: $638.27
  • Affinity — Medicare: $1,493.75
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $5,240
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: CPT 45385 Not listed in the file $1,493.75 $529.76 – $9,638
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: CPT 45385 Not listed in the file Not listed in the file $529.76 – $9,638
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w endoscope us Not listed in the file $1,493.75 $529.76 – $9,638
Ultrasound of the lower bowel by endoscope: 10 of 62 insurance plan rates
  • Aetna — ASA: $2,086
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $1,478.81
  • Affinity — Basic Health Plan: $638.27
  • Affinity — Child Health Plus: $638.27
  • Affinity — HIX QHP: $1,568.44
  • Affinity — Medicaid: $638.27
  • Affinity — Medicare: $1,493.75
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $5,240
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: CPT 45391 Not listed in the file $1,493.75 $529.76 – $9,638
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: CPT 45391 Not listed in the file Not listed in the file $529.76 – $9,638
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind Not listed in the file $1,160.85 $717.65 – $7,336.57
Screening colonoscopy (not high risk): 10 of 45 insurance plan rates
  • Aetna — ASA: $3,470
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $1,149.24
  • Affinity — HIX QHP: $1,218.89
  • Affinity — Medicare: $1,160.85
  • American Postal Workers — APWU Health Plan: $3,880
  • Anthem — Blue Access: $3,713
  • Anthem — Exchange: $1,742
  • Anthem — Medicare: $1,160.85
  • Anthem — Pathways: $2,952
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HCPCS G0121 Not listed in the file Not listed in the file $717.65 – $7,336.57
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file $7,546.53 $1,500 – $47,694.07
Gallbladder removal by laparoscope: 10 of 44 insurance plan rates
  • Aetna — ASA: $5,843
  • Aetna — Commercial: $5,223
  • Aetna — Medicare: $7,471.06
  • Affinity — HIX QHP: $7,923.86
  • Affinity — Medicare: $7,546.53
  • American Postal Workers — APWU Health Plan: $9,752
  • Anthem — Blue Access: $11,018
  • Anthem — Exchange: $5,167
  • Anthem — Medicare: $7,546.53
  • Anthem — Pathways: $8,760
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: CPT 47562 Not listed in the file $7,546.53 $1,500 – $47,694.07
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: CPT 47562 Not listed in the file Not listed in the file $1,500 – $47,694.07
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i hern init reduc 5 yr Not listed in the file $4,469.36 $1,500 – $28,246.36
Groin (inguinal) hernia repair, age 5 or older: 10 of 44 insurance plan rates
  • Aetna — ASA: $4,595
  • Aetna — Commercial: $4,108
  • Aetna — Medicare: $4,424.67
  • Affinity — HIX QHP: $4,692.83
  • Affinity — Medicare: $4,469.36
  • American Postal Workers — APWU Health Plan: $9,313
  • Anthem — Blue Access: $7,843
  • Anthem — Exchange: $3,679
  • Anthem — Medicare: $4,469.36
  • Anthem — Pathways: $6,236
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: CPT 49505 Not listed in the file $4,469.36 $1,500 – $28,246.36
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: CPT 49505 Not listed in the file Not listed in the file $1,500 – $28,246.36
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate Not listed in the file Not listed in the file $502.69 – $7,276
Prostate biopsy: 10 of 33 insurance plan rates
  • Aetna — ASA: $3,470
  • Aetna — Commercial: $3,102
  • Affinity — Basic Health Plan: $1,766.04
  • Affinity — Child Health Plus: $1,766.04
  • Affinity — Medicaid: $1,766.04
  • American Postal Workers — APWU Health Plan: $4,457
  • Anthem — Blue Access: $5,240
  • Anthem — Child Health Plus: $3,532.08
  • Anthem — Essential 1, 2, 3, 4: $3,973.59
  • Anthem — Exchange: $2,458
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: CPT 55700 Not listed in the file Not listed in the file $502.69 – $7,276
Prostate biopsy: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: CPT 55700 Not listed in the file Not listed in the file $502.69 – $7,276
Prostate biopsy: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad Not listed in the file $13,269.05 $1,500 – $83,860.40
Prostate removal by laparoscope (radical prostatectomy): 10 of 45 insurance plan rates
  • Aetna — ASA: $5,843
  • Aetna — Commercial: $5,223
  • Aetna — Medicare: $13,136.36
  • Affinity — HIX QHP: $13,932.50
  • Affinity — Medicare: $13,269.05
  • American Postal Workers — APWU Health Plan: $12,766
  • Anthem — Blue Access: $14,024
  • Anthem — Exchange: $6,577
  • Anthem — Medicare: $13,269.05
  • Anthem — Pathways: $11,151
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: CPT 55866 Not listed in the file $13,269.05 $1,500 – $83,860.40
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) In the file: CPT 55866 Not listed in the file Not listed in the file $1,500 – $83,860.40
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file $4,040.85 $909.86 – $25,538.17
Hysteroscopy with biopsy of the uterus lining: 10 of 60 insurance plan rates
  • Aetna — ASA: $3,932
  • Aetna — Commercial: $3,515
  • Aetna — Medicare: $4,000.44
  • Affinity — Basic Health Plan: $1,152.08
  • Affinity — Child Health Plus: $1,152.08
  • Affinity — HIX QHP: $4,242.89
  • Affinity — Medicaid: $1,152.08
  • Affinity — Medicare: $4,040.85
  • American Postal Workers — APWU Health Plan: $6,801
  • Anthem — Blue Access: $5,240
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: CPT 58558 Not listed in the file $4,040.85 $909.86 – $25,538.17
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: CPT 58558 Not listed in the file Not listed in the file $909.86 – $25,538.17
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr sac Not listed in the file $881.14 $379.43 – $7,276
Spinal injection, lower back (epidural), with imaging guidance: 10 of 60 insurance plan rates
  • Aetna — ASA: $2,552
  • Aetna — Commercial: $2,281
  • Aetna — Medicare: $872.33
  • Affinity — Basic Health Plan: $457.15
  • Affinity — Child Health Plus: $457.15
  • Affinity — HIX QHP: $925.20
  • Affinity — Medicaid: $457.15
  • Affinity — Medicare: $881.14
  • American Postal Workers — APWU Health Plan: $3,880
  • Anthem — Blue Access: $3,713
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: CPT 62323 Not listed in the file $881.14 $379.43 – $7,276
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: CPT 62323 Not listed in the file Not listed in the file $379.43 – $7,276
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa strd tfrm epi l s 1 Not listed in the file $1,104.07 $379.43 – $7,276
Nerve root injection, lower back, with imaging guidance: 10 of 60 insurance plan rates
  • Aetna — ASA: $2,552
  • Aetna — Commercial: $2,281
  • Aetna — Medicare: $1,093.03
  • Affinity — Basic Health Plan: $457.15
  • Affinity — Child Health Plus: $457.15
  • Affinity — HIX QHP: $1,159.27
  • Affinity — Medicaid: $457.15
  • Affinity — Medicare: $1,104.07
  • American Postal Workers — APWU Health Plan: $3,880
  • Anthem — Blue Access: $3,713
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: CPT 64483 Not listed in the file $1,104.07 $379.43 – $7,276
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: CPT 64483 Not listed in the file Not listed in the file $379.43 – $7,276
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file $2,437.56 $1,500 – $15,405.38
Carpal tunnel release: 10 of 45 insurance plan rates
  • Aetna — ASA: $3,470
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $2,413.18
  • Affinity — HIX QHP: $2,559.44
  • Affinity — Medicare: $2,437.56
  • American Postal Workers — APWU Health Plan: $6,801
  • Anthem — Blue Access: $5,240
  • Anthem — Exchange: $2,458
  • Anthem — Medicare: $2,437.56
  • Anthem — Pathways: $4,166
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CPT 64721 Not listed in the file $2,437.56 $1,500 – $15,405.38
Carpal tunnel release: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: CPT 64721 Not listed in the file Not listed in the file $1,500 – $15,405.38
Carpal tunnel release: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery Not listed in the file $686.55 $665.95 – $7,276
Laser treatment of clouding after cataract surgery: 10 of 60 insurance plan rates
  • Aetna — ASA: $3,470
  • Aetna — Commercial: $3,102
  • Aetna — Medicare: $679.68
  • Affinity — Basic Health Plan: $1,328.83
  • Affinity — Child Health Plus: $1,328.83
  • Affinity — HIX QHP: $720.88
  • Affinity — Medicaid: $1,328.83
  • Affinity — Medicare: $686.55
  • American Postal Workers — APWU Health Plan: $3,880
  • Anthem — Blue Access: $3,713
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: CPT 66821 Not listed in the file $686.55 $665.95 – $7,276
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: CPT 66821 Not listed in the file Not listed in the file $665.95 – $7,276
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w o ecp Not listed in the file $2,880.82 $1,395.35 – $18,206.78
Cataract removal with lens implant: 10 of 61 insurance plan rates
  • Aetna — ASA: $5,843
  • Aetna — Commercial: $5,223
  • Aetna — Medicare: $2,852.01
  • Affinity — Basic Health Plan: $1,681.15
  • Affinity — Child Health Plus: $1,681.15
  • Affinity — HIX QHP: $3,024.86
  • Affinity — Medicaid: $1,681.15
  • Affinity — Medicare: $2,880.82
  • American Postal Workers — APWU Health Plan: $6,801
  • Anthem — Blue Access: $5,240
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CPT 66984 Not listed in the file $2,880.82 $1,395.35 – $18,206.78
Cataract removal with lens implant: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: CPT 66984 Not listed in the file Not listed in the file $1,395.35 – $18,206.78
Cataract removal with lens implant: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetrical care Not listed in the file Not listed in the file $1,368.69 – $9,647.20
Vaginal delivery, with care before and after: 10 of 21 insurance plan rates
  • Affinity — Basic Health Plan: $1,649.02
  • Affinity — Child Health Plus: $1,649.02
  • Affinity — Medicaid: $1,649.02
  • Anthem — Child Health Plus: $3,298.04
  • Anthem — Essential 1, 2, 3, 4: $3,710.30
  • Anthem — HARP: $1,649.02
  • Anthem — Medicaid: $1,649.02
  • Emblem — Essential Plan 1 & 2: $1,978.82
  • Emblem — Essential Plan 3 & 4: $1,649.02
  • Emblem — HIP HMO: $9,647.20
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: CPT 59400 Not listed in the file Not listed in the file $1,368.69 – $9,647.20
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: CPT 59400 Not listed in the file Not listed in the file $1,368.69 – $9,647.20
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CPT 59510 Not listed in the file Not listed in the file $1,500 – $10,738.82
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery Not listed in the file Not listed in the file $1,500 – $10,738.82
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans
  • Emblem — HIP HMO: $10,738.82
  • Magnacare — Magnacare: $3,000
  • MVP — Commercial: $6,666
  • Oscar — Commercial: $7,276
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: CPT 59510 Not listed in the file Not listed in the file $1,500 – $10,738.82
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: CPT 59610 Not listed in the file Not listed in the file $1,500 – $10,129.60
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
  • Centivo — Centivo Network: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Access PPO: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Connecticut General: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — Great-West: 57.82% (a percentage in the contract, not a dollar amount)
  • Cigna — LocalPlus: 52.04% (a percentage in the contract, not a dollar amount)
  • Cigna — Nat Assoc Letter Carriers: 57.82% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery Not listed in the file Not listed in the file $1,500 – $10,129.60
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
  • Emblem — HIP HMO: $10,129.60
  • HealthFirst — Essential Plan 1 & 2: $4,800.85
  • Magnacare — Magnacare: $3,000
  • MVP — Commercial: $6,666
  • Oscar — Commercial: $7,276
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: CPT 59610 Not listed in the file Not listed in the file $1,500 – $10,129.60
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 80% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: Cardiac valve oth maj cardiothoracic proc w cardiac cath w MCC Not listed in the file $100,800 $75,591.90 – $772,022.35
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 41 insurance plan rates
  • Aetna — Medicare: $76,363.24
  • Affinity — Basic Health Plan: $82,534.01
  • Affinity — Child Health Plus: $82,534.01
  • Affinity — HIX QHP: $80,991.32
  • Affinity — Medicaid: $82,534.01
  • Affinity — Medicare: $77,134.59
  • Anthem — Medicare: $77,134.59
  • CDPHP — Medicare: $77,134.59
  • Centerlight — PACE: $79,448.63
  • Centivo — Centivo Network: $453,747.33
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: MS-DRG 216 Not listed in the file $100,800 $75,591.90 – $772,022.35
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 79% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major hip knee joint replace or reattach lower extremity w o MCC Not listed in the file $20,224.43 $14,769.18 – $150,838.11
Hip or knee replacement (major joint of the leg), without major complications: 10 of 46 insurance plan rates
  • Aetna — ASA: $77,984.28
  • Aetna — Commercial: $69,716.36
  • Aetna — Medicare: $14,919.88
  • Affinity — Basic Health Plan: $16,125.53
  • Affinity — Child Health Plus: $16,125.53
  • Affinity — HIX QHP: $15,824.12
  • Affinity — Medicaid: $16,125.53
  • Affinity — Medicare: $15,070.59
  • Anthem — Medicare: $15,070.59
  • CDPHP — Medicare: $15,070.59
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MS-DRG 470 Not listed in the file $20,224.43 $14,769.18 – $150,838.11
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 79% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical spinal fusion without CC MCC Not listed in the file $25,481.29 $18,542.35 – $189,373.63
Neck (cervical) spinal fusion, without complications: 10 of 41 insurance plan rates
  • Aetna — Medicare: $18,731.56
  • Affinity — Basic Health Plan: $20,245.22
  • Affinity — Child Health Plus: $20,245.22
  • Affinity — HIX QHP: $19,866.81
  • Affinity — Medicaid: $20,245.22
  • Affinity — Medicare: $18,920.77
  • Anthem — Medicare: $18,920.77
  • CDPHP — Medicare: $18,920.77
  • Centerlight — PACE: $19,488.39
  • Centivo — Centivo Network: $111,302.19
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: MS-DRG 473 Not listed in the file $25,481.29 $18,542.35 – $189,373.63
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 79% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: Uterine and adnexa procedures for non malignancy without CC MCC Not listed in the file $13,163.97 $9,388.67 – $95,886.80
Uterus and ovary surgery (not for cancer), without complications: 10 of 41 insurance plan rates
  • Aetna — Medicare: $9,484.48
  • Affinity — Basic Health Plan: $10,250.90
  • Affinity — Child Health Plus: $10,250.90
  • Affinity — HIX QHP: $10,059.29
  • Affinity — Medicaid: $10,250.90
  • Affinity — Medicare: $9,580.28
  • Anthem — Medicare: $9,580.28
  • CDPHP — Medicare: $9,580.28
  • Centerlight — PACE: $9,867.69
  • Centivo — Centivo Network: $56,356.37
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: MS-DRG 743 Not listed in the file $13,163.97 $9,388.67 – $95,886.80
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans
  • Emblem — GHI - Access Network: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 79% (a percentage in the contract, not a dollar amount)

Source: Montefiore St Luke's Cornwall’s standard charges file (montefioreslc.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026.

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
Address70 Dubois Street, Newburgh, NY 12550
CountyOrange County
StateNew York
Phone(845) 458‑4900
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330264
Name in Medicare recordsMONTEFIORE ST LUKE'S CORNWALL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(845) 561‑4400[4][9]
Name on the hospital’s websiteMontefiore St. Luke's Cornwall Hospital, Newburgh Campus
Official websitemontefioreslc.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Directions | Montefiore St. Luke's Cornwall Hospital — montefioreslc.org
  2. Cornwall Emergency Department | ER in Newburgh — montefioreslc.org
  3. Cornwall Birthing Center | MSLC Birthing Center — montefioreslc.org
  4. Metabolic & Bariatric Surgery | Montefiore St. Luke's Cornwall — montefioreslc.org
  5. Visitation | Montefiore St. Luke's Cornwall Hospital — montefioreslc.org
  6. Locations | Patient Care | Montefiore Einstein — montefioreeinstein.org